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61.
Ensuring data quality in a multicenter clinical trial: remote site data entry, central coordination and feedback 总被引:1,自引:0,他引:1
J B Severe N R Schooler J H Lee G Haas K T Mueser P Rosen D Shortell M Shumway 《Psychopharmacology bulletin》1989,25(3):488-490
In an ongoing multicenter clinical trial, "Treatment Strategies in Schizophrenia," the five participating sites have the capacity to perform a variety of tasks or study functions independently. These tasks include (a) verification of diagnostic eligibility through the use of computerized decision algorithms; (b) assignment of patients to treatment based on prognostic indicators using a computerized randomization algorithm; (c) entry of data into a microcomputer using a clinical trial data management system that performs simple range and missing data item checks; and (d) regular transfer of all data to the central coordinating team. The clinical trial data management system employed allows for both independent site functioning and assurance of consistency across sites. The integration of a variety of software outside the main data management system provides the central coordinators with the tools to monitor critical data as it is collected, as well as the capacity to assess the flow, quality, and uniformity of the ongoing trial. 相似文献
62.
Glomerular sialic acid and proteinuria in human renal disease 总被引:21,自引:0,他引:21
63.
N T Ilowite C L Fligner H D Ochs B Brichacek S Harada J E Haas D T Purtilo R J Wedgwood 《Clinical immunology and immunopathology》1986,41(3):479-484
We describe a 12-year-old boy with Wiskott-Aldrich syndrome who developed a pulmonary vasculitis associated with lymphoreticular proliferation, consistent with the histological and clinical diagnosis of lymphomatoid granulomatosis. The lesions were responsive to cyclophosphamide and steroids. The patient has had severely depressed immune function and was shown to have abnormal Epstein-Barr virus (EBV)-specific cellular and humoral immune responses. Lymph nodes obtained at autopsy were positive for EBV genome. In this patient, reactivated EBV infection resulting from impaired immune surveillance of the virus may have been responsible for the development of this paraneoplastic disorder. 相似文献
64.
Haas W Haberl B Syafruddin Idris I Kallert D Kersten S Stiegeler P;Syafruddin 《Parasitology research》2005,95(1):30-39
The infective third-stage larvae of the hookworms Necator americanus and Ancylostoma duodenale infect their human hosts by active skin invasion, but A. duodenale is in addition capable of oral infection. The behaviour of the larvae when crawling on surfaces has already been described. Here we analyse in various in vitro systems the other behavioural invasion phases: activation, penetration, and orientation within the host. The larvae normally remained in a motionless, energy-saving, resting posture. An activation to sinusoidal locomotion was stimulated in both species by similar cues such as touch, vibration, water currents, heat, light, and chemicals. Human breath in addition stimulated searching and waving (nictating) behaviour, which facilitates a change-over to the host. Activating cues in air streams were warmth and moisture; CO2 activated only in combination with warmth and/or moisture. Penetration behaviour in both species was stimulated by warmth and skin extracts. The stimulating components of skin extracts were fatty acids, but their stimulating characteristics differed from those inducing schistosome cercarial skin penetration. After penetration into agar substrates, both species showed thermo-orientation, but only A. duodenale followed gradients of serum. The directing serum cues were not amino acids and glucose (the supposed cues for schistosome blood vessel localization), but Ringers solution attracted the larvae. The host-finding and host-invasion behaviour of both hookworm species is well adapted to the invasion of the human skin, and there seems to be no particular adaptation of A. duodenale behaviour to the oral infection mode. Hookworm host-finding behaviour is not as complex as that of schistosome cercariae but seems well adapted to the ecological conditions in the transmission sites. 相似文献
65.
R. A. de Haas 《Archives of virology》1971,33(1-2):72-76
Summary A study of the distribution of polioviruses in Surinam was undertaken by a regular virological examination of stool specimens from children of the 1–5 year age group for a period ranging from the beginning of 1964 to the middle of 1969. All three types of poliovirus were found to circulate continuously in the child population. A correlation was found between an increased level of poliovirus circulation and the appearance of clinical poliomyelitis. The application of trivalent oral vaccine at times that a clear increase of the level of poliovirus circulation was observed, had only a partial effect on this level since the acceptance rate for the vaccine was too low.Conducted with the support of the Surinam Government and the Netherlands Foundation for the Advancement of Tropical Research (WOTRO), and with technical assistance of Miss L. Kletter and Mrs. A. Arron.on temporary detachment at the Central Public Health Laboratory, Paramaribo, Surinam. 相似文献
66.
67.
Relative carriage rates of nuclear dehydrogenating clostridia in two populations of different colorectal cancer risk
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Carriage of nuclear dehydrogenating clostridia has been associated with colon cancer and implicated in its aetiology. This study has compared the carriage of these organisms in a British population at high risk for the development of colon cancer with a low risk Nigerian population. Clostridia were found in all of the stools from both populations. Nuclear dehydrogenating clostridia were only found in the stools of the British subjects (32%). These results support the suggestion that the carriage rate of nuclear dehydrogenating clostridia in a population is related to the risk of colon cancer. 相似文献
68.
J. P. Haas 《Journal of molecular medicine (Berlin, Germany)》1959,37(10):545-550
Zusammenfassung Es sollte untersucht werden, ob die kondensierten Phosphate Tetranatriumpyrophosphat, Natriumtripolyphosphat, Hexametaphosphat, Kaliummetaphosphat und Plasmal die Eisenresorption beeinträchtigen. Als Maßstab für diesselbe galten die Hämoglobin- und Erythrocytenregeneration und die Gewichtszunahme anämischer Ratten. Die Anämie wurde durch Phenylhydrazinhydrochlorid-Injektionen bzw. eine eisenarme Ernährung (Milchdiät) hervorgerufen. Bei den herrschenden Versuchsbedingungen konnte ein nachteiliger Einfluß der getesteten Substanzen auf die Eisenresorption nicht nachgewiesen werden. Auf Grund dieser Versuche und allgemeiner Überlegungen wurde geschlossen, daß dies überhaupt unter physiologischen Bedingungen unwahrscheinlich ist. 相似文献
69.
Androgen receptor YAC transgenic mice carrying CAG 45 alleles show trinucleotide repeat instability 总被引:1,自引:15,他引:1
La Spada AR; Peterson KR; Meadows SA; McClain ME; Jeng G; Chmelar RS; Haugen HA; Chen K; Singer MJ; Moore D; Trask BJ; Fischbeck KH; Clegg CH; McKnight GS 《Human molecular genetics》1998,7(6):959-967
X-linked spinal and bulbar muscular atrophy (SBMA) is caused by a CAG
repeat expansion in the first exon of the androgen receptor (AR) gene.
Disease-associated alleles (37-66 CAGs) change in length when transmitted
from parents to offspring, with a significantly greater tendency to shift
size when inherited paternally. As transgenic mice carrying human AR cDNAs
with 45 and 66 CAG repeats do not display repeat instability, we attempted
to model trinucleotide repeat instability by generating transgenic mice
with yeast artificial chromosomes (YACs) carrying AR CAG repeat expansions
in their genomic context. Studies of independent lines of AR YAC transgenic
mice with CAG 45 alleles reveal intergenerational instability at an overall
rate of approximately 10%. We also find that the 45 CAG repeat tracts are
significantly more unstable with maternal transmission and as the
transmitting mother ages. Of all the CAG/CTG repeat transgenic mice
produced to date the AR YAC CAG 45 mice are unstable with the smallest
trinucleotide repeat mutations, suggesting that the length threshold for
repeat instability in the mouse may be lowered by including the appropriate
flanking human DNA sequences. By sequence-tagged site content analysis and
long range mapping we determined that one unstable transgenic line has
integrated an approximately 70 kb segment of the AR locus due to
fragmentation of the AR YAC. Identification of the cis - acting elements
that permit CAG tract instability and the trans -acting factors that
modulate repeat instability in the AR YAC CAG 45 mice may provide insights
into the molecular basis of trinucleotide repeat instability in humans.
相似文献
70.
H. R. van Doorn P. E. W. de Haas K. Kremer C. M. J. E. Vandenbroucke-Grauls M. W. Borgdorff D. van Soolingen 《Clinical microbiology and infection》2006,12(8):769-775
A previous limited study demonstrated that Mycobacterium tuberculosis isolates with a mutation at amino-acid position 315 of katG (Delta315) exhibited high-level resistance to isoniazid and were more frequently resistant to streptomycin. In the present study, isoniazid-resistant M. tuberculosis isolates from 8,332 patients in The Netherlands (1993-2002) were screened for the Delta315 mutation. Isoniazid resistance was found in 592 (7%) isolates, of which 323 (55%) carried Delta315. IS6110 restriction fragment length polymorphism analysis showed that Delta315 isolates occurred in clusters, suggesting recent transmission, at the same frequency as isoniazid-susceptible isolates. In contrast, other isoniazid-resistant isolates clustered significantly less frequently. Delta315 isolates were high-level isoniazid-resistant, streptomycin-resistant and multidrug-resistant significantly more often, and may have a greater impact on public health, than other isoniazid-resistant isolates. 相似文献