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991.
The rate of development and time of transfer play different roles in influencing the viability of human blastocysts 总被引:7,自引:6,他引:1
Shoukir Y; Chardonnens D; Campana A; Bischof P; Sakkas D 《Human reproduction (Oxford, England)》1998,13(3):676-681
Improved embryo culture protocols now render more feasible the possibility
of obtaining human blastocysts after in-vitro fertilization. In this study
we present: (i) results of blastocyst development from supernumerary
embryos after co-culture on green monkey kidney epithelial cells and (ii)
pregnancy rates after transfer of frozen blastocysts. In addition, we have
examined the influence of the day of blastocyst freezing and the day of
transfer after the luteinizing hormone (LH) peak on pregnancy and
implantation rates. Of 423 supernumerary embryos, 200 developed to the
blastocyst stage (47.3%). By days 5 and 6, 67% of the blastocysts had
reached the blastocyst stage, and were frozen, compared to 28.5% by day 7.
When we compared the cases where only blastocysts frozen on days 5 and 6
were transferred compared to those frozen and transferred on or after day 7
the pregnancy rates were 7/18 (38.9%) and 1/16 (6.2%) respectively. In
contrast, when we examined the influence of the day of transfer we found
that pregnancies were established from day 5 up to day 9 post LH peak.
Based on these results, we suggest that every attempt should be made to
increase the development rate of supernumerary embryos to the blastocyst
stage, as it appears that the quality of blastocysts transferred, as shown
in this study by rate of development, plays a more crucial role than the
timing of transfer.
相似文献
992.
Association of angiotensin II type 1 receptor gene polymorphism with essential hypertension 总被引:15,自引:0,他引:15
The renin-angiotensin system is involved in control of blood pressure and salt and fluid homeostasis. Genes for components of this system have been of major focus in research on the causation of the common, complex, polygenic trait, essential hypertension (HT). Association of an A→C variant at nucleotide 1166 of the angiotensin II type 1 receptor (AT1 R) gene with HT, but an absence of linkage of this locus with this disease, has been reported recently. Since confirmation in a different setting is imperative, we performed a cross-sectional case-control study of the A1166C variant in a well-characterized group of 108 Caucasian HT subjects with a strong family history (two affected parents) and early onset disease. Genotyping was by mismatch polymerase chain reaction/ Bfr I restriction fragment length polymorphism analysis. Frequency of the C1166 allele was 0.40 in HTs and 0.29 in normotensives. The difference in genotype (χ2 = 13, P = 0.0015) and allele (χ2 = 5.3, P = 0.02) frequencies between the two groups was significant (odds ratio for CC vs AA+AC = 7.3 [95% CI, 1.9–31.9). The present results implicate the AT1 R gene, or a locus in linkage disequilibrium with the variant tested, in the causation of essential HT. 相似文献
993.
Effects of acetaminophen on adverse effects of influenza vaccination in health care workers. 总被引:1,自引:1,他引:0
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![点击此处可从《Canadian Medical Association journal》网站下载免费的PDF全文](/ch/ext_images/free.gif)
F Y Aoki A Yassi M Cheang C Murdzak G W Hammond L H Sekl B Wright 《Canadian Medical Association journal》1993,149(10):1425-1430
OBJECTIVE: To evaluate the effects of acetaminophen on the incidence of adverse effects to, and the immunogenicity of, whole-virus influenza vaccine in health care workers. DESIGN: Prospective, randomized, double-blind placebo-controlled trial. SETTING: Health Sciences Centre, an acute care teaching hospital in Winnipeg. PARTICIPANTS: Of 474 hospital personnel who agreed to undergo influenza vaccination during the 1990-91 season 262 volunteered to participate in the study. INTERVENTIONS: A dose of 0.5 mL of inactivated trivalent whole-virus influenza vaccine was injected into the deltoid muscle. Volunteers were randomly assigned to ingest two capsules of acetaminophen in a half dose (162.5 mg per capsule) or a full dose (325 mg per capsule) or two identical placebo capsules. Capsules were to be taken at vaccination and at 4, 8 and 12 hours afterward. Subjects were asked to answer questions regarding six symptoms in a diary for the 3 days after vaccination and to record their ingestion of the study medication. MAIN OUTCOME MEASURES: Incidence of local (sore arm) and systemic (headache, fever, muscle ache, nausea and diarrhea) side effects as well as serum titres of hemagglutination inhibition (HAI) antibody to vaccine antigens before vaccination and 2 weeks and 6 months afterward. RESULTS: A total of 87, 87 and 88 subjects received the half dose, full dose and placebo respectively; 96% returned the diaries, 83% ingested all four doses of medication, and 87% volunteered all blood samples. Compared with the placebo group the incidence of sore arm was 25% to 28% lower in the half-dose and full-dose groups respectively at 24 hours after vaccination, and the rate of nausea was 90% lower in the full-dose group. The HAI titres were similar among the groups at the three test times. CONCLUSIONS: The full dose of acetaminophen significantly reduced the incidence of sore arm and nausea without affecting the antibody response. Acetaminophen use may increase the acceptance of influenza vaccine by health care workers in whom concern about side effects is an impediment to vaccination. 相似文献
994.
We recorded neurons sensitive to depth movement from the inferior parietal lobule (area 7a) of alert behaving monkeys, and studied their response to changing sizes of retinal images and to changing binocular disparity. The size of the stimulus was changed by changing both the height and width of a slit in the same way, and the disparity change was produced by varying distances between a pair of polarized stimuli on a screen. Of 227 purely visual neurons recorded from 11 hemispheres of 7 monkeys, 32 neurons responded to the change of either the size or disparity, or both. Some of the neurons sensitive to size change could be activated by changing length on only one axis, but the optimal stimulus for most of them was a uniform change of size in all directions. The neurons sensitive to disparity change responded weakly to monocular stimuli, but showed clear selectivity in the direction of change of disparity when binocular stimuli were applied. We also found a group of depth movement sensitive neurons that responded maximally to the simultaneous change of size and disparity. This type of neurons may signal real depth movement by integrating the signals of size change and disparity change. 相似文献
995.
Squamous cell carcinoma of the thyroid--a report of three cases 总被引:1,自引:0,他引:1
A Tsuchiya S Suzuki T Nomizu Y Yamaki R Abe S Katayama 《The Japanese journal of surgery》1990,20(3):341-345
Three cases of squamous cell carcinoma of the thyroid are reported herein. In all cases, the carcinoma occurred in old age and was characterized by a rapidly growing tumor, usually associated with dyspnea and dysphagia. The prognosis of all 3 cases was poor, with a mean survival of only 6.3 months. Although squamous metaplasia is an accepted etiology of this disease, clinical investigation of the cases presented here does not favor it in consideration of the clinical features of papillary carcinoma of the thyroid with squamous metaplasia. The histological findings of our cases revealed areas of cystic formation, suggesting that some of these carcinomas may be derived from remnants of embryonic origin. 相似文献
996.
997.
Y Moriyama Y Morishita H Toyohira S Shimokawa Y Umebayashi H Saigengi S Kawashima A Taira 《Kyobu geka. The Japanese journal of thoracic surgery》1990,43(7):538-542
Four patients with descending thoracic aortic aneurysm were successfully operated on under temporary bypass with an antithrombogenic tube and a Bio-Medicus centrifugal pump. The bypass flow ranged from 1.0 to 2.4 l/min with the mean femoral artery pressure of 50 to 70 mmHg. No complications such as paraplegia, hepatic dysfunction or renal failure were encountered in all the patients. Temporary increment of the serum amylase level occurred in all the patients, but any apparent clinical symptoms were not present. The temporary bypass method with an antithrombogenic tube and a centrifugal pump is useful and reliable for surgical treatment of descending thoracic aortic aneurysm. 相似文献
998.
Y. Tani T. Ishihara T. Kanai T. Ohno J. Andersson A. Lilja G. Antoni K. -J. Fasth P. Bjurling G. Westerberg P. Hartvig H. Onoe Y. Watanabe B. Langström 《Journal of neural transmission (Vienna, Austria : 1996)》1995,102(3):189-208
Summary The effects of 6R-L-erythro-5,6,7,8-tetrahydrobiopterin (R-THBP) on the central cholinergic and dopaminergic systems in the Rhesus monkey brain were investigated by positron emission tomography (PET) with the muscarinic cholinergic receptor ligands (N-[11C]methyl-benztropine) and dopaminergic receptor ligands selective for D1 D2, and D3 subtypes ([11C]SCH23390, N-[11C]methyl-spiperone, and (+)[11C]UH232, respectively). None of the doses (3, 10, and 30 mg/kg i.v.) of R-THBP used significantly affected the regional cerebral blood flow (rCBF as determined by Raichle's H2
15O method), and 10 mg/kg of R-THBP had little effect on the regional cerebral metabolic rate of glucose (rCMRglc) in the Rhesus monkey brain, as assessed by the graphical [18F]fluoro-deoxyglucose method. The effect of R-THBP on the muscarinic cholinergic system was dose dependent; while 3 mg/kg of R-THBP did not significantly alter the uptake ratio of N-[11C]methyl-benztropine in several brain regions to that in the cerebellum, 10 and 30 mg/kg of R-THBP significantly reduced the uptake ratio in the thalamus, as well as in the frontal and temporal cortices. None of the doses (3, 10, and 30 mg/kg i.v.) of R-THBP tested affected [11C]SCH23390 (dopamine D1 receptor) binding. However, the k3 value for N-[11C]methyl-spiperone (dopamine D2 receptor) binding, which represents the association rate × Bmax value, was significantly decreased in the striatum. The uptake ratio of (+)[11C]UH232 (dopamine D3 receptor) in the striatum to that in the cerebellum was also decreased by administration of R-THBP (3 and 30 mg/kg i.v.). These findings suggest that R-THBP acts on dopamine D2 and D3 receptors selectively without markedly affecting dopamine D1 receptor binding. Furthermore, the changes in cholinergic and dopamine D2 and D3 receptors in vivo can not be attributed to a change in rCBF but may depend on the action of R-THBP.Abbreviations
R-THBP
6R-L-erythro-5,6,7,8-tetrahydrobiopterin
-
PET
positron emission tomography
-
rCBF
regional cerebral blood flow
-
rCMRglc
regional cerebral metabolic rate of glucose 相似文献
999.
Secondary retinitis pigmentosa and cerebral demyelination in Lyme borreliosis. 总被引:2,自引:1,他引:1
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![点击此处可从《The British journal of ophthalmology》网站下载免费的PDF全文](/ch/ext_images/free.gif)
A Karma T A Pirttil M K Viljanen Y E Lhde C M Raitta 《The British journal of ophthalmology》1993,77(2):120-122
A 15-year-old girl developed retinitis pigmentosa-like fundus changes in the left eye and optic neuropathy in the right eye as well as cerebral demyelination as a result of late Lyme borreliosis (LB). The diagnosis was confirmed by polymerase chain reaction, which detected a Borrelia burgdorferi specific segment of a gene coding for 41 kD endoflagellin, both in the vitreous and the cerebrospinal fluid. The diagnosis was delayed because testing for Borrelia antibodies in serum and cerebrospinal fluid yielded negative results. However, later on, another laboratory reported the antibodies of the patient's pretreatment serum to be positive for LB. 相似文献
1000.
Scrofuloderma (tuberculosis colliquativa cutis) 总被引:1,自引:0,他引:1
Summary A 16-year-old girl presented with long-standing purulent sinuses to the skin overlying the lacrimal ducts, which had evolved into ulcers and resulted in hypertrophic scarring. The ulcers were serpiginous, with an uneven soft floor, and undermined edges. Histological examination revealed non-caseating tuberculoid granulomas in the dermis. Cultures for Mycobacterium tuberculosis were positive. Chest X-ray did not show pulmonary involvement. Antituberculous therapy with isoniazid 300mg/day and rifampicin 600mg/day achieved a great improvement within 5 weeks of being started. A further improvement was seen at 4 months and complete resolution had occurred by 9 months. To the best of our knowledge, there are no other documented cases of scrofuloderma over the lacrimal system. The delay in the diagnosis emphasizes the importance of maintaining a high level of awareness. 相似文献