The effect of a levonorgestrel-releasing intrauterine device on human endometrial oestrogen and progesterone receptors after one year of use

Thirty-four women bearing a levonorgestrel-releasing intrauterine device, 20 micrograms/day (LNG-IUD-20), for 12-15 months were recruited. Endometrial biopsies were collected during the late proliferative phase of the cycle (on cycle days 10-12) before (control) and after the use of the IUD for 12 months, and assayed for oestrogen receptors (ER) and progesterone receptors (PR). An immunohistochemical technique with the peroxidase-antiperoxidase detection system (PAP method) was employed. D75 and JZB39 were the primary antibodies for ER and PR respectively. The immunostaining semiquantitative analysis was performed with a computerized microscope image processor, and expressed as 'grey value'. Both endometrial ER and PR populations were significantly lower after insertion of the IUD (P < 0.01) than in control biopsies. The intensity of nuclear staining and the percentage of positively stained cells for ER and PR in women with LNG-IUD were each about 50% of those in control biopsies. The results suggested that LNG released locally from the IUD has a depressive action on the ER and PR, which may contribute to the contraceptive effectiveness of this type of IUD and also to the possible causes of LNG-IUD-induced irregular bleeding and amenorrhoea.     

辐照猪皮在门诊Ⅱ度烧伤病人中的使用

对73例门诊Ⅱ度烧伤病人行清创后辐照猪皮一次性覆盖，不需任何其他附加治疗。结果表明，烧伤剖面平均愈合时间只需7天．治愈率达92％，愈合剖面光滑整洁。这一疗法，不仅减轻了因多次换药给病人带来恐惧、痛苦和经济负担，也减少了医生的工作负荷。我们认为：在基层医疗单位，用辐照猪皮覆盖Ⅱ度烧伤剖面是行之有效的治疗方法。     

抗家鼠型肾综合征出血热病毒单克隆抗体对感染乳鼠保护作用的初步研究

以家鼠型HFRS病毒R22株100LD_(50)感染2～4日龄乳鼠。于感染后0、48、96及120h分别经腹腔注射对该株病毒具有中和活性的单一McAb或混合McAb,同时设该病毒免疫血清、单注射该病毒和Sp2/0腹水3种对照,观察McAb对感染乳鼠的保护作用,观察时间为35d。结果在感染后96h内注射单一McAb、混合McAb及免疫鼠血清的保护率均可达100％,而Sp2/0腹水对照组与病毒对照组的乳鼠均在感染后第13～16d发病死亡。在死亡乳鼠的脑,肺组织中检出了HFRS病毒抗原,而在保护存活乳鼠的脑、肺组织中均未检出病毒抗原。McAb对感染乳鼠的保护率与其浓度相关。在感染后24h分别注射不稀释、10~(-1)、10~(-2)和10~(-3)稀释的混合McAb,其保护率依次为100％、88.7％、55.6％和16.7％。     

Role of actin microfilament in osmotic stretch-induced increase of voltage-operated calcium channel current in guinea-pig gastric myocytes

 Using the whole-cell patch clamp technique, the role of actin microfilament in hyposmotic increase of voltage-operated calcium channel current (I _Ba) was studied in guinea-pig gastric myocytes. Hyposmotic superfusate (212 mOsm) increased peak I _Ba amplitude by 32.7 ± 6.5%; when cytochalasin-D (Cyt-D, 20 μM), an actin cytoskeleton disruptor, was used, an increase of only 9.7 ± 3.1% was seen. I _Baresponse to osmotic stress was potentiated (45.1 ± 4.1% increase) by 20 μM phalloidin, an actin microfilament stabilizer. However, colchicine (100 μM), an microtubule cytoskeleton disruptor, had no effect on either I _Ba or its response to hyposmotic solution. Phalloidin also induced a rightward shift of the I/V relationship of I _Ba, while Cyt-D itself had no effect. These results suggest that actin cytoskeleton may mediate hyposmotic stretch-induced I _Ba increase in gastric smooth muscle. Received: 26 March 1997 / Received after revision: 28 May 1997 / Accepted: 3 June 1997     

不同禁水时间老龄大鼠下丘脑大细胞分泌神经元的免疫电镜观察

电镜观察了不同禁水时间老龄大鼠下丘脑视上核和室旁核分泌神经元，即加压素和催产素神经元及胶质细胞的超微结构变化，结果显示，禁水6与12h后，上述两核团中的分泌神经元胞体增大，胞质中粗面内质网（RER）排列紧密且规则，高尔基（Golgi)器的未成熟分泌颗粒及神经分泌颗粒增多，轴突内神经分泌颗粒少见，胶质细胞成份减少，突起回缩；相邻两神经元胞膜直接接触，质膜并列现象及突触增多，而在禁水24h后，神经元胞体内的神经分泌颗粒有减少，轴突中的神经分泌颗粒却增多并聚集成膨大区域，以上结果提示老龄大鼠视上核和室旁核的分泌神经元在禁水时其合成激素的功能是活跃的，而且催产素神经元的结构变化与加压素神经元结构变化是相似的，胶质细胞的结构变化为神经元质膜并列及突触的形式提供了有利条件。     

Germinal center and activated b-cell profiles separate Burkitt lymphoma and diffuse large B-cell lymphoma in AIDS and non-AIDS cases

Morphologic features of Burkitt lymphoma (BL) and diffuse large B-cell lymphoma (DLBCL) overlap. No single phenotypic marker or molecular abnormality is pathognomonic. We tested a panel of 8 germinal center (GC) and activated B-cell (ABC) markers for their ability to separate BL and DLBCL. We diagnosed 16 BL and 39 DLBCL cases from 21 patients with AIDS and 34 without AIDS based on traditional morphologic criteria, Ki-67 proliferative index, and c-myc rearrangement (fluorescence in situ hybridization). After immunohistochemically staining tissue microarrays of BL and DLBCL for markers of GC (bcl-6, CD10, cyclin H) and ABC (MUM1, CD138, PAK1, CD44, bcl-2), we scored each case for the percentage of positive cells. Hierarchical clustering yielded 2 major clusters significantly associated with morphologic diagnosis (P < .001). For comparison, we plotted the sum of the GC scores and ABC scores for each case as x and y data points. This revealed a high-GC/low-ABC group and a low-GC/high-ABC group that were associated significantly with morphologic diagnosis (P < .001). Protein expression of multiple GC and ABC markers can separate BL and DLBCL.     

Immune effector mechanism in parasitic infections

In this article is a summary of our recent findings on the role of nitric oxide (NO) as an effector mechanism against the intracellular parasite, Leishmania major. NO is produced in large amounts in murine macrophages following activation by IFNgamma synthesized by Th1 cells. NO production is inhibited by IL-4, a product of Th2 cells. A set of stable cell surface markers has now been identified. ST2L and IL-18R are selectively expressed on Th2 and Th1 cells respectively. Antibody against ST2L can down-regulate Th2 cells in the highly susceptible BALB/c mice leading to control of otherwise fatal L. major infection. These results show directly the critical role of the balance between Th1 and Th2 cells in cutaneous leishmaniasis.     

人类胚胎生殖细胞体外分化为心肌细胞的研究

胚胎生殖（EG）细胞是来源于胚胎原始生殖细胞（PGCs）的多潜能干细胞。采用无饲养层细胞、无细胞因子等的基础培养液（DMEM＋20％NBS＋0．1mM 2Me）培养EG细胞，部分在基础培养液添加10μmol／LRA＋0．75％DMSO或10μmol／L 5-氮胞苷（5-AZA）诱导人类EG细胞向心肌细胞分化，以检测其是否具有向心肌细胞自发分化的能力。9例（8．49％，9／106）胎儿EG细胞在体外分化得到20个节律性心脏跳动样细胞团，其搏动节律为20～120次／min，体外维持节律性搏动最短2d，最长至15d，呈PAS，Myoglobin，α-actin阳性；对K^＋、Ca^＋、肾上腺素等具有与在体心脏相似的反应性；透射电镜观察具有心肌细胞样结构。添加DMSO和RA或5-AZA诱导未得到跳动样心肌细胞，但可提高心肌α-actin免疫组织化学染色阳性率；表明人类胚胎生殖细胞具有向心肌细胞分化的潜能。     

私立学校初三学生考试成败归因特点研究

目的 研究私立学校初三学生考试成败的归因特点，为实际教育工作提供依据。方法 采用中小学生考试成败归因量表和自尊量表对236名学生进行了调查。结果 ①“失败”是影响学生进行考试结果归因的主要因素。②学生在归因时存在“自利性归因偏差”，并且有“习得性无助感”。结论 需对学生进行积极的归因训练。