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41.
在新疆石河子市远郊缺碘地甲病区7~17岁儿童中取样,检测智力、精神运动功能、身高、体重和骨龄,发现精神运动发育障碍和骨龄落后的程度及发生频度明显高于非病区;而智力落后和体格发育落后两区无显著差异。根据这一发现认为在“亚地克病”诊断中,“精神运动发育测验”较“比内测验”更具有特异性和敏感性;建议在“出生、居住于缺碘地甲病区”前提下,将精神运动发育障碍和智力落后并列为主要条件。另根据地克病的分型原则,提出“亚地克病”的分型标准。 相似文献
42.
Tadashi Teshirogi M.D. Hiroeki Hosoi M.D. Yukashi Ohki M.D. Toshio Kagoshima M.D. 《Pediatrics international》1987,29(3):335-339
Residual pancreatic B-cell function was investigated in children with diabetes mellitus in whom classification of the type of disease was difficult at the first visit. Intravenous glucagon tests were performed at the first visit and subsequently, the C-peptide responses compared. Based on our data on a limited number of patients, we propose C-peptide concentrations of 3.0 to 3.5 ng/ml at the peak or at 6 min after injection of glucagon, as the critical level which distinguishes non-insulin dependent from insulin-dependent diabetes mellitus. However, the degree of obesity, clinical stage and other factors also need to be considered in the classification of diabetes mellitus. 相似文献
43.
用头孢西丁三相试验检测大肠埃希菌及肺炎克雷伯菌的质粒AmpC酶 总被引:1,自引:0,他引:1
目的:检测质粒介导的持续高产AmpC酶在大肠埃希菌及肺炎克雷伯菌中的携带率,为临床治疗提供指导。方法:采用头孢西丁纸片药敏试验(K-B法)作AmpC酶的初筛试验,头孢西丁三相试验间接法作AmpC酶的确证试验。结果:在检测的86株菌中,有9株菌K-B法初筛结果为阳性。在这9株菌中经头孢西丁三相试验确证有5株产AmpC酶,阳性率为5.8%。其中大肠埃希菌3株,肺炎克雷伯菌2株。结论:头孢西丁K-B法筛选试验结合头孢西丁三相试验可准确检出质粒介导的AmpC酶,可用于临床常规检测。 相似文献
44.
目的:评价变应性哮喘患儿血清嗜酸性粒细胞阳离子蛋白(S-ECP)水平改变及其意义。方法:测定25例哮喘发作期患儿糖皮质激素吸入治疗12周前后,及20例未予糖皮质激素吸入治疗的哮喘缓解期患儿S-ECP水平,并对发作期患儿S-ECP水平变化与血嗜酸性粒细胞计数(B-EOS)、肺功能一秒用力呼气量(FEV1)、一秒用力呼气量比用力肺活量(FEV1/FVC)及症状评分的关系作相关性分析。结果:哮喘发作组治疗后S-ECP水平较治疗前显著降低,与对照组(健康儿童10名)比较差异无显著性;哮喘缓解组S-ECP水平明显高于发作组治疗后,但明显低于发作组治疗前。哮喘发作组治疗前S-ECP水平变化与B-EOS无相关性,与FEV1、FEV1/FVC呈负相关,与症状评分呈正相关。结论:监测S-ECP水平可作为评价哮喘气道炎症程度、病情预后和指导抗炎治疗的有效指标。 相似文献
45.
目的分析各种因素对手工凝聚胺试验的影响;方法应用手工凝聚胺(manual polgbrene test,MPT)做交叉配血及抗体筛选试验;结果血液标本、操作手法、凝聚胺试剂、药物(肝素、止血敏、高浓度KCl等)等对试验均有影响;其中以药物、操作手法影响较大,可致假阴性和假阳性结果;结论手工凝聚胺试验做交叉配血及抗体筛选时应注意排除药物和操作手法对试验结果的影响。 相似文献
46.
Y. Graif A. Goldberg R. Tamir D. Vigiser S. Melamed 《Clinical and experimental allergy》2006,36(12):1532-1537
BACKGROUND: In allergic conditions, the degree of skin test reactivity does not always correlate with the severity of clinical symptoms. Additional factors may contribute to the reported symptom severity. OBJECTIVES: To investigate the association between the magnitude of the skin prick test (SPT) response and the reported symptom severity in patients with allergic rhinitis and the possible modifying role of psychological factors. METHODS: One hundred four patients with allergic rhinitis and 23 with non-allergic rhinitis, classified according to their SPT response to 19 aeroallergens, were asked to rate the severity of five symptoms and to indicate whether their symptoms intensified on exposure to five common aeroallergens. They also completed a psychological questionnaire. Results Reported symptom severity of allergic rhinitis did not correlate with weal size for any of the aeroallergens tested or with the number of positive responses on SPT. It was not related to patient age, sex, or education. The reported symptoms severity correlated positively (0.29, P < 0.01) with reported symptom intensification on exposure to allergens. Moreover, both outcomes were positively associated with the psychological factors of hypochondriasis (0.20, P < 0.05 and 0.18, P < 0.05, respectively), and somatic awareness (0.24, P < 0.05 and 0.33, P < 0.01, respectively), but not with neuroticism. CONCLUSIONS: The severity of symptoms experienced by patients with allergic rhinitis is apparently not related to the magnitude of SPT response, but rather to psychological factors of hypochondriasis and somatic awareness. Physicians should be aware of the contribution of psychological factors to patient perceptions of the intensity of symptoms and of the intensification of symptoms on their exposure to allergens. 相似文献
47.
L.A. Fischer T. Menné C. Avnstorp G.B. Kasting† J.D. Johansen† 《The British journal of dermatology》2009,161(3):560-567
Background Hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC) is a synthetic fragrance ingredient. Case reports of allergy to HICC appeared in the 1980s, and HICC has recently been included in the European baseline series. Human elicitation dose–response studies performed with different allergens have shown a significant relationship between the patch-test threshold and the repeated open application test (ROAT) threshold, which mimics some real-life exposure situations. Fragrance ingredients are special as significant amounts of allergen may evaporate from the skin.
Objectives The study aimed to investigate the relationship between elicitation threshold doses at the patch test and the ROAT, using HICC as the allergen. The expected evaporation rate was calculated.
Materials and methods Seventeen HICC-allergic persons were tested with a dilution series of HICC in a patch test and a ROAT (duration up to 21 days). Seventeen persons with no HICC allergy were included as control group for the ROAT.
Results The response frequency to the ROAT (in μg HICC cm−2 per application) was significantly higher than the response frequency to the patch test at one of the tested doses. Furthermore the response rate to the accumulated ROAT dose was significantly lower at half of the doses compared with the patch test. The evaporation rate of HICC was calculated to be 72% over a 24-h period.
Conclusions The ROAT threshold in dose per area per application is lower than the patch test threshold; furthermore the accumulated ROAT threshold is higher than the patch test threshold, which can probably be explained by the evaporation of HICC from the skin in the open test. 相似文献
Objectives The study aimed to investigate the relationship between elicitation threshold doses at the patch test and the ROAT, using HICC as the allergen. The expected evaporation rate was calculated.
Materials and methods Seventeen HICC-allergic persons were tested with a dilution series of HICC in a patch test and a ROAT (duration up to 21 days). Seventeen persons with no HICC allergy were included as control group for the ROAT.
Results The response frequency to the ROAT (in μg HICC cm
Conclusions The ROAT threshold in dose per area per application is lower than the patch test threshold; furthermore the accumulated ROAT threshold is higher than the patch test threshold, which can probably be explained by the evaporation of HICC from the skin in the open test. 相似文献
48.
J. de Rotrou L. Battal-Merlet E. Wenisch C. Chausson E. Bizet F. Dray H. Lenoir A.-S. Rigaud O. Hanon 《European journal of neurology》2007,14(2):144-149
Within the context of early diagnosis of Alzheimer's disease (AD), there is a growing interest in neuropsychological screening tests. Amongst these tests, we focused on the largely used Memory Impairment Screen (MIS). The objective of the present work was to show that adding a 10-min delayed recall to the MIS, improves the test psychometric characteristics in order to detect dementia in the earliest stages. A prospective study was carried out on a cohort of 270 consecutive elderly ambulatory subjects attending the Broca Hospital Memory Clinic: normal controls ( n = 67), mild cognitive impairment subjects ( n = 98) and mildly demented patients [ n = 105, Mini Mental State Examination (MMSE) = 23 ± 4]. This study consisted in testing the advantage of the 10-min delayed recall entitled MIS-D compared with the MIS. At a cut-off score of 6, the MIS-D revealed satisfying psychometric characteristics with a sensitivity of 81% and a specificity of 91%, whilst the MIS alone indicated a sensitivity of 60% and a specificity of 88% in detecting dementia. In demented patients with MMSE score ≥26, MIS-D properties still remained satisfying (sensitivity: 75%, specificity: 92%). MIS-D is a more relevant screening test than MIS alone at very early stages of dementia. 相似文献
49.
根据微动滑移振幅具有小位移的特点,设计制作了一种弓形传感装置,该装置能把小幅位移信号转换为电信号,并通过示波器实时显示出来,用这种测试装置来测量滑移式微动振幅具有测试方法简单而测试精度较高的优点。 相似文献
50.
平板运动试验阴性患者最大ST/HR斜率对冠心病的诊断价值 总被引:3,自引:1,他引:2
目的探讨平板运动试验阴性患者最大ST/HR斜率对冠心病的诊断价值.方法选择122例平板运动试验阴性而临床有明显冠心病指征的患者进行冠状动脉造影,测定其最大ST/HR斜率.结果平板运动试验阴性患者最大ST/HR斜率诊断冠心病的敏感性为68.2%,特异性为80.8%,准确性为76.2%;运动峰值心率<预计最大心率之85%组最大ST/HR斜率诊断冠心病的敏感性为92.8%,特异性为86.7%,准确性为89.7%,高于运动峰值心率≥预计最大心率之85%组.结论平板运动试验阴性患者最大ST/HR斜率对冠心病的临床诊断有较高的敏感性、特异性和准确性,尤其是对低运动水平的患者,对减少运动试验诊断的漏诊率具有重要意义. 相似文献