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In a statistical study of maternal mortality cases in Franklin County, Ohio, with a total of 170 deaths in a ten-year period (1948-1957), there were 36 fatal cases with cerebral complications of various types. Intracranial hemorrhage was the cause of death in 17 cases; subarachnoid hemorrhage in eight; intracerebral hemorrhage in eight and subdural hemorrhage in one case. There were nine cases of intracranial tumor with fatality. In a miscellaneous group of ten “cerebral deaths” infectious processes were the cause in eight cases, including tuberculous meningitis, purulent meningitis, brain abscess, acute (cerebromedullary) poliomyelitis, “viral” encephalitis, toxoplasmosis and tetanus.In a smaller clinical (nonfatal) group with cerebral complications occurring during pregnancy and the puerperium, two patients with subarachnoid hemorrhages made spontaneous recovery. A diagnosis of intracerebral hemorrhage was made in three instances, in two of which operation was done and evacuation of blood clots was accomplished. One patient recovered spontaneously from a minimal hemorrhage.Five other persons had cerebral thrombosis, three in the third month of pregnancy and two in the immediate puerperium. All recovered, with some residual deficits.Three patients with intracranial tumor were successfully treated surgically but with disappointing results ultimately (one case each of cerebellar medulloblastoma, cerebral astrocytoma and supratentorial meningioma).Only when the obstetrician, neurologist and the neurosurgeon are fully aware of the signs, symptoms, and many times the rapid course of these cerebral complications of pregnancy, can there be any material lowering of the morbidity and mortality. Emphasis should be placed on the early investigation of all neurological complaints during pregnancy and the puerperium, with immediate institution of an aggressive diagnostic and therapeutic regimen. 相似文献
75.
Kenneth Heber 《BMJ (Clinical research ed.)》1965,2(5467):943-944
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Comparison of α1 -Adrenergic Receptor-Stimulated Inositol Phosphate Formation in Primary Neuronal and Glial Cultures 总被引:3,自引:3,他引:0
alpha 1-Adrenergic receptor binding sites and norepinephrine-stimulated 3H-inositol phosphate (3H-InsP) accumulation were measured in primary cultures of neurons and glia from 1-day-old rat brains. The density of alpha 1-adrenergic receptor binding sites was approximately three times higher in membranes from neurons compared to glia. Although norepinephrine was slightly more potent in stimulating 3H-InsP formation in neurons than in glia, the maximal response was greater in glial cells. Norepinephrine-stimulated 3H-InsP formation remained constant for [3H]inositol prelabelling periods of 1-14 days in neurons, whereas the response increased with time in glia and was maximal after 7-10 days of prelabelling. Both the incorporation of [3H]inositol into lipid and basal levels of 3H-InsPs were lower in glial cells than in neurons, which accounted for the greater percent stimulation in glia. Pretreatment with phenoxybenzamine decreased norepinephrine-stimulated 3H-InsP formation in a dose-dependent manner in both neurons and glia by decreasing the maximal response without altering potency. HPLC separation showed that similar types of 3H-InsPs were accumulated in neurons and glial cells. These results demonstrate that alpha 1-adrenergic receptors exist on both neurons and glial cells and activate 3H-InsP accumulation in both cell types. Although receptor density is higher in neurons than in glia, the 3H-InsP response is higher in glia. This difference does not appear to be due to different receptor reserves, but may be due to differential coupling mechanisms in the two cell types. 相似文献
78.
Summary The effects of temperature, dissolved oxygen, and other environmental parameters under both aerobic and anaerobic conditions were investigated using one aerobic and one facultative strain isolated from wastewater treatment plant sludge. Among other results, we found that low dissolved oxygen levels and low temperatures decreased the rate of DEP degradation and the growth rate, and that the facultative strain was much less affected by the lower DO concentrations than the aerobic strain. 相似文献
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Kenneth G. Ross Edward L. Vargo Laurent Keller 《Evolution; international journal of organic evolution》1996,50(6):2387-2399
Variation in queen phenotype and reproductive role in the fire ant Solenopsis invicta has been shown to have a simple genetic basis in a single introduced population in the United States. The evidence consists of an association between this variation and queen genotype at Pgm-3, a phosphoglucomutase-encoding gene. In the present study, we surveyed Pgm-3 allele and genotype frequencies in diverse populations from the native and introduced ranges of this ant to learn whether this simple genetic basis for reproductive traits is a general feature of the species or a genetic anomaly in introduced ants stemming from a recent bottleneck or the invasion of novel habitats. No egg-laying queens living in polygyne (multiple-queen) nests possessed the homozygous genotype Pgm-3a/a in any of the study populations, yet nonreproductive females from such nests (workers as well as queens that had not yet initiated oogenesis) possessed this genotype at moderate frequencies. Remarkably, Pgm-3a/a was the most common genotype among all classes of females, including egg-laying queens, in monogyne (single-queen) nests from all populations studied. Genotype proportions at Pgm-3 in polygyne populations typically departed strongly from the proportions expected under Hardy-Weinberg equilibrium, whereas those in monogyne populations did not. These patterns establish that a single mendelian gene influences queen reproductive role in S. invicta and that this gene uniformly is under strong directional selection in the polygyne social form only. Moreover, the perfect association of Pgm-3 genotype and reproductive role in all populations, combined with the known function of phosphoglucomutase in insect metabolism, suggest that this gene may directly influence queen phenotypes rather than merely serving as a marker for a linked gene that causes the effects. 相似文献