shotguns shells and wadding

Báo cáo y học: "Primary prevention of Down’s syndrome"

Báo cáo y học: "Primary prevention of Down’s syndrome"

... folate in plasma, and both folate and methyl folate in red blood cells [37-38] The study also found reduced methionine in cases and an increased ratio of plasma Hcy to methionine and increased sensitivity ... to maternal age distribution for England 94 and Wales in 2002 [23] yields prevalence of 1.89 per 1,000 births If all families had been completed by age 30 and assuming that the age distribution ... one DS and another aneuploidy in which there were different reproductive partners in the parental or grand-parental generation There are 14 case reports of this nature in the literature and in...

Ngày tải lên: 02/11/2012, 11:12

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Handbook of Tourette''''s Syndrome and Related Tic and Behavioral Disorders, Second Edition doc

Handbook of Tourette''''s Syndrome and Related Tic and Behavioral Disorders, Second Edition doc

... Singer and Karen Minzer 273 15 Infection and Autoimmune Factors in Tourette’s and Related Disorders William M McMahon and Michael Johnson 16 Imaging in Tourette’s Syndrome Andrew Feigin and David ... parkinsonism, and progressive supranuclear palsy, and from levodopa toxicity; brief sounds in oromandibular dystonia, Huntington’s disease, neuroacanthocytosis, and tardive dyskinesia; and the sniffing and ... characteristics, and increasing social demands all contribute to frequent emotional ups and downs Not surprisingly, tics and associated TS symptoms may seem to become worse at this time and clinicians...

Ngày tải lên: 28/03/2014, 22:21

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Cushing''''s Syndrome pdf

Cushing''''s Syndrome pdf

... abdomen, face (moon face), neck and upper back (buffalo hump); thinning and weakness of the muscles of the upper arms and upper legs; thinning of the skin, with easy bruising and pink or purple stretch ... obesity and poor growth in height On physical examination, a physician will notice these changes and will also usually find high blood pressure and evidence of muscle weakness in the upper arms and ... relatively rare, and cause Cushing's Syndrome in only people per million per year for both adenomas and carcinomas Both are also to times more common in women than men WHAT ARE THE SYMPTOMS AND SIGNS...

Ngày tải lên: 29/07/2014, 02:21

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HOW IS CUSHING''''S SYNDROME DIAGNOSES? pptx

HOW IS CUSHING''''S SYNDROME DIAGNOSES? pptx

... done Blood and urine tests for adrenal androgens are useful Testing with other drugs, such as metyrapone and CRH (corticotropin releasing hormone) may also be needed Once all of the blood and urine ... that time, most people get annoyed and frustrated by the slow improvements in physical changes and the combination of Cushing's and adrenal insufficiency signs and symptoms (dizziness, weakness, ... weakness, abdominal and facial weight gain, depression, mood swings, and all the other signs and symptoms mentioned earlier Regular visits to a physician for examinations, blood tests, and treatments...

Ngày tải lên: 29/07/2014, 02:21

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HỘI CHỨNG CUSHING (Cushing’s syndrome) ppt

HỘI CHỨNG CUSHING (Cushing’s syndrome) ppt

... thống lông phát triển, tóc rậm, nữ giới có nhiều ria mép giống đàn ông Nguyên nhân tăng tiết nhiều androgen - Da khô mảng, dễ xuất huyết va chạm, vết rạn da màu tím hồng (stria) nằm sâu da, thường...

Ngày tải lên: 05/08/2014, 20:22

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Báo cáo y học: "Genetic aspects of Sjögren’s syndrome" pptx

Báo cáo y học: "Genetic aspects of Sjögren’s syndrome" pptx

... K, Sumida T: Glandular and extraglandular expression of the Fas-Fas ligand and apoptosis in patients with Sjögren’s syndrome Clin Exp Rheumatol 1998, 16:561-568 Skarstein K, Nerland AH, Eidsheim ... syndrome [44] Autoantibodies to Ro/SSA and La/SSB have been found to be associated with DR3, DQA and DQB alleles [45–47] A dose-dependent contribution of DQα34Q and DQβ-26L, in addition to the DRB1*03DQB1*02-DQA1*0501 ... Cytokine polymorphisms in Sjögren’s syndrome Cytokines serve to mediate and regulate immune and inflammatory responses, and have been implicated in the pathogenesis of a variety of autoimmune...

Ngày tải lên: 09/08/2014, 01:21

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Báo cáo y học: "α Anti-α-fodrin antibodies do not add much to the diagnosis of Sjögren’s syndrome" pot

Báo cáo y học: "α Anti-α-fodrin antibodies do not add much to the diagnosis of Sjögren’s syndrome" pot

... be analyzed (SjS and controls) were coupled to protein A-agarose beads (Biozym, Landgraaf, The Netherlands) and immunoprecipitations were carried out as described by Raijmakers and colleagues [17] ... according to the method of Zampieri and colleagues [18] and believed to contain the native and possibly modified apoptotic αfodrin fragment of 120 kDa described by Haneji and Available online http://arthritis-research.com/content/6/1/R33 ... positive salivary gland biopsy (LFS ≥ 1.0) is mandatory for the classification of SjS The disease sensitivities of anti-Ro and anti-La autoantibodies have been reported to be 60–75% and 30–50%, respectively...

Ngày tải lên: 09/08/2014, 01:23

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báo cáo khoa học: "Scintigraphic features of Morquio’s syndrome: a case report" pptx

báo cáo khoa học: "Scintigraphic features of Morquio’s syndrome: a case report" pptx

... contributions BK made substantial contributions to the conception and design of the study and drafted the manuscript BK and KCA both read and approved the final manuscript Competing interests The authors ... seen in the right sacroiliac joint and sacral body, consistent with fractures, and most likely representing the cause of the patient’s pain Figure Anterior and posterior whole body bone scan ... Kitzing and Allman Journal of Medical Case Reports 2011, 5:42 http://www.jmedicalcasereports.com/content/5/1/42 Page of Figure Localized posterior bone scan view of the pelvis and lumbar spine...

Ngày tải lên: 11/08/2014, 00:22

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Báo cáo khoa hoc:" Effectiveness of low-dose doxycycline (LDD) on clinical symptoms of Sjögren''''s Syndrome: a randomized, double-blind, placebo controlled cross-over study" potx

Báo cáo khoa hoc:" Effectiveness of low-dose doxycycline (LDD) on clinical symptoms of Sjögren''''s Syndrome: a randomized, double-blind, placebo controlled cross-over study" potx

... a randomized, double blind, placebo-controlled clinical trial, and the patients were randomized at the baseline Randomization was performed by use of a computer-generated list, and the drug and ... diseases, and in the growth of tumors and cancer [5-9] MMP expression and catalytic activity are increased in tissue samples from SS patients [10,11] and correlate with the severity of the disease and ... followed by the second washout period Stimulated and unstimulated saliva was collected, and flow rate and pH were measured at the onset and after one and 10 weeks of each medication period, as well...

Ngày tải lên: 11/08/2014, 08:21

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Báo cáo y học: "A possible variant of Bouveret’s syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report" pot

Báo cáo y học: "A possible variant of Bouveret’s syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report" pot

... contributions SM and RS collected the data and drafted the manuscript AR performed a literature review and helped draft the manuscript SA conceived the study All authors have read and approved the ... barium meal and/ or endoscopy may confirm the diagnosis, and endoscopic disimpaction may be possible, but surgery is frequently necessary Cholecystectomy carries no benefit in these cases, and is ... gallstone, was explored and found to be normal, and contained no stones The gallstone in the duodenum was extracted via a duodenotomy, the duodenal stricture was dilated digitally and a cholecystectomy...

Ngày tải lên: 11/08/2014, 17:21

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Báo cáo y học: " Adrenocortical oncocytic neoplasm presenting with Cushing''''s syndrome: a case report" pot

Báo cáo y học: " Adrenocortical oncocytic neoplasm presenting with Cushing''''s syndrome: a case report" pot

... investigations revealed leukocytosis and normal serum electrolytes and normal fasting and post-prandial glucose levels Cushing's syndrome was suspected, and further endocrinological tests were ... in study design and coordination, and helped to draft the manuscript SS carried out suppression tests and helped to draft the manuscript AA carried out pathologic assessment and revised the draft ... presented with Cushing's syndrome Erlandson and Reuter [10] reported a female patient who was incidentally found to have a cm virilizing adrenocortical oncocytoma and a coexisting urinary bladder...

Ngày tải lên: 11/08/2014, 21:22

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Báo cáo y học: " Pathogenic effect of interleukin-17A in induction of Sjögren’s syndrome-like disease using adenovirus-mediated gene transfer" docx

Báo cáo y học: " Pathogenic effect of interleukin-17A in induction of Sjögren’s syndrome-like disease using adenovirus-mediated gene transfer" docx

... 10) (g), or Ad5-IL17 (n = 8) (h); and fluorescent staining and enumeration of B and T cells in Ad5-IL17A treated mice (i and j) and immunohistochemical staining and enumeration of IL-17A-positive ... Histology Following euthanasia, whole salivary glands containing submandibular, sublingual, and parotid glands were surgically removed from each mouse and placed in 10% phosphate-buffered formalin ... mean ± SEM for n = per group and statistical analyses were performed comparing the means of the Ad-LacZ and Ad-IL17A treated groups at 26 wks and 27 wks of early and late treatment, respectively...

Ngày tải lên: 12/08/2014, 15:22

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Cushing’s Disease in Children: Report of Three Cases potx

Cushing’s Disease in Children: Report of Three Cases potx

... percentile) and blood pressure of 160/ 110 mmHg He had signs of puberty; both testes had volumes of mL and pubic hair was at Tanner stage I His bone age was between 12 years months and 13 years ... potassium of 2.4 mmol/L, and chloride of 101 mmol/L His plasma ACTH level was 73.9 pg/ mL (16.3 pmol/L), and serum cortisol levels were 43.3 μg/dL (1195 nmol/L) at AM and 26.6 μg/dL (734 nmol/L) ... signs and symptoms improved, though panhypopituitarism was noted years after the second operation and radiotherapy The patient received continuing treatment with eltroxin, cortisone acetate, and...

Ngày tải lên: 22/03/2014, 10:20

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báo cáo hóa học:" Rapid serological detection of autoantibodies associated with Sjögren''''s syndrome" docx

báo cáo hóa học:" Rapid serological detection of autoantibodies associated with Sjögren''''s syndrome" docx

... QLIPS and LIPS were similar and correlated well (rs = 0.72) For example, the mean and standard deviation in the 57 SJS samples by QLIPS and LIPS were similar with values of 650,273 ± 485, 490 and ... control samples showed a mean and standard deviation by QLIPS and LIPS of 7,576 ± 6,046 and 29,770 ± 78,495 LU, respectively Of note, the markedly higher average and standard deviation of the control ... well-known SSA and SSB antibodies While positive SSA (Ro52 and Ro60) and SSB (La) autoantibodies are part of the diagnostic criteria, five other clinical signs including ocular and oral dryness and evidence...

Ngày tải lên: 18/06/2014, 15:20

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báo cáo hóa học: " Primary Sjögren''''s Syndrome: health experiences and predictors of health quality among patients in the United States" potx

báo cáo hóa học: " Primary Sjögren''''s Syndrome: health experiences and predictors of health quality among patients in the United States" potx

... gender and disability, and due to the small samples of men and work disabled in the PhysR patient group, the PhysR and SSF patients were combined in analyses comparing men with women and the ... Health and Quality of Life Outcomes 2009, 7:46 Note: Mean scores and Standard Errors for PROFAD-SSI domains Ratings PhysR patientssicca controls on PROFAD-SSI domains Figure among of fatigue and and ... extra-glandular features such as Raynaud's, purpura, lymph node swelling or pain, and leucopenia were frequently experienced by PhysR-PSS patients Morbidity related to severe longstanding oral and...

Ngày tải lên: 18/06/2014, 18:20

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Báo cáo y học: "Psychiatric disorder as clinical presentation of primary Sjögren’s syndrome: two case reports." pdf

Báo cáo y học: "Psychiatric disorder as clinical presentation of primary Sjögren’s syndrome: two case reports." pdf

... dilution of 1:320) Anti-La/SS-B titre, other SLE and RA markers, and tests of the complement system (C3 and C ) were negative Electroencephalogram (EEG) and magnetic resonance imaging (MRI) showed ... patient had no history of psychiatric and/ or somatic illness At the admission, she referred to a stable and previously satisfying married life and work, and complained of agitation, irritability, ... (sedation) and her anxious-depressive symptoms recurred At her initial medical evaluation, she complained of persistent fatigue, myalgia, and symptoms referred to her eyes (sandy feeling, itchiness, and...

Ngày tải lên: 08/08/2014, 23:21

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Báo cáo y học: "Abnormalities of B cell phenotype, immunoglobulin gene expression and the emergence of autoimmunity in Sjögren’s syndrome" pdf

Báo cáo y học: "Abnormalities of B cell phenotype, immunoglobulin gene expression and the emergence of autoimmunity in Sjögren’s syndrome" pdf

... of chemokines and their receptors [10–12] Cytokines and chemokines in pSS In patients with pSS the salivary and lacrimal glands are the main target organs for the immune system and, at least ... normal salivary glands It has therefore been suggested that T helper type (Th1) cytokines, such as IFN-γ and IL-2, as well as IL-10, IL-6 and TGF-β, might be important in the induction and/ or maintenance ... production and the strong association of certain autoantibodies with particular MHC class II alleles, and despite increasing knowledge about tissue B cell immunology and the role of cytokines and chemokines,...

Ngày tải lên: 09/08/2014, 01:21

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Báo cáo y học: "Genetic control of disease in an experimental model for Sjögren’s syndrome Åsa Andersson" potx

Báo cáo y học: "Genetic control of disease in an experimental model for Sjögren’s syndrome Åsa Andersson" potx

... direct data on candidate gene expression in tissues from mice with the smaller Aec2 interval, or investigations of polymorphism in, or close to, candidate genes from susceptible and resistant mouse ... potential candidate genes located within the re-defined Aec2 interval, the authors elegantly discuss possible disease pathways One pathway starts out from the Tnfsf4 gene encoding the OX40 ligand (OX40L) ... homeostasis of lipids, lipoproteins, cholesterols, and fatty acids Secondary effects of impaired lipid homeostasis could result in inflammation and cell death Results from a recent gene-expression...

Ngày tải lên: 09/08/2014, 01:22

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Báo cáo y học: "Increased circulating levels and salivary gland expression of interleukin-18 in patients with Sjögren''''s syndrome: relationship with autoantibody production and lymphoid organization of the periductal inflammatory infiltrate" pptx

Báo cáo y học: "Increased circulating levels and salivary gland expression of interleukin-18 in patients with Sjögren''''s syndrome: relationship with autoantibody production and lymphoid organization of the periductal inflammatory infiltrate" pptx

... used to dilute standards (rhIL-18, R&D Systems) and sera After hours of incubation and further washing, a secondary biotinylated antibody (R&D Systems) was added (250 ng/ml) and incubated for ... terms of T– B cell segregation and the appearance of GC-like structures identified as described in Materials and methods, and foci were classified as nonsegregated and segregated with or without ... macrophages, CD3+/CD4+ cells, and natural killer cells, with subsequent release of IL-1β and IL-8 [13,15]; to up-regulate the expression of both CC and CXC chemokines [12]; and to stimulate adhesion...

Ngày tải lên: 09/08/2014, 01:23

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