• 【表型转换导致平滑肌肌膜的结构和功能改变。】 复制标题 收藏 收藏
    DOI:10.1016/j.yexcr.2006.07.012 复制DOI
    作者列表:Matschke K,Babiychuk EB,Monastyrskaya K,Draeger A
    BACKGROUND & AIMS: :Continuous changes in the length of smooth muscles require a highly organized sarcolemmal structure. Yet, smooth muscle cells also adapt rapidly to altered environmental cues. Their sarcolemmal plasticity must lead to profound changes which affect transmembrane signal transduction as well as contractility. We have established porcine vascular and human visceral smooth muscle cultures of epithelioid and spindle-shaped morphology and determined their plasma membrane properties. Epithelioid cells from both sources contain a higher ratio of cholesterol to glycerophospholipids, and express a less diverse range of lipid-associated annexins. These findings point to a reduction in efficiency of membrane segregation in epithelioid cells. Moreover, compared to spindle-shaped cells, cholesterol is more readily extracted from epithelioid cells with methyl-beta-cyclodextrin and its synthesis is more susceptible to inhibition with lovastatin. The inability of epithelioid cells to process vasoactive metabolites, such as angiotensin or nucleotides further indicates that contractile properties are impaired. Phenotypic plasticity extends beyond the loss of smooth muscle cell marker genes. The plasma membrane has undergone profound functional changes which are incompatible with cyclic foreshortening, but might be important in the development of vascular disease.
    背景与目标: : 平滑肌长度的持续变化需要高度组织化的肌膜结构。然而,平滑肌细胞也迅速适应改变的环境线索。它们的肌膜可塑性必须导致深刻的变化,从而影响跨膜信号转导以及收缩力。我们已经建立了上皮样和纺锤形形态的猪血管和人内脏平滑肌培养物,并确定了它们的质膜特性。来自两种来源的上皮样细胞均含有较高的胆固醇与甘油磷脂比例,并且表达与脂质相关的膜联蛋白的范围较少。这些发现表明上皮样细胞的膜分离效率降低。此外,与纺锤形细胞相比,胆固醇更容易从上皮样细胞中提取甲基-β-环糊精,其合成更容易受到洛伐他汀的抑制。上皮样细胞无法处理血管活性代谢产物,例如血管紧张素或核苷酸,进一步表明收缩特性受损。表型可塑性超出了平滑肌细胞标记基因的丧失。质膜发生了深刻的功能变化,与循环缩短不相容,但在血管疾病的发展中可能很重要。
  • 【由携带唾液酸a抗原的粘蛋白结合引起的E-选择素的代谢变化。】 复制标题 收藏 收藏
    DOI:10.1006/bbrc.1997.6683 复制DOI
    作者列表:Nakada H,Inoue M,Yamashina I
    BACKGROUND & AIMS: Mucin-type glycoproteins carrying sialylLeA antigens (SL-GP) were isolated from the ascites fluid of a patient with colorectal cancer. SL-GP bound to E-selectin on endothelial cells in Ca2+- and sialylLeA antigen-dependent manners. To examine the metabolic change in E-selectin caused by ligation, endothelial cells were labeled with 32P-phosphate or 35S-Met and 35S-Cys. Phosphorylation at one or more serine residues of E-selectin was elevated by ligation with SL-GP but not with sialylLeA hexasaccharide. Pulse-labeling of E-selectin with 35S-Met and 35S-Cys in the presence of SL-GP indicated that the degradation of E-selectin was accelerated by SL-GP ligation, but labeling after pre-ligation with SL-GP revealed an increase in the synthesis of E-selectin. The synthesis may reflect compensation for the E-selectin degraded on pre-ligation. These results indicate that the overall metabolism of E-selectin was enhanced by the ligation of SL-GP, with degradation and synthesis being apparently balanced.

    背景与目标: 从大肠癌患者的腹水中分离出携带唾液酸抗原 (sl-gp) 的粘蛋白型糖蛋白。SL-GP以Ca2 + 和唾液酸抗原依赖的方式与内皮细胞上的E-选择素结合。为了检查由连接引起的E-选择素的代谢变化,内皮细胞用32p磷酸盐或35S-Met和35S-Cys标记。通过与SL-GP连接而不是与唾液酸六糖连接,E-选择素的一个或多个丝氨酸残基的磷酸化升高。在SL-GP存在下,用35S-Met和35S-Cys对E-选择素进行脉冲标记表明,SL-GP连接可加速E-选择素的降解,但用SL-GP预连接后标记显示E-选择素的合成增加。合成可能反映了对预连接时降解的E-选择素的补偿。这些结果表明,SL-GP的连接增强了E-选择素的整体代谢,降解和合成明显平衡。
  • 【慢性伤口愈合过程中趋化因子和炎性细胞因子的变化。】 复制标题 收藏 收藏
    DOI:10.1046/j.1524-475X.1997.50405.x 复制DOI
    作者列表:Fivenson DP,Faria DT,Nickoloff BJ,Poverini PJ,Kunkel S,Burdick M,Strieter RM
    BACKGROUND & AIMS: :Wound healing is a complex process resulting from an interplay of processes including coagulation, inflammation, angiogenesis, and epithelialization. The chemokine family has been shown to contain members that are potent regulators of many of these pathways. Because we have previously shown that chemokines "pool" in biologic wound dressings, we studied the levels of CXC and CC chemokines, along with key inflammatory mediators, serially from a group of patients undergoing therapy for chronic venous leg ulcers. After 8 weeks, all patients had marked clinical healing of their ulcers (median 63.3% reduction in size) with two of 10 completely healed. Wound fluids extracted from dressings showed high levels of platelet factor-4 and interferon-gamma-inducible protein, with a trend toward increases in the ratio of the sums of the angiogenic versus angiostatic CXC chemokines (p = 0.082) in the tissues collected from the center of the ulcers during wound closure. Neutrophil-activating peptide-2 and interleukin-8 accounted for the most changes in wound fluid angiogenic chemokines, with significant differences both as compared with baseline levels and with patients' plasma level noted at various time points between weeks 0 and 8. The level of angiostatic chemokines, interferon-y inducible protein 10 and platelet-activating-4, fell most significantly between weeks 0 and 3 as compared with plasma levels. The observed shift toward angiogenic CXC chemokines suggests that effective healing in chronic venous insufficiency ulcers appears to "move" the ulcer bed toward a state more conducive to epithelialization,characteristic of the proliferative phase of wound healing. CC chemokines were also elevated at baseline in the wound fluid samples as compared with the patients' plasma levels. Macrophage inflammatory protein-1 (3 and regulated on activation, normal T expressed and secreted (RANTES) levels decreased with healing, whereas there were significant increases in the tissue levels of monocyte chemoattractant protein-1 and macrophage inflammatory protein-1 a over the first 4 weeks of therapy (p< or = 0.05 for both). Coincident with these changes was a steady increase in the ratio of interleukin-1 R/interleukin-1 receptor antagonist protein in the ulcer center tissues, which also correlated with healing (p < 0 .05) as compared with a decreasing ratio at the ulcer edge, and a biphasic response in the wound fluids. These findings suggest that advanced wound care techniques help move the ulcer from a chronic inflammatory state into one more characteristic of the late inflammatory/early proliferative phase of wound healing. Chemokines may play a critical role in the pathogenesis of chronic venous ulcers through their effects on angiogenesis and/or the progression of inflammatory reactions at the site of injury.
    背景与目标: 伤口愈合是一个复杂的过程,由凝血、炎症、血管生成和上皮形成等过程的相互作用产生。趋化因子家族已被证明包含许多这些途径的有效调节剂。因为我们以前已经表明趋化因子在生物伤口敷料中 “聚集”,所以我们连续研究了一组接受慢性静脉腿部溃疡治疗的患者的CXC和CC趋化因子以及关键炎症介质的水平。8周后,所有患者的溃疡临床愈合明显 (中位63.3% 缩小),其中10例中有2例完全愈合。从敷料中提取的伤口液显示出高水平的血小板因子-4和干扰素-γ 诱导蛋白,在伤口闭合期间从溃疡中心收集的组织中,血管生成与血管抑制CXC趋化因子 (p = 0.082) 的总和比率呈增加趋势。中性粒细胞激活肽-2和interleukin-8占伤口流体血管生成趋化因子的最大变化,与基线水平和患者血浆水平相比,在第0周和第8周之间的不同时间点存在显着差异。与血浆水平相比,血管抑制趋化因子,干扰素y诱导蛋白10和血小板活化4的水平在第0周和第3周之间下降最明显。观察到的向血管生成CXC趋化因子的转变表明,慢性静脉功能不全溃疡的有效愈合似乎使溃疡床 “移至” 更有利于上皮形成的状态,这是伤口愈合增生期的特征。与患者血浆水平相比,伤口液体样品中的CC趋化因子在基线时也升高。巨噬细胞炎性蛋白-1 (3) 和受激活调节,正常T表达和分泌 (RANTES) 水平随愈合而降低,而在治疗的前4周内,单核细胞趋化蛋白-1和巨噬细胞炎性蛋白-1 a的组织水平显着增加 (两者p <或 = 0.05)。与这些变化同时发生的是,interleukin-1 R/interleukin-1受体拮抗剂蛋白的比例在溃疡中心组织,与溃疡边缘的比率降低相比,这也与愈合相关 (p <0.05),和伤口液体中的双相反应。这些发现表明,先进的伤口护理技术有助于将溃疡从慢性炎症状态转移到伤口愈合的晚期炎症/早期增生期的另一个特征。趋化因子可能通过其对血管生成的影响在慢性静脉溃疡的发病机理中发挥关键作用和/或损伤部位炎症反应的进展。
  • 【再生大鼠肝脏线粒体H-ATPase活性和F1含量的变化。】 复制标题 收藏 收藏
    DOI:10.1016/0014-5793(85)80400-2 复制DOI
    作者列表:Buckle M,Guerrieri F,Papa S
    BACKGROUND & AIMS: :Submitochondrial particles prepared from rat liver during hepatic regeneration exhibit a depressed ATPase activity which is correlated with a decrease in F1 subunit content as shown by SDS-PAGE. Use of an antibody directed against the F1 portion of the H+-ATPase complex demonstrated that there is a definite decrease in the amount of beta-subunit of F1 in both submitochondrial particles and mitochondria from rat liver 24 h after partial hepatectomy.
    背景与目标: : 在肝再生过程中从大鼠肝脏制备的亚线粒体颗粒表现出降低的ATPase活性,这与F1亚基含量的降低有关,如sdds-PAGE所示。使用针对H-ATPase复合物的F1部分的抗体表明,部分肝切除术后24小时,大鼠肝脏的线粒体颗粒和线粒体中F1的 β 亚基数量均明显减少。
  • 【腰椎骨密度分布的纵向变化可能会增加楔形骨折的风险。】 复制标题 收藏 收藏
    DOI:10.1016/j.clinbiomech.2012.10.005 复制DOI
    作者列表:Giambini H,Khosla S,Nassr A,Zhao C,An KN
    BACKGROUND & AIMS: BACKGROUND:Trabecular bone strength diminishes as a result of osteoporosis and altered biomechanical loading at the vertebral and spinal levels. The spine consists of the anterior, middle and posterior columns and the load supported by the anterior and middle columns will differ across different regions of the spine. Stress shielding of the anterior column can contribute to bone loss and increase the risk of wedge fracture. There is a lack of quantitative data related to regional spinal bone mineral density distribution over time. We hypothesize that there is an increase in the posterior-to-anterior vertebral body bone mineral density ratio and a decrease in whole-body bone mineral density over time. METHODS:Bone mineral density was measured in 33 subjects using quantitative computed tomography scans for L1-L3 vertebrae, region (anterior and posterior vertebral body), and time (baseline and 6 years after). FINDINGS:Lumbar bone mineral density decreased significantly (Δ: ~15%) from baseline to the 6th year visit. Individual vertebra differences over time (L1: ~14%, L2: ~14%, L3: ~17%) showed statistical significance. Anterior bone mineral density change was significantly greater than in the posterior vertebral body region (Δ anterior: ~18%; Δ posterior: ~13%). Posterior-to-anterior bone mineral density ratio was significantly greater in the 6th year compared to baseline values (mean (SD), 1.33 (0.2) vs. 1.23 (0.1)). INTERPRETATION:This study provides longitudinal quantitative measurement of bone mineral density in vertebrae as well as regional changes in the anterior and posterior regions. Understanding bone mineral density distribution over time may help to decrease the risk of wedge fractures if interventions can be developed to bring spine loading to its normal state.
    背景与目标:
  • 【痴呆磁共振成像的认知和白质变化。】 复制标题 收藏 收藏
    DOI:10.1001/archneur.1990.00530040029015 复制DOI
    作者列表:Kertesz A,Polk M,Carr T
    BACKGROUND & AIMS: :In a prospective magnetic resonance imaging and cognitive study of 38 demented patients and 15 control subjects, 11 of 27 patients with Alzheimer's disease and 8 of 11 patients with vascular dementia had significant periventricular hyperintensities. Memory and language testing in the early investigation of dementia is useful to distinguish patients with or without periventricular hyperintensities on magnetic resonance imaging. Patients without periventricular hyperintensities are worse on memory and conceptualization tests than patients with periventricular hyperintensities, who tend to be worse on comprehension and attention tests. These differences in cognitive pattern are present between patients with different pathogenesis who are otherwise matched for dementia severity. Language and some nonverbal cognitive deficits correlate with the extent of cortical and ventricular atrophy in Alzheimer's disease.
    背景与目标: : 在对38名痴呆患者和15名对照受试者的前瞻性磁共振成像和认知研究中,27例阿尔茨海默氏病患者中的11例和11例血管性痴呆患者中的8例具有明显的脑室周围高信号。在痴呆症的早期研究中进行记忆和语言测试可用于在磁共振成像上区分有无脑室周围高信号的患者。没有脑室周围高强度的患者在记忆和概念化测试上比脑室周围高强度的患者更差,后者在理解和注意力测试上往往更差。这些认知模式的差异存在于具有不同发病机理的患者之间,这些患者在痴呆严重程度上是匹配的。语言和某些非语言认知缺陷与阿尔茨海默氏病的皮质和心室萎缩程度相关。
  • 【胆囊体积的变化不影响胆囊管阻力。】 复制标题 收藏 收藏
    DOI:10.1001/archsurg.1990.01410160046010 复制DOI
    作者列表:Sharp KW,Ross CB,Tillman VN,Williams LF Jr
    BACKGROUND & AIMS: :To our knowledge, the relationship between gallbladder volume and cystic duct function has not been studied. We hypothesized that changes in gallbladder volume would influence cystic duct resistance. The effect of gallbladder volume changes on cystic duct resistance to both prograde (emptying) and retrograde (filling) steady-state flow was tested in 12 dogs under basal cholecystokinin-stimulated conditions utilizing a multiport catheter with a highly compliant balloon placed within the gallbladder fundus. Gallbladder volume was regulated by varying balloon volume from empty to just beyond physiologic distention. Cystic duct resistance was not affected by balloon volume under basal or stimulated conditions or by the direction of perfusate flow. This study demonstrated no relationship between gallbladder volume and cystic duct resistance and did not demonstrate a cystic duct sphincter mechanism at physiologic gallbladder volumes.
    背景与目标: : 据我们所知,胆囊体积与胆囊管功能之间的关系尚未得到研究。我们假设胆囊体积的变化会影响胆囊管阻力。在12只狗中,在基础胆囊收缩素刺激的条件下,使用多端口导管在胆囊内放置了高度顺应性球囊,测试了胆囊体积变化对胆囊管对顺行 (排空) 和逆行 (充盈) 稳态血流的阻力的影响。胆囊底。胆囊体积通过改变从空的球囊体积到超出生理扩张来调节。在基础或刺激条件下,囊管阻力不受球囊体积或灌注液流动方向的影响。这项研究表明胆囊体积与胆囊管阻力之间没有关系,也没有显示生理性胆囊体积的胆囊管括约肌机制。
  • 【猪心肌梗死模型心室去极化和复极化变化的特征。】 复制标题 收藏 收藏
    DOI:10.1088/0967-3334/33/12/1975 复制DOI
    作者列表:Romero D,Ringborn M,Demidova M,Koul S,Laguna P,Platonov PG,Pueyo E
    BACKGROUND & AIMS: :In this study, several electrocardiogram (ECG)-derived indices corresponding to both ventricular depolarization and repolarization were evaluated during acute myocardial ischemia in an experimental model of myocardial infarction produced by 40 min coronary balloon inflation in 13 pigs. Significant changes were rapidly observed from minute 4 after the start of coronary occlusion, achieving their maximum values between 11 and 22 min for depolarization and between 9 and 12 min for repolarization indices, respectively. Subsequently, these maximum changes started to decrease during the latter part of the occlusion. Depolarization changes associated with the second half of the QRS complex showed a significant but inverse correlation with the myocardium at risk (MaR) estimated by scintigraphic images. The correlation between MaR and changes of the downward slope of the QRS complex, [Formula: see text], evaluated at the two more relevant peaks observed during the occlusion, was r = -0.75, p < 0.01 and r = -0.79, p < 0.01 for the positive and negative deflections observed in [Formula: see text], temporal evolution, respectively. Repolarization changes, analyzed by evaluation of ST segment elevation at the main observed positive peak, also showed negative, however non-significant correlation with MaR: r = -0.34, p = 0.28. Our results suggest that changes evaluated in the latter part of the depolarization, such as those described by [Formula: see text], which are influenced by R-wave amplitude, QRS width and ST level variations simultaneously, correlate better with the amount of ischemia than other indices evaluated in the earlier part of depolarization or during the ST segment.
    背景与目标: : 在这项研究中,在13头猪的40分钟冠状动脉球囊充气产生的心肌梗死实验模型中,评估了急性心肌缺血期间对应于心室去极化和复极化的几种心电图 (ECG) 衍生指标。从冠状动脉闭塞开始后的第4分钟开始迅速观察到显着变化,分别在去极化11至22分钟和复极化指数9至12分钟之间达到最大值。随后,在闭塞的后期,这些最大变化开始减少。与QRS复合物的后半部分相关的去极化变化与闪烁显像估计的危险心肌 (MaR) 呈显着但呈负相关。在闭塞期间观察到的两个更相关的峰处评估的MaR与QRS复合体向下斜率的变化之间的相关性为r = -0.75,p <0.01和r = -0.79,对于在 [公式: 参见文本] 中观察到的正偏转和负偏转,分别为p <0.01。通过评估主要观察到的正峰处的ST段抬高来分析复极化变化,也显示出负的,但与MaR无关: r = -0.34,p = 0.28。我们的结果表明,在去极化的后半部分评估的变化,例如 [公式: 参见文本] 所描述的变化,同时受到R波振幅,QRS宽度和ST电平变化的影响,与在去极化早期或ST段期间评估的其他指标相比,与缺血量的相关性更好。
  • 【Strigolactones: 依赖于破坏的知觉?】 复制标题 收藏 收藏
    DOI:10.1016/j.cub.2012.09.016 复制DOI
    作者列表:Smith SM,Waters MT
    BACKGROUND & AIMS: :Strigolactones control many aspects of plant growth and development, but the active form(s) of strigolactones and their mode of action at the molecular level are unknown. A new study provides evidence that an α/β-fold protein plays a central multifunctional role in strigolactone metabolism, perception and signalling.
    背景与目标: : Strigolactones控制植物生长和发育的许多方面,但是strigolactones的活性形式及其在分子水平上的作用方式尚不清楚。一项新的研究提供了证据,表明 α/β 折叠蛋白在strigolactone代谢,感知和信号传导中起着重要的多功能作用。
  • 【客观面部皮肤质量分析后,光老化严重程度和皮肤癌风险的自我认知变化。】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Bae YC,Bae EJ,Wang JH,Gilchrest BA
    BACKGROUND & AIMS: :

    Background: Despite public education efforts, many people at risk for skin cancer do not practice safe sun behaviors.

    Objective: To determine whether machine-based evaluation of UV-induced alterations (VISIA scan) changes self-assessment of facial photoaging, skin cancer risk, and willingness to improve sun protective habits. In addition, to determine whether VISIA scan analysis reveals differences between those with versus without a history of skin cancer, men versus women, those older than 50 versus less than 50 years of age, and Fitzpatrick skin types I-III versus IV-VI.

    Methods: Volunteers attending a health expo were recruited and queried about their perceived risk of skin cancer and degree of skin photoaging. All participants underwent facial skin quality analysis of both sides of the face, and then completed a follow-up survey.

    Results: Participants' scored self-perceptions of overall skin aging were all statistically significantly worse after VISIA scan analysis. There was no change in perceived skin cancer risk, but most participants expressed intent to improve their sun protection habits.

    Limitations: Limitations to this study include selection bias, recall-misclassification bias, and social desirability bias.

    Conclusion: Intervention with facial skin analysis can positively affect subjects' stated intent to use sun protection, indicating the importance of appearance in these health decisions.

    J Drugs Dermatol. 2017;16(5):453-459.

    .
    背景与目标: :

    背景: 尽管进行了公共教育,但许多有患皮肤癌风险的人并未实践安全的阳光行为。

    目的: 确定基于机器的紫外线诱导改变评估 (VISIA scan) 是否会改变面部光老化的自我评估,皮肤癌风险和改善防晒习惯的意愿。此外,为了确定VISIA扫描分析是否揭示了有皮肤癌病史与没有皮肤癌病史的人,男性与女性,50岁以上与50岁以下的人以及Fitzpatrick皮肤类型i-iii与iv-vi之间的差异。

    方法: 参加健康博览会的志愿者被招募并询问他们对皮肤癌的感知风险和皮肤光老化的程度。所有参与者都对面部两侧进行了面部皮肤质量分析,然后完成了后续调查。

    结果: VISIA扫描分析后,参与者对整体皮肤老化的评分自我认知均在统计学上显着下降。皮肤癌风险的感知没有变化,但大多数参与者表示有意改善他们的防晒习惯。

    局限性: 这项研究的局限性包括选择偏见,召回错误分类偏见和社会期望偏见。

    结论: 面部皮肤分析的干预可以积极影响受试者使用防晒的既定意图,表明外观在这些健康决定中的重要性。

    J药物皮肤科。2017;16(5):453-459。

  • 【行为大鼠下牙槽神经横断后三叉神经节和丘脑神经元活动的长期变化。】 复制标题 收藏 收藏
    DOI:10.1523/JNEUROSCI.1828-12.2012 复制DOI
    作者列表:Tseng WT,Tsai ML,Iwata K,Yen CT
    BACKGROUND & AIMS: :The transection of the inferior alveolar nerve (IANx) produces allodynia in the whisker pad (V2 division) of rats. Ectopic discharges from injured trigeminal ganglion (TG) neurons and thalamocortical reorganization are possible contributors to the sensitization of uninjured V2 primary and CNS neurons. To test which factor is more important, TG and ventroposterior medial nucleus (VPM) neurons were longitudinally followed before, during, and after IANx for up to 80 d. Spontaneous discharges and mechanical stimulation-evoked responses were recorded in conscious and in anesthetized states. Results show (1) a sequential increase in spontaneous activities, first in the injured TG neurons of the IAN (2-30 d), followed by uninjured V2 ganglion neurons (6-30 d), and then VPM V2 neurons (7-30 d) after IANx; (2) ectopic discharges included burst and regular firing patterns in the IAN and V2 branches of the TG neurons; and (3) the receptive field expanded, the modality shifted, and long-lasting after-discharges occurred only in VPM V2 neurons. All of these changes appeared in the late or maintenance phase (7-30 d) and disappeared during the recovery phase (40-60 d). These observations suggest that ectopic barrages in the injured IAN contribute more to the development of sensitization, whereas the modality shift and evoked after-discharges in the VPM thalamic neurons contribute more to the maintenance phase of allodynia by redirecting tactile information to the cortex as nociceptive.
    背景与目标: : 下牙槽神经 (IANx) 的横切在大鼠的晶须垫 (V2分区) 中产生异常性疼痛。受损的三叉神经节 (TG) 神经元的异位放电和丘脑皮层重组可能是未受损的V2初级和CNS神经元致敏的原因。为了测试哪个因素更重要,在IANx之前,期间和之后纵向跟踪TG和腹后内侧核 (VPM) 神经元长达80 d。在有意识和麻醉状态下记录自发放电和机械刺激诱发反应。结果表明 (1) 自发活动依次增加,首先是IAN损伤的TG神经元 (2-30 d),其次是未损伤的V2神经节神经元 (6-30 d),然后是VPM V2神经元 (7-30 d)。IANx后的d); (2) 异位放电包括TG神经元的IAN和V2分支中的爆发和规则放电模式; (3) 感受野扩大,模态改变,并且仅在VPM V2神经元中发生持久的放电。所有这些变化都出现在后期或维护阶段 (7-30 d),并在恢复阶段 (40-60 d) 消失。这些观察结果表明,受伤的IAN的异位幕对敏化的发展有更大的贡献,而VPM丘脑神经元的模态变化和诱发的放电后放电通过将触觉信息重定向到皮层作为伤害性,对异常性疼痛的维持阶段有更大的贡献。
  • 【急性呼吸窘迫综合征: 全国23年来发病率、治疗和死亡率的变化。】 复制标题 收藏 收藏
    DOI:10.1111/aas.12001 复制DOI
    作者列表:Sigurdsson MI,Sigvaldason K,Gunnarsson TS,Moller A,Sigurdsson GH
    BACKGROUND & AIMS: INTRODUCTION:The aim of this study was to assess population-based changes in incidence, treatment, and in short- and long-term survival of patients with acute respiratory distress syndrome (ARDS) over 23 years. MATERIALS AND METHODS:Analysis of all patients in Iceland who fulfilled the consensus criteria for ARDS in 1988-2010. Demographic variables, Acute Physiology and Chronic Health Evaluation II (APACHE II) scores and ventilation parameters were collected from hospital charts. RESULTS:The age-standardised incidence of ARDS during the study period was 7.2 cases per 100,000 person-years and was increased by 0.2 cases per year (P < 0.001). The most common causes of ARDS were pneumonia (29%) and sepsis (29%). The use of pressure-controlled ventilation became almost dominant from 1993. The peak inspiratory pressure (PIP) has significantly decreased (-0.5 cmH(2) O/year), but the peak end-expiratory pressure (PEEP) has increased (0.1 cmH(2) O/year) during the study period. The hospital mortality decreased by 1% per year (P = 0.03) during the study period, from 50% in 1988-1992 to 33% in 2006-2010. A multivariable logistic regression model revealed that higher age and APACHE II score increased the odds of hospital mortality, while a higher calendar year of diagnosis reduced the odds of mortality. This was unchanged when dominant respiratory treatment, PIP and PEEP were added to the model. The 10-year survival of ARDS survivors was 68% compared with 90% survival of a reference population (P < 0.001). CONCLUSION:The incidence of ARDS has almost doubled, but hospital mortality has decreased during the 23 years of observation. The 10-year survival of ARDS survivors is poor compared with the reference population.
    背景与目标:
  • 【母亲对社区社会资本认知的相关性: 一项基于社区的研究。】 复制标题 收藏 收藏
    DOI:10.1007/s10995-012-1138-0 复制DOI
    作者列表:Pascoe JM,Specht S,McNicholas C,Kasten E,Spears W,Looman W
    BACKGROUND & AIMS: :Psychosocial issues have been recognized as important factors in children's health for decades. This study documents the relation among several important psychosocial variables (e.g., mothers' depressive symptoms) and a new instrument that assesses parents' perception of their communities' social capital. Mothers were recruited from their children's primary care (PC) pediatricians' offices within the Southwestern Ohio Ambulatory Research Network or from a children's hospital developmental clinic (DC). Mothers completed a questionnaire that included the Social Capital Scale (SCS), Children with Special Health Care Needs Screener (CSHCNS), Pediatric Quality of Life Inventory, Maternal Social Support Index and the Center for Epidemiologic Studies Depression Scale (CES-D). Mothers were sorted into three subgroups based on site of recruitment (PC or DC) and results of the CSHCNS. The sample (N = 620) was also sorted into terciles based on SCS scores. Mean SCS was about 73 for each of the three subgroups. Compared to mothers in the highest SCS tercile, mothers in the lowest SCS tercile reported lower education, lower income and higher CES-D median scores. The SCS subscale "sense of belonging" had an inverse correlation with CES-D scores (r = -.248, p < 0.001). Mothers from primary care and sub-specialty clinics had similar perceptions about their communities' social capital. Compared to mothers in the highest one third of SCS scores, mothers in the lowest one third were more likely to report less education and income as well as more depressive symptoms. A decreased sense of belonging in their communities was also correlated with more depressive symptoms. The SCS is a new useful tool for investigators and clinicians who work with children and their families.
    背景与目标: : 几十年来,社会心理问题一直被认为是影响儿童健康的重要因素。这项研究记录了几个重要的社会心理变量 (例如母亲的抑郁症状) 之间的关系,以及一种评估父母对社区社会资本的看法的新工具。母亲是从俄亥俄州西南部门诊研究网络内的儿童初级保健 (PC) 儿科医生办公室或儿童医院发育诊所 (DC) 招募的。母亲完成了一份问卷,包括社会资本量表 (SCS),特殊保健需求筛查 (CSHCNS),儿科生活质量量表,孕产妇社会支持指数和流行病学研究中心抑郁量表 (ces-d)。根据招募地点 (PC或DC) 和CSHCNS的结果,将母亲分为三个亚组。还基于SCS得分将样品 (N = 620) 分类为样本。三个亚组的平均SCS约为73。与SCS水平最高的母亲相比,SCS水平最低的母亲的教育程度较低,收入较低,ces-d中位数得分较高。SCS子量表 “归属感” 与ces-d评分呈负相关 (r = -.248,p <0.001)。初级保健和亚专科诊所的母亲对社区的社会资本有相似的看法。与SCS得分3分之1最高的母亲相比,3分之1最低的母亲更有可能报告更少的教育和收入以及更多的抑郁症状。他们社区的归属感下降也与更多的抑郁症状相关。SCS对于与儿童及其家人一起工作的研究人员和临床医生来说是一种新的有用工具。
  • 【通过实践整合行动和大小感知。】 复制标题 收藏 收藏
    DOI:10.1177/0301006617715378 复制DOI
    作者列表:Coutte A,Camus T,Heurley L,Brouillet D
    BACKGROUND & AIMS: :Size perception is known to influence our usual interactions with environment. Numerous studies highlighted that during the visual presentation of an object, the properties of manual actions vary as a function of this object's size. In order to better understand the dynamic variations of relationships between size perception and action, we used an experimental paradigm consisting in two phases. During a previous implicit learning phase, a manual response (right or left) was specifically associated with the appearance of a large or small stimulus. During further test phase, participants were required to prepare a response while discriminating the color of a stimulus (GO/No GO task). We observed that the response execution was faster when the size of the stimulus was congruent with the size that had been associated to this response (during implicit learning phase). These results suggest that when a response usually co-occurs with visual stimuli characterized by a specific size pattern, the response and the size pattern become integrated. Any subsequent preparation and execution of this action are therefore influenced by the reactivation of this visual pattern. This result brings out new insights on how sensorimotor interactions may modulate the ability to anticipate perceptive size variations in the environment.
    背景与目标: : 众所周知,大小感知会影响我们通常与环境的互动。大量研究强调,在对象的视觉呈现过程中,手动动作的属性随对象大小的变化而变化。为了更好地理解大小感知和动作之间关系的动态变化,我们使用了一个由两个阶段组成的实验范例。在先前的内隐学习阶段,手动响应 (右或左) 与大或小刺激的出现特别相关。在进一步的测试阶段,要求参与者在区分刺激颜色的同时准备响应 (GO/No GO任务)。我们观察到,当刺激的大小与与该响应相关的大小一致时 (在隐式学习阶段),响应执行更快。这些结果表明,当响应通常与以特定大小模式为特征的视觉刺激同时发生时,响应和大小模式将成为一体。因此,此操作的任何后续准备和执行都受到此视觉模式重新激活的影响。该结果为感觉运动相互作用如何调节预测环境中感知大小变化的能力带来了新的见解。
  • 【健康人皮质兴奋性和连通性的年龄相关变化: 通过tms-eeg对感觉运动网络进行非侵入性评估。】 复制标题 收藏 收藏
    DOI:10.1016/j.neuroscience.2017.06.014 复制DOI
    作者列表:Ferreri F,Guerra A,Vollero L,Ponzo D,Maatta S,Mervaala E,Iannello G,Di Lazzaro V
    BACKGROUND & AIMS: :The sensorimotor cortical system undergoes structural and functional changes across its lifespan. Some of these changes are physiological and parallel the normal aging process, while others might represent pathophysiological mechanisms underlying neurodegenerative disorders. In the last years, the study of possible age-related modifications in brain sensorimotor functional characteristics has been the focus of several research projects. Here we have used the transcranial magnetic stimulation (TMS)-electroencephalography (EEG) navigated co-registration to investigate the influence of physiological aging on the excitability and connectivity of the human sensorimotor cortical system. To this end, we compared the TMS-evoked EEG potentials (TEPs) collected after stimulating the dominant primary motor cortex (M1) in healthy young subjects (mean age 24.5years) with those collected in healthy older adults (mean age 67.6years). We have shown that, after stimulation of the left motor cortex, TEPs are significantly affected by physiological aging. This phenomenon has a clear spatio-temporal specificity and we speculate that normal aging per se leads to some changes in the excitability of specific cortical neural assemblies whereas other alterations could reflect compensatory mechanisms to such changes.
    背景与目标: : 感觉运动皮层系统在其整个生命周期内经历结构和功能变化。其中一些变化是生理性的,与正常的衰老过程平行,而另一些变化可能代表神经退行性疾病的病理生理机制。在过去的几年中,对大脑感觉运动功能特征中可能与年龄相关的修饰的研究一直是一些研究项目的重点。在这里,我们使用经颅磁刺激 (TMS)-脑电图 (EEG) 导航的共同配准来研究生理衰老对人感觉运动皮层系统的兴奋性和连通性的影响。为此,我们比较了在健康的年轻受试者 (平均年龄24.5岁) 中刺激显性初级运动皮层 (M1) 后收集的TMS诱发EEG电位 (TEPs) 与在健康的老年人 (平均年龄67.6岁) 中收集的TMS诱发EEG电位 (TEPs)。我们已经表明,在刺激左运动皮层后,tep受到生理衰老的显着影响。这种现象具有明显的时空特异性,我们推测正常衰老本身会导致特定皮质神经组件的兴奋性发生某些变化,而其他变化可能反映出这种变化的补偿机制。

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