AIM： To describe the diagnostic criteria for acute liver failure due to Wilson disease （WD）, which is an uncommon cause of acute liver failure （ALF）. METHODS： We compared findings of patients presenting with ALF...AIM： To describe the diagnostic criteria for acute liver failure due to Wilson disease （WD）, which is an uncommon cause of acute liver failure （ALF）. METHODS： We compared findings of patients presenting with ALF due to WD to those with ALF of other etiologies. RESULTS： Previously described criteria, such as low alkaline phosphatase activity, ratio of low alkaline phosphatase to total bilirubin or ratio of high aspartate arninotransferase （AST） to alanine arninotransferase （ALT）, failed to identify patients with ALF due to WD. There were significant differences in low ALT and AST activities （53 ± 43 vs 1982 ± 938, P 〈 0.0001 and 87 ± 44 vs 2756 ± 2941, P = 0.037, respectively）, low choline esterase activity （1.79 ± 1.2 vs 4.30 ± 1.2, P = 0.009）, high urine copper concentrations （93.4 ± 144.0 vs 3.5 ± 1.8, P = 0.001） and low hemoglobin （7.0 ± 2.2 vs 12.6 ± 1.8, P 〈 0.0001） in patients with ALF caused by WD as compared with other etiologies. Interestingly, 4 of 7 patients with ALF due to WD survived without liver transplantation. CONCLUSION： In ALF, these criteria can help establish a diagnosis of WD. Where applicable, slitlamp examination for presence of Kayser-Fleischer rings and liver biopsy for determination of hepatic copper concentration still remain important for the diagnosis of ALF due to WD. The need for liver transplantation should be evaluated carefully as the prognosis is not necessarily fatal.展开更多
To examine whether there are sex differences in morphine dependence and its metabolism. Naloxone-precipitated withdrawal study was performed. Twenty rats were induced by naloxone 1 h after a single dose of morphine in...To examine whether there are sex differences in morphine dependence and its metabolism. Naloxone-precipitated withdrawal study was performed. Twenty rats were induced by naloxone 1 h after a single dose of morphine injection. The withdrawal syndromes were recorded and an HPLC-UV method was set up to quantify the plasma levels of morphine and morphine-3-glucuronide（M3G）. In the spontaneous withdrawal study, 97 rats were treated with progressive morphine for 28 d to develop physical dependence. The spontaneous withdrawal syndromes were recorded and plasma levels of morphine and M3G were determined after the last injection. No significant differences were observed in withdrawal syndrome of naloxone precipitating. More severe spontaneous withdrawal syndromes were produced by chronic morphine injection in male rats than in female rats（P0.05）. Higher maximum plasma concentration（Cmax） of morphine was measured in male rats than female rats, while female rats had higher Cmax of M3G than male rats in both acute and chronic morphine administration. Our results indicated that sex differences existed in withdrawal syndrome of morphine-dependent rats, and the pharmacokinetics of morphine showed sex difference by both acute and chronic administration. There might be a relationship between the severity of withdrawal syndrome and the plasma concentrations of morphine, M3G, and the ratio of morphine to M3G（M3G/MOR）.展开更多
We used the Chinese skink Eumeces chinensis as a model animal to study the effects of tail loss on reproductive in- vestment and offspring traits. A total of 147 wild-captured adult females were divided into four grou...We used the Chinese skink Eumeces chinensis as a model animal to study the effects of tail loss on reproductive in- vestment and offspring traits. A total of 147 wild-captured adult females were divided into four groups according to their tail con- ditions. Tail breaks occurred most frequently in the proximal portion of the tail and least frequently in the distal portion, with the middle portion in between. This finding suggests that tail breaks occurring in nature often entails substantial energetic costs in E. chinensis where the tail is a major site of energy storage. The proportion of females that laid eggs was higher in females with in- tact or completely regenerated tails than in those with broken tails. Following whole-tail autotomy, the clutch size was reduced by 17%, and the clutch mass was reduced by 14%. Females undergoing substantial tail autotomy reduced reproductive investment, and they did so by reducing the number but not the size of eggs produced. None of the egg and hatchling traits was affected by tail loss. Comparing our data with those reported for other oviparous and viviparous skinks allows us to draw two general conclu- sions： one is that fecundity （clutch or litter size） is affected by tail loss in all species so far studied, whereas offspring size is af- fected by tail loss in some species, but not in others; the other is that the reduction in fecundity following tail loss is more evident in species lacking abdominal fat bodies展开更多
Lenin＇s theory of imperialism, which was based on a combination of Marxist theory with active reference to and dialectical critique of the theories of classical imperialism current at the time, provides an empirical ...Lenin＇s theory of imperialism, which was based on a combination of Marxist theory with active reference to and dialectical critique of the theories of classical imperialism current at the time, provides an empirical analysis of the historical logic and laws of motion of capitalism. It realizes the sublation of theory and ideology by means of critical, explanatory and constructive logic, displaying a unique theoretical originality. Lenin＇s theory of imperialism offers a theoretical reflection on the development of capitalism and its historical trends; it is a practical response to the world structural contradictions arising from imperialism, an epochal reflection that vigorously explores and constructs the value claims of a new civilization and provides in-depth Marxist view of world history. The methodology and general principles of Lenin＇s study of imperialism are based on the materialist view of history. They are not out of date, nor are the propositions in his theory of imperialism, based as they are on research into monopoly. At the same time as it declared war on the values, systems and practices of the old world, Lenin＇s theory provided a completely new cognitive method, philosophical attitude and ideal values for the future society. This has become the precious wealth of mankind, wealth that transcends historical time and space.展开更多
文摘AIM： To describe the diagnostic criteria for acute liver failure due to Wilson disease （WD）, which is an uncommon cause of acute liver failure （ALF）. METHODS： We compared findings of patients presenting with ALF due to WD to those with ALF of other etiologies. RESULTS： Previously described criteria, such as low alkaline phosphatase activity, ratio of low alkaline phosphatase to total bilirubin or ratio of high aspartate arninotransferase （AST） to alanine arninotransferase （ALT）, failed to identify patients with ALF due to WD. There were significant differences in low ALT and AST activities （53 ± 43 vs 1982 ± 938, P 〈 0.0001 and 87 ± 44 vs 2756 ± 2941, P = 0.037, respectively）, low choline esterase activity （1.79 ± 1.2 vs 4.30 ± 1.2, P = 0.009）, high urine copper concentrations （93.4 ± 144.0 vs 3.5 ± 1.8, P = 0.001） and low hemoglobin （7.0 ± 2.2 vs 12.6 ± 1.8, P 〈 0.0001） in patients with ALF caused by WD as compared with other etiologies. Interestingly, 4 of 7 patients with ALF due to WD survived without liver transplantation. CONCLUSION： In ALF, these criteria can help establish a diagnosis of WD. Where applicable, slitlamp examination for presence of Kayser-Fleischer rings and liver biopsy for determination of hepatic copper concentration still remain important for the diagnosis of ALF due to WD. The need for liver transplantation should be evaluated carefully as the prognosis is not necessarily fatal.
基金National Science and Technology Support Program of China(Grant No.2008BAI49B01)the National Basic Research Program of China(Grant No.2009CB522000)
文摘To examine whether there are sex differences in morphine dependence and its metabolism. Naloxone-precipitated withdrawal study was performed. Twenty rats were induced by naloxone 1 h after a single dose of morphine injection. The withdrawal syndromes were recorded and an HPLC-UV method was set up to quantify the plasma levels of morphine and morphine-3-glucuronide（M3G）. In the spontaneous withdrawal study, 97 rats were treated with progressive morphine for 28 d to develop physical dependence. The spontaneous withdrawal syndromes were recorded and plasma levels of morphine and M3G were determined after the last injection. No significant differences were observed in withdrawal syndrome of naloxone precipitating. More severe spontaneous withdrawal syndromes were produced by chronic morphine injection in male rats than in female rats（P0.05）. Higher maximum plasma concentration（Cmax） of morphine was measured in male rats than female rats, while female rats had higher Cmax of M3G than male rats in both acute and chronic morphine administration. Our results indicated that sex differences existed in withdrawal syndrome of morphine-dependent rats, and the pharmacokinetics of morphine showed sex difference by both acute and chronic administration. There might be a relationship between the severity of withdrawal syndrome and the plasma concentrations of morphine, M3G, and the ratio of morphine to M3G（M3G/MOR）.
基金Acknowledgments This study was supported by grants from the National Science Foundation of China （Project No. 30670281） and the Zhejiang Provincial Department of Education （Project No. Y200908723）. We thank Lai-Gao Luo, Long-Hui Lin, Yan-Fu Qu, Xi-Dong Zhang, Hong Li and Hong-Xia Liu for their help during the research.
文摘We used the Chinese skink Eumeces chinensis as a model animal to study the effects of tail loss on reproductive in- vestment and offspring traits. A total of 147 wild-captured adult females were divided into four groups according to their tail con- ditions. Tail breaks occurred most frequently in the proximal portion of the tail and least frequently in the distal portion, with the middle portion in between. This finding suggests that tail breaks occurring in nature often entails substantial energetic costs in E. chinensis where the tail is a major site of energy storage. The proportion of females that laid eggs was higher in females with in- tact or completely regenerated tails than in those with broken tails. Following whole-tail autotomy, the clutch size was reduced by 17%, and the clutch mass was reduced by 14%. Females undergoing substantial tail autotomy reduced reproductive investment, and they did so by reducing the number but not the size of eggs produced. None of the egg and hatchling traits was affected by tail loss. Comparing our data with those reported for other oviparous and viviparous skinks allows us to draw two general conclu- sions： one is that fecundity （clutch or litter size） is affected by tail loss in all species so far studied, whereas offspring size is af- fected by tail loss in some species, but not in others; the other is that the reduction in fecundity following tail loss is more evident in species lacking abdominal fat bodies
文摘Lenin＇s theory of imperialism, which was based on a combination of Marxist theory with active reference to and dialectical critique of the theories of classical imperialism current at the time, provides an empirical analysis of the historical logic and laws of motion of capitalism. It realizes the sublation of theory and ideology by means of critical, explanatory and constructive logic, displaying a unique theoretical originality. Lenin＇s theory of imperialism offers a theoretical reflection on the development of capitalism and its historical trends; it is a practical response to the world structural contradictions arising from imperialism, an epochal reflection that vigorously explores and constructs the value claims of a new civilization and provides in-depth Marxist view of world history. The methodology and general principles of Lenin＇s study of imperialism are based on the materialist view of history. They are not out of date, nor are the propositions in his theory of imperialism, based as they are on research into monopoly. At the same time as it declared war on the values, systems and practices of the old world, Lenin＇s theory provided a completely new cognitive method, philosophical attitude and ideal values for the future society. This has become the precious wealth of mankind, wealth that transcends historical time and space.
