Distribution of 24-h ambulatory blood pressure in children: normalized reference values and role of body dimensions.
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A sample of a reference population was selected from an all-inclusive population by a method based on strict physiological and clinical criteria. Sociological and ethnic factors as well as the biological plasma evaluation of the parents were used as family exclusion parameters. Cholesterol and triacylglycerols were measured in total plasma as well as in each lipoprotein fraction isolated by ultracentrifugation. The values are described as functions of sex and age. Total cholesterol varied little with age and sex. It is higher in girls except for HDL values. The maximum difference between boys and girls (age group 15-19 yrs) is mainly due to LDL-bound cholesterol. Plasma triacylglycerol values are generally higher in girls than in boys, particularly for VLDL. The minimum difference is in the age group 15-19 yrs.
In recent years, investigations of the venous vascular system have become increasingly important in the assessment of fetal myocardial function. The aim of the present Doppler ultrasound study was to establish both new reference ranges for blood flow velocity during the different phases of the cardiac cycle (S, SD, D, a) and various calculated indices ((S-a)/S, (S-a)/V(mean), (S-a)D, S/D, a/S, S/a) for the ductus venosus. Pulsed-wave colour Doppler was used in this prospective cross-sectional study to examine 696 women with low-risk pregnancies during the period from 14 to 41 weeks' gestation. Reference curves were constructed for the individual measuring parameters based on a growth function from a four-parameter class of monotonic continuous functions according to the smallest square principle. A significant increase in blood flow velocity from 48 cm/s to 65.8 cm/s was observed during ventricular systole (=S) from 14 to 41 week's gestation. Similarly, increases in blood flow velocity were recorded during the endsystolic phase (=SD) (35.5 cm/s to 50.7 cm/s during early ventricular diastole (=D) (41.7 cm/s to 58 cm/s, p=0.0001) and atrial contraction (=a) (11.2 cm/s to 35 cm/s, p=0.0001), as well as for intensity-weighted mean velocity (30 cm/s to 48.3 cm/s). The venous indices were associated with significant decreases in the individual parameters with increasing gestational age: (S-a)/S from 0.77 to 0.47, (S-a)/V(mean) from 1.21 to 0.67, (S-a)/D from 0.89 to 0.54, S/a from 4.5 to 1.99. A significant increase from 0.23 to 0.53 was observed only for the quotient a/S. There were no changes in the S/D quotient (from 1.15 to 1.13). Regarding intra-observer reliability, more favourable results were obtained for calculated indices than for measurements of absolute blood flow velocities. At constant measuring conditions, the reference ranges established by this study for blood flow velocities and calculated indices in the ductus venosus may serve as the basis for Doppler ultrasound follow-up in a normal patient population as well as for the diagnosis of fetal myocardial insufficiency of hypoxic and congestive origin.
Urinary arsenic levels of 2065 nonoccupational exposed subjects in Henan were determined by spectrophotometric analysis. The results showed: (1) The difference was not significant among Zhengzhou, Luoyang, Anyang, Xinyang and Shangqiu (0.01 < P < 0.025). (2) The difference was not significant among different ages(0.01 < P < 0.025) and between sexes(P > 0.05). (3) The distribution was positive skewness. The median of urinary arsenic was 17.8 micrograms/L. The arithmetic mean was 20.7 micrograms/L. The standard deviation was 15.2 micrograms/L. The geometric mean was 17.3 micrograms/L. (4) It is suggested that the reference upper limit value of urinary arsenic for nonoccupational exposed subjects in Henan in 56 micrograms/L.
Chromogranin A (CgA), a marker for neuroendocrine cells, is associated with poor prognosis when detected by immunohistochemical technique in prostate tumors. We have developed an ELISA on microplates for serum CgA and established the normal reference range. We also attempted to find out whether elevated serum CgA levels could be found in patients with various malignant diseases. Because of non-Gaussian distribution, both medians and 97.5 percentiles of serum CgA levels for men and women of four different age groups were determined. For women, the median and 97.5 percentiles are 20.7 and 63.9 ng/mL for ages 20 to 50, and 32 and 93.8 for 50 to 80 years of age, respectively; for men, they are 27.9 and 78.4 ng/mL for ages 18 to 40 and 41.6 and 92 for 40 to 80 years old, respectively. Elevated serum concentrations of CgA were detectable in patients with prostate cancer not undergoing hormonal treatment, and in patients with various malignant diseases including nonendocrine carcinomas. Most elevated serum CgA levels were associated with sera containing highly elevated serum tumor markers. Drugs targeting neuroendocrine cells should be administered for cancer patients with elevated serum CgA levels.
Progesterone, beta-hCG, estriol and hPL in sera from 745 pregnant women have been measured in weeks 10 to 16 of pregnancy. The determined reference intervalls included the 10th and 90th percentile. All confidence intervalls have been calculated for a probability level of 10 per cent. The following levels were determined during the concerning weeks of pregnancy: progesterone 32-165 nmol/l, beta-hCG 31.5-260 micrograms/l, estriol 0.04-4.94 nmol l, and hPL 0.03-2.65 mg/l. The levels of progesterone are increasing weakly with the rising weeks of pregnancy, but the levels of beta-hCG are going down continuously. The levels estriol and hPL are showing a marked growth.
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