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751.
Marc Ramael Ivo Deblier Christa Eerdekens Greet Lemmens Werner Jacobs Eric Van Marck 《The Journal of pathology》1993,169(4):421-424
Immunohistochemical staining of 36 malignant mesothcliomas and 45 cases of non-neoplastsic mesothelium including 20 specimens with signs of hyperplasia were investigated using murine monoclonal antibodies directed against p21 ras protein, Ha-ras protein, K-ras protein, and N-ras protein. All cases of non-neoplastic mesothelium and the majority of the malignant mesotheliomas (78 per cent) showed cytoplasmic and often submembranous immunoreactivity in more than 50 per cent of the cells with both the pan-ras and N-ras antibody. No immunoreactivity was observed for Ha- and K-ras. There was no statistically significant difference with respect to immunoreactivity between neoplastic and non-neoplastic mesothelium or between the various mesothelioma subtypes. 相似文献
752.
Leen ATT. De Wispelaere Sabine Ouwehand Marielle Olsthoorn Paul Govaert Liesbeth S. Smit Rogier CJ. de Jonge Maarten H. Lequin Irwin K. Reiss Jeroen Dudink 《European journal of paediatric neurology》2019,23(1):181-190
Objective
The aim was to establish any differences in the predictive value of EEG and MRI for outcome in infants treated and not-treated with therapeutic hypothermia (HT) for perinatal asphyxia. We hypothesize that they are equally predictive and that combining both has the highest predictive value.Study design
We retrospectively compared data of infants with hypoxic-ischemic encephalopathy (HIE) who received HT (n = 45) between September 2009 and December 2013 with those of infants with HIE born between January 2004 and August 2009, before HT was available (NT, n = 37). All received conventional and/or amplitude–integrated EEG during the first days and early MRI (day 4–5). Associations of EEG, MRI and severe neurodevelopmental outcome (death or Bayley's -2SD below mean), were tested with a multivariable logistic regression analysis, corrected for HT.Results
Forty-eight hours' EEG background pattern had a PPV of 92% and a NPV of 81% in HT, versus 100% and 58% in NT. MRI had a PPV of 71% and a NPV of 93% in HT, versus 82% and 75% in NT. The adjusted OR for adverse outcome was 0.013 (95% CI 0.002–0.154, p < 0.001) for EEG background normalization within 48 h and 32.19 (95% CI 4.84–214.25, p < 0.001) for abnormal MRI.Conclusion
The predictive value of EEG and MRI is equal in cooled and non-cooled infants with HIE. Our data show a higher predictive value (death and severe outcome) for EEG compared to MRI. In HIE, persistent abnormal EEG background pattern until 48 h, combined with abnormal early MRI is strongly predictive for poor neurodevelopment. 相似文献753.
754.
Peter B Kang Chris A Feener Elicia Estrella Marielle Thorne Alexander J White Basil T Darras Anthony A Amato Louis M Kunkel 《BMC musculoskeletal disorders》2007,8(1):115
Background
There is a marked variation in clinical phenotypes that have been associated with mutations in FKRP, ranging from severe congenital muscular dystrophies to limb-girdle muscular dystrophy type 2I (LGMD2I). 相似文献755.
Bart F. L. Van Nuenen MD Marielle Wohlgemuth MD Rudi E. Wong Chung MD PhD Wilson F. Abdo MD Bas R. Bloem MD PhD 《Movement disorders》2007,22(9):1353-1355
Psychogenic movement disorders are common in everyday neurological practice, comprising up to 25% of the patient population in movement disorders clinics. The diagnosis is often difficult, as is illustrated by the high proportion of patients with an organic neurological disease whose movement disorder is misdiagnosed as psychogenic. Here, we describe a woman with a longstanding and treatment‐resistant psychogenic movement disorder that responded dramatically to acupuncture. The diagnostic and therapeutic merits of acupuncture are discussed. 相似文献
756.
Agn��s Glacet-Bernard Marielle Atassi Christine Fardeau Jean-Paul Romanet Matthieu Tonini John Conrath Philippe Denis Martine Mauget-Fa?sse Gabriel Coscas Gis��le Soubrane Eric Souied 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》2011,249(4):505-512
Background
Central retinal vein occlusion (CRVO) leads to poor visual outcome in most eyes. Abnormal hemorheology was suspected to play a major role in its pathogenesis. CRVO treatment is still a matter of debate but several studies have pointed out the efficacy of isovolumic hemodilution. The aim of this study was to assess the feasibility and efficacy of hemodilution using automated erythrocytapheresis in recent-onset CRVO.Methods
In this prospective randomized controlled multicenter study, 61 consecutive CRVO patients were enrolled when they met the following criteria: CRVO lasting for 3?weeks or less, visual acuity ranging from 20/200 to 20/32, age between 18 and 85?years, no diabetes, no uncontrolled systemic hypertension, no antiplatelet or anticoagulant therapy, hematocrit higher than 38%, and signed informed consent. Patients were randomly assigned to the hemodilution group (n?=?31) or to the control group (n?=?30). Hemodilution therapy consisted of one session of erythrocytapheresis on outpatient basis, followed by additional session(s) for 6?weeks if needed. Target hematocrit was 35%. Follow-up was 12?months.Results
No statistical differences in age, associated risk factors, or CRVO characteristics were observed at baseline between both groups. Mean visual acuity was equivalent to 20/80 in the hemodilution group and to 20/63 in the control group (non-significant difference). In the treated group, mean number of hemodilution sessions was 3.3 (range, 1 to 6), and no major side-effects occurred. At the 12-month follow-up visit, 64.5% of the hemodilution group had visual acuity of 20/40 or better compared to 40% of the control group (p?=?.048). Visual change was a gain of 1.7 ETDRS line in the hemodilution group versus a loss of 2.3 lines in the control group (p?=?.007). There was less conversion into an ischemic form in the hemodilution group (11%) than in the control group (50%, p?=?.004). Mean final retinal thickness was 289???m in the hemodilution group versus 401???m in the control group (p?=?.068).Conclusions
This multicenter controlled randomized study demonstrated that automated erythrocytapheresis is a safe and effective tool for performing hemodilution and confirmed that hemodilution therapy can improve the final prognosis of CRVO when applied in the early phase of the disease. 相似文献757.
Recording scapular motion using an acromion marker cluster 总被引:1,自引:0,他引:1
Disorders of the shoulder complex can be accompanied by changes in the movement pattern of the scapula. However, scapular motion is difficult to measure. A possible non-invasive method for dynamic three-dimensional kinematic measurement of the human scapula is the use of a marker cluster placed on the flat part of the acromion. A small light-weight acromion marker cluster (AMC) is presented in this study. In order to assess validity, kinematics obtained with the AMC were compared to simultaneous scapula locator (SL) recordings in a series of postures. The test/retest variability of replacement of the AMC, was also assessed. Measurement errors appeared to be sensitive for the plane of movement, the degree of humerus elevation, and replacement of the AMC. The AMC generally under-estimated scapula motion, compared to the SL. Some significant differences were found between the two methods, although the absolute differences were small (maximum mean difference 8.4 degrees in extreme position). In humerus forward flexion and abduction the maximum mean differences were 6 degrees or lower. In conclusion, the AMC is a valid method of measuring scapular movement during arm elevation that could be used in shoulder pathologies. Placement and planes of movement should be carefully considered and elevation of the humerus should not exceed 100 degrees. 相似文献
758.
759.
Royer B Delroeux D Guardiola E Combe M Hoizey G Montange D Kantelip JP Chauffert B Heyd B Pivot X 《Cancer chemotherapy and pharmacology》2008,61(3):415-421
Ovarian cancer is the leading cause of gynecological cancer-related death in Western countries. The present treatment standards
for ovarian cancer are based on the association of debulking surgery with platinum-based chemotherapy. Another strategy that
could be further investigated is intraperitoneal chemotherapy (IP). We previously described that the 2-h administration of
intraoperative IP cisplatin did not reach satisfactory concentrations. In the present study, we present the results of a pharmacokinetic
analysis performed after two consecutive 1-h IP 30 mg/l cisplatin administrations. Twenty-seven patients with advanced epithelial
cancer classified FIGO stage IIIC were included in the study. Blood and IP samples were taken over a 24-h period, during and
after IP treatment. Both total and ultrafiltered (Uf) platinum (Pt) concentration levels were analyzed. Biological and clinical
toxicities were also recorded. With this strategy, IP Pt concentrations stayed above the target concentration (10 mg/l) for
a satisfactory length of time. The serum Pt concentrations were higher than those observed with the “one-bath” protocol and
they induced the occurrence of recoverable renal toxicities (3 grade 1, 7 grade 2 and 4 grade 3). The best predictive parameter
for renal failure was the total Pt 24-h Area Under the Curve (AUC) with a threshold value of 25 mg h/l RR = 0.31 (95% CI 0.13 − 0.49,
P < 0.01). Administration of an increased amount of cisplatin is feasible and a satisfactory level of IP Pt concentrations
is obtained. However, this improvement is associated with an increase in serum Pt levels and resulting renal toxicities. An
attractive solution would be to decrease Pt transfer from peritoneum to bloodstream. A phase 1 study using intraoperative
IP epinephrine in order to decrease this transfer is presently being carried out. 相似文献
760.
PURPOSE OF REVIEW: Headaches and migraine occur frequently in children and adolescents and may have a significant impact on the child's and parents' lives. Recent advances in diagnosis, epidemiology, and treatment have improved the outcomes of children with headaches. This review summarizes some of these findings. RECENT FINDINGS: Recent studies have revealed the increasing incidence of migraine and chronic migraine in the pediatric and adolescent age groups. These studies have also begun to identify comorbidities that may affect the impact over a lifetime. Limitations of the diagnosis of migraine have restricted some of these findings, but modifications to the criteria may assist with early recognition. Proper evaluation and treatment, including acute, preventive, and biobehavioral therapies, may need to be incorporated for optimal outcomes. Long-term outcomes may be determined by the underlying pathophysiology as well as early effective management. SUMMARY: Migraine in children is increasingly being recognized as a problem. Early, effective treatment is available and may result in long-term benefit and prevent disease progression. Further research into childhood headaches should help reveal additional pathophysiological mechanisms and treatment options. 相似文献