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551.
Cholangiocarcinoma complicating primary sclerosing cholangitis: cholangiographic appearances 总被引:1,自引:0,他引:1
MacCarty RL; LaRusso NF; May GR; Bender CE; Wiesner RH; King JE; Coffey RJ 《Radiology》1985,156(1):43-46
Cholangiograms from 104 patients (and serial cholangiograms in 66 patients) with primary sclerosing cholangitis (PSC) were reviewed. In 13 patients the additional diagnosis of cholangiocarcinoma was made at biopsy or autopsy. Cholangiograms from patients with both PSC and carcinoma were compared with cholangiograms from patients with PSC alone. Marked dilatation of ducts or ductal segments (100% vs. 24%) and the appearance of a polypoid mass (46% vs. 7%) were common findings in the group of patients whose disease was complicated by malignancy. In the malignant group, polypoid masses were larger, measuring 1 cm or greater in diameter. On serial cholangiograms, four of 15 patients with progressive stricture formation and four of five with progressive ductal dilatation proved to have carcinomas. The frequent occurrence of bile duct carcinoma as a complication of PSC in this group of patients indicates that PSC has a strong tendency to undergo malignant degeneration. Cholangiographic findings which suggest malignant degeneration include markedly dilated ducts or ductal segments, presence of a polypoid mass 1 cm or greater in diameter, and progressive stricture formation or ductal dilatation. 相似文献
552.
P Deurenberg 《Nederlands tijdschrift voor geneeskunde》1988,132(9):379-380
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P Deurenberg J A Weststrate I Paymans K van der Kooy 《European journal of clinical nutrition》1988,42(12):1017-1022
In several groups of young healthy subjects the effect of the ingestion of a meal, of drinking normal tea or beef tea, of exercise and of the menstrual cycle on body impedance was assessed. The day-to-day reproducibility of the method was also investigated under standardized conditions. Two to four hours after ingestion of a meal, body impedance had decreased by about 13-17 Ohms in comparison with body impedance in the fasting state. Drinking 200 ml of normal tea did not result in a change of body impedance, but drinking 200 ml beef tea lowered the body impedance significantly by 4 +/- 4 Ohms. Moderate exercise on a bicycle ergometer (90 min, 100 W) did not influence body impedance, but strenuous exercise (90 min, 175 W) resulted in a decrease of 9 +/- 11 Ohms in body impedance. In general, changes in body impedance during the menstrual cycle were small, and only the difference between measurements of body impedance 1 week before the onset of the menstruation and again 1 week after menstruation (8 +/- 9 Ohms) was statistically significant. Under standardized conditions (in the morning, in the fasting state after emptying the bladder) the within-person between-day variation was found to be 2.8 per cent (13 Ohms). 相似文献
557.
The intake of nutrients over a five day period was studied in 23 children whose atopic eczema was being treated by the avoidance of multiple foods. The results were compared with those from 23 healthy control children not on a diet. Significantly low intakes of calcium were discovered in 13 patients but not in controls. Avoidance of multiple foods is potentially hazardous and requires continued paediatric and dietetic supervision. 相似文献
558.
MDMA (ecstasy) and the rave: a review 总被引:1,自引:0,他引:1
559.
Lower esophageal sphincter pressures and serum gastrin levels after cholinergic stimulation 总被引:2,自引:0,他引:2
Higgs RH; Humphries TJ; Castell DO; McGuigan JE 《The American journal of physiology》1976,231(4):1250-1253
560.
mdx muscle pathology is independent of nNOS perturbation 总被引:2,自引:0,他引:2
Crosbie RH; Straub V; Yun HY; Lee JC; Rafael JA; Chamberlain JS; Dawson VL; Dawson TM; Campbell KP 《Human molecular genetics》1998,7(5):823-829
In skeletal muscle, neuronal nitric oxide synthase (nNOS) is anchored to
the sarcolemma via the dystrophin-glycoprotein complex. When dystrophin is
absent, as in Duchenne muscular dystrophy patients and in mdx mice, nNOS is
mislocalized to the interior of the muscle fiber where it continues to
produce nitric oxide. This has led to the hypothesis that free radical
toxicity from mislocalized nNOS may contribute to mdx muscle pathology. To
test this hypothesis directly, we generated mice devoid of both nNOS and
dystrophin. Overall, the nNOS- dystrophin null mice maintained the
dystrophic characteristics of mdx mice. We evaluated the mice for several
features of the dystrophic phenotype, including membrane damage and muscle
morphology. Removal of nNOS did not alter the extent of sarcolemma damage,
which is a hallmark of the dystrophic phenotype. Furthermore, muscle from
nNOS-dystrophin null mice maintain the histological features of mdx
pathology. Our results demonstrate that relocalization of nNOS to the
cytosol does not contribute significantly to mdx pathogenesis.
相似文献