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91.
WBG Macdonald AP Patrikeos RI Thompson BD Adler AA Van Der Schaaf 《Journal of Medical Imaging and Radiation Oncology》2005,49(1):32-38
The present study compared the accuracy of ventilation perfusion scintigraphy (VQS) and CT pulmonary angiography (CTPA) for the diagnosis of pulmonary embolism. This was a prospective observational study of 112 patients with suspected pulmonary embolism (PE) who could be studied with both investigations within 24 h. Results were compared to final diagnosis at completion of 6-month follow up, using receiver operating characteristic (ROC) analysis. Pulmonary embolism was diagnosed in 27 referred patients (24%). The sensitivity and specificity of VQS and CTPA were similar to that reported from the literature. A normal VQ scan had the highest negative predictive value (100%), while a high-probability VQ scan had the highest positive predictive value (92%). There was no overall difference (area under the ROC curve (AUC)) between VQS (AUC (95% CI) = 0.82 (0.75,0.89)) and CTPA (AUC = 0.88 (0.81,0.94)) for the diagnosis of PE. Among patients with abnormal chest X-rays, CTPA (AUC 0.90 (0.83,0.97)) appeared somewhat better than VQS (AUC 0.78 (0.68,0.88)) but this difference did not reach statistical significance. In this instance, CTPA is at least as accurate as VQS and may provide an opportunity to make alternative diagnoses. 相似文献
92.
A C L Nobre S M Nunes-Monteiro M C S A Monteiro A M C Martins A Havt P S F Barbosa A A M Lima H S A Monteiro 《Toxicon》2004,44(5):555-559
We showed previously that exposure to microcystin-LR causes renal toxic effects in isolated perfused rat kidney, and that inflammatory mediators from supernatants of macrophages stimulated by microcystin-LR are involved in this process. The aim of this research was to examine water and electrolytes secretion in vivo, induced by microcystin-LR and supernatant of macrophages stimulated for this toxin (SUP.MphiS + MCLR), using perfused rat ileal segment and ligated intestinal loop models. We found microcystin-LR at 1 microg/ml (0.09 +/- 0.003* vs. control 0.07 +/- 0.001 g of secretion/2 cm of loop; P < 0.05*) and the SUP.MphiS + MCLR after 18 h postinoculation (0.10 +/- 0.003 vs. control 0.03 +/- 0.002 g/cm) caused intestinal secretion. In addition, microcystin-LR caused significant sodium secretion (-2.18 +/- 0.72* vs. control 2.18 +/- 0.50 microEq g(-1) min(-1)), potassium (-0.26 +/- 0.04* vs. control 0.32 +/- 0.03 microEq g(-1) min(-1)), chloride (MCLR = -3.29 +/- 1.93* vs. control 0.88 +/- 1.25 microEq g(-1) min(-1)) and water (-0.012 +/- 0.004* vs. control 0.002 +/- 0.002 ml g(-1) min(-1)). We also demonstrated SUP.MphiS + MCLR to induce intestinal secretion of electrolytes (sodium, potassium, chloride) and water. These findings suggested that microcystin-LR and lamina propria macrophages-derived mediators are able to induce intestinal secretion in vivo, probably via inhibition of protein phosphatase. 相似文献
93.
94.
Genetic Analysis of PARK2 and PINK1 Genes in Brazilian Patients with Early-Onset Parkinson's Disease
Karla Cristina Vasconcelos Moura Mário Campos Junior Ana Lúcia Zuma de Rosso Denise Hack Nicaretta Jo?o Santos Pereira Delson José Silva Flávia Lima dos Santos Fabíola da Costa Rodrigues Cíntia Barros Santos-Rebou?as Márcia Mattos Gon?alves Pimentel 《Disease markers》2013,35(3):181-185
Parkinson''s disease is the second most frequent neurodegenerative disorder in the world, affecting 1-2% of individuals over the age of 65. The etiology of Parkinson''s disease is complex, with the involvement of gene-environment interactions. Although it is considered a disease of late manifestation, early-onset forms of parkinsonism contribute to 5–10% of all cases. In the present study, we screened mutations in coding regions of PARK2 and PINK1 genes in 136 unrelated Brazilian patients with early-onset Parkinson''s disease through automatic sequencing. We identified six missense variants in PARK2 gene: one known pathogenic mutation, two variants of uncertain role, and three nonpathogenic changes. No pathogenic mutation was identified in PINK1 gene, only benign polymorphisms. All putative pathogenic variants found in this study were in heterozygous state. Our data show that PARK2 point mutations are more common in Brazilian early-onset Parkinson''s disease patients (2.9%) than PINK1 missense variants (0%), corroborating other studies worldwide. 相似文献
95.
T.C.A. Ferrari M.A.P. Xavier P.V.T. Vidigal N.S. Amaral P.A. Diniz A.P. Resende D.M. Miranda A.C. Faria A.S. Lima L.C. Faria 《Brazilian journal of medical and biological research》2014,47(11):990-994
Estimates of occult hepatitis B virus (HBV) infection prevalence varies among
different studies depending on the prevalence of HBV infection in the study
population and on the sensitivity of the assay used to detect HBV DNA. We
investigated the prevalence of occult HBV infection in cirrhotic patients undergoing
liver transplantation in a Brazilian referral center. Frozen liver samples from 68
adults were analyzed using a nested polymerase chain reaction assay for HBV DNA. The
specificity of the amplified HBV sequences was confirmed by direct sequencing of the
amplicons. The patient population comprised 49 (72.1%) males and 19 (27.9%) females
with a median age of 53 years (range=18-67 years). Occult HBV infection was diagnosed
in three (4.4%) patients. The etiologies of the underlying chronic liver disease in
these cases were alcohol abuse, HBV infection, and cryptogenic cirrhosis. Two of the
patients with cryptic HBV infection also presented hepatocellular carcinoma. Markers
of previous HBV infection were available in two patients with occult HBV infection
and were negative in both. In conclusion, using a sensitive nested polymerase chain
reaction assay to detect HBV DNA in frozen liver tissue, we found a low prevalence of
occult HBV infection in cirrhotic patients undergoing liver transplant, probably due
to the low prevalence of HBV infection in our population. 相似文献
96.
97.
One‐year follow‐up of titanium/zirconium alloy X commercially pure titanium narrow‐diameter implants placed in the molar region of the mandible: a randomized controlled trial 下载免费PDF全文
98.
Caroline Louise Diniz Pereira Joelma Carvalho Santos Raissa Melo Arruda Milena Lima Rodrigues Eduardo Sampaio Siqueira Roberto Souza Lemos Andrea Dória Batista Ana Lúcia Coutinho Domingues Edmundo Pessoa Lopes 《Ultrasound in medicine & biology》2021,47(5):1235-1243
In patients with Mansoni schistosomiasis, it is fundamental to evaluate the disease morbidity, which is reflected by the severity of periportal fibrosis (PPF) and parameters of portal hypertension, as analyzed by ultrasonography (US). This study aimed to evaluate the morbidity of schistosomiasis by hepatic and splenic point shear-wave elastography (pSWE) and relate this to US parameters. The PPF pattern, the diameter of the portal and splenic veins and the size of the spleen were evaluated by US. Then, liver and spleen pSWEs were assessed in 74 patients using the same equipment. As the PPF pattern progressed, the splenic pSWE values significantly increased. Significant correlations between splenic pSWE, the longitudinal and transverse lengths of the spleen and the diameters of the portal and splenic veins were observed. These findings, however, were not observed through hepatic pSWE. In conclusion, the splenic pSWE has the potential for assessing morbidity in schistosomiasis mansoni. 相似文献
99.
Regina Sordi Octávio Menezes‐de‐Lima Ana M. Della‐Justina Edir Rezende Jamil Assreuy 《International journal of experimental pathology》2013,94(2):144-155
The aim of the present work is to provide a better comprehension of the pneumonia‐induced sepsis model through temporal evaluation of several parameters, and thus identify the main factors that determine mortality in this model. Klebsiella pneumoniae was inoculated intratracheally in anesthetized Swiss male mice. Inflammatory and cardiovascular parameters were evaluated 6, 24 and 48 h after the insult. The results show that severity of infection and the mortality correlated with the amount of bacteria. Six, 24 and 48 h after inoculation, animals presented pathological changes in lungs, increase in cell number in the bronchoalveolar lavage, leukopenia, increase in TNF‐α and IL‐1β levels, hypotension and hyporesponsiveness to vasoconstrictors, the two latter characteristics of severe sepsis and septic shock. Significant numbers of bacteria in spleen and heart homogenates indicated infection spreading. Interestingly, NOS‐2 expression appeared late after bacteria inoculation, whereas levels of NOS‐1 and NOS‐3 were unchanged. The high NOS‐2 expression coincided with an exacerbated NO production in the infection focus and in plasma, as judging by nitrate + nitrite levels. This study shows that K. pneumoniae inoculation induces a systemic inflammatory response and cardiovascular alterations, which endures at least until 48 h. K. pneumoniae‐induced lung infection is a clinically relevant animal model of sepsis and a better understanding of this model may help to increase the knowledge about sepsis pathophysiology. 相似文献
100.
Rosimar Costa Penido Myriam Lima Isaac 《Revista brasileira de otorrinolaringologia (English ed.)》2013,79(4):429-433
Auditory neuropathy spectrum disorder (ANSD) is characterized by impairment of the auditory nerve associated with preservation of outer hair cell function.ObjectiveTo establish the prevalence of ANSD in subjects with sensorineural hearing loss (SNHL).MethodThis retrospective study was carried out between 2010 and 2012 and included the charts of 2,292 individuals with SNHL. Data from otolaryngological and audiological examinations based on pure-tone and speech audiometry, impedance tests, otoacoustic emissions (OAEs), and brainstem auditory evoked potentials (BAEPs) were collected. Inclusion criteria: presence of OAEs and/or cochlear microphonic (CM); absent or altered BAEPs, and normal MRI scans of the brain.ResultsTwenty-seven (1.2%) of the 2,292 subjects with SNHL had ANSD (37% males; 63% females). Mild SNHL was seen in 29.6% of the individuals with ANSD; 55.5% had moderate SNHL; 7.4% had severe SNHL; and 7.5% had profound SNHL. In terms of age, 14.8% were aged between zero and 20 years, 44.1% were 41 to 60 years old, and 7.4% were above the age of 60.ConclusionANSD was seen in 1.2% of the individuals with SNHL included in this study. 相似文献