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排序方式: 共有256条查询结果,搜索用时 15 毫秒
1.
EVA ÅKERLÖF B. FREDRICSON O. GUSTAFSSON A. LUNDIN† N. O. LUNELL L. NYLUND L. ROSENBORG Å. POUSETTE 《International journal of andrology》1987,10(5):663-669
Two methods of separating human sperm were compared using twenty-two semen samples. The sperm were separated by a swim-up technique or by self-migration on a Percoll gradient followed by medium change. After separation, the sperm obtained were assessed for progressive motility, ATP content, energy charge index ([ATP + 0.5 ADP]/[ATP + ADP + AMP]) and morphology. In general, and especially for semen samples containing less than 20 X 10(6) sperm/ml, separation by Percoll gradient selected sperm that were superior to those separated by the swim-up technique. The relatively high energy charge index (greater than 0.8) showed that the sperm tolerated the separation conditions well. It is suggested that self-migration on a Percoll gradient should prove useful for obtaining sperm of high quality. 相似文献
2.
Survey of postoperative analgesia following ambulatory surgery 总被引:4,自引:0,他引:4
N. RAWAL J. HYLANDER R-A. NYDAHL I. OLOFSSON A. GUPTA 《Acta anaesthesiologica Scandinavica》1997,41(8):1017-1022
Background: The quality of pain relief during the first 48 hours following ambulatory surgery has been poorly documented. This questionnaire study was performed to evaluate the nature and severity of pain after the patient leaves the hospital. Methods: 1100 patients in the age group 5–88 years who underwent ambulatory surgery during a period of 6months were asked to complete a questionnaire 48 h after the end of the operation. In thecase of children, parents were asked to complete a similar questionnaire. The questions were related to pain experienced during the first 48 h after surgery and to the nature andseverity of postoperative complications. Results: A total of 1035 out of the 1100 patients returned the questionnaire, 94.1%. Overall the majority (65%) of patients had only mild pain at home; however, patients undergoing certain types of surgery had moderate-to-severe pain: inguinal hernia surgery (62% patients), orthopaedic surgery (41%), hand surgery (37%) and varicose vein surgery (36%). In these patients the severity of pain did not decrease during the 2-day study period. About 10% patients had more severe pain than they had anticipated, and 20% had difficulty in sleeping at night due to severe pain. Despite this, over 95% of patients were satisfied with man-agement of postoperative pain. Nausea (20%), tiredness (20%) and vomiting (8%) were the commonest complications reported during the first 48 h. A significant association was found between the administration of a general anaesthetic and the incidence of nausea postoperatively. A large number of patients were alone at home after the operation (28.4%); some (3.8%) had no access to a relative or friend in case of need. Conclusion: Our results show that about 35% of day-surgery patients experience moderate-to-severe pain at home in spite of analgesic medication. About 20% of patients had sleep problems due to severe pain. However, only 5% of patients were dissatisfied. Better analgesic techniques are necessary for patients undergoing certain types of surgery. Patient information and follow-up routines need to be improved. 相似文献
3.
AMADORI DINO; NANNI ORIANA; RICCI MIRANDA; FALCINI FABIO; DECARLI ADRIANO; PALLI DOMENICO; BUIATTI EVA 《European journal of public health》1995,5(3):209-214
The aim of the present study is to evaluate drawbacks and advantagesof the choice of hospital versus population controls in a casecontrol study on diet and cancer through the analysis of a retrospectivestudy on diet and gastric cancer (GC) conducted in Forli, Italy,involving 232 cases, 430 population controls and 252 hospitalizedcontrols. The present paper reports the comparison of resultson diet and GC risk obtained using the 2 types of controls.Population controls tended, in general, to eat all kinds offoods slightly more frequently (bread, pasta, cold cuts, freshfish, seasoned cheeses, legumes, garlic, onions and preservedfruits), with the exception of cooked vegetables, which werereported less frequently by population than by hospital controls.ORs for specific foods adjusted for confounders and other foodswere consistent in the separate models including populationand hospital controls respectively for all food groups, withthe exception of cooked vegetables which represented a protectivefactor only when hospital controls were considered (high consumers,population controls: adjusted, OR=0.9, trend p value 0.54; highconsumers, hospital controls, adjusted OR=0.5, trend p value<0.01). Hospital controls were slightly less often currentsmokers (22.6 versus 30.0%) and more often regular wine drinkers(57.5 versus 47.8%) compared with population controls, but noneof these variables was associated with GC risk. The main resultsin this study were consistent using both types of controls,nevertheless the distribution of some dietary variables notrelated to the disease under study differed between the 2 controlgroups, suggesting some caution in the use of hospital controlswhen studying diseases other than GC. 相似文献
4.
Choline is known to be important in many metabolic pathways; at this time, however, it is not considered an essential nutrient for human beings. Current evidence strongly suggests that choline is “conditionally essential,” particularly for patients receiving total parenteral nutrition (TPN). Studies in patients receiving long-term TPN have shown that low levels of plasma choline are common and can be associated with hepatic steatosis. Treatment of these patients with oral administration of choline improved plasma levels and decreased hepatic fat content; however, oral choline supplements are associated with poor compliance. More recently, investigators have evaluated intravenous administration of choline as a treatment for TPN-associated hepatic steatosis in patients with documented subnormal plasma free-choline levels. Initial results indicate that intravenous administration of choline may be an effective treatment for TPN-associated hepatic dysfunction. 相似文献
5.
PIETRZAK EVA R.; SHANLEY BRIAN C.; KROON PAULUS A. 《Alcohol and alcoholism (Oxford, Oxfordshire)》1995,30(3):373-378
Acetaldehyde, the major metabolite of ethanol, reacts with lysineand other free amino groups on proteins to form acetaldehyde-proteinadducts. The presence of antibodies which recognize such acetaldehyde-proteinadducts in sera from alcoholics has been attributed to an immuneresponse to such adducts. Complicating this conclusion is thefinding that sera from non-alcoholic control subjects also containantibodies which recognize acetaldehyde-protein adducts. Inthe current research we sought to determine whether antibodieswhich recognize epitopes formed by the reaction of a proteinwith acetaldehyde can be formed in response to a protein modifiedwith a structurally related protein adduct. We modified lysineresidues on apolipoprotein (apo) B-100 with acetaldehyde andformaldehyde under reducing conditions, to form -N-methyl-and-N-ethyl-lysine residues, and with acetic anhydride to form-N-acetyl-lysine residues, and made antibodies against thesemodified proteins in guinea-pigs. In ELISA assays antibodiesmade against methylated apoB-100 (Me-apoB) cross-reacted effectivelywith ethylated apoB-100 (Et-apoB), while antibodies made againstacetic anhydride-modified apoB-100 did not cross-react. We concludethat methyl-lysine shares one or more immunoreactive epitopeswith ethyl-lysine, and that antibodies which recognize acetaldehyde-modifiedproteins can be formed in response to formaldehyde-modifiedproteins. We demonstrate that sera from both alcoholics andnon-drinkers contain antibodies which recognize Me-apoB andEt-apoB and that the titres of these antibodies are comparable.These data raise the possibility that some human serum antibodieswhich recognize acetaldehyde-modified protein epitopes may havebeen made against formaldehyde-modified protein epitopes. Thesedata also illustrate the difficulty in assigning a unique causalrelationship between the presence of an antibody, and the immunogenresponsible for the formation of such antibody. 相似文献
6.
Using socio-economic differences in knowledge and attitudes to shape community alcohol programmes: experiences from the Kirseberg Project 总被引:1,自引:1,他引:0
GORANSSON MAGNUS; HANSON BERTIL S.; LINDBLADH EVA; OSTERGREN P.O. 《Health promotion international》1996,11(2):95-103
Community-based public health projects have become increasinglyimportant as a tool for health promotion. This approach hasbeen considered appropriate also in addressing socio-economicdifferences in health, although little is known about socio-economicdifferences in perception of health as a community issue. Ouraim was to study socio-economic differences in awareness andknowledge about the Kirseberg Project and in attitudes towardsthe concept of health as a local community issue. The KirsebergProject was initiated in 1988. The primary prevention aims areto reduce alcohol consumption in the population in order todecrease the incidence of alcohol-related problems. Kirsebergis an area with 10000 inhabitants in the north-eastern partof the city of Malmö (population 230000), Sweden. A sampleof 400 people in the area between the ages of 20 and 75 yearsof age was randomised from the population register and interviewedby telephone. Of the sample, 73.3% responded. Of the respondents,65.2% were aware of the project and 38.6% had knowledge aboutit. Socio-economic differences were found both regarding knowledgeand attitudes. Individuals in the high socio-economic status(SES)-group were better informed about the project than thelow SES-group, more often associated the project with the promotionof the community spirit, tended to give more positive answersto the questions about important local health issues, demonstratedhigher adherence to the social environment issues and were moreinterested in local health promotion activities. Our conclusionis that the socio-economic knowledge differences which werefound in the Kirseberg Project should be seen as shortcomingsin the health educational campaign rather than as a first stepin a determined social process. The issue of how the explicitnotions and the hidden agenda of a health promotion campaigncorrespond with central attitudes and values in different populationgroups in the target community must be carefully investigated. 相似文献
7.
8.
expression of EGFR was determined immunohistochemically in two groups of patients with glottic carcinoma, one that recurred after a full course of radiotherapy and one that did not. Using a 4-graded scale (-, +,++,+++) 80% (12/15) of the recurrent carcinomas had a staining intensity and proportion of stained cells of ++ or more. The same figure for non-recurrent carcinomas was 39% (7/18). The difference is statistically significant (chi-squared with Yates' correction, P &<5). The results indicate that an increased expression of EGFR may influence the rate of recurrence of glottic squamous cell carcinoma after radiotherapy. 相似文献
9.
INGEGERD MEJÀRE HANS-GÖRAN GRÖNDAHL KERSTIN CARLSTEDT ANN-CHRISTIN GREVER EVA OTTOSSON 《European journal of oral sciences》1985,93(2):178-184
In 63 teenagers the proximal surfaces of premolars to be extracted for orthodontic reasons and the adjacent surfaces of neighboring teeth, 598 surfaces in all, were examined radiographically and by probing. Direct inspection after extraction revealed that 51% of the surfaces had incipient carious lesions and 5% lesions with cavities. Of the surfaces with cavities 82.1% were correctly diagnosed radiographically if any radiolucency, regardless of its extent, was used as a diagnostic criterion. However, this yielded a false positive rate of 19.6%. If only radioluccncies extending at least into the inner third of the enamel were called positive the true positive rate was 36.7% and the associated false positive rate 1.6%. At a 5% cavity frequency the predictive positive values were 17% and 53%, respectively. Probing yielded a true positive rate of about 29% and a false positive rate of 1.1% with a predictive positive value of 50-57%. All radiolucencies extending into the dentin were associated with cavities. When the most liberal radiographic criterion was used 37.5% of all carious lesions, whether associated with a cavity or not, were detected and 3.8% of sound surfaces were falsely called carious. The corresponding predictive positive value at the actual rate of incipient lesions and lesions with cavities was 92.6%. 相似文献
10.
EVA LINDSTEDT 《Child: care, health and development》1979,5(6):409-412
Defects of the neuromotor system of the eye found to occur in 80% of 70 visually impaired children. The influence of such defects on the developing visual acuity is discussed. Early and intensified treatment is suggested to minimize negative effects and promote visual development. 相似文献