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排序方式: 共有228条查询结果,搜索用时 15 毫秒
91.
92.
Ureteric stone displacement using a new technique 总被引:1,自引:0,他引:1
93.
The present study compared the T-cell progenitor content of CD34+ lineage (Lin)- cells isolated from normal adult bone marrow (ABM) and mobilized peripheral blood (MPB). Both cell populations were found to differentiate into T cells when injected into human fetal thymi implanted into severe combined immunodeficient mice. Cytokine-MPB cells were less efficient than ABM cells in engrafting in the fetal human thymus, although both gave rise to thymocytes with identical phenotypes based on the analysis of CD1a, CD3, CD4, and CD8 expression. Thymocytes derived from adult CD34+ Lin- cells were capable of fully differentiating into mature CD3+ T cells expressing either the T-cell receptor (TCR) gamma delta or the TCR alpha beta (the later associated with CD4 or CD8), showing that the T-cell progenies of adult CD34+ cells were polyclonal and functional. Our data indicate that human MPB CD34+ cells are qualitatively identical to their BM counterparts, and demonstrate the existence of T-lymphoid progenitor cell activity in MPB. 相似文献
94.
S. R. Page C. E. Sheard M. Herbert M. Hopton & W. J. Jeffcoate 《Clinical endocrinology》1996,45(5):511-515
OBJECTIVE The optimal dosage regimen for carbimazole (CBZ) in the treatment of hyperthyroidism remains uncertain, despite clinical use of the drug for approximately fifty years. We have compared the early clinical and biochemical responses to 20 or 40 mg/day of CBZ given as initial treatment for hyperthyroidism.
DESIGN Prospective open multicentre trial.
PATIENTS Sixty-three patients presenting with hyperthyroidism.
MEASUREMENTS Serum total and free thyroid hormones, serum TSH and SHBG were measured at baseline and at 4 and 10 weeks after start of therapy. Weight, pulse and a symptom questionnaire were also monitored at 6 and 12 weeks.
RESULTS Patients randomized to a starting dose of 40 mg/day CBZ had lower total (98 ± 10 it 158 ± 11 nmol/l, P < 0.001) and free T4 (19.4 ± 2.6 vs 35.2 ± 3.7 pmol/l, P < 0.001) and total (2.6 ± 0.3 vs 4.3 ± 0.4 nmol/l, P < 0.001 and free T3 (8.3 ± 1.0 vs 13.7 ± 1.2 pmol/l, P < 0.01) at 4 weeks than those receiving 20 mg/day. Clinical responses at 6 and 12 weeks (weight, pulse, symptom score) and SHBG concentrations were similar. Drug-related hypothyroidism was less likely to occur at 4 and 10 weeks in those patient who initially received 20 mg CBZ/day, but this dose was less effective at controlling hyperthyroidism in those with more severe hyperthyroidism with baseline TT4 > 260 nmol/l.
CONCLUSIONS In treating hyperthyroidism, 20 mg/day carbimazole is effective, convenient and has a lower risk than 40 mg/day of iatrogenic hypothyroidism in patients with mild or moderate hyperthyroidism. Higher doses are required for those with severe hyperthyroidism. 相似文献
DESIGN Prospective open multicentre trial.
PATIENTS Sixty-three patients presenting with hyperthyroidism.
MEASUREMENTS Serum total and free thyroid hormones, serum TSH and SHBG were measured at baseline and at 4 and 10 weeks after start of therapy. Weight, pulse and a symptom questionnaire were also monitored at 6 and 12 weeks.
RESULTS Patients randomized to a starting dose of 40 mg/day CBZ had lower total (98 ± 10 it 158 ± 11 nmol/l, P < 0.001) and free T4 (19.4 ± 2.6 vs 35.2 ± 3.7 pmol/l, P < 0.001) and total (2.6 ± 0.3 vs 4.3 ± 0.4 nmol/l, P < 0.001 and free T3 (8.3 ± 1.0 vs 13.7 ± 1.2 pmol/l, P < 0.01) at 4 weeks than those receiving 20 mg/day. Clinical responses at 6 and 12 weeks (weight, pulse, symptom score) and SHBG concentrations were similar. Drug-related hypothyroidism was less likely to occur at 4 and 10 weeks in those patient who initially received 20 mg CBZ/day, but this dose was less effective at controlling hyperthyroidism in those with more severe hyperthyroidism with baseline TT4 > 260 nmol/l.
CONCLUSIONS In treating hyperthyroidism, 20 mg/day carbimazole is effective, convenient and has a lower risk than 40 mg/day of iatrogenic hypothyroidism in patients with mild or moderate hyperthyroidism. Higher doses are required for those with severe hyperthyroidism. 相似文献
95.
96.
Twenty-five magnetic resonance hip studies were performed on 19 infants with congenital hip dislocation. These patients had a poor initial treatment response, a teratologic dislocation, or a late presentation. Detailed images of single hips obtained with small surface coils resulted in excellent visualization of all the clinically important soft-tissue and cartilaginous structures of the hip. No other imaging modality demonstrates all of these structures simultaneously. 相似文献
97.
SC ANAND VP SACHDEVA JR BHARDWAJ BL SAPRU BP KHATTAK 《Medical Journal Armed Forces India》1994,50(4):295-297
Aneurysmal bone cyst is commonly seen in the long bones and vertebrae and is rare in the jaws. Its association with other lesions of the bone has been stressed by many workers. Because of its variable radiological appearance, diagnosis of the lesion is established by histopathological examination. A case of aneurysmal bone cyst occurring in the mandible is reported.KEY WORDS: Aneurysmal bone cyst, Mandible 相似文献
98.
Walker JJ Mitchell R Platt SD Petticrew MP Hopton J 《European journal of public health》2006,16(5):463-469
BACKGROUND: Housing conditions are recognised as an important determinant of health. In the UK, interventions to improve domestic heating are in place with the expectation that they will improve health. As a component of evaluating such policies, this study assesses whether specific health outcomes are significantly associated with the extent and duration of domestic heating use, either directly or via a possible mediating effect of internal environmental conditions. METHODS: Baseline data from a prospective controlled study evaluating the health effects of a publicly-funded programme of heating improvements in Scotland were used to assess associations among heating use, internal conditions, and three specific health outcomes. RESULTS: There were significant associations (P < 0.01) between measures of heating use and the presence of environmental problems in the home, such as mould and condensation. The presence of such problems was, in turn, found to be significantly predictive of two health outcomes derived from the SF-36 (P < 0.01) and of adult wheezing (P < 0.05). The direction of significant associations was highly consistent: greater levels of heating were associated with reduced likelihood of environmental problems, and the presence of environmental problems was linked to poorer health status. Heating use was not directly associated with the health outcomes considered. CONCLUSIONS: The study findings are consistent with a conceptual model in which health may be influenced by usage patterns of domestic heating, via the mediating effect of poor internal environmental conditions. Since these findings are based on cross-sectional data, interpretation must be carried out cautiously. However, if confirmed by planned future work they have important implications for policy initiatives relating to domestic heating and fuel poverty. 相似文献
99.
R B Paisey J R Clamp M J Kent N D Light M Hopton M Hartog 《British medical journal (Clinical research ed.)》1984,288(6418):669-671
To determine whether hair is excessively glycosylated in diabetes mellitus 4 cm hair samples were taken proximally from behind the ear in 50 white non-diabetics and 46 diabetics. Hair glycosylation was assayed by a modification of the thiobarbituric acid reaction. Blood was taken from the diabetics at the same time for measurement of glycosylated haemoglobin concentration. The mean (1 SD) concentration of fructosamine (mumol/100 mg hair) was 0.054 (0.011) for normal hair. Glycosylation was not related to sex, age, or hair colour. The diabetics' hair was more heavily glycosylated (0.097 (0.045] than normal (p less than 0.01) and there was a correlation between hair glycosylation and the concentration of glycosylated haemoglobin in the diabetics (r = 0.71; p less than 0.01). Hair from non-diabetics showed a stable time related increase in glycosylation when incubated with glucose. Glycosylation of hair might provide a stable long term measure of tissue glycosylation, useful in the investigation of microvascular complications of diabetes mellitus. 相似文献
100.
Patient satisfaction with the management of infertility 总被引:5,自引:5,他引:5
Souter VL; Penney G; Hopton JL; Templeton AA 《Human reproduction (Oxford, England)》1998,13(7):1831-1836
The objective of this study was to assess patient satisfaction with the
investigation and initial management of infertility. A postal questionnaire
survey was carried out of 1366 women attending outpatient clinics for the
investigation and initial management of infertility at 12 hospitals
throughout Scotland. The response rate to the questionnaire was 59%
(806/1366). Overall, 87% of responders were satisfied or very satisfied
with their care but a number of deficiencies were identified. Thirty-nine
per cent had never been asked to bring their partner to the clinic and 86%
felt they had not been given enough help with the emotional aspects of
infertility. Forty- seven per cent felt they were not given a clear plan
for the future and 23% of those who had been given drug treatments reported
receiving little or no information about the treatment or possible
side-effects. Overall, only a third had been given any written information
and 78% expressed a wish for more written information. Women ranked 'the
information and explanation given' and the 'attitude of the doctor at the
clinic' highly in comparison to other aspects of their care, including
'help with the emotional aspects of infertility'. In general women were
satisfied with their care but improvements may be made by giving more
explanation and written information and by adopting a more couple-centred
approach. Where resources allow, clinics should take steps to address the
emotional aspects of infertility.
相似文献