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31.
FON-JOU HSIEH Associate Professor FONG-MING CHANG Senior Resident TSANG-MING KO Lecturer HSI-YAO CHEN Professor YUAN-PING CHEN Professor 《BJOG : an international journal of obstetrics and gynaecology》1988,95(5):478-482
Summary. Absent or reversed diastolic component in umbilical artery (UA) flow velocity waveform was observed in eight fetuses with major malformations. Because of the uncorrectable fetal conditions or the parents' reluctance to terminate the pregnancy, no interventions were undertaken and eventually all eight fetuses died in utero . The interval between the abnormal waveform recording and fetal death was between 1 and 7 days (mean 3.6 days). In two fetuses with abnormal diastolic flow, analysis of umbilical vein blood obtained by ultrasound-guided sampling revealed moderately severe acidosis and hypoxia (pH 7.228 and 7.241, Pco2 47.5 and 46.9 mmHg; Po2 14.6 and 14.7 mmHg, respectively). Our observation suggests that once the diastolic component of UA flow velocity waveforms becomes absent or reversed, the fetus is in a state of hypoxia and acidosis and fetal death is impending. This limited experience may help in formulating clinical management when using UA flow velocity waveforms in the monitoring of high-risk fetuses. 相似文献
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HORNG-DER SHEN KONG-BUNG CHOO HSIEN-HSIUNG LEE JIA-CHING HSIEH WIN-LING LIN WEN-RONG LEE SHOU-HWA HAN 《Clinical and experimental allergy》1991,21(6):675-681
To characterize the 40-kilodalton (kD) major allergen of Candida albicans (C. albicans), six monoclonal antibodies (MoAbs) against this allergen were generated. In SDS-polyacrylamide gel electrophoresis and immunoblot analysis, these MoAbs showed four different reaction patterns to antigens of six different Candida species. With the exception of one MoAb, other MoAbs were resistant to periodate treatment indicating non-carbohydrate epitopes were probably being recognized by these MoAbs. These MoAbs were used in the molecular cloning and immunological analysis of the gene coding for the 40-kD allergen. Nucleotide sequence determination of the two lambda gt11 cDNA clones obtained showed that the 40-kD allergen is an alcohol dehydrogenase (ADH) which shares a 70% amino acid sequence homology with the ADH isozyme I of Saccharomyces cerevisiae. This finding was confirmed by positive immunological response of the lysates of the clones obtained and a preparation of ADH of Saccharomyces cerevisiae to various MoAbs and to IgE antibodies in sera of allergic patients. 相似文献
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A two-sex model for treatment of HIV/AIDS and behaviour change in a population of varying size 总被引:2,自引:0,他引:2
In this work, we propose a model for heterosexual transmissionof HIV/AIDS incorporating a community-wide screening and treatmentprogramme. We will investigate various consistency assumptionsabout the conservation of heterosexual contacts, which willenable us to reduce this two-sex model to a simpler one-sexformulation. In all cases analytical results will be given withthreshold parameters obtained for the persistence of disease,the persistence of total populations, and the persistence ofinfective populations. By comparing the theoretical resultsfor the different variations of our model, we hope to shed somelight on the effectiveness of the prevention and control measuresthat are needed to deal with the emerging AIDS epidemic in ThirdWorld communities with growing populations. 相似文献
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M-Y. HSIEH S-N. LU L-Y. WANG T-Y. LIU W-P. SU Z-Y. LIN W-L. CHUANG S-C. CHEN W-Y. CHANG 《Journal of gastroenterology and hepatology》1992,7(6):614-617
To assess the usefulness of alpha-fetoprotein (AFP) in monitoring treatment effects of transcatheter arterial embolization (TAE) in hepatocellular carcinoma (HCC) patients, a total of 31 sets of AFP levels after TAE in 21 HCC patients were analysed by linear regression between logarithmic AFP levels and days. Eleven sets of AFP data with poor linear declination were accompanied with poor TAE results except in one patient who had chronic hepatitis with acute exacerbations. Twenty sets of data with good linear declination in the first month after TAE indicated good TAE results. Seven of them showed no evidence of tumour recurrence nor elevated AFP levels within a follow-up of 6 months. The mean, standard deviation and range of half-lives of AFP in the non-recurrent group were 5.0, 1.6 and 2.9-7.2 days, respectively. The others experienced late tumour recurrence that was detected by rebound of AFP levels except one who had another non-AFP-secreting HCC. Thus, the results might be used as a reference in monitoring the treatment effects of TAE and the timing selection of repeated TAE. 相似文献
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