1,25-dihydroxycholecalciferol in renal osteodystrophy. Epiphysiolysis--anticonvulsant therapy

Three children with azotaemic renal osteodystrophy were treated with 1,25-dihydroxycholecalciferol (1,25(OH)2D3). All showed clinical, biochemical, and radiological improvement within 6 months of starting treatment. There were no complications. The dose of 1,25(OH)2D3 required was 0-5 microgram per day for 2 children aged 22 and 30 months, and 2 microgram per day for a 15-year-old boy. 2 of the patients were receiving phenobarbitone and phenytoin and in one of them prior treatment with dihydrotachysterol 0-5 mg daily and 6 microgram 1alpha-hydroxycholecalciferol (1alphaOHD3) daily had failed to induce improvement. In one patient, in whom serial iliac bone samples were available, 2 microgram 1,25(OH)2D3 resulted in histological improvement in previously severe osteomalacia. 1,25(OH)2D3 appears to be an effective and safe drug in the treatment of uraemic osteodystrophy.     

Yoga therapy for breast cancer patients: A prospective cohort study

We sought to study the impact of yoga therapy on anxiety, depression and physical health in breast cancer patients.Stage I–III post-operative breast cancer patients were recruited with twelve 1-h weekly yoga sessions completed with an experienced yoga instructor. Before and after each module completion, assessments were obtained with the Hospital Anxiety and Depression scale (HADS), the Dallas pain scale and shoulder flexibility measurements.Fourteen patients completed the entire yoga session with 42.8% having a total mastectomy and 15.4% having breast reconstruction. Both right and left shoulder abduction flexibility significantly improved (p = 0.004; p = 0.015 respectively) as well as left shoulder flexion (p = 0.046). An improvement trend in scores for the HADS and Dallas questionnaires pre- and post-intervention was found, although it was not statistically significant.Our data indicates an improvement in physical function in addition to a consistent amelioration in anxiety, depression and pain symptoms after a yoga intervention.     

新缩瞳剂包公藤甲素人工合成研究

包公藤甲素是从包公藤(Erycibe obtusifolia Benth.)茎中提得的一个新莨菪烷生物碱,具有强烈的缩瞳作用,临床用于治疗青光眼。本文报道用合成的6β-乙酰氧基托品酮为原料,经卤代、水解、还原和N-去甲基化等反应合成包甲素(8)。经光谱测定证实8与天然包甲素的结构完全一致。合成品系外消旋体,其作用机理与天然品相同,而强度则减半。     

4p16.3 haplotype modifying age at onset of Huntington disease

Huntington disease (HD) is caused by an expanded CAG repeat sequence in the HD gene. Although the age at onset is correlated to the CAG repeat length, this correlation only explains approximately half of the variation in onset age. Less variation between siblings indicates that the variation is, in part, explained by genetic modifiers. We analyzed polymorphic loci within or close to the HD gene on the HD chromosome in Danish HD patients. We found one specific haplotype segregating with later age at onset, compared with patients with similar CAG repeat length and another haplotype. The nine Danish families in the study carrying this haplotype most likely have a common founder. Several of the polymorphic loci displayed alleles that may be specific to the late-onset haplotype, implicating that from this study we cannot determine which of the loci tested (or other polymorphic loci in this chromosomal area) do in fact contain genetic modifiers of age at onset.     

Effect of nitric oxide donors on extracellular ATP, ADP, and AMP catabolism in rat hippocampal synaptosomes

Extracellular adenine nucleotides acting as signaling molecules are inactivated by hydrolysis catalyzed by ectonucleotidases. Adenosine triphosphate (ATP) diphosphohydrolase (apyrase, EC 3.6.1.5) and 5'-nucleotidase (EC 3.1.3.5) are involved in an enzymatic chain for the hydrolysis of ATP to adenosine in the synaptic cleft. In this study, we investigated the in vitro effect of nitric oxide (NO) donors on extracellular ATP, adenosine diphosphate (ADP), and adenosine monophosphate (AMP) catabolism in hippocampal synaptosomes of rats. We evaluated the effect of the incubation time on ATP, ADP, and AMP hydrolysis in the absence and in the presence of 1 mM sodium nitroprusside (SNP). The inhibitory effect of SNP increased with the incubation time and the maximal inhibition was observed after 180 min for both enzyme activities. The inhibition observed attained a maximum at 1 mM SNP for ATP, ADP, and AMP hydrolysis, with the enzyme activities being markedly reduced at this concentration of SNP. However, other NO donors tested, such as S-nitroso-N-acetyl-penicillamine and isosorbide dinitrate, did not affect the enzyme activities. The effect of the NO donor, SNP, on extracellular ATP and ADP catabolism was increased by the addition of the thiol glutathione but this effect was not observed on extracellular AMP catabolism. The results suggest that the increased production of NO could have a modulatory role on the ectonucleotidase activities.     

Ulnar nerve injuries of the hand producing intrinsic muscle denervation on magnetic resonance imaging

Muscle and nerve injuries in the hand may be difficult to detect and diagnose clinically. Two cases are reported in which magnetic resonance imaging showed ulnar nerve injury and intrinsic hand muscle denervation. The clinical, anatomical and radiological features of injury to the deep motor branch of the ulnar nerve and associated muscle denervation are discussed and illustrated.