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61.
Summary Both avian corticosteroid hormones, aldosterone and corticosterone, increased short-circuit current across the wall of the ceca of the domestic fowl (Gallus domesticus) in vitro. About 80% of this short-circuit current was inhibited by the Na-channel blocking drug amiloride. Corticosterone was about ten times less potent than aldosterone in increasing short-circuit current and it exerted a similar maximal effect. Cortisol (an endogenous corticosteroid hormone in mammals but not birds) was about ten times less potent than corticosterone and this difference appeared to reflect the presence of the 17-OH group in cortisol. Carbenoxolene, which inhibits 11-hydroxysteroid dehydrogenase, increased the effect of corticosterone. This effect is consistent with inhibition of the metabolism of corticosterone to 11-dehydrocorticosterone. The latter was found to be about 100 times less potent than corticosterone. The effects of both aldosterone and corticosterone (also dexamethasone) were abolished by the mineralocorticoid receptor antagonist spironolactone. The results suggest that corticosterone has an effect similar to aldosterone but in vivo its action may be depressed by the activity of 11-hydroxysteroid dehydrogenase. The sensitivity of the cecal preparations to corticosterone indicates that this hormone could contribute to the regulation of transcecal Na transport (absorption) in vivo.Abbreviations 11-HSD 11-Hydroxysteroid dehydrogenase - sc short-circuit current - KRB Krebs bicarbonate solution  相似文献   
62.
63.

Background

Palpitations and pre-syncope are together responsible for 300,000 annual Emergency Department (ED) attendances in the United Kingdom (UK). Diagnosis of the underlying rhythm is difficult as many patients are fully recovered on ED arrival; and examination and presenting electrocardiogram (ECG) are commonly normal. The only way to establish the underlying heart rhythm is to capture an ECG during symptoms. Recent technology advances have led to several novel ECG monitoring devices appearing on the market. This trial aims to compare the symptomatic rhythm detection rate at 90?days of one such smart phone-based event recorder (AliveCor Heart Monitor and AliveECG) with standard care for participants presenting to the ED with palpitations and pre-syncope and no obvious cause in the ED.

Methods/Design

This is a multi-centre hospital ED / Acute Medical Unit (AMU) open label, randomised controlled trial. Participants will be recruited in 10 tertiary and district general hospitals in the UK. Participants aged ≥?16?years presenting with an episode of palpitations or pre-syncope with no obvious cause and whose underlying ECG rhythm during these episodes remains undiagnosed after clinical assessment will be included. Participants will be randomised to either: (1) the intervention arm, standard care plus the use of a smart phone-based event recorder; or (2) the control arm, standard care. Primary endpoint will be symptomatic rhythm detection rate at 90?days. A number of secondary clinical, process and cost-effectiveness endpoints will be collected and analysed. Analysis will be on an intention-to-treat basis.

Discussion

The Investigation of Palpitations in the ED (IPED) study aims to recruit 242 participants across 10 hospital sites. It will be the first study to investigate the ability of a smart phone-based event recorder to detect symptomatic cardiac rhythms compared to standard care for ED patients with palpitations and pre-syncope with no obvious cause in the ED. This smart phone event recorder will allow ED patients who have presented with palpitations or pre-syncope to record their ECG tracing if they have a further episode and may increase the rate of underlying rhythm diagnosis.

Trial registration

ClinicalTrials.gov, NCT02783898. Registered on 26 May 2016.
  相似文献   
64.
Staphylococcus aureus isolate, WBG1022, was resistant to penicillin, kanamycin, neomycin, streptomycin, chloramphenicol, trimethoprim, cadmium, and ethidium bromide and harbored plasmids of 34.5, 24.5, 4.4, 3.2, and 2.6 kilobases. The plasmids were transferred in mixed-culture transfer and conjugation experiments. No resistance phenotype was associated with the 2.6-kb plasmid. The 3.2-kb and 4.4-kb plasmids encoded chloramphenicol and streptomycin resistance respectively. The 24.5-kb plasmid, pWBG626, encoded joint resistance to penicillin, kanamycin, neomycin, and ethidium bromide. Resistance to trimethoprim and cadmium were chromosomal. The 34.5-kb plasmid, pWBG661, had no resistance phenotype but was found to be conjugative. It also mobilized the 4.4-kb and 24.5-kb plasmids in WBG1022. Restriction endonuclease analysis of pWBG661 with EcoRI, ClaI, PvuII, and BglII restriction enzymes demonstrated that pWBG661 was identical to two previously isolated S. aureus conjugative plasmids, p WBG620 and pWBG637, that also lack resistance phenotypes.  相似文献   
65.
Tall and short Amazonian caatinga at La Esmeralda (rainfall 2600 mm yr–1) are described and compared with those at San Carlos de Río Negro (3600 mm yr-1). The tall forests have much in common: thin-boled trees, many with scleromorphic mesophylls, lack of thick-stemmed climbers and of herbs, species paucity in all life-forms, domination by Eperua, and a high proportion of Bombacaceae, Clusiaceae and Euphorbiaceae. The short caatingas are also structurally and floristically similar but at La Esmeralda the notophyll scrubland species are lacking. At La Esmeralda, the common tree species are autochorous, but the majority of plants (particularly understorey species) are zoochorous. Relatively high transmission of light to the floor of the tall caatinga (1.5% PAR) may explain how trees with light-demanding architecture regenerate in the understorey. The presence of Cecropia and weedy species in the caatinga only at San Carlos may be the result of greater human interference there. The soils at San Carlos and La Esmeralda are similar: thick humus overlying bleached sand, waterlogged most of the year. The water table at La Esmeralda drops to >1 m depth during the drier months, but tensiometers at 30 cm depth did not indicate significant water shortage. Soils are consistently wetter in the short caatinga than the tall. Shortage of nitrogen appears to determine the major structural and physiognomic features of the caatinga, and depth of aerated soil appears to determine its stature. Comparisons are made between tall caatinga, wallaba and swamp forest in the Guianas and heath forests of Malaysia.Abbreviations PRF Palm-Rich Forest - SC Short Caatinga - TC Tall Caatinga  相似文献   
66.
Fifty adult newts were used in this investigation; in 44 animals, the intestine was transected perpendicular to its longitudinal axis approximately midway between pylorus and rectum. The free ends of the intestine were held in apposition with a single suture and replaced into the coelom. The animals were injected intraperitoneally with [3H]thymidine from 0 to 35 days after transection of the intestine and killed 6 hr later. In nontransected, control intestines, the only tissue that incorporated [3H]thymidine was the mucosal epithelium. In transected intestines, only the mucosal epithelium labeled in animals which had been injected with [3H]thymidine from 0 to 4 days after the intestine was incised. Later on, serosal cells and smooth muscle cells of the intestinal stump underwent morphological alteration, initiated the incorporation of [3H]thymidine into DNA, and began replication. At 6 days after transection, serosal cells adjacent to the plane of transection were incorporating [3H]thymidine and, at 12 days, smooth muscle cells at the transected surface were labeling. It seems probable that they both furnished cells to the intestinal blastema; the lining epithelium of the mucosa, however, did not appear to contribute to the blastema proper.  相似文献   
67.
Anaerobic storage of whole rumen contents at 0°C for 8 and 24 h resulted in viable colony counts which were 113 and 92%, respectively, of the colony count obtained with an unstored sample. No significant differences in the percentages of the total population capable of utilizing glucose, cellobiose, starch, or xylose occurred with storage. Numerous factors were investigated as possible explanations for the increase in bacterial numbers observed after storage for 8 h in ice. Growth and multiplication of bacteria, subsampling of rumen contents, susceptibility to oxygen, lysis of protozoa with the release of viable bacteria, and rumen sampling time did not appear to be involved. Compilation of the data from all 29 of the above experiments gave a mean value for samples stored for 8 h in ice which was 134.8% of the control (P < 0.005). The effect of storage time at 0°C indicated that a significant increase in colony count occurred after 4 h, and, based on these data, 6 h was subsequently used as the standard cold-storage period. Circumstantial evidence supported the hypothesis that storage of rumen contents for 6 h at 0°C appears to alter or to break down the material responsible for cell-to-cell or cell-to-particulate matter attachment. Addition of a surfactant to the anaerobic dilution solution significantly increased total colony count of rumen contents to an extent similar to chilling in ice for 6 h. However, an additive effect was observed when surfactant-containing anaerobic dilution solution was used with samples stored for 6 h at 0°C.  相似文献   
68.
Preparation of electroendosmosis-free agarose is described. The method is based upon the covalent bonding to agarose of a small number of positively charged groups which counterbalance the electroendosmosis-producing effect of the negatively charged groups present in commercial agarose. It is shown how such electroendosmosis-free agarose gel can be combined with advantage with polyacrylamide gels in crossed immunoelectrophoresis.  相似文献   
69.
The 215-kd phosphomannosyl receptor is involved in the transport of newly synthesized acid hydrolases to lysosomes and also mediates the pinocytosis of lysosomal enzymes by fibroblasts in culture. Recycling of receptors to the sorting sites is an integral part of both these processes. In this report, we describe the inhibition in human fibroblasts of both functions of the phosphomannosyl receptor by a rabbit antiserum to the bovine liver receptor. This inhibition cannot be completely accounted for by inhibition of ligand-receptor interaction. Rather the antibody appears to cross-link receptors and cause a removal of receptors from the sorting sites (plasma membrane and Golgi apparatus) and their accumulation in a compartment from which they do not recycle. Removal of receptors from the recycling pool by antibody is irreversible, and return of receptors requires synthesis of new protein. Degradation of "trapped receptors" is enhanced (t1/2 = 7.5 hr), but much more gradual than their removal from the functional receptor pool (t1/2 = 30 min).  相似文献   
70.
Human complex-forming glycoprotein, heterogeneous in charge (protein HC) has previously been isolated from urine and immunochemically shown to be present in low and high molecular weight forms in blood plasma (Tejler, L., and Grubb, A. O. (1976) Biochim. Biophys. Acta 439, 82-94). In the present work, the major low and high molecular weight forms of the protein were isolated from plasma by immunosorption followed by gel chromatography. The plasma low molecular weight protein HC and the urinary protein had similar, if not identical, molecular weight, amino acid composition, NH2-terminal and carboxyl-terminal amino acid sequences and electrophoretic mobility. The low molecular weight plasma protein HC carried a yellow chromophore like the urinary protein, but its molar extinction coefficient at 280 nm was lower and its charge heterogeneity less pronounced than that of urinary protein HC. The plasma high molecular weight protein HC had a hydrodynamic volume which was greater than that of monomeric IgA but smaller than that of dimeric IgA. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis of the isolated high molecular weight protein followed by electrophoretic blotting and immunochemical analysis demonstrated that the protein contained four polypeptide chains: two light immunoglobulin chains (Mr = 23,000), one IgA alpha-chain (Mr = 54,000), and one chain with Mr approximately 90,000 which carried both alpha-chain and protein HC antigenic determinants. Whether the protein HC X IgA complex is a functionally significant part of the humoral immune system cannot be decided without further experimentation, but the complex was found to be completely absent from the blood plasma of patients with a selective deficiency of IgA-secreting immunocytes. The isolated low and high molecular weight plasma protein HC components were used as standard proteins in the construction of a quantitative crossed immunoelectrophoretic assay for the simultaneous quantitation of the two major protein HC components in blood plasma. The plasma concentrations of the low and high molecular weight protein HC components were measured by this method in 13 healthy Caucasians. The results for the low molecular weight protein HC were: mean, 20.3 mg/liter, S.D., 3.2 mg/liter, range, 13.6-26.0 mg/liter; and for the protein HC X IgA complex: mean, 293 mg/liter, S.D., 176 mg/liter, range, 36-620 mg/liter.  相似文献   
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