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Phlegmesia cerulea dolens (PCD) is a rare complication of deep vein thrombosis characterized by massive venous thrombosis leading to arterial compromise and tissue ischaemia. PCD carries high morbidity and mortality and is an often times overlooked cause of acute limb ischaemia that must be recognized and treated promptly. Early referral for percutaneous catheter directed thrombectomy offers an alternative to thrombolysis in patients who present with venous gangrene or fail anticoagulation therapy. A case of PCD is presented in a 71‐year‐old woman with end‐stage renal disease 3 days after right femoral dialysis catheter placement. 相似文献
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Maristela B. Portela Ivete P.R. Souza Celina M. Abreu Martinna Bertolini Carla Holandino Celuta S. Alviano André L.S. Santos Rosangela M.A. Soares 《Journal of oral pathology & medicine》2010,39(10):753-760
J Oral Pathol Med (2010) 39 : 753–760 Background: There are several kinds of oral soft tissue lesions that are common manifestations observed in human immunodeficiency virus (HIV)‐infected children; for example, linear gingival erythema (LGE) that is a distinctive fiery red band along the margin of the gingivae. The etiology and pathogenesis of LGE are questionable, but a candidal origin has been suggested. Proteases are key virulence attributes produced by a variety of pathogenic fungi, including Candida. The objective of the present study is to identify the protease production in Candida species including, C. albicans (n = 5), C. dubliniensis (n = 1) and C. tropicalis (n = 1), isolated directly from typical LGE lesions observed in six HIV‐positive children, and also to test the effect of a serine protease inhibitor on the interaction of Candida spp. and epithelial cells in vitro. Methods: The ability of Candida strains to release proteases in the culture supernatant fluids was visualized by gelatin‐SDS–PAGE. Gel strips containing 30‐fold concentrated supernatant (1.5 × 108 yeasts) were incubated at 37°C for 48 h in 50 mM sodium phosphate buffer, pH 5.5. The concentrated supernatants were also incubated with fibronectin, laminin, immunoglobulin G, bovine serum albumin and human serum albumin. The effect of serine protease inhibitor on the interaction of Candida spp. and epithelial cells (MA 104) was measured after pre‐treatment of fungi with the inhibitor (phenylmethylsulphonyl fluoride, PMSF). Results: All the extracellular proteases were completely inhibited by PMSF, identifying these activities as serine‐type proteases. Interestingly, a common 62‐kDa serine protease was observed in all Candida strains. The culture supernatants, rich in serine protease activities, cleaved several soluble proteinaceous substrates. Additionally, we demonstrated that pre‐treatment of C. albicans, C. dubliniensis and C. tropicalis with PMSF diminished the interaction with epithelial cells. Conclusions: Collectively, our results show that Candida spp. isolated from LGE lesions produced and secreted serine proteases and these enzymes may be involved in the initial colonization events. 相似文献
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de Andrade SC de Carvalho RF Soares AS de Abreu Freitas RP de Medeiros Guerra LM Vilar MJ 《Rheumatology international》2008,29(2):147-152
The aim of this study was to evaluate the effectiveness of aerobic exercise in water pool compared with aerobic exercise performed
in sea by women with fibromyalgia (FM). A total of 46 patients were randomly allocated into two groups: pool group (23 patients)
and sea group (23 patients) that performed the same aerobic exercise program. Patients were evaluated baseline and after 12 weeks
using: VAS, number of tender points, FIQ, SF-36, PSQI, and BDI. Both groups improved significantly in post-treatment for all
the evaluated variables. There were no significant differences between two groups, except for BDI (F = 2.418, P < 0.0001). Aerobic exercise program performed in water (pool or sea) was effective for patients with FM. However, sea water
exercises have been shown to bring more advantages related to emotional aspects. Then, exercise performed sea water (thalassotherapy)
is an option for effective treatment with low cost for patients with FM. 相似文献
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Eddie?A.?James Joana?R.?F.?Abreu John?W.?McGinty Jared?M.?Odegard Yvonne?E.?Fillié Claire?N.?Hocter Slobodan?Culina Kristin?Ladell David?A.?Price Aimon?Alkanani Marynette?Rihanek Lisa?Fitzgerald-Miller Ania?Skowera Cate?Speake Peter?Gottlieb Howard?W.?Davidson F.?Susan?Wong Bart?Roep Roberto?Mallone 《Diabetologia》2018,61(3):658-670