Andrew Gal - Academia.edu (original) (raw)
Papers by Andrew Gal
Orbit, 2015
To assess the role of routine histopathological evaluation of the lacrimal sac wall when performi... more To assess the role of routine histopathological evaluation of the lacrimal sac wall when performing dacryocystorhinostomy (DCR) surgery. A retrospective review was conducted of the histology findings in lacrimal sac biopsies, taken routinely, in an external-approach DCR series. This is a single surgeon (RB), single pathologist (AG) consecutive series. The histopathology reports were reviewed and collated. Each patient's medical history and risk factors for malignancy were recorded. The surgeon documented any abnormal lacrimal sac appearance at the time of surgery. No patient in this series of 245, in whom 254 histology specimens were taken, recorded a significant pathological result that was not anticipated from pre-operative assessment, or from the appearance of the lacrimal sac intra-operatively. The reported recommendation for routine histopathological evaluation of the lacrimal sac wall when performing DCR surgery is not supported by this consecutive series. The authors recommend histopathological evaluation only in the setting of pre-existing clinical suspicion of malignancy, or an abnormal intra-operative appearance of the lacrimal sac.
Biochimica et biophysica acta, Jan 24, 1981
Metabolically inert L-[1-14C]glucosylceramide is stored predominantly in the liver after intraven... more Metabolically inert L-[1-14C]glucosylceramide is stored predominantly in the liver after intravenous administration to mice. The half-time of this glycolipid analogue in the liver is 3.5 days and its clearance occurs predominantly via the bile. Within the limited number of Gaucher specimens available for examination very high levels of glucosylceramide were found in the bile of one patient and in the liver of two patients with biliary obstruction. The question of a possible relationship between biliary excretion of glycolipid and the pathogenesis of Gaucher's disease will require further studies.
Biochimica et biophysica acta, Jan 8, 1980
Lipid and lysosomal enzyme levels in the tissues of a strain of mice afflicted with an autosomal ... more Lipid and lysosomal enzyme levels in the tissues of a strain of mice afflicted with an autosomal rescessive neuroviscereal storage disorder were examined. Sphingomyelinase and glucocerebrosidase activities were consistently diminished in a wide variety of tissues obtained from the affected mice. The activities of these enzymes were clearly attenuated in new-born mice, which at this age, were otherwise indistinguishable from littermates and age-matched controls. The deficiency of sphingomyelinase was more pronounced than glucocerebrosidase. There was progressive accumulation of sphingomyelin, glucocerebroside, lactosylceramide and unesterified cholesterol in the tissues of these mice in the postnatal period. Gangliosides GM2 and GM3 accumulated in the brain of the animals, and GM3 and asialo-GM2 were stored in the liver. Furthermore, there was a large increase in the quantity of hepatic bis(monoacylglycero)phosphate. The accumulation of lipids was parallelled by a progressive elevati...
![Research paper thumbnail of Studies of the pathogenesis of Gaucher's disease: tissue distribution and biliary excretion of [14C]L-glucosylceramide in rats](https://attachments.academia-assets.com/40355283/thumbnails/1.jpg)
](Journal of lipid research, 1987
The time course of the clearance from the blood and the tissue localization of [14C]L-glucosylcer... more The time course of the clearance from the blood and the tissue localization of [14C]L-glucosylceramide, a nonmetabolizable enantiomorph of D-glucosylceramide that accumulates in Gaucher's disease, has been determined. 14C-labeled L-glucosylceramide injected intravenously in the form of micelles or liposomes is rapidly removed from the circulation. Most of this lipid is taken up by the liver where it is found in both hepatocytes and nonparenchymal cells. This sphingolipid analog is promptly cleared from hepatocytes and a significant portion is recovered in the bile. The clearance of [14C]L-glucosylceramide from Kupffer cells is greatly prolonged in comparison with its brief residence in hepatocytes. These findings have significant implications regarding the pathogenesis and treatment of Gaucher's disease.
Biochimica et Biophysica Acta (BBA) - Lipids and Lipid Metabolism, 1970
1. Biochim Biophys Acta. 1970 Jun 9;210(1):193-5. Sphingolipid hydrolases in brain tissue of pati... more 1. Biochim Biophys Acta. 1970 Jun 9;210(1):193-5. Sphingolipid hydrolases in brain tissue of patients with generalized gangliodosis. Brady RO, O'Brien JS, Bradley RM, Gal AE. PMID: 5460531 [PubMed - indexed for MEDLINE]. MeSH Terms. ...
Photosynthesis research, 2005
The effect of growing Rhodopseudomonas (Rps.) acidophila and Rps. palustris in the presence of di... more The effect of growing Rhodopseudomonas (Rps.) acidophila and Rps. palustris in the presence of different concentrations of the carotenoid (Car) biosynthetic inhibitor diphenylamine (DPA) has been investigated. Growth with sub-maximal concentrations of DPA induces Car limitation. The exact response to DPA is species dependent. However, both Rps. acidophila and Rps. palustris respond by preferentially incorporating the limiting amount of coloured Cars into their LH2 complexes at the expense of the RC-LH1 complexes. As inhibition by DPA becomes more severe there is an increase in the percentage of Cars with reduced numbers of conjugated C=C bonds. The effect of this changed Car composition on the structure and function of the antenna complexes has been investigated using absorption, fluorescence, CD and Raman spectroscopies. The results show that although the presence of Car molecules is important for the stability of the LH2 complexes that the overall native structure can be maintaine...
Proceedings of the National Academy of Sciences, 1981
Amygdalin, the gentiobioside derivative of mandelonitrile commonly referred to as Laetrile, is pr... more Amygdalin, the gentiobioside derivative of mandelonitrile commonly referred to as Laetrile, is presently under intensive investigation as a potential cancer chemotherapeutic agent. Because of this interest, we investigated the activity of beta-glucosidases that cleave glucose from amygdalin and from prunasin (mandelonitrile monoglucoside) in tissues from germ-free rats and in normal and neoplastic human tissues. Rat and human small intestinal mucosa contain high levels of activity of glucosidases that act on both of these cyanogenic glucosides. Release of glucose from these compounds was not detected in any of the human neoplastic tissues examined in the present study. These observations are consistent with reports of cyanide toxicity through the oral use of amygdalin or prunasin and pose serious questions concerning the alleged tumoricidal effect of amygdalin.
Proceedings of the National Academy of Sciences, 2008
Intense sunlight is dangerous for photosynthetic organisms. Cyanobacteria, like plants, protect t... more Intense sunlight is dangerous for photosynthetic organisms. Cyanobacteria, like plants, protect themselves from light-induced stress by dissipating excess absorbed energy as heat. Recently, it was discovered that a soluble orange carotenoid protein, the OCP, is essential for this photoprotective mechanism. Here we show that the OCP is also a member of the family of photoactive proteins; it is a unique example of a photoactive protein containing a carotenoid as the photoresponsive chromophore. Upon illumination with blue-green light, the OCP undergoes a reversible transformation from its dark stable orange form to a red ''active'' form. The red form is essential for the induction of the photoprotective mechanism. The illumination induces structural changes affecting both the carotenoid and the protein. Thus, the OCP is a photoactive protein that senses light intensity and triggers photoprotection.
Photosynthesis Research, 2008
Photosynthetic organisms normally endeavor to optimize the efficiency of their light-harvesting a... more Photosynthetic organisms normally endeavor to optimize the efficiency of their light-harvesting apparatus. However, here we describe two bacterial isolates belonging to the genera Allochromatium and Thiocapsa that demonstrate a novel adaptation by optimizing their external growth conditions at the expense of photosynthetic efficiency. In the South Andros Black Hole, Bahamas, a dense l-m thick layer of these anoxygenic purple sulfur bacteria is present at a depth of 17.8 m. In this layer the water temperature increases sharply to 36°C as a consequence of the low-energy transfer efficiency of their carotenoids (ca. 30%). These include spirilloxanthin, and related polyene molecules and a novel chiral carotenoid identified as spirilloxanthin-2-ol, not previously reported in purple bacteria. To our knowledge, this study presents the first evidence of such a bacterial mass significantly increasing the ambient water temperature. The transduction of light to heat energy to excess heat may provide these anoxygenic phototropic bacteria with a competitive advantage over non-thermotolerant species, which would account for their predominance within the microbial layer.
Orbit, 2009
We present a report of a recurrent atypical fibroxanthoma (AFX), a tumour known rarely to involve... more We present a report of a recurrent atypical fibroxanthoma (AFX), a tumour known rarely to involve the eyelid. A 61 year-old male was referred after reappearance of a lower eyelid AFX within two months of resection. The neoplastic spindle cells at the periphery of an AFX may be difficult to differentiate from dermal fibroblasts in frozen sections. Paraffin sections provide better histological definition and thus greater accuracy in determining completeness of excision. The patient's recurrent tumour was surgically excised and overnight paraffin sections were used to obtain margin clearance, before secondary reconstruction. The tumour required re-excision on three occasions before clearance was achieved. The patient remains tumour free at 12 months' follow-up.
Orbit, 2010
To review the medical literature on mucinous sweat gland adenocarcinoma of the eyelid (MSA) and p... more To review the medical literature on mucinous sweat gland adenocarcinoma of the eyelid (MSA) and present two new cases. Details of published case reports and small series (between 1971-2010) were evaluated and summarized including two patients diagnosed and treated at our institution. Data regarding age, gender, ethnicity, precise location, clinical presentation, treatment and follow up of each patient were collected. 25 reports describing 55 patients were found in the medical literature. The mean age was 61.3 years (30-87), 22(59%) were male and 28(80%) were Caucasian. In 23(44.2%) patients the lesion was in the lower lid, in 20(38.5%) in the upper lid, in 3(5.7%) involving both lids and in 6(11.6%) in a canthus. In 12(21.8%) patients a lesion with a benign diagnosis was previously excised from the same location. In 2 of them histological re-examination resulted in a diagnosis of MSA. Intraorbital involvement was found in 2(3.6%) patients. Regional lymph node metastasis was found in 2(4.4%) patients. Surgical excision was the treatment of choice using Mohs' micrographic-controlled excision technique in recent years. Radiotherapy was applied to 2 patients with clinical resolution in 1. Recurrence of the tumor was reported in 14(30%) patients. MSA is a rare tumor of the eyelid with no clinically distinguishing features. It should be suspected particularly with recurrent eyelid lesions and must be differentiated from metastatic disease. The tumor may extend into the orbit and metastasize regionally. Surgical removal with continued regular follow-up examination is the treatment of choice.
Orbit, 2012
The senior consultants Ross Benger and Andrew Gal have been using en face frozen section histolog... more The senior consultants Ross Benger and Andrew Gal have been using en face frozen section histological margin control in removing cancer from the periocular region since 1985. The aim of this study was to determine the percentage of cases in which more than one resection was necessary in order to achieve clear margins. This is a retrospective study of patients treated at Drummoyne Eye Surgical Centre in the period 1999-2007, in whom removal of the eyelid cancer was decided to be with en face frozen section histological control. A record was kept of how many resections were necessary to achieve clear margins. Paraffin sections were subsequently examined for a final histopathological diagnosis. Two hundred and fifty people were included in the study, of whom 204 had basal cell carcinoma (BCC) and 32 had squamous cell carcinoma (SCC). One hundred and twenty BCCs had a full-thickness eyelid "wedge" resection, of which 45% needed more than the standard two frozen sections taken to achieve clear margins. Eighty-four BCCs were removed using ring resection, of which 35.7% needed more than the standard initial resections (peripheral annulus and deep disc) to achieve clear margins. Our study showed that a significant percentage of BCC and SCC lesions needed further resection after the initial frozen section edge checks to achieve clear margins. Intraoperative presence of the histopathologist increased the likelihood of achieving clearance of the cancer at a single operating session.
New England Journal of Medicine, 1974
Original Article from The New England Journal of Medicine Replacement Therapy for Inherited Enz... more Original Article from The New England Journal of Medicine Replacement Therapy for Inherited Enzyme Deficiency.
Clinical Orthopaedics and Related Research, 1986
In spinal surgery, free fat grafts can be placed to limit the ingrowth postlaminectomy fibrous ti... more In spinal surgery, free fat grafts can be placed to limit the ingrowth postlaminectomy fibrous tissue. A specimen of free fat graft recovered from the spinal canal of a patient after 40 months showed histological evidence of revascularization. The reparative, dense fibrosis surrounding the laminectomy site had not penetrated into the spinal canal.
Clinical Orthopaedics and Related Research, 1988
An aggressive and recurrent pigmented villonodular synovitis of the knee occurred in a 47-year-ol... more An aggressive and recurrent pigmented villonodular synovitis of the knee occurred in a 47-year-old man. Magnetic resonance imaging was an excellent noninvasive diagnostic aid that completely outlined the extent of the synovitis and correlated well with surgical findings.
Biochemistry, 1997
Resonance Raman spectroscopy was performed on peripheral light-harvesting proteins from Rhodobact... more Resonance Raman spectroscopy was performed on peripheral light-harvesting proteins from Rhodobacter sphaeroides in which the residue betaArg-10 has been modified by site-selected mutagenesis. We show that this residue is indeed involved (as proposed by X-ray crystallographic studies on the LH2 complex from Rhodopseudomonas acidophila), in an H-bond with the acetyl carbonyl of the 800 nm-absorbing BChl in these proteins (B800), and that the presence of such an H-bond induces a ca. 10 nm red shift of the lowest energy transition (Qy) of this molecule. Moreover, other parameters involved in the fine tuning of the absorption of the B800 molecules may be determined from our experiments, and we propose that the local electromagnetic properties of the B800 binding site may induce an additional 10 nm red shift of this transition. These results constitute the first experimental evidence for the parameters able to modify in vivo the absorption of "monomeric" BChl molecules, i.e. BChl not involved in strong excitonic interactions, and will be of great help for understanding the absorption properties of such pigments in other light-harvesting systems.
Clinical & Experimental Ophthalmology, 2014
Orbit, 2015
To assess the role of routine histopathological evaluation of the lacrimal sac wall when performi... more To assess the role of routine histopathological evaluation of the lacrimal sac wall when performing dacryocystorhinostomy (DCR) surgery. A retrospective review was conducted of the histology findings in lacrimal sac biopsies, taken routinely, in an external-approach DCR series. This is a single surgeon (RB), single pathologist (AG) consecutive series. The histopathology reports were reviewed and collated. Each patient's medical history and risk factors for malignancy were recorded. The surgeon documented any abnormal lacrimal sac appearance at the time of surgery. No patient in this series of 245, in whom 254 histology specimens were taken, recorded a significant pathological result that was not anticipated from pre-operative assessment, or from the appearance of the lacrimal sac intra-operatively. The reported recommendation for routine histopathological evaluation of the lacrimal sac wall when performing DCR surgery is not supported by this consecutive series. The authors recommend histopathological evaluation only in the setting of pre-existing clinical suspicion of malignancy, or an abnormal intra-operative appearance of the lacrimal sac.
Biochimica et biophysica acta, Jan 24, 1981
Metabolically inert L-[1-14C]glucosylceramide is stored predominantly in the liver after intraven... more Metabolically inert L-[1-14C]glucosylceramide is stored predominantly in the liver after intravenous administration to mice. The half-time of this glycolipid analogue in the liver is 3.5 days and its clearance occurs predominantly via the bile. Within the limited number of Gaucher specimens available for examination very high levels of glucosylceramide were found in the bile of one patient and in the liver of two patients with biliary obstruction. The question of a possible relationship between biliary excretion of glycolipid and the pathogenesis of Gaucher's disease will require further studies.
Biochimica et biophysica acta, Jan 8, 1980
Lipid and lysosomal enzyme levels in the tissues of a strain of mice afflicted with an autosomal ... more Lipid and lysosomal enzyme levels in the tissues of a strain of mice afflicted with an autosomal rescessive neuroviscereal storage disorder were examined. Sphingomyelinase and glucocerebrosidase activities were consistently diminished in a wide variety of tissues obtained from the affected mice. The activities of these enzymes were clearly attenuated in new-born mice, which at this age, were otherwise indistinguishable from littermates and age-matched controls. The deficiency of sphingomyelinase was more pronounced than glucocerebrosidase. There was progressive accumulation of sphingomyelin, glucocerebroside, lactosylceramide and unesterified cholesterol in the tissues of these mice in the postnatal period. Gangliosides GM2 and GM3 accumulated in the brain of the animals, and GM3 and asialo-GM2 were stored in the liver. Furthermore, there was a large increase in the quantity of hepatic bis(monoacylglycero)phosphate. The accumulation of lipids was parallelled by a progressive elevati...
Journal of lipid research, 1987
The time course of the clearance from the blood and the tissue localization of [14C]L-glucosylcer... more The time course of the clearance from the blood and the tissue localization of [14C]L-glucosylceramide, a nonmetabolizable enantiomorph of D-glucosylceramide that accumulates in Gaucher's disease, has been determined. 14C-labeled L-glucosylceramide injected intravenously in the form of micelles or liposomes is rapidly removed from the circulation. Most of this lipid is taken up by the liver where it is found in both hepatocytes and nonparenchymal cells. This sphingolipid analog is promptly cleared from hepatocytes and a significant portion is recovered in the bile. The clearance of [14C]L-glucosylceramide from Kupffer cells is greatly prolonged in comparison with its brief residence in hepatocytes. These findings have significant implications regarding the pathogenesis and treatment of Gaucher's disease.
Biochimica et Biophysica Acta (BBA) - Lipids and Lipid Metabolism, 1970
1. Biochim Biophys Acta. 1970 Jun 9;210(1):193-5. Sphingolipid hydrolases in brain tissue of pati... more 1. Biochim Biophys Acta. 1970 Jun 9;210(1):193-5. Sphingolipid hydrolases in brain tissue of patients with generalized gangliodosis. Brady RO, O'Brien JS, Bradley RM, Gal AE. PMID: 5460531 [PubMed - indexed for MEDLINE]. MeSH Terms. ...
Photosynthesis research, 2005
The effect of growing Rhodopseudomonas (Rps.) acidophila and Rps. palustris in the presence of di... more The effect of growing Rhodopseudomonas (Rps.) acidophila and Rps. palustris in the presence of different concentrations of the carotenoid (Car) biosynthetic inhibitor diphenylamine (DPA) has been investigated. Growth with sub-maximal concentrations of DPA induces Car limitation. The exact response to DPA is species dependent. However, both Rps. acidophila and Rps. palustris respond by preferentially incorporating the limiting amount of coloured Cars into their LH2 complexes at the expense of the RC-LH1 complexes. As inhibition by DPA becomes more severe there is an increase in the percentage of Cars with reduced numbers of conjugated C=C bonds. The effect of this changed Car composition on the structure and function of the antenna complexes has been investigated using absorption, fluorescence, CD and Raman spectroscopies. The results show that although the presence of Car molecules is important for the stability of the LH2 complexes that the overall native structure can be maintaine...
Proceedings of the National Academy of Sciences, 1981
Amygdalin, the gentiobioside derivative of mandelonitrile commonly referred to as Laetrile, is pr... more Amygdalin, the gentiobioside derivative of mandelonitrile commonly referred to as Laetrile, is presently under intensive investigation as a potential cancer chemotherapeutic agent. Because of this interest, we investigated the activity of beta-glucosidases that cleave glucose from amygdalin and from prunasin (mandelonitrile monoglucoside) in tissues from germ-free rats and in normal and neoplastic human tissues. Rat and human small intestinal mucosa contain high levels of activity of glucosidases that act on both of these cyanogenic glucosides. Release of glucose from these compounds was not detected in any of the human neoplastic tissues examined in the present study. These observations are consistent with reports of cyanide toxicity through the oral use of amygdalin or prunasin and pose serious questions concerning the alleged tumoricidal effect of amygdalin.
Proceedings of the National Academy of Sciences, 2008
Intense sunlight is dangerous for photosynthetic organisms. Cyanobacteria, like plants, protect t... more Intense sunlight is dangerous for photosynthetic organisms. Cyanobacteria, like plants, protect themselves from light-induced stress by dissipating excess absorbed energy as heat. Recently, it was discovered that a soluble orange carotenoid protein, the OCP, is essential for this photoprotective mechanism. Here we show that the OCP is also a member of the family of photoactive proteins; it is a unique example of a photoactive protein containing a carotenoid as the photoresponsive chromophore. Upon illumination with blue-green light, the OCP undergoes a reversible transformation from its dark stable orange form to a red ''active'' form. The red form is essential for the induction of the photoprotective mechanism. The illumination induces structural changes affecting both the carotenoid and the protein. Thus, the OCP is a photoactive protein that senses light intensity and triggers photoprotection.
Photosynthesis Research, 2008
Photosynthetic organisms normally endeavor to optimize the efficiency of their light-harvesting a... more Photosynthetic organisms normally endeavor to optimize the efficiency of their light-harvesting apparatus. However, here we describe two bacterial isolates belonging to the genera Allochromatium and Thiocapsa that demonstrate a novel adaptation by optimizing their external growth conditions at the expense of photosynthetic efficiency. In the South Andros Black Hole, Bahamas, a dense l-m thick layer of these anoxygenic purple sulfur bacteria is present at a depth of 17.8 m. In this layer the water temperature increases sharply to 36°C as a consequence of the low-energy transfer efficiency of their carotenoids (ca. 30%). These include spirilloxanthin, and related polyene molecules and a novel chiral carotenoid identified as spirilloxanthin-2-ol, not previously reported in purple bacteria. To our knowledge, this study presents the first evidence of such a bacterial mass significantly increasing the ambient water temperature. The transduction of light to heat energy to excess heat may provide these anoxygenic phototropic bacteria with a competitive advantage over non-thermotolerant species, which would account for their predominance within the microbial layer.
Orbit, 2009
We present a report of a recurrent atypical fibroxanthoma (AFX), a tumour known rarely to involve... more We present a report of a recurrent atypical fibroxanthoma (AFX), a tumour known rarely to involve the eyelid. A 61 year-old male was referred after reappearance of a lower eyelid AFX within two months of resection. The neoplastic spindle cells at the periphery of an AFX may be difficult to differentiate from dermal fibroblasts in frozen sections. Paraffin sections provide better histological definition and thus greater accuracy in determining completeness of excision. The patient's recurrent tumour was surgically excised and overnight paraffin sections were used to obtain margin clearance, before secondary reconstruction. The tumour required re-excision on three occasions before clearance was achieved. The patient remains tumour free at 12 months' follow-up.
Orbit, 2010
To review the medical literature on mucinous sweat gland adenocarcinoma of the eyelid (MSA) and p... more To review the medical literature on mucinous sweat gland adenocarcinoma of the eyelid (MSA) and present two new cases. Details of published case reports and small series (between 1971-2010) were evaluated and summarized including two patients diagnosed and treated at our institution. Data regarding age, gender, ethnicity, precise location, clinical presentation, treatment and follow up of each patient were collected. 25 reports describing 55 patients were found in the medical literature. The mean age was 61.3 years (30-87), 22(59%) were male and 28(80%) were Caucasian. In 23(44.2%) patients the lesion was in the lower lid, in 20(38.5%) in the upper lid, in 3(5.7%) involving both lids and in 6(11.6%) in a canthus. In 12(21.8%) patients a lesion with a benign diagnosis was previously excised from the same location. In 2 of them histological re-examination resulted in a diagnosis of MSA. Intraorbital involvement was found in 2(3.6%) patients. Regional lymph node metastasis was found in 2(4.4%) patients. Surgical excision was the treatment of choice using Mohs' micrographic-controlled excision technique in recent years. Radiotherapy was applied to 2 patients with clinical resolution in 1. Recurrence of the tumor was reported in 14(30%) patients. MSA is a rare tumor of the eyelid with no clinically distinguishing features. It should be suspected particularly with recurrent eyelid lesions and must be differentiated from metastatic disease. The tumor may extend into the orbit and metastasize regionally. Surgical removal with continued regular follow-up examination is the treatment of choice.
Orbit, 2012
The senior consultants Ross Benger and Andrew Gal have been using en face frozen section histolog... more The senior consultants Ross Benger and Andrew Gal have been using en face frozen section histological margin control in removing cancer from the periocular region since 1985. The aim of this study was to determine the percentage of cases in which more than one resection was necessary in order to achieve clear margins. This is a retrospective study of patients treated at Drummoyne Eye Surgical Centre in the period 1999-2007, in whom removal of the eyelid cancer was decided to be with en face frozen section histological control. A record was kept of how many resections were necessary to achieve clear margins. Paraffin sections were subsequently examined for a final histopathological diagnosis. Two hundred and fifty people were included in the study, of whom 204 had basal cell carcinoma (BCC) and 32 had squamous cell carcinoma (SCC). One hundred and twenty BCCs had a full-thickness eyelid "wedge" resection, of which 45% needed more than the standard two frozen sections taken to achieve clear margins. Eighty-four BCCs were removed using ring resection, of which 35.7% needed more than the standard initial resections (peripheral annulus and deep disc) to achieve clear margins. Our study showed that a significant percentage of BCC and SCC lesions needed further resection after the initial frozen section edge checks to achieve clear margins. Intraoperative presence of the histopathologist increased the likelihood of achieving clearance of the cancer at a single operating session.
New England Journal of Medicine, 1974
Original Article from The New England Journal of Medicine Replacement Therapy for Inherited Enz... more Original Article from The New England Journal of Medicine Replacement Therapy for Inherited Enzyme Deficiency.
Clinical Orthopaedics and Related Research, 1986
In spinal surgery, free fat grafts can be placed to limit the ingrowth postlaminectomy fibrous ti... more In spinal surgery, free fat grafts can be placed to limit the ingrowth postlaminectomy fibrous tissue. A specimen of free fat graft recovered from the spinal canal of a patient after 40 months showed histological evidence of revascularization. The reparative, dense fibrosis surrounding the laminectomy site had not penetrated into the spinal canal.
Clinical Orthopaedics and Related Research, 1988
An aggressive and recurrent pigmented villonodular synovitis of the knee occurred in a 47-year-ol... more An aggressive and recurrent pigmented villonodular synovitis of the knee occurred in a 47-year-old man. Magnetic resonance imaging was an excellent noninvasive diagnostic aid that completely outlined the extent of the synovitis and correlated well with surgical findings.
Biochemistry, 1997
Resonance Raman spectroscopy was performed on peripheral light-harvesting proteins from Rhodobact... more Resonance Raman spectroscopy was performed on peripheral light-harvesting proteins from Rhodobacter sphaeroides in which the residue betaArg-10 has been modified by site-selected mutagenesis. We show that this residue is indeed involved (as proposed by X-ray crystallographic studies on the LH2 complex from Rhodopseudomonas acidophila), in an H-bond with the acetyl carbonyl of the 800 nm-absorbing BChl in these proteins (B800), and that the presence of such an H-bond induces a ca. 10 nm red shift of the lowest energy transition (Qy) of this molecule. Moreover, other parameters involved in the fine tuning of the absorption of the B800 molecules may be determined from our experiments, and we propose that the local electromagnetic properties of the B800 binding site may induce an additional 10 nm red shift of this transition. These results constitute the first experimental evidence for the parameters able to modify in vivo the absorption of "monomeric" BChl molecules, i.e. BChl not involved in strong excitonic interactions, and will be of great help for understanding the absorption properties of such pigments in other light-harvesting systems.
Clinical & Experimental Ophthalmology, 2014