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We report an adult female with a rare giant choledochal cyst. The patient presented following a normal pregnancy with the classical triad of an abdominal mass associated with jaundice and right upper quadrant abdominal pain. The cyst was excised using an intramural technique and biliary reconstruction achieved with a Roux-en-Y hepaticojejunostomy. Our patient has remained well with no evidence of malignancy over a 12 year review period. The aetiology and current management of this condition are discussed. 相似文献
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The regional distribution of adenosine-regulating enzymes in the left and right ventricle walls of control and hypertrophic heart 总被引:3,自引:0,他引:3
V. De Tata S. Gini I. Simonetti V. Fierabracci Z. Gori P. L. Ipata Prof. E. Bergamini 《Basic research in cardiology》1989,84(6):597-605
Summary The transmural distribution of the adenosine-generating enzyme 5-nucleotidase (5N) and of the adenosine-degrading enzymes adenosine deaminase (ADA), AMP deaminase (AMP-D) and adenosine kinase (Ado-K) were determined across the walls of left and right ventricles of control and hypertrophic rat hearts.The enzyme distribution across the left ventricle wall (but not across the right wall) of normal hearts was not uniform: 5N activity shows its highest levels in the subepicardial and in the subendocardial regions, whereas all the other enzyme activities show their lowest levels. A similar pattern of transmural distribution was also detected in other mammalian species (ox and pig).In the experimental cardiac hypertrophy, caused by two different types of chronic cardiac overload, the levels and the profiles of transmural distribution of 5N and ADA enzyme activities may significantly change across the rat left ventricle wall. 相似文献
6.
Chesworth BM Culham E Tata GE Peat M 《The Journal of orthopaedic and sports physical therapy》1989,10(8):302-308
This project was supported by a grant from the Physiotherapy Foundation of Canada. The purpose of this study was to determine the reliability and validity of the following outcome measures in a group of 18 patients with patellofemoral pain syndrome: the visual analog pain scale (VAS), a functional index questionnaire (FIQ), selected temporal components of gait on level walking and ascending stairs, knee joint angle on downhill walking, and electromyographic activity of the quadriceps during stair climbing. Subjects were tested at initial assessment (time 0), after 24 hours (time 1), and after clinically significant improvement, following a course of treatment (time 2). Using the intraclass correlation coefficient (r1), the VAS (r1 = 0.603) and FIQ (r1 = 0.483) exhibited poor day-to-day reliability (time 0 versus time 1). However an ANOVA between time 0 and time 2 showed them to be valid measures for detection of clinical change (p < 0.01). No differences in the gait variables were observed from time 0 to time 1 or time 2, suggesting that gait analysis may not be sensitive enough to detect changes in pain and function in this patient population. J Orthop Sports Phys Ther 1989;10(8):302-308. 相似文献
7.
Na+ dependence of in vitro pancreatic amylase release 总被引:1,自引:0,他引:1
8.
Determination of optimal cryoprotectants and procedures for their addition and removal from human spermatozoa 总被引:9,自引:7,他引:9
The objective was to test the hypothesis that the optimal cryoprotective
agent for cryopreservation of human spermatozoa would be a solute for which
cells have the highest plasma membrane permeability, resulting in the least
amount of volume excursion during its addition and removal. To test this
hypothesis, theoretical simulations were performed using membrane
permeability coefficients to predict optimal procedures for the addition
and removal of a cryoprotectant. Simulations were performed using data from
four different cryoprotectants: (i) glycerol, (ii) dimethyl sulphoxide,
(iii) propylene glycol and (iv) ethylene glycol. Thermodynamic formulations
were applied to determine approaches for the addition and removal of 1 M
and 2 M final concentrations of cryoprotectant, allowing the spermatozoa to
maintain a cell volume within their osmotic tolerance limits. Based on
these data, ethylene glycol was predicted to be optimal for minimizing
volume excursions among the solutes evaluated. These predictions were then
experimentally tested using glycerol as the control cryoprotectant and
ethylene glycol as the experimental cryoprotectant. The results indicate
that there was a higher (P < 0.05) recovery of motile spermatozoa after
cryopreservation when using 1 M ethylene glycol than with 1 M glycerol,
supporting the hypothesis that use of the cryoprotectant for which the cell
has the highest permeability will result in higher cell survival.
相似文献
9.
Core biopsies of the bone marrow are indispensable in the evaluation of fever of unknown etiology in human immunodeficiency virus-positive patients. We report two patients in whom visceral leishmaniasis was diagnosed based on the typical morphology, staining characteristics, and ultrastructure of the organisms. 相似文献
10.
Comparison of isolation of Haemophilus vaginalis (Corynebacterium vaginale) from peptone-starch-dextrose agar and Columbia colistin-nalidoxic acid agar.
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A total of 447 cervical or vaginal specimens were inoculated in parallel onto peptone-starch-dextrose (PSD) and Columbia colistin (10 mg/ml)-nalidixic acid (15 mug/ml) (CNA) agar and were incubated for 48 h at 35 degrees C in an atmosphere with 2 to 10% CO2. One hundred (22.4%) of the cultures were positive for Haemophilus vaginalis. Forty-eight of the isolates were recovered from both PSD and Columbia CNA agar, five from PSD only, and 47 from Columbia CNA agar only (P less than 0.001). On Columbia CNA agar, 76 of the isolates were detected after 24 h of incubation, and the remainder were detected within 4 days of incubation. 相似文献