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41.
Henrik Husted S ren Overgaard Jens Ole Laursen Klaus Hinds Lise N rrekjaer Hansen Harald M. Knudsen Niels B. Mossing 《Acta orthopaedica》1996,67(5):421-423
During the 10-year period 1981-1990, 1, 199 patients in the county of South Jutland, Denmark, had 1, 477 primary total hip arthroplasties (THA) performed because of primary arthrosis (OA).
The patients were followed until the end of 1994, with a mean follow-up of 5.6 (0-14) years. Bilateral operations were performed on 356 patients, whereas 248 patients had died with only 1 THA.
The cumulated risk of replacement of the contralateral hip was approximately 0.15 1 year after replacement of the first hip, 0.20 after 2 years, 0.29 after 5 years and 0.47 after 10 years, respectively.
During the follow-up period, the demand for a THA of the contralateral hip continued to be approximately 15 times higher than in the general population. 相似文献
The patients were followed until the end of 1994, with a mean follow-up of 5.6 (0-14) years. Bilateral operations were performed on 356 patients, whereas 248 patients had died with only 1 THA.
The cumulated risk of replacement of the contralateral hip was approximately 0.15 1 year after replacement of the first hip, 0.20 after 2 years, 0.29 after 5 years and 0.47 after 10 years, respectively.
During the follow-up period, the demand for a THA of the contralateral hip continued to be approximately 15 times higher than in the general population. 相似文献
42.
Propolis allergy 总被引:1,自引:1,他引:0
87% of the propolis product "LB-1", originally reported to be 1,1-dimethyl-allyl caffeic acid ester, was shown by GC/MS analysis to consist of 3 isomeric pentenyl caffeates, 63% of which are 1,1-dimethylallyl caffeate. These pentenyl caffeates proved to be the major sensitizers of propolis and of poplar bud secretion in our previous study. In addition, 3 further minor allergens have now been investigated. Experimental sensitization indicates that phenylethyl caffeate is as strong a sensitizer as the major allergen "LB-1", while benzyl salicylate is a moderate sensitizer. Benzyl cinnamate plays only a subordinate role. At least 3 further esters of caffeic acid or cinnamic acid remain to be studied. Interestingly, relationships between propolis and balsam of Peru were found. 8 compounds are common to both materials. Thus "cross-reactions" or concomitant reactions in propolis-sensitive individuals to balsam of Peru are explainable. 相似文献
43.
L C Müller G M Salzer D zur Nedden R Frank E Müller-Holzner 《The Thoracic and cardiovascular surgeon》1992,40(2):82-86
A multimodal therapy concept for small-cell lung cancer, which for patients with established pretherapeutic homolateral lymph-node metastases (N2) prescribes induction chemotherapy with subsequent resection as well as supplemental chemo- and radiotherapy, provided the opportunity to evaluate histologically the radiological diagnoses "complete remission" and "partial remission" using resection specimens. In 17 patients a 75% to 100% reduction in tumor size was achieved according to radiological diagnosis. Predictions of "no evidence of disease" or "evidence of disease" were only correct in ten cases. In the remaining seven cases, histology showed the radiological findings to be incorrect. This gives a 77% sensitivity for radiological diagnosis with no specificity. Moreover, differentiation between therapy effect on the primary tumor and on the N2 metastases gives similar results: sensitivity 64% and 67% respectively, specificity 33% and 25% respectively. It is concluded that, particularly after the tumor responds well to therapy, radiological techniques are unsuitable for establishing a diagnosis of "no evidence of disease" or "evidence of disease" in small-cell lung cancer. This is because on the one hand the radiological methods available do not permit clear differentiation between vital tumor tissue and necrosis or fibrosis, while on the other hand groups of vital tumor cells beyond the resolution power of X-ray technology will escape detection. 相似文献
44.
Decreased prefrontal 5-HT2A receptor binding in subjects at enhanced risk for schizophrenia 总被引:4,自引:0,他引:4
Hurlemann R Boy C Meyer PT Scherk H Wagner M Herzog H Coenen HH Vogeley K Falkai P Zilles K Maier W Bauer A 《Anatomy and embryology》2005,210(5-6):519-523
The brain serotonin-2A receptor (5-HT2AR) has been implicated in both the pathology of schizophrenia and the therapeutic action of atypical antipsychotics. However,
little is known about the 5-HT2AR status before the onset of schizophrenia and before the exposure to antipsychotics. We used [18F] altanserin and positron emission tomography (PET) in a pilot study of 6 individuals suspected to be at elevated risk for
schizophrenia and seven age-matched controls to test the hypothesis that regional 5-HT2AR binding is altered in the prodromal stages of schizophrenia. Distribution volume ratios (DVRs) as a proxy for 5-HT2AR availability were significantly reduced in prefrontal cortex regions of at-risk subjects, implicating early abnormalities
of serotonergic neurotransmission that antecede the onset of schizophrenia. 相似文献
45.
Matthias Löhle Thomas Müller Carola Wicher Marcus Roedel Harald Schubert Otto W. Witte Peter W. Nathanielsz Matthias Schwab 《The Journal of physiology》2005,564(2):575-588
Synthetic glucocorticoids are administered to pregnant women in premature labour to accelerate fetal lung maturation at a time when fetal cerebrovascular and endocrine systems are maturing. Exposure to glucocorticoids at 0.8–0.9 of gestation increases peripheral and cerebrovascular resistance (CVR) in fetal sheep. We examined whether the increase of CVR and its adverse effect on cerebral blood flow (CBF) depend on the current level of maturation of the pituitary–adrenal axis and the cerebrovascular system. Using fluorescent microspheres, regional CBF was measured in 11 brain regions before and 24 h and 48 h after the start of 3.3 μg kg−1 h−1 betamethasone ( n = 8) or vehicle ( n = 7) infusions to fetal sheep at 0.73 of gestation. Hypercapnic challenges were performed before and 24 h after the onset of betamethasone exposure to examine betamethasone effects on cerebrovascular reactivity. Betamethasone exposure decreased CBF by approximately 40% in all brain regions after 24 h of infusion ( P < 0.05). The decline in CBF was mediated by a CVR increase of 111 ± 16% in the cerebral cortex and 129 ± 29% in subcortical regions ( P < 0.05). Hypercapnic cerebral vasodilatation and associated increase in CBF were blunted ( P < 0.05). Fetal CBF recovered after 48 h of betamethasone administration. There were no differences in glucocorticoid induced CBF and CVR changes compared with our previous findings at 0.87 of gestation. We conclude that the cerebrovascular effects of antenatal glucocorticoids are independent of cerebrovascular maturation and preparturient increase in activity of the fetal pituitary–adrenal axis. 相似文献
46.
Diehl P Hantke B Hennig M Tschesche H Mittelmeier W Schmitt M Muehlenweg B 《International journal of molecular medicine》2004,13(5):711-715
Matrix metalloproteinase 13 (MMP-13), urokinase type plasminogen activator (uPA), and plasminogen activator inhibitor type-1 (PAI-1) have been reported to be involved in aseptic loosening of artificial hip joints. This study for the first time presents the protein levels of all of these factors in synovial-like interfaces between bone and prosthesis and in pseudocapsular tissues surrounding the artificial joint in patients with aseptic loosening (n=17) measured by ELISA. No differences were observed in the antigen expression of MMP-13, uPA, and PAI-1, comparing interface and pseudocapsular tissue. Also, no significant correlation between the protein expression of these factors and years from arthroplasty to revision or to type of fixation (cemented vs. cementless) was observed. As control, MMP-13, uPA, and PAI-1 antigen levels were also determined in the synovium of patients with osteoarthritis (n=10). Yet, the antigen levels of MMP-13, uPA, and PAI-1 in tissue specimens from patients with aseptic loosening of artificial hip joints were significantly higher compared to their expression in synovial capsular tissues obtained from patients with osteoarthritis. In conclusion, this study shows that elevated protein levels of uPA, PAI-1, and MMP-13 in periprosthetic pseudocapsular and interface tissues from patients after total hip replacement due to aseptic loosening seem not to be associated with the patient outcome. 相似文献
47.
Logistic regression models are widely used in medicine, but difficult to apply without the aid of electronic devices. In this paper, we present a novel approach to represent logistic regression models as nomograms that can be evaluated by simple line drawings. As a case study, we show how data obtained from a questionnaire-based patient self-assessment study on the risks of developing melanoma can be used to first identify a subset of significant covariates, build a logistic regression model, and finally transform the model to a graphical format. The advantage of the nomogram is that it can easily be mass-produced, distributed and evaluated, while providing the same information as the logistic regression model it represents. 相似文献
48.
目的:探讨视网膜母细胞瘤病理标本的不同取材方法对脉络膜浸润检出率的影响,寻求理想的常规取材方法。方法:复查297只原发摘除的视网膜母细胞瘤眼球的病理切片,比较五平面取材法(151只眼)和单平面取材法(146只眼)对脉络膜浸润的检出率。结果:五平面取材法对脉络膜浸润的检出率(31%)明显高于单平面取材法(17%),且主要是对玻璃膜在肿瘤细胞影响下发生变化的检出率高。脉络浸润的各期都主要分布在五平面取材法的各平面上。结论:五平面取材法能提供判断视网膜母细胞瘤患者预后的较大量病理信息,在日常医疗工作中从人力、物力、财力上能够承受,可作为常规取材方法应用于临床。连续切片取材只作为在特殊情况下对五平面取材法的补充。单平面取材法有可能丢失一些重要的病理信息而应由五平面取材法代替。 相似文献
49.
Changes in blood lactate and respiratory gas exchange measures in sports with discontinuous load profiles 总被引:2,自引:0,他引:2
Smekal G von Duvillard SP Pokan R Tschan H Baron R Hofmann P Wonisch M Bachl N 《European journal of applied physiology》2003,89(5):489-495
This study compares two different sport events (orienteering = OTC; tennis = TEC) with discontinuous load profiles and different
activity/recovery patterns by means of blood lactate (LA), heart rate (HR), and respiratory gas exchange measures (RGME) determined
via a portable respiratory system. During the TEC, 20 tennis-ranked male subjects [age: 26.0 (3.7) years; height: 181.0 (5.7) cm;
weight: 73.2 (6.8) kg; maximal oxygen consumption (V˙O2max): 57.3 (5.1) ml·kg−1·min−1] played ten matches of 50 min. During the OTC, 11 male members of the Austrian National Team [age: 23.5 (3.9) years; height:
183.6 (6.8) cm; weight: 72.4 (3.9) kg; V˙O2max: 67.9 (3.8) ml·kg−1·min−1] performed a simulated OTC (six sections; average length: 10.090 m). In both studies data from the maximal treadmill tests
(TT) were used as reference values for the comparison of energy expenditure of OTC and TEC. During TEC, the average V˙O2 was considerably lower [29.1 (5.6) ml·kg−1·min−1] or 51.1 (10.9)% of VO2max and 64.8.0 (13.3)% of V˙O2 determined at the individual anaerobic threshold (IAT) on the TT. The short high-intensity periods (activity/recovery = 1/6)
did not result in higher LA levels [average LA of games: 2.07 (0.9) mmol·l−1]. The highest average V˙O2 value for a whole game was 47.8 ml·kg−1·min−1 and may provide a reference for energy demands required to sustain high-intensity periods of tennis predominately via aerobic
mechanism of energy delivery. During OTC, we found an average V˙O2 of 56.4 (4.5) ml·kg−1·min−1 or 83.0 (3.8)% of V˙O2max and 94.6 (5.2)% of V˙O2 at IAT. In contrast to TEC, LA were relatively high [5.16 (1.5) mmol·l−1) although the average V˙O2 was significantly lower than V˙O2 at IAT. Our data suggest that portable RGEM provides valuable information concerning the energy expenditure in sports that
cannot be interpreted from LA or HR measures alone. Portable RGEM systems provide valuable assessment of under- or over-estimation
of requirements of sports and assist in the optimization and interpretation of training in athletes.
Electronic Publication 相似文献
50.
Wojciech Swat Harald Von Boehmer Pawel Kisielow 《European journal of immunology》1994,24(4):1010-1012
To evaluate directly the developmental potential of cortical CD4+8+ thymocytes, highly purified populations of small, nondividing CD4+8+TCRlow and large, dividing CD4+8+TCRhigh thymocytes from H-2d mice expressing a transgenic T cell receptor restricted by H-2Db (major histocompatibility complex class I) molecules were transferred into the thymus of normal, nonirradiated H-2b recipient mice. The results show that both populations generate CD4?8+ thymocytes under these conditions, thus providing conclusive evidence that small cortical thymocytes do not represent a “dead end” but an important intermediate stage in T cell development. 相似文献