共查询到20条相似文献,搜索用时 15 毫秒
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Radiation therapy plays a major role in the curative management of numerous neoplasms, such as Hodgkin's disease or testicular cancer. However, the adverse effects of low-dose radiation scattered to radiosensitive normal tissues adjacent to the radiation fields, such as the testes, have been recognized. Experimental studies performed on healthy volunteers showed that no lesion was detectable on sperm counts or testicular biopsies after single doses of less than 10 cGy. Oligospermia has been reported after 15 cGy and 100 cGy result in a 90% incidence of azoospermia. In the radiotherapy of cancer, fractionated regimens are used to increase the differential effect between normal and tumoral tissues. For the same dose, a fractionated radiation regimen results in a higher incidence and a longer period of azoospermia than a single dose irradiation. Fractionated doses of >50 cGy result in a 100% incidence of azoospermia. For doses up to 200 cGy, recovery occurs but normal sperm production remains uncertain. Although the recovery time can be very long (more than 10 years), there is a risk of definitive azoospermia after doses of >200 cGy. Spermatogonia are the most radio-sensitive cell type and their depletion after small irradiation doses explain the effect of radiotherapy on fertility. Clinical hypogonadism is very unfrequent in usual practice, what seems to prove a relative radio-resistance of the Leydig cells. However, functionals studies show that there is a rise in serum LH with increasing dose to the testes. A decrease in testosterone levels has been reported after high testicular doses. 相似文献
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《Revista espa?ola de geriatría y gerontología》2023,58(2):61-67
Background and objectivesOrthogeriatric management with clinical pathways (CP) in hip fracture (HF) has been shown to be superior to other models. We studied whether updating the CP, through prioritization of admission and surgery, improvement in the prevention and treatment of delirium, management of anticoagulants and antiplatelet agents and the use of perioperative peripheral nerve block, modifies surgical delay, stay, readmissions, mortality, suffering delirium and functional status at discharge.Material and methodA retrospective observational study of unicenter cohorts of 468 patients with HF, 220 from 2016 (old VC) and 248 from 2019 (new VC). The variables are: intervention in the first 48 hours, surgical delay (hours), stay (days), stay less than 15 days, delirium, functional loss at discharge (Barthel prefracture scale less Barthel scale at discharge), readmission at one month, and mortality at admission, month and year.ResultsMedian age: 87.0 [interquartile range 8.0], mostly women (76.7%). Significantly, with the new VC, there was a greater number of patients operated on in the first 48 hours (27,7% vs 36,8% p = 0.036), less surgical delay (72.5 [47,5-110,5] vs 64.0 [42,0-88,0] p < 0.001), shorter stay (10,0 [7,0-13,0] vs 8,0 [6,0-11,0] p < 0.001), greater number of discharges in 15 days (78,2% vs 91,5% p < 0.001), lower delirium (54,1% vs 43,5% p = 0.023). No significant changes in readmissions, functional loss at discharge, mortality at admission, 3 months or year.ConclusionsUpdating the VC brings benefits to the patient (less surgical delay, equal functional status at discharge with fewer days of admission) and benefits in management (lower admission) without modifying mortality. 相似文献
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Résumé Candida albicans a été cultivé à l'obsurité, à 28 °C, dans un milieu de culture synthétique liquide dans lequel on fait varier les concentrations de glucose et d'azote. Des indices de chlamydosporulation ont pu etre calculés pour les milieux contenant au plus 0,08 g/l de glucose. Lorsque la concentration de glucose est plus importante, les thalles pseudomycéliens portent, dans certains cas, de nombreuses chlamydospores, mais aussi des chaines de cellules à contenu dense; ces thalles bourgeonnent des éléments levuriformes qui se détachent et continuent à bourgeonner dans le milieu de culture. Les différentes morphologies rencontrées sont décrites, illustrées et ordonnées en fonction des concentrations de glucose et d'azote du milieu.
Candida albicans was grown in the darkness, at 28 °C, in a synthetic medium in which glucose and nitrogen concentrations were varied. Numeric appraisal of the chlamydospore index was possible only in the medium where glucose concentration was 0,08 g/l or less. When the glucose concentration raised, pseudomycelial thalli bore numerous chlamydospores but sometimes also chains of cells with a dense granular content. These thalli bud yeast cells which separate and bud again in the medium. The different morphological aspects of the cultures are decribed, illustrated and classified according to the glucose and nitrogen concentration of the medium.相似文献
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C. Collardeau 《Hydrobiologia》1961,18(3):252-264
Résumé Dans ce travail, il a été étudié (influence de la température sur la consommation d'oxygène de trois larves de Trichoptères: Polycentropus flavomaculatus Pict., Plectrocnemia conspersa (Curt.), et Limnophilus rhombicus (L.). Les animaux étaient accoutumés à la température 48 heures avant le début des expériences.La consommation d'oxygène de ces trois larves croît avec la température.Cet accroissement n'est pas régulier. Il est nul entre 4° et 10°C. Il est faible entre 10° et 20–22°C. Au delà de 22°C l'augmentation est au contraire brutale. Le métabolisme passe du simple au double. On peut en conclure que ces larves sont bien adaptées à des températures allant de 4° à 22°C les températures supérieures n'étant pas des températures de vie normale.On ne note pas de différence significative entre les courbes des formes d'eau courante ou lotiques (Polycentropus et Plectrocnemia) et celle de la forme d'eau stagnante ou forme lénitique (Limnophilus).A une même température, la consommation d'oxygène présente de grandes variations chez les Polycentropidae, animaux actifs et excitables. Ces variations sont faibles chez Limnophilus rhombicus, larve peu active et peu excitable.
Summary The influence of temperature on oxygen consumption has been studied for three Caddis-fly larvae: Polycentropus flavomaculatus Pict., Plectrocnemia conspersa (Curt.), Limnophilus rhombicus (L.). The animals were acclimated to each new temperature 48 hours before the beginning of the experiments.The higher the temperature, the more oxygen the three larvae consume, but the increase in oxygen consumption with temperature is not regular. Respiratory metabolism is constant between 4 and 10°C. It increases slightly within the 10 to 20°C-range. Above 22°C, the increase becomes quite sharp and often twofold.These larvae are well adapted to the 4–22°C temperature range, whereas higher temperature may be considered as abnormal for them.No significative difference was found between the metabolism-temperature-curves for running-water species (Polycentropus and Plectrocnemia) and for a stagnant-water species (Limnophilus).The oxygen consumption of Polycentropidae varies greatly within the same level of temperature. The animals are active and excitable. The oxygen consumption of Limnophilus varies much less, Limnophilus being less active and less excitable.相似文献
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Jean Paul Guastalla 《Andrologie》2004,14(4):392-397
Sterility is a potential toxic effect of chemotherapy. This risk is well established for alkylating agents, but is less clearly defined for anthracyclines, methotrexate and fluorouracil and poorly defined for alkaloids, platinum, etoposide and taxanes. The main predictive factors for ovarian toxicity are the additive effect of cytotoxic drugs, the cumulative dose of each drug and the patient’s age. This effect of chemotherapy is evaluated on menstrual cycles, hormonal assays and the number of pregnancies observed in patient cohorts. Chemotherapy induces destruction of oocytes and granulosa cells. In mice, it has been shown that adriamycin may induce oocyte apoptosis, which can be prevented by modulation of cycle cell signalling (dysregulation of Bax gene or, on the contrary, expression of its antagonist gene Bcl-2 or inhibition of apoptosis with sphingosine-1-phosphate or caspase inhibitors). Clinical data in the literature are usually based on retrospective studies and are somewhat confused: global fertility after MOPP chemotherapy for Hodgkin’s disease is about 20%, adjuvant chemotherapy with CMF, F(A)C or TAC for breast cancer induces amenorrhea in 50% to 70% of cases, PVB or BEP chemotherapy for ovarian germ cell tumors has little effect on fertility when the uterus and one ovary can be preserved, and the majority of women treated with methotrexate, actinomycin D or various combinations for persistent trophoblastic disease remain fertile. Preservation of fertility is a major goal for cancer patients receiving chemotherapy: in vitro fertilization could preserve the couple’s fertility, but is usually not feasible as it would delay initiation of chemotherapy until after stimulation of ovulation; oocyte or ovarian tissue cryopreservation is at the stage of research; oral contraceptives have not been demonstrated to be effective to preserve ovarian function; gonadotropin releasing hormone (GnRH) agonists prevent cyclophosphamide toxicity in rat and monkey ovaries, and a few pilot clinical studies suggest that chemotherapy-induced amenorrhea could be prevented by administration of GnRH analogues simultaneously to chemotherapy, but randomised studies are necessary. 相似文献
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C. Nadal 《Development genes and evolution》1970,166(2):136-149
Résumé L'injection de substances irritantes de nature chimique variée perturbe les mécanismes qui contrÔlent la multiplication des hépatocytes du rat.Les très jeunes rats réagissent de faÇon intense et reproductible. 15 heures après l'injection il se produit une augmentation brève et intense du nombre des cellules entrant en phase S de sorte que les divisions cellulaires, qui normalement auraient été réparties sur les 30 ou 40 prochaines heures, débutent en l'espace de 2 heures seulement. La croissance hépatique a pris une importante avance qui est suivie par une période de diminution du nombre des mitoses due à une rétroaction inhibitrice.La réaction des rats plus âgés met en évidence un mécanisme inhibiteur permanent qui entraÎne une réponse moins intense et moins régulière.La production d'hépatocytes binucléés et polyploÏdes parait liée à ce mécanisme inhibiteur.La régularité et la sensibilité des réactions des très jeunes rats en fait un matériel de choix pour l'étude des mécanismes régulateurs de la croissance hépatique.
Control of multiplication and polyploidy of rat hepatocytesA study of the perturbations of physiological regulation induced by injection of irritants
Summary The injection of irritating substances of various chemical nature disturbs the mechanisms regulating the multiplication of rat hepatocytes.The reaction of baby rats is intense and reproducible. It results, 15 hours after the injection, in an increase of the number of cells entering the S phase, so that practically all the divisions which would normally have been scattered over 36 hours are initiated within 2 hours. This burst of synchronized mitosis corresponding to a 36 hours advance in the hepatic growth is followed by a decrease of mitoses due to a feed-back inhibition.The reaction of older rats brings to evidence a permanent inhibitory mechanism that results in a less regular and intensive response.The production of binucleated and polyploÏd hepatocytes seems to be correlated to this inhibitory mechanism.The regularity and sensivity of the baby rat reactions make them a choice material for the study of hepatic growth.相似文献
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Jacques Lecomte 《Journal of comparative physiology. A, Neuroethology, sensory, neural, and behavioral physiology》1950,32(5):499-506
Conclusion Il existe une interattraction vraie chez les ouvrières d'Apis mellifica.
Cette interattraction a pour point de dépárt un stimulus complexe pour une part de nature vibratoire et pour l'autre de nature olfactive.Le point de départ du stimulus olfactif se situe dans l'abdomen. Enfin pour que le stimulus soit perçu d'une manière efficace par l'abeille il faut que celle-çi soit intégrée à un groupe suffisamment nombreux. 相似文献
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《Revista espa?ola de geriatría y gerontología》2019,54(3):147-150
IntroductionWith the increase in the elderly population of Chile, it is very important to evaluate the quality of food of this age group using simple and quick tools.ObjectiveTo compare the food quality of the elderly, according to gender and age.Material and methodsA cross sectional study was conducted on 458 elderly subjects ≥ 60 years-old of Santiago de Chile. Each one of them were interviewed in their home using the Food Quality Survey for Elderly (FQSE). The objective of this survey is to measure the quality of the food and preparations considered healthy and/or unhealthy for elderly. Weight and height, was obtained from the control document of the elderly.ResultsMen consume a higher number of unhealthy foods compared to women (P = .01). On comparing ages, those over 80 years-old consumed less unhealthy foods (P = .01). The elderly obese showed a lower score in unhealthy eating habits and total intake score.ConclusionWomen eat healthier compared to men, and better eating habits are observed at an older age, especially in men. Finally, on comparing nutritional status, the elderly obese are those who eat in the most inadequate form. 相似文献
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