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Pan Spinal Epidural Abscess in a Young Healthy Male: A Case Report 年轻健康男性脊髓硬膜外脓肿1例报告
Pub Date : 2008-12-24 DOI: 10.3814/2008/613402
Linqiu Zhou, A. Turtz, Galit Levy
Pan spinal epidural abscess is rare in a young healthy adult and may lead to permanent neurological deficits and meningitis if not treated promptly. A case is described of a pan spinal epidural abscess, from C1 to S1, in a young, healthy adult without risk factors that presented with ascending back pain and no fever. The abscess was diagnosed with MRI and treated with hemilaminotomies, surgical drainage, and antibiotics with a satisfactory outcome. The literature is reviewed herein.
泛性脊髓硬膜外脓肿在年轻健康成人中是罕见的,如果不及时治疗,可能导致永久性神经功能缺损和脑膜炎。一个病例描述了一种pan脊髓硬膜外脓肿,从C1到S1,在一个年轻的,健康的成年人没有危险因素,表现为上升的背部疼痛,没有发烧。该脓肿经MRI诊断,并接受半椎板切开术、手术引流和抗生素治疗,结果满意。本文对文献进行综述。
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引用次数: 0
Comparison of Cytogenetic and Static Cytometry Procedures in the Evaluation of Potentially Malignant Oral Lesions 细胞遗传学和静态细胞术在评估潜在的口腔恶性病变中的比较
Pub Date : 2008-12-18 DOI: 10.3814/2008/184515
L. Montebugnoli, I. Grelli, F. Cervellati, D. Servidio, C. Marchetti, A. Farnedi, M. Foschini
Gross genomic damage or specific chromosomal alterations have been revealed by different laboratory procedures in potentially malignant oral lesions, but two or more procedures have never been applied at the same time to the same cell population. In the present study we considered cell suspensions obtained from 34 oral lesions at risk of malignancy to see whether they might harbour genetic alterations and whether a correlation exists between the results obtained by two different methods of assessing DNA aberrations. Each suspension underwent DNA-content assessment by static cytometry, and cytogenetic G-banding analysis of short-term primary cultures. DNA content was determined in a minimum of 1000 cells on a Fairfield ploidy analyser and results expressed as percent of aneuploid cells in the S-phase; cytogenetic analysis was carried out according to standard procedures on in situ G-banding metaphases, and results expressed as percent of metaphases with chromosomal alterations. The results showed that the percentage of metaphases with chromosomal alterations was significantly correlated with the percentage of aneuploid cells in the S-phase. In conclusion, genetic alterations can be revealed in the same oral specimen either by procedures studying DNA content in fixed cells or by procedures investigating chromosomal alterations in cultured and proliferating cells.
在潜在的恶性口腔病变中,已经通过不同的实验室程序揭示了严重的基因组损伤或特定的染色体改变,但从未同时对同一细胞群应用两种或两种以上的程序。在本研究中,我们考虑了从34个有恶性肿瘤风险的口腔病变中获得的细胞悬液,看看它们是否可能含有遗传改变,以及两种评估DNA畸变的不同方法获得的结果之间是否存在相关性。每个悬浮液通过静态细胞仪评估dna含量,并对短期原代培养进行细胞遗传学g带分析。在Fairfield倍性分析仪上测定至少1000个细胞的DNA含量,结果以s期非整倍体细胞的百分比表示;按标准程序对原位g带中期进行细胞遗传学分析,结果以染色体改变中期的百分比表示。结果表明,中期染色体改变的百分比与s期非整倍体细胞的百分比显著相关。总之,通过研究固定细胞中的DNA含量或研究培养细胞和增殖细胞中的染色体改变,可以在同一口腔标本中发现遗传改变。
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引用次数: 0
Acute Effect of One Single Application of Intravaginal Electrostimulation on Urodynamic Parameters in Patients with the Overactive Bladder Syndrome 单次阴道内电刺激对膀胱过度活动综合征患者尿动力学参数的急性影响
Pub Date : 2008-12-11 DOI: 10.3814/2008/134041
P. J. V. D. Zalm, R. Pelger, H. Elzevier, G. L. À. Nijeholt
Introduction. We performed this study to quantify the acute effect of one single application of intravaginal electrostimulation in patients with symptoms of the overactive bladder syndrome (OAB), using urodynamic parameters. Materials and methods. Prospectively forty female patients were consecutively selected by entry in two groups: urodynamics only and urodynamics combined with intravaginal electrostimulation. We applied intravaginal electrostimulation with a frequency of 8 Hz, pulse duration of 1000 microseconds and no pulse to rest. Urodynamic evaluations were performed according to ICS standards. Results. By comparing urodynamic measurements in both groups, it appeared that the first sensation of bladder filling, cystometric capacity, micturition volume, urethral pressure, and peak flow showed statistical significant improvement ( P .05 ) during intravaginal electrostimulation. Conclusion. In the present study, we were able to demonstrate an acute effect of one application of intravaginal electrostimulation on bladder function urodynamic parameters in patients with the overactive bladder syndrome. Whether our findings represent the clinical effect of intravaginal electrostimulation in patients with complaints of OAB symptoms needs to be clarified.
介绍。我们进行了这项研究,利用尿动力学参数量化一次阴道内电刺激对有膀胱过度活动综合征(OAB)症状的患者的急性效果。材料和方法。前瞻性选择40例女性患者,按入组分为两组:单尿动力学组和尿动力学联合阴道内电刺激组。我们使用阴道内电刺激,频率为8hz,脉冲持续时间为1000微秒,无脉冲休息。按照ICS标准进行尿动力学评估。结果。通过比较两组患者的尿动力学测量结果,阴道内电刺激对膀胱充盈的第一感觉、膀胱容量、排尿量、尿道压力和峰值流量的改善有统计学意义(P . 0.05)。结论。在目前的研究中,我们能够证明阴道内电刺激对膀胱过度活跃综合征患者膀胱功能尿动力学参数的急性影响。我们的研究结果是否代表阴道内电刺激对OAB症状主诉患者的临床效果还需要澄清。
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引用次数: 0
Upregulation of Monocyte Chemoattractant Protein-1 (MCP-1) in Early Diabetic Nephropathy in Patients with Type-1 Diabetes Mellitus 单核细胞趋化蛋白-1 (MCP-1)在1型糖尿病患者早期糖尿病肾病中的上调
Pub Date : 2008-11-24 DOI: 10.3814/2008/467264
Eid M El-Shafey, G. El-Nagar, Hasan Abu Hatab, A. Sabry, Hesham Elbaz
Background. Monocyte chemoattractant protein-1 (MCP-1) can directly elicit an inflammatory response by inducing cytokine and adhesion molecule expression in the kidney. We investigated the role of MCP-1 in the development of early nephropathy in patients with type-1 diabetes mellitus, in addition to the effect of high-dose vitamin E treatment (8 weeks) on early stages of diabetic nephropathy. Methods. This study was carried out on 30 type-1 diabetic patients subdivided into two equal groups according to their urinary albumin excretion, in addition to 10 healthy matched volunteers included as controls. MCP-1, glycated hemoglobin (HbA1c), and albuminuria—before and after vitamin E treatment—were measured in all studied groups. Results. Serum MCP-1 and HbA1c were significantly elevated in patients with microalbuminuria and poor glycemic control (941.67±47.03 pg/mL; 16.95±2.74%) compared to normoalbuminuric diabetic patients (622.73±103.23 pg/mL; 7.23±0.86%), and controls (366.60±129.01; 3.35±0.66) (P=.001), respectively. There was positive correlation between MCP-1 and HbA1c. Both MCP-1 and albuminuria decreased significantly after using high-dose vitamin E treatment, though there was no change in HbA1c in type-1 diabetic patients with early nephropathy. Conclusion. These observations suggest that MCP-1 may be involved in the pathogenesis of diabetic nephropathy. High-dose vitamin E may provide a novel form of therapy for the prevention of microvascular complications in type-1 diabetic patients.
背景。单核细胞趋化蛋白-1 (MCP-1)可以通过诱导肾脏细胞因子和粘附分子的表达直接引起炎症反应。除了大剂量维生素E治疗(8周)对早期糖尿病肾病的影响外,我们还研究了MCP-1在1型糖尿病患者早期肾病发展中的作用。方法。本研究将30例1型糖尿病患者按尿白蛋白排泄量分成两组,另外10名健康匹配的志愿者作为对照。在维生素E治疗前后测量MCP-1、糖化血红蛋白(HbA1c)和蛋白尿。结果。微量白蛋白尿和血糖控制不良患者血清MCP-1和HbA1c显著升高(941.67±47.03 pg/mL;(16.95±2.74%),而尿白蛋白正常的糖尿病患者(622.73±103.23 pg/mL;7.23±0.86%),对照组(366.60±129.01;3.35±0.66)(P=.001)。MCP-1与HbA1c呈正相关。高剂量维生素E治疗后,MCP-1和蛋白尿均显著降低,但1型糖尿病合并早期肾病患者的HbA1c没有变化。结论。这些观察结果提示MCP-1可能参与糖尿病肾病的发病机制。高剂量维生素E可能为预防1型糖尿病患者微血管并发症提供一种新的治疗形式。
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引用次数: 0
The Effect of General Relativity on Hyperbolic Orbits and Its Application to the Flyby Anomaly 广义相对论对双曲轨道的影响及其在飞掠异常中的应用
Pub Date : 2008-11-24 DOI: 10.3814/2009/807695
L. Iorio
We investigate the impact of the general relativistic gravitoelectromagnetic forces on hyperbolic orbits around a massive spinning body. The gravitomagnetic field, causing the well-known Lense-Thirring precessions of elliptic orbits, is generated by the spin S of the central body. It deflects and displaces the trajectories differently according to the mutual orientation of S and the orbital angular momentum L of the test particle. The gravitoelectric force, which induces the Einstein precession of the perihelion of the orbit of Mercury, always deflects the trajectories inward irrespective of the L−S orientation. We numerically compute their effect on the range r, radial and transverse components vr and vτ of the velocity, and speed v of the NEAR spacecraft at its closest approach with the Earth in January 1998 when it experienced an anomalous increase of its asymptotic outgoing velocity v∞o of 13.46±0.01 mm sec−1; while the gravitoelectric force was modeled in the software used to process the NEAR data, this was not done for the gravitomagnetic one. The range rate and the speed are affected by general relativistic gravitoelectromagnetism at 10−2 (gravitoelectric) to 10−5 (gravitomagnetic) mm sec−1 levels. The changes in the range are of the order of 10−2 (gravitomagnetic) to 101 (gravitoelectric) mm.
我们研究了广义相对论引力电磁力对围绕一个大质量旋转体的双曲轨道的影响。引力磁场,引起众所周知的椭圆轨道的透镜-蒂林进动,是由中心物体的自旋S产生的。它根据S的相互方向和测试粒子的轨道角动量L不同地偏转和位移轨迹。引力电作用力,引起了水星轨道近日点的爱因斯坦进动,总是使轨道向内偏转,而与L - S方向无关。我们数值计算了它们对1998年1月NEAR航天器最接近地球时速度和速度v的距离r、径向和横向分量vr和vτ的影响,当时它的渐近出射速度v∞o异常增加了13.46±0.01 mm秒−1;虽然在用于处理NEAR数据的软件中对重力电作用力进行了建模,但对重力磁作用力却没有这样做。在10−2(重力电)到10−5(重力磁)mm sec−1的水平上,距离速率和速度受到广义相对论重力电磁的影响。变化范围在10−2(重力磁)到101(重力电)mm之间。
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引用次数: 36
Fragment of the Ancient RbcL Gene from the Miocene 中新世的古代RbcL基因片段
Pub Date : 2008-11-16 DOI: 10.3814/2008/417592
P. Veiga-Crespo, L. R. Martínez, M. Viñas, T. G. Villa
The development of molecular biology techniques has allowed a new approach to palaeontology and studies on ancient DNA. As a plant fossil resin, amber provided a good matrix for preserving ancient biological material. Some difficulties arise when experimental work is done to extract information concerning these preserved specimens. The major risks in this type of works are the contamination with modern DNA and the degradation of the ancient DNA. A safe method to sterilize amber stones has been designed allowing the amplification of a fragment of the ancient RbcL gene from the Miocene (c.a. 25 million years). Presumably, the gene was from Hymenaea protera, an extinct member of the Leguminoseae family. The phylogenetic tree and divergence rates indicate that since although it is a well-conserved gene, and then should be a good candidate for studying the evolution of plant macrogroups, probably it is not good enough for analyzing divergence among closely related species.
分子生物学技术的发展为古生物学和古代DNA研究提供了新的途径。琥珀作为一种植物化石树脂,为保存古代生物材料提供了良好的基质。当进行实验工作以提取有关这些保存标本的信息时,会出现一些困难。这类工程的主要风险是现代DNA的污染和古代DNA的降解。一种对琥珀石进行消毒的安全方法已经被设计出来,该方法允许扩增来自中新世(约2500万年前)的古代RbcL基因片段。据推测,该基因来自原膜虫,一种豆科已灭绝的成员。系统发育树和分化率表明,虽然它是一个保守的基因,因此应该是研究植物大群进化的良好候选者,但可能不足以分析近缘物种之间的分化。
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引用次数: 2
Analysis of the Arabidopsis Mitogen-Activated Protein Kinase Families: Organ Specificity and Transcriptional Regulation upon Water Stresses 拟南芥丝裂原活化蛋白激酶家族的分析:器官特异性和水分胁迫下的转录调控
Pub Date : 2008-11-11 DOI: 10.3814/2008/143656
K. Moustafa, De Vos, A. Leprince, A. Savouré, C. Laurière
The Arabidopsis genome contains 20 MPK, 10 MKK, 60 MAP3K, and 10 MAP4K genes, but the functions of the corresponding proteins are still poorly characterized. To research possible functional MAP kinase modules involved in water stress signalling, original macroarrays were developed for their sensitivity and specificity. The expression patterns of the MPK and MKK gene families, as well as selected key members of the MAP3K and MAP4K families, were studied in relation to organ specificity and to various water stresses. Several kinases of the scarcely studied MPK group containing a TDY activation motif were induced by water stresses. There are four different MPKs (MPK9, MPK11, MPK17, and MPK18), among which three contain the TDY activation motif, and MKK9 and MAP3K6 are induced at the transcriptional level by dehydration, salinity, and hyperosmolarity treatments. They probably constitute MAP kinase key elements involved in water stress signalling.
拟南芥基因组包含20个MPK、10个MKK、60个MAP3K和10个MAP4K基因,但相关蛋白的功能尚不清楚。为了研究可能参与水分胁迫信号的MAP激酶功能模块,开发了原始的宏阵列,以提高其敏感性和特异性。研究了MPK和MKK基因家族的表达模式,以及MAP3K和MAP4K家族的关键成员与器官特异性和各种水分胁迫的关系。含有TDY激活基序的几个很少被研究的MPK组激酶被水胁迫诱导。有四种不同的mpk (MPK9、MPK11、MPK17和MPK18),其中三种含有TDY激活基序,MKK9和MAP3K6在转录水平上受到脱水、盐度和高渗处理的诱导。它们可能构成了参与水分胁迫信号传导的MAP激酶关键元件。
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引用次数: 30
Acute Rheumatic Fever Complicating Tetralogy of Fallot 急性风湿热并发法洛四联症
Pub Date : 2008-11-03 DOI: 10.3814/2008/541548
Maneesha Bhaya, Rajesh Beniwal, R. Panwar
This is a unique case of a patient aged 35 years developing rheumatic carditis secondary to acute rheumatic fever. The patient developed acute mitral regurgitation yet tolerated it relatively well because of coexistent Tetralogy of Fallot. The hemodynamics in this patient was significantly altered by the coexistence of these two conditions. This is the first case of its kind when acute rheumatic fever has been documented in a patient of Tetralogy of Fallot.
这是一个独特的情况下,病人35岁发展风湿性心脏炎继发急性风湿热。患者出现急性二尖瓣反流,但由于法洛四联症共存,患者的耐受性相对较好。这两种情况的共存显著改变了患者的血流动力学。这是它的第一个病例时,急性风湿热已被记录在法洛四联症患者。
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引用次数: 1
Serum False-Positive Botulism in Guillain-Barré Syndrome 格林-巴利综合征的血清假阳性肉毒杆菌中毒
Pub Date : 2008-10-23 DOI: 10.3814/2008/430531
Yen-Chi Yeh, Kon-Ping Lin, K. Lai, Jen-Feng Liang, K. Liao
A 30-year-old man of Guillain-Barre syndrome (GBS) had atypical descending weakness and history of exposure to expired canned meat, which caused confusion with botulism. His serum showed false-positive botulism type B by the standard mouse bioassay. The diagnosis of axonal GBS was based on clinical and electrophysiological evidence. This report highlights the fact that GBS can present descending weakness and serum false-positive botulism.
一名患有格林-巴利综合征(GBS)的30岁男子有非典型的下行乏力和接触过期罐装肉的历史,这导致了肉毒中毒的混淆。通过标准小鼠生物测定,他的血清显示B型肉毒杆菌中毒假阳性。轴突性GBS的诊断是基于临床和电生理证据。本报告强调了这样一个事实,即GBS可表现为下行虚弱和血清假阳性肉毒杆菌中毒。
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引用次数: 4
Overexpression of YKL-39 Gene in Glial Brain Tumors YKL-39基因在神经胶质性脑肿瘤中的过表达
Pub Date : 2008-10-23 DOI: 10.3814/2008/814849
V. Kavsan, V. Dmitrenko, O. Boyko, V. Filonenko, S. Avdeev, P. Areshkov, A. Marusyk, T. Malisheva, V. Rozumenko, Y. Zozulya
More than forty genes with considerably increased expression in glioblastoma as compared to normal human brain were identified by SAGE. One of the most prominent among them was CHI3L2 (YKL-39) gene, which encodes 39 kDa chitinase-like protein. Northern blot hybridization confirmed the data of SAGE for the majority of glioblastomas. Anaplastic astrocytomas could be divided on two groups: in one of them the YKL-39 expression was completely undetectable, but in the other group quite high contents of YKL-39 mRNA were detected. In this study, preliminary data show that patients with undetectable expression of YKL-39 in anaplastic astrocytomas did not have recurrent tumors quite long (more than 2-3 years) period of time. YKL-39 RNA has not been detected in diffuse astrocytomas and in all (but one) samples of normal brain. Increased expression of YKL-39 gene in glioblastomas was shown also at the protein level. Western blots did not shown simultaneous production of YKL-39 and YKL-40, in spite of having high degree of their sequence identity. Increased expression of YKL-39 in subsets of patients with glial tumors, reported here for the first time, together with abnormal increase of the YKL-40 gene expression may be a novel molecular marker for glial tumors.
与正常人脑相比,在胶质母细胞瘤中发现了40多个表达显著增加的基因。其中最突出的是CHI3L2 (YKL-39)基因,该基因编码39kda几丁质酶样蛋白。Northern blot杂交证实了SAGE对大多数胶质母细胞瘤的影响。间变性星形细胞瘤可分为两组:一组完全检测不到YKL-39的表达,另一组检测到较高的YKL-39 mRNA含量。本研究初步资料显示,间变性星形细胞瘤中YKL-39表达未检测到的患者,肿瘤复发时间不长(2-3年以上)。YKL-39 RNA未在弥漫性星形细胞瘤和所有正常脑样本中检测到(除了一个)。在蛋白水平上,YKL-39基因在胶质母细胞瘤中的表达也有所增加。尽管YKL-39和YKL-40具有高度的序列一致性,但Western blots并未显示它们同时产生。本文首次报道YKL-39在神经胶质肿瘤患者亚群中表达升高,同时YKL-40基因表达异常升高,可能是神经胶质肿瘤的一种新的分子标志物。
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引用次数: 17
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