半肢骨骺发育异常1例

１　病例报告　男,７岁．因双下肢不等长,右膝及右踝关节骨性肿大就诊．无明显外伤史,亦无红、肿、热、痛病史．查体：发育正常,营养良好．双下肢不等长,左６０ｃｍ,右６４ｃｍ,有跛行．右膝及右踝内侧肿大,肤色正常,关节活动无异常．Ｘ线：右侧半身诸关节（肩、肘、腕、髋、膝、踝）骨骺及干骺发育均较左侧增大,肢体较长,骨骺出现亦较对侧提早．如右尺骨茎突骨骺较左侧提早出现（图１）．右肘关节肱骨小头骨骺较左侧增大（图２）．右髋臼发育浅平,边缘毛糙,右股骨头骨骺较左侧明显增大,其距泪滴之距离较左侧大１．０ｃｍ,呈…     

丁公藤碱Ⅱ类似物的合成及其生物活性

本文设计合成了丁公藤碱Ⅱ的C_2脱氧和C_8电子等排类似物。药理结果表明,丁公藤碱Ⅱ的C_2羟基是保持其缩瞳活性的关键部分之一;目的物2和4各自分别具有拟和抗胆碱活性;电子等排目的物16和17既无拟也无抗胆碱作用。     

Pain assessment of two palatal anesthetic techniques and their effects on the child's behavior

The purposes of the study were to: compare the pain perception and the behavior of children, who received palatal anesthesia by the direct and indirect infiltration anesthetic techniques, correlate between pain scores and behavior, and to make some recommendations for clinical practice. Sixty-two cooperative children aged 6 to 7 years participated successfully in the study. Each child received palatal anesthesia by both injection techniques to extract their badly destructed upper primary molars in two visits. Immediately after injection, the Wong and Baker pain faces scale was used for pain scoring by children. There were 32 boys and 30 girls (mean age 6 years and 3 months). The tested parameters were; pain perception and children's behavior during injection and pain perception during extraction. Comparisons between the effects of the two techniques within the gender and the tooth type were statistically performed using Chi-square test. Generally, no significant differences were found between the genders regarding neither pain perception nor behavior. For all children, the indirect technique significantly revealed lower anesthesia pain scores, and significantly more children displayed good behavior (P = 0.031, P = 0.004). No significant difference was reported in extraction pain scores between the two techniques, indicating the same efficacy of anesthesia was obtained. The second primary molar, significantly revealed lower pain scores of both anesthesia and extraction and a better behavior display of children anesthetized by the indirect rather than the direct technique (P = 0.04, P = 0.019, P = 0.046). On the other hand, no differences were revealed on anesthetizing the first primary molar. Children's behavior was negatively correlated (r = 10.294) with anesthesia pain scores (P ≤ 0.001). The results of the study recommend the use of the indirect palatal anesthetic technique for extracting the second primary molars and the use of the direct technique for extracting the first primary molars of young children.     

Comorbidity,limitations in activities and pain in patients with osteoarthritis of the hip or knee

Background  

This study aims to contribute to the knowledge of the influence of comorbidity in OA. The objectives of the study were (i) to describe the prevalence of comorbidity and (ii) to describe the relationship between comorbidity (morbidity count, severity and the presence of specific diseases) and limitations in activities and pain in elderly patients with knee or hip OA using a comprehensive inventory of comorbidity.     

Peroxisome proliferation and modulation of rat liver carcinogenesis by 2,4-dichlorophenoxyacetic acid, 2,4,5-trichlorophenoxyacetic acid, perfluorooctanoic acid and nafenopin

Using an initiation--selection--promotion protocol for induction of liver tumors in Wistar rats, the modulating action of various peroxisome proliferators on neoplasia as well as on selected biochemical parameters was studied. After treatment with diethylnitrosamine (DEN), the animals were subsequently subjected to a selection procedure involving feeding of 2-acetylaminofluorene (2-AAF), and in the middle of the 2-AAF treatment, a single necrogenic dose of carbon tetrachloride. Following a recovery period, the rats were fed a diet containing 0.1% nafenopin (NAF), 0.015% perfluorooctanoic acid (PFOA), 0.05% 2,4-dichlorophenoxyacetic acid (2,4-D), 0.05% 2,4,5-trichlorophenoxyacetic acid (2,4,5-T) or 0.05% phenobarbital (PB) as a positive control. When the animals were killed, 7 months after initiation, the incidence of hepatocellular carcinoma was 83, 33 and 16% in the animals treated with NAF, PFOA or 2,4,5-T respectively. No cancers were observed in controls, or in the 2,4,-D groups. In comparison with controls, NAF and PFOA caused a 60-and 24-fold increase inthe peroxisomal beta-oxidation of fatty acids respectively, but only about a 2-fold increase in the catalase activity, 2,4-D and/or 2,4,5-T were much less active in this respect, giving approximately a doubling in the rate of fatty acid oxidation. The specific activity of D-amino acid and glycolate oxidases were significantly depressed, whereas the urate oxidase levels were apparently unaffected by the NAF and PFOA treatment. The results suggest that the selective induction of peroxisomal fatty acid oxidation is consistent with the hypothesis that imbalance between H2O2 overproduction and its destruction could play a role in the modulation of hepatocarcinogenesis by peroxisome proliferators.