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41.
Aneurysm of sinus of Valsalva dissecting into interventricular septum is a rare entity. We report one such case who was incidentally diagnosed by echocardiography to have this abnormality during evaluation of a clinically suspected isolated aortic regurgitation.KEY WORDS: Aneurysm – dissecting – sinus of Valsalva, Echocardiography 相似文献
42.
43.
Temporomandibular joint injuries 总被引:2,自引:0,他引:2
The clinical and radiologic findings in 30 patients who sustained injuries to the temporomandibular joint (TMJ) were retrospectively analyzed. Imaging consisted of variable combinations of radiography, tomography, two-compartment arthrography, computed tomography, and magnetic resonance imaging and was performed 2 days to 24 months after injury. Indications for imaging included acquired and/or unstable occlusal disturbances, cephalalgia, facial pain, otalgia, TMJ pain, tinnitus, dizziness, hearing disturbance, masticatory dysfunction, and muscle atrophy. Radiologic findings included internal derangement of the TMJ meniscus, swelling of retrodiskal tissues, joint effusion, mandibular condyle and condylar neck fractures, osteochondritis dissecans, avascular necrosis, degenerative condylar remodeling, osteoarthritis, musculotendinous injuries, and atrophy of masticatory muscles. After imaging studies, seven patients underwent surgery, at which time imaging findings were confirmed; one patient underwent successful aspiration of a painful hemarthrosis. TMJ injuries may result in joint derangement, radiologically demonstrable joint degeneration, masticatory muscle dysfunction, pain, and progressive clinical disability. 相似文献
44.
45.
Erythropoietin and sexual dysfunction 总被引:7,自引:1,他引:6
Lawrence IG; Price DE; Howlett TA; Harris KP; Feehally J; Walls J 《Nephrology, dialysis, transplantation》1997,12(4):741-747
BACKGROUND: Erythropoietin (rHuEpo) therapy has been shown to improve
sexual function in the male dialysis population, with several studies
suggesting a direct effect upon endocrine function, as well as correction
of anaemia. Nevertheless many male dialysis patients receiving rHuEpo
continue to complain of sexual dysfunction. METHODS: At a dedicated renal
impotence clinic, 65 male dialysis patients were screened for endocrine
disturbances. Baseline serum sex hormones were compared between those
receiving and not receiving rHuEpo, using either the two-sample t test or
the Mann-Whitney U test, after assessing for normality. Results from four
patients were excluded on account of either medications (antiemetic
phenothiazines), hepatic dysfunction, or carcinomatosis. RESULTS:
Twenty-five patients (41.0%) were receiving rHuEpo, the recipients and
non-recipients being well matched for haemoglobin (10.19 +/- 0.29 vs 10.55
+/- 0.25 g/dl, n.s.), age (51.1 +/- 1.9 vs 53.6 +/- 2.1 years, n.s.) and
duration of sexual dysfunction (median, 3.0 vs 3.0 years, n.s.). The rHuEpo
recipients had a higher median creatinine (1090 vs 972 micromol/l, P <
0.02), but similar nutritional status to the non-recipients (albumin 41.0
vs 39.0 g/l, n.s.). The total duration of rHuEpo therapy was 0.85 +/- 0.14
years. Prolactin levels were similar in both the rHuEpo recipients and non-
recipients (440 vs 541 mu/l, n.s.), as were LH (11.0 vs 10.5 iu/l, n.s.)
and FSH (8.0 vs 6.5 iu/l, n.s.). However, there were significant elevations
of testosterone (19.8 +/- 1.3 vs 16.1 +/- 1.1 nmol/l, P < 0.05) and sex
hormone binding globulin (SHBG) (40.5 vs 26.0 nmol/l, P < 0.01), with a
trend toward elevated oestradiol (304 vs 248 pmol/l, P = 0.095) in the
rHuEpo-treated group. Forty-eight subjects (78.7%) received peritoneal
dialysis (PD), with the 19 rHuEpo recipients (39.6%) demonstrating
increased serum testosterone (21.0 +/- 1.5 vs 16.6 +/- 1.3 nmol/l, P <
0.05), SHBG (40.5 vs 26.5 nmol/l, P < 0.01), LH (15.0 vs 10.0 iu/l, P
< 0.01) and FSH (12.0 vs 5.3 iu/l, P < 0.05). These differences were
not demonstrated in the 13 haemodialysis (HD) subjects. CONCLUSIONS: Male
dialysis patients complaining of sexual dysfunction after correction of
anaemia with rHuEpo are characterized by higher levels of serum
testosterone and SHBG, but not suppression of hyperprolactinaemia or
hyperoestrogenism. Male PD subjects receiving rHuEpo also demonstrated
increased LH and FSH.
相似文献
46.
Ben Ariff Claire R Lloyd Sameer Khan Mohamed Shariff Andrew V Thillainayagam Devinder S Bansi Shahid A Khan Simon D Taylor-Robinson Adrian KP Lim 《World journal of gastroenterology : WJG》2009,15(11):1289-1300
Improvements in imaging technology allow exploitation of the dual blood supply of the liver to aid in the identification and characterisation of both malignant and benign liver lesions. Imaging techniques available include contrast enhanced ultrasound, computed tomography and magnetic resonance imaging. This review discusses the application of several imaging techniques in the diagnosis and staging of both hepatocellular carcinoma and cholangiocarcinoma and outlines certain characteristics of benign liver lesions. The advantages of each imaging technique are highlighted, while underscoring the potential pitfalls and limitations of each imaging modality. 相似文献
47.
狄柯坪 《中国组织工程研究与临床康复》2007,11(2):348-351
目的:综合分析核因子κΒ在血管增殖性疾病中的作用。
资料来源:应用计算机检索highwire1995—01/2004—12有关核因子κΒ对血管增殖性疾病影响的文献,检索词“nudear factor-Kappa B,vascular smooth muscle cell, proliferation, signal pathway”,并限定文章语言种类为English。
资料选择:对检索到的有关核因子κΒ对血管增殖性疾病影响方面的信息进行整理,选取针对性强的文章。同一领域的文献则选择近期发表或权威杂志的文章。
资料提炼:从检索到的203篇文献中初选符合要求的相关文献43篇。经过仔细研读,选择其中15篇文章作为参考。
资料综合:核因子κΒ或单独或与其他细胞因子协同作用.经过特定的信号转导途径,既可直接促进血管平滑肌细胞增殖也可通过抑制细胞凋亡而间接促进血管平滑肌细胞的增殖。选用能作用于核因子κΒ信号转导通路各个环节的抑制剂设法阻断导致核因子κΒ激活相关因子的表达,已经成为防治血管增殖性疾病的重要手段之一。
结论:核因子κΒ的激活确可通过不同途径促进血管增殖性疾病的发生,所以,如何适度有效地抑制核因子κΒ的激活将成为防治血管增殖性疾病面临的关键问题。 相似文献
48.
The field of gastroenterology has recently seen a surge in wearable technology to monitor physical activity, sleep quality, pain, and even gut activity. The past decade has seen the emergence of wearable devices including Fitbit, Apple Watch, AbStats, and ingestible sensors. In this review, we discuss current and future devices designed to measure sweat biomarkers, steps taken, sleep efficiency, gastric electrical activity, stomach pH, and intestinal contents. We also summarize several clinical studies to better understand wearable devices so that we may assess their potential benefit in improving healthcare while also weighing the challenges that must be addressed. 相似文献
49.
In vivo and in vitro MR imaging of renal tumors: histopathologic correlation and pulse sequence optimization 总被引:1,自引:0,他引:1
Quint LE; Glazer GM; Chenevert TL; Fechner KP; Gikas PW; Shireman PK; Grossman HB; Li KC 《Radiology》1988,169(2):359-362
Magnetic resonance (MR) imaging has given mixed results in the detection of renal masses. To identify the reasons for this and to determine the optimal pulse sequences for evaluating renal tumors, the authors imaged 12 primary renal tumors in vivo and 17 in vitro at 0.35 T. Histopathologic findings for each specimen were closely correlated with the MR images. Four of seven solid tumors imaged in vivo were isointense with surrounding normal renal parenchyma at all pulse sequences. The other three tumors were hyperintense in vivo at T2-weighted sequences. At heavily T2-weighted sequences eight solid tumors were hyperintense in vitro and four were hypointense. There was no correlation between signal intensity and specific tissue type or histologic pattern for solid tumors. The five cystic tumors were well seen both in vivo and in vitro on T2-weighted images. However, the signal intensity of the cyst fluid was an unreliable indicator of benignancy. SE MR imaging at 0.35 T has significant limitations in the detection of solid renal masses. 相似文献
50.