目的:探讨平扫CT密度及其直方图参数对少脂肪肾血管平滑肌脂肪瘤(angiomyolipoma,AML)与肾嫌色细胞癌、乳头状肾细胞癌的鉴别诊断作用。方法:分析18例少脂肪肾AML、15例肾嫌色细胞癌、18例乳头状肾细胞癌的平扫CT图像,测量并计算平均密...目的:探讨平扫CT密度及其直方图参数对少脂肪肾血管平滑肌脂肪瘤(angiomyolipoma,AML)与肾嫌色细胞癌、乳头状肾细胞癌的鉴别诊断作用。方法:分析18例少脂肪肾AML、15例肾嫌色细胞癌、18例乳头状肾细胞癌的平扫CT图像,测量并计算平均密度及其直方图10%、25%、50%密度,以及10%/平均密度比值,比较以上参数在少脂肪肾AML与肾嫌色细胞癌、乳头状肾细胞癌之间的差异,选取差异有统计学意义的参数进行少脂肪AML与后两者的鉴别诊断,应用受试者工作特征(receiver operating characteristic,ROC)曲线评估各参数诊断效能的优劣。结果:少脂肪肾AML的平均密度及其直方图10%、25%和50%密度均显著高于肾嫌色细胞癌和乳头状肾细胞癌,但10%/平均密度比值无差异。以平均密度及其直方图10%、25%和50%密度鉴别少脂肪肾AML与肾嫌色细胞癌的ROC曲线的曲线下面积(area under curve,AUC)为0.80、0.76、0.78和0.82,各参数效能无明显差异;鉴别少脂肪肾AML与乳头状肾细胞癌的AUC为0.69、0.70、0.68和0.72,各参数效能差异无统计学意义。结论:平扫CT密度及其直方图参数有助于鉴别少脂肪肾AML与肾嫌色细胞癌、乳头状肾细胞癌,但诊断效能仍有待提高。展开更多
AIM： To evaluate the prevalence and clinical characteristics of Nonalcoholic fatty liver disease （NAFLD） among asymptomatic Brazilian adolescents. METHODS： Transversal observational study included asymptomatic ado...AIM： To evaluate the prevalence and clinical characteristics of Nonalcoholic fatty liver disease （NAFLD） among asymptomatic Brazilian adolescents. METHODS： Transversal observational study included asymptomatic adolescents with central obesity from private and public schools in Salvador-Bahia, northeastern Brazil. The children answered a questionnaire that in- cluded age, gender, race, and medical history, and were submitted to a complete physical exam and abdominal ultrasound. Biochemical exams included： ALT, AST, GGT, C reactive protein （CRP）, fasting glucose, insulin, cholesterol and triglycerides. Criteria for NAFLD included： the presence of steatosis in ultrasound and/or high level of ALT, negative or occasional historic of intake of alcohol （4 140 g/wk）, negative investigation for hepatitis A, B, C, auto-immune hepatitis, Wilson disease and hemochro-matosis.RESULTS： From October, 2005 to October, 2006, the study included 1801 subjects between 11 and 18 years of age and a mean age of 13.7± 2.0 years. One hun- dred ninety-nine had central obesity. The prevalence of NAFLD was 2.3%, most of whom were male and white. Insulin resistance （IR） was observed in 22.9% of them and had positive correlations with ALT and GGT （P 〈 0.05）. Elevated CRP was observed in 6.9% of the cases; however, it was not associated with WC, IR or liver enzymes. CONCLUSION： The prevalence of NAFLD in Brazilian adolescents was low. The ethnicity may have influence this frequency in the population studied, which had a large proportion of African descendents.展开更多
The aim of the present study was to investigate the protein-sparing effect of carbohydrate in diets for juvenile turbot(Scophthalmus maximus) reared at five salinities(12,18,24,30,and 36).The fish were fed three isoca...The aim of the present study was to investigate the protein-sparing effect of carbohydrate in diets for juvenile turbot(Scophthalmus maximus) reared at five salinities(12,18,24,30,and 36).The fish were fed three isocaloric and isolipidic diets for 60 days.The results show that specific growth rate(SGR)and feed conversion efficiency(FCE) were higher in fish reared at salinities of 18 and 36,but lower at 12.Fish fed with diet C25P40(25%carbohydrate and 40%protein) had lower SGR and FCE values compared with those fed with the C5P52(5%carbohydrate and 52%protein) and C15P46(15%carbohydrate and 46%protein) diets;however,there was no statistical difference between diet C5P52 and C15P46.SGR and FCE values were unaffected by diet composition in fish reared at salinity 36.Hepatic lipogenic enzyme activities were higher in fish reared at 18 and 36,but lower at 12,while glucokinase(GK) activity was higher in fish reared at 12,and lower at 18 and 36.Dietary starch enhanced GK activity while depressing lipogenic enzyme activity.However,lipogenic enzyme activity increased with increasing dietary starch in fish reared at 36.It is recommended that salinity should be maintained > 12 in the farming of juvenile turbot.In addition,an increase in gelatinized starch from 5%to 15%could spare 6%dietary protein in fish reared at salinities of 18-30,while higher salinity(36) could improve dietary carbohydrate use and enhance the protein-sparing effect,which is linked with the induction of lipogenic capacities.展开更多
文摘目的:探讨平扫CT密度及其直方图参数对少脂肪肾血管平滑肌脂肪瘤(angiomyolipoma,AML)与肾嫌色细胞癌、乳头状肾细胞癌的鉴别诊断作用。方法:分析18例少脂肪肾AML、15例肾嫌色细胞癌、18例乳头状肾细胞癌的平扫CT图像,测量并计算平均密度及其直方图10%、25%、50%密度,以及10%/平均密度比值,比较以上参数在少脂肪肾AML与肾嫌色细胞癌、乳头状肾细胞癌之间的差异,选取差异有统计学意义的参数进行少脂肪AML与后两者的鉴别诊断,应用受试者工作特征(receiver operating characteristic,ROC)曲线评估各参数诊断效能的优劣。结果:少脂肪肾AML的平均密度及其直方图10%、25%和50%密度均显著高于肾嫌色细胞癌和乳头状肾细胞癌,但10%/平均密度比值无差异。以平均密度及其直方图10%、25%和50%密度鉴别少脂肪肾AML与肾嫌色细胞癌的ROC曲线的曲线下面积(area under curve,AUC)为0.80、0.76、0.78和0.82,各参数效能无明显差异;鉴别少脂肪肾AML与乳头状肾细胞癌的AUC为0.69、0.70、0.68和0.72,各参数效能差异无统计学意义。结论:平扫CT密度及其直方图参数有助于鉴别少脂肪肾AML与肾嫌色细胞癌、乳头状肾细胞癌,但诊断效能仍有待提高。
基金Supported by Fundao de Amparo a Pesquisa do Estado da Bahia
文摘AIM： To evaluate the prevalence and clinical characteristics of Nonalcoholic fatty liver disease （NAFLD） among asymptomatic Brazilian adolescents. METHODS： Transversal observational study included asymptomatic adolescents with central obesity from private and public schools in Salvador-Bahia, northeastern Brazil. The children answered a questionnaire that in- cluded age, gender, race, and medical history, and were submitted to a complete physical exam and abdominal ultrasound. Biochemical exams included： ALT, AST, GGT, C reactive protein （CRP）, fasting glucose, insulin, cholesterol and triglycerides. Criteria for NAFLD included： the presence of steatosis in ultrasound and/or high level of ALT, negative or occasional historic of intake of alcohol （4 140 g/wk）, negative investigation for hepatitis A, B, C, auto-immune hepatitis, Wilson disease and hemochro-matosis.RESULTS： From October, 2005 to October, 2006, the study included 1801 subjects between 11 and 18 years of age and a mean age of 13.7± 2.0 years. One hun- dred ninety-nine had central obesity. The prevalence of NAFLD was 2.3%, most of whom were male and white. Insulin resistance （IR） was observed in 22.9% of them and had positive correlations with ALT and GGT （P 〈 0.05）. Elevated CRP was observed in 6.9% of the cases; however, it was not associated with WC, IR or liver enzymes. CONCLUSION： The prevalence of NAFLD in Brazilian adolescents was low. The ethnicity may have influence this frequency in the population studied, which had a large proportion of African descendents.
基金Supported by the Special Fund of Chinese Ministry of Agriculture for Modern Agriculture Industry System Construction(No.CARS-50)
文摘The aim of the present study was to investigate the protein-sparing effect of carbohydrate in diets for juvenile turbot(Scophthalmus maximus) reared at five salinities(12,18,24,30,and 36).The fish were fed three isocaloric and isolipidic diets for 60 days.The results show that specific growth rate(SGR)and feed conversion efficiency(FCE) were higher in fish reared at salinities of 18 and 36,but lower at 12.Fish fed with diet C25P40(25%carbohydrate and 40%protein) had lower SGR and FCE values compared with those fed with the C5P52(5%carbohydrate and 52%protein) and C15P46(15%carbohydrate and 46%protein) diets;however,there was no statistical difference between diet C5P52 and C15P46.SGR and FCE values were unaffected by diet composition in fish reared at salinity 36.Hepatic lipogenic enzyme activities were higher in fish reared at 18 and 36,but lower at 12,while glucokinase(GK) activity was higher in fish reared at 12,and lower at 18 and 36.Dietary starch enhanced GK activity while depressing lipogenic enzyme activity.However,lipogenic enzyme activity increased with increasing dietary starch in fish reared at 36.It is recommended that salinity should be maintained > 12 in the farming of juvenile turbot.In addition,an increase in gelatinized starch from 5%to 15%could spare 6%dietary protein in fish reared at salinities of 18-30,while higher salinity(36) could improve dietary carbohydrate use and enhance the protein-sparing effect,which is linked with the induction of lipogenic capacities.
