Rapidly progressive glomerulonephritis (GN) is one of the harrowingchallenges in nephrology. The condition is histologically characterizedby extracapillary proliferation with crescent formation. Mostcrescentic glomerulonephritides occur in systemic autoimmunediseases and require prompt immunosuppressive treatment. Occasionally,patients with crescentic GN may be diagnosed with an additionallife-threatening disease, namely malignant neoplasms. Immunosuppressivedrugs may promote such malignancies. However, some patientsare initially diagnosed with both diseases, suggesting a moreintimate relationship between crescentic glomerulonephritisand malignancies. We recently encountered a 68-year-old man, referred to us fromthe urology department because of an increasing serum creatinine.He had initially presented with intermittent haematuria a monthearlier. Cystoscopy revealed an exophytic bladder tumour thatwas resected. Histological examination (Figure 1)  相似文献   
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Characterization of normal and infarcted rat myocardium using a combination of small-animal PET and clinical MRI.     
Takahiro Higuchi  Stephan G Nekolla  Antanas Jankaukas  Axel W Weber  Marc C Huisman  Sybille Reder  Sibylle I Ziegler  Markus Schwaiger  Frank M Bengel 《Journal of nuclear medicine》2007,48(2):288-294
The combination of small-animal PET and MRI data provides quantitative in vivo insights into cardiac pathophysiology, integrating information on biology and morphology. We sought to determine the feasibility of PET and MRI for the quantification of ischemic injury in the rat model. METHODS: Fourteen healthy male Wistar rats were studied with 18F-FDG PET and cine MRI. Myocardial viability was determined in a transmural myocardial infarction model in 12 additional rats, using 18F-FDG PET and delayed-enhancement MRI with gadolinium-diethylenetriaminepentaacetic acid. All PET was acquired with a dedicated small-animal PET system. MRI was performed on a 1.5-T clinical tomograph with a dedicated small-animal electrocardiographic triggering device and a small surface coil. RESULTS: In normal rats, 18F-FDG uptake was homogeneous throughout the left ventricle. The lowest mean uptake of the 18F-FDG was found in the apical regions (79% +/- 6.0% of maximum) and the highest uptake was in the anterior wall (93% +/- 4.3 % of maximum). Myocardial infarct size as determined by histology correlated well with defects of glucose metabolism obtained with 18F-FDG PET (r = 0.89) and also with delayed-enhancement MRI (r = 0.91). Left ventricular ejection fraction in normal rats measured by cine MRI was 57% +/- 5.4% and decreased to 38% +/- 12.9% (P < 0.001) in the myocardial infarction model. CONCLUSION: Integrating information from small-animal PET and clinical MRI instrumentation allows for the quantitative assessment of cardiac function and infarct size in the rat model. The MRI measurements of scar can be complemented by metabolic imaging, addressing the extent and severity of ischemic injury and providing endpoints for therapeutic interventions.  相似文献   
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Measles infection of the central nervous system     
Jürgen Schneider-Schaulies  Volker ter Meulen  Sibylle Schneider-Schaulies 《Journal of neurovirology》2003,9(2):247-252
Central nervous system (CNS) complications occurring early and late after acute measles are serious and often fatal. In spite of functional cell-mediated immunity and high antiviral antibody titers, an immunological control of the CNS infection is not achieved in patients suffering from subacute sclerosing panencephalitis (SSPE). The known cellular receptors for measle virus (MV) in humans, CD46 and CD150 (signaling lymphocyte activation molecule, SLAM), are important components of the viral tropism by mediating binding and entry to peripheral cells. Because neural cells do not express SLAM and only sporadically CD46, virus entry to neural cells, and spread within the CNS, remain mechanistically unclear. Mice, hamsters, and rats have been used as model systems to study MV-induced CNS infections, and revealed interesting aspects of virulence, persistence, the immune response, and prerequisites of protection. With the help of recombinant MV and mice expressing transgenic receptors, questions such as receptor-dependent viral spread, or viral determinants of virulence, have been investigated. However, many questions concerning the human MV-induced CNS diseases are still open.  相似文献   
9.
Design and characteristics of a scintillation gamma camera with high spatial resolution and fast response     
S D Kalashnikov  V L Krivoshein  A E Markovski?  I K Tabarovski?  A V Antonov 《Meditsinskaia tekhnika》1986,(4):24-30
The second generation of the scintillation gamma camera gamma KC-2 has been recently produced in lots. Compared to the first Soviet model gamma KC-1 it features advanced spatial resolution, maximum count rate, and image uniformity. A built-in microprocessor controls in real time corrections for distortions thus providing a marked gain in serviceability and expanded diagnostic capacity.  相似文献   
10.
Homozygous microdeletion of chromosome 4q11-q12 causes severe limb-girdle muscular dystrophy type 2E with joint hyperlaxity and contractures     
Kaindl AM  Jakubiczka S  Lücke T  Bartsch O  Weis J  Stoltenburg-Didinger G  Aksu F  Oexle K  Koehler K  Huebner A 《Human mutation》2005,26(3):279-280
Microdeletion syndromes are commonly transmitted as dominant traits and are frequently associated with variably expressed pleiotropic phenotypes. Nonlethal homozygous microdeletions, on the other hand, are very rare. Here, we delineate the fifth and so far largest homozygous microdeletion in nonmalignancies of approximately 400 kb on chromosome 4q11-q12 in a large consanguineous East-Anatolian family with six affected patients. The deleted region contains the beta-sarcoglycan gene (SGCB), the predicted gene SPATA18 (spermatogenesis associated 18 homolog) and several expressed sequence tags. Patients presented with a severe and progressive Duchenne-like muscular dystrophy phenotype, a combination of hyperlaxity and joint contractures, chest pain, palpitations, and dyspnea.  相似文献   
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Electrocardiographic symptoms were evaluated in 53 patients with an additional left-ventricular chorda (ALVC), detected by two-dimensional echocardiography. Signs of early ventricular repolarization (EVR) were identified in 45 (84.9%) patients. A transverse ALVC was more common in EVR-free patients (87.5%), as compared to patients with ALVC + EVR combinations (51.1%; p less than 0.05).  相似文献   
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Operator's determined (D) and stochastic (S) performance depends on the level of readiness and synchronization of the frontoparietal and parietooccipital cortex areas. The developed feedback algorithm was tested in two series of experiments with volunteered subjects doing computer simulation tasks. The experiments showed feasibility to elaborate feedback adaptive control skills that will sustain for a month period.  相似文献   
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