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排序方式: 共有480条查询结果,搜索用时 31 毫秒
61.
Dercksen MW; Weimar IS; Richel DJ; Breton-Gorius J; Vainchenker W; Slaper- Cortenbach CM; Pinedo HM; von dem Borne AE; Gerritsen WR; van der Schoot CE 《Blood》1995,86(10):3771-3782
In the present study, we show by adhesion assays and ultrastructural studies that platelets can bind to CD34+ cells from human blood and bone marrow and that this interaction interferes with the accurate detection of endogenously expressed platelet glycoproteins (GPs). The interaction between these cells was found to be reversible, dependent on divalent cations, and mediated by P-selectin. Enzymatic characterization showed the involvement of sialic acid residues, protein(s). The demonstration of mRNA for the P-selectin glycoprotein ligand 1 (PSGL-1) in the CD34+ cells by polymerase chain reaction (PCR) analysis suggests that this molecule is present in these cells. Under conditions that prevent platelet adhesion, a small but distinct subpopulation of CD34+ cells diffusely expressed the platelet GPIIb/IIIa complex. These cells were visualized by immunochemical studies. Furthermore, synthesis of mRNA for GPIIb and GPIIIa by CD34+ cells was shown using PCR analysis. The semiquantitative PCR results show relatively higher amounts of GPIIb mRNA than of PF4 mRNA in CD34+CD41+ cells in comparison with this ratio in platelets. This finding is a strong indication that the PCR results are not caused by contaminating adhering platelets. MoAbs against GPIa GPIb alpha, GPV, P- selectin, and the alpha-chain of the vitronectin receptor did not react with CD34+ cells. The number of CD34+ cells expressing GPIIb/IIIa present in peripheral blood stem cell (PBSC) transplants was determined and was correlated with platelet recovery after intensive chemotherapy in 27 patients. The number of CD34+CD41+ cells correlated significantly better with the time of platelet recovery after PBSC transplantation (r = .83, P = .04) than did the total number of CD34+ cells (r = .55). Statistical analysis produced a threshold value for rapid platelet recovery of 0.34 x 10(6) CD34+CD41+ cells/kg. This study suggests that if performed in the presence of EDTA the flow cytometric measurement of GPIIb/IIIa on CD34+ cells provides the most accurate indication of the platelet reconstitutive capacity of the PBSC transplant. 相似文献
62.
Krucoff MW Veldkamp RF Kanani PM Crater S Sawchak SR Wildermann NM Bengtson JR Pope JE Sketch MH Phillips HR 《The Journal of invasive cardiology》1994,6(7):234-240
Long angioplasty inflations have been reported using an autoperfusion system that delivers oxygenated blood distal to the balloon segment. The safety and efficacy of this system has been demonstrated in anatomically selected patients. The clinical use, however, is frequently to stabilize intimal dissection in unselected patients. We reviewed 12-lead continuous electrocardiographic (ECG) recordings in 40 patients in whom prolonged salvage with autoperfusion was attempted. Sub-optimal results were stabilized in 36 of 40, while 4 patients had urgent bypass. The presence of ischemia, as > or = 100 uV ST elevation over the 12 lead ECG, and the total ST deviation over all leads over the entire inflation period (total ischemic "burden") were compared within each patient between the longest standard balloon and autoperfusion inflations. Median duration of inflation was 3.03 min. with balloon vs. 15.6 min. with autoperfusion (p < 0.00002). Of the 40 patients, 35 (87%) had ECG ischemia with balloon vs. 18 (45%) with autoperfusion (p < .00002). Median severity of peak ST deviation was 321 uV with balloon vs. 132 uV with autoperfusion (p = 0.0001). Median extent of ST elevation was 3 leads with balloon vs. 0 leads with autoperfusion (p = 0.0001). Median total ischemic burden was similar with balloon (1173 uVmin) and autoperfusion (1083 uVmin, NS) despite the fivefold longer inflation duration with autoperfusion. Thus, in patients selected by clinical necessity rather than optimal anatomy, severity and extent of ST elevation were significantly reduced, although not entirely eliminated, by autoperfusion. 相似文献
63.
Twenty patients, aged 4 months to 58 years, were evaluated for liver transplantation by duplex sonography, and 15 transplantations were completed; 42 postoperative examinations were performed. Sonographic findings were correlated with seven preoperative and five postoperative angiographic evaluations. Preoperative duplex US findings included tumors, portal vein occlusion, varices, biliary obstruction, and variant vascular anatomy. Postoperative findings included hepatic artery occlusion, portal vein occlusions (one with cavernous transformation), portal vein stenosis, biliary obstruction, intrahepatic and extrahepatic fluid collections, and air in the portal vein due to ischemic bowel. Use of angiography allowed confirmation of the vascular abnormalities and demonstrated evidence of rejection in patients with normal Doppler waveforms. Duplex sonography is a valuable portable technique for evaluating these patients and can be used in triage of patients requiring angiography. 相似文献
64.
Greenlee MW; Koessler M; Cornelissen FW; Mergner T 《Cerebral cortex (New York, N.Y. : 1991)》1997,7(3):253-267
Visual discrimination and short-term recognition memory for computer-
generated random patterns were explored in 23 patients with a postsurgical
lesion in one of the cortical hemispheres. Their results are compared with
those of 23 age-matched volunteers. In a same- different forced-choice
discrimination task, d' and log beta (measures of sensitivity and bias), as
well as reaction time (RT) were determined. All participants viewed
patterns defined either by luminance contrast or isoluminant red-green
color contrast, the amplitude of which was adjusted to be 10 times the
respective detection threshold level. Block patterns consisting of a 6 x 6
matrix of light and dark (red and green) checks were randomly configured on
each presentation. They were presented in pairs, randomly in two visual
quadrants for a duration of 200 msec. Three presentation conditions were
used: simultaneous presentation of reference and test stimulus, sequential
presentation with a short delay (interstimulus interval, ISI = 3 s), and
sequential presentation with a long delay (ISI = 6 s). The results indicate
that patients with a lesion in the occipitotemporal cortex, the superior
temporal cortex and the frontal cortex were significantly impaired on both
luminance-contrast and color-contrast pattern discrimination. Patients with
damage in the anterior inferotemporal cortex showed no overall impairment.
The results suggest that performance in visual discrimination and
recognition memory tasks rely on distributed neural processes with more
than one neocortical location.
相似文献
65.
66.
We examined differences in approaches to HIV-related infection control practices in two university teaching hospitals in the United States and Nigeria. Health care workers (n = 202 in Nigeria and 186 in the USA) responded to a previously validated measure of infection control practices. There were significant differences in the estimated probability of treating a person with HIV disease (higher in USA), and a greater probability of peer ridicule as a way of enforcing group norms on infection control in Nigeria. Peer enforcement of norms was significantly lower in the USA. In both countries, more precautions would be taken if it was known that the patient was HIV infected. Infection control practices were more likely to be followed in the USA compared with Nigeria if they were praised for this activity, if appropriate facilities (sharps containers, gloves, etc.) were nearby, and if they felt that infection control procedures were effective. These data point to the importance of normative social pressures in Nigeria and of knowing the patient is HIV infected in the USA and feeling that infection control procedures are effective ways of avoiding occupational HIV infection. The role of normative pressures and assumptions about HIV infection status as well as cues and availability of facilities for infection control appear to differ between these health care workers in Nigeria and the USA. 相似文献
67.
68.
阿片受体拮抗剂在TNF-α所致体温升高中的作用 总被引:1,自引:0,他引:1
为探索细胞介素TNF-α升体温效应与下丘脑前部、视前区(POAH)中的阿片受体的关系。应用脑神经核团微量注射方法给自由状态下的雄性SD大鼠POAH区微量注射TNF-α致热源。给药前30min分别用通常阿片受体拮抗剂Nal(10~20μg)和特异性阿片受体μ、δ和κ的拮抗剂CTAP(1.0~2.5μg)、NTI(0.25~0.5μg)和nor-BNI(0.1~3μg)对POAH做预处理。结果:单独给TNF-α可致剂量相关的体温升高△T(1℃~1.4℃);经Nal10μg,CTAP1.0μg和NTI0.5μg处理后使TNF-α的升体温效应减弱;用Nal20μg,CTAP2.5μg和NTI0.25μg处理后可完全阻断TNF-α所致的体温升高;nor-BNI(0.1~3μg)对TNF-α的升体温效应无影响。 相似文献
69.
70.
Long-term follow-up of autoantibody profiles in black female lupus patients and clinical comparison with Caucasian and Asian patients 总被引:5,自引:4,他引:1
The aim was to determine whether the autoantibody profile in Black female
lupus patients is associated with clinical subsets, fluctuates over time
and/or reflects disease activity. A clinical comparison with Caucasian and
Asian patients matched for age of onset and disease duration was also
undertaken. Up to seven serial bleeds from Black female lupus patients who
had been followed up for periods of 3.15 yr were tested for antibodies to
Ro/SSA, La SSB. Sm, RNP and ribosomal P using ELISA research assays.
Significant differences in both clinical and serological profiles between
the ethnic groups were found. Varying aspects of disease activity were
linked to anti-DNA (renal, cardiovascular, global score), anti-ribosomal P
(musculoskeletal, haematology) and anti-Sm (general) antibodies. There are
differences in clinical and serological profiles amongst systemic lupus
erythematosus patients of different ethnic origin. However, using the BILAG
system, relatively few antibodies were found to reflect disease activity
accurately in serial measurements.
相似文献