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101.
Alberto Dominguez-Rodriguez Pedro Abreu-Gonzalez Alejandro Jimenez-Sosa Sima Samimi-Fard Hernandez-Baldomero Idaira 《Biomarkers》2013,18(1):43-48
Background: The aim of the present study was to evaluate whether or not an elevated ischaemia-modified albumin (IMA) level provides any additional prognostic information to the validated Thrombolysis In Myocardial Infarction (TIMI) risk score in patients with ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI). Methods: One hundred seven consecutive STEMI patients treated with primary PCI were included. The incidence of 30-day death was the prespecified primary end point. Serum IMA was measured immediately at hospital arrival. Results: The incidence of the primary end point was 6.5%. A significant predictive value of IMA in relation to the primary end point was indicated by an area under the ROC curve of 0.71 (p = 0.01). In the multivariate analysis, increased IMA remained a significant predictor of the primary end point after adjustment for TIMI risk predictors (p = 0.019). The area under the ROC curve for the TIMI risk score was 0.68 (p = 0.03). The addition of IMA to the TIMI risk score did not improve its prognostic value (area under the ROC curve 0.60, p = 0.25). Conclusion: IMA levels obtained at admission are a powerful indicator of short-term mortality in STEMI patients treated with primary PCI, but do not seem to be a marker that adds prognostic information to the validated STEMI TIMI risk score. 相似文献
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We studied the distribution and spread of the invasive social wasp Vespula germanica in Argentina, focusing on the contribution of queen dispersal to territorial expansion. Vespula germanica is native to Eurasia and has invaded several regions of the world, including Southern Argentina. Flight potential of field‐collected queens was measured using flight mills. Also, by means of an extensive survey we estimated the rate of spread by analysing the relationship between years since arrival and distance from the introduction locality. The mean distance flown by wasp queens in flight mills was 404.7 ± 140.8 m (mean ± SE, n = 59), while the rate of spread of V. germanica was estimated at 37.2 ± 2.1 km year?1 (mean ± SE, n = 67), although faster towards the south. The observed spread rate of V. germanica wasps in Argentina confirms the invasive potential shown by several Hymenoptera species worldwide. Still, a stratified geographical expansion pattern does not match observed queen dispersal abilities, suggesting that human‐aided transport of hibernating queens is the central driver of the current distribution of these wasps. We suggest that despite several life‐history traits known for social insects that contribute to successful invasion, wasp spread must still rely strongly on human mediated pathways. This observation sheds light on those factors that are crucial for managing invasions of this and related pestiferous wasps. 相似文献
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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
107.
目的:探讨采用膝关节后内和后外侧切口、锁定钢板固定治疗胫骨平台后髁骨折的临床疗效。方法:选取2009年1月~2011年12月来我院治疗的13例胫骨平台后髁骨折患者作为研究对象,所有患者采用后内和后外侧切口、锁定钢板固定治疗,观察术后骨折愈合情况,采用Rasmussen放射学评分评定骨折复位情况,采用HSS评分系统评定膝关节功能疗效。结果:术后随访6~24个月,平均13.6个月,所有患者骨折均于16周内愈合。Rasmussen放射学评分15~18分,平均17.4分,其中优8例,良3例,可2例,优良率为84.7%。末次随访时膝关节功能HSS评分73~97分,平均91.4分,其中获优7例,良5例,可1例,优良率为92.3%。结论:采用膝关节后内和(或)后外侧切口、锁定钢板固定治疗胫骨平台后髁骨折具有操作简单、显露清晰、直视下复位骨折及关节面、固定牢靠、利于早期功能锻炼、临床疗效确切、并发症少等优点。 相似文献
108.
Qurra-tul-Ann Afza Gardner Hooria Younas Muhammad Akhtar 《Biochimica et Biophysica Acta - Proteins and Proteomics》2013,1834(1):182-190
Human M-proinsulin was cleaved by trypsin at the R31R32–E33 and K64R65–G66 bonds (B/C and C/A junctions), showing the same cleavage specificity as exhibited by prohormone convertases 1 and 2 respectively. Buffalo/bovine M-proinsulin was also cleaved by trypsin at the K59R60–G61 bond but at the B/C junction cleavage occurred at the R31R32–E33 as well as the R31–R32E33 bond. Thus, the human isoform in the native state, with a 31 residue connecting C-peptide, seems to have a unique structure around the B/C and C/A junctions and cleavage at these sites is predominantly governed by the structure of the proinsulin itself. In the case of both the proinsulin species the cleavage at the B/C junction was preferred (65%) over that at the C/A junction (35%) supporting the earlier suggestion of the presence of some form of secondary structure at the C/A junction. Proinsulin and its derivatives, as natural substrates for trypsin, were used and mass spectrometric analysis showed that the kcat./Km values for the cleavage were most favourable for the scission of the bonds at the two junctions (1.02 ± 0.08 × 105 s− 1 M− 1) and the cleavage of the K29–T30 bond of M-insulin-RR (1.3 ± 0.07 × 105 s− 1 M− 1). However, the K29–T30 bond in M-insulin, insulin as well as M-proinsulin was shielded from attack by trypsin (kcat./Km values around 1000 s− 1 M− 1). Hence, as the biosynthetic path follows the sequence; proinsulin → insulin-RR → insulin, the K29–T30 bond becomes shielded, exposed then shielded again respectively. 相似文献
109.
目的 以分子生物学方法为“金标准”对两种商品化酵母样真菌鉴定产品Rapid ID Yeast Plus(简称RapIDYST)及API20C AUX(简称API20C)的鉴定效能进行评估.方法 从2010年中国医院侵袭性真菌感染监测网菌株库中筛选酵母样真菌25种,共计194株.其中,包含临床最常见的5种酵母样真菌(白念珠菌、热带念珠菌、光滑念珠菌、近平滑念珠菌、新生隐球菌)共130株,占研究总菌株数的67.0%.所有菌株已经过分子生物学方法准确鉴定至种水平.菌株复苏分纯后,严格按照产品操作指南,平行进行RapID YST和API20C鉴定.结果 所研究菌株中,有181株(18种)在RapID YST鉴定菌种数据库中,所有在库菌株种及复合体鉴定正确率为87.8%(159/181).相比,API鉴定菌种库包含菌株174株(18种),在库菌株种及复合体鉴定正确率为92.0% (160/174).RapID YST与API20C对于5种临床常见的酵母样真菌的种鉴定正确率分别为93.1%和97.1%.对于库外菌株,RapID YST的鉴定错误率分别为23.1%(3/13),相比API20C的鉴定错误率为60.0% (12/20).综合此次评估结果,二者对酵母样真菌的鉴定效能无显著差异(McNemar检验,P>0.05).结论 两种商品化产品对酵母样真菌的鉴定效能基本一致;相较而言,RapID YST在操作便捷性、检测时间方面具有较大优势. 相似文献
110.
Many studies in South Africa have examined the impacts of alien plants on ecosystems, but none have assessed the impact of guava (Psidium guajava L.) invasion on soil properties. In this study, soils underneath guava-invaded sites were assessed to determine if they had different soil physico-chemical properties (pH, P, C, N, Na, K, Ca, Mg, moisture, penetration resistance, infiltration and water repellency) as compared to soils underneath uninvaded sites. Comparisons were made from three different sites over three autumn months. Results show that soil pH was significantly (p < 0.005) higher underneath uninvaded than guava-invaded sites. Soil P was three times higher underneath guava-invaded as compared to invaded sites. The soils collected underneath guava-invaded sites had a significantly (p < 0.001) higher moisture content and were less compact but more repellent than soils from the uninvaded sites. Infiltration rate was significantly (p < 0.001) higher in the uninvaded than the guava-invaded sites. The study concludes that guava invasion alters some soil properties, thus creating favourable conditions for its growth and making it potentially more invasive. From a management standpoint, guava removal is encouraged; however, given guava's socio-economic importance more research on cost and benefits is required. 相似文献