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Steinmetz A. [Posterior scleritis in a dog]. Tierarztl Prax Ausg K Kleintiere Heimtiere 2023; 51:36-40. [PMID: 36917991 DOI: 10.1055/a-2015-2442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/15/2023]
Abstract
Clinical signs, additional diagnostic procedures, treatment, and outcome of a clinically diagnosed posterior scleritis in a male Landseer are reported and discussed in context with the existing literature.
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Steinmetz A, Dohmann GWJ, Blobner CC. Dacryocystitis in dogs caused by foreign bodies-Diagnosis and therapy in 14 Cases. Vet Ophthalmol 2022; 25:180-185. [PMID: 34984785 DOI: 10.1111/vop.12968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 12/21/2021] [Accepted: 12/21/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To describe foreign bodies (FBs) in the nasolacrimal sac of dogs, the history, and simple diagnostic and therapeutic approaches. Animals studied Fourteen dogs of different breeds, ages, and sexes were presented with unilateral dacryocystitis and had been treated without success for over 1-8 months. PROCEDURES Patient history, including prior treatment, was obtained from medical records. Slit-lamp examination was performed in all cases (SL 17, Kowa Company Ltd.). Jones tests 1 and/or 2 were performed in 13/14 cases. Dacryocystotomy was initiated with an incision into one canaliculus until the lacrimal sac was exposed and could be explored. After extracting the FB from the nasolacrimal sac, the surgical wound and canaliculus were left open. Aftercare included the administration of antibiotic eye drops with or without dexamethasone and systemic analgesia. RESULTS All 14 dogs were mesocephalic. Four of them were Dachshunds. Dacryocystotomy revealed plant-related FBs in all cases. The purulent discharge disappeared immediately after removal and did not recur during follow-up. CONCLUSIONS A simple dacryocystotomy is recommended for dogs with a strong suspicion of a foreign body in the lacrimal drainage system. Dacryocystorhinography appears to be an optional tool in these cases.
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Steinmetz A, Theyse LF. Treatment of deep corneal ulcers with porcine small intestinal submusosa using a modified surgical technique in dogs. Clin Case Rep 2021; 9:812-817. [PMID: 33598250 PMCID: PMC7869326 DOI: 10.1002/ccr3.3661] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 11/12/2020] [Accepted: 11/25/2020] [Indexed: 01/10/2023] Open
Abstract
Treatment of deep corneal ulcers using small intestinal submucosa (SIS) without corneal sutures in combination with a third eyelid flap seems a promising technical modification. Advantages are a reduction in surgery time and no additional damage of healthy corneal tissue.
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Abstract
BACKGROUND Brachycephalic breeds have anatomical skull changes that are responsible for ocular clinical signs, known as the brachycephalic ocular syndrome (BOS). Their popularity has increased in recent years but the excessive pressure of selection lead to extreme conformation of skull shapes, resulting in facial alterations that can put these dogs' vision at risk. OBJECTIVES This study aimed to analyse the ocular disorders in a sample of 93 brachycephalic dogs to better characterize the disease complex BOS. MATERIAL AND METHODS Brachycephalic dogs were submitted to a complete ophthalmological examination. The studied parameters included animal's sex, age and breed, age, ophthalmological tests performed, results of complementary exams, clinical signs, ocular disorders, treatment protocols and their outcomes. Data were organized using Microsoft Office Excel 2007® and statistical analysis was performed with IBM SPSS Statistics 20®. RESULTS The studied population included 93 brachycephalic dogs 45 males (48%) and 48 females (52%) from different breeds: French Bulldog (n = 38), Shih-Tzu (n = 22), Pug (n = 17), English Bulldog (n = 5), Pekingese (n = 4), Boxer (n = 4) and Boston Terrier (n = 3), aged between 0.2-16 years, median 4.65 years. The most frequent ocular abnormalities were corneal ulcers in 44%, corneal pigmentation in 36%, corneal fibrosis in 25% and entropion in 22% of the animals. There was a higher incidence of corneal pigmentary keratitis in Pugs (53%) and corneal fibrosis in Shih Tzus (36%). The most common surgical techniques were medial canthoplasty in 22%, conjunctival flap in 10% and electroepilation in 7% of the cases, without post-operative complications. CONCLUSIONS This study contributed to a better characterization of the disease complex brachycephalic ocular syndrome. The percentage of ocular disorders like entropion, corneal pigmentation, fibrosis and ulcers was high, highlighting the importance of a regular ophthalmological check-up, and early diagnosis of the primary disorders. A higher incidence of corneal pigmentation was noticed in Pugs and corneal fibrosis in Shih Tzus, which suggests that some brachycephalic breeds may be predisposed to certain ocular abnormalities. A responsible reproductive strategy should be implemented to avoid undesired transmission of the abnormal traits to the offspring.
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Affiliation(s)
- Joana Costa
- Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal.
| | - Andrea Steinmetz
- Department of Small Animals, Faculty of Veterinary Medicine, University of Leipzig, Leipzig, Germany
| | - Esmeralda Delgado
- CIISA- Centre for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal
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Steinmetz A, von Bomhard W, Mülling C. Dacryops with extensive lacrimal and maxillary bone defects in four dogs. Vet Ophthalmol 2021; 24:195-202. [PMID: 33444470 DOI: 10.1111/vop.12860] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 12/08/2020] [Accepted: 12/28/2020] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To describe and discuss ventromedial orbital lacrimal gland or duct cysts (dacryops) in dogs with extensive bone defects based on their symptoms, results of diagnostic imaging and histopathological examination, and therapy and discuss their potential origin based on the morphology. ANIMALS STUDIED Four dogs of different breeds, age, and sex were presented with a unilateral round, slow growing, indolent, and non-tender process ventromedial to the nasal canthus of the eye. PROCEDURES Transverse computed tomography showed a low-density, non-contrast-enhancing cystic process ventromedial to the globe with extensive defects in the lacrimal and maxillary bones in all cases. The cystic character of the structure was confirmed by the aspiration of the brownish fluid without cellular and microbiological contents. For treatment, the cystic fluid was aspirated, and the sclerosing agent polidocanol was injected in three cases. Cystorhinostomy (nasal marsupialisation) was performed in one case as the first choice and in another case following failure of sclerotherapy. Histopathological examination of the cyst walls was performed in two cases and confirmed the diagnosis of dacryops. RESULTS Follow-up between 2 and 18 months showed no recurrence and very good to excellent cosmetic results. CONCLUSIONS Aberrant lacrimal gland or duct tissue with secondary development of dacryops should be included in the differential diagnoses of ventromedial orbital cysts. Large cysts near the lacrimal drainage system with extensive bone defects in dogs should be treated by nasal marsupialization. Treatments such as evacuation of the cyst and inducing sclerosis (sclerotherapy) should be reserved for exceptional cases.
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Affiliation(s)
| | | | - Christoph Mülling
- Institute of Veterinary Anatomy, Leipzig University, Leipzig, Germany
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Offhaus J, Daniel J, Brehm W, Steinmetz A. Reconstruction of the upper lid after resection of a melanoma in two Grey horses using a combination of a sliding skin graft and
a free labial mucocutaneous graft. PFERDEHEILKUNDE 2021. [DOI: 10.21836/pem20210306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abstract
Microsurgical procedures in zoo and wildlife animals are challenging because of the reduced perioperative sterility and postoperative care. This case report describes the positive result of the surgical treatment of a perforated corneal ulceration with prolapsed iris in an 18-year-old Grévy's zebra mare. The postoperative development and the results of the histomorphological examination 3.5 years after surgery are described.
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Affiliation(s)
- A Steinmetz
- Klinik für Kleintiere, Abteilung Ophthalmologie, Universität Leipzig, An den Tierkliniken 23, 04103, Leipzig, Deutschland.
| | | | - C Minkwitz
- Institut für Veterinärpathologie, Universität Leipzig, Leipzig, Deutschland
| | - D Böttcher
- Institut für Veterinärpathologie, Universität Leipzig, Leipzig, Deutschland
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Steinmetz A, Gittel C, Böttcher D, Lapko L, Offhaus J. The use of a combined sliding skin graft and a free labial mucocutaneous graft for reconstruction of the equine upper eyelid after full-thickness excision of a melanoma. Clin Case Rep 2019; 7:419-425. [PMID: 30899463 PMCID: PMC6406139 DOI: 10.1002/ccr3.1992] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 11/27/2018] [Accepted: 12/02/2018] [Indexed: 12/12/2022] Open
Abstract
A melanoma of the upper eyelid was resected in a gray warmblood gelding. A full functional eyelid could be obtained by completion a sliding skin graft with a free labial mucocutaneous graft transplantation to restore the mucocutaneous junction and to decrease the risk of postoperative trichiasis.
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Affiliation(s)
| | - Claudia Gittel
- University Equine HospitalLeipzig UniversityLeipzigGermany
| | | | - Liv Lapko
- Institute of PathologyLeipzig UniversityLeipzigGermany
| | - Julia Offhaus
- University Equine HospitalLeipzig UniversityLeipzigGermany
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Steinmetz A, Jörn U, Oechtering GU, Heilmann RM. Tear glucose, creatinine, and urea nitrogen concentrations in cats with normal or increased plasma concentrations. Vet Ophthalmol 2018; 22:470-476. [PMID: 30288908 DOI: 10.1111/vop.12615] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 07/26/2018] [Accepted: 08/02/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVE The aim of the study was to determine the lacrimal fluid (LF) contents of glucose, urea nitrogen, and creatinine in cats. ANIMAL STUDIED A total of 96 cats were included in the study. PROCEDURE Venous blood and LF samples were collected. For LF sampling, three small polyurethane sponges were placed in the ventral fornix of both eyes. Both LF and plasma concentrations of glucose, urea nitrogen, and creatinine were quantitatively analyzed and compared. RESULT Glucose (n = 40) and urea nitrogen concentrations (n = 42) measured in LF from both eyes highly correlated. While there was a very strong correlation (ρ = 0.97) between urea nitrogen concentrations in blood plasma and the corresponding tear levels (with the median LF urea nitrogen being 109% of that measured in plasma), the LF glucose concentrations were significantly lower than the corresponding plasma concentrations (with only 13% of the blood glucose concentration detected in the LF). The creatinine concentrations in tears were much lower than those in plasma, and LF creatinine was detectable in only 12/48 cats (25%). Hence, a comparison of the LF creatinine concentrations between both eyes or with the corresponding plasma creatinine concentration was not possible. CONCLUSION Measurement of LF urea nitrogen concentrations in cats appears to be reliable and might have potential clinical utility. Measurement of LF glucose concentrations is less reliable but may still be useful in some cats. Creatinine is not reliably detected in the LF in cats. Further studies determining clinical utility of LF metabolites in cats and other companion animals are warranted.
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Affiliation(s)
- Andrea Steinmetz
- Small Animal Clinic, College of Veterinary Medicine, University of Leipzig, Leipzig, Germany
| | | | - Gerhard U Oechtering
- Small Animal Clinic, College of Veterinary Medicine, University of Leipzig, Leipzig, Germany
| | - Romy M Heilmann
- Small Animal Clinic, College of Veterinary Medicine, University of Leipzig, Leipzig, Germany
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Steinmetz A, Platt M, Janssen E, Takiar V, Huang K, Zhang Y, Mascia A, Lamba M, Vatner R. Design of a 3D Printed Immobilization Device for Radiation Therapy of Experimental Tumors in Mice. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.2090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Steinmetz A. Superior orbitectomy and chemotherapy in a dog with frontal sinus squamous cell carcinoma: a case report and review of the literature. Clin Case Rep 2017; 5:513-520. [PMID: 28396780 PMCID: PMC5378860 DOI: 10.1002/ccr3.889] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 02/03/2017] [Accepted: 02/06/2017] [Indexed: 11/11/2022] Open
Abstract
A superior orbitectomy can be a challenging but accomplishable surgical option in dogs with a tumor which involves the dorsal bony part of the orbit. The procedure described in this report can be vision‐sparing and life prolonging even in a case of an aggressive growing frontal sinus squamous cell carcinoma.
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Affiliation(s)
- Andrea Steinmetz
- Department of Small Animals University of Leipzig An den Tierkliniken 23 D-04103 Leipzig Germany
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Thevenon J, Duffourd Y, Masurel-Paulet A, Lefebvre M, Feillet F, El Chehadeh-Djebbar S, St-Onge J, Steinmetz A, Huet F, Chouchane M, Darmency-Stamboul V, Callier P, Thauvin-Robinet C, Faivre L, Rivière JB. Diagnostic odyssey in severe neurodevelopmental disorders: toward clinical whole-exome sequencing as a first-line diagnostic test. Clin Genet 2016; 89:700-7. [PMID: 26757139 DOI: 10.1111/cge.12732] [Citation(s) in RCA: 172] [Impact Index Per Article: 21.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Revised: 01/05/2016] [Accepted: 01/07/2016] [Indexed: 01/03/2023]
Abstract
The current standard of care for diagnosis of severe intellectual disability (ID) and epileptic encephalopathy (EE) results in a diagnostic yield of ∼50%. Affected individuals nonetheless undergo multiple clinical evaluations and low-yield laboratory tests often referred to as a 'diagnostic odyssey'. This study was aimed at assessing the utility of clinical whole-exome sequencing (WES) in individuals with undiagnosed and severe forms of ID and EE, and the feasibility of its implementation in routine practice by a small regional genetic center. We performed WES in a cohort of 43 unrelated individuals with undiagnosed ID and/or EE. All individuals had undergone multiple clinical evaluations and diagnostic tests over the years, with no definitive diagnosis. Sequencing data analysis and interpretation were carried out at the local molecular genetics laboratory. The diagnostic rate of WES reached 32.5% (14 out of 43 individuals). Genetic diagnosis had a direct impact on clinical management in four families, including a prenatal diagnostic test in one family. Our data emphasize the clinical utility and feasibility of WES in individuals with undiagnosed forms of ID and EE and highlight the necessity of close collaborations between ordering physicians, molecular geneticists, bioinformaticians and researchers for accurate data interpretation.
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Affiliation(s)
- J Thevenon
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Interrégion Est, Centre Hospitalier Universitaire Dijon, Dijon, France.,Equipe d'Accueil 4271, Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - Y Duffourd
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Equipe d'Accueil 4271, Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - A Masurel-Paulet
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Interrégion Est, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - M Lefebvre
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Interrégion Est, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - F Feillet
- Service de Médecine Infantile 1, Centre de Référence des Maladies Héréditaires du Métabolisme, Centre Hospitalier Universitaire Brabois-Enfants, Vandœuvre-lès-Nancy, France
| | | | - J St-Onge
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Equipe d'Accueil 4271, Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - A Steinmetz
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Interrégion Est, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - F Huet
- Service de Pédiatrie 1, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - M Chouchane
- Service de Pédiatrie 1, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - V Darmency-Stamboul
- Service de Pédiatrie 1, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - P Callier
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Equipe d'Accueil 4271, Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France.,Laboratoire de Génétique Chromosomique et Moléculaire, Plateau Technique de Biologie, Centre Hospitalier Universitaire Dijon, Dijon, France
| | - C Thauvin-Robinet
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Interrégion Est, Centre Hospitalier Universitaire Dijon, Dijon, France.,Equipe d'Accueil 4271, Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - L Faivre
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Centre de Génétique et Centre de Référence Anomalies du Développement et Syndromes Malformatifs de l'Interrégion Est, Centre Hospitalier Universitaire Dijon, Dijon, France.,Equipe d'Accueil 4271, Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France
| | - J B Rivière
- Fédération Hospitalo-Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD), Centre Hospitalier Universitaire Dijon, Dijon, France.,Equipe d'Accueil 4271, Génétique des Anomalies du Développement, Université de Bourgogne, Dijon, France.,Laboratoire de Génétique Chromosomique et Moléculaire, Plateau Technique de Biologie, Centre Hospitalier Universitaire Dijon, Dijon, France
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Steinmetz A. Kraniomandibuläre Dysfunktionen im Kontext Instrumental-spielassoziierter muskuloskeletaler Schmerzsyndrome. Manuelle Medizin 2015. [DOI: 10.1007/s00337-015-1185-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Steinmetz A. Shared rhytidectomy continued to lateral canthoplasty in a Mastiff with excessive facial folding and macroblepharon. Tierarztl Prax Ausg K Kleintiere Heimtiere 2015; 43:40-4. [PMID: 25609005 DOI: 10.15654/tpk-140331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2014] [Accepted: 07/28/2014] [Indexed: 11/13/2022]
Abstract
A 3.5-year-old male Neapolitan Mastiff was presented with an obstructed visual axis because of excessive facial skin folds, brow droop, macroblepharon, upper eyelid entropion and lower ectropion-entropion. To address these major defects a technique was performed which combines rhytidectomy with shortening of the palpebral fissure and stabilization of the lateral canthus. Postoperatively the dog showed an unobstructed visual axis with comfortable and symmetrical eyes.
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Affiliation(s)
- A Steinmetz
- Andrea Steinmetz, Klinik für Kleintiere der Universität Leipzig, An den Tierkliniken 23, 04103 Leipzig, Germany,
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Hager E, Steinmetz A, Washington CB, Wu T, Singh MJ, Kenkre TS, Dillavou E. Factors That Influence Immediate Perforator Vein Closure Rates With Radiofrequency Ablation, Laser Ablation, or Foam Sclerotherapy. J Vasc Surg Venous Lymphat Disord 2014; 3:125. [PMID: 26993713 DOI: 10.1016/j.jvsv.2014.10.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- E Hager
- University of Pittsburgh Medical Center, Pittsburgh, Pa
| | - A Steinmetz
- University of Pittsburgh Medical Center, Pittsburgh, Pa
| | | | - T Wu
- University of Pittsburgh Medical Center, Pittsburgh, Pa
| | - M J Singh
- University of Pittsburgh Medical Center, Pittsburgh, Pa
| | - T S Kenkre
- University of Pittsburgh, Pittsburgh, Pa
| | - E Dillavou
- University of Pittsburgh Medical Center, Pittsburgh, Pa
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Lehneis R, Steinmetz A, Limpert J, Tünnermann A. All-fiber pulse shortening of passively Q-switched microchip laser pulses down to sub-200 fs. Opt Lett 2014; 39:5806-5809. [PMID: 25361090 DOI: 10.1364/ol.39.005806] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
We present an all-fiber concept that generates ultrashort pulses using a passively Q-switched microchip seed laser. A proof-of-principle configuration combines nonlinear pulse compression applying a chirped fiber-Bragg-grating, dispersion-free pulse shortening by means of a fiber-integrated spectral filtering, and a final hollow-core-fiber compression to reach the sub-200-fs pulse-duration region. In a compact all-fiber pulse-shortening unit, initial 100 ps long microchip pulses at 1064 nm wavelength have been shortened to 174 fs and shifted to 1034 nm while preserving a high temporal quality.
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Klose G, Beil F, Dieplinger H, von Eckardstein A, Föger B, Gouni-Berthold I, Heigl F, Koenig W, Kostner G, Landmesser U, Laufs U, Leistikow F, März W, Merkel M, Müller-Wieland D, Noll G, Parhofer K, Paulweber B, Riesen W, Schaefer J, Steinhagen-Thiessen E, Steinmetz A, Toplak H, Wanner C, Windler E. Erratum zu: Neue AHA- und ACC-Leitlinie zur Risikoreduktion von Herz-Kreislauf-Erkrankungen durch Cholesterinsenkung. Stellungnahme der D•A•CH-Gesellschaft Prävention von Herz-Kreislauf-Erkrankungen e. V., der Österreichischen Atherosklerose Gesellschaft und der Arbeitsgruppe Lipide und Atherosklerose (AGLA) der Schweizer Gesellschaft für Kardiologie. Internist (Berl) 2014. [DOI: 10.1007/s00108-014-3576-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hoffmann C, Mao X, Dieterle M, Moreau F, Steinmetz A, Thomas C. 229: The LIM domain protein cysteine-rich protein 2 (CRP2) promotes breast cancer progression. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)50200-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Klose G, Beil FU, Dieplinger H, von Eckardstein A, Föger B, Gouni-Berthold I, Koenig W, Kostner GM, Landmesser U, Laufs U, Leistikow F, März W, Merkel M, Müller-Wieland D, Noll G, Parhofer KG, Paulweber B, Riesen W, Schaefer JR, Steinhagen-Thiessen E, Steinmetz A, Toplak H, Wanner C, Windler E. [New AHA and ACC guidelines on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk : Statement of the D•A•CH Society for Prevention of Cardiovascular Diseases, the Austrian Atherosclerosis Society and the Working Group on Lipids and Atherosclerosis (AGLA) of the Swiss Society for Cardiology]. Internist (Berl) 2014; 55:601-6. [PMID: 24770979 DOI: 10.1007/s00108-014-3492-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Guidelines for the reduction of cholesterol to prevent atherosclerotic vascular events were recently released by the American Heart Association and the American College of Cardiology. The authors claim to refer entirely to evidence from randomized controlled trials, thereby confining their guidelines to statins as the primary therapeutic option. The guidelines derived from these trials do not specify treatment goals, but refer to the percentage of cholesterol reduction by statin medication with low, moderate, and high intensity. However, these targets are just as little tested in randomized trials as are the cholesterol goals derived from clinical experience. The same applies to the guidelines of the four patient groups which are defined by vascular risk. No major statin trial has included patients on the basis of their global risk; thus the allocation criteria are also arbitrarily chosen. These would actually lead to a significant increase in the number of patients to be treated with high or maximum dosages of statins. Also, adhering to dosage regulations instead of cholesterol goals contradicts the principles of individualized patient care. The option of the new risk score to calculate lifetime risk up to the age of 80 years in addition to the 10-year risk can be appreciated. Unfortunately it is not considered in the therapeutic recommendations provided, despite evidence from population and genetic studies showing that even a moderate lifetime reduction of low-density lipoprotein (LDL) cholesterol or non-HDL cholesterol has a much stronger effect than an aggressive treatment at an advanced age. In respect to secondary prevention, the new American guidelines broadly match the European guidelines. Thus, the involved societies from Germany, Austria and Switzerland recommend continuing according to established standards, such as the EAS/ESC guidelines.
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Affiliation(s)
- G Klose
- Praxis für Innere Medizin, Gastroenterologie, Kardiologie und Präventionsmedizin, Bremen, Deutschland
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Lehneis R, Jauregui C, Steinmetz A, Limpert J, Tünnermann A. Smoothed spectra for enhanced dispersion-free pulse duration reduction of passively Q-switched microchip lasers. Opt Lett 2014; 39:505-508. [PMID: 24487851 DOI: 10.1364/ol.39.000505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We present an enhanced technique for dispersion-free pulse shortening, which exploits the interplay of different third-order nonlinear effects in a waveguide structure. When exceeding a certain value of the pulse energy coupled into the waveguide, the typical oscillations of self-phase modulation (SPM)-broadened spectra vanish during pulse propagation. Such smoothed spectra ensure a high pulse quality of the spectrally filtered and, therefore, temporally shortened pulses independently of the filtering position. A reduction of the pulse duration from 138 to 24 ps has been achieved while preserving a high temporal quality. To the best of our knowledge, the nonlinear smoothing of SPM-broadened spectra is used in the context of dispersion-free pulse duration reduction for the first time.
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Steinmetz A, Scheffer I, Esmer E, Delank KS, Peroz I. Frequency, severity and predictors of playing-related musculoskeletal pain in professional orchestral musicians in Germany. Clin Rheumatol 2014; 34:965-73. [PMID: 24389813 DOI: 10.1007/s10067-013-2470-5] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2013] [Revised: 12/11/2013] [Accepted: 12/17/2013] [Indexed: 11/30/2022]
Abstract
Playing-related musculoskeletal disorders (PRMD) in professional musicians are common. Existing literature demonstrates that up to 86 % of musicians are affected. The aim of the study was to evaluate the frequency of musculoskeletal pain in professional orchestral musicians with regard to their instrument affiliation. Of special interest were pain intensity and its association with predictors such as gender, instrument group, age or stage fright. Professional orchestra players completed a self-report questionnaire to assess playing-related musculoskeletal pain and its frequency and intensity in various body regions on a numeric rating scale (NRS). Relative frequencies and prevalence ratios for different instrument groups were estimated. Out of 720 approached musicians, 408 were included in the sample (response rate 57 %); overall, 89.5 % had been affected by current or past playing-related musculoskeletal pain, 62.7 % reported pain in the previous 3 months, and 8.6 % reported current pain. Pain distribution and frequency varied between instrument groups. For all instrument groups, the neck was the most common pain region. About 43 % of musicians presented more than five pain regions, in particular violin players. Approximately 40 % of musicians indicated frequent or permanent pain. Average pain intensities increased from NRS 3.8 up to a range of 5.9 and 7.4 for frequent and permanent pain, respectively. Female gender and stage fright were proven to be predictors for musculoskeletal pain. Professional orchestral musicians are greatly affected by PRMD, often experiencing frequent or permanent pain, high pain levels and pain in various body regions. As PRMD might contribute considerably to performance disability, sick leave and the possibility of premature termination of a musicians' career, this study highlights the necessity for tailored therapeutic and preventive strategies in performing arts medicine.
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Affiliation(s)
- A Steinmetz
- Department of Orthopaedics, Traumatology and Physical Medicine, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany,
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Abstract
BACKGROUND Up to 80% of professional musicians are affected by playing-related musculoskeletal disorders, but data regarding the frequency of craniomandibular dysfunction (CMD) in professional orchestra musicians is scarce. AIMS To evaluate the frequency of CMD and its relation to musculoskeletal pain in various body regions. METHODS A questionnaire-based survey approach assessing CMD symptoms and musculoskeletal pain in professional orchestra players was adopted. Relative prevalence rates and prevalence ratios for different instrument groups were estimated. RESULTS A total of 408 musicians completed the questionnaire (response rate 57%). Playing-related pain in the teeth or jaw was reported by 19-47% of musicians and TMJ pain by 15-34%, depending on the instrument group. Current pain in the face indicating a painful CMD was reported in 6-10% and related symptoms such as teeth grinding in 25-34%, jaw clenching in 33-42% and jaw locking in 11-18% of musicians. Females were 2.4 times (95% confidence intervals (CI) 1.49-3.84) more likely to report having had orofacial pain within the last month. Musicians reporting orofacial pain within the last month were 4.8 times (95% CI: 2.83-8.02) more likely to report pain in the neck and 2.5-3.8 times (P < 0.05) more likely to report pain in other body regions, including shoulders, right wrist, left fingers and the thoracic and lumbar spine. CONCLUSIONS Symptoms suggesting CMD were common in this study of professional orchestra musicians and were associated with pain in the neck, shoulder and hands. There is a need to enhance awareness of CMD to optimize early medical diagnosis and treatment.
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Affiliation(s)
- A Steinmetz
- Department of Orthopaedics, Traumatology and Physical Medicine, University of Halle, Halle (Saale) 06120, Germany
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Barends TRM, Brosi RWW, Steinmetz A, Scherer A, Hartmann E, Eschenbach J, Lorenz T, Seidel R, Shoeman RL, Zimmermann S, Bittl R, Schlichting I, Reinstein J. Combining crystallography and EPR: crystal and solution structures of the multidomain cochaperone DnaJ. Acta Crystallogr D Biol Crystallogr 2013; 69:1540-52. [PMID: 23897477 PMCID: PMC3727329 DOI: 10.1107/s0907444913010640] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/14/2013] [Accepted: 04/18/2013] [Indexed: 11/15/2022]
Abstract
Hsp70 chaperones assist in a large variety of protein-folding processes in the cell. Crucial for these activities is the regulation of Hsp70 by Hsp40 cochaperones. DnaJ, the bacterial homologue of Hsp40, stimulates ATP hydrolysis by DnaK (Hsp70) and thus mediates capture of substrate protein, but is also known to possess chaperone activity of its own. The first structure of a complete functional dimeric DnaJ was determined and the mobility of its individual domains in solution was investigated. Crystal structures of the complete molecular cochaperone DnaJ from Thermus thermophilus comprising the J, GF and C-terminal domains and of the J and GF domains alone showed an ordered GF domain interacting with the J domain. Structure-based EPR spin-labelling studies as well as cross-linking results showed the existence of multiple states of DnaJ in solution with different arrangements of the various domains, which has implications for the function of DnaJ.
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Lehneis R, Steinmetz A, Limpert J, Tünnermann A. Wavelength-tunable, sub-picosecond pulses from a passively Q-switched microchip laser system. Opt Lett 2013; 38:2478-2480. [PMID: 23939086 DOI: 10.1364/ol.38.002478] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
We present a novel concept to generate sub-picosecond pulses from a passively Q-switched Nd:YVO4 microchip laser system with an adjustable wavelength shift up to a few tens of nanometers around the original emission wavelength of 1064 nm. This concept comprises two stages: one that carries out a nonlinear compression of fiber-amplified microchip pulses and a subsequent stage in which the compressed pulses are coupled into a further waveguide structure followed by a bandpass filter. In a proof-of-principle experiment, pedestal-free 0.62 ps long pulses have been demonstrated with a wavelength shift to 1045 nm.
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Affiliation(s)
- R Lehneis
- Institute of Applied Physics, Abbe Center of Photonics, Friedrich-Schiller-Universität Jena, Jena, Germany. reinhold.lehneis@uni‑jena.de
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Röllinghoff M, Hagel A, Siewe J, Gutteck N, Delank KS, Steinmetz A, Zarghooni K. Ist eine Höhenrekonstruktion mit vergleichsweise wenig Zement für die
Radiofrequenz-Kyphoplastie über einen monopedikulären Zugang
möglich? Z Orthop Unfall 2013; 151:156-62. [DOI: 10.1055/s-0032-1328418] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Hintergrund: Perkutane Zementaugmentationssysteme haben sich in den
letzten 10 Jahren als eine effektive Behandlungsmethode bei
Kompressionsfrakturen durchgesetzt. Als Sonderform ist nun seit 2009 die
Radiofrequenz-Kyphoplastie (RF) hinzugekommen, die durch applizierbare
Energie die Viskosität des Zements erhöht. Ziel dieser Studie war es,
herauszufinden, ob mit einer vergleichsweise geringen Zementmenge eine
Wirbelkörpererhöhung für osteoporotische Wirbelkörperfrakturen bei der
RF-Kyphoplastie zu erreichen ist. Material und Methode: Bei diesem
minimalinvasiven Verfahren wurde das „StabiliT® Vertebral Augmentation
System“ der Firma DFine verwendet. Im Rahmen einer retrospektiven Studie
wurden von 2011 bis Januar 2012 insgesamt 35 Patienten mit 49
osteoporotischen Wirbelkörperfrakturen versorgt. Als Parameter wurden die
Altersstruktur mit Geschlechtsverteilung sowie klinisch der Verlauf der
Schmerzintensität anhand der visuellen Analogskala (VAS0–100) ausgewertet.
Radiologisch wurde die Wirbelkörpererhöhung (Vorder-, Hinterkante, mittlere
Wirbelkörperhöhe und Kyphosewinkel) erfasst und mit dem applizierten
Zementvolumen verglichen. Ergebnisse: Alle Patienten hatten vor der
Operation eine gescheiterte konservative Behandlung mit weiterhin
bestehenden Schmerzen auf Höhe des frakturierten Wirbelkörpers. Bis zur
operativen Versorgung vergingen durchschnittlich 3,0 ± 1,3 Wochen. Die
durchschnittliche VAS reduzierte sich signifikant von 71 ± 9,2 präoperativ
auf 35 ± 6,2 postoperativ (p < 0,001) und nach 3 Monaten weiter auf
30 ± 5,7 (p < 0,001). Mit einem durchschnittlichen Zementvolumen von
2,9 ± 0,7 ml (1,8–4,1) im Thoralbereich und einem durchschnittlichen
Zementvolumen von 3,0 ± 0,7 ml (2,0–5,0) im Lumbalbereich wurde eine
statistisch signifikante Wirbelkörperaufrichtung erreicht. Die Vorderkante
und die mittlere Wirbelkörperhöhe wurden signifikant um 2,3 mm und 3,1 mm
angehoben, der Kyphosewinkel reduzierte sich ebenfalls signifikant um 2,1°
nach 3 Monaten. Bei 2 Wirbelkörpern (4,1 %) zeigte sich ein minimaler
Zementaustritt in die angrenzende Bandscheibe ohne klinische Konsequenz. Bei
2 Patienten entwickelten sich Anschlussfrakturen im kranialen Segment, die
erneut mit einer RF-Kyphoplastie behandelt wurden. Schlussfolgerung:
Mit einem durchschnittlichen Zementvolumen von 3 ml konnte mit der
RF-Kyphoplastie eine schnelle und kurzfristige Besserung der
Schmerzsymptomatik erreicht werden. Zusätzlich konnte mit diesem geringen
Zementvolumen eine signifikante Wirbelkörperaufrichtung erzeugt werden. Es
zeigte sich keine Korrelation zwischen der Wirbelkörperaufrichtung und dem
klinischen Ergebnis. Mit der ermittelten Zementleckagenrate von 4,1 % gehört
die Radiofrequenz-Kyphoplastie zu den sicheren und effektiven
minimalinvasiven perkutanen Zementaugmentationsverfahren. Unsere Daten
bestätigen die in der Literatur angegebene höhere Sicherheit für die
Kyphoplastie im Vergleich zur Vertebroplastie.
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Affiliation(s)
- M. Röllinghoff
- Klinik und Poliklinik für Orthopädie, Universität Halle-Wittenberg,
Halle (Saale)
| | - A. Hagel
- Klinik und Poliklinik für Orthopädie, Universität Halle-Wittenberg,
Halle (Saale)
| | - J. Siewe
- Klinik für Orthopädie und Unfallchirurgie, Universität zu
Köln
| | - N. Gutteck
- Klinik und Poliklinik für Orthopädie, Universität Halle-Wittenberg,
Halle (Saale)
| | - K.-S. Delank
- Klinik und Poliklinik für Orthopädie, Universität Halle-Wittenberg,
Halle (Saale)
| | - A. Steinmetz
- Klinik und Poliklinik für Orthopädie, Universität Halle-Wittenberg,
Halle (Saale)
| | - K. Zarghooni
- Klinik für Orthopädie und Unfallchirurgie, Universität zu
Köln
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Steinmetz A, Möller H, Seidel W, Rigotti T. Playing-related musculoskeletal disorders in music students-associated musculoskeletal signs. Eur J Phys Rehabil Med 2012; 48:625-633. [PMID: 23138678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Pain and overuse are common problems for musicians. Up to 80% of professional musicians suffer from playing-related musculoskeletal disorders (PRMD). The prevalence rate in music students is very high as well. Sufficient data on the underlying musculoskeletal dysfunctions however is scarce. Additionally, the self-assessment of health in musicians seems to differ compared to non-musicians, which might influence their attitudes concerning preventive strategies. AIM Evaluation of frequency of PRMD in music students, investigation of signs and symptoms in music students compared to non-music controls, comparison of self-reported health and well-being between the two groups. DESIGN Prospective, cross-sectional, case control, non-randomized. SETTING Other (University volunteers). POPULATION Music students in comparison to a non-music control group. METHOD Musculoskeletal examination and questionnaire of 36 volunteers of a music university and 19 volunteer students of an university of education were analyzed. The total number of musculoskeletal dysfunctions and differences between the student groups were examined. The personal pain and health self-rating were compared between music and non-music students. RESULTS Eighty one percent of musicians experienced PRMD. Musicians experienced 6.19 pain regions on average compared to 4.31 of non-musicians. Musicians experiencing PRMD reported significantly (P<0.05) more pain locations than musicians without. Music students presented with nearly the double amount (8.39 versus 4.37) of musculoskeletal dysfunctions per person compared to the non-music control group. Nevertheless, musicians significantly (P<0.05) rated their health more positively than the controls. CONCLUSION Musicians presented with more pain regions and a higher amount of musculoskeletal dysfunctions. Further studies evaluating the clinical relevance and their role in the development of PRMD are warranted. CLINICAL REHABILITATION IMPACT Screening of musicians for musculoskeletal dysfunction may identify those musicians at increased risk. Early treatment may prevent PRMD in musicians. Additional research is needed to confirm our hypothesis.
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Affiliation(s)
- A Steinmetz
- Department for Musculoskeletal and Pain Medicine, Institute for Musician's Medicine Berlin-Brandenburg, Sana Kliniken Sommerfeld, Kremmen, Germany.
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Lehneis R, Steinmetz A, Jauregui C, Limpert J, Tünnermann A. Dispersion-free pulse duration reduction of passively Q-switched microchip lasers. Opt Lett 2012; 37:4401-3. [PMID: 23114309 DOI: 10.1364/ol.37.004401] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
We present a dispersion-free method for the pulse duration reduction of passively Q-switched microchip laser (MCL) seed sources. This technique comprises two stages: one that carries out the self-phase modulation induced spectral broadening in a waveguide structure and a subsequent spectral filtering stage in order to shorten the pulses in time domain. The setup of a proof-of-principle experiment consists of a fiber-amplified passively Q-switched MCL, a passive single-mode fiber used as nonlinear element in which the spectrum is broadened, and a reflective volume-Bragg-grating acting as bandpass filter. A reduction of the pulse duration from 118 to 32 ps with high temporal quality has been achieved with this setup.
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Affiliation(s)
- R Lehneis
- Institute of Applied Physics, Abbe Center of Photonics, Friedrich-Schiller-Universität Jena, Jena, Germany. reinhold.lehneis@uni‑jena.de
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Steinmetz A, Jansen F, Stutzki F, Lehneis R, Limpert J, Tünnermann A. Sub-5-ps, multimegawatt peak-power pulses from a fiber-amplified and optically compressed passively Q-switched microchip laser. Opt Lett 2012; 37:2550-2552. [PMID: 22743451 DOI: 10.1364/ol.37.002550] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We report on high-energy picosecond pulse generation from a passively Q-switched and fiber-amplified microchip laser system. Initially, the utilized microchip lasers produce pulses with durations of around 100 ps at 1064 nm central wavelength. These pulses are amplified to energies exceeding 100 μJ, simultaneously chirped and spectrally broadened by self-phase modulation using a double stage amplifier based on single-mode LMA photonic crystal fibers at repetition rates of up to 1 MHz. Subsequently, the pulse duration of chirped pulses is reduced by means of nonlinear pulse compression to durations of 2.7 ps employing a conventional grating compressor and 4.7 ps using a compact compressor based on a chirped volume Bragg grating.
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Affiliation(s)
- A Steinmetz
- Institute of Applied Physics, Abbe Center of Photonics, Friedrich-Schiller-Universität Jena, Albert-Einstein-Strasse 15, 07745 Jena, Germany. alexander.steinmetz@uni‐jena.de
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Bour T, Yang X, Steinmetz A. 1006 A Compound From a European Medicinal Plant Induces Different Anti-cancer Effects in Various Cancer Cells. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)71624-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Steinmetz A, Bernhard A, Sahr S, Oechtering G. Suspected macular degeneration in a captive western lowland gorilla (gorilla gorilla gorilla). Vet Ophthalmol 2012; 15 Suppl 2:139-41. [DOI: 10.1111/j.1463-5224.2011.00953.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Belenky I, Steinmetz A, Vyazmensky M, Barak Z, Tittmann K, Chipman DM. Many of the functional differences between acetohydroxyacid synthase (AHAS) isozyme I and other AHASs are a result of the rapid formation and breakdown of the covalent acetolactate-thiamin diphosphate adduct in AHAS I. FEBS J 2012; 279:1967-79. [DOI: 10.1111/j.1742-4658.2012.08577.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Steinmetz A, Ellenberger K, März I, Ludewig E, Oechtering G. Oculocardiac Reflex in a Dog Caused by a Choroidal Melanoma with Orbital Extension. J Am Anim Hosp Assoc 2012; 48:66-70. [DOI: 10.5326/jaaha-ms-5685] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 7 yr old mixed-breed dog was presented with a choroidal melanoma of the left eye that had penetrated the sclera, producing an orbital mass. Bradycardia was detected on auscultation. The bradycardia resolved after exenteration of the orbit and was therefore presumed to be associated with the oculocardiac reflex.
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Affiliation(s)
- Andrea Steinmetz
- Department of Small Animal Medicine (A.S., E.L., G.O.) and Institute of Veterinary Pathology (K.E.), University of Leipzig, Leipzig, Germany; and Department of Veterinary Clinical Sciences, The Royal (Dick) Veterinary College, University of London, Herts, United Kingdom (I.M.)
| | - Kristin Ellenberger
- Department of Small Animal Medicine (A.S., E.L., G.O.) and Institute of Veterinary Pathology (K.E.), University of Leipzig, Leipzig, Germany; and Department of Veterinary Clinical Sciences, The Royal (Dick) Veterinary College, University of London, Herts, United Kingdom (I.M.)
| | - Imke März
- Department of Small Animal Medicine (A.S., E.L., G.O.) and Institute of Veterinary Pathology (K.E.), University of Leipzig, Leipzig, Germany; and Department of Veterinary Clinical Sciences, The Royal (Dick) Veterinary College, University of London, Herts, United Kingdom (I.M.)
| | - Eberhard Ludewig
- Department of Small Animal Medicine (A.S., E.L., G.O.) and Institute of Veterinary Pathology (K.E.), University of Leipzig, Leipzig, Germany; and Department of Veterinary Clinical Sciences, The Royal (Dick) Veterinary College, University of London, Herts, United Kingdom (I.M.)
| | - Gerhard Oechtering
- Department of Small Animal Medicine (A.S., E.L., G.O.) and Institute of Veterinary Pathology (K.E.), University of Leipzig, Leipzig, Germany; and Department of Veterinary Clinical Sciences, The Royal (Dick) Veterinary College, University of London, Herts, United Kingdom (I.M.)
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von Krosigk F, Steinmetz A, Ellenberger C, Oechtering G. [Magnetic resonance imaging and ultrasonography in dogs and cats with ocular and orbital diseases. Part 1: Ocular diseases]. Tierarztl Prax Ausg K Kleintiere Heimtiere 2012; 40:7-15. [PMID: 22331324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/23/2010] [Accepted: 12/03/2010] [Indexed: 05/31/2023]
Abstract
OBJECTIVE This two-part study describes the clinical usefulness and value of ultrasound and magnetic resonance imaging (MRI) in dogs and cats with ocular (n=30) and orbital diseases (n=31). MRI and ultrasonography characteristics are described in single cases with ocular and orbital disease. MATERIAL AND METHODS Ultrasonography and MRI were performed in 15 dogs and 15 cats with intraocular neoplasia or intraocular inflammatory disease. RESULTS In all patients with intraocular neoplasia, sonography revealed masses with increased echogenicity and fairly uniform echotexture, thus allowing the tentative diagnosis of an intraocular tumour. In these cases, MRI often proved to be a valuable diagnostic tool in showing the complete extent of intraocular lesion. An additional benefit of MRI was seen in the tissue characterization of tumours based on MRI signal characteristics and pattern of contrast enhancement. Discreet intraocular inflammatory alterations, in particular to the anterior and posterior segment of the eyeball, were more clearly shown by ultrasound than by MRI. Neoplasia could be excluded and inflammatory disease was successfully diagnosed using MRI due to the different image sequences with or without contrast medium administration. Traumatic ruptures of the lens capsule and the globe after trauma were depicted more clearly with MRI. CONCLUSIONS AND CLINICAL RELEVANCE When opacity of the anterior eye segment is present, various intraocular changes can be quickly diagnosed by ultrasound with high accuracy, without requiring anaesthesia of the patient. MRI of the globe allows differentiation of diverse pathologies, gives detailed information of infiltration in orbital structures and the exact degree of ocular lesions after trauma. This additional evidence often makes it easier to predict the correct prognosis and choose the best therapy.
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Affiliation(s)
- F von Krosigk
- Tierärztliche Klinik für Kleintiere, Dr. Michael Kühn & Dr. Peter Schmidt, Carl-Benz-Straße 2, 04451 Panitzsch (bei Leipzig).
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Chen S, Luo H, Li Y, Sun Y, Wu Q, Niu Y, Song J, Lv A, Zhu Y, Sun C, Steinmetz A, Qian Z. 454 EST analysis detects genes putatively involved in ginsenoside biosynthesis in Panax ginseng. Plant Cell Rep 2011; 30:1593-1601. [PMID: 21484331 DOI: 10.1007/s00299-011-1070-6] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2011] [Revised: 03/29/2011] [Accepted: 04/01/2011] [Indexed: 05/28/2023]
Abstract
Panax ginseng C.A. Meyer is one of the most highly valued medicinal plants in the world. To analyze the transcriptome of P. ginseng and discover the genes involved in ginsenoside biosynthesis, cDNAs derived from the total RNA of 11-year-old, wood-grown P. ginseng roots were analyzed by 454 sequencing. A total of 217,529 high quality reads (expressed sequence tags, ESTs), with an average length of 409 bases, were generated from a one-quarter run to yield 31,741 unique sequences. The majority (20,198; 63.6%) of the unique sequences were annotated using BLAST similarity searches. A total of 16,810 and 16,577 unique sequences were assigned to functional classifications and biochemical pathways based on Gene Ontology analysis and the Kyoto Encyclopedia of Genes and Genomes assignment, respectively. Nine genes involved in the biosynthesis of ginsenoside skeletons and many candidate genes putatively responsible for modification of the skeletons, including 133 cytochrome P450s and 235 glycosyltransferases, were identified. From these candidates, six transcripts encoding UDP-glycosyltransferases that were most likely to be involved in ginsenoside biosynthesis were selected. These results open a new avenue by which to explore and exploit biosynthetic and biochemical properties that may lead to drug improvement. These 454 ESTs will provide the foundation for further functional genomic research into the traditional herb P. ginseng or its closely related species.
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Affiliation(s)
- S Chen
- Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences, HaiDian, Beijing 100193, China.
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Vyazmensky M, Steinmetz A, Meyer D, Golbik R, Barak Z, Tittmann K, Chipman DM. Significant Catalytic Roles for Glu47 and Gln 110 in All Four of the C−C Bond-Making and -Breaking Steps of the Reactions of Acetohydroxyacid Synthase II. Biochemistry 2011; 50:3250-60. [DOI: 10.1021/bi102051h] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Maria Vyazmensky
- Ben-Gurion University of the Negev, Department of Life Sciences, Beer-Sheva 84105, Israel
| | - Andrea Steinmetz
- Georg-August University Göttingen, Albrecht-von-Haller-Institute and Göttingen Centre for Molecular Biosciences, Ernst-Caspari-Haus, Department of Bioanalytics, Justus-von-Liebig Weg 11, 37077 Göttingen, Germany
- Martin-Luther University Halle-Wittenberg, Institute for Biochemistry and Biotechnology, Kurt-Mothes-Strasse 3, 06120 Halle/Saale, Germany
| | - Danilo Meyer
- Georg-August University Göttingen, Albrecht-von-Haller-Institute and Göttingen Centre for Molecular Biosciences, Ernst-Caspari-Haus, Department of Bioanalytics, Justus-von-Liebig Weg 11, 37077 Göttingen, Germany
- Martin-Luther University Halle-Wittenberg, Institute for Biochemistry and Biotechnology, Kurt-Mothes-Strasse 3, 06120 Halle/Saale, Germany
| | - Ralph Golbik
- Martin-Luther University Halle-Wittenberg, Institute for Biochemistry and Biotechnology, Kurt-Mothes-Strasse 3, 06120 Halle/Saale, Germany
| | - Ze'ev Barak
- Ben-Gurion University of the Negev, Department of Life Sciences, Beer-Sheva 84105, Israel
| | - Kai Tittmann
- Georg-August University Göttingen, Albrecht-von-Haller-Institute and Göttingen Centre for Molecular Biosciences, Ernst-Caspari-Haus, Department of Bioanalytics, Justus-von-Liebig Weg 11, 37077 Göttingen, Germany
- Martin-Luther University Halle-Wittenberg, Institute for Biochemistry and Biotechnology, Kurt-Mothes-Strasse 3, 06120 Halle/Saale, Germany
| | - David M. Chipman
- Ben-Gurion University of the Negev, Department of Life Sciences, Beer-Sheva 84105, Israel
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Steinmetz A, Vyazmensky M, Meyer D, Barak Z, Golbik R, Chipman DM, Tittmann K. Valine 375 and Phenylalanine 109 Confer Affinity and Specificity for Pyruvate as Donor Substrate in Acetohydroxy Acid Synthase Isozyme II from Escherichia coli. Biochemistry 2010; 49:5188-99. [DOI: 10.1021/bi100555q] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Andrea Steinmetz
- Albrecht-von-Haller-Institute and Göttingen Centre for Molecular Biosciences, Ernst-Caspari-Haus, Department of Bioanalytics, Georg-August University Göttingen, Justus-von-Liebig Weg 11, 37077 Göttingen, Germany
| | - Maria Vyazmensky
- Department of Life Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
| | - Danilo Meyer
- Albrecht-von-Haller-Institute and Göttingen Centre for Molecular Biosciences, Ernst-Caspari-Haus, Department of Bioanalytics, Georg-August University Göttingen, Justus-von-Liebig Weg 11, 37077 Göttingen, Germany
| | - Ze′ev Barak
- Department of Life Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
| | - Ralph Golbik
- Institute for Biochemistry and Biotechnology, Martin-Luther University Halle-Wittenberg, Kurt-Mothes-Strasse 3, 06120 Halle/Saale, Germany
| | - David M. Chipman
- Department of Life Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
| | - Kai Tittmann
- Albrecht-von-Haller-Institute and Göttingen Centre for Molecular Biosciences, Ernst-Caspari-Haus, Department of Bioanalytics, Georg-August University Göttingen, Justus-von-Liebig Weg 11, 37077 Göttingen, Germany
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Philipp U, Steinmetz A, Distl O. Development of Feline Microsatellites and SNPs for Evaluating Primary Cataract Candidate Genes as Cause for Cataract in Angolan Lions (Panthera leo bleyenberghi). J Hered 2010; 101:633-8. [DOI: 10.1093/jhered/esq040] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Shirvan A, Davidson T, Allen A, Reshef A, Steinmetz A, Ziv I. 39 poster: Apoptosis Imaging by PET 18F-ML-10: A Potential Tool for Radiation Dose Painting. Radiother Oncol 2010. [DOI: 10.1016/s0167-8140(15)34458-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Allen A, Shirvan A, Mishani E, Steinmetz A, Reshef A, Ziv I, Fenig E. Early Prediction of Radiation Response of Brain Metastases with [18F]-ML-10: A Novel Molecular PET Imaging Agent for Apoptosis. Int J Radiat Oncol Biol Phys 2009. [DOI: 10.1016/j.ijrobp.2009.07.121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Chipman DM, Barak Z, Shaanan B, Vyazmensky M, Binshtein E, Belenky I, Temam V, Steinmetz A, Golbik R, Tittmann K. Origin of the specificities of acetohydroxyacid synthases and glyoxylate carboligase. ACTA ACUST UNITED AC 2009. [DOI: 10.1016/j.molcatb.2009.03.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Niemier K, Schmidt S, Engel K, Steinmetz A, Herms K, Herms K, Liefring V, Maulhardt A, Wetterling T, Kosup S, Casser R, Jäger G, Törkott S, Bieneck K, Rotter G, Marnitz U, Klein A, Jahr S, Reishauer A, Seidel W. Funktionelle Diagnostik der Bewegungssteuerung, Bewegungsstabilisation und Hypermobilität. Orthopäde 2009; 38:847-54. [DOI: 10.1007/s00132-009-1474-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Steinmetz A, Locher L, Delling U, Ionita JC, Ludewig E, Oechtering G, Wittek T. Surgical removal of a dermoid cyst from the bony part of the nasolacrimal duct in a Scottish highland cattle heifer. Vet Ophthalmol 2009; 12:259-62. [PMID: 19604343 DOI: 10.1111/j.1463-5224.2009.00704.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The ophthalmologic, radiologic and surgical findings of a 2-year-old Scottish Highland Cattle heifer with a dermoid cyst within the bony part of the nasolacrimal duct and the successful treatment are presented.
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Affiliation(s)
- Andrea Steinmetz
- Department of Small Animal Medicine, University of Leipzig, Leipzig, Germany.
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Steinmetz A, Pees M, Schmidt V, Weber M, Krautwald-Junghanns ME, Oechtering G. Blindness as a sign of proventricular dilatation disease in a grey parrot (Psittacus erithacus erithacus). J Small Anim Pract 2008; 49:660-2. [PMID: 18684144 DOI: 10.1111/j.1748-5827.2008.00608.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
An approximately eight-year-old female grey parrot (Psittacus erithacus erithacus) was presented with a two months history of blindness. The radiographic examination showed a dilatation of the proventriculus, ventriculus and gut. Ophthalmoscopy and electroretinography revealed degeneration of the retina. A proventricular dilatation disease was suspected. The bird was euthanased because of deteriorating condition and poor prognosis. The pathological examination showed an atrophy of the ventricular muscles and lymphoplasmacytic infiltrates of the myenteric plexus of the proventriculus, ventriculus and gut as well as moderate lymphoplasmacytic infiltrates of the cerebrum with moderate neuronophagia. Lymphoplasmacytic infiltrates in the retina, indicating proventricular dilatation disease, and subsequent retinal degeneration were found. A potential common aetiology for proventricular dilatation disease and blindness is discussed.
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Affiliation(s)
- A Steinmetz
- Department of Small Animal Medicine, An den Tierkliniken 23, University of Leipzig, Leipzig, Germany
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Ofri R, Steinmetz A, Thielebein J, Horowitz IH, Oechtering G, Kass PH. Factors affecting intraocular pressure in lions. Vet J 2008; 177:124-9. [PMID: 17561420 DOI: 10.1016/j.tvjl.2007.04.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2007] [Revised: 04/02/2007] [Accepted: 04/04/2007] [Indexed: 10/23/2022]
Abstract
The aim of this study was to conduct a detailed analysis of the relationship between age and intraocular pressure (IOP) in lions. Tonometry was conducted in 33 lions aged 5 days to 80 months. Age was significantly associated with IOP (P<0.005). Mean IOP was 12.8+/- and 23.9+/-4.1 mmHg in lions < or =1 year old and >1 year old, respectively. IOP linearly rose with age during the first 20 months of life, plateaued until approximately 40 months, and then gradually declined (r=0.85). Age-related changes in IOP were highly correlated with ultrasonographic measurements of intraocular dimensions (r > or = 0.72), and may be a determinant factor in developmental ocular growth. The dramatic rise in IOP of young lions is similar to that observed in children, but has not been previously demonstrated in animals. Significant IOP differences between lion sub-species were also demonstrated.
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Affiliation(s)
- Ron Ofri
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, Rehovot 76100, Israel.
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Bennett GW, Bousquet B, Brown HN, Bunce G, Carey RM, Cushman P, Danby GT, Debevec PT, Deile M, Deng H, Deninger W, Dhawan SK, Druzhinin VP, Duong L, Efstathiadis E, Farley FJM, Fedotovich GV, Giron S, Gray FE, Grigoriev D, Grosse-Perdekamp M, Grossmann A, Hare MF, Hertzog DW, Huang X, Hughes VW, Iwasaki M, Jungmann K, Kawall D, Kawamura M, Khazin BI, Kindem J, Krienen F, Kronkvist I, Lam A, Larsen R, Lee YY, Logashenko I, McNabb R, Meng W, Mi J, Miller JP, Mizumachi Y, Morse WM, Nikas D, Onderwater CJG, Orlov Y, Ozben CS, Paley JM, Peng Q, Polly CC, Pretz J, Prigl R, zu Putlitz G, Qian T, Redin SI, Rind O, Roberts BL, Ryskulov N, Sedykh S, Semertzidis YK, Shagin P, Shatunov YM, Sichtermann EP, Solodov E, Sossong M, Steinmetz A, Sulak LR, Timmermans C, Trofimov A, Urner D, von Walter P, Warburton D, Winn D, Yamamoto A, Zimmerman D. Search for Lorentz and CPT violation effects in Muon spin precession. Phys Rev Lett 2008; 100:091602. [PMID: 18352695 DOI: 10.1103/physrevlett.100.091602] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2007] [Indexed: 05/26/2023]
Abstract
The spin precession frequency of muons stored in the (g-2) storage ring has been analyzed for evidence of Lorentz and CPT violation. Two Lorentz and CPT violation signatures were searched for a nonzero delta omega a(=omega a mu+ - omega a mu-) and a sidereal variation of omega a mu+/-). No significant effect is found, and the following limits on the standard-model extension parameters are obtained: bZ = -(1.0+/-1.1) x 10(-23) GeV; (m mu dZ0 + HXY)=(1.8+/-6.0) x 10(-23) GeV; and the 95% confidence level limits b perpendicular mu+ <1.4 x 10(-24) GeV and b perpendicular mu- <2.6 x 10(-24) GeV.
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Affiliation(s)
- G W Bennett
- Brookhaven National Laboratory, Upton, NY 11973, USA
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