In this study, 7 hospitalized patients with major depression (MD), 5 hospitalized patients with schizophrenia (S), and 13 control subjects (C) were administered 0.15 units/kg of regular insulin at ...1600 h by intravenous bolus infusion. ACTH, cortisol, and glucose levels were measured intermittently for 2h following infusion. Baseline ACTH, cortisol and glucose levels were similar in Cs, MDs, and Ss. The mean glucose nadir was equivalent for Cs, patients with MD, and patients with S. Patients with MD had a blunted ACTH response (F = 3.28; df = 12,126; p = .0004) and cortisol response (F = 4.20; df = 12,132; p = .0001) to hypoglycemia when compared to Cs and patients with S. Carroll Depression Rating Scale scores in patients with S (23 +/- 10) were similar to patients with MD (30 +/- 8) and significantly higher than in controls (1 +/- 2) (F = 55.2; df = 2.22; p = .0001). These findings suggest that patients with MD show different ACTH and cortisol responses to hypoglycemic stress which are not explained by negative feedback of baseline ACTH or cortisol, glucose nadir, or the number of depressive symptoms per se.
The cosmic microwave background (CMB) encodes information about the content and evolution of the universe. The presence of light, weakly interacting particles impacts the expansion history of the ...early universe, which alters the temperature and polarization anisotropies of the CMB. In this way, current measurements of the CMB place interesting constraints on the neutrino energy density and mass, as well as on the abundance of other possible light relativistic particle species. We present the status of an on-going 1500 sq. deg. survey with the SPT-3G receiver, a new mm-wavelength camera on the 10-m diameter South Pole Telescope (SPT). The SPT-3G camera consists of 16,000 superconducting transition edge sensors, a 10x increase over the previous generation camera, which allows it to map the CMB with an unprecedented combination of sensitivity and angular resolution. We highlight projected constraints on the abundance of sterile neutrinos and the sum of the neutrino masses for the SPT-3G survey, which could help determine the neutrino mass hierarchy.
A protocol was developed for preparation of platelet concentrates (PC) to support thrombocytopenic dogs. Four clinically normal dogs with platelet counts that ranged from 200 to 330 x 10(9) ...platelets/L were used as donors. One unit (450 ml) of blood was collected by venipuncture into a double blood bag. Whole blood (WB) was centrifuged for 4 minutes at 1,000 x g (braking time = 2 minutes, 30 seconds) to prepare platelet-rich plasma (PRP). The PRP was expressed into the satellite bag and was centrifuged for 10 minutes at 2,000 x g (braking time = 2 minutes, 36 seconds). The platelet-poor plasma was expressed, leaving 40 to 70 ml of plasma and the pelleted platelets in the satellite bag. The resulting PC was left undisturbed for 60 minutes to promote disaggregation, and the platelets were then resuspended by gentle manual agitation. Forty-eight PC were prepared. Mean (+/- SD) platelet yield from WB to PRP was 78 (+/- 13)% (range, 35 to 97%); yield from PRP to PC was 94 (+/- 6)% (range, 75 to 100%); and overall yield (PC from WB) was 74 (+/- 13)% (range, 36 to 91%). Mean PC platelet count was 8.0 (+/- 3.0) x 10(10) platelets/PC (range, 2.3 to 13.4 x 10(10) platelets/PC). The WBC content was 0.1 to 2.3 x 10(9) platelets/PC, representing 3 to 74% of WBC in the WB. Hematocrit was 0.1 to 26.2%. Results of bacterial and fungal culturing were negative. The PC were irradiated (18 Gy) and transfused to 5 cross-matched dogs undergoing bone marrow transplantation that developed profound thrombocytopenia of up to 8 weeks' duration.
The clinicopathologic features of five patients with intramedullary osteosclerosis are presented. The patients, ranging in age from 8 to 52 years (mean 31 years), all presented with pain referred to ...the lower extremity. The sclerotic lesions involved the entire lower extremity in 1 patient, mid-tibial shaft in 2, distal tibia in 1, and distal fibula in 1 patient. The histopathologic features of intramedullary osteosclerosis overlap with those of melorheostosis. The differential diagnosis also includes a spectrum of entities, each characterized by osteosclerosis and each of which is compared and contrasted to the cases presented.
We present constraints on extensions to the \(\Lambda\)CDM cosmological model from measurements of the \(E\)-mode polarization auto-power spectrum and the temperature-\(E\)-mode cross-power spectrum ...of the cosmic microwave background (CMB) made using 2018 SPT-3G data. The extensions considered vary the primordial helium abundance, the effective number of relativistic degrees of freedom, the sum of neutrino masses, the relativistic energy density and mass of a sterile neutrino, and the mean spatial curvature. We do not find clear evidence for any of these extensions, from either the SPT-3G 2018 dataset alone or in combination with baryon acoustic oscillation and \textit{Planck} data. None of these model extensions significantly relax the tension between Hubble-constant, \(H_0\), constraints from the CMB and from distance-ladder measurements using Cepheids and supernovae. The addition of the SPT-3G 2018 data to \textit{Planck} reduces the square-root of the determinants of the parameter covariance matrices by factors of \(1.3 - 2.0\) across these models, signaling a substantial reduction in the allowed parameter volume. We also explore CMB-based constraints on \(H_0\) from combined SPT, \textit{Planck}, and ACT DR4 datasets. While individual experiments see some indications of different \(H_0\) values between the \(TT\), \(TE\), and \(EE\) spectra, the combined \(H_0\) constraints are consistent between the three spectra. For the full combined datasets, we report \(H_0 = 67.49 \pm 0.53\,\mathrm{km\,s^{-1}\,Mpc^{-1}}\), which is the tightest constraint on \(H_0\) from CMB power spectra to date and in \(4.1\,\sigma\) tension with the most precise distance-ladder-based measurement of \(H_0\). The SPT-3G survey is planned to continue through at least 2023, with existing maps of combined 2019 and 2020 data already having \(\sim3.5\times\) lower noise than the maps used in this analysis.
Laboratory abnormalities in patients with cancer Kruth, S.A. (University of Guelph, Guelph, Ontario, Canada); Carter, R.F
The Veterinary clinics of North America. Small animal practice,
07/1990, Letnik:
20, Številka:
4
Journal Article
Recenzirano
In this problem-oriented review of abnormalities associated with cancer, we have emphasized distinctive diagnostic points related to pathogenesis for each condition and outlined how the approach to ...management is determined by pathogenesis. For abnormalities of the complete blood count, it is important to distinguish between abnormalities directly related to marrow malignancy and abnormalities associated with extramarrow malignancy. Hemopoietic tumors consist of developmentally deficient blood cells produced by a clonal population of malignant stem cells. Tumors infiltrating marrow cause overcrowding in the limited marrow microenviroment. Extramarrow malignancies cause blood abnormalities, but the potential for normal marrow function is present. Abnormalities of blood cells secondary to therapy are usually clearly identified by consideration of clinical history. The initial differential diagnosis for hypercalcemia is malignancy. An aggressive diagnostic approach may be needed to identify the neoplasm, and therapy should incorporate measures to prevent renal failure. Hypoproteinemia and hyperproteinemia may be caused by neoplasia. Monoclonal gammopathies should be identified and may be associated with hyperviscosity syndrome. Hypoglycemia in the adult animal is most frequently caused by insulin-secreting tumors, but it has also been associated with hepatic and other tumors. Increased blood urea nitrogen, creatinine, lipase, amylase, and liver enzyme activities may also be caused by malignancy. Inadequate urine concentrating ability may be caused by hypercalcemia or malignancy-associated renal insufficiency. Hematuria in older animals is suggestive of urinary tract neoplasia. Exfoliated tumor cells may be identified in the urine sediment of these patients.
There has been growing recognition that health promotion programs which target whole communities are more likely to be effective in changing health behaviour. However, studies evaluating the impact ...of community-wide health promotion programs rarely use adequate methodology. Randomised control trials where multiple whole communities are randomly assigned to control and intervention groups are optimum if evaluators hope to validly attribute changes in health behaviour to the intervention. However, such trials present a number of difficulties including cost and feasibility limitations and the evolving nature of statistical techniques. This paper proposes applying a fairly well-accepted phased evaluation approach to the evaluation of community participation programs, using three defined phases. Phase 1 consists of small-scale studies to develop the measures and assess acceptability and feasibility of the intervention; Phase 2 consists of studies in a small number of communities designed to trial the intervention in the real world; Phase 3 studies use an appropriate number of entire communities to provide valid evidence of efficacy of the intervention. It is suggested that criteria be resolved to identify adequate studies at each stage and that advantages and limitations of Phase 1 and 2 studies be clearly identified. The paper describes the major design, sampling and analysis considerations for a Phase 3 study.
The translation initiation factor eIF4E is a novel protooncogene found over expressed in most breast carcinomas (Kerekatte et al., 1995), but the pathology where this elevation is initially ...manifested and its possible role in cancer progression are unknown. We report that eIF4E is markedly increased in vascularized malignant ductules of invasive carcinomas, whereas necrotic and avascular ductal carcinomas in situ display significantly lower levels. eIF4E facilitates the synthesis of FGF-2, a powerful tumor angiogenic factor. Conversely, reducing eIF4E with antisense RNA in MDA-435 cells suppresses their tumorigenic and angiogenic properties, consistent with loss of FGF-2 synthesis. These findings suggest a causal role for eIF4E in tumor vascularization.
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