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601.
D Rendina G Mossetti G De Filippo D Benvenuto CL Vivona A Imbroinise G Zampa S Ricchio P Strazzullo 《Nephrology, dialysis, transplantation》2009,24(3):900-906
BACKGROUND: Metabolic syndrome (MetS) and nephrolithiasis (NL) are quite common disorders. While some of the components of MetS have been proposed as precursors of NL in population studies, no data are available about the possible association between NL and MetS as such. The primary objective of the study was to evaluate the relationship between MetS and NL. The secondary outcome was to examine the relationship between MetS single constitutive elements and NL considering the strict correlation occurring among these factors. METHODS: We studied 2132 Caucasian inpatients of the 'Spinelli' Hospital in southern Italy (males/females = 0.95; mean age 63.8 +/- 15.8 years; body mass index 26.1 +/- 3.9 kg/m(2)). The MetS diagnosis was performed according to the Heart Association/National Heart, Lung, and Blood Institute criteria. The presence of NL was assessed by ultrasound examination of the kidneys and upper urinary tract. RESULTS: Seven hundred twenty-five subjects (34.0%) had a positive diagnosis of MetS. Two hundred twenty subjects (10.3%) had echographic evidence of NL, while 199 subjects reported a past history of NL (9.3%). The presence of MetS, as well as the male sex, and the occurrence of a previous episode of NL (in male subjects only) were each independently related to echographic evidence of NL. Among the individual components of MetS, high blood pressure and abdominal obesity (in female individuals only) were also independently related to echographic evidence of NL. CONCLUSIONS: MetS is significantly associated with echographic evidence of NL. A gender-related difference in the clinical expression of NL was also observed. 相似文献
602.
Flaada JT Leibson CL Mandrekar JN Diehl N Perkins PK Brown AW Malec JF 《Journal of neurotrauma》2007,24(3):435-445
To test if observed vs. expected mortality differs by age among traumatic brain injury (TBI) cases, a population-based, historical cohort study was conducted in Olmsted County, Minnesota. From all residents with any diagnosis suggestive of TBI 1985-1999, we randomly sampled 7,800 and reviewed their medical records to confirm the event. Confirmed incident cases were categorized by age in years (<16 = pediatric, 16-65 = adult, > 65 elderly) and severity (moderate/severe vs. mild) and followed for vital status through 6/30/2004. We compared observed 6-month and 10-year mortality with expected and tested if the differences varied by age. Of 1,433 confirmed incident cases, 35% were pediatric; 55% were adult; only 9% were elderly; 11.2% of all cases were moderate/severe; the proportions by increasing age group were 11.4%, 8.5%, 26.7%. The proportions who died within 6 months increased with increasing age group, both for moderate/severe (10.3%, 40.3%, 50.0%) and mild cases (0%, 0%, 9.1%); mortality for moderate/severe cases was nearly 40 times that for mild cases, independent of age. Among 6-month survivors, 10-year mortality differed from expected only for adult cases. For all cases, after adjusting for sex, year of TBI, and severity, the difference between observed and expected 10-year mortality was greater for adult cases than for pediatric cases and similar for adult and elderly cases. Elderly individuals account for <10% of TBI cases and >50% of 10-year mortality, yet much of this discrepancy reflects age-associated mortality in general. Findings have implications for (1) reducing the number of excess deaths following TBI and (2) caring for survivors. 相似文献
603.
Background
The patent ductus arteriosus (PDA) is an important problem in premature infants. Surgical PDA ligation is usually only be considered when medical treatment has either failed or was contraindicated. The aims of our study were to determine the mortality and morbidity following patent ductus arteriosus ligation in premature infants, and whether prostaglandin synthetase inhibitor (PSI) use prior to ligation affects outcome. 相似文献604.
Greater numbers of human spermatozoa associate with endosalpingeal cells derived from the isthmus compared with those from the ampulla 总被引:2,自引:3,他引:2
Baillie HS; Pacey AA; Warren MA; Scudamore IW; Barratt CL 《Human reproduction (Oxford, England)》1997,12(9):1985-1992
A simple co-culture bioassay system was used to investigate whether or not
the anatomical origin affected the ability of epithelial cells from the
human uterine (Fallopian) tube to 'bind' spermatozoa. This study was also
used to identify some of the factors which may be involved in the
regulation of sperm-epithelial interactions in vitro by comparing different
tissue culture models and assessing the effect of oestradiol concentration.
Epithelial explants harvested from different regions of human uterine tubes
were co-incubated with a known concentration of motile donor spermatozoa.
All results were adjusted to reflect a standard sperm concentration of 5 x
10(6)/ml. More spermatozoa associated per field of isthmic compared to
ampullary epithelium [isthmus 9.5 +/- 0.9, ampulla 7.1 +/- 0.7 (mean +/-
SEM); n = 36, P < 0.05, ANOVA] and cells from post-menopausal patients
had an apparently reduced ability to bind spermatozoa [isthmus 5.5 +/- 2.0,
ampulla 4.3 +/- 1.4 (mean +/- SEM); n = 4]. Neither menstrual cycle stage
nor addition of mid-cycle concentrations of 17beta-oestradiol (750 pmol/l)
affected the number of spermatozoa which bound to epithelium from either
tubal region. In addition, the number of spermatozoa which bound per field
of polarized explants was greater (P < 0.05) than that bound to
dissociated primary and passaged epithelial cell monolayers. This report is
the first to provide evidence suggestive of a role for sperm- epithelial
binding in the formation of an isthmic sperm reservoir in the human uterine
tube. Results also indicate that oestrogen is not involved in the
regulation of these interactions, and that cell polarity is an important
factor for such associations in vitro.
相似文献
605.