908 resultados para 14 alpha-dihydroxy-13(15)-ene-16(12 alpha)-abietanolide
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于2010-11-23批量导入
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恶性梗阻性黄疸(malignant obstructive jaundice,MOJ)发现时多为晚期,如不治疗生存期仅3个月。由于肿瘤位置特殊、患者一般情况较差,仅5%~20%的患者可行外科切除和分流手术,并且手术死亡率相当高,分流术病死率高达10%~43%。1974年Molnar和Stocknm首先采用PTCD术(经皮肝胆管内外引流术,Percutaneous Transhepatic Cholangic Drainage,PTCD),使MOJ患者的临床症状得到缓解, 获得进一步治疗的机会。1989年金属支架开始应用于胆道系统,恢复了胆汁的生理性引流,并使大多数患者拔除引流管,提高了生活质量,成为非手术治疗MOJ的首选方法。但肿瘤生长是造成支架堵塞、黄疸复发的主要原因。文献报道MOJ患者放置金属支架后,支架堵塞的概率达20%~86%,其中大多数由肿瘤生长通过支架网眼或超过支架边缘引起。因此,在支架置放的同时如何积极控制肿瘤生长成为提高疗效的关键问题。MOJ的局部治疗方法有多种,但都存在不足之处。国内学者采用动脉化疗栓塞结合PTCD或支架置放的方法治疗MOJ,使患者的生存期得到延长。但引起MOJ的胆管癌、淋巴结转移癌、胰腺癌、壶腹癌多为少血供肿瘤,而且由于血供特殊,大部分病例碘油沉积欠佳,因此动脉化疗栓塞对这类肿瘤的作用是有限的。外辐照治疗对胆管癌、淋巴结转移癌、胰腺癌、壶腹癌等引起MOJ的肿瘤有一定疗效,并与胆道引流术结合应用于上述肿瘤引起的MOJ。由于瘤体周围有肝脏、胰腺、胃肠道、肾脏等对射线敏感的器官, 限制了外辐照剂量,影响了疗效的提高。近几年,一种斩新的治疗手段正在应用于临床,就是通过PTCD手术时建立的通道再行腔内辐照治疗(核素内辐照治疗),可以较好的控制肿瘤继续生长,抑制支架再狭窄的发生,可使MOJ的治疗取得更好的效果。本研究的目的就是探索胆道内辐照支架制作的可行性,并设计特别的施源器,其具体方法可以简述为:以球囊扩张器扩张重度狭窄胆管+置入特制的二腔单囊管+腔内低剂量率放疗+腔内热频热疗+胆管引流等联合方法治疗。同时,就该二腔单囊管内辐照支架的安全性进行动物实验,从分子生物学、核医学的角度阐述了实验研究的机理和病理改变,同时进行了临床的应用研究,探讨胆道支架发生再阻塞的相关因素及对策,进一步提高(MOJ)患者的生存期。本工作结果总结如下: 1 对放射源和施源器均进行了改进,放射源为液态放射性核素131I,施源器为可调节的长柱形球囊,是专门设计的硅橡胶二腔单囊管,其功能为:中腔通接胆管腔(蓝色),具有引流胆汁作用;另一腔管连接球囊(绿色),是长柱状形可调节长短的球囊,囊内装填放射性液态核素131I;囊内还设置射频加热电极,能加热升温。另外,还可以根据肿瘤的大小和长度,来调节施源器的长度(长柱形球囊),一般照射长度超出支架两端1-2cm。二腔单囊管内辐照支架的特点:剂量分布合理,低剂量率效应,射线能量适中,放疗、热疗同步实施,引流、扩张和局部用药作用。与其他治疗方法比较,这一核医学治疗技术的最大优点是:大直径柱状液态源,近似面源,液囊适形病变胆管腔,均匀贴紧病灶壁,剂量分布合理,γ射线能量适中,低剂量率持续照射,同时联合射频温热治疗及胆道引流、局部用药对症处理等。 2 动物实验研究结果指出,囊装液态131I支架对胆管壁的放射性损伤随131I放射性活度的增加而逐渐加重,呈现明显的放射性活度效应关系。而普通支架组胆管壁无放射性损伤,但是胆管壁粘膜层和肌层增生较131I支架组重,胆管出现再狭窄倾向。本研究为临床合理应用131I支架治疗胆管癌及胆管良性狭窄选择合适的131I放射性活度,提供了必要的剂量学和基础研究依据。 3 动物实验研究结果表明,131I支架组犬胆管组织Fas表达较普通支架组明显,且其表达水平的变化与犬胆管壁平滑肌细胞凋亡的检测结果相同。131I支架组胆管腔面积比普通支架组明显增加,胆管狭窄程度比普通支架组轻。这主要是由于131I辐射促进Fas 基因表达,诱导增殖性平滑肌细胞凋亡,从而减轻胆管损伤后愈合过程中的管腔狭窄。 4. 胆道恶性梗阻胆道腔内囊装液态131I辐照治疗施源的直径为8mm时是胆管充分扩张的最低限度,根据近距离放疗的剂量学特点,它能保证胆管癌腔内辐照治疗时将施源管因素导致的放疗反应和局部肿瘤复发减至最低。并具有创伤小,操作简单,疗效明显,易被患者接受的特点。 5.囊装液态131I治疗恶性梗阻性黄疸(肝门部胆管癌18例),临床疗效满意,随访7~21个月,3个月生存率83.33 %(15/ 18);6个月生存率72.22%(13/18);9个月生存率56.25%(12/16);12个月生存率46.15%(6/13),15个月生存率36.33%(4/11);18个月生存率22.22%(2/9),21个月生存率28.57%(2/7)。4例发生并发症,其中2例为放射性胆管炎胆道出血,1例为胆汁性腹膜炎,另1例是胰瘘胰腺炎
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一、国外和国内粮食发展现状1996年11月13日至17日,世界粮食首脑会议在意大利罗马举行,这次会议是第一次关于粮食问题首脑会议,体现了各国政府对粮食的高度重视,会议通过了《世界粮食安全罗马宣言》和《世界粮食首脑会议行动计划》。呼吁世界各国在国际合作的基础上采取实际行动,确保全球持久的粮食安全。20世纪以来,世界粮食生产取得较大的发展,1951~1987年的47年中,世界谷物总产从6.75亿吨增加到1997年约20亿吨。谷物总产持续增长,其中增长最快1975~1985年年均增长2.97%,90年代以来,世界粮食增长缓慢,1994年比1990年下降0.2%,致使1995年全球粮价普遍上涨,阿根廷上涨15%,美国2号硬小麦上涨16%,在芝加哥,多次出现动用投资资金进行投资购买的活动,造成小麦价格急剧上扬,几乎为十年来最高水平。随着经济的发展与人口的增加,世界粮食的需求也达到有史以来的最高峰,同期由于人口急剧膨胀,全球人口由25.5亿增加到1999年的60亿,净增加34.5亿,年均增长约9000万人,90年代以后,年均新增人口近1亿人,预计到2015年人口达到70亿,2025年将增至80亿,对粮食需求越来越大。由于...
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The transfer of sodium cation facilitated by (anthraquinone-1-yloxy) methane-15-crown-5(L) has been investigated at the water/1,2-dichloroethane microinterface supported at the tip of a micropipette. The diffusion coefficient of (anthraquinone-1-yloxy) methane-15-crown-5 obtained was (3.42 +/- 0.20) x 10(-6) cm(2) s(-1). The steady-state voltammograms were observed for forward and backward scans due to sodium ion transfer facilitated by L with 1:1 stoichiometry. The mechanism corresponded to an interfacial complexation (TIC) and interfacial dissociation (TID) process. The association constant was calculated to be log beta(o) = 11.08 +/- 0.03 in the DCE phase. The association constant of other alkali metals (Li+, K+, Rb+) were also obtained.
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本文应用取代基参数(SCS)方法处了15个EV共聚物的~(12)C NMR谱.它们是:(1)乙烯-α-烯烃共聚物,即乙烯-丙烯共聚物.乙烯-丁烯-1共聚物,乙烯-4-甲基-1-戊烯共聚物,乙烯-己烯-1共聚物和乙烯-辛烯-1共聚物;(2)乙烯-含氧乙烯基共聚物,即乙烯-甲基丙烯酸N,N-二甲基胺乙酯共聚物,乙烯-丙烯酸甲酯共聚物.乙烯-丙烯酸共聚物,乙烯-乙酸乙烯酯,乙烯-乙烯醇,乙烯-氧化碳共聚物(ECO)(?)乙烯-卤代乙烯共聚物及其它EV共聚物,即乙烯-氯化乙烯共聚物(包含氯化聚乙烯),乙烯-溴化乙烯共聚物,乙烯-苯乙烯共聚物(包含氢化丁二烯-苯乙烯共聚物)和乙烯-丙烯腈共聚物、得到了15种取代基的SCS参数.
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在FX-100核磁共振波谱仪上建立了MLEV-16宽带去耦系统.对去耦电路的各级信号进行了分析,说明了MLEV-16去耦电略的控制关系.利用去耦电路实现了由计算机和可编程序器控制的宽带去耦,用波谱仪原有去耦功率作了~(13)C{F~(19)}氟宽带去耦的碳-13谱的观测,去耦范围达12.4kHz,可以满足大部分有机氟化物的~(13)C核磁共振研究。
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2003至2005年的6~9,采用目标动物观察法在可可西里观察夏季雌性藏羚的昼间行为。将雌性藏羚的行为分为觅食、警戒、卧息、移动和“其他”5种类型,各类行为所占时间比例分别为59.1%、7.3%、19.4%、13.0%和1.3%。觅食消耗的时间最多,是藏羚的常见行为,卧息、移动和警戒次之,而“其他”行为消耗时间最短。觅食、警戒、卧息和移动的累计时间在不同时段之间均存在显著(P〈0.05)或极显著(P〈0.01)差异。觅食行为存在3个高峰,分别在10:00~11:00,13:00—14:00和18:00~19.00;警戒的高峰期出现在早上08:00~09:00,在15:00~16:00以及17:00~18:00也分别出现小的高峰,但不明显;卧息行为表现为双峰形,分别为11:00~12:00和16:00~17:00。移动行为也表现为双峰,出现在08:00~09:00和15:00~16:00;“其他”行为在各时段间没有明显的,变化趋势.
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2003年1月-2004年7月运用涡度相关法技术研究青藏高原金露梅(Potentilla fruticosa)灌丛草甸(SWM)和藏嵩草(Kobresia humilis)沼泽化草甸(SRM)的地表通量。结果表明:二者地表湍流通量都具有明显的季节变化和日变化,其中感热通量以4月最大,1月最小,而潜热通量则以5月最大;感热通量随着季节的变动而显著变化,在相同月份中沼泽化草甸白天最大值大于灌丛草甸,日变化振幅比灌丛草甸强;白天潜热通量达到最大值的时间和波动强度因季节不同而各异,在非生长季节白天最大值在13~15 h,日波动较弱,生长季节最大值在12 h,日波动较强;高寒草甸地表湍流通量与温度间存在着线性关系;不同季节感热通量:沼泽化草甸>灌丛革甸,而潜热通量与感热通量各异,在1月沼泽化革匈>灌丛草甸,在4和10月,沼泽化草甸<灌丛草甸,在7月二者基本一致。
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通过测定贵州喀斯特山区灌丛12 种主要植物叶片的δ13 C 值,研究了该区植物叶片碳同位素组成特征,以及种间、生境差异和时空变化特征。研究结果表明:该区植物叶片的碳同位素组成的变化范围为- 26. 98 ‰~ - 29. 15 ‰,平均值为- 28. 14 ‰。研究区δ13C 值的分布相对均匀,除高于我国热带雨林区植物外,低于其它地区。研究结果还表明,种间碳同位素组成存在较大的差异。生境的变化对蕨的碳同位素组成影响较大,而对渐尖毛蕨、盐肤木、火棘、马桑影响较小。盐肤木、渐尖毛蕨、云南鼠刺、火棘叶片的δ13C 值从生长初期到末期有降低的趋势,但降低的幅度存在差异。植物的δ13 C 值随小尺度海拔的变化规律与随大尺度海拔变化的规律一致,都是随着海拔的增加δ13C 值增大,但不同植物种间变化的幅度是不一样的。
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Obsessive-Compulsive Symptoms, which are one of common factors effected on mental health of secondary school students, have been rarely studied at home and abroad. In accordance with the problems existed in these literature up till now, the thesis had mainly studied the measured tool, contents and structure, developmental features, psychosocial risk factors and integrated model of obsessive-compulsive symptoms from them by means of investigation with quetionnaires. The entire research was divided into three phases. 3185 students(age 14.68±1.75 years) were firstly measured with the 20-item Leyton Obsessional Inventory-Child Version(LOI-CV) at four secondary schools including six grades in Beijing city, which was applied to revise LOI-CV, and to study the structure and contents, developmental features and screen of obsessive-compulsive symptoms. Then, 216 subjects with obsessive-compulsive symptoms, paired with controls in the light of school, grade and gender, were investigated with 10 self-rating scales on obsessive-compulsive symptoms, anxiety, depression, personality, coping and attributional style, negative life events, parent's rearing style, family environment and life adaptation in school, and with an inventory on social demography. The results were used to explore psychosocial risk factors and integrated model of obsessive-compulsive symptoms. The third survey was only carried out, about two months after the second, among 264 subjects with obsessive-compulsive symptoms through MMOCI and Negative Life Event Scale for Adolescents, in order to probe into the integrated model. The research had mainly found: (1) LOI-CV can be used as a screen tool for obsessive-compulsive symptoms in urban adolescents in China; (2) Total screening-out ratio of obsessive-compulsive symptoms was 13.6% (male:15.0%, female:12.2%). The most common manifestations of obsessive-compulsive symptoms were hating dirt and contamination, doing things in exact manner, angry if someone messes desk, bad conscience but no one else, worry about cleanliness, repeated thoughts or words; the least were favorite or special number, spending extra time on homework, special number or words to avoid, talking or moving to avoid bad luck, fussy about hands. The checking and repetition, cleanliness and tidiness, general obsessions were more common forms than numbers-luck; (3) No differences were existed in serious degree of obsessive-compulsive symptoms, but the screening-out ratio in male was higher than it in female; (4) No differences were detected in the serious degree of obsessive-compulsive symptoms except the scores of cleanliness and tidiness among grades, but the screening-out ratio of the grades justly entering secondary school or going to graduate were higher than other ones; (5) The main psychosocial risk factors for obsessive-compulsive symptoms included anxiety, mother's over-protecting and over-interfering, fantasy, flexibility, self-actualization, peers relationship, sense of responsibility, negative life events, mother's occupation, help-seeking, and (6) The integrated model on psychosocial risk factors suggested that the possible developed and sustained mechanism of obsessive-compulsive symptoms was that personality, coping and attributional styles constructed the developmental diathesis foundation of obsessive-compulsive symptoms; negative life events were promoting factors of them. There was a dynamic interaction between personality and environmental factors. Negative emotion played a core role in the developmental process of them. The continued existence of obsessive-compulsive symptoms was related to pre-existed obsessive-compulsive symptoms and negative life events experienced by an individual. Therefore, this research not only let us get a deeper understanding of obsessive-compulsive symptoms and more entirely find out psychosocial risk factors, firstly applied diathesis-stress theory to comprehend the psychological mechanism of obsessive-compulsive symptoms and, moreover, elaborate and expand it, but also has more important practice significance of treatment, prevent and education for obsessive-compulsive symptoms in secondary school students.
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Background: When clinically indicated, common obstetric interventions can greatly improve maternal and neonatal outcomes. However, variation in intervention rates suggests that obstetric practice may not be solely driven by case criteria. Methods: Differences in obstetric intervention rates by private and public status in Ireland were examined using nationally representative hospital discharge data. A retrospective cohort study was performed on childbirth hospitalisations occurring between 2005 and 2010. Multivariate logistic regression analysis with correction for the relative risk was conducted to determine the risk of obstetric intervention (caesarean delivery, operative vaginal delivery, induction of labour or episiotomy) by private or public status while adjusting for obstetric risk factors. Results: 403,642 childbirth hospitalisations were reviewed; approximately one-third of maternities (30.2%) were booked privately. After controlling for relevant obstetric risk factors, women with private coverage were more likely to have an elective caesarean delivery (RR: 1.48; 95% CI: 1.45-1.51), an emergency caesarean delivery (RR: 1.13; 95% CI: 1.12-1.16) and an operative vaginal delivery (RR: 1.25; 95% CI: 1.22-1.27). Compared to women with public coverage who had a vaginal delivery, women with private coverage were 40% more likely to have an episiotomy (RR: 1.40; 95% CI: 1.38-1.43). Conclusions: Irrespective of obstetric risk factors, women who opted for private maternity care were significantly more likely to have an obstetric intervention. To better understand both clinical and non-clinical dynamics, future studies of examining health care coverage status and obstetric intervention would ideally apply mixed-method techniques.
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Human mesenchymal stem cells (hMSCs) and three-dimensional (3D) woven poly(ɛ-caprolactone) (PCL) scaffolds are promising tools for skeletal tissue engineering. We hypothesized that in vitro culture duration and medium additives can individually and interactively influence the structure, composition, mechanical, and molecular properties of engineered tissues based on hMSCs and 3D poly(ɛ-caprolactone). Bone marrow hMSCs were suspended in collagen gel, seeded on scaffolds, and cultured for 1, 21, or 45 days under chondrogenic and/or osteogenic conditions. Structure, composition, biomechanics, and gene expression were analyzed. In chondrogenic medium, cartilaginous tissue formed by day 21, and hypertrophic mineralization was observed in the newly formed extracellular matrix at the interface with underlying scaffold by day 45. Glycosaminoglycan, hydroxyproline, and calcium contents, and alkaline phosphatase activity depended on culture duration and medium additives, with significant interactive effects (all p < 0.0001). The 45-day constructs exhibited mechanical properties on the order of magnitude of native articular cartilage (aggregate, Young's, and shear moduli of 0.15, 0.12, and 0.033 MPa, respectively). Gene expression was characteristic of chondrogenesis and endochondral bone formation, with sequential regulation of Sox-9, collagen type II, aggrecan, core binding factor alpha 1 (Cbfα1)/Runx2, bone sialoprotein, bone morphogenetic protein-2, and osteocalcin. In contrast, osteogenic medium produced limited osteogenesis. Long-term culture of hMSC on 3D scaffolds resulted in chondrogenesis and regional mineralization at the interface between soft, newly formed engineered cartilage, and stiffer underlying scaffold. These findings merit consideration when developing grafts for osteochondral defect repair.
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La eficiencia de uso de nitrógeno (EUN) aplicado con el fertilizante es un dato importante para maximizar la inversión de esta práctica. Existen opiniones encontradas en cuanto a que las diferentes fuentes presentarían diferencias respecto de este parámetro. El objetivo del presente trabajo fue determinar la EUN de dos fertilizantes nitrogenados (urea y nitrato de amonio calcáreo-CAN) aplicados en el cultivo de trigo en dos zonas del sudeste bonaerense, Necochea y Pigüé. Para ello, se realizó un ensayo de fertilización nitrogenada aplicado en cobertura con dosis crecientes de ambos fertilizantes (100, 150 y 250 kg ha-1 en Necochea y 50, 100, 150 y 200 kg ha-1.en Pigüé). Las dosis de fertilizantes se fijaron tomando como referencia las dosis más utilizadas en cada zona. Los resultados evidenciaron diferencias en EUN de los dos fertilizantes evaluados, siendo de 36.2, 37 y 20.7 kg de trigo kg N aplicado-1 para las dosis de 100, 150 y 250 kg ha-1 de CAN y 16.3, 15.1 y 12.2 de trigo kg N aplicado-1 para las dosis de 100, 150 y 250 kg ha-1 de urea respectivamente. Para la localidad de Pigüe se obtuvieron 22.7, 19.2, 19.2, 21.8 kg de trigo kg N apliacado-1 para las dosis de 50, 100, 150 y 200 kg ha-1 de CAN y 6.7, 14.4, 10.4 y 11.7 de trigo kg N aplicado-1 para las dosis de 50, 100, 150 y 200 kg ha-1 de urea respectivamente. En base a los resultados obtenidos se aceptaría la hipótesis de que en ambos ambientes existirán diferencias a favor del CAN en la EUN en fertilizaciones de trigo en cobertura.
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The mechanisms by which excessive glucocorticoids cause muscular atrophy remain unclear. We previously demonstrated that dexamethasone increases the expression of myostatin, a negative regulator of skeletal muscle mass, in vitro. In the present study, we tested the hypothesis that dexamethasone-induced muscle loss is associated with increased myostatin expression in vivo. Daily administration (60, 600, 1,200 micro g/kg body wt) of dexamethasone for 5 days resulted in rapid, dose-dependent loss of body weight (-4.0, -13.4, -17.2%, respectively, P <0.05 for each comparison), and muscle atrophy (6.3, 15.0, 16.6% below controls, respectively). These changes were associated with dose-dependent, marked induction of intramuscular myostatin mRNA (66.3, 450, 527.6% increase above controls, P <0.05 for each comparison) and protein expression (0.0, 260.5, 318.4% increase above controls, P <0.05). We found that the effect of dexamethasone on body weight and muscle loss and upregulation of intramuscular myostatin expression was time dependent. When dexamethasone treatment (600 micro g. kg-1. day-1) was extended from 5 to 10 days, the rate of body weight loss was markedly reduced to approximately 2% within this extended period. The concentrations of intramuscular myosin heavy chain type II in dexamethasone-treated rats were significantly lower (-43% after 5-day treatment, -14% after 10-day treatment) than their respective corresponding controls. The intramuscular myostatin concentration in rats treated with dexamethasone for 10 days returned to basal level. Concurrent treatment with RU-486 blocked dexamethasone-induced myostatin expression and significantly attenuated body loss and muscle atrophy. We propose that dexamethasone-induced muscle loss is mediated, at least in part, by the upregulation of myostatin expression through a glucocorticoid receptor-mediated pathway.
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A pesar de la progresiva introducción de nuevos recursos en las aulas fruto del desarrollo de las TICs, el libro de texto sigue siendo uno de los materiales más utilizado y cuyo protagonismo en la configuración de la práctica escolar ha sido decisivo, por lo que debe ocupar nuestra atención en la formación inicial de los profesionales de la educación. Durante los cursos académicos 2012-13 y 13-14, hemos realizado en el marco de la asignatura de Análisis y diseño de materiales para la educación y la formación del tercer curso del grado de Pedagogía de la Universidad de Oviedo una práctica formativa de análisis de libros de texto escolares que nos ha permitido analizar contextualizadamente y desde una perspectiva teórico-práctica, cuestiones tales como: papel del profesorado en el desarrollo e innovación del currículum, papel de las editoriales en la interpretación del currículum oficial, análisis de tareas y mensajes en los manuales escolares, criterios para juzgar la calidad didáctica de los materiales, etc. El análisis cualitativo de treinta informes desarrollados por 120 estudiantes sobre diferentes libros de texto nos ha permitido identificar sus principales fortalezas y debilidades en varias dimensiones (aspectos formales, metodología, mensajes, implicaciones para la profesionalidad docente) y nos permite concluir que se trata de una experiencia formativa relevante en la formación inicial de cualquier profesional de la educación.