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21.
目的:比较锁定钢板(Locking plate,LP)与半肩关节置换(semi-shoulder arthroplasty,SSA)治疗老年肱骨近端NeerⅢ、Ⅳ型骨折临床疗效。方法:对我院骨科2009年5月至2013年5月收治的61例老年肱骨近端NeerⅢ、Ⅳ型骨折的患者资料进行回顾性分析,男性18例,女性43例,年龄60~84岁,平均69.3岁。其中采用LP治疗者40例,采用SSA治疗者21例,观察两组患者的手术时间、失血量、Neer评分情况,记录手术并发症情况,并进行统计学比较。结果:所有患者均获得随访,平均随访时间14.5个月(12~20个月)。LP组手术时间(105.6±20.4 min vs 80.6±18.2 min,t=2.650,P=0.01)多于SSA组,两组在手术出血量(188.5±25.2 ml vs 200.5±31.6 m L,t=1.666,P=0.1)、Neer评分优良率(92.5%vs 90.5%,X2=0.075,P=0.784)和并发症发生率(4.8%vs12.5%,X2=1.351,P=0.245)无明显差异。结论:在老年肱骨近端NeerⅢ、Ⅳ型骨折的治疗上,SSA手术时间短,但手术并发症发生率以及疗效优良率与LP相似,临床应根据病情及需要灵活选择手术方式。 相似文献
22.
Growth and Differentiation Factor 1 (GDF-1) has been implicated in left-right patterning of the mouse embryo but has no other known function. Here, we demonstrate a genetic interaction between Gdf1 and Nodal during anterior axis development. Gdf1-/-;Nodal+/- mutants displayed several abnormalities that were not present in either Gdf1-/- or Nodal+/- single mutants, including absence of notochord and prechordal plate, and malformation of the foregut; organizing centers implicated in the development of the anterior head and branchial arches, respectively. Consistent with these deficits, Gdf1-/-;Nodal+/- mutant embryos displayed a number of axial midline abnormalities, including holoprosencephaly, anterior head truncation, cleft lip, fused nasal cavity, and lack of jaws and tongue. The absence of these defects in single mutants indicated a synergistic interaction between Nodal and GDF-1 in the node, from which the axial mesendoderm that gives rise to the notochord, prechordal plate, and foregut endoderm originates, and where the two factors are co-expressed. This notion was supported by a severe downregulation of FoxA2 and goosecoid in the anterior primitive streak of double mutant embryos. Unlike that in the lateral plate mesoderm, Nodal expression in the node was independent of GDF-1, indicating that both factors act in parallel to control the development of mesendodermal precursors. Receptor reconstitution experiments indicated that GDF-1, like Nodal, can signal through the type I receptors ALK4 and ALK7. However, analysis of compound mutants indicated that ALK4, but not ALK7, was responsible for the effects of GDF-1 and Nodal during anterior axis development. These results indicate that GDF-1 and Nodal converge on ALK4 in the anterior primitive streak to control the formation of organizing centers that are necessary for normal forebrain and branchial arch development. 相似文献
23.
Huber R Wulfhorst H Maksym L Stehr R Pöhnlein M Jäger G Spiess AC Büchs J 《Biotechnology progress》2011,27(2):555-561
New screening techniques for improved enzyme variants in turbid media are urgently required in many industries such as the detergent and food industry. Here, a new method is presented to measure enzyme activity in different types of substrate suspensions. This method allows a semiquantitative determination of protease activity using native protein substrates. Unlike conventional techniques for measurement of enzyme activity, the BioLector technology enables online monitoring of scattered light intensity and fluorescence signals during the continuous shaking of samples in microtiter plates. The BioLector technique is hereby used to monitor the hydrolysis of an insoluble protein substrate by measuring the decrease of scattered light. The kinetic parameters for the enzyme reaction (V(max,app) and K(m,app)) are determined from the scattered light curves. Moreover, the influence of pH on the protease activity is investigated. The optimal pH value for protease activity was determined to be between pH 8 to 11 and the activities of five subtilisin serine proteases with variations in the amino acid sequence were compared. The presented method enables proteases from genetically modified strains to be easily characterized and compared. Moreover, this method can be applied to other enzyme systems that catalyze various reactions such as cellulose decomposition. 相似文献
24.
adhB和pdc是运动发酵单胞菌产乙醇途径的关键基因,分别编码乙醇脱氢酶和丙酮酸脱羧酶,将添加有聚球藻PCC7942rbcLS基因RBS序列的adhB和pdc基因插入pUC18载体,经双重菌液PCR检验和酶切检验得到分别含有pUC-adhB、pUC-pdc和pUC-adhB-pdc载体的3个重组菌株。活性检测实验表明聚球藻PCC7942的rbcLS基因的RBS序列能有效介导运动发酵单胞菌的adhB和pdc基因在大肠杆菌中表达,摇瓶发酵实验表明重组大肠杆菌的产乙醇能力较出发菌株大幅提升。鉴于乙醛指示平板法存在着对希夫试剂的要求较高、易产生较强的背景色等缺点,对定性检测丙酮酸脱羧酶和乙醇脱氢酶表达菌株的方法做了改进,即:将菌液诱导表达,然后分别添加对应于两种酶的底物,让酶与底物反应0.5至1小时,之后再加希夫试剂进行显色反应,结果表明改进后的方法比乙醛指示平板法更加简便、快速、可靠。 相似文献
25.
目的:探讨切开复位掌侧解剖锁定加压钢板(DVR-Anatomic)内固定在桡骨远端骨折治疗中的临床疗效。方法:对20例桡骨远端骨折患者经掌侧切口进行切开复位、DVR^TM-Anatomic内固定,并随访其骨折愈合情况及远期功能效果。结果:所有病例均获随访,平均随访时间为11.3个月(3~20个月)。所有骨折均获骨性愈合,愈合时间为65d(56~84 d),无伤口感染、骨不连、内固定断裂脱出、伸指受限等并发症。运用DASH调查表和PRWE评分了解上肢的症状及从事日常活动的能力,且在末次随访时两种评分系统的平均值分别为9.58±14.87和13.73±18.42。结论:对于桡骨远端不稳定骨折掌侧入路DVR-Anatomic钢板治疗桡骨远端骨折临床疗效满意,值得推广。 相似文献
26.
Shi Wei-ping Ren Lu-quan Tian Li-mei .The Key Lab of Terrain-Machinery Bionic Engineering 《仿生工程学报(英文版)》2005,(3)
1IntroductionAdhesive forces exist between soil and the surfacesof soil-engaging components[1,2].Soil adhesion increasesthe running resistance and energy consumption,andaffects the operating quality.Soil adhesion also reducesthe working productivity of terrain machines,even worseit makes terrain machines fail to run.Reducing theadhesive force of the soil-engaging machines will have aprofound influence for cultivation.Through theinvestigation of soil animals,we have found that soilanimals poss… 相似文献
27.
Barocelli E Calcina F Chiavarini M Impicciatore M Bruni R Bianchi A Ballabeni V 《Life sciences》2004,76(2):213-223
In this study the antinociceptive and the gastroprotective effects of orally administered or inhaled Lavandula hybrida Reverchon "Grosso" essential oil, and its principal constituents linalool and linalyl acetate were evaluated in rodents. Either when orally administered (100 mg/kg) or inhaled for 60 min lavender essential oil significantly reduced the acetic acid-writhing response in a naloxone-sensitive manner. In the hot plate test, analgesic activity observed after oil inhalation was inhibited by naloxone, atropine, mecamylamine pretreatment suggesting the involvement of opioidergic as well as cholinergic pathways. Regardless of the administration route and the experimental model used both linalool and linalyl acetate did not produce significant analgesic response. Oral or inhalatory treatment with analgesic doses of essential oil did not affect mice spontaneous locomotor activity. Concerning the gastric effects, lavender oil, linalool and linalyl acetate oral administration protected against acute ethanol-induced gastric ulcers but did not prevent indomethacin-induced lesions indicating no interference with arachidonic acid metabolic cascade. In conclusion, besides this gastroprotection, lavender oil reveals an interesting analgesic activity mainly relevant after inhalation, at doses devoid of sedative side effect, suggesting the interest for potential application of this oil in aromatherapy. 相似文献
28.
Kevin W. Millsapa Henny C. van der Meia Rolf Bosa Henk J. Busschera 《FEMS microbiology reviews》1998,21(4):321-336
29.
Mazoyerella gen. nov., based on Corynospora arachnoidea Harvey from Tasmania, is placed provisionally in the Compsothamnieae tribe of the Ceramiaceae. All plants can produce elongate-ovoid monosporangia which reproduce the same phase. Sporophytes also bear polysporangia and sexual plants are dioecious, bearing either spermatangial heads or subterminal procarps followed by carposporophytes with nearly all gonimoblast cells becoming carposporangia and an involucrum of sterile filaments developing from sterile cells associated with the procarp. The life-history has been followed through successive generations in culture. 相似文献
30.
The effect of the number of stages and cell carrier loading on the steady-state and startup performance of a continuous pulsed plate bioreactor with glass beads as the cell carrier material for biodegradation of phenol in wastewater using immobilized Nocardia hydrocarbonoxydans has been studied. It was found that the performance of the pulsed plate bioreactor during startup and at steady state can be improved by an increase in cell carrier loading, number of stages, total plate stack height, and with a decrease in plate spacing. The startup time for the continuous bioreactor can be decreased by increasing the number of preacclimatization steps for the cells. The attainment of steady effluent phenol concentration can be considered as an indication of steady state of the continuous bioreactor, as when phenol concentration attained a steady value, biofilm thickness, and the attached biomass dry weight also attained a constant value. 相似文献