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71.
The extension of a pancreatic pseudocyst into the mediastinum is a difficult clinical and radiographic diagnosis. The chest roentgenogram reveals a retrocardiac mass in a patient with nonspecific upper abdominal and chest complaints. Usually there is a preceding history of alcoholism or pancreatitis. The upper gastrointestinal series often demonstrates typical displacement of the distal esophagus anteriorly and to the left. The value of computed tomography is illustrated. Correct preoperative diagnosis is important for proper surgical treatment, since a mediastinal pseudocyst is best managed without thoracotomy.  相似文献   
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Summary The binding of prostaglandin E2 (PGE2) to bone cells was studied to provide direct evidence for the existence of specific receptors in bone. Bone cells were isolated by collagenase digestion of fetal and newborn rat calvaria. Isolated cells were incubated with3H-PGE2 and collected on Millipore filters. Specific binding was determined by subtracting the binding that occurred with 10−6 M non-radioactive PGE2 and3H-PGE2 from that with3H-PGE2 alone. With heterogeneous cell preparations and at PGE2 concentrations from 10−9 − 1.7 × 10−8 M at 37°C, specific binding reached steady state within 10 min. Bound3H-PGE2 was displaced by the addition of increasing amounts of unlabeled PGE2. Inhibition of PGE2 binding was observed with PGE1 and the endoperoxide analog, U44069, but not with PGE, a lipopolysaccharide, or 13,14-dihydro 15-keto PGE2. Studies with bone cell populations, obtained by sequential digestions, indicated that an osteoclastic population binds 30-fold more PGE2 than osteoblastic cells. Scatchard analyses revealed that the osteoclastic cells have an affinity constant for PGE2 binding similar to that obtained with heterogeneous populations. However, the PGE2 binding capacity in this osteoclastic population was fivefold greater than in the heterogeneous population. The osteoclastic population responded with an increase in cyclic AMP to lower concentrations of PGE2 than the osteoblastic populations. These studies suggest that differences in the binding capacity of PGE2 receptors exist among bone celltypes and that these differences are reflected in the cellular cyclic AMP response.  相似文献   
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J J Sigal  M Weinfeld 《Psychiatry》1987,50(3):280-288
Clinical studies suggest that children of Holocaust survivors remain enmeshed with their families or alienated from them. To examine the applicability of these observations to a nonclinic population, questionnaire responses of a randomly selected community sample of adult children (ages 19-36) of Holocaust survivors (COS) were compared to those of children of other immigrants (COI), and of children of native-born parents (CON). The clinical findings were not supported in most of the wide range of possible manifestations of ties to or distance from the family. COS did, however, report more dissatisfaction with some aspects of the cross-sexed parents' disciplinary habits in the past. Male COS continued to feel that way in the present, wishing their mothers would be more permissive. Documented negative consequences of prolonged, severe victimization may affect only small segments of the second generation.  相似文献   
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Combined injections of ibotenic acid and horseradish peroxidase (HRP) were made into the region of the mouse ventrobasal thalamus that is related to the large mystacial vibrissae. Examination 4 and 5 days later of the corresponding area of the primary somatosensory cortex (i.e., barrel cortex), in thick and in thin sections, showed it to contain numerous corticothalamic projection cells the somata, dendrites and axons of which were densely labeled by the retrograde transport of HRP. Analysis of serial thin sections showed that thalamocortical axon terminals, which had degenerated in response to the injection of ibotenic acid, formed approximately 20% of the asymmetrical synapses in barrel cortex. The fine structure and distribution in cortex of degenerating thalamocortical axon terminals and of intrinsic HRP-labeled corticothalamic axon terminals were identical to those reported in previous studies in which the injection of HRP into the thalamus was combined with the making of electrolytic lesions. This indicates that injecting ibotenic acid is an effective replacement for electrolytic lesioning of the thalamus. The combined injection of ibotenic acid and HRP represents a new and efficient approach for studying reciprocal projection pathways.  相似文献   
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