Biochemical Evaluation of Patients of Alcoholic Liver Disease and Non-alcoholic Liver Disease     

Prasad P. Torkadi  I. C. Apte  A. K. Bhute 《Indian journal of clinical biochemistry : IJCB》2014,29(1):79-83

Alcoholic liver disease (ALD) is due to excessive alcohol intake for long duration. Distinguishing ALD from non-ALD (non-alcoholic steatohepatitis, hepatitis of viral origin) is difficult as patient may deny alcohol abuse. Clinical examination, histology and serology may not differentiate these conditions. Accurate diagnosis is important as management of ALD differs from non-ALD patients. The aim of our study was (1) To evaluate the patients of ALD and non-ALD by biochemical parameters compared to controls, (2) To assess whether these parameters can differentiate ALD from non-ALD. Study was carried out on 50 patients of ALD in group I and 35 patients of NASH (non-alcoholic steatohepatitis) and acute viral hepatitis each in group II. Age matched healthy controls n = 50. Selection criteria—history of alcohol intake (amount and duration), clinical examination, sonography of abdomen, serum alanine transaminase (ALT) and bilirubin levels. Blood samples were analyzed for bilirubin, aspartate transaminase (AST), ALT, alkaline phosphatase (ALP), gamma glutamyl transferase (GGT) by kinetic method. Statistical analysis was done by Student unpaired ‘t’ test. Patients of ALD have raised AST/ALT ratio (De Ritis ratio) (>2), ALP and GGT compared to controls (P < 0.01).There is significant difference in AST/ALT ratio, serum GGT and ALP in ALD group compared to that in NASH and acute viral hepatitis (P < 0.05). This study suggests that De Ritis ratio >2 in ALD patients may be due to alcohol induced hepatic mitochondrial injury and pyridoxine deficiency. High GGT and ALP values may indicate enzyme induction by alcohol and mild cholestasis. Thus ALD patients have severe hepatic damage. De Ritis ratio <1 and normal to mild elevation in GGT level in NASH and acute viral hepatitis suggest mild hepatic injury of non-alcoholic origin. Our study concludes that ALD patients can be differentiated from NASH and acute viral hepatitis with certainty by measuring serum AST/ALT ratio, GGT and ALP. These biochemical parameters may help clinicians to support the diagnosis of ALD and non-ALD.  相似文献   

Examination of the role of transient receptor potential vanilloid type 4 in endothelial responses to shear forces     

Sara Baratchi  Francisco J. Tovar-Lopez  Khashayar Khoshmanesh  Megan S. Grace  William Darby  Juhura Almazi  Arnan Mitchell  Peter McIntyre 《Biomicrofluidics》2014,8(4)

Shear stress is the major mechanical force applied on vascular endothelial cells by blood flow, and is a crucial factor in normal vascular physiology and in the development of some vascular pathologies. The exact mechanisms of cellular mechano-transduction in mammalian cells and tissues have not yet been elucidated, but it is known that mechanically sensitive receptors and ion channels play a crucial role. This paper describes the use of a novel and efficient microfluidic device to study mechanically-sensitive receptors and ion channels in vitro, which has three independent channels from which recordings can be made and has a small surface area such that fewer cells are required than for conventional flow chambers. The contoured channels of the device enabled examination of a range of shear stresses in one field of view, which is not possible with parallel plate flow chambers and other previously used devices, where one level of flow-induced shear stress is produced per fixed flow-rate. We exposed bovine aortic endothelial cells to different levels of shear stress, and measured the resulting change in intracellular calcium levels ([Ca²⁺]_i) using the fluorescent calcium sensitive dye Fluo-4AM. Shear stress caused an elevation of [Ca²⁺]_i that was proportional to the level of shear experienced. The response was temperature dependant such that at lower temperatures more shear stress was required to elicit a given level of calcium signal and the magnitude of influx was reduced. We demonstrated that shear stress-induced elevations in [Ca²⁺]_i are largely due to calcium influx through the transient receptor potential vanilloid type 4 ion channel.  相似文献   

Exploring athletic identity in elite-level English youth football: a cross-sectional approach     

Tom O. Mitchell  Mark Nesti  David Richardson  Adrian W. Midgley  Martin Eubank 《Journal of sports sciences》2014,32(13):1294-1299

Abstract

This study is the first empirical investigation that has explored levels of athletic identity in elite-level English professional football. The importance of understanding athletes’ psychological well-being within professional sport has been well documented. This is especially important within the professional football industry, given the high attrition rate (Anderson, G., & Miller, R. M. (2011). The academy system in English professional football: Business value or following the herd? University of Liverpool, Management School Research Paper Series. Retrieved from http://www.liv.ac.uk/managementschool/research/working%20papers/wp201143.pdf) and distinct occupational practices (Roderick, M. (2006). The work of professional football. A labour of love? London: Routledge). A total of 168 elite youth footballers from the English professional football leagues completed the Athletic Identity Measurement Scale (AIMS). Multilevel modelling was used to examine the effect of playing level, living arrangements and year of apprentice on the total AIMS score and its subscales (i.e., social identity, exclusivity and negative affectivity). Football club explained 30% of the variance in exclusivity among players (P = .022). Mean social identity was significantly higher for those players in the first year of their apprenticeship compared to the second year (P = .025). All other effects were not statistically significant (P > .05). The novel and unique findings have practical implications in the design and implementation of career support strategies with respect to social identity. This may facilitate the maintenance of motivation over a 2-year apprenticeship and positively impact on performance levels within the professional football environment.  相似文献   

Chapter VII. Atypical Patterns of Early Attachment: Discussion and Future Directions     

Douglas Barnett  Christine M. Butler  & Joan I. Vondra 《Monographs of the Society for Research in Child Development》1999,64(3):172-192

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The New Empire of Capital: The Pedagogy of the Streets     

Don Mitchell 《Review of Education, Pedagogy & Cultural Studies》2013,35(1-2):147-151

In every generation, some event serves to remind us that the exercise of power is always in part a function of control over geography.  相似文献   

A Review of Marx,Capital, and Education by Curry Stephenson Malott and Derek Ford Peter Lang, 2015     

David I. Backer 《Educational Philosophy and Theory》2016,48(11):1186-1189

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RELIGIOUS EDUCATION AND RACIAL ADJUSTMENT     

Samuel C. Mitchell LL. D. 《Religious education (Chicago, Ill.)》2013,108(4):316-323

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The fayette,no cost,no credit workshop     

Morris E. Mitchell 《Peabody Journal of Education》2013,88(1):412-416

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Achievement Motivation and Performance Among Second-Grade Boys and Girls     

Donna Mitchell Schell  Joseph Veroff  Robert E. Schell 《Journal of Experimental Education》2013,81(4):66-73

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Linking and Aligning Scores and Scales by Dorans,N.J., Pommerich,M., & Holland,P.W.     

Isaac I. Bejar 《Journal of Educational Measurement》2010,47(2):255-260

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