OBJECTIVE: To present a feasible approach for the treatment of BI.
METHODS: We present an alternative surgical approach for the treatment of symptomatic BI in a 37-year-old
woman with Klippel-Feil syndrome. Because of the altered anatomy, traditional approaches such as the transoral-transpharyngeal, transmandibular circumglossal, PCI 32765 and transcervical endoscopic routes were not feasible.
RESULTS: We chose a staged sublabial, transnasal, transpalatal route for the anterior brainstem decompression followed by posterior fixation. The patient tolerated the procedures well and at last follow-up had nearly complete resolution of symptoms.
CONCLUSION: The sublabial route is an alternative approach for anterior decompression in patients with symptomatic basilar impression and altered anatomic circumstances such as that caused by Klippel-Feil syndrome.”
“Aim:
To investigate
the viability, surface characteristics and ability of spores of a Geobacillus sp. isolated from a milk powder production line to adhere to stainless steel surfaces before and after a caustic (NaOH) wash used in clean-in-place regimes.
Methods and Results:
Exposing sessile spores to 1% NaOH at 65 degrees C for 30 min decreased spore viability by two orders of selleck compound magnitude. The zeta potential of the caustic treated spores decreased from -20 to -32 mV and they became more hydrophobic. Transmission electron microscopy revealed that caustic treated spores contained breaks in their spore coat. Under flow conditions, caustic treated spores suspended in 0 center dot 1 mol l-1 KCl were shown to attach to stainless steel in significantly greater numbers (4 center dot 6 log(10) CFU cm-2) than untreated spores (3 center dot 6 log(10) CFU cm-2).
Conclusions:
This Copanlisib ic50 research suggests that spores surviving a caustic wash will have a greater
propensity to attach to stainless steel surfaces.
Significance of Study:
The practice of recycling caustic wash solutions may increase the risk of contaminating dairy processing surfaces with spores.”
“BACKGROUND: Spinal cord stimulation is an established technology for management of chronic low back and leg pain when other surgical options have failed or are not feasible. Precise placement of the paddle-style electrode relative to the patient’s distribution of pain can be difficult because of anatomic variation and the inherent limitations of electrode design.
OBJECTIVE: To describe a surgical technique for adjustment of spinal cord stimulator epidural electrode location during placement or revision to optimize stimulation coverage.
METHODS: We devised a method using a malleable disposable suture retrieval snare to precisely position an epidural electrode in either a midline or paramedian position during initial placement or revision. The snare is deployed and used to grasp a suture knot tied at the end of the electrode.