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81.
Nesting behavior was found to differ for animals of five different inbred strains ofMus musculus reared in the same environment, indicating heritable differences in level of nesting byMus. For two separate crosses, hybrid animals built larger nests than did animals of the inbred parental strains. In addition, from data of one of the crosses and derived generations, a very low heritability of nesting but substantial dominance variance were found. This pattern of results is expected of characters which have been the target of natural selection. MaleMus were found to build larger nests than females of all groups tested. These findings suggest that nesting byMus musculus represents required thermoregulatory behavior.This research was supported by NSF grant GU 2591 and HEW grant NS 09536. 相似文献
82.
Medical terminologies are critical for automated healthcare systems. Some terminologies, such as the UMLS and SNOMED are comprehensive, whereas others specialize in limited domains (i.e., BIRADS) or are developed for specific applications. An important feature of a terminology is comprehensive coverage of relevant clinical terms and ease of use by users, which include computerized applications. We have developed a method for facilitating vocabulary development and maintenance that is based on utilization of natural language processing to mine large collections of clinical reports in order to obtain information on terminology as expressed by physicians. Once the reports are processed and the terms structured and collected into an XML representational schema, it is possible to determine information about terms, such as frequency of occurrence, compositionality, relations to other terms (such as modifiers), and correspondence to a controlled vocabulary. This paper describes the method and discusses how it can be used as a tool to help vocabulary builders navigate through the terms physicians use, visualize their relations to other terms via a flexible viewer, and determine their correspondence to a controlled vocabulary. 相似文献
83.
Evaluating a mental health assessment for older people with depressive symptoms in general practice: a randomised controlled trial. 总被引:1,自引:0,他引:1 下载免费PDF全文
Antony J Arthur Carol Jagger James Lindesay Ruth J Matthews 《The British journal of general practice》2002,52(476):202-207
BACKGROUND: There is a lack of evidence on the most effective primary care management of older people with minor depression. AIM: To evaluate a follow-up assessment by the community mental health team (CMHT) for older people with depressive symptoms identified by practice nurses at a health check for people over the age of 75 years. DESIGN OF STUDY: A pragmatic randomised controlled trial. SETTING: A single large general practice in Leicestershire. METHOD: Patients receiving a health check administered by a practice nurse and scoring 5 or more on the 15-item Geriatric Depression Scale (GDS15) were randomised to either follow-up by the CMHT or routine general practitioner (GP) care. The GDS15 score was measured at the subsequent health check 18 months later. RESULTS: Forty-seven patients were randomised to CMHT assessment and 46 to routine GP care. Uptake of the intervention was 72% (n = 34). At the follow-up health check a greater proportion of the control group had improved GDS15 scores (P = 0.08). Following assessment, the CMHT recommended their further involvement in the care of 12 patients and this was authorised by patients' GPs in six cases. CONCLUSIONS: A follow-up mental health assessment by a member of the local CMHT was not effective in improving outcomes for mildly depressed older people. Other than random error possible reasons for this include the length of follow-up and a failure to meet raised expectations among the intervention group. If complex referral procedures do not improve outcomes for this group, then specialist community services should play a more prominent part in the training of practice staff to care for their depressed older patients. 相似文献
84.
Donor inseminations (DI) have been performed for decades. Most of the publications on this topic deal only with problems of tolerance and acceptance of this treatment for sterility. We already reported on them in parts I and II. In the present third and last part, we discuss the indications for DI: male infertility, genetic disorders, and unsuccessful assisted reproduction therapy. Which conditions do affect the success of therapy? Which methods are recommended? Our treatment results verify realistically that in effect DI only produces the desired child in about 50 % of the couples. As a complementary therapy, in vitro fertilization (IVF) with donor spermatozoa offers a real chance for pregnancy even for women whose husbands are infertile and who themselves suffer from impaired fertility such as pathological conditions of the fallopian tube or when simple inseminations have not resulted in pregnancy. After receiving consent from the State Physicians’ Chamber, we treated 19 women by donor IVF in our group practice and fulfilled their desire to bear their own child. 相似文献
85.
Zonal distribution of glomerular collapse in renal allografts: possible role of vascular changes 总被引:5,自引:0,他引:5
Collapsing glomerulopathy (CG), an aggressive variant of focal segmental glomerular sclerosis, is a renal disease with severe proteinuria and rapidly progressive renal failure. The pathogenesis of CG is unknown. It strongly resembles human immunodeficiency virus (HIV)-associated nephropathy, but the patients are HIV negative. The characteristic glomerular lesion is capillary loop collapse with prominent podocytes filling Bowman's space. Interestingly, these glomerular changes are usually associated with severe tubulointerstitial injury, including tubular epithelial degenerative changes, microcystic dilation of several tubules, and interstitial inflammatory cell infiltrate. Recently, it became evident that the morphologic pattern of CG may appear not only in native kidneys, but also de novo in renal allografts, and that the pattern of CG in renal transplants is not always associated with severe proteinuria. Studies describing CG in renal allografts are all based on biopsies. We report 3 allograft nephrectomy specimens that showed a zonal distribution of the characteristic collapsing glomerular changes with associated tubulointerstitial injury. All 3 kidneys had obliterative vascular changes. One nephrectomy specimen had chronic obliterative transplant arteriopathy, 1 had acute vascular rejection, and 1 had thrombotic microangiopathy. None of the patients had severe proteinuria. Our cases suggest that the morphologic pattern of CG in renal allografts may not represent the same disease process as CG in native kidneys and provide further evidence that collapsing glomerular changes do not define the disease entity of CG, but rather represent a pattern of renal injury. Among other factors, hemodynamic disturbance may play a role in the development of the pattern of CG in renal allografts. 相似文献
86.
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88.
Carol O. Tacket Frances Hickman Gloria V. Pierce Luis F. Mendoza 《Journal of clinical microbiology》1982,16(5):991-992
We report the isolation in the United States of Vibrio fluvialis from the stools of a patient who had severe watery diarrhea without fever and who subsequently died. V. fluvialis, a known enteric pathogen in other parts of the world, should be suspected in patients with watery diarrhea, especially in coastal areas. 相似文献
89.
Infectious Bronchitis and Mixed Infections of Mycoplasma synoviae and Escherichia coli in Gnotobiotic Chickens I. Synergistic Role in the Airsacculitis Syndrome 下载免费PDF全文
The synergistic role of infectious bronchitis virus (IBV) and mixed infections of Mycoplasma synoviae (MS) and Escherichia coli (EC) in the airsacculitis syndrome was evaluated in gnotobiotic chickens. Relative air sac lesion score indexes, in descending order of severity, from various combinations of organisms were: 9.5—IBV, MS, EC; 6.8—IBV, EC; 4.5—IBV, MS; 2.7—IBV; and 0.5—MS, EC. Infectious bronchitis virus caused a mild fibrinous inflammation. M. synoviae combined with IBV increased heterophilic and follicular lymphoid infiltration and mortality. E. coli combined with IBV increased exudation and prolonged airsacculitis. Concentrations of fibrinogen, gamma globulin, and total plasma proteins were elevated significantly by combined infections of IBV, MS, and EC (P < 0.01). 相似文献
90.
Mcm1 regulates donor preference controlled by the recombination enhancer in Saccharomyces mating-type switching 下载免费PDF全文
Cherry Wu Kerstin Weiss Chen Yang Midori A. Harris Bik-Kwoon Tye Carol S. Newlon Robert T. Simpson James E. Haber 《Genes & development》1998,12(11):1726-1737
Switching of Saccharomyces mating type by replacement of sequences at the MAT locus involves a choice between two donors, HML and HMR. MATα cells inhibit recombination along the entire left arm of chromosome III, including HML, whereas MATa cells activate this same region. MATa-dependent activation of HML depends on a small, cis-acting DNA sequence designated the recombination enhancer (RE), located 17 kb centromere-proximal to HML. A comparison of RE sequences interchangeable between Saccharomyces cerevisiae and Saccharomyces carlsbergensis defines a minimum RE of 244 bp. RE activity is repressed in MATα cells by binding of the Matα2–Mcm1 corepressor to a site within the RE. Mutation of the two Matα2 binding sites removes most, but not all, of this repression, and RE chromatin structure in MATα cells becomes indistinguishable from that seen in MATa. Surprisingly, a 2-bp mutation in the Mcm1 binding site completely abolishes RE activity in MATa cells; moreover, RE chromatin structure in the MATa mutant becomes very similar to that seen in MATα cells with a normal RE, displaying highly ordered nucleosomes despite the absence of Matα2. Further, a mutation that alters the ability of Mcm1 to act with Matα2 in repressing a-specific genes also alters donor preference in either mating type. Thus, Mcm1 is critically responsible for the activation as well as the Matα2-Mcm1-mediated repression of RE activity. 相似文献