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目的 评价IA和MA方案在治疗急性髓系白血病(AML)中的临床价值。方法 用t检验和卡方检验比较两组治疗方案的疗效及不良反应。结果 ①IA和MA方案的完全缓解 (CR)率分别为84.2 %和61.9 %,有显著性差异 (p<0.05) ;②两组方案治疗早期死亡率分别为7.9 %和9.5 %,无显著性差异 ( p>0.05) ;③IA方案达CR平均疗程为1.2较MA方案1.5疗程短 ;④两组方案治疗后不良反应有所差异 ,但均可耐受。结论 在AML治疗中 ,IA方案优于MA方案 ,值得临床选用。 相似文献
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Background
Transplant societies continue to actively concentrate on increasing rates of living kidney donation (LKD) to bridge the gap between individuals awaiting transplantation and the number of kidneys available. A widely discussed strategy to increase living donation rates is the provision of incentives and removal of disincentives. Though opinions of the public regarding this strategy have been studied, the opinions of health care providers, including younger professionals, are less clear. We studied the opinions of medical students and other health care providers on strategies to increase LKD to determine if opinions were different among those <?25 or ≥?25 years of age.Methods
A simple cross-sectional survey was conducted at an academic medical center. Participants included medical students and employees in Internal Medicine, General Surgery, and the Organ Transplantation Center. Pearson's χ2 and Fisher's exact test were conducted on the responses regarding disincentives and incentives to determine whether opinions differed based on age.Results
Six hundred and twenty-four participants completed the survey. There was no statistical difference in opinions between groups on reimbursing transportation costs, loss of wages, or childcare costs, but those aged ≥?25 were more agreeable with covering food/lodging costs compared to those <?25 (96.5% vs 90.7%, P = .009). Respondents <?25 years old were more willing to donate a kidney for a financial incentive (P = .0002) accepting a median amount of $25,000.Conclusions
Health care personnel broadly support removing financial disincentives for living kidney donation, and those ≥?25 were more in favor of covering food/lodging costs compared to those <?25. Those <?25 years old were more likely to accept financial incentives towards donating their kidney compared to those ≥?25 years. 相似文献44.
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Deye Yang Dandan LaiXiaoyan Huang Xiangxiang ShiZhan Gao Fang HuangXi Zhou Yong-Jian Geng 《International journal of cardiology》2012,154(1):43-51
Backgroud
Cardiac-specific deletion of ALK3 is lethal in mid-gestation with ventricular septum malformations (VSM). This study was designed to define the Pax-8's role in heart development and cardiomyocyte apoptosis.Methods
Pathologic changes in the hearts of Pax-8 or ALK3 knockout and wild type control mice were determined by light and electron microscopy. Analysis of cardiomyocyte apoptosis was performed by TUNEL. The effect of Pax-8 gene deficiency on caspase-3 activity was examined after transfecting Pax-8 siRNA into cultured myoblast cell line.Results
Mice with ALK3 or Pax-8 gene knockout but not wild type control animals showed the development of VSM. Increased cardiomyocyte apoptosis was found in homozygotes. Echocardiography showed that Pax-8 homozygote mice developed malfunction of the heart. Furthermore, the caspase-3 activity was significantly higher in the cells treated with Pax-8 siRNA as compared to those treated with negative control siRNA in H9C2 (2-1) cell line.Conclusions
The Pax-8 gene may play a crucial role in heart development and regulating cardiocyte apoptosis. Knockout of Pax-8 may exert a similar effect on myocardial morphology and apoptosis as those seen in ALK3 knockouts. Furthermore, the ventricular septum malformations could be partially attributed to accelerated cardiomyocyte apoptosis. 相似文献50.
免疫吸附治疗在肾移植致敏受者中的应用 总被引:2,自引:0,他引:2
目的:探讨蛋白A免疫吸附(immunoads Orption,IA)治疗对清除肾移植致敏受者体内特异性抗HLA抗体的疗效和安全性。方法:10例肾移植致敏(PRA〉50%)受者用彤新蛋白A免疫吸附柱行IA治疗,测定治疗前后血免疫球蛋白及PRA水平。结果:10例患者IA治疗次数为4~15次(中位数9)。所有患者IA治疗后血清总IgG水平都明显下降(P〈0.001),IgA和IgM也较治疗前显著降低(P〈0.01)。PRA8例转阴,1例〈30%,1例仍为100%。结论:对于肾移植致敏受者,IA是一种特异性高、安全有效的治疗措施。 相似文献