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991.
BACKGROUND: There is a high prevalence of coronary artery disease (CAD) in patients with diabetes mellitus. Detection of inducible ischaemia using treadmill exercise testing may be limited by the relatively poor inherent predictive accuracy of the test. The purpose of this study was to determine the value of dobutamine stress echocardiography (DSE) for the detection of CAD in patients with diabetes mellitus. METHODS: Patients with diabetes mellitus referred for cardiac assessment were considered eligible for study. DSE was performed in a standard fashion. Significant CAD was defined as a > 50% luminal diameter stenosis on coronary angiography. RESULTS: A total of 52 patients (mean age 59 years) with diabetes mellitus were studied prospectively using DSE. Risk factors for CAD included hypertension in 19, family history in 21, hypercholesterolaemia in 14, history of smoking in 38. The sensitivity, specificity, positive and negative predictive values of DSE for detection of CAD were 82, 54, 84 and 50% respectively. CONCLUSION: The specificity of DSE for CAD in patients with diabetes mellitus is low. Whether this reflects an underdetection of small vessel disease by contrast coronary angiography or whether it relates to test performance is unclear.  相似文献   
992.
993.
A phase I study was performed to evaluate the maximum tolerated dose (MTD), safety profile and pharmacokinetic data with VRCTC-310, a natural product derived from purified snake venom fractions, with phospholipase A2 activity and inhibitory effects against human and murine tumor cell lines. Fifteen patients with refractory malignancies were entered after providing written informed consent. VRCTC-310 was administered as an intramuscular injection daily for 30 consecutive days. Doses were escalated from 0.0025 to 0.023 mg/kg. Toxicities included local pain at the injection site, eosinophilia, reversible diplopia and palpebral ptosis. Dose escalation was stopped at 0.023 mg/kg, when two patients had developed anaphylactoid reactions. Both cases had high VRCTC-310-specific IgG by EIA. MTD was 0.017 mg/kg and the recommended dose for phase II studies is 0.017 mg/kg. Stabilization was found in six patients.  相似文献   
994.
Male albino rats were fed a high lipid diet for 5 consecutive weeks. We studied the development of paw inflammation after an injection with Freund's complete adjuvant. Increasing the lipid content of the diet significantly increased the rate of paw inflammation. Also the effect on this process of oral administration of a xanthine oxidase inhibitor (allopurinol, 50 mg/kg) for 15 consecutive days was studied. Results indicated that inflammation was significantly inhibited by allopurinol.  相似文献   
995.
A rare case of invasive aspergillosis of the paranasal sinuses in a previously healthy individual is presented. The disease caused severe complications and proved fatal. Classification, aetiology and presentation of sinus aspergillosis are discussed. Early diagnosis and management is stressed to avoid the high incidence of morbidity and mortality.  相似文献   
996.
997.
998.
The oxidative regeneration pathways of two three-disulfide mutants of bovine pancreatic ribonuclease A (RNase A) missing the 65-72 disulfide bond, [C65S,C72S] and [C65A,C72A], have been studied by using oxidized dithiothreitol (DTTox) as an oxidizing agent and 2-aminoethylmethanethiosulfonate (AEMTS) as a thiol-blocking agent at 25 degrees C and pH 8.0. These mutants are analogues of the des-[65-72] intermediate, which is one of the two major three-disulfide intermediates that follow after the transition states in the regeneration pathways of wild-type RNase A [Rothwarf, D. M., Li, Y.-J., and Scheraga, H. A. (1998) Biochemistry 37, 3760-3766, 3767-3776.]. Both mutants folded through the same pathway but at a rate lower than that of the wild-type protein. The major rate-determining step in the regeneration of these mutants was determined to be the oxidation from the two-disulfide intermediates (2S) to the post-transition-state three-disulfide intermediate (3S*), suggesting the existence of a minor oxidation pathway (2S --> 3S*, where 3S* is des-[65-72]) in the regeneration of the wild-type protein, in addition to one of the two major disulfide-rearrangement pathways (3S --> des-[65-72]). The regeneration intermediates of these mutants (R, 1S, 2S, and 3S) participate in a steady state with a kinetic behavior resembling that of the wild-type protein. However, the apparent equilibrium constants () in the steady state, averaged with statistical factors for these mutants, are significantly smaller than those for the wild-type protein, indicating that the intermediates in the regeneration of the mutants are relatively less stable by 0.32 kcal/mol. This difference is due to the decrease in the average rate constants for intramolecular disulfide-bond formation () for the mutant proteins. Loop entropy calculations indicate that the increase in the average length of all possible disulfide loops of the mutants due to the replacement of Cys65 and Cys72 is not sufficient to account for the observed reduction of the values of for the mutants. Therefore, it is the removal of energetic factors (arising from the loss of the 65-72 disulfide loop) that leads to deceleration of the regeneration of the mutant proteins. The formation of the 65-72 disulfide loop in the regeneration of wild-type RNase A appears to facilitate the subsequent folding events.  相似文献   
999.
The functional state of the amacrine cells which contain enkephalin-, neurotensin- and somatostatin-like immunoreactivity of the chicken retina was monitored by measuring the rate of change in the levels of [Leu]enkephalin-like immunoreactivity in the retina. Dark-adapted birds were exposed to lights of different intensities for 12 h. At light levels of < or = 0.03 microW/cm2, the ENSLI amacrine cells were highly active but, by 0.08 microW/cm2, they reached a state of maximum inactivation. Thus, the ENSLI amacrine cells act as flip-flop devices, inactivated by critical levels of light, which correspond to those which inactivate pineal melatonin synthesis. They may, therefore, be involved in retinal pathways which signal the difference between day and night.  相似文献   
1000.
JF H?nig  HA Merten  HG Luhr 《Canadian Metallurgical Quarterly》1995,6(4):292-8; discussion 299-300
On the basis of the clinical and experimental proof that intracranial translocation of osteosynthesis plates occurs in infants after fixation on frontal bone, we conducted an animal study on four adolescent G?ttingen minipigs. Our aim was to study the effects on intracranial translocation of two different types of osteosynthesis plates by comparing the plate-bone interface on the intact frontal bone treated with a multiple-point contact plate versus a conventional smooth one, paying special emphasis to the periosteum. Within a few weeks of implantation, osseous regeneration products surrounded the plate. Total invagination of plates with initial intracranial translocation occurred 12 to 16 weeks postimplantation, regardless of plate design. In epiperiosteal fixation, intracranial translocation was delayed. The results revealed two mechanisms at play here: cranial growth-related passive intracranial translocation, which occurs regardless of plate design, and plate-dependent active intracranial translocation. In conclusion, we recommend that all metal osteosynthesis materials implanted in the infant cranium be removed as early as possible (within 3 months).  相似文献   
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