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1欧洲卒中组织颅内动脉瘤和蛛网膜下腔出血处理指南显示文摘背景伴或不伴蛛网膜下腔出血(subarachnoidhaemorrhage,SAH)的颅内动脉瘤是一个重要的健康问题,其总体发病率约为9/10万,在不同国家存在很大差异,在某些国家可高达20/10万。采用保守治疗时,发病最初数月内病死率为50%~60%。在动脉瘤未经处理的患者中,约1剧寄在初次出血恢复后6个月内死于再次出血。此外,血管痉挛、脑积水、迟发性缺血性神经功能缺损以及其他并发症均会影响预后。本指南旨在为伴和不伴颅内动脉瘤的SAH以及未破裂颅内动脉瘤患者的处理提供全面的推荐意见。方法我们使用Medline和Embase进行广泛的文献检索(时间范围为1960年至2011年)。写作组成员通过面谈和电话会议的形式讨论各条推荐意见。按照欧洲神经科学学会联盟标准对检索结果进行分级。欧洲卒中组织指南委员会成员对本指南进行了审阅。结果本指南为SAH的流行病学、危险因素和预后提供了循证信息,并为破裂和未破裂颅内动脉瘤的诊断和治疗方法提供了循证推荐意见。我们明确了动脉瘤生长和破裂的多种危险因素,并且提供了诊断性检查、监测和一般处理(血压、血糖、体温、血栓预防、抗癫痫治疗和类固醇的使用)的推荐意见。特异性治疗干预需考虑处理时机、夹闭和弹簧圈栓塞。本指南还涉及并发症的处理,如脑积水、血管痉挛和迟发性缺血性神经功能缺损等,并对非动脉瘤性SAH和未破裂动脉瘤的处理提供了推荐意见。结论破裂颅内动脉瘤是一种严重的疾病,具有很高的继发并发症风险,需要在治疗此类患者方面有着丰富经验的医疗中心内及时治疗。本指南为破裂或未破裂颅内动脉瘤患者的处理提供了实用的循证建议。应用这些措施能改善SAH的预后。Thorsten Steiner Andreas Unterberg Carla Jung Michael Forsting Seppo Juvela Gabriel Rinkel 吴政政(译) 李政(译) 陈蓓蕾(译) 陈聪(译) 杨卉(译) 徐运(译) 2013国际脑血管病杂志2013,21,6:182
2Qualitative and quantitative analyses of the bifidobacterial microbiota in the colonic mucosa of patients with colorectal cancer, diverticulitis and inflammatory bowel disease显示文摘AIM: To characterize the bifidobacterial microbiota of the colonic mucosa in patients with colon cancer, inflammatory bowel disease or diverticulitis. METHODS: A sample of the distal colonic mucosa was taken during surgery from a total of 34 patients, twenty-one with diagnosed colorectal cancer, nine with diverticulitis and four with inflammatory bowel disease, requiring surgery for their condition. Bacterial DNA was extracted from the resected mucosal samples and bifidobacterial mucosa-associated microbiota was qualitatively and quantitatively determined by means of qualitative and quantitative PCR. RESULTS: Bifidobacteria were found in 100% of the samples from patients with diverticulitis or IBD and a 76% of those suffering colon cancer. The species B. longum and B. bifidum were the most widely found, followed by B. animalis, B. catenulatum and B. adolescentis. B. breve, B. dentium and B. angulatum were not detected in any sample. A significantly higher occurrence of B. longum was observed in patients with diverticulitis than in those with colon cancer or IBD (100%, 62% and 75%, respectively, P < 0.05). Similar results were obtained for B. animalis (56%, 0% and 25%, P < 0.05), while B. adolescentis was only found in the mucosa from patients with colon cancer (5 out of 21, 24%). At the quantitative level, patients with colon cancer or IBD showed lower counts of total Bifidobacterium (4.94 and 5.91 vs 6.96 log Cells/sample, respectively, P < 0.05) and of the species B. longum (4.05 and 4.79 vs 6.76, P < 0.05) than those with diverticulitis. CONCLUSION: Aberrancies in mucosa associated microbiota are present in different intestinal diseases. This may indicate a role of the microbiota in the pathogenesis of these diseases.Miguel Gueimonde Arthur Ouwehand Heikki Huhtinen Eeva Salminen Seppo Salminen 2007World Journal of Gastroenterology2007,13,29:25
3Specific probiotics alleviate allergic rhinitis during the birch pollen season显示文摘AIM:To investigate whether birch pollen allergy symptoms are linked with gut microbiota changes and whether probiotics have an effect on these.METHODS:Forty seven children with confirmed birch pollen allergy were randomized to receive either a probiotic combination of Lactobacillus acidophilus (L.acidophilus) NCFMTM (ATCC 700396) and Bifidobacterium lactis (B.lactis) Bl-04 (ATCC SD5219) or placebo in a double-blind manner for 4 mo,starting prior to onset of the birch pollen season.Symptoms were recorded in a diary.Blood samples were taken for analysis of cytokines and eosinophils.Fecal samples were analysed for microbiota components,calprotectin and IgA.Nasal swabs were taken for analysis of eosinophils.RESULTS:The pollen season induced a reduction in Bifidobacterium,Clostridium and Bacteroides which could not be prevented by the probiotic intervention.During the intervention,significantly higher numbers of B.lactis 11.2×107 ± 4.2×107 vs 0.1×107 ± 0.1×107 bacteria/g feces (P<0.0001) and L.acidophilus NCFMTM 3.5×106 ± 1.3×106 vs 0.2×106 ± 0.1×106 bacteria/g feces (P<0.0001) were observed in the probiotic group compared to the placebo group.During May,there was a tendency for fewer subjects,(76.2% vs 95.2%,P=0.078) to report runny nose,while during June,fewer subjects,11.1% vs 33.3%,reported nasal blocking in the probiotics group (P =0.101).Concomitantly,fewer subjects in the probiotic group had infiltration of eosinophils in the nasal mucosa compared to the placebo group,57.1% vs 95% (P=0.013).Eye symptoms tended to be slightly more frequent in the probiotic group,12.5 d [interquartile range (IQR) 6-18] vs 7.5 d (IQR 0-11.5) (P=0.066) during May.Fecal IgA was increased in the placebo group during the pollen season;this increase was prevented by the probiotics (P=0.028).CONCLUSION:Birch pollen allergy was shown to be associated with changes in fecal microbiota composition.The specific combination of probiotics used was shown to prevent the pollen-induced infiltration of eosinophils into the nasal mucosa,and indicated a trend for reduced nasal symptoms.Arthur C Ouwehand Merja Nermes Maria Carmen Collado Nina Rautonen Seppo Salminen Erika Isolauri 2009World Journal of Gastroenterology2009,15,26:19
4E-cadherin expression pattern in primary colorectal carcinomas and their metastases reflects disease outcome显示文摘瞄准:调查在颜色在转移的进程期间发生在 E-cadherin 表示的变化表面的癌症。方法:E-cadherin 表示被免疫组织化学检测,表示的二个索引是计算的它反映了表示和地点(膜和细胞质) 的水平。Univariate 并且多,变量幸存分析被用来作为两个的预言者估计这二个 E-cadherin 索引的价值没有疾病(DFS ) 并且疾病特定(决策支持系统) 幸存。结果:E-cadherin 膜索引(MI ) ,然而并非细胞质的索引(CI ) ,比他们的转移在原发性瘤是显著地更高的(P = 0.0001 ) 。而且,原发性瘤 MI 和 CI 在开发了随后的转移的病人之中是更高的(P = 0.022 并且 P = 0.007,分别地) 。有趣地,两个索引在与另外的解剖地点相比的肝转移是更高的(MI, P = 0.034 并且 CI, P = 0.022 ) 。原发性瘤的 CI 是 DFS 的一个重要预言者(P = 0.042, univariate 分析) ,与在 CI 和 DFS 之间的强壮的反的关联(P = 0.006,多变量分析) 。最后,原发性瘤的 MI 证明了是决策支持系统的一个重要独立预言者,与与更有利的结果被联系的更高的索引(P = 0.016 ) 。结论:在颜色的 E-cadherin 表示和分发的检查表面的肿瘤能在预言是极其珍贵的疾病复发。E-cadherin 的异常细胞质的表示能预言疾病复发为病人和临床医生显然是很重要的,并且显著地有关病人的治疗和管理影响决定的观察。Adam Elzagheid Annika lgars Riyad Bendardaf Hanan Lamlum Raija Ristamaki Yrjo Collan Kari Syrjanen Seppo Pyrhonen 2006World Journal of Gastroenterology2006,12,27:17
5生物多样性与针叶林生态系统过程的关系显示文摘在过去 1 0年中 ,生物多样性与生态系统过程的关系成为生态学中最具争议和挑战性的话题。生态学家们围绕植物组成和多样性与生态系统过程的关系、生物多样性与陆地生态系统的生物地球化学循环的关系、土壤生物多样性对生态系统过程的影响、生态系统的功能多样性和组成对生态系统过程的影响、生物多样性与生态系统的稳定性以及生物多样性与生态系统过程对全球变化的响应等方面做了大量的开创性研究。川西亚高山针叶林是我国的生物多样性宝库和世界生物多样性的热点地区。迄今为止 ,有关川西亚高山针叶林生物多样性和生态过程的研究还相当有限 ,有关生物多样性与生态系统过程关系的研究尚未见报道。因此 ,建议在未来川西亚高山针叶林生态过程研究中加强生物多样性与针叶林生产力的关系 ,生物多样性和生物地球化学循环的关系、土壤生物多样性与生态系统过程的互动、地下 /地上部分生物多样性的关系。杨万勤 王开运 Seppo Kellomki 2003世界科技研究与发展2003,25,5:13
6Nuclear β-catenin expression as a prognostic factor in advanced colorectal carcinoma显示文摘AIM: To investigate the changing pattern of β-catenin expression and its prognostic value in advanced colorectal cancer (CRC). METHODS: Archival tumor samples were analyzed for β-catenin using immunohistochemistry (IHC) in 95 patients with advanced CRC. RESULTS: Membranous β-catenin expression was found in the normal colorectal epithelium. Almost 100% of CRC cases showed membranous and cytoplasmic expression,and 55 (58%) cases showed nuclear expression. In univariate (Kaplan-Meier) survival analysis,only the nuclear index (NI) was a signifi cant predictor of disease-free survival (DFS) (P = 0.023; n = 35),with a NI above the median associated with longer DFS (34.2 mo) than those with a NI below the median (15.5 mo) (P = 0.045,ANOVA). The other indices were not significant predictors of DFS,and none of the three tested indices (for membranous,cytoplasmic,or nuclear expression) predicted disease-specific survival (DSS). However,when dichotomized as positive or negative nuclear expression,the former was a signifi cant predictor of more favorable DFS (P = 0.041) and DSS (P = 0.046). CONCLUSION: Nuclear β-catenin expression provides additional information in predicting patient outcome in advanced CRC.Adam Elzagheid Abdelbaset Buhmeida Eija Korkeila Yrj Collan Kari Syrjnen Seppo Pyrhnen 2008World Journal of Gastroenterology2008,14,24:13
7长江河口典型湿地碳库动态研究方法显示文摘湿地生态系统在维持碳平衡和全球气候调节中起着重要作用。长江河口湿地生态系统是国际公认的生态过程敏感区,选择长江河口典型湿地——崇明东滩作为长期碳循环观测和实验模拟的研究对象,针对长江河口湿地生态系统碳库动态研究具体的科学问题,从'土壤-植被-大气'连续体(SPAC)碳流过程监测、涡度相关法碳通量监测、植物生长控制实验(开顶式气候室,OTC)、'湿地碳循环-气候变化'生态过程模型构建、多方数据源校正等方面,总结了全球气候变化条件下长江河口湿地碳库动态的研究方法。旨在了解长江河口湿地生态系统碳库动态特征,探寻湿地碳平衡的主导控制因子,评估中国东部沿海湿地碳库对全球气候变化的响应。进而为提出长江河口湿地碳储备功能的保育策略提供理论依据。葛振鸣 周晓 王开运 Seppo Kellomaki 巩晋楠 2010生态学报2010,30,4:12
8Expression of von Hippel-Lindau tumor suppressor and tumor-associated carbonic anhydrases IX and XII in normal and neoplastic colorectal mucosa显示文摘AIM: To analyze possible relationships between CA ⅠⅩ/CA Ⅻ and pVHL expression in normal and neoplastic colorectal mucosa.METHODS: Immunohistochemical staining of 42 tissue specimens obtained from 17 cancer patients was performed to evaluate the distribution and semi-quantitatively assess the levels of CA ⅠⅩ, CA Ⅻ and pVHL. VHL mRNAs from 14 fresh-frozen tumors was amplified by RT-PCR and subjected to sequencing. CA9 and CA12 mRNA levels were analyzed by semi-quantitative RT-PCR in comparison with VEGFas an indicator of hypoxia that uncouples the pVHL control.RESULTS: Tumor tissues were associated with a borderline increase of CA ⅠⅩ staining signal and slight but significant decrease of CA Ⅻ immunoreactivity, whereas no association was found for pVHL. Sequence analysis of RT-PCR-amplified VHL mRNAs revealed no deletions/mutations, suggesting that they were VHL-competent. We did not observe any correlation between pVHL and CA ⅠⅩ/CA Ⅻ proteins as well as between VEGF and CA9 mRNAs, but the tumor-associated changes in mRNA levels of VEGF and CA12 showed a significant inverse relationship.CONCLUSION: Our results indicate that CA9 and CA12 are regulated by different intratumoral factors and that lack of apparent relationship between the levels of CA ⅠⅩ/CA Ⅻ and pVHL cannot be fully assigned to uncoupling of negative regulatory function of pVHL by tumor hypoxia signified by induced VEGF transcription. The interplay between the functional pVHL and CA ⅠⅩ/CA Ⅻ in colorectal tumors seems rather complex and is not evident merely at the expression levels.Antti J. Kivela Seppo Parkkila Juha Saarnio Tuomo J. Karttunen Jyrki Kivela Anna-Kaisa Parkkila Maria Bartosova Vojtech Mucha Michal Novak Abdul Waheed William S. Sly Hannu Rajaniemi Silvia Pastorekova Jaromir Pastorek 2005World Journal of Gastroenterology2005,11,17:10
9Lack of CD44 variant 6 expression in rectal cancer invasive front associates with early recurrence显示文摘AIM: To investigate the prognostic value of CD44 variant 6 (CD44v6), a membranous adhesion molecule, in rectal cancer. METHODS: Altogether, 210 rectal cancer samples from 214 patients treated with short-course radiotherapy (RT, n = 90), long-course (chemo) RT (n = 53) or surgery alone (n = 71) were studied with immunohistochemistry for CD44v6. The extent and intensity of membranous and cytoplasmic CD44v6 staining, and the intratumoral membranous staining pattern, were analyzed.RESULTS: Membranous CD44v6 expression was seen in 84% and cytoplasmic expression in 81% of the cases. In 59% of the tumors with membranous CD44v6 expression, the staining pattern in the invasive front was determined as 'front-positive' and in 41% as 'front-negative'. The latter pattern was associated with narrower circumferential margin (P = 0.01), infiltrative growth pattern (P < 0.001), and shorter disease-free survival in univariate survival analysis (P = 0.022) when compared to the 'front-positive' tumors. CONCLUSION: The lack of membranous CD44v6 in the rectal cancer invasive front could be used as a method to identify patients at increased risk for recurrent disease.Suvi Tuulia Avoranta Eija Annika Korkeila Kari Juhani Syrjnen Seppo Olavi Pyrhnen Jari Toivo Tapio Sundstrm 2012World Journal of Gastroenterology2012,18,33:9
10面向大规模定制的家具模块编码与配置技术显示文摘针对面向大规模定制的家具模块编码与配置技术进行了探讨与分析,并以芬兰某企业的模块配置器为例,阐述其配置原理与流程,以期为国内家具企业实现从大规模生产向大规模定制的模式转换,提供路径指导与技术支持。李兵 Seppo Torvinen 关惠元 Mikko Koho 2012木材工业2012,26,4:6
11Physiology of gangliosides and the role of antiganglioside antibodies in human diseases显示文摘Gangliosides are structurally and functionally polymorphic sialic acid containing glycosphingolipids that are widely distributed in the human body.They play important roles in protecting us against immune attacks,yet they can become targets for autoimmunity and act as receptors for microbes,like the influenza viruses,and toxins,such as the cholera toxin.The expression patterns of gangliosides vary in different tissues,during different life periods,as well as in different animals.Antibodies against gangliosides(AGA)can target immune attack e.g.,against neuronal cells and neutralize their complement inhibitory activity.AGAs are important especially in acquired demyelinating immune-mediated neuropathies,like Guillain–Barrésyndrome(GBS)and its variant,the Miller–Fisher syndrome(MFS).They can emerge in response to different microbial agents and immunological insults.Thereby,they can be involved in a variety of diseases.In addition,antibodies against GM3 were found in the sera of patients vaccinated with Pandemrix®,who developed secondary narcolepsy,strongly supporting the autoimmune etiology of the disease.Gianni Cutillo Anna-Helena Saariaho Seppo Meri 2020Cellular & Molecular Immunology2020,17,4:6
12川西亚高山三个森林群落的湿林冠蒸发速率显示文摘基于 3个假说和林冠上方 2m处的气象变量 ,采用Penman Monteith组合模型估算了一个生长季节内川西亚高山林区分别以云杉 (SF)、冷杉 (FF)和白桦 (BF)为优势树种的 3个林分的湿林冠蒸发速率 (Er)。研究结果表明 ,SF、FF和BF的湿林冠蒸发量 (E)分别为 4 4 5mm、88 5mm和 5 7 8mm ,分别占总降雨量的 9 2 %、16 6 %和10 2 %。与SF和BF相比 ,FF具有最高的月平均Er和蒸发比例。SF、FF和BF的平均Er分别为 0 0 97mm/h(变化范围 :0 0 2 8~ 0 4 87mm/h)、0 2 4 2mm/h (变化范围 :0 0 6 8~ 0 711mm/h)和 0 14 9mm/h (0 0 6 0~ 0 5 76mm/h)。最高和最低的月平均Er分别在 6月 (SF、FF和BF分别为 0 12 0mm/h、0 317mm/h和 0 16 9mm/h)和10月 (SF、FF和BF分别为 0 0 83mm/h、0 187mm/h和 0 10 1mm/h)。 8:0 0至 16 :0 0期间的平均Er显著高于0 :0 0至 8:0 0以及 16 :0 0至 0 :0 0期间的平均Er。Er显著的日变化和月变化主要归因于林冠上方的太阳辐射。杨万勤 王开运 Seppo Kellomki 肖玲 2004山地学报2004,22,5:5
13Toremifene in the treatment of breast cancer显示文摘Although more widespread screening and routine adjuvant therapy has improved the outcome for breast cancer patients in recent years, there remains considerable scope for improving the efficacy, safety and tolerability of adjuvant therapy in the early stage disease and the treatment of advanced disease. Toremifene is a selective estrogen receptor modifier(SERM) that has been widely used for decades in hormone receptor positive breast cancer both in early and late stage disease. Its efficacy has been well established in nine prospective randomized phase Ⅲ trials compared to tamoxifen involving more than 5500 patients, as well as in several large uncontrolled and non-randomized studies. Although most studies show therapeutic equivalence between the two SERMs, some show an advantage for toremifene. Several meta-analyses have also confirmed that the efficacy of toremifene is at least as good as that of tamoxifen. In terms of safety and tolerability toremifene is broadly similar to tamoxifen although there is some evidence that toremifene is less likely to cause uterine neoplasms, serious vascular events andit has a more positive effect on serum lipids than does tamoxifen. Toremifene is therefore effective and safe in the treatment of breast cancer. It provides not only a useful therapeutic alternative to tamoxifen, but may bring specific benefits.Mika VJ Mustonen Seppo Pyrh?nen Pirkko-Liisa Kellokumpu-Lehtinen 2014World Journal of Clinical Oncology2014,5,3:5
14Cellulose structure and lignin distribution in normal and compression wood of the Maidenhair tree(Ginkgo biloba L.)显示文摘We studied in detail the mean micro fibril angle and the width of cellulose crystals from the pith to the bark of a 15-year-old Maidenhair tree(Ginkgo biloba L.). The orientation of cellulose micro fibrils with respect to the cell axis and the width and length of cellulose crystallites were determined using Xray diffraction. Raman microscopy was used to compare the lignin distribution in the cell wall of normal/opposite and compression wood, which was found near the pith. Ginkgo biloba showed a relatively large mean micro fibril angle,varying between 19° and 39° in the S2 layer, and the average width of cellulose crystallites was 3.1–3.2 nm. Mild compression wood without any intercellular spaces or helical cavities was observed near the pith. Slit-like bordered pit openings and a heavily lignified S2 L layer con firmed the presence of compression wood. Ginkgo biloba showed typical features present in the juvenile wood of conifers. The micro fibril angle remained large over the 14 annual rings. The entire stem disc,with a diameter of 18 cm, was considered to consist of juvenile wood. The properties of juvenile and compression wood as well as the cellulose orientation and crystalline width indicate that the wood formation of G. biloba is similar to that of modern conifers.Seppo Andersson Yurong Wang Raili P?nni Tuomas H?nninen Marko Mononen Haiqing Ren Ritva Serimaa Pekka Saranp?? 2015Journal of Integrative Plant Biology2015,57,4:5
15Carbonic anhydrases in normal gastrointestinal tract and gastrointestinal tumours显示文摘Carbonic anhydrases (CAs) catalyse the hydration of CO2to bicarbonate at physiological pH. This chemical interconversion is crucial since HCO3- is the substrate for several biosynthetic reactions. This review is focused on the distribution and role of CA isoenzymes in both normal and pathological gastrointestinal (GI) tract tissues. It has been known for many years that CAs are widely present in the GI tract and play important roles in several physiological functions such as production of saliva, gastric acid, bile, and pancreatic juice as well as in absorption of salt and water in intestine. New information suggests that these enzymes participate in several processes that were not envisioned earlier. Especially, the recent reports on plasma membranebound isoenzymes Ⅸ and Ⅻ have raised considerable interest since they were reported to participate in cancer invasion and spread. They are induced by tumour hypoxia and may also play a role in von Hippel-Lindau (VHL)-mediated carcinogenesis.Antti J. Kivel Jyrki Kivel Juha Saarnio Seppo Parkkila 2005World Journal of Gastroenterology2005,11,2:4
16多层帘式涂布和一种新型压光技术显示文摘帘式涂布是一种低冲击预计量涂布方式,可用于纸和纸板的涂布。帘式涂布技术所产生的涂层为仿形涂层,因而能提供良好的纤维覆盖。在多层帘式涂布中,可以同时进行多层涂布。与单层帘式涂布相比,多层帘式涂布具有许多优点:投资成本更低、设计不同涂层性质更具灵活性、具有更大的涂布操作空间及涂层更薄等。Pentti Rautiainen Mika Viljanmaa Henri Vaittinen Jouni Haavisto Robert Urscheler Seppo Luomi Antti Aronen 苏艳群(译) 邝仕均(校) 2008国际造纸2008,27,5:3
17与芬兰农业变化有关的草地中植物种类丰富度和生境连通度的降低显示文摘20世纪中,欧洲半天然草地严重减少,物种多样性降低,这与社会-经济因素密切相关。农业生产的发展驱动着土地利用的变化,从而控制着景观维持生物多样性的能力。本研究中,我们把农业生产变化和景观破碎化、物种多样性联系在一起。结果表明,半天然草地的停止放牧引起了景观结构的显著变化,并使维管束植物种的数目降低。放牧草场数量的下降主要是受与农业政策措施有关的农场水平的经济效果和收益率的影响。自1995年芬兰加入欧盟以来,由于对半天然草地经营有了扶持政策,我们研究地区中放牧斑块的面积又一次增加了。Miska Luoto Seppo Rikolainen Jyrki Aakkula Juha Pykl 王胜 2003AMBIO-人类环境杂志2003,32,7:3
18Gut microbiota are related to Parkinson’s disease and clinical phenotype显示文摘Filip Scheperjans Velma Aho Pedro A. B. Pereira Kaisa Koskinen Lars Paulin Eero Pekkonen Elena Haapaniemi Seppo Kaakkola Johanna Eerola‐Rautio Marjatta Pohja Esko Kinnunen Kari Murros Petri Auvinen 2015Mov Disord2015,,3:3
19Carbonic anhydrase enzymes Ⅱ, Ⅶ, Ⅸ and Ⅻ in colorectal carcinomas显示文摘AIM To investigate expression of four alpha-carbonic anhydrases(CAs) in colorectal carcinomas(CRC) and compare the results with patients' survival.METHODS Colorectal carcinoma samples from 539 CRC patients and control tissues were arranged as tissue microarrays and analyzed with antibodies against CA Ⅱ, CA Ⅶ, CA Ⅸ, and CA Ⅻ. Intensity and extent of staining were both scored from 0 to 3 in each sample. These enzyme expression levels were then correlated to patients' survival and clinicopathological parameters, which were tumor differentiation grade and stage, site of tumor, patients' age, and gender. Kaplan-Meier analysis and Cox regression hazard ratio model were used to analyze survival data. RESULTS CA Ⅱ and CA Ⅻ staining intensities correlated with patients' survival in that higher expression indicated poorer prognosis. In Cox regression analysis one unit increase in the CA Ⅱ intensity increased the hazard ratio to 1.19 fold(CI: 1.04-1.37, P = 0.009). A significant correlation was also found when comparing CA Ⅻ staining intensity with survival of CRC patients(HR = 1.18, 95%CI: 1.01-1.38, P = 0.036). The extent of CA Ⅻ immunostaining did not correlate to the patients' survival(P = 0.242, Kaplan-Meier analysis). A significant interaction between age group and extent of the CA Ⅱ staining was found. Increased extent of CA Ⅱ had a significant hazard ratio among patients 65 years and older(1.42, 95%CI: 1.16-1.73, P = 0.0006). No correlations were found between CA Ⅶ(intensity P = 0.566, extent P = 0.495, Kaplan-Meier analysis), or CA Ⅸ(intensity P = 0.879, extent P = 0.315, KaplanMeier analysis) immunostaining results and survival, or the other parameters. CONCLUSION The present findings indicate that CA Ⅱ and CA Ⅻ could be useful in predicting survival in CRC.Pia Viikil? Antti J Kivel? Harri Mustonen Selja Koskensalo Abdul Waheed William S Sly Jaromir Pastorek Silvia Pastorekova Seppo Parkkila Caj Haglund 2016World Journal of Gastroenterology2016,22,36:3
20服用抗氧化剂降低老年人血清脂质过氧化物——随机双盲临床试验显示文摘给某老年人护理院的45位老人服用β-胡萝卜素,维生素B_6,维生素C,维生素E,锌和硒,或者相应的安慰剂作为日常食物的补充,为期一年。开始时,这些老年人的血清脂质过氧化物水平(2.7±0.7μmol/L)高于作为对照组的年轻健康成年人(2.3±0.6μmol/L),P<0.01。服药三个月后,老年人的血清脂质过氧化物已降至2.2±0.6μmol/L,并且保持这一低水平直到研究结束,而服安慰剂者血清脂质过氧化物无变化。 血清脂质过氧化物与全血硒浓度呈显著负相关(r=-0.428,P<0.01),但只有在血硒高于200μg/L时才可见血清脂质过氧化物的降低。血清α-维生素E浓度也与血清脂质过氧化物呈负相关,但相关程度(r=-0.273,P<0.76)低于与血硒间的相关。 从生物化学角度看,25%的老年人可观察到维生素B_6缺乏;每天补充2mg维生素B_6彻底治愈了全部的病例。服药组经几项心理学检验有轻微改善,而服用安慰剂的对照组无变化或者恶化。护士报告在服药组中见有临床改善,未见有毒性副作用。老年人服用抗氧化剂从生物化学和临床上都是有益的。Matti Tolonen Seppo Sarna Tuomas Westermarck Markku Halme Ulla-Riitta Nordberg Mirja Keinonen Jaap Schrijver Seppo E.J.Tuominen 杨旭冬 1989营养学报1989,11,1:3
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