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Leif Ivar Havelin Nils Roar Gjerdet Ole Dankert Lunde Milan Rait Einar Sudmann 《Acta orthopaedica》1986,57(5):419-422
The wear was examined in 39 Christiansen total hip prostheses, which were removed because of mechanical loosening after being used 5 (3-11) years. In the polyacetal acetabular cups, the head had made an eccentric defect, the mean volume of which was 680 (180-3310) mm3. The mean penetration of the head into the wall of the cup was 0.8 (0.1-3.2) mm. In two additional cups the head had penetrated right through the wall of the cup. In three prostheses the polyacetal sleeve of the trunnion was so worn that the head bore directly on the stem. There was a positive correlation between wear and the time the prostheses had been used before symptoms of loosening presented. 相似文献
3.
H Schroeder C R Pinkerton R L Powles S T Meller D Tait S Milan T J McElwain 《Bone marrow transplantation》1991,7(1):11-15
High dose melphalan (HDM 110-140 mg/m2) and total body irradiation (TBI, 10.5 Gy, single fraction) followed by infusion of autologous bone marrow (ABMT) was evaluated for toxicity and efficacy in 24 children with acute lymphoblastic leukaemia (ALL) in second (CR2) or third remission (CR3). Marrow was purged with Campath 1 in six children (four were children in CR3). All children had engraftment with a median of 30 days (range 18-70 days) to neutrophil count greater than 0.5 x 10(9)/l. Four children (16%) died from toxicity 1-4 months after autograft, two from pneumonitis, one from an intracerebral haemorrhage and one from sepsis. Apart from fever and mucositis the procedure was well tolerated. Nine of 17 children treated in CR2 remain in complete remission 6-72 months after ABMT (median 25 months). Seven of these have a follow-up of greater than 12 months. Three of the seven children treated in CR3 are alive 17, 22 and 29 months post ABMT. Seven children relapsed within 10 months (median 4 months) of the autograft. Only one relapse has occurred beyond 10 months. HDM and TBI followed by ABMT is a relatively well tolerated regimen and may contribute to survival in children with relapsed ALL. 相似文献
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Daniel Jirák Jan Kríz Vít Herynek Benita Andersson Peter Girman Martin Burian Frantisek Saudek Milan Hájek 《Magnetic resonance in medicine》2004,52(6):1228-1233
A promising treatment method for type 1 diabetes mellitus is transplantation of pancreatic islets containing beta-cells. The aim of this study was to develop an MR technique to monitor the distribution and fate of transplanted pancreatic islets in an animal model. Twenty-five hundred purified and magnetically labeled islets were transplanted through the portal vein into the liver of experimental rats. The animals were scanned using a MR 4.7-T scanner. The labeled pancreatic islets were clearly visualized in the liver in both diabetic and healthy rats as hypointense areas on T2*-weighted MR images during the entire measurement period. Transmission electron microscopy confirmed the presence of iron-oxide nanoparticles inside the cells of the pancreatic islets. A significant decrease in blood glucose levels in diabetic rats was observed; normal glycemia was reached 1 week after transplantation. This study, therefore, represents a promising step toward possible clinical application in human medicine. 相似文献
6.
Michael C Graves Milan Fiala Lu Anne V Dinglasan Nancy Q Liu James Sayre Francesco Chiappelli Cees van Kooten Harry V Vinters 《Amyotrophic lateral sclerosis and other motor neuron disorders》2004,5(4):213-219
Recent studies have shown inflammatory markers in affected neural tissues of amyotrophic lateral sclerosis (ALS) patients. We examined immunocytochemically spinal cord tissues of six patients with ALS, two with corticospinal tract degeneration secondary to cerebral infarcts and three control subjects without neuropathologic abnormalities. ALS spinal cords had dense macrophage infiltration (one log greater than control spinal cords) involving the white and gray matter, with heaviest infiltration of lateral and ventral columns and, in one patient, prefrontal gyrus and the occipital lobes of the brain. Macrophages in ALS spinal cord showed strong expression of cyclooxygenase-2 (COX-2) (one log greater than control tissues) and inducible nitric oxide synthase. In the gray matter, macrophages surrounded and appeared to phagocytize neurons (NeuN-positive) that appeared to be dying. Vessels showed damage to the tight junction protein ZO-1 in relation to perivascular CD40 receptor-positive macrophages and CD40 ligand-positive T lymphocytes. ALS spinal cords, but not control cords, were sparsely infiltrated with mast cells. In control cases with corticospinal tract degeneration following hemispheric cerebral infarction, macrophage infiltration of the white matter was COX-2-negative and restricted to lateral and anterior corticospinal tracts. Our data suggest that inflammation in ALS spinal cord and cortex is based on innate immune responses by macrophages and mast cells and adaptive immune responses by T cells. 相似文献
7.
Multiple myeloma: epidemiological features in a well-defined population in Burgundy, France 总被引:1,自引:0,他引:1
P M Carli F Bailly C Tavernier C Milan D Heudes J F Lavault 《International journal of epidemiology》1989,18(2):330-333
Epidemiological features of multiple myeloma were studied over a seven-year period (1980-86) in the department of C?te d'Or (population 478,000). The crude annual incidence rates were 3.7/100,000 for males and 4.0/100,000 for females. The corresponding age-standardized rates were 2.5 and 2.1. The sex ratio was 1.2. Cumulative rates were 0.3% for both sexes. Age and specific incidence were low before 50 and increased with advancing age up to 85 years in males and females. There was no significant variation in incidence over the seven-year period. The risk of multiple myeloma was slightly higher in urban than in rural areas (the variations were not significant). The period between the beginning of the symptoms and the diagnosis was often short, less than one month in 56% of the cases. When compared to other population based registries the incidence rates are similar to those reported all over the world (except for registries with a high proportion of blacks in the population). Cases have been staged according to Durie and Salmon classification: 32% of the cases were classified as Stage I. This result suggests that globally cases diagnosed in a well-defined population are less severe than those reported in hospital statistics. Survival showed significant differences: there were better rates for patients under 75 and for patients at stage I and II compared with stage III patients. Percentage and morphology of plasma cells also influenced prognosis. 相似文献
8.
Limb reduction defects in Emilia Romagna, Italy: epidemiological and genetic study in 173,109 consecutive births. 总被引:1,自引:1,他引:1 下载免费PDF全文
E Calzolari D Manservigi G P Garani G Cocchi C Magnani M Milan 《Journal of medical genetics》1990,27(6):353-357
Epidemiological and genetic variables in limb reduction defects (LRD) were analysed during the years 1978 to 1987 in a case control study in Emilia Romagna, northern Italy. During the observation period, 83 neonates out of 173,109 consecutive births had LRD (4.8 per 10,000). Cases were divided into five subgroups: transverse, intercalary, longitudinal, split, and multiple types of LRD. Of all cases, 64% were upper limb, 21% lower limb, and 15% both. Coexisting non-limb malformations were found in 10 cases (12%), five with recognised syndromes and five with other associated defects. About 7.2% of first degree relatives had defects involving the skeletal system. In two cases the mother had the same type of LRD (a split). No recurrence among sibs was observed. Risk factors correlated with LRD were found to be low birth weight (2500 g or less), vaginal bleeding, and threatened abortion. 相似文献
9.
For human IVF, the patient's ovaries are hormonally stimulated to ensure the collection of fully matured oocytes that are at the metaphase II stage. Only these oocytes can be successfully fertilized either when mixed with sperm or after ICSI. Nevertheless, in some cases immature or maturing oocytes are recovered from follicles. Surprisingly, sometimes these oocytes do not complete maturation when cultured in vitro, for unknown reasons. In this article we discuss some possible mechanisms that may be responsible for those atypical arrests. 相似文献
10.
Milan Roth 《Surgical and radiologic anatomy : SRA》1982,4(3):211-225
Summary A unifying concept of gross skeletal (neurocranial, neurospinal and appendicular) morphogenesis is proposed. It is based on a close developmental relationship of bone and the nervous tissue, most evident in the neurocranium. The neurospinal developmental interrelationship is modified by the neurovertebral growth differential, which appears to influence the development of spinal curvatures and the gross morphological features of the individual vertebrae. Disproportion in osteoneural growth, as a general biological phenomenon, would be expected to affect the development of the appendicular skeleton. The gross shape of the long bones (physiological curvature and epimetaphyseal widening/modelling) appear to result from a buildup of rapidly forming skeletogenic material adjacent to slower growing nervous trunks, as is the case with the enchondrally developing vertebral body.Pathological accentuation of vertebro-osteoneural growth disproportion, brought about mainly by inhibition of the vulnerable neural growth, will result in abnormal gross features of the skeleton, i.e., pathological curvatures, terminal or general thickening and shortening of bones, or dislocation of joints. Experimental and clinical deformities, such as idiopathic scoliosis, achondroplastic conditions, congenital dislocation of the hip joint, and some other bone dysplasias confined in their onset and progression to the growth period of life, seem to be related to the suggested mechanism. For the above-mentioned skeletal disorders the term osteoneural growth pathology is proposed.
Le rôle de la croissance relative ostéo-neurale dans la morphogénèse du squelette. Une hypothèse
Résumé On propose une conception unitaire de la morphogénèse normale et pathologique du squelette axial et appendiculaire, à partir des relations les plus étroites existant entre la croissance des systèmes osseux et nerveux; la région neurocraniale en est la manifestation la plus expressive. La disproportion de croissance neuro-vertébrale en longueur exerce une influence décisive sur l'installation des courbures vértébrales physiologiques et sur les caractères morphologiques de chacune des vertèbres, aussi bien dans les dimensions des corps vértébraux que la forme du trou vertébral et des trous de conjugaison. Evoquant un phénomène biologique général, la disproportion de croissance ostéo-neurale agit de même sur le développement du squelette des membres. La forme, c'est-à-dire leurs courbures physiologiques et le modelage de la région épi-métaphysaire peuvent aussi être rattachés à un phénomène d'amassement de tissus osseux proliférant plus rapidement le long des troncs nerveux périphériques.L'accentuation pathologique de la disproportion de croissance ostéo-neurale, du fait principalement de l'inhibition de la croissance des structures nerveuses peut aboutir à des modifications des parties correspondantes du squelette avec effets de raccourcissement, de courbures pathologiques, d'élargissement partiel ou total et éventuellement, de dislocation articulaire. La conception proposée s'appuie sur des observations expérimentales de croissance ostéo-neurale chez des embryons d'oiseaux et d'amphibiens. On peut expliquer certaines déformations du squelette expérimentales ou cliniques comme la scoliose idiopathique, l'achondroplasie et la dysplasie congénitale de hanche par un même mécanisme d'adaptation des os en croissance à des troubles du développement des structures nerveuses avoisinantes. Une dénomination commune est proposée pour ces troubles de la croissance: pathologie de la croissance relative ostéo-neurale.相似文献