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991.
JP Ortonne R Baran M Corvest C Schmitt JJ Voisard C Taieb 《Journal of the European Academy of Dermatology and Venereology》2010,24(1):22-27
Background The chronic and treatment‐resistant nature of nail psoriasis affects patients’ lives not only physically but also psychologically. Although there are scoring systems available for disease severity, there is as yet no scale to evaluate the impact of this condition upon the patients’ quality of life. Objectives This study aims to develop and validate a quality of life scale specifically for nail psoriasis. Methods A questionnaire was developed during a study conducted in France between 2004 and 2005. With the cooperation of l’Association Pour la Lutte Contre le Psoriasis, the questionnaire was sent to a random sample of 4000 of its 17 000 members. Results The response rate was 33%. Of the 1309 questionnaires returned, 795 showed the presence of nail psoriasis and these were eligible. The scale score is obtained by adding together the responses to the 10 questionnaire items and the result is expressed as a percentage. The value of the score obtained is proportional to the functional difficulty experienced. The determination of Cronbach's α coefficient and a Principal Component Factor Analysis show, respectively, very good internal consistency and the unidimensional nature of the scale. Test–retest results on 15 patients showed good reproducibility. Results were validated with reference to the Dermatology Life Quality Index. In this study, the NPQ10 score is significantly influenced by gender (women have a higher score) and by the duration of psoriasis (recent onset implies greater functional difficulty). Finally, the score is much higher when the nail psoriasis affects both the hands and the feet. Conclusion This study confirms a change in the quality of life of patients who have nail psoriasis. The NPQ10 scale, specific to this condition, is simple to use and has the attributes needed in a quality of life scale. The scale must now be tested in longitudinal studies (such as clinical trials) to confirm its ability to measure a change in status. 相似文献
992.
Daniel E Bassi Jirong Zhang Jonathan Cenna Samuel Litwin Edna Cukierman Andres JP Klein-Szanto 《Neoplasia (New York, N.Y.)》2010,12(7):516-526
PACE4 is a proprotein convertase (PC) responsible for cleaving and activating proteins that contribute to enhance tumor progression. PACE4 overexpression significantly increased the susceptibility to carcinogenesis, leading to enhanced tumor cell proliferation and premature degradation of the basement membrane. In the present study, we sought to evaluate a novel approach to retard skin tumor progression based on the inhibition of PACE4. We used decanoyl-RVKR-chloromethylketone (CMK), a small-molecule PC inhibitor, for in vitro and in vivo experiments. We found that CMK-dependent blockage of PACE4 activity in skin squamous cell carcinoma cell lines resulted in impaired insulin-like growth factor 1 receptor maturation, diminished its intrinsic tyrosine kinase activity, and decreased tumor cell proliferation. Two-stage skin chemical carcinogenesis experiments, together with topical applications of CMK, demonstrated that this PC inhibitor markedly reduced tumor incidence, tumor multiplicity, and metastasis, pointing to a significant delay in tumor progression in wild-type and PACE4 transgenic mice. These results identify PACE4, together with other PCs, as suitable targets to slow down or block tumor progression, suggesting that PC inhibition is a potential approach for therapy for solid tumors. 相似文献
993.
<正>快速发展的基因组技术可以一次检测基因组的数百万个基因变异位点,据此,我们估计每个个体发生肿瘤、糖尿病、心血管病或其他常见疾病的可能风险。这些技术进步集中体现在两方面:消费者驱动型 相似文献
994.
JP Thyssen A Linneberg T Menné NH Nielsen JD Johansen 《Journal of the European Academy of Dermatology and Venereology》2010,24(6):722-725
Background In theory, all pigmented make‐up products may contain metal allergens including nickel. Eyelid dermatitis has previously been observed among nickel allergic dermatitis patients following exposure to nickel containing mascara and eye shadow. However, an association between nickel eyelid dermatitis and nickel in make‐up products remains controversial. Objective This cross‐sectional patch test study investigated whether the frequency of self‐reported cosmetic dermatitis from mascara or eye shadow use was higher among nickel allergic Danish women than women without nickel allergy. Methods In 2006, a total of 1843 18–69 year old women completed a postal questionnaire including questions on cosmetic dermatitis and were patch tested with nickel sulphate. Data were analysed by logistic regression analyses and associations were expressed as odds ratios (ORs) with 95% confidence intervals (CIs). Results The prevalence of nickel allergy was similar among women who reported cosmetic dermatitis from eye shadow or mascara and among women who did not report such symptoms. Cosmetic dermatitis was positively associated with self‐reported atopic dermatitis and age. Conclusion Overall, no association between having nickel allergy and reporting cosmetic dermatitis from mascara or eye shadow use was found in the general population. This does not exclude a causal relationship in selected cases. 相似文献
995.
S Ferrari C Libanati Celia Jow Fang Lin JP Brown F Cosman E Czerwiński LH de Gregόrio J Malouf-Sierra J-Y Reginster A Wang RB Wagman EM Lewiecki 《Journal of bone and mineral research》2019,34(6):1033-1040
Although treat-to-target strategies are being discussed in osteoporosis, there is little evidence of what the target should be to reduce fracture risk maximally. We investigated the relationship between total hip BMD T-score and the incidence of nonvertebral fracture in women who received up to 10 years of continued denosumab therapy in the FREEDOM (3 years) study and its long-term Extension (up to 7 years) study. We report the percentages of women who achieved a range of T-scores at the total hip or femoral neck over 10 years of denosumab treatment (1343 women completed 10 years of treatment). The incidence of nonvertebral fractures was lower with higher total hip T-score. This relationship plateaued at a T-score between -2.0 and -1.5 and was independent of age and prevalent vertebral fractures, similar to observations in treatment-naïve subjects. Reaching a specific T-score during denosumab treatment was dependent on the baseline T-score, with higher T-scores at baseline more likely to result in higher T-scores at each time point during the study. Our findings highlight the importance of follow-up BMD measurements in patients receiving denosumab therapy because BMD remains a robust indicator of fracture risk. These data support the notion of a specific T-score threshold as a practical target for therapy in osteoporosis. © 2019 The Authors Journal of Bone and Mineral Research published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research (ASBMR) 相似文献
996.
Lafanechère A Pène F Goulenok C Delahaye A Mallet V Choukroun G Chiche JD Mira JP Cariou A 《Critical care (London, England)》2006,10(5):R132-8
Introduction
Esophageal Doppler provides a continuous and non-invasive estimate of descending aortic blood flow (ABF) and corrected left ventricular ejection time (LVETc). Considering passive leg raising (PLR) as a reversible volume expansion (VE), we compared the relative abilities of PLR-induced ABF variations, LVETc and respiratory pulsed pressure variations (ΔPP) to predict fluid responsiveness.Methods
We studied 22 critically ill patients in acute circulatory failure in the supine position, during PLR, back to the supine position and after two consecutive VEs of 250 ml of saline. Responders were defined by an increase in ABF induced by 500 ml VE of more than 15%.Results
Ten patients were responders and 12 were non-responders. In responders, the increase in ABF induced by PLR was similar to that induced by a 250 ml VE (16% versus 20%; p = 0.15). A PLR-induced increase in ABF of more than 8% predicted fluid responsiveness with a sensitivity of 90% and a specificity of 83%. Corresponding positive and negative predictive values (PPV and NPV, respectively) were 82% and 91%, respectively. A ΔPP threshold value of 12% predicted fluid responsiveness with a sensitivity of 70% and a specificity of 92%. Corresponding PPV and NPV were 87% and 78%, respectively. A LVETc of 245 ms or less predicted fluid responsiveness with a sensitivity of 70%, and a specificity of 67%. Corresponding PPV and NPV were 60% and 66%, respectively.Conclusion
The PLR-induced increase in ABF and a ΔPP of more than 12% offer similar predictive values in predicting fluid responsiveness. An isolated basal LVETc value is not a reliable criterion for predicting response to fluid loading. 相似文献997.
The quantification of cardiac dimensions derived from echocardiographyis important in paediatric cardiac practice. Evaluation of thesize and growth of cardiac chambers, valves, and great vesselsplays a key role in the management of congenital heart disease,from the initial decision-making in the neonatal period to thenature and timing of subsequent interventions. It may also beimportant in the assessment and risk stratification of childrenwith acquired heart disease such as hypertrophiccardiomyopathy or coronary artery involvement in Kawasaki disease.Body size and cardiac dimensions change dramatically duringnormal growth and development. Therefore, it is necessary toplace in context the measured size of a given cardiac structureby correcting for body size, through the process of normalization. 相似文献
998.
999.
支气管败血鲍特氏菌致肾脓肿1例 总被引:2,自引:0,他引:2
1 病例报告患者,男,49岁,因头部撞地后意识障碍进行性加重6 h入唐都医院神经外科,临床症状: 呕吐频繁,躁动不安,深昏迷,呼吸困难,右侧瞳孔散大,对光反射消失,双侧巴氏征( ),双肺布满湿性罗音.CT示右额颞部硬膜外血肿、中线左移2.5 cm.急诊开颅清除血肿及气管切开.术后意识障碍渐好转,但第10日开始持续高热,呼吸道分泌物多,痰培养见支气管败血杆菌生长.多次尿检均未见明显异常.血常规: WBC 19.6×109/L,中性0.99,淋巴0.01,核左移.反复动脉血培养均为阴性.按肺部感染给予抗炎及雾化吸入等治疗,肺部感染得到控制,但仍发热.术后28 d发现患者左腹部一压痛包块,B超提示左肾体积增大,内有液性暗区.肾穿刺放出灰白色粘稠无臭味脓液约2500 mL,细菌培养为支气管败血杆菌.引流5 d后体温便恢复正常,后行左肾切开造瘘术并置造瘘管引流,2 mo后痊愈. 相似文献
1000.