Urodynamic picture in high spinal cord ischemia, induced by addictive use of cocaine. Report of a case

Since in vitro experiments had excluded interactions between Fe-gluconate (Fe-gluc) and magnesium-L-aspartate hydrochloride (MAH) in aqueous solutions the present in vivo studies seemed to be justified. Animal studies: Rats were kept on magnesium-(Mg)- and iron-(Fe)- sufficient and deficient diets. The intragastral administration of Fe-gluc significantly increased plasma Fe after 3 h, either given alone, or in combination with MAH (inducing hypermagnesemia). Same results were obtained when fortified diets were offered to Fe/Mg-deficient animals. Human studies: The combination of Fe-gluc (2 x 50 mg Fe per day, per os) plus MAH (2 x 7.5 mmol Mg per day, p.o.) was well tolerated by healthy volunteers. Single dose experiments revealed that Fe-gluc alone and in combination with MAH increased plasma Fe levels during 3 h to the same extent. Two groups of pregnant women with moderately reduced hemoglobin levels either received Fe-gluc (out-patients) or its combination with MAH (at least temporarily hospitalised because of preterm labor). Treatments were well tolerated. Hemoglobin levels did not further decrease, as expected without Fe supplements, during the course of pregnancy, thus indicating the therapeutic availability of the electrolytes in both study groups. Progesterone-induced constipation is frequently observed during pregnancy; hence stool softening reported by 50% of the women receiving Fe-gluc plus MAH (versus 33% in the Fe-gluc group) can be regarded as desirable effect. It is concluded that MAH does not interfere with the enteral absorption of Fe-gluc when both electrolytes are orally administered together. Taking both electrolytes together instead of 2 to 3 h apart from each other, as actually recommended, means a less complicated dosage regimen and probably improves compliance.     

Natural and induced tolerance in an immune network model

It has been proposed that the immune system can be partitioned into central and peripheral immune systems. Recently, Carneiro et al. (1996a, b) proposed a network, model incorporating B and T lymphocytes that explicitly accounts for that partition. This model however, had some limitations that are tackled here. Two main changes were introduced: the average idiotypic connectivity is now an explicit function of time based on empirical evidence; and the activation of T lymphocytes by antigen is described by a log-bell shaped dose response curve. The new model, which also accounts for the CIS and PIS distinction, shows more reasonable results since the frequencies of tolerant, immune or autoimmune responses to an antigen are now correct. The model provides a new interpretation for tolerance induction during the neonatal period, and for the adult tolerance by low or high doses of antigen. It predicts that natural tolerance for antigens available during the neonatal period can be kept indefinitely upon their removal, while tolerance induced in the adult stages is rapidly lost upon transient removal of the antigen. A semiquantitative analysis of the model provides a simple explanation for the different results in terms of the frequency at which a limited set of canonical connectivity structures emerge during ontogenesis.     

Synergistic decrease of clonal proliferation, induction of differentiation, and apoptosis of acute promyelocytic leukemia cells after combined treatment with novel 20-epi vitamin D3 analogs and 9-cis retinoic acid

Patients with acute promyelocytic leukemia (APL) usually relapse after all-trans retinoic acid (RA) treatment because this therapy fails to eradicate the malignant clone. Our data showed that KH 1060 and other 20-epi vitamin D3 analogs alone were potent inhibitors of clonal growth of NB4 cells, an APL cell line (ED50, approximately 5 x 10(-11) M). The combination of KH 1060 and 9-cis-RA synergistically and irreversibly enhanced this effect. Neither KH 1060 nor 9-cis-RA (10(-6) M, 3 d) were strong inducers of differentiation of NB4 cells. However, 98% of the cells underwent differentiation to a mature phenotype with features of both granulocytes and monocytes after exposure to a combination of both compounds. Apoptosis only increased after incubation of NB4 cells with 9-cis-RA alone (28%) or with a combination of 9-cis-RA plus KH1060 (32%). Immunohistochemistry showed that the bcl-2 protein decreased from nearly 100% of the wild-type NB4 cells to 2% after incubation with a combination of KH 1060 and 9-cis-RA, and the bax protein increased from 50% of wild-type NB4 cells to 92% after culture with both analogs (5 x 10(-7) M, 3 d). Western blot analysis paralleled these results. Studies of APL cells from one untreated individual paralleled our results with NB4 cells. Taken together, the data demonstrated that nearly all of the NB4 cells can be irreversibly induced to differentiate terminally when exposed to the combination of KH 1060 and 9-cis-RA.     

The effect of a two-week anti-orthostatic hypokinesia on the cardiac function and on the latter''s regulation in monkeys

Medical practice guidelines are being developed rapidly and advocated as a crucial component in transforming and improving the delivery of health care services. However, little is known about the ability of hospitals to institute guidelines outside of experimental settings. This article approaches guideline implementation from the viewpoint of process innovation assimilation and presents specific recommendations for organizational tactics leading to successful implementation of practice guidelines.     

ZH150重油钢包烘烤装置的研制与应用

ＺＨ１５０重油钢包烘烤装置具有点火方便，雾化好，燃烧稳定，燃烧效率高，火焰刚性好，调节性能好等优点，适合于钢包的烘烤，也可应用在基他工业炉窑中，该装置用蒸汽或压缩空气作为雾化介质，能燃用柴油，原油，重油，渣油等液体燃料，介绍了该装置的基本结构，工作原理，工作特点及设计对策，以及在生产中的应用情况。     

一种新的坡位定量描述方法及其与滑坡发生的关系

滑坡发生与地形因子的关系是区域滑坡静态规律研究的重点,但以往的研究多注重考虑其与反映几何形态的基本地形属性因子(几何形态属性因子)之间的关系,如坡度和坡向等。首先提出一种新的基于子流域内相对位置定量描述坡位(相对位置因子)的方法,并以温州地区瓯江流域1990~2001年发生的滑坡为研究对象,使用证据权法对比滑坡发生与两种不同类型地形因子之间的关系。结果表明,相对位置因子与滑坡发生的相关性大于滑坡危险性评价经常使用的几何形态属性因子;并且滑坡大多发生在定量坡位值较低的区域,这些地区处在下游,遭受流水侵蚀的强度更大、频率更高。     

BP网络模型对人脸朝向的识别

研究BP神经网络模型,通过计算机模拟人脑建立神经元网络,使用一部分人脸朝向信息作为训练的实例集,训练稳健后,可以推广应用判断其他人脸的朝向信息,以实现计算机自动识别人脸朝向。先对图片进行归一化等预处理,再应用主成分分析提取特征信息,每幅提取出的特征信息都是8个数据的列向量,构建一个8个输入、17个隐含、3个输出的三层BP网络模型。将训练实例集的特征向量代入训练,调整参数后保证其性能和收敛速度。最后通过大量实验验证,计算机识别的误判率仅为6.7%,模型可靠。     

庐山风景区地质灾害成因与防御浅析

庐山风景区在江西省地质灾害区划中属于地质灾害易发区(修水北部——庐山崩滑流易发区),同时也是江西省地质灾害重点防范区.近些年,因人类工程活动对地质环境作用的加剧,加上地质环境条件在空间上的差异和气象条件在时空方面的变化,导致各类地质灾害不断发生.通过对庐山风景区地质灾害特点和成因分析,提出了防御工作思路与对策,以期为政府部门构建和完善地质灾害预警应急体系提供借鉴.