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1.
During the 1980s, the ecologic association of conjugated estrogens with endometrial cancer changed from positive to negative in a prepaid health plan. During the same period, use of progestins increased dramatically. We investigated whether the latter increase could explain the reversal of the estrogen-cancer association. Endometrial cancer incidence was estimated from cases recorded in the health plan registry divided by the number of women over age 45 years. Conjugated estrogens usage was measured as milligrams prescribed per woman per year and progestin was measured as tablets per woman per year, both based upon pharmacy records. Graphical and regression methods were used to analyze the resulting ecologic data. In a log-linear regression of incidence on conjugated estrogens and medroxyprogesterone usage, estrogen usage had a strong positive association with incidence, while medroxyprogesterone had a strong negative association with incidence. The change in the direction of the ecologic association between estrogen and endometrial cancer that occurred in 1984 continued until 1993, suggesting that the decline in endometrial cancer incidence and concomitant increase in conjugated estrogens usage since 1984 is explained by the increasing use of progestins. The data are entirely consistent with the hypothesis that progestins can protect against most of the excess risk conferred by conjugated estrogens, although the ecologic nature of the data prohibits drawing further inferences.  相似文献   
2.
Ciprofibrates (racemate and both enantiomers, Raccip, R- and Scip) were administered orally in doses of 1 and 10 mg/kg once daily over 28 days to male inbred Fischer 344 rats, age 90-110 days at the beginning of the experiment. Body mass gain was observed in all groups. The 1 mg groups showed almost no difference to the control group. The 10 mg groups exhibited less body mass gain, most pronounced in the Scip group. Liver masses were increased in a dose dependent manner up to more than 200%, only the 10 mg Scip group was not significantly different from the 1 mg group which exhibited an increase in liver weight to about 175%. Also the kidney weights increased to 130%, whereas thymus and spleen weights were decreased in the high dose groups. Liver microsomal cytochromes P450 (P450) concentrations were not altered in the 1 mg groups and distinctly lowered in the 10 mg groups. Ethoxyresorufin and ethoxycoumarin O-deethylations were lowered in all experimental groups in a dose dependent manner, after administration of the high doses down to 30% of the control levels or less. Pentoxyresorufin O-depentylation, however, was increased in all 1 mg groups. In the high dose groups it was not altered. Ethylmorphine N-demethylation was decreased after administration of the high doses by about 50%, but only Scip decreased this reaction also after administration of the low dose. NADPH/Fe2+-stimulated microsomal luminol and lucigenin amplified chemiluminescence was increased, whereas hydrogen peroxide formation was depressed even by the low doses to 50% of the normal values, to about 25% by the high doses. Microsomal lipid peroxidation, however, was only slightly or not influenced. Glutathion concentrations (in the reduced and the oxidized form) were increased in a dose dependent manner by about 20 to 30%, the concentration of lipid peroxides was not significantly influenced. Thus, the effects of the enantiomers were not different and were similar to those of the racemate. In serum, cholesterol and triglycerides were only moderately lowered. Albumin concentrations were significantly enhanced in all groups, total proteins after 1 mg/kg Raccip only. Serum bilirubins were not altered, and among the indicator enzymes for liver damage only ALAT, alkaline phosphatase and the dehydrogenases were increased, in no case higher than twofold. Histologically distinct effects were seen after administration of both doses, more pronounced after 10 mg/kg, but with no differences between the enantiomers and Raccip: marked hypertrophy of the hepatocytes, reduced staining of the nuclei, strongly acidophilic granulated cytoplama, no basophilia of the cell bodies, loss of glycogen. These changes were most pronounced around the central veins. Hepatocyte apoptoses also were observed. By immunohistochemistry an increased staining was seen for all P450 isoforms tested (1A1, 2B1, 2E1, 3A2 and 4A1), predominantly perivenously and most pronounced after administration of the high doses without differences between Rcip, Scip or Raccip (preliminary results). By electron microscopy a moderate proliferation of peroxisomes after treatment with 1 mg/kg Cips with a ratio between mitochondria and peroxisomes of about 1:1 (controls: 10:1) was observed, and the peroxisomes were a more heterogeneous population. The relative portions of glycogen and both forms of the ER decreased. Treatment with 10 mg/kg Rcip, Scip or Raccip led to a strong increase in the number of peroxisomes, in some hepatocytes the ratio between mitochondria and peroxisomes was 1:3 with an increased heterogeneity among the peroxisomes evidenced by a broad range of electron densities. Most peroxisomes lacked a nucleoid. Thus, the biochemical effects differed only slightly and the morphological effects of the enantiomers were not different and were similar to those of the racemate.  相似文献   
3.
The database structure and data manipulation capabilities of a generalized PICture Database Management System (PICDMS) are presented. They are based on a dynamic, stacked-image, logical database structure that uses gridded, rather than topological, data representation. A prototype PICDMS has been designed and implemented. A commercial version is being used as a generator of image processing programs. The system has novel capabilities for nonprogrammer users: it is able to 1) build multiple-variable databases from photographs and other two-dimensional data sources such as maps, drawings, etc., and 2) manipulate such data using simple logical commands. Physical organization and accessing strategies are outlined. A summary of the PICDMS data manipulation capabilities is presented and a subset of operations is illustrated with brief examples. A comprehensive example displays PICDMS capabilities and the programming advantages it possesses over other approaches.  相似文献   
4.
Stem cells are present in the adult tissues of most diverse species. Bone marrow is recognized to be the most exploited site to obtain stem cells and cell progenitors. The objective of the present study was to characterize hematopoietic progenitor (HP) morphology and analyze the performance of adherent cell progenitors (ACPs) cultivated in vitro from black‐rumped agouti bone marrow (Dasyprocta prymnolopha). Bone marrow aspirates were obtained from tibia crest and used to prepare histological slides and identify cell morphology. Cells were also scattered on culture plates for later isolation, expansion, and quantification. Smears obtained from bone marrow demonstrated HPs at different stages of maturity. In culture, these cells showed fibroblastoid morphology and a strong tendency to form colonies, demonstrated by the presence of cell aggregates, cytoplasmic elongations lying side by side. An 80% cell confluence was observed at 18 days in culture and progressive reduction in the percentage of nonadherent mononuclear cells. After eight passes, a mean cell viability of 96.07% was observed, from a pool of 1.6 × 107 cells (ACP). Thirteen 25‐cm2 culture bottles were trypsinized, resuspended in freezing medium, stored in 14 criotubes at a concentration of 1 × 106 cells per milliliter, and placed in liquid nitrogen at ?196°C. Agouti bone marrow demonstrated high plasticity, moreover different HP lines, and a population of adherent cells demonstrated morphology similar to mesenchymal stem cells in culture. Microsc. Res. Tech. 2012. © 2012 Wiley Periodicals, Inc.  相似文献   
5.
6.
Bernhard Klinger 《Computing》1997,59(3):223-236
We investigate quasi-Monte Carlo integration for functions on thes-dimensional unit cube having point singularities. Error bounds are proved and the theoretical results are verified by computations using Halton, Sobol’ and Niederreiter sequences. Supported by the Austrian Science Foundation (Project 10223-PHY).  相似文献   
7.
Elderly patients, defined as octogenarians and nonagenarians, are an increasing population entering renal replacement therapy. Advanced age appears as an exclusive factor negatively influencing dialysis practice. Elderly patients are referred late for the initiation of hemodialysis and more likely are offered catheters rather than arteriovenous fistulae (AVF), which increase mortality and negatively affect quality of life. We present our approach to the creation of vascular access for hemodialysis in this demanding population. In 2006–2012, 39 patients aged 85.9 ± 2.05 with end‐stage renal disease, mainly resulting from ischemic nephropathy, were admitted to the Department of Nephrology to establish permanent vascular access for hemodialysis: preferably AVF. Temporary dialysis catheters were implanted in uremic emergency to bridge the time to fistula creation/maturation. AVF was attempted in 87.2% of the patients. Primary AVF function was achieved in 54% of the patients. Cumulative proportional survival of AVF at months 12 and 24 was 81.5%. Ninety‐four percent of AVF were localized on the forearm: 74% in the distal and 20% in the proximal part. Mean duration of hemodialysis therapy was 20.80 ± 19.45 months. The mean time of AVF use was 15.9 ± 20.2 months. Until present, 38% have been dialyzed using AVF for 31.0 ± 18.8 months. Five patients died with functioning fistula. Eight patients initiated hemodialysis therapy with fistula. During further observation, the use of AVF increased to 62%. Elderly patients should not be denied creation of AVF as a rule. The outcome of AVF benefits more from acknowledging individual vascular conditions rather than age of the patient.  相似文献   
8.
An assembly of hemispherical Ag nanoparticles is prepared by solid‐state dewetting of thin Ag film deposited on the sapphire substrate. The in situ nanomechanical compression testing of the particles with a flat diamond punch inside the scanning electron microscope demonstrates the deformation behavior typical for the nucleation‐controlled plasticity: high elastic deformation followed by an abrupt particles collapse. The latter is associated with the dislocations nucleation in otherwise pristine particle. The average contact pressure in the contact zone at the onset of dislocation‐controlled plasticity is about 8 GPa, and does not depend on particle size. This observation supports the hypothesis that the pseudoelasticity of much smaller Ag nanoparticles is intrinsically related to their ultrahigh strength. A stress‐induced diffusion along the particle–substrate and particle–punch interfaces is identified as a factor controlling the pseudoelastic deformation. The corresponding diffusion model allows estimating the room‐temperature self‐diffusion coefficient of Ag along the Ag–W and Ag–zirconia interfaces, which is quite close to the estimated value of the grain boundary self‐diffusion coefficient in Ag. Based on this finding, the map of pseudoelastic deformation of crystalline materials is proposed.  相似文献   
9.
We studied the morphology evolution of individual three-particle W-Cu-W agglomerates during sintering anneals at 1000 °C. The angle between the lines connecting the centers of W and Cu particles decreased during annealing, provided its initial value was different from 180°. While the W particles retained their spherical shape during sintering, the shape of Cu particles changed significantly after long sintering times. Both the rate of the particles’ rearrangement and the linear shrinkage of the particle pairs determined in the experiments increased with decreasing initial angle between the particles. We proposed an analytical model of sintering of cylindrical three-wire agglomerates controlled by self-diffusion of Cu atoms along the surface of Cu wire and along the W-Cu interphase boundary. The proposed model incorporates a thermodynamic method for calculating the distribution of chemical potential of metal atoms moving along the rigid cylindrical interphase boundary. The predictions of the model were in good agreement with the experimental data, underlying an important role played by capillary-driven diffusion in rearrangement of particles during sintering.  相似文献   
10.
L. Klinger  E. Rabkin 《Acta Materialia》2012,60(17):6065-6075
We considered the shape and crystallographic orientation evolution of nanoparticles attached to a curved rigid substrate at elevated temperatures at which the particle atoms move by diffusion along the particle surface and along the particle–substrate interface. We employed a variational method for calculating the chemical potential of the atoms of nanoparticles located at the particle–substrate interface. This chemical potential can be determined by calculating the change of total surface and interface energy of the system caused by two infinitesimal orthogonal translations and one rigid rotation of the particle. Once the distribution of the chemical potential along the particle–substrate interface is known, the kinetics of particle movements can be determined by coupling diffusion fluxes along the particle surface and particle–substrate interface. We illustrate the general theory by analyzing the particle movements on the surface step, on the sinusoidally patterned substrate, and within the corner formed by two intersecting planar surfaces. We also show that the developed theory can be applied to the analysis of burrowing of rigid ceramic nanoparticles into the metal substrate.  相似文献   
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