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591.
592.
AD Houghton MS FRCS Y Panayiotopoulos MD PhD PR Taylor mchir FRCS 《International journal of clinical practice》1996,50(2):103-105
SUMMARY Varicose veins cause a great deal of morbidity in our population today. Despite the large amount of surgical time spent dealing with the problem, there is still a disappointingly high recurrence rate and many patients are investigated inadequately before surgery. This review considers the assessment of ‘simple’ varicose veins using a combination of tourniquet tests and a hand-held doppler probe. The place of more sophisticated investigative techniques is also discussed, in particular the value of duplex assessment in localising the variably sited sapheno-popliteal junction. Routine stripping of the long saphenous vein to the below-knee level is likely to decrease the recurrence rate of simple, long, saphenous varicose veins. 相似文献
593.
Petrie JR; Morris AD; Dorrian CA; Small M; Connell JM 《QJM : monthly journal of the Association of Physicians》1997,90(7):465-475
Serum insulin concentrations have been used as markers of insulin
resistance in population studies examining the relationship between insulin
resistance and blood pressure, but the relationship is variable among
studies. We hypothesized that differences in cross-reactivity of insulin
assays with proinsulin and its split/des-amino products might account for
the variation. We therefore examined fasting and post- glucose load serum
insulin concentrations (determined by both specific and conventional
assays), insulin sensitivity (measured by the euglycaemic clamp technique),
and blood pressure, in a group of 56 diabetic (NIDDM) and non-diabetic
subjects. Insulin concentrations as measured by the two methods were highly
correlated (r = 0.97, p < 0.0001), and the relationships among serum
insulin concentrations, insulin sensitivity and blood pressure were
independent of assay method; for example, in non-diabetic subjects the
univariate correlation between log10AUC insulin and insulin sensitivity
index was similar with both methods [r = -0.81 vs. r = -0.82, p < 0.0001
(specific vs. conventional assay)]. Discrepancies between studies in the
relationship between serum insulin concentrations and blood pressure are
unlikely to be due to cross-reactivity of conventional insulin assays with
proinsulin-like molecules.
相似文献
594.
Polymorphous light eruption 总被引:2,自引:0,他引:2
AJ Stratigos C Antoniou AD Katsambas 《Journal of the European Academy of Dermatology and Venereology》2002,16(3):193-206
Polymorphous light eruption (PLE) is a common idiopathic photosensitivity disorder with an estimated prevalence of 10-20%. It is characterized by an intermittent skin reaction to ultraviolet (UV) radiation exposure, consisting of non-scarring pruritic erythematous papules, vesicles or plaques that develop on light-exposed skin. Despite the different morphology in different individuals, the eruption tends to have a monomorphous presentation in any single subject. The histopathological features of PLE are distinct and comprise a perivascular lymphocytic infiltrate in the dermis, subepidermal oedema and variable epidermal changes. The pathogenesis of PLE is not well known, but findings suggest that it is a delayed-type hypersensitivity reaction to one or more UV-modified cutaneous antigens. The principal action of PLE is mainly in the UVA region, although some subjects exhibit sensitivity to UVB alone or to both UVA and UVB radiation at the same time. Preventive measures in PLE include the regular use of photoprotective methods combined with graduated exposures to natural sunlight. The induction of immune tolerance by phototherapy and photochemotherapy are useful prophylactic methods in moderate to severe cases. The role of systemic agents in the management of PLE is under investigation. This article reviews the epidemiological, pathogenetic and clinical aspects of PLE and discusses recent advances in the diagnostic approach and management of this condition. 相似文献
595.
596.
Lavouisier FB Nogueira Edson C Morais Maria AD Brito Beatriz S Santos Doanny L Vale Bruno FF Lucena Fernando G Figueredo Glaucia MM Guedes Saulo R Tintino Celestina E S Souza Raquel BSS Nogueira Edinardo FF Matias Maria FB Morais-Braga Emídio VL Cunha Micheline A Lima Henrique DM Coutinho 《African health sciences》2014,14(2):372-376
Background
Multi-resistantmicroorganisms such as Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida tropicalis e Candida krusei are the main causes of microbial infections. Padina sanctae-crucis is a seaweed often used to check the contamination of ecosystems by materials such as heavy metals, but studies of the antimicrobial activity of the same seaweed were not found.Methods
The tests for the minimum inhibitory concentration and modulation of microbial resistance, with the use of ethanolic and methanolic extracts of Padina Sanctae-cruces combined with drugs of the class of aminoglycosides and antifungal were used to evaluate the activity against the cited microorganisms.Results
Was observed a modulation of antibiotic activity between the natural products and the E. coli and S. aureus strains, indicating a synergism and antagonism respectively.Conclusions
The results showed a moderate modulatory effect against some microorganisms studied. 相似文献597.
Background
Enteric fever is a global health problem and rapidly developing resistance to various drugs makes the situation more alarming. Drug sensitivity in Salmonella enterica serovar typhi and Salmonella enterica serovar paratyphi A isolated from 45 blood culture positive cases of enteric fever was tested to determine in-vitro susceptibility pattern of prevalent strains in northern India.Methods
Strains isolated from 45 blood culture positive cases of typhoid and paratyphoid fever over a period of three years were studied and their sensitivity patterns to chloramphenicol, ampicillin, ciprofloxacin, ceftriaxone, nalidixic acid, amikacin and ofloxacin were analysed.Results
Our results show a high sensitivity of both Salmonella enterica serovar typhi (96%) and Salmonella enterica serovar paratyphi A (100%) to chloramphenicol. Sensitivity to ciprofloxacin and amikacin was 88% and 84% respectively. All the isolates were sensitive to ofloxacin, nalidixic acid and ceftriaxone. Sensitivity of Salmonella enterica serovar paratyphi A was 100% to chloramphenicol, ciprofloxacin, ofloxacin, nalidixic acid and ceftriaxone, 95% to amikacin and 30% to ampicillin. Overall 44 out of 45 isolates of Salmonellae were sensitive to chloramphenicol.Conclusion
These findings suggest changing pattern of antibiotic resistance in enteric fever with reemergence of chloramphenicol sensitivity in northern India.Key Words: Enteric fever, Chloramphenicol, Salmonella enterica serovar typhi, Salmonella enterica serovar paratyphi A 相似文献598.
AD Luber DV Condoluci PD Slowinski M Andrews K Olson CA Peloquin KA Pappa GE Pakes 《HIV medicine》2010,11(3):193-199
Objective
An open‐label, three‐period pharmacokinetic study was conducted to investigate the drug interaction potential between fosamprenavir (FPV) and tenofovir disoproxil fumarate (TDF).Methods
Thirty‐six healthy subjects received TDF 300 mg once daily (qd) for 7 days (period 1), and then were randomized to 14 days of either FPV 1400 mg twice daily (bid) or FPV/ritonavir (RTV) 700/100 mg bid alone or with TDF (period 2). Subjects continued their randomized dose of FPV for 14 more days, adding or removing TDF based upon its receipt in period 2 (period 3). Twenty‐four‐hour pharmacokinetic sampling was carried out on day 7 of period 1 and on day 14 of periods 2 and 3. Steady‐state plasma amprenavir (APV) and tenofovir (TFV) pharmacokinetics were assessed by noncompartmental analysis and parameter values observed with each regimen were compared using geometric mean ratios with 90% confidence intervals.Results
After TDF coadministration, APV geometric mean minimum concentration (Cmin), maximum concentration (Cmax), and area under the plasma concentration–time curve (AUC) increased by 31, 3 and 7% above values observed with unboosted FPV alone; they also increased by 31, 4 and 16% above values observed with FPV/RTV alone. TFV Cmin, Cmax and AUC decreased by 12, 25 and 15% after FPV coadministration and by 9, 18 and 7% after FPV/RTV coadministration. No significant changes in RTV pharmacokinetics were observed. No differences were noted in adverse events among dosing periods.Conclusions
In this evaluation of the interaction between FPV and TDF, increases in APV exposures and modest decreases in TFV exposures were observed. These were unlikely to be clinically significant.599.