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Chromosome banding analyses were made on 10 cases of Ph1-positive AML (7 M1 and 3 M2). The standard type Ph1 translocation, t(9q +;22q -), was identified in all of them. Karyotypically normal cells were observed in 6-65% of bone marrow metaphases at the initial cytogenetic examination of 7 patients, whereas the remaining 3 patients had only Ph1-positive cells at diagnosis. Follow-up studies performed in 5 cases indicated that the frequency of karyotypically normal cells increased up to 81-100% when the patients were in remission, whereas it was much reduced in relapse. In 5 cases, there was observed a clone of cells in which the Ph1 translocation was the sole karyotypic abnormality. Various types of other chromosome abnormalities, in addition to the Ph1, were observed in all cases, among which-7 was the most frequent, being found in three cases as a stem line. Other additional changes encountered were + Ph1, del(5), i(17q), - 10, + 18, + X, and various numerical and structural changes including certain secondary translocations that occurred in the Ph1 (22q -) or its partner (9q +). The types and frequencies of these additional changes appeared to be different from those found in the acute phase of CML or in Ph1-positive ALL.  相似文献   
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Refractoriness to Gal N toxicity occurs especially in fetal rats, newborn rats, and in rats after partial hepatectomy. An injury however (laparotomy, incision on the back or ip BaSO4 suspension), prior to Gal N administration, also inhibits Gal N toxicity. In all these circumstances high levels of rat α2-macrofetoprotein (αMFP) occur. This protein is an acute phase reactant and is identical to rat α2-macroglobulin. αMFP isolated from the serum of injured rats and then administered to normal rats strongly inhibits Gal N toxicity. When time interval between the preceding injury, provoking αMFP production and Gal N administration shortens, the inhibiting effects are less and αMFP production remains low.During resistance to Gal N, the primary and secondary biochemical lesions of Gal N persist and the protecting effect of αMFP must be due to another mechanism, operating in later phases of cell injury. Very probably this is attributable to the stabilizing effect on membranes of hepatocytic organelles and the plasma membranes. As αMFP is an acute phase reactant the importance of these proteins to the course of hepatitis must be considered.  相似文献   
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田维柱教授从事针灸的医疗、教学和科研工作30余载,经验颇丰,临证治疗尤以透穴针法应用得心应手.针对目前针灸发展的现状,田师结合自己的教学经验及治疗心得,提出了有关腧穴的应用操作应与透穴相结合并形成规范的设想.  相似文献   
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Background

People with prehypertension are highly likely to develop hypertension and other cardiovascular diseases. Lifestyle modifications may prevent hypertension in patients with prehypertension, but evidence remains scarce in developing countries. This study aimed to investigate whether a community-based intervention could prevent hypertension through lifestyle modifications in people with prehypertension in the rural areas of China.

Methods

A community-based quasi-experiment design was applied. Eighteen villages from six townships in Sheyang county, a rural area in eastern China, were randomly sampled. Of these local residents, patients with prehypertension—a systolic blood pressure (SBP) of 120–139 mm Hg or a diastolic blood pressure (DBP) of 80–89 mm Hg—and who were 30–60 years old were screened. Participants from three of the townships (n=206) were randomly assigned to the intervention group, and those from the other three townships (n=250) were assigned to the control group. At the outset, intervention group participants received individual consultations from a community health management team to assess their self-management ability, determine their lifestyle, set goals for a healthier lifestyle, and design individualised action plans. A guideline booklet was provided to intervention group participants, which contained detailed explanations of hypertension, prehypertension, healthy lifestyles and their impacts, and methods to lose weight, cease smoking, and deal with mental pressure. Intervention group participants also received quarterly follow-ups to assess the implementation of action plans, identify difficulties in changing unhealthy lifestyles, and find feasible solutions. In both intervention and control groups, usual care was provided to participants according to national guidelines, and the available resources were the same across the townships. Evaluations were conducted at baseline, and at the end of months 6, 12, 18, and 30. Between-group analyses were performed using repeated measures ANOVA. Written informed consent was obtained from the participants.

Findings

At 30 months, 18 participants in the intervention group (n=188) showed progression to hypertension, whereas 47 in the control group (n=234) developed hypertension. This difference between intervention and control groups was statistically significant (9·6 vs 20·1%, p=0·007). Significant changes in DBP (–2·7 vs 0·7 mmHg, p<0·0001), weight (–0·79 vs ?0·66 kg, p=0·029), and daily walking steps (11?500 vs 8000 steps, p<0·0001) were observed between intervention and control groups. No differential effects were found for SBP, drinking, and smoking, with both groups showing substantial improvements.

Interpretation

This intervention could prevent hypertension among patients with prehypertension by improving health-related behaviours. This study might be one of the first community-based experiments implemented among people with prehypertension in the rural areas of China. Further investigations are required to assess the sustainability of this intervention.

Funding

This study was funded by the Postgraduates Innovation Project of Jiangsu Province (KYZZ15_0267).  相似文献   
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Background

Age-related macular degeneration (AMD) is one of the most common causes of irreversible blindness worldwide. We assessed its epidemiology and related factors in China.

Methods

Through population-based studies and clinical investigations, we assessed prevalence, incidence, and associated factors of AMD. The population-based investigations included several epidemiological surveys of ophthalmological and systemic diseases in China. The clinical studies consisted of biochemical examinations of aqueous humour samples obtained from patients undergoing intraocular surgery.

Findings

In the Beijing Eye Public Health Care Study, by use of a telemedicine approach, macular degeneration was identified to have caused visual impairment in 2700 (0·48%) of 562 788 elderly study participants (aged 55–85 years). In the Beijing Eye Study study, including 4439 participants and surveys done three times in 5-year intervals over a total period of 10 years, the prevalence of early AMD was 1·4%, late AMD was 0·20%, and exudative AMD was 0·10% per individual. Factors linearly association with AMD prevalence were older age (OR 1·06, 95% CI 1·04–1·08; p<0·0001), hyperopic refractive error (OR 1·16, 1·04–1·28; p=0·008), residence in a rural region (OR 0·33, 0·17–0·49; p<0·0001), and a lower level of education (OR 1·36, 1·07–1·65; p=0·01). The 5-year incidence of early AMD was 4·2% (SD 0·4, 95% CI 3·5–5·0), late AMD was 0·1% (SD 0·1, 0·0–0·2), and neovascular AMD was 0·1% (SD 0·1, 0·0–0·2). 5-year incidence was correlated with older age (odds ratio [OR] 1·03, 95% CI 1·01–1·06; p=0·01) and hyperopic refractive error (OR 1·15, 1·03–1·33; p=0·03). In participants with exudative AMD, as compared with control participants, intraocular concentrations of intercellular adhesion molecule-1 (844 pg/mL [SD 2073] vs 246 pg/mL [SD 206]; p=0·001) and soluble vascular cell adhesion molecule-1 (7978 pg/mL [SD 7120] vs 2999 pg/mL [SD 1426]; p=0·001) were significantly elevated. The concentration of MCP-1 decreased (p=0·009) with the type of subfoveal neovascular membrane (classic membrane type, occult membrane, retinal pigment epithelium detachment; p=0·009). In control participants, as compared with patients with neovascular AMD, the concentration of vascular endothelial growth factor (VEGF) was correlated with significantly shorter axial length (r ?0·58; p=0·008).

Interpretation

Besides older age, hyperopic refractive error was the most important risk factor for prevalence and incidence of AMD in Chinese adults. The intraocular concentration of VEGF as a major AMD-associated growth factor decreased with increased axial length. The marked increase in myopia in the generation now aged younger than 30 years in China might be assumed to have a protective effect against AMD in the future.

Funding

National Natural Science Foundation of China.  相似文献   
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