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91.
Biochemical markers of bone turnover in seronegative spondylarthropathy: relationship to disease activity 总被引:1,自引:0,他引:1
MacDonald AG; Birkinshaw G; Durham B; Bucknall RC; Fraser WD 《Rheumatology (Oxford, England)》1997,36(1):50-53
To investigate bone turnover in patients with seronegative
spondylarthropathy, a bone formation marker, type 1 procollagen carboxy-
terminal propeptide (P1CP), and resorption markers, the pyridinium
cross-links of collagen [urinary free (f) PYR and DPYR], were measured. The
median f-PYR, f-DPYR and P1CP (+/-interquartile range) were 15.8 (6.00)
nmol/mmol creatinine, 3.8 (2.2) nmol/mmol creatinine and 101.5 (38)
micrograms/1, respectively. There was a positive correlation between
resorption markers and acute-phase reactants such as C-reactive protein (r
= 0.42 for PYR, r = 0.42 for DPYR, P < 0.05), and a negative correlation
observed between P1CP and the erythrocyte sedimentation rate (r = -0.64, P
< 0.05). In the subgroup of patients with an elevated CRP concentration,
the concentration of PYR and DPYR was significantly increased (f-PYR 25.7
vs 15.8 and f-DPYR 6.6 vs 3.8, P < 0.01 for f-PYR, P < 0.05 for
f-DPYR). This study suggests than an elevation in acute-phase response in
patients with seronegative spondylarthropathy is associated with increased
concentration of bone resorption markers with a tendency for reduction in
bone formation markers. This may represent uncoupling of bone formation and
resorption, leading to bone loss in such patients.
相似文献
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The Kheda project experience has shown that bio-environmentalcontrol of malaria is feasible, cost effective and ecologicallysound. It clearly brings out the need to consider health issuesat the planning stage of all developments. Bio-environmentalcontrol of malaria is suggested as the first line of attackfor the control of mosquitoes, malaria and other mosquito-bornediseases. Insecticides may be reserved for short-term use. Thiswill enable judicious and selective use of insecticides in solelyepidemic situations. The growing problem of resistance to insecticidesin mosquitoes as well as environmental pollution, can then besolved on a long term basis. 相似文献
94.
Wang KY; Kimmey MB; Nyberg DA; Mack LA; Haggitt RC; Shuman WP; Franklin DW; Silverstein FE 《Radiology》1987,165(3):827-829
Six normal and 16 neoplastic colorectal specimens were examined with 8.5-MHz ultrasound (US). An articulated system facilitated precise spatial correlation between US and histologic sections. Images were blindly interpreted and then compared with histologic results. All six normal specimen showed five distinct echo layers and were distinguished from neoplastic specimens by all the observers. The central echogenic layer, corresponding to the submucosa, is useful in determining the depth of origin of a neoplasm and the presence of submucosal invasion. US had an accuracy of 92.5% in demonstrating invasion of the submucosa and 77% for invasion of the muscularis externa. For mucosal neoplasms with invasion through the muscularis externa and extension into the subserosal tissues, nearly 90% of US interpretations were correct. High-frequency US may be useful in determining the depth of invasion of mucosal tumors with respect to the submucosa and in differentiating mucosal from extramural masses. 相似文献
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Acute renal rejection versus acute tubular necrosis in a canine model: MR evaluation 总被引:1,自引:0,他引:1
Findings of magnetic resonance (MR) imaging in acute renal rejection and acute tubular necrosis (ATN) were studied in dogs. On T1-weighted images, corticomedullary differentiation was absent in kidneys undergoing acute rejection. The loss of corticomedullary differentiation in these kidneys was secondary to a decrease in the relative signal intensity of the cortex, indicating prolongation of the T1 relaxation time of the cortex. In contrast, corticomedullary differentiation was preserved on T1-weighted images of autotransplanted kidneys and kidneys with ATN. MR imaging findings correlated with changes in water content in these three groups of kidneys. Kidneys undergoing acute rejection showed a marked increase in water content compared with kidneys in the other two groups. No change in fat content was found in any group. 相似文献
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Is ownership more important than the scientific credibility of audit protocols? A survey of medical audit advisory groups 总被引:1,自引:0,他引:1
BACKGROUND: It is commonly accepted that ownership is an important factor
in determining the acceptability and use of protocols or guidelines.
OBJECTIVES: We aimed to determine whether Medical Audit Advisory Groups
(MAAGs) are prepared to accept and use audit protocols developed
systematically by an external agency. METHOD: A postal questionnaire was
sent to all 105 MAAG chairmen in England and Wales to seek their views on
the external development of protocols, the inclusion of evidence-based
prioritized criteria, the general design of the protocols issued by the
Lilly Audit Centre and the numbers of practices reported by MAAGs as making
use of at least one of the first four protocols issued. RESULTS:
Ninety-five MAAGs (90%) responded. Of these, 86% were in favour of the
external development of protocols, and 98% and 94%, respectively, found
evidence-based and prioritized criteria valuable; 98% felt the overall
design and content of the Audit Centre protocols were excellent or good. A
total of 1018 practices was known to have made use of one of these
protocols, 261 taking part in multi-practice audits organized by their
MAAGs. CONCLUSION: Ownership is not necessarily more important than
scientific credibility and/or perceived utility. Externally developed audit
protocols containing evidence-based, prioritized review criteria are
acceptable to MAAGs, which are prepared to recommend their use in practice.
Accordingly, such systematically developed protocols offer a promising and
practical method for improving clinical effectiveness. Further research is
needed, however, to determine the comparative impact on standards of care
of protocols and other methods such as clinical guidelines.
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