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1.
2.
H.-G. Machens P. Brenner H. Wienbergen N. Pallua P. Mailänder A. Berger 《Der Unfallchirurg》1997,100(9):711-714
Summary
Enchondroma are benign cartilaginous tumors and are localized most often at the site of the phalanges. Between 1982 and 1993
73 patients with monostotic enchondroma and 5 patients with polyostotic enchondroma were operated at our clinic. Clinical
signs of monostotic tumors were pathological fracture (38.4 %), pain or swelling. Eleven percent of cases were accidental
findings. Surgical treatment was performed by complete removal of the tumors and filling the bone cavity with autologous spongiosa
taken from the pelvic bones, the elbow, or the radius. Three patients (4.1 %) had to be operated a second time due to wound
infections and hematoma. In one case Sudeck's dystrophy was diagnosed. One patient (1.4 %) developed a recurrent tumor. Our
follow-up examination of 65 patients showed that 77 % of the patients with monostotic enchondroma achieve very good or good
functional long-term results after this operation, but only 40 % of the patients with polyostotic enchondroma.
相似文献
3.
Chloride channel blockers inhibit myogenic tone in rat cerebral arteries 总被引:20,自引:13,他引:7
Mark T. Nelson Mathew A. Conway Harm J. Knot Joseph E. Brayden 《The Journal of physiology》1997,502(2):259-264
4.
Transforming growth factor-beta1 increases CXCR4 expression, stromal-derived factor-1alpha-stimulated signalling and human immunodeficiency virus-1 entry in human monocyte-derived macrophages 总被引:3,自引:0,他引:3
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Chen S Tuttle DL Oshier JT Knot HJ Streit WJ Goodenow MM Harrison JK 《Immunology》2005,114(4):565-574
Stromal-derived factor-1 (SDF-1/CXCL12) and its receptor CXCR4 play crucial roles in leukocyte migration and activation, as well as embryogenesis, angiogenesis, cancer and viral pathogenesis. CXCR4 is one of the major human immunodeficiency virus-1 (HIV-1) coreceptors on macrophages. In many tissues macrophages are one of the predominant cell types infected by HIV-1 and act as a reservoir for persistent infection and viral dissemination. In patients infected by HIV-1, blood and tissue levels of transforming growth factor-beta1 (TGF-beta1) are increased. The purpose of this study was to evaluate the effects of TGF-beta1 on CXCR4 expression and function in primary human monocyte-derived macrophages (MDMs) and rat microglia. TGF-beta1 up-regulated CXCR4 and enhanced SDF-1alpha-stimulated ERK1,2 phosphorylation in these cells. The increased CXCR4 expression in human MDMs resulted in increased susceptibility of the cells to entry by dual-tropic CXCR4-using HIV-1 (D-X4). In contrast, TGF-beta1 failed to increase CCR5 expression or infection by a CCR5-using virus in MDMs. Our data demonstrate that TGF-beta1 enhances macrophage responsiveness to SDF-1alpha stimulation and susceptibility to HIV-1 by selectively increasing expression of CXCR4. The results suggest that increased expression of CXCR4 on macrophages may contribute to the emergence of dual-tropic X4 viral variants at later stages of HIV-1 infection. 相似文献
5.
David Tarrag Julio Casal Jesús Ruiz-Contreras J. Toms Ramos Pablo Rojo Harm Snippe Wouter T. M. Jansen 《Clinical and Vaccine Immunology : CVI》2005,12(1):165-170
We investigated antibody responses against pneumococci of serotypes 6B, 14, and 23F in 56 children and adolescents with perinatal human immunodeficiency virus (HIV) infection who were vaccinated with 7-valent pneumococcal conjugate vaccine. Overall immune responses differed greatly between serotypes. Correlation coefficients between immunoglobulin G (IgG) measured by enzyme-linked immunosorbent assay (ELISA) and functional antibodies measured by a flow cytometry opsonophagocytosis assay (OPA) varied with serotype and time points studied. After 3 months of administering a second PCV7 dose we got the highest correlation (with significant r values of 0.754, 0.414, and 0.593 for serotypes 6B, 14, and 23F, respectively) but no significant increase in IgG concentration and OPA titers compared to the first dose. We defined a responder to a serotype included in the vaccine with two criteria: frequency of at least twofold OPA and ELISA increases for each serotype and frequency of conversion from negative to positive OPA levels. Responders varied from 43.9% to 46.3%, 28.5% to 50.0%, and 38.0% to 50.0% for serotypes 6B, 14, and 23F, respectively, depending on the response criterion. The present research highlights the importance of demonstrating vaccine immunogenicity with suitable immunological endpoints in immunocompromised patients and also the need to define how much antibody is required for protection from different serotypes, since immunogenicity differed significantly between serotypes. 相似文献
6.
A. Al Saadi Joseph F. Juliar John Harm A. Joseph Brough Eugene v. Perrin Harold Chen 《Clinical genetics》1976,9(1):43-50
Two live-born cases, 69,XXY and one stillbirth, 69,XXX are reported. Further evidence is presented to delineate the triploidy syndrome. Common external and internal features which characterize the triploidy syndrome are low-set ears, hypertelorism, colobomata, syndactyly, simian creases, microphallus, undescended testes, scrotal aplasia, anomalous heart and hypoplasia of kidneys and adrenals. The triploidy syndrome encompasses features found in trisomies 13, 18 and 21. We suggest that the abnormal development of the triploidy infants is the result of the mentioned trisomies and their subsequent effect on the remaining genome. 相似文献
7.
Willinger B Kopetzky G Harm F Apfalter P Makristathis A Berer A Bankier A Winkler S 《Journal of clinical microbiology》2004,42(1):478-480
Disseminated infection with the coelomycetous fungus Nattrassia mangiferae is a very rare disease affecting only the immunocompromised host. We report the first case of a disseminated infection with spondylodiscitis and granular skin lesions due to N. mangiferae in a renal transplant patient. 相似文献
8.
9.
Endocrine-metabolic response to abdominal aortic surgery: A randomized trial of general anesthesia versus general plus epidural anesthesia 总被引:4,自引:0,他引:4
Harm J. Smeets M.D. Job Kievit M.D. Frans T. Dulfer B.Sc Jack W. van Kleef M.D. 《World journal of surgery》1993,17(5):601-606
The influence of epidural anesthesia on the endocrine-metabolic response following abdominal aortic reconstruction was studied in a prospective randomized trial. Cortisol and catecholamine responses and nitrogen balance were measured in two groups of five patients receiving general anesthesia only (group 1) or general anesthesia combined with epidural bupivacaine (group 2). The study lasted from preoperatively until the first postoperative day. At 2100 hours on the day of surgery serum cortisol concentrations were higher in group 1 than in group 2 (1.41 versus 0.82 mol/L; p<0.01). Likewise the total perioperative hypercortisolemia, expressed as the area under the curve, was significantly higher in group 1 (11.7 versus 5.7 mol/L/hr, p<0.01). Intraoperative urinary excretion of epinephrine and postoperative norepinephrine excretion were significantly higher in group 1 than in group 2. Urinary excretion of free cortisol and cumulative nitrogen balance were not different between the groups. Although the number of patients was limited and the sensory nerve block level was not measured perioperatively, this study suggests that epidural anesthesia attenuates the stress response to aortic surgery.
Resumen Se diseñó un ensayo clínico prospectivo y randomizado con el fin de estudiar el efecto de la anestesia epidural sobre la respuesta endocrino-metabolica luego de una reconstrucción aórtica abdominal. Se determinaron la respuesta de cortisol y catecolaminas y el balance de nitrógeno en dos grupos de 5 pacientes que recibieron anestesia general solamente (Grupo 1) o anestesia general combinada con bupivacaína epidural (Grupo 2). El estudio se realizó en el periodo comprendido entre la fase preoperatoria hasta el primer día postoperatorio. A las 21:00 horas del mismo día de la cirugía las concentraciones séricas de cortisol resultaron más altas en el Grupo 1 que en el Grupo 2 (1.41 versus 0.82 micromol/l, p<0.01). Igualmente, la hipercortisolemia total perioperatoria apareció más alta en el Grupo 1 (11.7 versus 5.7 micromol/l* hora, p<0.01). La excreción urinaria intraoperatoria de epinefrina y la excreción postoperatoria de norepinefrina aparecieron significativamente más altas en el Grupo 1 que en el Grupo 2. No se registraron diferencias en la excreción urinaria de cortisol libre ni en el balance acumulado de nitrógeno. Aunque el número de pacientes fue limitado y el nivel del bloqueo sensorial no fue determinado perioperatoriamente, el presente estudio sugiere que la anestesia epidural atenúa la respuesta de estrés en la cirugia aórtica.
Résumé Dans une étude prospective et randomisée, l'influence de l'anesthésie péridurale sur la résponse métabolique endocrinienne a été étudiée dans la période préopératoire immédiate jusqu'au premier jour postopératoire après la chirurgie de l'aorte abdominale. On a mesuré les résponses en catécholamines et l'équilibre azoté chez cinq patients ayant eu une anesthésie générale seule (groupe 1) et cinq patients ayant une anesthésie générale combinée avec une anesthésie péridurale par la bupivacaïne (groupe 2). A 21H00 le jour de l'intervention,. la concentration en cortisol était plus haute dans le groupe 1 par rapport au groupe 2 (1.41 vs 0.82 micromol/l, p<0.01). De même, l'hypercortisolémie périopératoire totale, exprimée par la surface sous la courbe, était significativement plus élevée dans le groupe 1 (11.7 vs 5.7 micromol/l heure, p<0.01). L'excrétion urinaire peropératoire d'épinéphrine et l'excrétion postopératoire de la norépinéphrine étaient significativement plus élevées dans le groupe 1 par rapport au groupe 2. L'excrétion urinaire du cortisol libre et l'équilibre azoté tout au long de l'étude n'étaient pas très différents. Bien que le nombre de patients était limité et que le niveau supérieur de l'anesthésie n'ait pas été mesuré en périopératoire, les résultats de cette étude suggèrent que l'anesthésie péridurale atténue la réponse au stress dans la chirurgie de l'aorte abdominale.相似文献
10.
Jacob K. Anninga Renato A. Valdés Olmos Jan de Kraker Harm van Tinteren Cornelis A. Hoefnagel Eric A. van Royen 《European journal of nuclear medicine and molecular imaging》1994,21(7):658-662
Quantitative 99mTc-dimercaptosuccinic acid (99mTc-DMSA) renal scintigraphy was used to asses ifosfamide-induced changes in renal function in 11 children who received chemotherapy for various malignancies. Serial measurements of absolute 99mTc-DMSA renal uptake, calculated on conjugated views, were performed during and after chemotherapy. Data of 37 studies obtained before and at different cumulative dose levels of ifosfamide were analysed in relation to clinical and biochemical parameters. A highly significant relationship between 99mTc-DMSA uptake and cumulative ifosfamide dose was found (P<0.001). The most frequently observed abnormal pattern on scintigraphic images was decreased kidney uptake together with increased accumulation in bladder. 99mTc-DMSA uptake was more consistent than 2-microglobulin values in urine and more sensitive than quantitative hyperaminoaciduria and tubular resorption of phosphate for the detection of ifosfamide-induced tubular dysfunction. 99mTc-DMSA uptake was decreased in both patients with and patients without clinical toxicity. Persistently reduced 99mTc-DMSA uptake was observed in four patients during follow-up; in one of them, who was asymptomatic after ifosfamide therapy, sudden onset of Fanconi syndrome was observed when he was retreated with carboplatin 1 year later. It is concluded that 99mTc-DMSA renal scintigraphy is a suitable method to assess progressive ifosfamide-induced tubular injury whereas scintigraphic imaging is helpful for interpreting renal uptake changes. The test is able to detect subclinical injury and may potentially predict high risk at retreatment. 相似文献