难治性便秘综合治疗及影响因素的评价

目的评价综合治疗对难治性便秘的疗效及影响因素。方法将84例难治性便秘分为非重叠组和重叠组。应用个体化综合治疗4周,观察便秘症状评分变化及总有效率,分析IC患者的重叠症状和心理障碍状态对疗效的影响。结果(1)84例便秘患者中,重叠组和非重叠组分别占40.5%和59.5%。(2)重叠组和非重叠组的总有效率分别为50.0%和78.0%(P<0.05)。(3)对37例IC患者的心理测试调查显示,59.4%(22/37)有心理障碍状态,重叠组和非重叠组伴有心理障碍状态对治疗的总有效率分别为4.8%和31.5%(P<0.05)。结论适合个体化的综合治疗使多数难治性便秘缓解症状,但伴有重叠症状,尤其心理障碍状态则影响疗效。     

Activation and Sorting of Human White Blood Cells

We demonstrate a novel activation behavior of human leucocyte adhesion under physiological flow conditions in a microfabricated silicon array of channels with length scales similar to those of human capillaries. Vital nuclei stains and cell specific, flourochrome labeled antibodies reveal that the equilibrium distribution of stuck cells in the arrays displays a strong dependence on cell type and nuclear morphology, and there is eventual separation of the two cell types in the array. The distortion of the cells is the same as they experience in vivo and the response of the granulocytes is consistent with a model describing adhesion as a function of the distortion of the cell by its environment; in other words, activated adhesion. We propose that this complex non-random behavior is due to a deformation activated change in the cells relevant to observed in vivo behavior.     

Identification of loci determining susceptibility to the lethal effects of amyloid precursor protein transgene overexpression

Phenotypes produced by expression of human amyloid precursor protein (APP) transgenes vary depending on the genetic background of the mouse. FVB/N mice overexpressing human APP695 develop a central nervous system disorder and die prematurely, precluding development of Abeta peptide amyloid plaques. 129S6 mice are resistant to the lethal effects of APP overexpression, allowing sufficient levels of Abeta expression for the development of amyloid plaques and age-dependent memory deficits. To identify the genes that determine susceptibility or resistance to APP we analyzed crosses involving FVB/NCr and 129S6.Tg2576 mice that overexpress 'Swedish' mutant (K670N, M671L) APP695. APP transgene-positive FVB129S6F1 (F1) mice are resistant to the lethal effects of APP overexpression, so FVBxF1 backcross and F2 intercross offspring were produced. Analysis of age of death as a quantitative trait revealed significant linkage to loci on proximal chromosome 14 and on chromosome 9; 129S6 alleles protect against the lethal effects of APP. Within the chromosome 14 interval are segments homologous to regions on human chromosome 10 that have been linked to late onset Alzheimer's disease or to levels of Abeta peptide in plasma. However, analysis of plasma Abeta peptide concentrations at 6 weeks in backcross offspring produced no significant linkage. Similarly, elevation of human Abeta peptide concentrations by expression of mutant presenilin transgenes did not increase the proportion of mice dying prematurely, suggesting that early death reflects effects of APP or fragments other than Abeta.     

Dose comparisons for mammographic systems

Dose estimates were made for Kodak Min-R screens combined with Kodak Min-R film and Kodak Ortho M film, both with and without a 5:1 Bucky grid; for standard xeroradiographic techniques in negative development mode; and for the new, higher sensitivity xeroradiographic process of the Xerox 175 System. The estimates were derived from exposure versus depth measurements in phantoms made of BR12 breast simulation material using thermoluminescent detectors. A molybdenum target source with molybdenum filtration, at a half-value layer of 0.37-mm Al, was used for the screen-film measurements. All xeroradiographic measurements were made with a tungsten target source with aluminum filtration at half-value layers of 1.5 to 1.56 mm Al. Mean glandular dose estimates for the Min-R screen/Ortho M film combination with Bucky grid and for the new xeroradiographic process were found to be similar. Dose reduction with the new xeroradiographic system was achieved through a more sensitive photoreceptor and more sensitive development, which also improved the unique imaging characteristics of xeroradiography.     

Polymorphisms in the Chlamydia trachomatis cytotoxin locus associated with ocular and genital isolates

Chlamydia trachomatis is a strict human pathogen producing infections that cause medically important chronic inflammatory diseases, such as blinding trachoma and tubal factor infertility. Isolates exist as serotypes that fall into distinct biologic and pathological groups corresponding to differences in infection tissue tropism and invasion properties. Paradoxically, genome sequencing of several diverse strains has revealed a remarkable level of genomic synteny, suggesting that minor genetic differences determine the pathogen host- and tissue-specific infection characteristics. To better understand the genetic basis of chlamydial pathobiologic diversity, we performed comparative DNA-DNA microarray genomic hybridizations with all 15 C. trachomatis serovariants. We found there are few major genetic differences among the 15 serovars. An exception was the cytotoxin locus located in the plasticity zone, a region that exhibited significant polymorphisms among serovars. We therefore sequenced this region from all 15 serovars. The cytotoxin gene was interrupted by extensive mutations and deletions among the different serovars; however, three basic open reading frame motifs were discovered that correlated with noninvasive oculotropic, urogenitotropic, and invasive serovars. Of interest, only noninvasive genitotropic serovars possessed an intact N-terminal portion of the putative toxin gene. This region contains the UDP-glucose binding domain and the glycosyltransferase domain required for enzymatic activity of the clostridial toxin homologs, suggesting a role in urogenital infection or pathogenesis.     

Regeneration in grafts of normal and denervated rat muscles

Summary The soleus or extensor digitorum longus muscles of young rats were freely grafted into the bed of the corresponding contralateral muscle. The grafts were of normal muscle or muscles which had been denervated for 14 days. Grafts of normal muscle were characterized by little or no contractile activity for the first 2–4 days after transplantation. In contrast, denervated grafts contracted weakly, but consistently, throughout this early period. The patterns of contraction were complex. In early transplants, the contractions were due entirely to surviving muscle fibers in the graft, and the contractile characteristics were those of denervated muscle fibers. After the first week, contractions of newly regenerating muscle fibers within the grafts were superimposed upon and later took over those from the fibers that survived the original transplantation. The contraction time approached those of the normal soleus or extensor muscles during the second month after grafting, and the grafts contracted like fast or slow muscles.     

Histochemical fiber composition of lumbar back muscles in the cat

A histochemical analysis has been performed of the activity of myofibrillar ATPase, NADH₂tetrazolium-reductase, succinic dehydrogenase and phosphorylase and of the content of fat and glycogen in the muscles of the cat's lumbar back region. The correlation between the fiber composition and the previously studied contraction properties of the muscles was analyzed. All muscles contain fibers with a low activity (type I) and such with a high activity (type II) of myofibrillar ATPase following preincubation at pH 9.4. Type II fibers showed either a low (type II A) or an intermediate (type II B) reaction when stained for ATPase, preincubation at pH 4.6. Type 1 fibers have a high, II A an intermediate-high and II B fibers a low activity of oxidative enzymes. The longissimus, iliocostalis and sacrocaudalis dorsalis lateralis muscles are characterized by high percentages of type II B fibers and low proportions of type I and type II A fibers. The central region of the longissimus which is connected to a well developed intermuscular septum is composed of a high proportion of type I fibers. The multifidi, interspinales and intertransversarii mediales muscles have higher proportions of type I and type II A fibers than the other muscles in the region.