• 【潜在的2型LQTS患者中,来自右心室流出道的良性早搏室复合物触发了多形性室性心动过速。】 复制标题 收藏 收藏
    DOI:10.2169/internalmedicine.51.8565 复制DOI
    作者列表:Sato A,Chinushi M,Sonoda K,Abe A,Izumi D,Furushima H
    BACKGROUND & AIMS: :A 57-year-old woman showed frequent premature ventricular complexes (PVCs) originating from the right ventricular outflow tract (RVOT), and some of the PVCs triggered polymorphic ventricular tachycardia (PVT). Structural heart diseases were ruled out by conventional cardiac examinations. Radiofrequency catheter ablation was successful in eliminating the PVCs and subsequent PVT. However, epinephrine infusion unmasked her prolonged QT interval, and a genetic analysis revealed a KCNH2 mutation (R694H) as the cause of latent type-2 long QT syndrome (LQTS). This case suggests that latent LQTS may work as an arrhythmogenic substrate of PVT triggered by a benign form of RVOT-PVCs in patients with a structurally normal heart.
    背景与目标: :一名57岁的妇女表现出频繁的早产于右室流出道(RVOT)的心室复合物(PVC),并且其中一些PVC触发了多形性室性心动过速(PVT)。通过常规心脏检查排除了结构性心脏病。射频导管消融成功地消除了PVC和随后的PVT。然而,肾上腺素的注入掩盖了她延长的QT间隔,遗传分析显示KCNH2突变(R694H)是潜在的2型长QT综合征(LQTS)的病因。这种情况表明,在心脏结构正常的患者中,潜在的LQTS可能是由良性形式的RVOT-PVC触发的PVT的一种致心律失常底物。
  • 【具有骨骼三类错牙合畸形的成年人的下颌牙列的畸形。】 复制标题 收藏 收藏
    DOI:10.1016/j.ajodo.2011.03.030 复制DOI
    作者列表:Hu H,Chen J,Guo J,Li F,Liu Z,He S,Zou S
    BACKGROUND & AIMS: :This case report describes the orthodontic treatment of an 18-year-old woman with a skeletal Class III malocclusion and a midline deviation. The treatment plan consisted of distalizing the mandibular dentition asymmetrically and producing space for retraction of the mandibular anterior teeth. Short Class III elastics, an open-coil spring, and the mulitloop edgewise archwire technique were used, combining the entire maxillary dentition as integrated anchorage. The active treatment period was 26 months. Normal overbite and overjet were obtained, and facial balance was improved.
    背景与目标: :本病例报告描述了一名18岁女性的骨骼正畸III类错牙合畸形的正畸治疗方法。治疗计划包括不对称地使下颌牙列远侧,并为下颌前牙的回缩提供空间。使用了短的III类松紧带,开卷弹簧和mulitloop边向弓丝技术,将整个上颌齿列结合在一起作为整体锚固。积极治疗期为26个月。获得正常的咬合和过喷射,并改善了面部平衡。
  • 【继发性裂隙畸形中用于扩展鼻和唇软组织外壳的疤痕皮瓣:裂隙中的最终美学触感(第三部分)。】 复制标题 收藏 收藏
    DOI:10.1097/01.scs.0000223196.95389.c4 复制DOI
    作者列表:Duskova M,Smahel Z,Hronkova K
    BACKGROUND & AIMS: :A scar flap is formed with the pedicle at the lateral part of the columella base at the cleft side, that is, in the center of the affected region. It enables flap placement according to individual need. A prospective evaluation was performed in a group of 76 patients with cleft lip and palate, all operated on by the same plastic surgeon. The flap was used to improve the height of the columella and the extent of nasal mucosa on the frontal septum and on the nostril base in the vestibule. In the lip, the flap raised its height and improved proportionality. The average area of flap used in a unilateral deformity was 42 mm. Both flaps in a bilateral deformity were 77 mm. The average follow-up was 22.4 months. Neither local nor general complications were noted apart from a recurrence of the deformity of the nasal septum in 7.9% of patients. The nasal passage was improved in 59.9% of patients and normalized in 19.6% upon follow-up rhinomanometry, but nevertheless, only one third of patients overcame their dynamic stereotype of breathing by the mouth. Anthropometric measurements showed an absence of statistically significant differences between patients after surgery and healthy individuals in crucial parameters (nasal tip projection, length of columella, nasolabial angle, nasal angle, and lip angle). The loss of the stigmatizing deformity is based on rotation of the nasolabial angle in relation to the aesthetic axis of the face. Direct examination proved aesthetic and functional improvement as statistically significant in 92.1% of patients.
    背景与目标: :瘢痕皮瓣的形成是在小腿小腿底部的外侧,即患部的中央,以椎弓根为蒂。它可以根据个人需要放置襟翼。对一组由同一整形外科医生进行手术的76例唇left裂患者进行了前瞻性评估。皮瓣用于改善前额隔和前庭鼻孔基部的小肠高度和鼻粘膜范围。在唇部,皮瓣提高了高度并提高了比例。单侧畸形使用的皮瓣平均面积为42毫米。双侧畸形的两个皮瓣均为77 mm。平均随访22.4个月。除7.9%的患者鼻中隔畸形复发外,未发现局部或一般并发症。随访鼻测压法后,有59.9%的患者改善了鼻腔通气,并在19.6%的水平上恢复了正常,但是,只有三分之一的患者克服了他们通过口呼吸的动态刻板印象。人体测量显示,手术后患者与健康个体之间在关键参数(鼻尖投影,小柱长度,鼻唇角,鼻角和唇角)之间没有统计学上的显着差异。耻辱性畸形的丧失是基于鼻唇沟角相对于面部的美学轴的旋转而引起的。直接检查证明92.1%的患者的美学和功能改善具有统计学意义。
  • 【舌下触觉传入神经的外周和中央末端,支配了Fringillidae的舌触觉机械感受器复合体。】 复制标题 收藏 收藏
    DOI:10.1002/cne.902980203 复制DOI
    作者列表:Wild JM
    BACKGROUND & AIMS: :Injections of cholera toxin B subunit conjugated to horseradish peroxidase (CTB-HRP) were made into the lingual branch of the hypoglossal nerve in four species of finch in order to identify the innervation of the mechanoreceptors of the dermal papillae of the tongue, and simultaneously to determine the pattern of central projections of lingual hypoglossal afferents. The results showed that hypoglossal fibers innervate all the Herbst corpuscles and terminal cell receptors of the elaborately organized papillae of the dorsum of the tongue, of the shorter papillae in the ventral tongue, and the loose collection of Herbst corpuscles in the subpapillary region. Labelled fibers were also observed in the intralingual glands, in the intrinsic tongue muscles, and in the posterodorsal epithelium where they formed budlike structures. Retrogradely labelled cell bodies were located in the jugular ganglion and their central processes ascended and descended throughout the brainstem within the descending trigeminal tract (TTD). Terminal fields were observed within the dorsolateral part of the nucleus caudalis of TTD, predominantly ipsilaterally, and within the medial part of the dorsal horn of the first 4-6 cervical segments bilaterally. There were dense patches of termination over a dorsolateral subnucleus of the interpolated nucleus of TTD, and within two regions of the principal sensory trigeminal nucleus: a large one laterally and a small one medially. Terminal fields were also observed within the nucleus ventralis lateralis anterior of the rostral solitary complex, and within adjacent nuclei, which are probably equivalent to the dorsal sensory nuclei of the facial and glossopharyngeal nerves of other avian species. The results are interpreted in the light of the role of the tongue in species-specific patterns of feeding in finches, and the possible requirement for the central integration of touch and taste.
    背景与目标: :将与辣根过氧化物酶(CTB-HRP)结合的霍乱毒素B亚基注射到四种雀科的舌下神经的舌状分支中,以鉴定舌头真皮乳头的机械感受器的神经支配,并同时确定舌下传入神经的中央投影的模式。结果表明,舌下纤维支配着舌头背部精心组织的乳头的所有Herbst小体和终末细胞受体,腹侧舌头的较短乳突以及在乳头下区域松散的Herbst小体集合。在舌内腺,固有的舌头肌肉和后嗅上皮中也观察到标记的纤维,在那里它们形成了芽状结构。逆行标记的细胞体位于颈神经节,其中央过程在三叉神经下降道(TTD)内的整个脑干内上升和下降。在TTD尾核的背外侧部分,主要在同侧,以及在双侧头4-6个颈段的背角内侧部分,观察到了终场。在TTD内插核的背外侧亚核上以及主要三叉神经感觉核的两个区域内有密集的终止斑块:一个大的外侧和一个小内侧。在尾状孤立复合体的前外侧腹核内和相邻核内也观察到终末场,这可能与其他禽类的面部和舌咽神经的背感觉核相同。根据舌头在雀类中特定物种的喂养方式中的作用以及对触摸和味觉的集中整合的可能要求,来解释结果。
  • 【肠沙门氏菌血清型鼠伤寒III型分泌系统为疫苗开发优化了异源蛋白的递送。】 复制标题 收藏 收藏
    DOI:10.1128/IAI.00375-06 复制DOI
    作者列表:Chen LM,Briones G,Donis RO,Galán JE
    BACKGROUND & AIMS: :Type III protein secretion systems, which are organelles with the capacity to deliver bacterial proteins into host cells, have been adapted to deliver heterologous antigens for vaccine development. A limitation of these antigen delivery systems is that some proteins are not amenable to secretion through this pathway. We show here that proteins from the simian and human immunodeficiency viruses that are not permissive for secretion through a Salmonella enterica serovar Typhimurium type III secretion system can be modified to travel this secretion pathway by introduction of discrete mutations. Proteins optimized for secretion were presented more efficiently via the major histocompatibility complex class I pathway and were able to induce a better immune response.
    背景与目标: :III型蛋白质分泌系统具有细胞器的能力,能够将细菌蛋白质传递到宿主细胞中,已经适应于传递异源抗原用于疫苗开发。这些抗原递送系统的局限性是某些蛋白质不适合通过该途径分泌。我们在这里表明,猿猴和人类免疫缺陷病毒不允许通过沙门氏菌肠炎血清型鼠伤寒III型分泌系统分泌的蛋白质可以通过引入离散突变而被修饰为通过这种分泌途径。通过主要的组织相容性复合体I类途径可以更有效地表达针对分泌优化的蛋白质,并且能够诱导更好的免疫反应。
  • 【通过自身抗独特型免疫来调节对曼氏血吸虫的抗性。三,在克隆水平上对表位识别,独特型表达和抗独特型反应性的影响分析。】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Phillips SM,Lin JJ,Galal N,Linette GP,Walker DJ,Perrin PJ
    BACKGROUND & AIMS: :Auto-anti-idiotypic mechanisms can regulate the protective immune response against Schistosoma mansoni. Anti-idiotypic responses were stimulated by immunization of mice either with nonspecifically induced lymphoblasts, produced with Con A, or with Ag-induced lymphoblasts bearing specific idiotypic receptors. The effect of the induced anti-idiotypic response upon clonotypic cellular reactivity was assessed in vitro through the suppression of antigen-mediated blast transformation by cloned T cells and in vivo by suppression of resistance to S. mansoni and delayed-type hypersensitivity responses against specific Ag. Differential regulation of humoral immune responses was studied at the levels of specific epitopic recognition, the expression of specific Id, and the production of anti-idiotypic responses directed against mAb bearing specific Id. Anti-idiotypic sensitization resulted in variable (10 to 90%) suppression of the immune response to discrete antigenic epitopes, the expression of specific idiotypic phenotypes, and anti-idiotypic, antiparatopic responses against T cell clonotypes and antibody idiotypic phenotypes. In vitro admixture and in vivo challenge studies resulted in consonant differential suppression. Thus idiotypic regulation can mold the fine specificities of the protective immune response to S. mansoni at the clonal level and may provide an approach to optimize the expression and assessment of resistance.
    背景与目标: 自动抗独特型机制可以调节针对曼氏血吸虫的保护性免疫反应。通过用Con A产生的非特异性诱导的淋巴母细胞,或用Ag诱导的携带特定独特型受体的淋巴母细胞免疫小鼠,可以刺激抗独特型应答。在体外通过抑制克隆的T细胞对抗原介导的胚泡转化的抑制来评估诱导的抗独特型反应对克隆型细胞反应性的影响,并在体内通过抑制对曼氏沙门氏菌的抗性和针对特定Ag的迟发型超敏反应来评估体内诱导的抗独特型反应的作用。 。研究了在特定表位识别,特定Id的表达以及针对带有特定Id的mAb的抗独特型反应水平上的体液免疫应答的差异调节。抗独特型致敏作用导致对离散抗原表位的免疫反应,特异性独特型表型的表达以及针对T细胞克隆型和抗体独特型表型的抗独特型,抗副反应的变化受到抑制(10%至90%)。体外混合和体内攻击研究导致辅音差异抑制。因此,独特型调节可以在克隆水平上塑造对曼氏链球菌的保护性免疫应答的优良特异性,并且可以提供优化抗性表达和评估的方法。
  • 【委内瑞拉的亚马逊土著印第安人中的HTLV-III / LAV抗体。】 复制标题 收藏 收藏
    DOI:10.1016/s0140-6736(85)90688-9 复制DOI
    作者列表:Rodriquez L,Dewhurst S,Sinangil F,Merino F,Godoy G,Volsky DJ
    BACKGROUND & AIMS: :Serum samples from 224 aboriginal Amazonian Indians were tested for antibodies to HTLV-III/LAV by an indirect immunofluorescence (IF) assay. 9 individuals (4%), 5 of them female, were seropositive by IF and by confirmatory western blotting and radioimmunoprecipitation tests. 3 of the positive sera were collected in 1968. HTLV-III/LAV seropositivity rates varied among the ethnic groups and ranged from 13.3% among the Pemon Indians to 3.3% among the Yanoama tribe. The titres of HTLV-III/LAV antibodies ranged from 1/40 to 1/320. All individuals tested were apparently healthy at the time of the study. None of 211 randomly chosen, healthy blood donors from Venezuelan cities had antibodies to HTLV-III/LAV. The prevalence of specific antibodies among Amazonian Indians suggests the HTLV-III/LAV or a closely related cross-reactive virus may be endemic in this area. The findings also indicate that this virus is indigenous in non-negroid Latin American and negroid tropical populations.
    背景与目标: :通过间接免疫荧光(IF)分析测试了来自224名原住民亚马逊印第安人的血清样品中HTLV-III / LAV的抗体。通过IF,证实性Western印迹和放射免疫沉淀试验,有9名个体(4%),其中5名是女性血清阳性。 1968年收集了3份阳性血清。HTLV-III/ LAV血清阳性率在不同种族之间有所不同,范围从Pemon印第安人的13.3%到Yanoama部落的3.3%。 HTLV-III / LAV抗体的滴度范围为1/40至1/320。在研究时,所有接受测试的人显然都是健康的。委内瑞拉城市的211名随机抽取的健康献血者中没有一个具有针对HTLV-III / LAV的抗体。亚马逊印第安人中特异性抗体的流行表明,HTLV-III / LAV或密切相关的交叉反应性病毒可能是该地区的地方病。研究结果还表明,该病毒是非黑人拉丁美洲和黑人热带人群中的土著病毒。
  • 【HAC15人肾上腺皮质细胞系中血管紧张素II和III的代谢及其对类固醇产生的影响。】 复制标题 收藏 收藏
    DOI:10.1210/en.2012-1557 复制DOI
    作者列表:Oki K,Kopf PG,Campbell WB,Luis Lam M,Yamazaki T,Gomez-Sanchez CE,Gomez-Sanchez EP
    BACKGROUND & AIMS: :Aldosterone is synthesized in the zona glomerulosa of the adrenal cortex under primary regulation by the renin-angiotensin system. Angiotensin II (A-II) acts through the angiotensin types 1 and 2 receptors (AT1R and AT2R). A-II is metabolized in different tissues by various enzymes to generate two heptapeptides A-III and angiotensin 1-7, which can then be catabolized into smaller peptides. A-II was more potent than A-III in stimulating aldosterone secretion in the adrenocortical cell line HAC15, and A-II, but not A-III, stimulated cortisol secretion. A-II stimulated mRNA expression of steroidogenic acute regulatory protein, 3β-hydroxysteroid dehydrogenase, CYP11B1, and CYP11B2, whereas A-III stimulated 3β-hydroxysteroid dehydrogenase, CYP11B1, and CYP11B2 but decreased the expression of CYP17A1 required for cortisol synthesis. The stimulation of aldosterone secretion by A-II and A-III was blocked by the AT1R receptor blocker, losartan, but not by an AT2R blocker. A-II was rapidly metabolized by the HAC15 cells to mainly to angiotensin 1-7, but not to A-III, and disappeared from the supernatant within 6 h. A-III was metabolized rapidly and disappeared within 1 h. In conclusion, A-II was not converted to A-III in the HAC15 cell and is the more potent stimulator of aldosterone secretion and cortisol of the two. A-III stimulated aldosterone secretion but not cortisol secretion.
    背景与目标: :醛固酮是在肾素-血管紧张素系统的主要调控下在肾上腺皮质的肾小球中合成的。血管紧张素II(A-II)通过1型和2型血管紧张素受体(AT1R和AT2R)起作用。 A-II通过各种酶在不同的组织中代谢,生成两种七肽A-III和血管紧张素1-7,然后可以将其分解为较小的肽。在刺激肾上腺皮质细胞系HAC15中的醛固酮分泌方面,A-II比A-III更有效,而A-II(而非A-III)刺激皮质醇分泌。 A-II刺激类固醇生成的急性调节蛋白,3β-羟基类固醇脱氢酶,CYP11B1和CYP11B2的mRNA表达,而A-III刺激3β-羟基类固醇脱氢酶,CYP11B1和CYP11B2但降低了皮质醇合成所需的CYP17A1的表达。 A-II和A-III对醛固酮分泌的刺激被AT1R受体阻滞剂氯沙坦阻断,但未被AT2R阻滞剂阻断。 A-II被HAC15细胞快速代谢,主要代谢为血管紧张素1-7,但不代谢为A-III,并在6小时内从上清液中消失。 A-III快速代谢并在1​​小时内消失。总之,A-II在HAC15细胞中并未转化为A-III,而是对两者的醛固酮分泌和皮质醇更有效的刺激剂。 A-III刺激醛固酮分泌,但不刺激皮质醇分泌。
  • 【家族性阿尔茨海默氏病相关突变早老素的病理活性可以通过六种不同的γ-分泌酶复合物来实现。】 复制标题 收藏 收藏
    DOI:10.1016/j.nbd.2007.04.011 复制DOI
    作者列表:Shirotani K,Tomioka M,Kremmer E,Haass C,Steiner H
    BACKGROUND & AIMS: :gamma-Secretase is a protease complex, which catalyzes the final of two subsequent cleavages of the beta-amyloid precursor protein (APP) to release the amyloid-beta peptide (Abeta) implicated in Alzheimer's disease (AD) pathogenesis. In human cells, six gamma-secretase complexes exist, which are composed of either presenilin (PS) 1 or 2, the catalytic subunit, nicastrin, PEN-2, and either APH-1a (as S or L splice variants) or its homolog APH-1b. It is not known whether and how different APH-1 species contribute to the pathogenic activity of gamma-secretase complexes with familial AD (FAD)-associated mutant PS. Here we show that all known gamma-secretase complexes are active in APP processing and that all combinations of APH-1 variants with either FAD mutant PS1 or PS2 support pathogenic Abeta(42) production. Since our data suggest that pathogenic gamma-secretase activity cannot be attributed to a discrete gamma-secretase complex, we propose that all gamma-secretase complexes have to be explored and evaluated for their potential as AD drug target.
    背景与目标: :-Secretase是一种蛋白酶复合物,它催化β-淀粉样前体蛋白(APP)的两个后续切割的最终过程,以释放与阿尔茨海默氏病(AD)发病机理有关的淀粉样β-肽(Abeta)。在人类细胞中,存在六种γ-分泌酶复合物,它们由早老素(PS)1或2,催化亚基,尼卡斯特林,PEN-2和APH-1a(作为S或L剪接变体)或其同系物组成APH-1b。尚不知道不同的APH-1物种是否以及如何与家族性AD(FAD)相关突变PS共同促进γ-分泌酶复合物的致病活性。在这里,我们显示所有已知的伽玛分泌酶复合物在APP处理中均具有活性,并且APH-1变体与FAD突变PS1或PS2的所有组合均支持病原性Abeta(42)生产。由于我们的数据表明致病性γ-分泌酶活性不能归因于离散的γ-分泌酶复合物,因此我们建议必须探索和评估所有γ-分泌酶复合物作为AD药物靶标的潜力。
  • 【新型环金属化铱(III)复合物及其八精氨酸肽共轭物的细胞摄取和细胞毒性。】 复制标题 收藏 收藏
    DOI:10.1016/j.jinorgbio.2012.11.001 复制DOI
    作者列表:Dolan C,Moriarty RD,Lestini E,Devocelle M,Forster RJ,Keyes TE
    BACKGROUND & AIMS: :The synthesis and characterisation of iridium(III) bis(2-(2,4-difluorophenyl)pyridinato-N, C2')-2(4-carboxylphenyl)imidazo[4,5-f][1,10]phenanthroline perchlorate, [Ir(dfpp)(2)(picCOOH)](+) and its octaarginine conjugate [Ir(dfpp)(2)(picCONH-Arg(8))](9+) are reported. Both complex and conjugate exhibit intense and long-lived luminescence, which is O(2) and pH sensitive. Conjugation to the polyarginine peptide renders the complex very water soluble. The uptake of the parent iridium(III) complex and conjugate are compared in two mammalian cell lines; SP2 myeloma and Chinese hamster ovary (CHO). Both complexes internalise into the cytoplasm, however dye uptake rate and distribution vary with peptide conjugation and with cell identity. Whereas transmembrane transport is thought to have been facilitated by the dimethyl sulfoxide (DMSO) used as co-solvent (0.05% v/v) for the parent complex, the octaarginine, the dye-conjugate (iridium-R(8)) is membrane permeable in water only. Both complexes exhibit high cytotoxicity, evident through blebbing and vacuole formation within living cells, indicative of apoptosis, within 30min of exposure to the probe. The IC(50) recorded for the cells in the dark was independent, in the case of the parent complex, of the identity of the cell, with IC(50) of 84.8μM and 88μM respectively for SP2 and CHO cells. The IC(50) approximately doubled for the polyarginine conjugate and displayed a significant dependence on cell type with IC(50) of 35μM and 54.1μM respectively for SP2 and CHO cells. These IC(50) values were recorded in the dark. However under irradiation cell death is considerably faster. Evidence from imaging suggests that the conjugate penetrates the nucleus whereas the parent does not, indicating that nuclear penetration may play a role in cytotoxicity.
    背景与目标: :铱(III)双(2-(2,4-二氟苯基)吡啶基-N,C2')-2(4-羧基苯基)咪唑并[4,5-f] [1,10]菲咯啉高氯酸盐的合成与表征,[Ir(dfpp)(2)(picCOOH)]()及其八精氨酸共轭物[Ir(dfpp)(2)(picCONH-Arg(8))](9)被报道。复杂和共轭物都显示强烈和长寿命的发光,这是O(2)和pH敏感的。与聚精氨酸肽的缀合使得该复合物非常水溶性。在两种哺乳动物细胞系中比较了母体铱(III)配合物和结合物的摄取。 SP2骨髓瘤和中国仓鼠卵巢(CHO)。两种复合物都内化到细胞质中,但是染料吸收率和分布随肽结合和细胞身份而变化。认为作为母体配合物的助溶剂(0.05%v / v)的二甲基亚砜(DMSO)促进了跨膜运输,而八精氨酸,染料-缀合物(铱-R(8))是膜仅在水中可渗透。两种复合物均表现出高的细胞毒性,这在暴露于探针后30分钟内在活细胞内起泡和形成液泡很明显,表明细胞凋亡。在亲本复合物的情况下,黑暗中细胞的IC(50)与细胞的身份无关,SP2和CHO细胞的IC(50)分别为84.8μM和88μM。对于聚精氨酸缀合物,IC(50)大约增加了一倍,并显示出对细胞类型的显着依赖性,SP2和CHO细胞的IC(50)分别为35μM和54.1μM。这些IC(50)值在黑暗中记录。然而,在辐射下,细胞死亡要快得多。影像学证据表明,结合物穿透核,而亲本没有穿透核,表明核穿透可能在细胞毒性中起作用。
  • 【冠心病患者与健康相关的生活质量及其与心血管疾病风险的关系:EUROASPIRE III调查的结果。】 复制标题 收藏 收藏
    DOI:10.1016/j.ijcard.2012.10.053 复制DOI
    作者列表:De Smedt D,Clays E,Annemans L,Doyle F,Kotseva K,Pająk A,Prugger C,Jennings C,Wood D,De Bacquer D
    BACKGROUND & AIMS: BACKGROUND:Cardiovascular patients are likely to have an impaired health-related quality of life (HRQoL) due to functional and psycho-social limitations. The main objective of this study was to assess the distribution of HRQoL scores in coronary heart disease (CHD) patients across 22 European countries and to identify factors associated with the variation between patients. METHODS:Data from the EUROASPIRE III survey (European Action on Secondary and Primary Prevention by Intervention to Reduce Events), on 8734 patients, were used. Patients with a diagnosis of CHD (coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), acute myocardial infarction (AMI) or myocardial ischemia) were interviewed and examined at least 6 months after their acute coronary event. Quality of life of each patient was measured using 2 standardized questionnaires: the EuroQoL-5D (EQ-5D) and the 12-item short-form health survey (SF-12v2). RESULTS:HRQoL values differed significantly across countries. Lower HRQoL estimates were found in women, older patients, less educated patients, patients with myocardial infarction or ischemia as recruiting diagnosis, patients with a history of stroke and patients who suffered from a recurring CHD event. In addition, HRQoL was significantly associated with current smoking, central obesity, lack of exercise and inappropriate HbA1c control in patients with diabetes. Furthermore the number of risk factors is inversely associated with HRQoL. CONCLUSION:Overall, a large heterogeneity was observed in HRQoL values between countries and patient groups. There seems to be a significant association between quality of life and patient characteristics with lifestyle risk factors as important determinants of HRQoL.
    背景与目标: 背景:由于功能和心理社会方面的限制,心血管疾病患者的健康相关生活质量(HRQoL)可能受损。这项研究的主要目的是评估HRQoL分数在22个欧洲国家中的冠心病(CHD)患者中的分布,并确定与患者之间差异相关的因素。
    方法:使用EUROASPIRE III调查(欧洲通过干预减少事件的二级和一级预防行动)对8734例患者的数据。诊断为冠心病(冠状动脉搭桥术(CABG),经皮冠状动脉介入治疗(PCI),急性心肌梗塞(AMI)或心肌缺血)的患者在其急性冠状动脉事件发生后至少6个月进行了访谈和检查。每个患者的生活质量使用2份标准问卷进行测量:EuroQoL-5D(EQ-5D)和12个项目的简短健康调查(SF-12v2)。
    结果:HRQoL值在不同国家之间存在显着差异。在女性,年龄较大的患者,受教育程度较低的患者,患有心肌梗塞或局部缺血的患者(作为招募诊断),有中风病史的患者以及患有复发性冠心病事件的患者中发现较低的HRQoL估计值。此外,HRQoL与糖尿病患者当前的吸烟,中心性肥胖,缺乏运动和不适当的HbA1c控制密切相关。此外,危险因素的数量与HRQoL成反比。
    结论:总体而言,国家和患者群体之间的HRQoL值存在很大的异质性。生活质量和患者特征与作为HRQoL的重要决定因素的生活方式危险因素之间似乎存在显着联系。
  • 【具有相同可变域但IgG1,IgG2a和IgG2b恒定域的环状,二价半抗原,二价抗丹酰基单克隆抗体复合物的电子显微镜研究。】 复制标题 收藏 收藏
    DOI:10.1016/0161-5890(90)90113-e 复制DOI
    作者列表:Phillips ML,Oi VT,Schumaker VN
    BACKGROUND & AIMS: :We have studied by electron microscopy a fascinating series of antidansyl monoclonal antibodies developed by Dangl et al. (Cytometry 2, 395-401, 1982) which have the same variable domain but different constant domains. Three of the four subclasses of mouse IgG were represented, IgG1, IgG2a and IgG2b. Previously, Oi et al. (Nature 307, 136-140, 1984) had examined the flexibilities of these antibodies by time-resolved fluorescence depolarization and found that IgG1 was least flexible, IgG2a was intermediate and IgG2b was the most flexible. In this communication we examine the conformations of circular complexes formed between these antibodies and a bivalent hapten, bis-dansyl cadaverine. The circular complexes were predominantly composed of two antibodies linked into a ring by two bivalent haptens, and are referred to as dimers, since only the antibody molecules are seen with the electron microscope. A few trimers and an occasional tetramer were also present in these preparations. For the least flexible IgG1, almost all (greater than 99%) of the circular dimers were "open-hinge" complexes with a hinge angle between the Fab arms of 100-120 degrees. For the intermediate IgG2a, most of the dimers were "open-hinge" complexes, but a larger percentage, 4 to 5%, had closed hinges with a hinge angle approaching 0 degrees. For the most flexible IgG2b, over 40% of the dimers were "closed-hinge" complexes. A model is proposed to explain these differences based upon orientation of the hapten in the combining site and differences in hinge structure.
    背景与目标: :我们已经通过电子显微镜研究了由Dangl等人开发的一系列令人着迷的抗丹磺酰单克隆抗体。 (Cytometry 2,395-401,1982),它们具有相同的可变域,但具有不同的恒定域。代表了小鼠IgG的四个亚类中的三个,即IgG1,IgG2a和IgG2b。以前,Oi等人。 (Nature 307,136-140,1984)通过时间分辨荧光去极化检查了这些抗体的柔韧性,发现IgG1的柔韧性最低,IgG2a的柔韧性中等,而IgG2b的柔韧性最高。在本交流中,我们研究了这些抗体与二价半抗原,双丹磺酰尸胺之间形成的环状复合物的构象。环状复合物主要由通过两个二价半抗原连接成环的两种抗体组成,被称为二聚体,因为在电子显微镜下只能看到抗体分子。在这些制剂中还存在一些三聚体和偶尔的四聚体。对于最不灵活的IgG1,几乎所有(大于99%)的圆形二聚体都是“开放铰链”复合物,Fab臂之间的铰链角为100-120度。对于中间体IgG2a,大多数二聚体是“开放铰链”复合物,但较大的百分比(4%至5%)具有闭合的铰链,铰链角接近0度。对于最灵活的IgG2b,超过40%的二聚体是“封闭铰链”复合物。提出了一个模型来解释这些差异,这些差异是基于半抗原在结合位点的方向和铰链结构的差异而得出的。
  • 【流感病毒负链RNA的合成发生在核基质部分中存在的不溶性复合物中。】 复制标题 收藏 收藏
    DOI:10.1016/0168-1702(90)90056-h 复制DOI
    作者列表:López-Turiso JA,Martínez C,Tanaka T,Ortín J
    BACKGROUND & AIMS: :The replication of influenza virus RNA in vitro has been studied by cell fractionation of MDCK-infected cells and characterization of in vitro synthesized RNA. Analysis of the RNA product polarity by liquid hybridization to excess single-stranded DNA probes shows that only the RNP complexes present in the nuclear matrix fraction are able to synthesize negative-polarity RNA. This RNA product has been characterized as authentic vRNA by size analysis, RNase-protection by unlabelled, positive-polarity riboprobes and T1-fingerprinting. Priming the in vitro reaction with ApG stimulates preferentially the synthesis of positive-polarity RNA, while ApGpU stimulates both positive and negative-polarity RNA synthesis.
    背景与目标: :已通过MDCK感染细胞的细胞分级分离和体外合成RNA的表征研究了流感病毒RNA的体外复制。通过与过量的单链DNA探针进行液体杂交来分析RNA产物的极性表明,只有存在于核基质组分中的RNP复合物才能合成负极性RNA。通过大小分析,未标记的正极性核糖核糖核酸和T1指纹图谱已将该RNA产物表征为真正的vRNA。用ApG引发体外反应优先刺激正极性RNA的合成,而ApGpU刺激正极性和负极性RNA的合成。
  • 【由于技术原因,在二氧化碳分析图中的第三阶段初期非典型上升。】 复制标题 收藏 收藏
    DOI:10.1111/aas.12026 复制DOI
    作者列表:Chon JY,Kang JM
    BACKGROUND & AIMS: :We sporadically experienced three paediatric cases of atypical upswing at the initial part of phase III in the capnograms via side-stream capnometer immediately following endotracheal intubation and mechanical ventilation. No fault was found in the monitor or anaesthetic system including breathing circuits, carbon dioxide (CO2 ) sampling tube, water trap, and unidirectional valves. The upsurge of CO2 disappeared with increasing the respiratory rate; however, it reappeared with decreasing the respiratory rate and vice versa. We experimentally reproduced the phenomenon of overshooting CO2 measurement after the luer lock connection of the sample gas line at the water trap had been unscrewed a little bit.
    背景与目标: :我们在气管插管和机械通气后立即通过侧流式二氧化碳监测仪散发了3例小儿在非典型性上升阶段的二氧化碳监测图的III期初期的案例。在监测器或麻醉系统中未发现故障,包括呼吸回路,二氧化碳(CO2)采样管,集水器和单向阀。随着呼吸频率的增加,二氧化碳的升高消失了。然而,它随着呼吸频率的降低而重新出现,反之亦然。我们实验性地重现了旋开集水器处的样气管线的鲁尔锁连接后,CO2测量值超调的现象。
  • 【大环-荧光染料复合物的无标记连续酶测定。】 复制标题 收藏 收藏
    DOI:10.1038/nmeth1064 复制DOI
    作者列表:Hennig A,Bakirci H,Nau WM
    BACKGROUND & AIMS: :We introduce a new economic, convenient and general assay principle based on the reversible interaction of water-soluble macrocycles and fluorescent dyes. We show that amino acid decarboxylase activity can be continuously monitored by measuring changes in fluorescence, which result from the competition of the enzymatic product and the dye for forming a complex with a cucurbituril or calixarene macrocycle. The new assay provides a complementary method to the use of antibodies, radioactive markers and labeled substrates.
    背景与目标: :我们基于水溶性大环化合物和荧光染料的可逆相互作用,引入了一种新的经济,方便,通用的测定原理。我们表明,可以通过测量荧光的变化来连续监测氨基酸脱羧酶的活性,荧光的变化是由于酶产物与染料竞争而形成的,其与葫芦科草或杯芳烃大环形成了复合物。新的检测方法为抗体,放射性标记物和标记底物的使用提供了一种补充方法。

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