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91.
The hemolytic efficiency and binding of C9 to homologous and heterologous erythrocytes was evaluated by using a standardized passive sensitization procedure to prepare antigen- and antibody-coated erythrocytes (EA) and human serum for lysis. Heterologous bovine EA were readily lysed by human serum, whereas human EA were quite resistant to lysis. Human EA bound as many C8 and C9 molecules per cell as bovine EA when incubated under identical conditions, but four times as much bound C9 was required to lyse an equal number of human EA compared with bovine EA. The susceptibility of human erythrocytes did not increase when increased volumes of undiluted human serum were used although C9 binding increased to as much as 100,000 molecules per cell. Sodium dodecyl sulfate-resistant polymerized C9 (poly(C9)) was detected on both lysed ghosts and unlysed EA bearing complement proteins C1 through C9 (EAC1-9) after incubation with undiluted human serum; however, the ratio of poly(C9) to monomeric C9 was higher on unlysed cells than on ghosts. Although bovine and human EA bound equal amounts of human C9 at the end point, the rate of lysis and C9 uptake was slower on homologous cells. The rate-limiting step occurred before C9 binding and lysis because the rates of lysis and C9 binding were equal on homologous and heterologous EAC1-8 targets, but the extent of lysis of homologous cells was still lower than lysis of heterologous cells. Human erythrocytes lose restriction against homologous hemolysis during storage in autologous plasma or in isotonic buffers. 相似文献
92.
High tibial osteotomy (HTO) is an established treatment option for isolated medial osteoarthritis in young and active patients. One important factor for success of this procedure is the degree of correction of the weight-bearing line. Computer-assisted navigation systems are believed to improve the precision of axis correction through intraoperative real-time monitoring. This study investigates the precision of correction of the weight-bearing line in open-wedge HTO with and without a navigation system.Nineteen legs of well-preserved human cadaver were randomly assigned to navigated (n = 10) or conventional (n = 9) HTO. In order to achieve a sufficient amount of correction in all legs the weight-bearing line was aimed at 80 percent of the width of the tibial plateau.The mean deviation of the weight-bearing line from the desired 80 percent was 1 percent in the navigated and 8.6 percent in the conventional operated legs (p = 0.002). The weight-bearing line of all navigated but only 5 of the 9 conventional operated legs was within a ± 5 percent tolerance level (p = 0.33).Navigated open-wedge HTO achieved better correction of the weight-bearing line than the conventional method in human cadaver legs. Future studies have to prove this advantage in a clinical setting and it''s effect on patient outcome. 相似文献
93.
Gheith O Bakr A Wafa E Fouda A El Agroudy A Refaie A Donia A Sabry A Sobh M Shokeir A Ghoneim M 《Clinical and experimental nephrology》2007,11(3):251-254
The incidence of Kaposi's sarcoma among recipients of solid organs is about 500 times the rate in the general population,
suggesting a role for immunosuppression in its development. On the basis of these findings, we investigated the impact of
sirolimus on cutaneous and disseminated visceral Kaposi's sarcoma in a renal-transplant recipient. The introduction of sirolimus
in this patient allowed complete regression of Kaposi's sarcoma (cutaneous and visceral) with preservation of excellent renal
function. Meanwhile, in view of the available observational reports, we think that sirolimus should be included in the standard
treatment for Kaposi's sarcoma after transplantation, to permit remission of the sarcoma (both cutaneous and visceral) while
preserving the renal function. 相似文献
94.
Maria Angela Bellomo-Brandao Cecilia AF Escanhoela Luciana R Meirelles Gilda Porta Gabriel Hessel 《World journal of gastroenterology : WJG》2009,15(4):478-483
AIM: To compare the histologic features of the liver in intrahepatic neonatal cholestasis (IHNC) with infectious, genetic-endocrine-metabolic, and idiopathic etiologies. METHODS: Liver biopsies from 86 infants with IHNC were evaluated. The inclusion criteria consisted of jaundice beginning at 3 mo of age and a hepatic biop- sy during the 1st year of life. The following histologic features were evaluated: cholestasis, eosinophilia, giant cells, erythropoiesis, siderosis, portal fibrosis, and the presence of a septum. RESULTS: Based on the diagnosis, patients were classified into three groups: group 1 (infectious; n = 18), group 2 (genetic-endocrine-metabolic; n = 18), and group 3 (idiopathic; n = 50). There were no significant differences with respect to the following variables: cholestasis, eosinophilia, giant cells, siderosis, portal fibrosis, and presence of a septum. A significant dif- ference was observed with respect to erythropoiesis, which was more severe in group 1 (Fisher's exact test, P = 0.016). CONCLUSION: A significant difference was observed in IHNC of infectious etiology, in which erythropoiesis was more severe than that in genetic-endocrine-meta- bolic and idiopathic etiologies, whereas there were no significant differences among cholestasis, eosinophilia, giant cells, siderosis, portal fibrosis, and the presence of a septum. 相似文献
95.
Richard AF Pellatt FACEM MBChB BA Katherine Isoardi FACEM GradDipClinTox BMed Gerben Keijzers MSc MBBS FACEM PhD 《Emergency medicine Australasia : EMA》2023,35(4):702-705
Patients frequently present to the ED with drug overdose and reduced conscious level leading to coma. There is considerable practice variation around which patients require intubation. Indications include: (i) respiratory failure (including airway obstruction); (ii) to facilitate specific therapies or intubation as a therapy in itself; and (iii) for airway protection in the unprotected airway. We argue that intubating a patient purely for (iii) is outdated and that most patients can be safely observed. There is a paucity of good quality research in the area of drug overdose with reduced consciousness. Teaching may be outdated and based on the use of the Glasgow Coma Scale in head trauma. Current low quality research suggests observation is safe. We recommend that patients undergo an individualised risk assessment of the need for intubation. We propose a flow diagram to aid clinicians in safely observing comatose overdose patients. This can be applied if the drug is unknown, or there are multiple drugs involved. 相似文献
96.
AF Finzi † LG Mantovani ‡ A Belisari‡ Italian Association for Studies on Psoriasis 《Journal of the European Academy of Dermatology and Venereology》2001,15(4):320-324
The objective of this study was to assess the cost of caring for patients with psoriasis in Italy according to the AISP study (Associazione Italiana Studi Psoriasi or Italian Association for Studies on Psoriasis), involving 104 university and hospital centres and 7992 patients in 1994. The mean yearly cost of care for a single patient was calculated at 905 Euros. Hospitalization accounted for more than four-fifths of the costs, therapy for about one-eighth (systemic therapies were the most expensive) and office visits and day hospitals for the remainder. In our study series less than 20% of patients accounted for more than 90% of the total costs. 相似文献
97.
Stec I; Wright TJ; van Ommen GJ; de Boer PA; van Haeringen A; Moorman AF; Altherr MR; den Dunnen JT 《Human molecular genetics》1998,7(7):1071-1082
Wolf-Hirschhorn syndrome (WHS) is a malformation syndrome associated with a
hemizygous deletion of the distal short arm of chromosome 4 (4p16.3). The
smallest region of overlap between WHS patients, the WHS critical region,
has been confined to 165 kb, of which the complete sequence is known. We
have identified and studied a 90 kb gene, designated as WHSC1 , mapping to
the 165 kb WHS critical region. This 25 exon gene is expressed ubiquitously
in early development and undergoes complex alternative splicing and
differential polyadenylation. It encodes a 136 kDa protein containing four
domains present in other developmental proteins: a PWWP domain, an HMG box,
a SET domain also found in the Drosophila dysmorphy gene ash -encoded
protein, and a PHD-type zinc finger. It is expressed preferentially in
rapidly growing embryonic tissues, in a pattern corresponding to affected
organs in WHS patients. The nature of the protein motifs, the expression
pattern and its mapping to the critical region led us to propose WHSC1 as a
good candidate gene to be responsible for many of the phenotypic features
of WHS. Finally, as a serendipitous finding, of the t(4;14) (p16.3;q32.3)
translocations recently described in multiple myelomas, at least three
breakpoints merge the IgH and WHSC1 genes, potentially causing fusion
proteins replacing WHSC1 exons 1-4 by the IgH 5'-VDJ moiety.
相似文献
98.
Methodological recommendations for cognition trials in bipolar disorder by the International Society for Bipolar Disorders Targeting Cognition Task Force 下载免费PDF全文
99.
100.
Diagnostic and therapeutic percutaneous gallbladder procedures 总被引:1,自引:0,他引:1
vanSonnenberg E; Wittich GR; Casola G; Princenthal RA; Hofmann AF; Keightley A; Wing VW 《Radiology》1986,160(1):23-26
The authors report their experience with 24 patients who underwent a variety of percutaneous procedures involving the gallbladder. Twenty diagnostic and 13 therapeutic procedures were performed under sonographic, computed tomographic (CT), or fluoroscopic guidance; these procedures included biopsy of the gallbladder, diagnostic cholecystography, diagnostic aspiration of bile, gallstone dissolution and removal, cholecystostomy for drainage, and gallbladder abscess drainage. The indications for percutaneous cholecystostomy (performed in 11 patients) included relief of hydrops and empyema, gallstone dissolution, mechanical gallstone removal, and drainage for malignant obstruction. Each procedure was successful. There was one complicating episode of cholecystitis and four previously described episodes of vagal hypotension. Bile peritonitis did not occur in any of the patients. The authors discuss the various percutaneous gallbladder procedures and specific technical considerations in performing them. 相似文献