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1.
Zhonghua Yu Fang Yi Xue Za Zhi ; 53(9): 907-912, 2019 Sep 06.
Artigo em Zh | MEDLINE | ID: mdl-31474072

RESUMO

Objective: To explore the blood lead level and its relationship with behavior in school-age children from rural areas of Chongqing. Methods: A total of 697 students from grades 3 to 6 in the fall semester of 2014 from 14 rural townships in one district of Chongqing was selected by using the random cluster sampling method. Blood were sampled to analyze the lead level. Neurobehavioral tests were performed to determine their personal cognitive and memory ability. Questionnaires and physical examinations were administered to obtain the information of confounding factors. All students were divided into Q1-Q4 groups according to the quartile of their blood lead level. The relationship between the blood lead level and behavior was analyzed by multivariate logistic regression model and restricted spline regression model. Results: The mean age of 697 students was (10.07±1.36) years old, and the median (interquartile range) of their blood lead level was 44.31 (35.42) µg/L. Multivariate logistic regression model showed that after adjusting for age, gender, body mass index and maternal culture level, compared with Q1 group, the OR (95%CI) values of high digit symbol substitution test (DSST) scores and high overall memory quotient (MQ) scores in Q3 group were 1.65 (1.01-2.70) and 2.10 (1.21-3.62), and the OR (95%CI) value of high long term memory (LTM) scores in Q4 group was 0.53 (0.31-0.92). The results of the restricted spline regression model showed that the dose-response curves between the blood lead level and MQ/LTM test scores were both parabolic (P<0.05). Conclusion: The blood lead level of school-age children from rural areas of Chongqing is the same as that from other areas of China, but slightly higher than that from other areas of Chongqing. Children with higher blood lead level have poor long-term memory ability.


Assuntos
Comportamento Infantil , Chumbo , População Rural , Estudantes , Criança , China , Humanos , Chumbo/sangue , População Rural/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Inquéritos e Questionários
2.
Zhonghua Gan Zang Bing Za Zhi ; 27(3): 192-197, 2019 Mar 20.
Artigo em Zh | MEDLINE | ID: mdl-30929335

RESUMO

Objective: To explore chromobox protein homolog 2 (CBX2) expressions in relation to clinical features of patients and elucidate its role in the progression of hepatocellular carcinoma. Methods: Using the Cancer Genome Atlas (TCGA) database, R language was used to analyze the distribution of differentially expressed mRNA in hepatocellular carcinoma. The different expression of CBX2 in HCC and adjacent tissues and its relationship with survival and clinical characteristics of patients were further analyzed. The expression of CBX2 in liver tissues, liver cancer tissue, and L02, HepG2 and SMMC-7721 cell lines was detected by real time-PCR and western blot. The expression of CBX2 was interfered by siRNA in hepatoma cell line. MTT, colony formation, transwell assays, and flow cytometry were used to identify the proliferation, apoptosis, invasion and clone-formation ability of HepG2 and SMMC-7721 cells after CBX2 down-regulation. According to the different data, t-test, ANOVA, chi-square test, and COX regression model were used for statistical analysis. Survival curve was plotted through Kaplan-Meier method. Results: TCGA public database analysis showed that the expression of CBX2 mRNA in hepatocellular carcinoma tissues (7.296 ± 1.6115) was significantly higher than normal liver tissues (4.706 ± 0.940) (P = 0.000). In addition, the overall survival time of patients with low CBX2 mRNA expression was significantly longer than that of patients with high CBX2 mRNA expression [(5.971 ± 0.411) years vs. (4.650 ± 0.503) years, P = 0.001]. The expression level of CBX2 mRNA was correlated with the pathological TNM stage (P = 0.025) and differentiation degree (P < 0.001) of liver cancer. COX regression analysis showed that CBX2 mRNA expression was an independent predictor of patient survival (P = 0.013). siRNA was transfected and compared with the blank control group. The transgenic ability of HepG2 and SMMC-77221 cells decreased significantly at 72h (P < 0.05) and 96h (P < 0.05), and the apoptosis rate (11.430% ± 0.215%) was higher than blank control group (6.6 00% ± 0.170%) (P = 0.003). The number of invasive cells ((both P < 0.05) and relative colony forming cells ((both P < 0.001) were significantly decreased. In 20 cases of tissue samples, the expression of CBX2 protein (relative expression level 3.020 ± 0.269) in liver cancer was higher than that in adjacent tissues (relative expression level 0.886±0.065) (P < 0.001). The overall survival time of patients with low CBX2 expression in liver cancer was longer than that of patients with high expression [(3.670 + 0.576) years vs. (0.834 + 0.153) years, P = 0.004]. Conclusion: An evident high expression of CBX2 is an independent poor prognostic factor in hepatoma. Down-regulation of CBX2 expression can inhibit the progression of liver cancer. Therefore, CBX2 may be a prognostic biomarker and a new target for HCC treatment.


Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Adulto , Proliferação de Células , Regulação para Baixo , Regulação Neoplásica da Expressão Gênica , Células Hep G2 , Humanos
3.
Zhonghua Yu Fang Yi Xue Za Zhi ; 51(6): 539-545, 2017 Jun 06.
Artigo em Zh | MEDLINE | ID: mdl-28592100

RESUMO

Objective: To investigate the association between aflatoxin exposure and primary hepatocellular carcinoma (PHC) development. Methods: From December 2013 to May 2016, we selected 214 patients newly diagnosed with PHC as cases, and 214 patients as controls from three hospitals in Chongqing. Cases were confirmed with PHC diagnosis standard. And cases caused by clear reasons such as drug-induced liver injury, alcoholic liver damage, fatty liver and gallstones etiology, were excluded. Controls were included with no cancer and no digestive system disease, and recruited simultaneously with cases. Cases and controls were frequency-matched (1∶1) by same gender and age (±3 years). Peripheral blood and random urine samples were collected and analyzed for serum HBsAg status by biochemistry analyzer, and serum AFB(1)-ALB adduct and urinary AFB(1)-N(7)-GUA adduct by ELISA. Basic information, living habits and history of disease for patients were obtained by questionnaires. We used wilcoxon rank sum test to compare the median of serum AFB(1)-ALB adduct and urinary AFB(1)-N(7)-GUA adduct in cases and controls. Logistic regression analyses were performed to assess risk factors for PHC, and synergism index (S) of aflatoxin with other factors was estimated by the method of Andersson. Results: There was no significant difference in age between PHC cases (50.74±9.67) years and controls (51.15±9.90) years. Logistic regression showed that the odds ratio of HBV infection for PHC development was 46.3 (95% CI: 23.3-88.0). There was a significant difference in median concentrations of serum AFB(1)-ALB adduct (cases vs controls: 146.23 vs 74.42 ng/g albumin, P<0.001), but no difference in median concentrations of urinary AFB(1)-N(7)-GUA adduct was observed (cases vs controls: 0.17 vs 0.14 ng/mg creatinine, P<0.210). The odd ratios for PHC risk after adjustment were 1.9 (95%CI: 1.1-3.4) for AFB(1)-ALB adduct, and 2.1 (95%CI: 1.0-4.2) for AFB(1)-N(7)-GUA adduct. Moreover, we observed a positive interaction of aflatoxin exposure with HBV, alcohol drinking, and diabetes. The S was 4.7 (95%CI: 2.8-7.9), 3.5 (95%CI: 1.0-12.0), and 12.4 (95%CI: 1.8-84.2), respectively for serum AFB(1)-ALB adduct with each of the three factors mentioned, and was 1.9 (95%CI:1.1-3.1), 2.0 (95%CI: 1.1-3.6), and 2.0 (95%CI: 1.1-3.6), respectively for urinary AFB(1)-N(7)-GUA adduct with each of the three factors mentioned. Conclusion: HBV was still the main risk factor, and AFB(1) exposure was also an independent risk factor for PHC in Chongqing. There was a positive interaction of aflatoxin with HBV, alcohol drinking, and diabetes.


Assuntos
Aflatoxina B1/toxicidade , Carcinoma Hepatocelular/induzido quimicamente , Neoplasias Hepáticas/induzido quimicamente , Aflatoxina B1/sangue , Aflatoxina B1/urina , Aflatoxinas/toxicidade , Consumo de Bebidas Alcoólicas , Estudos de Casos e Controles , Ensaio de Imunoadsorção Enzimática , Humanos , Modelos Logísticos , Masculino , Fatores de Risco
4.
Zhonghua Shao Shang Za Zhi ; 38(9): 864-869, 2022 Sep 20.
Artigo em Zh | MEDLINE | ID: mdl-36177592

RESUMO

Chronic wounds such as diabetic foot ulcers are epidemic, which bring huge burdens to both the patients and the society. However, with current treatment methods, diabetic foot ulcers often heal poorly and recur frequently, so it is urgent and important to find new and advanced therapies. Stem cell therapy has been proved by a large number of pre-clinical and clinical studies as a potential treatment for chronic wounds. However, the acquisition of stem cells often depends on invasive techniques, and immunogenicity and limited cell survival in vivo also limit the large-scale application and promotion of stem cell therapy. In the recent years, with the development and advance of induced pluripotent stem cell (iPSC) technology, it has shown a strong translational potential in the treatment of chronic wounds such as diabetic foot ulcers. This article reviews the applications and prospect of iPSCs in animal wound healing models including diabetic ulcers and limb ischemia, the limitations of their clinical application, and the methods to improve their safety.


Assuntos
Diabetes Mellitus , Pé Diabético , Células-Tronco Pluripotentes Induzidas , Animais , Pé Diabético/tratamento farmacológico , Cicatrização
5.
J Immunol Methods ; 242(1-2): 67-78, 2000 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-10986390

RESUMO

Progress in elucidating the pathogenesis of Helicobacter pylori gastric infection and in developing an H. pylori vaccine will be aided by an animal model in which H. pylori can be reliably detected. To validate the use of the mouse model of H. pylori infection, we determined the susceptibility of three inbred strains of mice (C57BL/6J, C57BL/10J and BALB/c) to two VacA+/CagA+ isolates of H. pylori (SPM326 and M1.16) and determined the effectiveness of microbiological, histological and molecular assays for H. pylori detection. For the detection of H. pylori in inoculated mice, reverse transcriptase-polymerase chain reaction was the most sensitive assay (82%), histological evaluation the next most sensitive (66%) and microbiological evaluation the least sensitive (38%); the assays were equally specific (100%). Of the two H. pylori isolates, M1.16 showed the highest rate of colonization, but SPM326 displayed the highest rate of persistent infection. Among the three mouse strains, C57BL/6J mice showed the highest level of both susceptibility to colonization and persistent infection. Anti-H. pylori antibody responses were induced in all inoculated mice and persisted for up to 8 weeks after H. pylori clearance. These results indicate that inbred mice experimentally infected with H. pylori is a reliable model for human infection, but host susceptibility to colonization and persistence of infection are dependent on the H. pylori isolate and the mouse strain.


Assuntos
Infecções por Helicobacter/microbiologia , Helicobacter pylori/fisiologia , Animais , Anticorpos Antibacterianos/imunologia , Modelos Animais de Doenças , Suscetibilidade a Doenças , Infecções por Helicobacter/imunologia , Infecções por Helicobacter/patologia , Helicobacter pylori/genética , Helicobacter pylori/imunologia , Helicobacter pylori/isolamento & purificação , Humanos , Imunoglobulina G/imunologia , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL , Reação em Cadeia da Polimerase Via Transcriptase Reversa
6.
Org Lett ; 3(25): 3999-4002, 2001 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-11735569

RESUMO

[reaction: see text] Ureyleno crown ethers 2 and 3 bind with 2 equiv of Li(+) cooperatively and selectively over other alkali metal ions such as Na(+), K(+), and Cs(+). The binding constant for 3 was found to be 3.0 x 10(7) (L/mol)(2).


Assuntos
Compostos Aza/química , Éteres Cíclicos/química , Compostos Heterocíclicos com 1 Anel/química , Lítio/química , Cristalografia por Raios X , Espectroscopia de Ressonância Magnética , Estrutura Molecular , Espectrometria de Fluorescência
7.
Psychiatry Res ; 77(2): 121-30, 1998 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-9541148

RESUMO

Seventy DSM-III schizophrenic patients were assessed for positive and negative symptoms using Andreasen's scales for the assessment of positive and negative symptoms (SANS and SAPS) on admission. The correlation structure of the items in the SANS and SAPS was explored in dimension and item levels by use of correlation plots through a distinct analytical method displaying the proximity matrix. The results revealed at least three major dimensions of symptoms delineated as Negative Symptoms, Disorganized Thoughts and Delusions and Hallucinations. The latter two dimensions were derived from the SAPS, while Negative Symptoms comprised most of the items in the SANS. Items in Disorganized Thoughts were more correlated to Negative Symptoms than to the other items in the SAPS. 'Loss of ego boundary' delusions and experience of auditory hallucinations appeared as two sub-clusters in the group of Delusions and Hallucinations. The relative independence of persecutory, grandiose, religious, somatic and reference delusions gives support to the concept that paranoid schizophrenia stands as a distinct clinical subtype of schizophrenia. The graphical method introduced here well expresses the information of correlation matrix and is useful for exploring inter-item or inter-cluster associations.


Assuntos
Testes Psicológicos , Esquizofrenia/diagnóstico , Adolescente , Adulto , Delusões/etiologia , Feminino , Alucinações/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Esquizofrenia/complicações , Psicologia do Esquizofrênico , Pensamento/fisiologia
8.
Zhonghua Zhong Liu Za Zhi ; 15(3): 202-4, 1993 May.
Artigo em Zh | MEDLINE | ID: mdl-8261866

RESUMO

From April 1990 to April 1992, a comparative study was carried out in 46 patients with advanced breast cancer treated by CMxMF (Cyclophosphamide, mitoxantrone, methotrexate, 5-fluorouracil) and CAMF regimens (Cyclophosphamide, adriamycin, methotrexate, 5-fluorouracil). Of these 46 patients, 23 treated by CMxMF regimen gave a response rate of 87% (20/23) and 23 treated by CAMF regimen gave a response rate of 82.6% (19/23) (P > 0.05). Following up to the end of June, 1992, 21 patients in CMxMF regimen were still alive with a median survival of 16 (6-24) months and 20 patients in CAMF regimen with a median survival of 12 (3-24) months. The side effects were tolerable in both groups. The authors consider that mitoxantrone is as effective as adriamycin in the treatment of advanced breast cancer.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Adenocarcinoma/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma/tratamento farmacológico , Carcinoma Ductal de Mama/tratamento farmacológico , Ciclofosfamida/administração & dosagem , Doxorrubicina/administração & dosagem , Feminino , Fluoruracila/administração & dosagem , Humanos , Metotrexato/administração & dosagem , Pessoa de Meia-Idade , Mitoxantrona/administração & dosagem
9.
Sheng Li Xue Bao ; 42(5): 446-52, 1990 Oct.
Artigo em Zh | MEDLINE | ID: mdl-1703663

RESUMO

The role of substance P (SP) in the regulation of sympathetic outflow to the cardiovascular system was assessed. Intrathecal injection(ith) of capsaicin caused a release of SP from the spinal cord and resulted in an increase in blood pressure and heart rate accompanied by an elevation of plasma adrenaline and noradrenaline. This pressor response was blocked by ith SP antagonist D-Pro2, D-Phe7, D-Trp9-SP or antiserum against SP. The immunohistochemical study showed that the SP-like immunoreactivity in T-8 of the spinal cord was decreased as the amount of capsaicin administrated was increased. Spinal cord transection had no effect on pressor responses caused by ith 10 micrograms capsaicin. These results suggest that SP transmits excitatory information to the cardiovascular system via spinal sympathetic pathway.


Assuntos
Pressão Sanguínea/efeitos dos fármacos , Capsaicina/farmacologia , Medula Espinal/metabolismo , Substância P/metabolismo , Animais , Epinefrina/sangue , Feminino , Gânglios Autônomos/fisiologia , Frequência Cardíaca/efeitos dos fármacos , Injeções Espinhais , Masculino , Neurônios/fisiologia , Norepinefrina/sangue , Ratos , Ratos Endogâmicos , Substância P/fisiologia
10.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 11(3): 215-9, 1989 Jun.
Artigo em Zh | MEDLINE | ID: mdl-2478307

RESUMO

Application of kainic acid (KA) to the rostral ventral surface of the medulla oblongata (RVM) produced an increase in mean arterial pressure, accompanied by a decrease in substance P-like immunoreactivity in both spinal cord and medulla oblongata and an elevation of plasma adrenaline (AD) and noradrenaline (NA) content. There were no significant changes in the amounts of AD and NA in other areas of the central nervous system. These responses were effectively abolished by pre-intrathecal injection of D-pro2, D-phe7 or D-Trp8-SP. These results suggest that the pressor responses evoked by activation of RVM might be mediated by a substance P (SP)-containing bulbospinal pathway rather than by a central catecholamine system. SP transmits excitatory information from RVM to the peripheral vasculature via the spinal sympathetic adrenal medulla system, which plays an important role in maintaining vasomotor tone.


Assuntos
Pressão Sanguínea/efeitos dos fármacos , Catecolaminas/fisiologia , Ácido Caínico/farmacologia , Bulbo/fisiologia , Substância P/fisiologia , Animais , Epinefrina/fisiologia , Norepinefrina/fisiologia , Ratos , Ratos Endogâmicos
11.
Gan To Kagaku Ryoho ; 22(1): 105-9, 1995 Jan.
Artigo em Japonês | MEDLINE | ID: mdl-7826063

RESUMO

We evaluated the usefulness of hormonal therapy combined with UFT as initial treatment in comparison with hormonal therapy alone in 92 patients with Stage D2 prostatic cancer treated at the Department of Urology, Dokkyo University School of Medicine between 1974 and 1993. Twenty-six of these patients were treated with diethylstilbestrol diphosphate (DESP) and castration (hormonal therapy alone group), and 23 patients were treated with UFT, DESP and castration (UFT combined therapy group). The 5-year survival rates calculated with Kaplan-Meier's method in the hormonal therapy alone group and the UFT combined therapy group were 34.6 % and 38.3%, respectively. However, the 3-year survival rates of pathologically poorly differentiated adenocarcinoma in these groups were 30.0% and 50.0%, respectively. Based on these results, it was suggested that UFT administration combined with hormonal therapy is useful for pathologically poorly differentiated adenocarcinoma in Stage D2 prostatic cancer.


Assuntos
Adenocarcinoma/tratamento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Dietilestilbestrol/análogos & derivados , Neoplasias da Próstata/tratamento farmacológico , Adenocarcinoma/mortalidade , Adenocarcinoma/patologia , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada , Dietilestilbestrol/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Orquiectomia , Neoplasias da Próstata/mortalidade , Neoplasias da Próstata/patologia , Taxa de Sobrevida , Tegafur/administração & dosagem , Uracila/administração & dosagem
12.
Int J Med Robot ; 6(3): 315-23, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20564428

RESUMO

BACKGROUND: We report our technique for robotic-assisted laparoscopic radical cystoprostatectomy (RARCP) and extracorporeal urinary diversion and present their clinical outcomes. METHODS: Between October 2003 and December 2008 we performed 58 RARCPs with extracorporeal continent urinary diversion. Preoperative, operative and postoperative data was evaluated. RESULTS: Mean patient age was 68 (range 46-89) years, with an average American Society of Anesthesiologists classification of 2.9. Mean operative time was 8 (range 5-11) h. Median blood loss was 450 ml. Thirteen patients received intra-operative blood transfusions and 22 patients received peri-operative blood transfusions. Continent urinary diversions were performed by means of the Studer technique (n = 42) or Indiana pouch (n = 16). Mean number of lymph nodes examined on lymphadenectomy was 27 (range 0-52). CONCLUSIONS: Our RARCP and continent diversion technique is a safe and feasible option for primary urothelial carcinoma of the bladder. Oncological and surgical outcomes are comparable to open cystectomy series.


Assuntos
Prostatectomia/métodos , Robótica/métodos , Procedimentos Cirúrgicos Operatórios/métodos , Derivação Urinária/métodos , Incontinência Urinária/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Anastomose Cirúrgica/métodos , Aorta Abdominal , Cistectomia/métodos , Humanos , Artéria Ilíaca , Masculino , Pessoa de Meia-Idade , Posicionamento do Paciente , Robótica/instrumentação , Segurança , Suturas , Resultado do Tratamento , Estados Unidos/epidemiologia , Ureter/cirurgia , Neoplasias da Bexiga Urinária/epidemiologia , Neoplasias da Bexiga Urinária/cirurgia
13.
Am J Kidney Dis ; 28(6): 899-903, 1996 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8957043

RESUMO

Patients with end-stage renal disease combined with tense ascites caused by decompensated liver cirrhosis are sometimes encountered in a hemodialysis center. A big problem for the management of these patients is the tendency of hypotension during ultrafiltration. Subsequent fluid accumulation, especially in the abdominal cavity, causes breathing difficulty and abdominal discomfort. We present a new technique, ascites ultrafiltration, to solve this problem. Using the same equipment as for ordinary hemodialysis, and incurring the same cost, we removed directly approximately 8 L of ascites fluid during each nearly 4-hour session. No hemodynamic instability was noted. We proved this technique to be an effective and safe alternative method for this group of patients.


Assuntos
Ascite/terapia , Falência Renal Crônica/terapia , Cirrose Hepática/complicações , Diálise Renal , Ultrafiltração/métodos , Ascite/complicações , Humanos , Falência Renal Crônica/complicações , Masculino , Pessoa de Meia-Idade , Diálise Renal/efeitos adversos
14.
J Am Acad Dermatol ; 15(5 Pt 1): 995-1001, 1986 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2431015

RESUMO

Permethrin 5% dermal cream (Burroughs Wellcome Co.) was compared in an investigator-blinded, randomized study against lindane 1% lotion (Kwell) for the treatment of microscopically confirmed scabies. Eleven of twenty-three patients treated with permethrin cream were cured in 2 weeks (48%). Only two patients had scabies 1 month following a single treatment with this product, giving a cure rate of 91%. One of these two patients was considered to have a reinfestation. Only three of twenty-three (13%) patients treated with 1% lindane lotion (Kwell) were free of scabies 2 weeks after a single treatment and fifteen of twenty-three (65%) were cured at 1 month. The unusually high percentage of treatment failures (35%) following lindane therapy may have been related to extensive use of this agent for head lice and scabies in this village during the preceding 5 years. The higher cure rate at 1 month seen with permethrin cream was significant (p less than 0.025). Permethrin 5% dermal cream offers a new, cosmetically elegant alternative to lindane therapy and was effective in a community in which lindane demonstrated an unacceptable level of treatment failures.


Assuntos
Piretrinas/uso terapêutico , Escabiose/tratamento farmacológico , Administração Tópica , Adolescente , Adulto , Criança , Pré-Escolar , Ensaios Clínicos como Assunto , Resistência Microbiana a Medicamentos , Feminino , Hexaclorocicloexano/uso terapêutico , Humanos , Masculino , Permetrina , Piretrinas/administração & dosagem
15.
Artigo em Inglês | MEDLINE | ID: mdl-7618466

RESUMO

BACKGROUND: The objective of this study is to reassess the validity of plain film diagnosis for pediatric intussusception with consideration of the combinations of radiologic findings. METHODS: Sixty-six cases of intussusception and 81 controls of gastroenteritis were collected. Their films were read blindly by three radiologists together, with emphasis on nine radiologic findings: sparse colon gas (F1), sparse fecaloid content in colon (F2), gas-filled small bowel loops in right hypochondrium (F3), small bowel obstruction (F4), difficulty in assessing cecum position (F5), pneumoperitoneum (F6), discernible mass lesion (F7), target sign (F8) and crescent sign (F9). The sensitivity and specificity of individual findings and combinations of findings were analyzed. RESULTS: No cases showed F6. Listed in decreasing order of sensitivity, the other eight findings were F1, F5, F2, F7, F3, F4, F9 and F8. The sensitivity and specificity of these eight findings were inversely proportional with significant p-values (F8: < 0.005; the other seven findings: < 0.001). Sixty-three films (95%) in case group displayed combination of at least three radiologic findings. If the diagnostic criteria must consist of at least three radiologic findings, 60 cases (74%) of control group can be excluded. CONCLUSIONS: After eliminating the confounding effect of small bowel obstruction on the percentage of gas-filled small bowel loops in right hypochondrium and excluding the data agreed by only one radiologist from the study by Ratcliffe et al, the results of plain film findings were consistent with those of previous reports. The plain abdominal film can play an active role in the diagnosis of pediatric intussusception. Its validity increases when combinations of radiologic findings rather than individual signs are emphasized.


Assuntos
Gastroenterite/diagnóstico por imagem , Intussuscepção/diagnóstico por imagem , Adolescente , Criança , Pré-Escolar , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Masculino , Valor Preditivo dos Testes , Radiografia , Estudos Retrospectivos , Sensibilidade e Especificidade , Filme para Raios X
16.
Pediatr Dermatol ; 7(1): 67-73, 1990 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2188239

RESUMO

Permethrin 5% cream (Elimite) was approved as a treatment for scabies by the U.S. Food and Drug Administration in September 1989. In a double-blinded, randomized study, it was compared with crotamiton 10% cream (Eurax) for the treatment of scabies in children 2 months to 5 years of age. Two weeks after a single overnight treatment, 14 (30%) of 47 children were cured with permethrin 5% cream, in contrast to only 6 of 47 (13%) of subjects treated with Eurax. Four weeks after treatment the figures were 89% and 60% cured for the two agents, respectively. In 10 of the 19 patients whose treatment failed, the condition became worse after therapy. The difference in efficacy in favor of permethrin was significant (P = 0.002). That agent also demonstrated greater effectiveness in reducing pruritus and secondary bacterial infections. Elimite offers a safe, efficacious, and cosmetically elegant alternative to Eurax in the treatment of scabies in children.


Assuntos
Piretrinas/uso terapêutico , Escabiose/tratamento farmacológico , Toluidinas/uso terapêutico , Administração Tópica , Pré-Escolar , Método Duplo-Cego , Feminino , Humanos , Lactente , Masculino , Pomadas , Panamá , Permetrina , Piretrinas/administração & dosagem , Ensaios Clínicos Controlados Aleatórios como Assunto , Toluidinas/administração & dosagem
17.
Artigo em Inglês | MEDLINE | ID: mdl-11970564

RESUMO

We establish an intriguing connection between geometry and thermodynamics in the critical q-state Potts model on two-dimensional lattices, using the q-state bond-correlated percolation model (QBCPM) representation. We find that the number of clusters of the QBCPM has an energy-like singularity for q not equal to 1, which is reached and supported by exact results, numerical simulation, and scaling arguments. We also establish that the finite-size correction to the number of bonds, , has no constant term and explains the divergence of related quantities as q-->4, the multicritical point. Similar analyses are applicable to a variety of other systems.

18.
J Mol Cell Cardiol ; 31(4): 721-32, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10329200

RESUMO

An efficient cardiac gene transfer technique in murine models would greatly facilitate the elucidation of the pathophysiology of cardiomyopathies and the development of genetic therapies. Direct myocardial injection or catheter-based intracoronary infusion is not easily achievable in mice and resultant transgene expression is often limited in distribution. A replication-defective, recombinant adenovirus encoding luciferase (5x10(9)pfu) or lacZ (4-5x10(10)particles/animal) was injected percutaneously into the pericardial cavity of 4-5 day old mice. Chemiluminescence assay for luciferase activity at 3 days post-injection revealed the highest activity in the heart (heart=288+/-110, lungs=19+/-5, liver=11+/-5 ng/gm tissue, n=11). X-gal staining of cryostat sections demonstrated widespread transmural lacZ expression in the left ventricle, interventricular septum, right ventricle, and atrial appendages, and the average fractional area of X-gal staining in a left ventricle was 66+/-16% (range 40-92%, n=21 sections). However, the long-term survival of these mice was compromised. Reduction in the injectate volume by 50% significantly improved survival but concurrently reduced lacZ expression. Significant lacZ expression was observed in the right ventricle and interventricular septum but left ventricular expression was predominantly epicardial, with variable myocardial penetration. At 2 months post-injection, lacZ expression persisted only in atrial tissues, pulmonary veins, and great vessels. Despite lack of persistent transgene expression in ventricular tissues, the high degree of transgene expression achieved may be sufficient to allow evaluation of short-term effects of specific genetic manipulations in the heart.


Assuntos
Técnicas de Transferência de Genes , Coração , Adenoviridae/genética , Animais , Animais Recém-Nascidos , Expressão Gênica , Vetores Genéticos , Injeções , Óperon Lac , Luciferases/genética , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Miocárdio/metabolismo , Pericárdio , Distribuição Tecidual
19.
J Biol Chem ; 275(38): 29816-22, 2000 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-10887180

RESUMO

Occludin is an integral membrane protein that has been suggested to play a role in the organization and dynamic function of the epithelial tight junction (TJ). A number of other proteins have also been described to localize to the TJ. We have used a novel bait peptide method to investigate potential protein-protein interactions of the putative coiled-coil domain of occludin with some of these other TJ proteins. A 27-amino acid peptide of the human occludin sequence was synthesized, biotinylated at the N terminus, and modified to contain a photoactive moiety at either its hydrophobic or hydrophilic surface. These bait peptides were alpha-helical in solution, characteristic of coiled-coil structures. Photoactivation studies in the presence and absence of control peptides were used to assess the potential interactions in polarized sheets of a human intestinal cell line T84. Although a large number of proteins associated with the TJ or that are known to be involved in regulatory events of epithelial cells failed to be specifically labeled, occludin itself, ZO-1, protein kinase C-zeta, c-Yes, the regulatory subunit of phosphatidylinositol 3-kinase, and the gap junction component connexin 26 were specifically labeled. Our data demonstrate the potential of one specific domain of occludin, contained within 27 amino acids, to coordinate the binding of proteins that have been previously suggested to modulate TJ structure and function.


Assuntos
Células Epiteliais/fisiologia , Células Epiteliais/ultraestrutura , Proteínas de Membrana/química , Proteínas de Membrana/fisiologia , Junções Íntimas/fisiologia , Sequência de Aminoácidos , Células Cultivadas , Humanos , Dados de Sequência Molecular , Ocludina , Mapeamento de Peptídeos/métodos , Dobramento de Proteína , Relação Estrutura-Atividade
20.
Shi Yan Sheng Wu Xue Bao ; 34(4): 261-8, 2001 Dec.
Artigo em Zh | MEDLINE | ID: mdl-12549203

RESUMO

The alveolar echinococcus is one of the most dangerous worm parasites in man. Rausch and Schiller reported a new species, Echinococcus sibiricensis n. sp. from arctic fox, Alpex logopus, on St. Lawrence Island of Alaska, USA. According to the view of Vogel, the sibiricensis form is only a geographical race or subspecies of Europe Echinococcus multilocularis. So far, the two names, Echinococcus multiocularis multilocularis and Echinococcus multilocularis sibiricensis, existed in many references and text books. We have found the adults of Echinococcus sibiricensis and Echinococcus multilocularis from sand foxes, Vulpes corsac and their larval stages (alveolar echinococcus) from field voles, Microtus brandti in the Hulunbeier Pasture of Inner Mongolia, northeastern China in 1985 and 1998-1999. Two types of metacestodes with quite different styles of early development of E. sibiricensis and E. multilocularis were found from field voles and laboratory experimental white mice. As one characteristic of alveolar E. multilocularis, the capsules are produced by the exogenous budding of germinal cell layer together with cyst wall. The protoscoleces grow from germinal cells on germinal cell layer. The peduncles of early protoscoleces attached to the germinal cell layer on the inner surface of capsule wall(Plate I, Figs. 1-2). Some protoscoleces in reticular structure were linked with the inner surface of capsule wall (Plate I, Fig. 3) in livers of mice in 9.5th month postinfection. In 14th month old alveolar multilocularis, large number of mature protoscoleces in reticular structure were still linked to the inner surface of capsule wall (Plate I, Figs. 4-8). The cavities of some capsules were filled with protoscoleces in meshes of reticular structure which were also linked around with the inner surface of capsule wall (Plate I, Fig. 9). The superficial surface of livers of positive field voles and experimental mice never showed any hyperemic phenomenon. The superficial surfaces of livers and lungs of positive field voles and experimental mice infected with alveolar E. sibiricensis were highly hyperemic. The metacestodes of E. sibiricensis composed of mother cyst, undifferentiated embryonic cysts and small brood capsules. Cavities of all cysts were fully filled with germinal cell masses. Host reaction appeared to be very strong, all cysts were surrounded by thick connective tissue and dense leukocytes (Plate II, Fig. 10). All alveolar vesicles were found located in lungs tissue of experimental mice. Large germinal cell masses metastasized out from undifferentiated embryonic cysts into host lung tissue, where germinal cell masses developed into accumulation of early protoscoleces (Plate II, Figs. 11-12). Early protoscoleces of alveolar E. sibiricensis were seen earliest in mice lung tissues on 101-104th days after infection. Many small capsules in different sizes and different shapes containing mature protoscoleces and reticular structure (Plate II, Figs. 13-15) were found in lungs of mice in 9th month after infection. Only in one experimental mouse infected with alveolar E. sibiricensis in 8.5th month postinfection, both its lung and liver existed alveolar cysts; the capsules in liver were surrounded by very thick connective tissue of the host, and there were some protoscoleces in their cavities (Plate II, Figs. 16-18).


Assuntos
Equinococose Hepática/parasitologia , Equinococose Pulmonar/parasitologia , Echinococcus/crescimento & desenvolvimento , Animais , Raposas , Gangliosídeos , Fígado/parasitologia , Pulmão/parasitologia , Camundongos
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