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991.
Numerous lines of evidence implicate a role of myeloperoxidase (MPO) in the pathogenesis of cardiovascular disease (CVD). It is a well accepted fact that patients with chronic kidney disease (CKD) are at an increased risk for CVD. MPO is a pro-oxidant enzyme which could be involved in the increased susceptibility of these patients to CVD. Hence, the levels of plasma MPO was determined in healthy controls as well as in patients with CKD [stratified with the level of their kidney failure as CKD stages II–V (end stage renal disease)]. Plasma MPO was assayed by a spectrophotometric method. Serum urea and creatinine were estimated on a clinical chemistry analyzer using standard laboratory procedures. The mean plasma MPO levels were significantly lower with advancing stages of renal failure (P < 0.001). There was a positive correlation between MPO and GFR (r = +0.89, P < 0.001) and a negative correlation with urea (r = −0.85, P < 0.001) and creatinine (r = −0.82, P < 0.001). While an inverse association was observed between plasma MPO and urea in CKD patients, such an association was not observed in control subjects (P = 0.43). In conclusion, the decline in plasma MPO levels may be due to the inhibitory effect of uraemic toxins on the enzyme.  相似文献   
992.
We report a case of a diabetic, heterozygote with near normal hematology, marginally low level of hemoglobin A2(HbA2) having an increased level of hemoglobin F(HbF) that was pancellularly distributed among the red cells. BioRad DiaSTAT measurements gave a high glycated hemoglobin A1c(HbA1c) of 31.5% and the BioRad Variant analyzer recorded an HbA1c value which was very low, in discordance with the detected blood glucose levels. Flow cytometry and polymerization chain reaction (PCR) based studies were carried out which revealed the case to be that of the common hereditary persistence of fetal hemoglobin (HPFH)-3, an Asian Indian mutation. Fructosamine estimation and HbA1c by Boronate affinity chromatography were able to resolve the discordant value detected and was able to confirm the diabetes status. The case would have been a diagnostic dilemma, if reported without correlation.  相似文献   
993.
India seems to have the highest prevalence of osteoporosis. With growing awareness of osteoporosis and its impact on life span especially in India, special attention is being paid to early detection, management and treatment of postmenopausal osteoporosis in women. Measurement of BMD and osteocalcin are of value in estimating bone turnover rates. The aim of this study is (1) to measure the specific, sensitive bone formation marker such as osteocalcin and BMD in postmenopausal osteoporosis women and postmenopausal non-osteoporosis women; (2) the follow up study to evaluate the impact of specific antiresorptive therapy (alendronate + calcium + vitamin D) regimen in postmenopausal osteoporosis by assaying osteocalcin and BMD. Sixty clinically diagnosed postmenopausal osteoporosis patients and 60 normal subjects (postmenopausal non-osteoporosis women) were recruited as control. Mean bone mineral density T score and Z score was significantly decreased (P < 0.001) in postmenopausal osteoporosis patients as compared to controls. Highly significant increase in the mean score of BMD—T score and Z score from baseline to post therapy of 3 months was observed in postmenopausal osteoporosis women. Serum osteocalcin levels were significantly increased (P < 0.001) as compared to control group. Serum osteocalcin levels were decreased significantly (P < 0.001) from baseline to post therapy of 3 months in postmenopausal osteoporosis women. BMD is the best quantifiable predictor of osteoporotic fracture and osteocalcin is specific, sensitive, promising, currently used marker for better prognosis of osteoporosis and for monitoring responses to antiresorptive therapy.  相似文献   
994.
Oral cancer has emerged as an alarming public health problem with increasing incidence and mortality rates all over the world. Therefore, the implementation of newer screening and early detection approaches are of utmost importance which could reduce the morbidity and mortality associated with this disease. Sensitive and specific biomarkers for oral cancer are likely to be most effective for screening, diagnosis, staging and follow-up for this dreaded malignancy. Unlike other deep cancers, oral cancer is located in oral cavity. Hence, the direct contact between saliva and oral cancer lesion makes the measurement of tumor markers in saliva an attractive alternative to serum and tissue testing. The DNA, RNA and protein molecules derived from the living cancer cells can be conveniently obtained from saliva. Thus, salivary biomarkers, a non-invasive alternative to serum and tissue-based biomarkers may be an effective modality for early diagnosis, prognostication and monitoring post therapy status. In the current post-genomic era, various technologies provide opportunities for high-throughput approaches to genomics and proteomics; which have been used to evaluate altered expressions of gene and protein targets in saliva of oral cancer patients. The emerging field of salivary biomarkers has great potentials to prove its clinical significance to combat oral cancer. Hence, we have reviewed importance of several salivary genomics and proteomics biomarkers for oral cancer.  相似文献   
995.
Analytical expressions are derived from a single symmetrical relay feedback test for the identification of open loop stable and unstable non-minimum phase processes. The second derivative of the limit cycle output helps in finding the time delay of the process. The derived expressions can be used to identify the process models with up to five unknowns. The effectiveness of the proposed identification method is verified through different simulation results.  相似文献   
996.
User involvement is assumed to be beneficial to innovation processes. Intermediary user organisations contribute to articulating societal demands for innovations. However, the learning processes inside these organisations are still not understood well. Therefore, this paper empirically investigates intermediaries using an event history approach. It yields characteristic learning mechanisms, e.g. concerning the management of expectations or actively building a case. If intermediaries overcome challenges regarding positioning, representation and the level of proactivity, they can play a precarious role in demand articulation in the context of new technologies.  相似文献   
997.
Indigenous knowledge erodes rapidly. When the loss of this knowledge negatively affects the lives and health of traditionally living rural communities, a drive to conserve indigenous knowledge becomes vital. This article argues that the transfer of indigenous knowledge on traditional vegetables will ensure the availability and utilisation of this important food source for resource-poor rural communities. Data collected on the present use of traditional vegetables at a rural Xhosa village in the Eastern Cape Province of South Africa documented indigenous practices of traditional vegetable use and measured attitudes and perceptions of young women. Findings revealed that although traditional vegetables are readily available, there is a decline in the use of traditional vegetables in this village. Since the loss of associated indigenous knowledge is a reality, and in view of the negative attitude towards traditional vegetables, future use of this valuable food source is threatened. The transfer of the associated indigenous knowledge holds the key to the potential future use of traditional vegetables. Altered perceptions of traditional vegetables are crucial for the conservation of the associated indigenous knowledge. As a result awareness campaigns to promote the use of traditional vegetables, related nutritional education, including proper cooking and preservation techniques are necessary.  相似文献   
998.
The migration from print books to ebooks is more than a change of format; it is also the first step in an ongoing process, whose final outcome is hard to predict. Ebooks are likely to lead to a restructuring of the industry by enabling cross-border commerce. This in turn is likely to lead to difficult disputes over territorial rights. It appears probable that these disputes will be resolved by an assertion of the dominance of the American market and the publishers that already serve it well, as authors are likely to place their rights with practitioners in the largest markets. This in turn will lead to the acquisition of many smaller “national” publishers, which cannot compete on a world stage with truly global publishers. But rather than simply becoming sources of editorial product for American-based global marketing machines, smaller publishers operating in different regions will respond through innovation, both in product design (attempting to do electronically what cannot be done in print) and in developing new marketing plans that the giant publishers would be indisposed to pursue.  相似文献   
999.
Empirical modeling of the score distributions associated with retrieved documents is an essential task for many retrieval applications. In this work, we propose modeling the relevant documents’ scores by a mixture of Gaussians and the non-relevant scores by a Gamma distribution. Applying Variational Bayes we automatically trade-off the goodness-of-fit with the complexity of the model. We test our model on traditional retrieval functions and actual search engines submitted to TREC. We demonstrate the utility of our model in inferring precision-recall curves. In all experiments our model outperforms the dominant exponential-Gaussian model.  相似文献   
1000.
In this paper, I examine the ethics of e-trust and e-trustworthiness in the context of health care, looking at direct computer-patient interfaces (DCPIs), information systems that provide medical information, diagnosis, advice, consenting and/or treatment directly to patients without clinicians as intermediaries. Designers, manufacturers and deployers of such systems have an ethical obligation to provide evidence of their trustworthiness to users. My argument for this claim is based on evidentialism about trust and trustworthiness: the idea that trust should be based on sound evidence of trustworthiness. Evidence of trustworthiness is a broader notion than one might suppose, including not just information about the risks and performance of the system, but also interactional and context-based information. I suggest some sources of evidence in this broader sense that make it plausible that designers, manufacturers and deployers of DCPIs can provide evidence to users that is cognitively simple, easy to communicate, yet rationally connected with actual trustworthiness.  相似文献   
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