The oral cephalosporins--a review.

There are currently six cephalosporins available in the United States for oral use. These agents possess a wide spectrum of activity, are relatively safe to use, and are effective for certain infections involving the respiratory tract, skin, and urinary tract. Nonetheless, in general, they offer no advantage over other classes of antimicrobial drugs and are far more expensive. As a result, the oral cephalosporins are not agents of first choice for the treatment of infection but should be reserved for use as alternative therapy.     

磁共振成像在乳腺癌中的应用：究竟是进了一步还是退了两步？

目前，人们正对乳腺磁共振成像（magnetic resonance imaging，MRI）的应用进行研究，表现在两个不同方面：一是将MRI列为乳腺癌高危妇女（例如BRCA1和BRCA2基因发生突变者）的筛查方法；二是对乳腺癌确诊或可疑患者行乳腺X线的同时辅以MRI以决定是否选用局部疗法。这两种用途的依据迥然不同。有预置性突变（predisposition mutations）的妇女乳腺癌发病年龄通常较低，此时由于乳腺组织较为致密，因而乳腺X线筛查的敏感性有所减低。     

Altered clearance of inhaled 99mTc-pentetate aerosols following exposure to cadmium chloride aerosols in ferrets

The rate of clearance of inhaled 99mTc-pentetate aerosols has been used as an indicator of pulmonary epithelial "permeability" in human and animal studies. In order to evaluate this technique further, groups of eight male ferrets (Mustela putorius furo) were given acute exposures to aerosols of CdCl2 or NaCl via endotracheal tube. Serial evaluations of the thoracic clearance rate of inhaled 99mTc-pentetate aerosols (MMAD = 0.6 microns, sigma g = 1.6) were made before exposure and at fixed time points after toxicant exposure (3 or 6, 24, 48 h, and 5 days after CdCl2). These serial evaluations of 99mTc-pentetate thoracic clearance were conducted at three cadmium intake levels (3, 10, and 30 min exposure to 10 mg/m3 CdCl2) in order to evaluate possible dose-related response relationships. The rate of thoracic clearance of Tc-pentetate was observed to be slowed at 3 h after exposure to CdCl2 aerosol and subsequently increased to well above control rates. The time sequence observed strongly suggests that increased Tc-pentetate clearance rates are indicative of a tissue response or repair process, rather than acute lung injury. Tracheal epithelial penetration of macromolecular tracers was not observed to increase in histological evaluations following serial sacrifice.     

Diminished virucidal activity of kethoxal against vesicular stomatitis virus pretreated with guanidinating reagent and proteases.

The reactivity of vesicular stomatitis virus (VSV) with kethoxal can be appreciably altered by treatment with 1-guanyl-3, 5-dimethyl pyrazole nitrate (GDMP) and proteolytic enzymes. Pretreatment of purified VSV with GDMP or proteolytic enzymes markedly reduced the effectiveness of kethoxal as a virucide. The rate of neutralizability of GDMP- and trypsin-treated viruses by specific antiserum differed from that of controls.     

AIDS virus infection and autoimmunity: a perspective of the clinical, immunological, and molecular origins of the autoallergic pathologies associated with HIV disease

The acquired immune deficiency syndrome (AIDS) is a viral-induced disorder of humans that is reaching pandemic proportions. The etiologic agent responsible for AIDS is recognized as a retrovirus termed the human immunodeficiency virus (HIV). This virus is both cytotropic and cytopathic for T lymphocytes in vitro, and patients with AIDS and HIV-related conditions invariably have serious T cell abnormalities, notably a reduced number of the helper/inducer (CD4+) subpopulation. There is now a substantial body of evidence to suggest that the AIDS virus triggers a diverse range of autoimmune phenomena. The purpose of this article is to summarize the clinical and immunopathological manifestations of autoimmunity in HIV infection and to provide a perspective of the possible origins and roles autoimmune reactions play in HIV disease progression.     

Performance of a commercial, type-specific enzyme-linked immunosorbent assay for detection of herpes simplex virus type 2-specific antibodies in Ugandans

Two hundred forty-eight human immunodeficiency virus (HIV)-positive and 496 HIV-negative subjects in Uganda were tested by HerpeSelect herpes simplex virus type 2 enzyme-linked immunosorbent assay (ELISA) and Western blotting to optimize the ELISA for use in this population. A higher index cutoff value was required for optimal sensitivity and specificity, and overall performance of the assay was not affected by HIV status.