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Richard A. Anderson Mikkel Rosendahl Thomas W. Kelsey David A. Cameron 《European journal of cancer (Oxford, England : 1990)》2013,49(16):3404-3411
AimImproving survival for women with early breast cancer (eBC) requires greater attention to the consequences of treatment, including risk to ovarian function. We have assessed whether biochemical markers of the ovarian reserve might improve prediction of chemotherapy related amenorrhoea.MethodsWomen (n = 59, mean age 42.6 years [(range 23.3–52.5]) with eBC were recruited before any treatment. Pretreatment ovarian reserve markers (anti-Müllerian hormone [AMH], follicle-stimulating hormone [FSH], inhibin B) were analysed in relation to ovarian status at 2 years.ResultsPretreatment AMH was significantly lower in women with amenorrhoea at 2 years (4.0 ± 0.9 pmol/L versus 17.2 ± 2.5, P < 0.0001), but FSH and inhibin B did not differ between groups. By logistic regression, pretreatment AMH, but not age, FSH or inhibin B, was an independent predictor of ovarian status at 2 years (P = 0.005; odds ratio 0.013). We combined these data with a similar cohort (combined n = 75); receiver–operator characteristic analysis for AMH gave area under curve (AUC) of 0.90 (95% confidence interval (CI) 0.82–0.97)). A cross-validated classification tree analysis resulted in a binary classification schema with sensitivity 98.2% and specificity 80.0% for correct classification of amenorrhoea.ConclusionPretreatment AMH is a useful predictor of long term post chemotherapy loss of ovarian function in women with eBC, adding significantly to the only previously established individualising predictor, i.e. age. AMH measurement may assist decision-making regarding treatment options and fertility preservation procedures. 相似文献
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I. Stanganelli G. Argenziano F. Sera A. Blum F. Ozdemir I.K. Karaarslan D. Piccolo K. Peris H. Kirchesch R. Bono M.A. Pizzichetta S. Gasparini R.P. Braun O. Correia L. Thomas P. Zaballos S. Puig J. Malvehy M. Scalvenzi H. Rabinovitz A. Bergamo G. Pellacani C. Longo M. Pavlovic C. Rosendahl R. Hofmann‐Wellenhof H. Cabo A.A. Marghoob D. Langford S. Astorino A.M. Manganoni J.‐Y. Gourhant J. Keir J.M. Grichnik G. Fumo H. Dong A.M. Sortino Rachou G. Ferrara I. Zalaudek 《Journal of the European Academy of Dermatology and Venereology》2012,26(8):953-963
Background Little is known about the dermoscopic features of scalp tumours. Objective To determine the dermoscopic features of scalp tumours. Methods Retrospective analysis of dermoscopic images of histopathologically diagnosed scalp tumours from International Dermoscopy Society members. Results A total of 323 tumours of the scalp from 315 patients (mean age: 52 years; range 3–88 years) were analysed. Scalp nevi were significantly associated with young age (<30 years) and exhibited a globular or network pattern with central or perifollicular hypopigmentation. Melanoma and non‐melanoma skin cancer were associated with male gender, androgenetic alopecia, age >65 years and sun damage. Atypical network and regression were predictive for thin (≤1 mm) melanomas, whereas advanced melanomas (tumour thickness > 1 mm) revealed blue white veil, unspecific patterns and irregular black blotches or dots. Conclusions The data collected provide a new knowledge regarding the clinical and dermoscopy features of pigmented scalp tumours. 相似文献
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Bauer SF Bauer K Ennker IC Rosendahl U Ennker J 《The Thoracic and cardiovascular surgeon》2005,53(4):217-222
OBJECTIVE: Sudden ventricular fibrillation (VF) and myocardial infarction (MI) are life-threatening complications after coronary artery bypass grafting (CABG). We prospectively analysed the impact of intraoperative bypass flow measurement with the transit time flow Doppler method (TTFD) on the incidence and outcome of postoperative VF and MI. METHODS: In 1995 a standardized algorithm for the treatment of postoperative VF was introduced in our institution. The rate of postoperative VF was therefore exactly registered. In 1998 the TTFD method was implemented as a standard in all CABG cases. Whenever insufficient bypass graft flow was detected, anastomoses were redone and technical problems affecting the grafts were excluded. The incidence of postoperative VF and CK/CK-MB fraction was observed prospectively and the new data was compared to the data from 1995 to 1998. RESULTS: From 1/95 to 7/98 a total of 4321 patients (group A) were operated on with isolated CABG procedures using extracorporeal circulation. In the period from 8/98 to 10/02 a total of 3421 patients (group B) was operated on with isolated CABG procedures under the same conditions, except that the TTFD method was used in every case. The treatment of VF was standardised in both groups according to the algorithm. The most striking effect was the significant reduction of VF from 0.66% to 0.44% when TTFD was introduced and the steep decrease in mortality from 30% to 12.2% in patients with VF when the algorithm and TTFD were routinely applied. Furthermore the rate of insufficient bypass flow detected by angiography was reduced by 66%. CONCLUSION: Routinely the use of TTFD significantly reduced the incidence of postoperative VF, postoperative CK/CK-MB fraction, and angiographically detected bypass malfunction. A simultaneously implemented algorithm reduced the mortality with VF after CABG. The consequent use of TTFD intraoperatively reduced the incidence of postoperative anastomosis and technically related complications of bypass surgery and led to a significant reduction of postoperative mortality in CABG procedures. 相似文献
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Maria I. Georgi Julia Rosendahl Franziska Ernst Dorothee Günzel Jörg R. Aschenbach Holger Martens Friederike Stumpff 《Pflügers Archiv : European journal of physiology》2014,466(9):1689-1712
It has long been established that the absorption of short-chain fatty acids (SCFA) across epithelia stimulates sodium proton exchange. The apically released protons are not available as countercations for the basolateral efflux of SCFA anions and a suitable transport model is lacking. Patch clamp and microelectrode techniques were used to characterize an anion conductance expressed by cultured cells of the sheep and bovine rumen and the sheep omasum and to localize the conductance in the intact tissue. Cells were filled with a Na-gluconate solution and superfused with sodium salts of acetate, propionate, butyrate, or lactate. Reversal potential rose and whole cell current at +100 mV decreased with the size of the anion. Anion-induced currents could be blocked by diisothiocyanato-stilbene-2,2′-disulfonic acid (DIDS), NPPB (200?μmol l?1), or pCMB (1 mmol l?1). In patches of bovine ruminal cells, single channels were observed with a conductance for chloride (327?±?11 pS), acetate (115?±?8 pS), propionate (102?±?10 pS), butyrate (81?±?2 pS), and gluconate (44?±?3 pS). Channels expressed by sheep rumen and omasum were similar. Microelectrode experiments suggest basolateral localization. In conclusion, forestomach epithelia express basolateral maxi-anion channels with a permeability sequence of chloride?>?acetate?>?propionate?>?butyrate. SCFA absorption may resemble functionally coupled transport of NaCl, with the Na+/K+-ATPase driving the basolateral efflux of the anion through a channel. Since protons are apically extruded, the model accurately predicts that influx of buffers with saliva is essential for the pH homeostasis of the ruminant forestomach. 相似文献
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Overall, genetically determined diseases of the pancreas are rare. Recently, it was demonstrated that in chronic pancreatitis many patients carry genetic changes in associated genes. Aside from chronic pancreatitis, cystic fibrosis is also characterized by exocrine insufficiency in many patients. Genetic alterations in CFTR can be found in patients suffering from chronic pancreatitis and in patients with cystic fibrosis. According to this fact, the analysis of CFTR alterations in both disease forms has improved the understanding of underlying pathogenetic mechanisms. Shwachman-Diamond and Johanson Blizzard syndrome are rare pancreatic disorders, characterized by exocrine pancreatic insufficiency in addition to other phenotypic features. As such, due to the early onset of both disease forms, diagnosis of cystic fibrosis has to be ruled out in patients with exocrine insufficiency, which can be achieved by performing sweat chloride tests. Even pancreatic cancer can accumulate in some families and a genetic basis was recently demonstrated for some patients. In all mentioned disease entities, a genetic analysis of associated genes has become essential for establishing the diagnosis. Although genetic knowledge and the finding of genetic alterations in different genes has not changed therapy of the mentioned diseases so far, the future will tell in which way genetic knowledge can be integrated to change modalities of therapy. 相似文献
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R. Wiklund A. Toots M. Conradsson B. Olofsson H. Holmberg E. Rosendahl Y. Gustafson H. Littbrand 《Osteoporosis international》2016,27(3):923-931