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21.
    
We determined prospectively the prevalence of avascular osteonecrosis (AON) by magnetic resonance imaging (MRI) of both lower limbs in a group of 40 systemic lupus erythematosus (SLE) patients, and correlated the results with their serum antiphospholipid antibody (APL Ab) status and their glucocorticoid (GC) intake. APL Ab were detected by anticardiolipin ELISA and by lupus anticoagulant assays. Cumulated prednisolone doses were computed by chart review. The prevalence of AON was 37.5%, with most patients being asymptomatic despite involvement of multiple sites. The number of epiphyseal, metaphyseal and diaphyseal AON sites per patient did not differ between APL Ab-positive and APL Ab-negative patients nor between patients with high and low APL Ab titres. By contrast, a striking correlation was found between the prevalence and severity of AON and GC therapy. In conclusion, this prospective MRI study indicates that the prevalence of AON in SLE patients correlates strongly with GC therapy, but not with APL Ab status.  相似文献   
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The homopentameric B subunit of verotoxin 1 (VT1) binds to the glycosphingolipid receptor globotriaosylceramide (Gb3). We produced mutants with alanine substitutions for residues found near the cleft between adjacent subunits. Substitution of alanine for phenylalanine 30 (Phe-30) resulted in a fourfold reduction in B subunit binding affinity for Gb3 and a 10-fold reduction in receptor density in a solid-phase binding assay. The interaction of wild-type and mutant B subunits with Pk trisaccharide in solution was examined by titration microcalorimetry. The carbohydrate binding of the mutant was markedly impaired compared with that of the wild type and was too weak to allow calculation of a binding constant. These results demonstrate that the mutation significantly impaired the carbohydrate-binding function of the B subunit. To ensure that the mutation had not caused a significant change in structure, the mutant B subunit was crystallized and its structure was determined by X-ray diffraction. Difference Fourier analysis showed that its structure was identical to that of the wild type, except for the substitution of alanine for Phe-30. The mutation was also produced in the VT1 operon, and mutant holotoxin was purified to homogeneity. The cytotoxicity of the mutant holotoxin was reduced by a factor of 10(5) compared to that of the wild type in the Vero cell cytotoxicity assay. The results suggest that the aromatic ring of Phe-30 plays a major role in binding of the B subunit to the Galalpha1-4Galbeta1-4Glc trisaccharide portion of Gb3. Examination of the VT1 B crystal structure suggests two potential carbohydrate-binding sites which lie on either side of Phe-30.  相似文献   
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Directional masking in the amphibian auditory periphery was investigated by presenting frogs with a continuous tone from above and a continuous broadband noise from four different horizontal directions. This paradigm mimics the natural situation in which frogs are located in three-dimensional space and interference can and does arise from any direction. Intracellular recordings were made from single auditory-nerve fibers of the anesthetized adult leopard frogs using a dorsal approach. Vector strength (VS) and the mean preferred firing phase (MP) were measured for 94 low-frequency fibers. Thirty-six percent of the fibers demonstrated direction sensitivity of noise masking of VS. Most fibers exhibited a maximum decrease in VS at 90 degrees or 270 degrees noise incident angle and a minimum decrease in VS at 0 degrees or 180 degrees noise incident angle, suggesting higher noise susceptibility to the lateral fields than to the anterior or posterior field. Forty-nine percent of the fibers demonstrated direction sensitivity of noise masking of MP. Maximum shift in MP occurred most often at 90 degrees or 180 degrees noise incident angle, whereas minimum shift in MP occurred most frequently at 0 degrees or 270 degrees noise incident angle, suggesting higher noise susceptibility to the ipsilateral or posterior field than to the contralateral or anterior field. The difference in the directionality patterns of VS and MP suggests different mechanisms underlying noise masking of these two measures of phase locking in the amphibian auditory nerve.  相似文献   
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A rapid, sensitive and selective analytical procedure for phencyclidine and one of its metabolites in urine has bee developed. Three techniques have been studied for extraction of the drug from the biological matrix: (a) reversed-phase XAD resin, (b) charcoal absorption, and (c) solvent extraction using chloroform. Temperature-programmed gas chromatography was used to quantitate the illicit drug. Solvent extraction appears to offer the most efficient separation of the drug and its metabolite, as the recovery was 94% and the technique required only 7-8 min per sample. Reversedphase column extraction is also quite useful; although more time-consuming for an indivisual sample, it would be useful for screening purposes.  相似文献   
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Twelve elderly and 12 young subjects were tested on a series of experiments with increasing complexity of perceptual-response mapping. As task complexity increased the differential slowing in performance between young and old increased and an ageXtask complexity interaction was observed. However, with practice this phenomenon disappeared leaving an apparent age lag constant. This slowing was due to increased central processing time rather than peripheral factors. No major differences in strategies were observed between the groups, though the old subjects tended to be less able to extract critical (useful) features from the display. Stimulus repetitions of a new kind were found where all characteristics of the stimulus (relevant and irrelevant) were important. Repetitions of coding rules rather than of particular signals or responses also facilitated RT. It was also found that later in practice old subjects were making fewer errors than the young, reversing earlier observations.  相似文献   
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The results of a survey are presented in which 589 limbs from 206 horses were dissected. In174 of the limbs lesions were found in either the superficial (131) or deep (43) digital flexor tendons. Changes occurring with age were also recorded. The sites of the abnormalities and their macroscopical appearance are described and the value of the results is considered in relation to the diagnosis and the treatment of clinical lesions.  相似文献   
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