早发型重度子痫前期终止妊娠对母婴预后的影响分析

目的:探讨早发型重度子痫前期终止妊娠时机对母婴预后结局的作用,为临床实践提供指导。方法:从2007年1月至2010年12月期间在我院妇产科分娩并为重度子痫前期患者中随机选取135例作为研究对象。按终止妊娠时间分为两组,A组<32周、32周≤B组≤34周。对两组均终止妊娠,比较两组间血压状况、尿蛋白、血小板、凝血、眼底状况及胎儿监护。结果:A组的胎盘早剥、子痫和肾功能损害的发生率略高于B组,然而差异均无统计学意义(P>0.05)。A组的新生儿窒息率,新生儿呼吸窘迫综合征发生率,围产儿死亡率等3个指标均明显高于B组,且卡方检验显示,两组比较差异有显著性(P<0.05)。结论:对于终止妊娠的时间、方式应根据患者的状况进行综合考虑。无论选择何时终止妊娠或治疗,都应该综合考虑母婴两方面的状况,密切进行监护,尽量获得良好的结局。     

Estivation and hibernation of Pieris brassicae (L.) in southern Spain: synchronization of two complex behavioral patterns

 The large white butterfly, Pieris brassicae, has an unusually complex life-history in its southernmost range in Western Europe. This complexity results (1) from two developmental rests, a short-day induced hibernation and a long-day induced estivation response, and (2) from the exceptionally early appearance of the first adult generation in January/February and a subsequent winter diapause in some of their progeny. It was found that in spring and autumn, different generations are faced with critical photophases which induce hibernation or estivation, with the consequence that in five out of six generations per year, only some develop directly whereas the others enter a dormancy phase. To assess the implications of this high number of optional responses on the generation succession, the development time was studied at various photoperiods and temperatures. The results showed that a threshold response determines the duration of estivation. With unchanged summer conditions (daylengths ≥15 h) estivation lasts on average 18–19 weeks, while with autumn conditions (daylengths ≤14 h) it lasts only 7 weeks. A change of photophases from ≥15 h to ≤14 h terminates estivation within about 3–5 weeks, slightly depending on the pupal exposure time in summer conditions. The duration of estivation is not affected by temperature or by the photophases experienced by the caterpillars. The winter diapause lasts 18–19 weeks on average with winter conditions (12°C/10.30 h light), but only 8–10 weeks with late spring conditions (21°C/15 h light). These results were used to assess the effects on the population phenology, with the finding that despite the different developmental pathways, a desynchronization of the generation succession is largely prevented. Estivation, hibernation, and direct development at different seasons are well adjusted to a common phenological pattern of a continuously reproducing population. This pattern of activity covers a cryptic dormant subpopulation, and could not have been deduced by field observations. Received: October 3, 2001 / Accepted: October 3, 2002     

Tandem termination signals: myth or reality?

In two Escherichia coli genomes, laboratory strain K-12 and pathological strain O157:H7, tandem termination codons as a group are slightly over-represented as termination signals. Individually however, they span the range of representations, over, as expected, or under, in one or both of the strains. In vivo, tandem termination codons do not make more efficient signals. The second codon can act as a backstop where readthrough of the first has occurred, but not at the expected efficiency. UGAUGA remains an enigma, highly over-represented, but with the second UGA a relatively inefficient back up stop codon.     

NMR assignments of the C-terminal domain of human polypeptide release factor eRF1

We report NMR assignments of the protein backbone of the C-terminal domain (163 a.a.) of human class 1 translation termination factor eRF1. It was found that several protein loop residues exist in two slowly interconverting conformational states.     

米非司酮配伍米索前列醇与利凡诺在终止妊娠中的应用比较

目的:比较米非司酮配伍米索前列醇与利凡诺在终止妊娠中临床效果与安全性。方法:选取自愿终止妊娠者86例,随机分成观察组和对照组,每组各43例。观察组使用米非司酮配伍米索前列醇;对照组予以利凡诺行羊膜腔内穿刺注射。观察两组的引产过程、引产效果及可能出现的副作用。结果:观察组用药后宫缩发动时间、产程均短于对照组(P<0.01);观察组与对照组引产成功率分别为93.02%、86.05%,无统计学差异(P>0.05);但观察组24h内引产成功率显著高于对照组,而对照组24~48 h、48 h后引产成功率显著高于观察组(P<0.01)。观察组胎膜残留、产后2h内出血量、药物热、胃肠道反应、腹痛的发生率均低于对照组(P<0.05或P<0.01)。结论:米非司酮联合米索前列醇终止中期妊娠具有方法简单、宫缩发动快、产程短、损伤小、出血少等优点,优于利凡诺羊膜腔内穿刺注射。     

Zur Struktur und Funktion des Perineuriums

Zusammenfassung Das Perineurium kleiner Mesenterial- und Trachealnerven besteht aus einer Lage platter, beiderseits von einer Basalmembran umschlossener Zellen.Im Bereich von Abzweigungen kleiner Nerven bildet das Perineurium ein gekammertes, stark kollagenfibrillenhaltiges Hüllensystem. Die Endigung der einschichtigen Perineuralhülle hat die Form einer in das Interstitium geöffneten Röhre.Im ansatznahen Drittel des Mesenteriums und in der Schleimhaut der Trachea wurden ausschließlich perineuriumfreie Nerven gefunden. Es liegt nahe, diese perineuriumfreien Bezirke zu funktionellen Endräumen zusammenzufassen.In perineuriumfreien Bezirken wird das gehäufte Auftreten von Nervenauftreibungen mit Vesikeln, die Transmittersubstanz enthalten, und Mitochondrion beobachtet.Die erhobenen Befunde werden mit den an dickem Perineurium gewonnenen Ergebnissen verglichen und diskutiert.

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Structure and function of the perineurium

Summary The perineurial sheath of small tracheal and mesenteric nerves consists of a layer of flat, basement membrane coated cells. Its ramifications form a complicated layered system, interspersed with collagen fibrils. The tube formed by the thin perineurial sheath ends openly, which affords communication between the respective interstitial spaces.The mesenteric nerves close to the duodenum as well as the nerves in the vicinity of the tracheal epithelium show no perineurial sheath. Peripheral nerves lacking a perineurial layer seem to be close to their terminations. Their fibers show varicosities containing transmitter vesicles and mitochondria with longitudinally orientated cristae. Our results are compared with those found in thick, multilayered perineurial sheaths and functional differences are discussed.

Diese Untersuchung wurde mit dankenswerter Unterstützung durch den Fonds zur Förderung der wissenschaftlichen Forschung durchgeführt.