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BACKGROUND: Optical penalization (OP) has previously been shown to successfully maintain vision in amblyopic eyes of older children when patching compliance is poor and when vision decreases once patching is discontinued. This study shows that the final vision in optically penalized eyes is often better than the vision obtained after patching alone. SUBJECTS AND METHODS: During the 5-year period from January 1992 to February 1997, 28 children aged between 3.7 and 8.2 years (average age, 6.5+/-1.1 years) were optically penalized for an average of 1.5+/-0.75 years. The maximum length of penalization was 3.3 years, whereas the minimum time was 6 months. There were 21 children with strabismic amblyopia and 7 children with anisometropic amblyopia. All 28 children had worn a patch to achieve their best visual levels and then had shown a loss of best vision when occlusion was stopped. Patching was usually resumed and continued until the previous best vision was obtained; at this point OP was started to "maintain" vision. Eighteen of the 28 children have discontinued penalization and have been followed up an average of 1(1/2) years. RESULTS: Twenty-six (93%) of the 28 patients showed an increase in best vision from that found at the conclusion of patching, and 2 patients maintained their vision at the initial level. The average visual acuity at the start of penalization was 20/50 (0.42+/-0.11 logarithm of the minimum angle of resolution [log MAR]). Final average visual acuity was 20/27 (0.15+/-0.12 log MAR). The average increase in vision was nearly 3 lines or 0.27+/-0.12 log MAR. CONCLUSION: OP alone (without the use of pharmacologic agents such as atropine) not only maintains vision after patching therapy, but also appears to improve the final visual outcome.  相似文献   
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目的:筛选一株优良的抗生素产生菌。方法:通过人为诱变来动摇产生菌原有的严密控制机制。结果:得到一种抗生素生物合成能力异常的突变株。结论:此方法可过量合成人们所期望的抗生素。  相似文献   
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目的:考察盐酸特拉唑嗪胶囊的稳定性。方法:通过影响因素(强光照射、高温、高温),加速和留样考察实验,以含量为测定指标,考察胶囊的含量变化。结果:在温度40℃、60℃、光照3500LX及RH75%等因素影响下,胶囊的含量无明显变化。结论:在25℃时,通过经典恒温加速试验推测盐酸特拉唑嗪胶囊的失效期为2年。  相似文献   
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Neural stem cells (NSCs) are regarded as a promising therapeutic approach to protecting and restoring damaged neurons in neurodegenerative diseases (NDs) such as Parkinson's disease and Alzheimer's disease (PD and AD, respectively). However, new research suggests that NSC differentiation is required to make this strategy effective. Several studies have demonstrated that melatonin increases mature neuronal markers, which reflects NSC differentiation into neurons. Nevertheless, the possible involvement of mitochondria in the effects of melatonin during NSC differentiation has not yet been fully established. We therefore tested the impact of melatonin on NSC proliferation and differentiation in an attempt to determine whether these actions depend on modulating mitochondrial activity. We measured proliferation and differentiation markers, mitochondrial structural and functional parameters as well as oxidative stress indicators and also evaluated cell transplant engraftment. This enabled us to show that melatonin (25 μM) induces NSC differentiation into oligodendrocytes and neurons. These effects depend on increased mitochondrial mass/DNA/complexes, mitochondrial respiration, and membrane potential as well as ATP synthesis in NSCs. It is also interesting to note that melatonin prevented oxidative stress caused by high levels of mitochondrial activity. Finally, we found that melatonin enriches NSC engraftment in the ND mouse model following transplantation. We concluded that a combined therapy involving transplantation of NSCs pretreated with pharmacological doses of melatonin could efficiently restore neuronal cell populations in PD and AD mouse models depending on mitochondrial activity promotion.  相似文献   
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Schwann cells are glial cells of peripheral nervous system, responsible for axonal myelination and ensheathing, as well as tissue repair following a peripheral nervous system injury. They are one of several cell types that are widely studied and most commonly used for cell transplantation to treat spinal cord injury, due to their intrinsic characteristics including the ability to secrete a variety of neurotrophic factors. This mini review summarizes the recent findings of endogenous Schwann cells after spinal cord injury and discusses their role in tissue repair and axonal regeneration. After spinal cord injury, numerous endogenous Schwann cells migrate into the lesion site from the nerve roots, involving in the construction of newly formed repaired tissue and axonal myelination. These invading Schwann cells also can move a long distance away from the injury site both rostrally and caudally. In addition, Schwann cells can be induced to migrate by minimal insults (such as scar ablation) within the spinal cord and integrate with astrocytes under certain circumstances. More importantly, the host Schwann cells can be induced to migrate into spinal cord by transplantation of different cell types, such as exogenous Schwann cells, olfactory ensheathing cells, and bone marrow-derived stromal stem cells. Migration of endogenous Schwann cells following spinal cord injury is a common natural phenomenon found both in animal and human, and the myelination by Schwann cells has been examined effective in signal conduction electrophysiologically. Therefore, if the inherent properties of endogenous Schwann cells could be developed and utilized, it would offer a new avenue for the restoration of injured spinal cord.  相似文献   
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目的:检测维甲酸(Retinoic acid,RA)诱导小鼠胚胎腭裂模型中胎鼠舌体发育过程中肌相关 microRNAs(MyomiRs)、成肌调节因子(Myogenic regulatory factors,MRFs)以及 Pax 基因的表达变化,探究 MyomiRs 在舌肌分化过程中的调控作用,推测RA 致胎鼠腭裂伴发舌异常的可能机制。方法:建立 RA 诱导小鼠胚胎腭裂模型,分别在 E13.5、E14.5、E15.5收集胎鼠舌体组织,用 SYBR GreenⅠ实时定量 PCR 检测舌体中 MRFs 和 Pax 基因的表达;用 TaqMan 探针实时定量 PCR 检测舌体中 MyomiRs 的表达。结果:胎鼠舌体发育过程中,正常组 miR-1和 miR-206相对表达量均持续上升,RA 诱导组二者变化趋势与正常组相似,但相对表达量均低于正常组,miR-1的结果在 E14.5和 E15.5具有统计学意义(P <0.01),miR-206的结果在 E13.5具有统计学意义(P <0.05)。正常组和 RA 诱导组胎鼠舌体中 MyoD 和 Myf5相对表达量都在 E14.5达到峰值,随后下降。RA 诱导组 MyoD 的表达在 E14.5显著低于正常组(P <0.05),在 E15.5显著高于正常组(P <0.01);RA 诱导组 Myf5的表达在 E15.5显著低于正常组(P <0.05)。正常组和 RA 诱导组胎鼠舌体中 Pax3表达均在 E14.5达到峰值,Pax7表达均在 E15.5达到峰值。RA 诱导组 Pax3的表达在 E14.5显著高于正常组(P <0.05);Pax7的表达则在 E13.5显著高于正常组(P <0.01)。结论:在舌肌分化过程以及RA 诱导腭裂胎鼠的舌发育异常中,miR-1/miR-206与 Pax3/Pax7及 Myf5/MyoD 的表达趋势具有相关性。RA 可能通过下调 miR-1/miR-206而靶向上调 Pax3/Pax7,进而下调 MyoD /Myf5表达,从而抑制舌肌分化,导致舌肌发育异常。  相似文献   
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