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91.
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A comparative study was made of erythrocyte counts and weights of the newborn at term. Three groups were used: Cases in which the cord was clamped at once, those in which the cord was allowed to pulsate five minutes, and those in which the cord and placental blood was stripped into the baby. Standards and procedure were set up so that there would be a minimum of error.Evidence was elicited showing that babies in the “pulsating” and the “stripped” groups received a significant amount of blood which was beneficial. The amount varied, but when the stripping method was used, the term baby received about 100 cc. of blood.Babies receiving this blood had higher erythrocyte counts, higher hemoglobin values, higher initial weights, less weight loss, and less rapid loss of weight.It is believed the additional blood supplied is of benefit especially to prematures and to those infants who are in any degree of shock following long labors, difficult deliveries, abruptio placenta, placenta previa, or compression of the cord.The added blood benefits the baby by combating the initial shock, by aiding in filling the capillary bed of the expanding lungs, by increasing iron reserve, by lessening demand upon blood-forming organs (especially in prematures), by protecting the breakdown of body proteins and by aiding the transition from one source of oxygen to another.Five minutes, as a rule, is not long enough to wait for pulsation if the baby is to receive its quota of available blood.Stripping of cord and placental blood into the infant is not a harmful procedure when done gently and is particularly useful in cases where the condition of the mother or child is such that it is inadvisable to wait for the uterus to force the blood physiologically into the child.The additional blood does not cause icterus.The pulsating of the umbilical cord plays only a minor role in the process by which the baby receives blood after the second stage of labor. The pressure of the uterine contractions upon a blood-filled placenta, forcing blood through the umbilical vein into the child, plays the major role. Pitocin and/or ergot preparations would aid in this process.Anemic mothers have a tendency toward having anemic babies.Venous pressure experiments using a phlebaumanometer showed pressures before and after stripping, the force of uterine contractions on the umbilical vein pressure and the variation in pressure with crying and at rest. The giving of 100 cc. of blood by stripping affects the venous pressure of the child very little, if done slowly. If the stripping is done rapidly, there is a transient rise with a return to normal within a few minutes.A survey of 1,900 diplomates of the American Board of Obstetrics and Gynecology showed that there is wide variation in the management of cord and placental blood. Of 455 specialists who stripped the cord, five thought there was some increase in icterus, and one reported cardiovascular distress.  相似文献   
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Report is made of the first primary cytodiagnosis of a synchronous small-cell cancer of the lung and squamous-cell carcinoma of the larynx, which were histologically confirmed. Sputum cytology should be used in the detection and surveillance of multiple primary malignancies of the respiratory tract, which have been observed with increasing frequency.  相似文献   
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Assassin bugs are one of the most successful clades of predatory animals based on their species numbers (∼6,800 spp.) and wide distribution in terrestrial ecosystems. Various novel prey capture strategies and remarkable prey specializations contribute to their appeal as a model to study evolutionary pathways involved in predation. Here, we reconstruct the most comprehensive reduviid phylogeny (178 taxa, 18 subfamilies) to date based on molecular data (5 markers). This phylogeny tests current hypotheses on reduviid relationships emphasizing the polyphyletic Reduviinae and the blood-feeding, disease-vectoring Triatominae, and allows us, for the first time in assassin bugs, to reconstruct ancestral states of prey associations and microhabitats. Using a fossil-calibrated molecular tree, we estimated divergence times for key events in the evolutionary history of Reduviidae. Our results indicate that the polyphyletic Reduviinae fall into 11–14 separate clades. Triatominae are paraphyletic with respect to the reduviine genus Opisthacidius in the maximum likelihood analyses; this result is in contrast to prior hypotheses that found Triatominae to be monophyletic or polyphyletic and may be due to the more comprehensive taxon and character sampling in this study. The evolution of blood-feeding may thus have occurred once or twice independently among predatory assassin bugs. All prey specialists evolved from generalist ancestors, with multiple evolutionary origins of termite and ant specializations. A bark-associated life style on tree trunks is ancestral for most of the lineages of Higher Reduviidae; living on foliage has evolved at least six times independently. Reduviidae originated in the Middle Jurassic (178 Ma), but significant lineage diversification only began in the Late Cretaceous (97 Ma). The integration of molecular phylogenetics with fossil and life history data as presented in this paper provides insights into the evolutionary history of reduviids and clears the way for in-depth evolutionary hypothesis testing in one of the most speciose clades of predators.  相似文献   
97.
In order to test for the specific therapeutic effects of thermal biofeedback (TBF) for hand warming on vascular headache (HA), 70 patients with chronic vascular HA were randomly assigned to TBF for hand warming, TBF for hand cooling, TBF for stabilization of hand temperature, or biofeedback to suppress alpha in the EEG. Patients in each condition initially had high levels of expectation of therapeutic benefit and found the treatment rationales highly credible. Participants in each condition received 12 treatment sessions on a twice-per-week basis. Based on daily HA diary data gathered for 4 weeks prior to treatment and 4 weeks after treatment, HA Index was significantly (p=.003) reduced as was HA medication consumption. There were no differential reducations in HA Index or Medication Index among the four conditions. Global self-reports of improvement gathered at the end of the post-treatment monitoring period also did not differ among the four conditions. We were unable to demonstrate a specific effect of TBF for hand warming on vascular HA activity.  相似文献   
98.
Summary— As evidenced by pertussis toxin-catalysed [32P]ADP-ribosylation, immunoblotting and Northern blot, the human adenocarcinoma intestinal cell line Caco-2 expresses Gi2 and Gi3 proteins. The localization of these two Gis within the cell was investigated by using subcellular fractionation and confocal microscopy on intact cell layer. A brush-border rich fraction and a pellet containing the remaining cellular membranes were prepared. [32P]ADP-ribosylation and immunoblotting demonstrated the presence of both αi2 and αi3 in these two preparations. Immunofluorescence studies performed on intact cells grown on Transwell filters and viewed by confocal microscopy further confirmed the localization of αi3-subunit on basolateral as well as on apical membranes. In contrast, αi2-subunit was shown to accumulate mainly in the intra-cellular compartment while only faint staining of the plasma membrane was detectable. Based upon double-labelling experiments with antibody against rough endoplasmic reticulum (RER), there is a strong possibility that intra-cellular sites of αi2-subunit correspond to association with RER membranes.  相似文献   
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Journal of Plant Growth Regulation - The rising demand for agricultural commodities in developing countries has put increasing pressure on land resources for higher yields, with associated growth...  相似文献   
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