'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan...

13

Transcript of 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan...

Page 1: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin
Page 2: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

uutyrwupap~w uy~gtpnumpb~u nwnnnnnn flouleRq~imunpi umpirpnrurpiu (t ion &p wnruo~nw~~ (c rLun?lyrw (z ~L~~~zuYI~w (1 01

noun: r nynoutrp+pwg& OE nLnq M=IAI~OIRRII

uepuurwpp nunmlurlor@ (z :an nrncp P aa# oqpomn~n~~ppofflwu (1 sy nbu aynou:~pyow nbu n~ffl~~rl?pbs~~ainur~uu~~un~~~~p~~un~lmu

mormmmynp~rpb~py~w~pp~1~~1 '0s-se:(r)er:osgs at n~rruuyc

~LUU~IP~~I~UM~LI~WM

tnyttu ybrpn 'EIW ~ub 'WannuLen LULUL

nu nusI

a

Page 3: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

m a n b unru8. artklhauaannnaasnnr~~urntb. & & u h 1,500 s b l u T s n m u ~ a o v m . ,.irmnmaa

12 2510;18(1):61-60

m r 8 n d Q n d t ~ u n ~ r i i n m u u u ~ o u w i ~ c ~ m ~ r ~ ~ ~ ) b s a i l q d r s ~ i ~ ~ a A n m n ~ ~ t ~ u d ~ u u n ~ s ' a n m m o ~ ~ ~ n amh#&nVnsrnddoomi 1,500 n?u ~ u ~ w n m u l a a t m

b s * l m n ~ d 8 w 8 a u n ~ n ~ m ~ & ~ ~ ~ n u ~ t ~ ~ ~ ~ ~ n Caami I,WO n i i i r ~ ? i u m ~ m ~ ~ ~ w w m m n ~ ~ u d I

m n n n 2648 k s l $ m u 8649 t u n ~ l u d u i ? m il ~muu lh r fmQnr iean i , 1 . s ~ n & h m n%~mau

10.8 n a i s n n n ~ b w b i l * ~ ~ i.ooo Tmu&~mqnrm'

mmti m ~ n m d o u l u m r m t l w u d a o ~ i u d m u 6 u

npnalRnnn'iousr 21.1, ma1 d l a m <mar ua:

n m i 24 &h jamr IS.^, N U U U U B ~ ~ ~

u a.sste.65 uamiuuuuanmi~crdmi s m ~ w w m m h n 6 ' n < a o m 1,600 n i i

rrrpintmy dht-w faaor 73.7,

27.6. tlom~daido~dirXud~"urnr1d

olnlruuwi i genmlku atdornin.1 lrnderlwr iaoaz

rrbovnd undrmer. iaoiir mm"u1ahurnhlmnnII 901

eo ioua: 87.7 unmramrrmw'erdau?inn ioaar a . 2 Ha >so+ hlmmu wnc iauar 88.1 s ( l t h s,ooo-20,ooo

rrll/mm', iouaz IididlVdu eevlc abdomen PC* ul:

n u s u 1 i d a u i o o a r 82.3 h u ~ ~ u u a t O d ~ n n : q w u n " ~ -

h u m faoar b p y l a i c faun. 24.e, Poslmla mrun

iaua: ~haqnnu l i?un i rhLuuu r m p k rurure u u l a

n u l & t h ~ L m t d e ~ . p y ~ o n n & h k t j h l X u r r * n

Proton pump 1nhibit.x Ganr Hz b l h faanr

o~d/ihum?$6auua&hia ?am: 88.1 I r i l j ~ d r y l . ~

bni: vnpa11~1*mn6qmXaiauar hummbinrtim-

BTmnz lH'mdip#o smtmkin pi- mrmi&~)e haat 13.a r : a : c ~ n d t ~ m o ~ l u ~ 3-10 i u h u r r o n m u a u

Tunmula nui i iooar 83.1 l&m 8-14 Tu, &as 24.8

~ m r u n r n d o u i i o u u u ~ & h & a ~uhmuddaBkXooai 1.6

~ o i b u a r 8 ~ . 8 1 i m n m m l u n ~ r n ~ & n ~ n n n

Twwmum hulwqifanar l&mlollJdiu 6 dilmd mhd i nus i 96.6 ifiu won p m p i ~ ~ 1 b i ~ w ~ i r ~ a n o t . J h i m r 4 a h"al i0 pylori

a

76 n o

n u

15.8

mfl

a:

98.7,

89.8

95.4

84.6.

1.5

53.8, 27.7

a7.7

3a.9

77.6

H.

Page 4: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin
Page 5: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

<r.7un' uhqn ln . primary oon~ntaaiond rhorionrri-

nomm or the o,mry p g npradurllrr we. 9 p n sl NI

npon. ? . i u ~ n ? x m 12 2550;18(1):127-35.

nn.nu@utXn~$.rlnuIil(ta~~ D ed?lin'ouluGaa

un=lJca riouImir>lu r idmi u,wulmnu~r~wmma m n v

h r n u mrn~&~2u r rn?u i$ i nn~~ i i ammr t i a~~ I f i u i%nm un:

. m t d n m ~ 7 Tumor marlcr un scmm P - h m ~+uu rn r5.000

miu/ml uwnd'1?nnina3~~Su~~~k~farnl~~~rn~rinn~I~umr hlw6riarli?rinutfaaon m ~ r n r n u ~ ~ u ~ i A a k l m i i i i o ~ o

uann~mrnu~5ino~bur iu~~uu~~31~da~n ( ~ h m ~ ~ ~ ~ ~ ~ ~ ~ ~ )

a a ~ k l d d . r ~ t S u ~ongcsrauonal orapm {fi?oliFun?Gnrn

h . m u ~ m a n ~ a r n u n i u n f ~ ~ u ~ n ~ h ~ n m ~ ~ i n n'aul+mljhljm

a u u : d ~ u ~ i n r : s ~ u l d L d a ~ ~ ~ i : a ~ m P-hm-1~3.000 mlu,

mi 1 H i h B E P ~ ~ ~ ~ O U R ~ U c o u ~ r Nn P -~CG aana

a ~ r l H i n u n r ~ n j l i m r u t i iouuii-t l l iu~nru (d?uimmr

hearse m~Cuumn a r m ff hnin wu~iu;iiruninr:pw

ld r i~a~aa lR7Gt~dh l j11~8~ regimen i ~ ~ h a i ~ ~ ~ n ~ i / n ~ o a

sunruoi~n8Gmi~ 6 councr {d?ulGe?~ui~uQalun?~inniun: i *nun?rFnni r i rnn ua rcmm P-~CG aanr~nBa r10 mlU/ml

m a u a u m i n m r i o a ~ i m n n wan lu'wuu:t?a1uauaGn

i a m ~ u l n ? u r n ~ u n o h ~ 1 n 1 ( 1 L n u n m u ~ s r n m u m a l n ~ G u

u a r ~ h u i n n u n ~ r i n r n i ~ u r i m ~ ~ m n * ~ ~ ~ ~ ~ D

SmnlhanmnS. SIUrubm Tlmmpndl Cormlllon he lmn

rhmnn In rrmm h-Hrinr I m b durlnl: hmrlnrulinrmls

i m l l n ~ d t l . 1 ~ . J M& A- Thai 2007;80(8):1506-1 I.

(omnu,a,wqn,runnd mnnanu,muudadrnnalno

l un ra ruwgdn i r n ' )

Obhli..: 're Sludy Ihcmrrcl.lion kt-" #hechange.

hrmorync,nr (Hey) kvc ld~r i ry hypnnruiincmiadinrulinmn-

ri"i,y.

Mabrlal and method: Fony- f in mbjccn vdrrvenl

hypcrinrulincmic m g l ~ m i c elsmp vae rmdicd.Tumq-fire .uh-

jmlr had glucose mlerancc. scrrn imprind glucose

~nlermc, md I S type di rb tm mellirus. Scrvm Hcy war

m u w d k f a c ( H q 0) an 120 minutes (Hcy gluc-

clamp. 'T% chmbc Ierelr dunng hyprinrulinemia wa.;

ciprcned u akolutc dlffemncc b l w c n HEY 0 a d Hcy

( A ~ ~ ~ ) . n d ~ m ~ t a g e di(fcnns. owr HEY (LAHC~). insulin

rnririviry indci (ISI) wm wd ! o c m l ~ ~ e with ratiabkof Inrcma.

R ~ I u : Thc IS1 wa.nn comlslcd wilh Hcy 0 and Hcy 120 - rm~.d ~ i r h A H C ~ md AH^. m A H C ~ and LAIIC~

wcm not lignificnntly dificmnf bclwrrn r u h ~ l s with nmmnl

amma1 glucorc tolcram, vhcnczr t k y wrrc nssrh'mrly dlffmrnr

blwccn suhjxa vh- IS1 w r e a b o n a d k l o w La mean vrlur.

Condu'i.": Allhavgh Ik c h m g Hcy Icvcl, d"r,,,g

hypnnrulinemin was corrclslcd winh insulin sensifivily. the Hcy

lcwh pr ~c woc m B u d to bc rml.tcd with lnrulln rcn*it$nty.

m chma Hcy lcvd.during hyprinsuliwmi~ wn. qignifieantly

diffcmn! m suhjcct* w h m IS1 w.r< rhore u*l bclow Ihcmcan rnlvc

hl l n~ m l u h j ~ ~ l r with normal rbnorm=l plucmc mlernncc.

This indicated ,ha, insulin nrinancc, no, the g1ucow ro1crancc

~alux. affmcclrd Hcy mnahlirm.

Key mrd.: Homa.yrteine. Hyp""mlimmlb, I"."ll" rcn-

o,i"ity

Srkarpwni S. Punj-wndwong W e n x l g m n T . P m w l

Konyi l P. Rodaosnt 0, rl .I. The Thai lno lho ia inridenls

sludy (Tb.1 sludy) d .mhul.lary .nalhnia: Pan mclhod.

e m p h i . dinrlbvUa m d populmnlon. 1 h l d - Th.1 90(8):1558-64. ( ~ l ~ ~ l ~ t ~ ~ n l l l r n n d UWWURUlnU

u~i~drimnl~lnolumr~rur~~ddun') B r k m n d : Then i* a conl~nu~ny lmnd la

4 m i r c ~ u g l r l l apcntton< pr fomed ""rplicnl baris.

ob j ra in : To dcrermine ~ h c prapnianal d~<lriburton

"~"hcttc proccdurrv prfnrmcd rmbulslory c1cc,,vc rutgcry 8,

ctiffcmnl hovpiralx rcrm Thrilsnd.

p u n

in old'

9

I

3 strum

2

r a n

VAC

brain

3

W. A.

and

in

who

normal had

had 2

and 120) of

in Hry

120

o

but

and

in

in

and

Y. W.

I:

2007:

hare more

on an

of

in

level. of

Page 6: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

M H r W rd rckd: pnwpaive md ducri*ve w d y

m sooducnd u horpitalr mmptiring - uniunriria, five

re@&, fou s d dlsl* hhmpildr rmu Ihilmd.

Caucauim oulpr*nt wlo aare w&rpoing d a i m wrgbl - LWW nd their ~ I W W du. M k~ md

exlmIcd lu- o.ln'duuipirr ~Islula.

R & h l h s d u b U a o l 1 1 8 , 0 1 1 ~ i o ~ a m c d

donive nylk.l opruim, (6.8C) wem .mtplk*r.

Amadir. this (90.1.2) vcro prrlad lnirrnily

Iho Iw- dU* mlul.lon ry h i l h r horpitdr

fn Gleoam rr(im, (iprddly lmirarrily kpit l lr Bmgkok

lbn In ahu Wmr. l l m m & M y d- (Be+) -ved 1b.W

W i d p4n6nkIk mllalim in ~ b s qpsnling roam vhile l2C

a~ o*.Io*d. ~ h o -iQ11 oL5cr. Abml28C of Gle ~.ur

poad* p n - w h a i c .bnamnl mnditi-mr. lMmlviv . ly

sannm pw- wao hypnauim, d i m mclli-

m, m i % -hi., md .nh.

Odulm: Pmm rho m l u 01 the prsrcnl d y . #k

Hnbon kre mns(wIe4 Ihr ths ntc ex-m al mbuhory

nmhai.inllribndirsl.,ivdyrlow, n d r a r i u d i n g l o I k

l y p of hopeild md iu qh. lhir indicatu f u n k

E W slmld bt lormdly rmduned d.Krminc f m w .ITmiw th. plctisooflmbuluq N* in WImd 1-e -ia

o l p l r i w raeiva inirial p - . n a h a i c e*rluuim uhcopnling

mrm m U* w g q . lh i r indicua ~ h u i p o m p-

mwhmisdnlurim hauM brsa f m a l p i m t , & pw-

-Wis -an!= &mld b. w lor (* l lpslhlsI

KT d: AmWuw. b h u i . , Oupiau

Jrausu nytmr. J r r l a daiuni, C d s i laskn?. nrnnunir1~~1ni~muuTuuio~uninm~~a1#e~~111dl/ m d l u I m m a : L m n ~ " a m n 1.1ra1d zsso: 10(4):Poe-10.

mli6bnf~df l i r~~rza~d~daRnaiae,uninuar nnnuni~li~mr~uaBrnrJ'htl~~~dmw~u~~s~m~~(~ ~ ~ n ~ ~ l l r m s l u d o ~ b l ~ m ~ 1 u r r m U hfiunnx116snlurnrlnmif ~dudoyannwmauuck Idui unmruc~uuMnluuuum~~amodnI ~ r n a d ~ l h n ~ d i~fiu%ufiuuad *mu uar$a18simiuu3nn s nlilnddndmf~utmd 6vni 11 nubulnuuu IkmmuuarWflhuhulumrlJufmr I wnmiu I mnn ~ l d ~ l h d a m q d r m 1 ~ i l a h W i f

A

PO

and f a r

for by

f a 7,186

I 1,010 in

in

in in

of

lo

A

in

day of of

up a a

up

as no na

Page 7: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin
Page 8: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

mnu&nh?sm un1in4 Mzo ~ h d 4 ".a,-#.L 26.51 wpv, ~lsyr, qmnr u&nd

mm3h~n<duuoanenodtiol11nilqm~ninu I i h J g : n ~ n r r u n i ~ % ~ d w d v u a a n a ~ d , &I iJqmGuk~udum& mrrluKly?uniu&huhXq ndutdor, r m u ~ d a h u ~ n

1 & 1 b u n h n ' u l u l ~ n n n ~ 1 ~ n a ~ l r ~ & su&

~ht$aumnaaad ni~nm&qrlrr~&&InmJP9"mhulu limj qauin i RIC.MO~*: Bnnilmw~Knnl11~7urnrhnn

ns0nrrurnru%ndJuu~nnoasdm@un~u1~ lault7 BnZnurn. ~.annuOnunndud&un~lnu ssso;sa(a):

nrauurmtnmiu~doriiuqaniw~~un~n~~un:n~c Xahsn 313-20.

n iuh&wuu~uuu& h w u iao Cmq 15-40 U lAaldhurrmaa~ ~ a h n M KUY L ~ M a~mpmving-

~ ~ ~ ~ l i R ~ l ~ n l i k " & y ~ u nu hlO~f0na: of vs- md R m i r r i a ~hiraphnnia: PIMn p d r - lo

&thruun~umurmu~~hu~mnuashni~d~madn~~wir remission" (bu~~mzddn=;u pp~ipridonc) d1Xurrmu

~ ~ ~ n ~ ~ ~ a ~ ~ k ~ o l m a a u n , u u n n h & ~ ~ i ~ neaau luninl~equislmrd~iQ7JawamnUaunnd111~3n'u dadnu

mXuh~ban~uldao*ds~duuanuni~nananuun nqarnnu 2550 uarsinCnudriuariusar ~ . m uaaolr dm

b o t l ~ h r ( m n t ~ e n : d ~ d o ~ u a d ~ u m a n ~ a ~ a lramr ?rum- ol rehimphmi. with piipridmo uacndd - ml- ~nmnuir&n~&fitnMLuaanoila~L~nmqu'as t . s r ~ : %-week p b b o - c.m~ro~~c.i trill* uannn$.jli

L r u I Q ~ U 18.o~ 0 tiwnnouin~omnarun:tI:~~unu rmmuunm~uQu~ d ~ d m " ~ h ~ ( ulijlhuvr~du&riuKu*u KW

iaaae 39.8 uaz 30.8 muds" anmn~raid\iidr~un,r r n r ~ ~ r n p.lipsndrnlu~aumm extadrd n k . r s (ER)

u3lnen&urnlia immrkan4;~~8ou 6na: 34.1 Jog<!. 1urra:nm 8 UndorBJr: ln3rnn~umrmu~uo~ni~~ 1nq~nrrum~u3h~n<s~~uua11no~odni~1oniu cdon*li amlm0amn u n r i i m ~ t 8 d u a u i u l i hldplipridon ER

~uduriuarnm&uuazn(uc8ou nq&o&Gmudohu 1ilumn&15ulnni;lm~1#anlnutuni~Tnm~lr~ga~1n qnrnnlannulursiurhunm t&huunnulhunvi? i i m r limu uri~~utauo1~reuamrilnmdu1 tdudulnluoum.

~ a n i a t d o 4 i o ~ 4 1 n ~ q a n i n ~ a e ~ ' 1 i u l u u ~ ~ ~ a ~ ~ O n i q a n i n ~ ~ n n ~ h u t i ~ ~ u r r o : o - n m r i i n m t u u ~ o t ~ ~ l u ~ ( ~ m : ~ ~ G m n ' u i m ~ & b u n a n e a n d ndimriufqdsn. $hulnu tdornlmrn&nuuauunzu11h~&ufan'u~h a ~ n i r r l ~ l ~ d ~ a n n i r u 3 b n ~ n d a a ~ ~ ~ n n n a a a d o ~ l ~ ~ i ~ v lnnriold

h u m hniurnrL~nh6s~nird~91d0amniru3Inn hh4: pliptidonc, nirLa,, bdnmn

dAoanoaoda(1urr.'uy t d ~ n i u * nirsa n: tan

u%md&oanaeads:rialri~~~&a~n~n tarqh unr 1.1 thnqmlnir, @m ri.rnnaail, d r w i 9 u u ~ u i i r i .

m~~dmolunrn~%rmu$ld~~rnn'um~~htn~w~u qri~nirduo.Jes'atiln~#a~ni~taOanlu~~iiauami~ u~nansdImwTuriudmauriunq~ns1uniru3bn~nddu mr1riainjum~u~nlul*nm~1a~~aiunFud: mdnm umnssal(rmmlm~nru3-8 ~ L u ( ~ ~ - . ~ D , ~ ~ . u ~ ) Y o ~ h u n k O lugtha 7,500 ns. 'ldqlemr PSSO;~~(Z):

dobhua~q nnutdahu~sninlaunu nirtuflsn~ntdu.r 10s-18.

mriufwnupnw ~rmubCd;umu$ldtk;umm3b~ h~ao~~~i~duidi.'.I~~iua'udouu~~~uu~'u 513

&duuaanaaed (p.28. p.zs, r-.zs. unr r-.as, p*.os ~ 0 n l a ~ i l ~ n ~ ' 1 ~ ~ n ~ n ~ a ~ d 4 ~ u ~ ~ ~ n . r u a e ~ b 4 n i r u ' 1 ~ n ~ i n ~ ~

n ~ ~ u a a ~ n n ~ ~ a ~ 1 0 1 m ~ o ~ n o u u ~ ~ w ~ ~ n ~ h l~luikn~~nmn'aun&d~b;unird&lu~~a~&mr rmu~11~thn'umru%n~n~~#uunanesaiuarnpinrru ~ r j l h u ~ f i m ~ & m ~ @ n l u l ~ w u ~ ~ 1 a ~ a m ~ n 3 ~ d niru3lnnt~dduuaanonadswAanrr (n,rluniuBor) m~~nm&~~lrsr6hm+mr&orm~lur+ i i u h u ~ u n ~ n r r u n n u 3 b ~ ~ e d ~ ~ u u o a n a a e d m s n k n ~ uar zr ~ l ~ u r n n k l ~ i m r z ~ u m ~ n m~w~mnirduiRn

h n r m 3-6 daulRoosr 13 hun~fikeneliSays&q~in uarfiv&adardlkrdw

h m ~ u h o d ~ d ~ n q l n r ~ ~ n i ~ ~ ~ b n ~ ( ~ ~ % ~ d ~ ~ n n n o ~ a d a a ~ flni*: i n m u u u l m b ~ 1 m u 1 ~ o ~ n n ~ m ~ ~ ~ u u u a ~ lur~arwbinirPnra.r 3-8 t iau nu i i ~ q b h X q d h l d luGuflnnir1rioir~~unnuianlugJ~o diuiu 7,600

n~uhad~~aaniru3batn~o~#uuoa'nea~dm l a y m a 1bu~h~rhdium%-3urmu@n~dr=mn nunmiowiupu

lunroumir i Islqdnr~~omrsam&n 80 diiiaulunqu ASA CI~II Oqnidaunir ida 5iinir1CsirrRnnujiln

i#auunamndmu n n w n m ~ ~ ~ l d t ~ ~ n n l ~ n u j ~ a : m ~ ~ q l ~ ~ m r ~ s ~ n i r ~ a u a 5tnn-&n~at&nrrolul uar

d m n ' u ~ u d ~ u u n a n a a o i v : ~ d ~ ~ T n u r i l u n i ~ d r t ~ ~ ~ n ~ ~ a m ~ m l t i ~ u i a e ~ ~ l p i s

fi~11~ord~~oanono~~n~drlbn~wmw'~o~'1~~~~& unnirlnm: q 3 m r c h r t ~ l ~ ~ ~ ~ ~ - n n a :

i a m r t f l a i l l ~ ~ m n h h r n ~ & n i r I i m r r ~ u m n @ n rdeh~buZahulu l o , ~

416

nu

91 76.83 in

A

n

I

n u

24

Page 9: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

+kt2 W d I A b t M

Vol. 26 h. I lul -hut. PO06 c h v n v y u k h hlrlsuul

notut r i>r iu 42 7 Inunurnrt~nt l i~ turr~ i~31 i . uar (i,i,iq: w q $ n r r u ~ l o r & u ~ a r n n . C n i i n a ~ r r r u

~ < ~ r n ~ l & ~ r : i u m ~ u Q n 26 {tliu ASA CI.,~ U ~ L 2 qnuanrn

Wiie'ln<3uRm ASA rls-. unr 5 equ3n~rp;m~tauii im

iaun: 1.5, I~.RU.:SR 311~6>iu ~ ~ M ~ U ~ ~ T L ~ U % ~ . ~ H U . q m n r n i u ' o u u h . t na r ygu ina7uau . ahrod un;

~~o~nilC~am~:hn~iiuanr$~~~u~1~n~~d~~n1rinun~~11fi n ~ r ~ u ~ a r ~ ~ d ~ ~ n a l . n h ~ u o n I r i ~ ~ n ~ ~ u 1 ~ ~ ~ . m 0 ~ ~ ~ 1 1 1 k w . m .

~ t ~ u , ~ i X u r n r l l ~ r : ~ v ~ ~ ~ u ~ n d s $ n i d o r a a r m r c l o ~ ~ 25 ra -zs rs . ?.i~nn?rnrn~mqn ~550:16(a~i~$11~i iu) :

l j u i As,\ cl..? 4. 5. Hhll 30-31.9 nn./mnr!ual PJ~JH? S125-29.

mnzuuv?uts 1~ud~rruuHi7runr~nan~iio1i~uririau~<11 t& tonn i (~h rp l l r vm.1 l ~ u ~ c w ? d ~ < w ~ J ~ e h ~ d i Z ~

e j : ~ d r n r r i m n 3 r ~ ~ l u r : : ~ i ~ 1 ~ m : ~ i ~ n ~ ~ l W . U ~ ~ r j ~ (Sh8yllnnr) dliinalt,%iud (wmypc) d~1wiimmrMn'aiciu

n>1u~3nlum>3na,i:~~ni1n~1anv1i~ uiii,.rlrinunntBua?~ o'cGou unriiiBanduasnui~uq~vi~: k l r i i i n a ~ t 8 o a ~ o n d i

n ' ~ d a ~ ~ i l r X u r n ~ l < u ~ ~ : i u . ~ ~ ~ u ~ n u d m r l l i u ~ r r i u n n u F n d u u n l . j ~ n ~ u ~ r ~ m u ~ u ~ a r n i ~ W.R. 2548-2549 d~u,u s9

lu$~,udiiJs:uJu rt9u1 ~ ~ 9 ~ a ~ n ~ n ~ + i d q ~ n ' o ~ ~ ~ u A o ~ r I l u ~ n ~ E u ~ i u i r h o i ~ ~dxrn l ~ v i n g wtd3Still0 .sh;p~k

~:r i .rr ir u a ~ ~ ~ ~ l i m ~ ~ n w ~ l u a ~ ~ ~ ~ ~ ~ d r ~ ~ ~ ~ J s i ~ ~ ~ ~ i ~ d ~ ~ 0 0 n phau I. I1 ?ran d,u,u f i a r iw (iaaa: s2.54)

r n ? : ! t n ~ n < ~ u a e r m r ~ ~ ~ ~ ~ ~ = i u ~ ~ ~ u ~ n Lio~?tLu?mr8n4Xu l~ i n *U78n ~ h ! p l l r .~.nai phase 11. .Sh;celia ronm pharc Uaa

~u~<ciimrn~=unm~u~un~u~iurriald shtplla ne ran am ?a hum 24, mar i ? o i > m i u h L

h 4 7 4 : n,rl~mT:jumrr~n. n,r,gufi, gpC,,,$ui (iannz 40.64. un: 39) n ~ r m n o u e m u I - r a e ~ ~ d o ~ o o ~

riluqaiiw a G d a smplctllln. ectracyclinc. cn-tnmoxazo~e.

?,,,s jlsu,,,,, !as; ,nnr~s~rs,~, gazqs ;nmlu,( chlorumphenocnl, rtrap(omyfin, norflnractn, ccfotsx~me Un:

,,rlinrru,iu,i,u?an ,ma, ~n~nl(l,&U?III~n\t,lYn,II1~, cehnsxmc h~i5 agnrdlrk diNu~on nu+ &fdsh lpe nnm,

,.n,r~r,n~u~amaunraY,,~O~IU,~~B,I z5so;30~3):6a. i fo iau i I C W ~ Y C I ~ ~ C un: .trcptomyrln pa?- ;nun= 93.75

79. rarnrmriu co-tnmnrrm~c. rmpici~~ln, chionmphanora~ iaun:

m r ~ n r t , n ~ , $ ~ ~ m ~ ~ , ~ n . I ~ , ; n ~ n n , n q ~ n , T U , ~ U a u 68.75. 7s ua: m?ud><u i U r i w 1 ~ ~ ~ u i l l n ~ a ~ o ~ 1

~ ~ u u t ~ u u w q i n ~ , r r ~ d ~ ~ ~ i ~ u ~ r n n ~ n n n 1 d f i a n t t 1 ~ @ ~ 1 : nnnn'xin, crf'xrrimc un:ccnr3nxcm

~l;,~,.,~u,,w~,~~na,rz~u,~~nJq,II~vo3U)1,~nU,~u i'h6: a n n h airha. mr$m-iugnan

irnii i ju,alumnl~d,wu 220 ~3onnquhod,rbumr<u

a,,,,,i,"l;"u dunu,,ulinunb"la'uuaa,,n,u i,.,,;ri;aen "Gf "'~6 ~.(d+*l. l ~ n ~ 1 8 1 I lGic*~. n l 7 n n ~ n l h n

~mul~aiilnnRauiijarr (,ndclmden, ,.,es,) Un18 BnCj.Un,l n ~ ? ~ n t & t a s l n i - ~ r>nudden b u t n n a n rcu l u c a ~ i m

,Xt) UamsRna,wui, ~ n a n a , ~ 9 r i i w Q ~ n r r U , ~ U ~ ~ , u n , ~ m. '"mu~w~3~111. ? . f n ~ n i ~ n ? s i r a r q s zsso : l s (a r i u

i u d r m m u u ~ ~ ~ ~ u a r i ~ ~ n ~ ~ i ) i l n t i ~ d ~ n ~ ~ ~ ~ q l ~ ~ : i ~ r l ~ ~ n n i r 'nu'iu):s131-37'

i ~ u h u m r u ~ ~ t ~ u a a r i ~ r m t ~ i l r ~ l u r : i n d a ~ ~ Jnanaqniu ?uuinu,n~nmimr lmndn~na~ l b n s m m r i n c 8 n

~nqlnrru,~urhumraan~,iirmVile7U,~~ ",,, Unn,l d,ui,u tanl f i - I b u i 3 N ~ n a ~ c n l u m r n C o u m n u r i ~ ~ ~ a ' ~ 1 ~ ~ 1 n i

n,ru,n~uaar~,muu~m',Un,,iU~~~n1Un,H,,u1?,II~2iUiiou 1 u b ~ n l ~ l J u ~ *ZT (ndo-udlnc) un: AZT i3u;um NVP

i,,il ;u~ruuulqinr'IBL~IIIi,Un17iU ,,,: mUil,H ,l,LIz i, (neriraplnc) ~ d u i l u ~ C u n ~ ~ d ~ u v u ~ ~ ~ a ~ o ~ ~ n i ~ ~ n ~ ~ ~ ~ n ~ u

m,een {,:> mmuaarinlnmHrj.Ie,n~inan vm,, n,hIjdUdlCnJ h ~ n u ? u > n 17 uia 1 u G a i n n ~ a m r r a n f 2544-zs(8 an:

mra Bl(,a as,-huhumrm~,km n461 n,U IIUI n',JCU l ~ a w n i u l n 12 uda I u < ~ n i * u m h n TLH~IW 2546-2548

ad ,ieiuil,ailm, raaii ua ana,a,u~Bnq6n l,UL iul hohi~~nnm~nd~u1~nd~e)1n~~iuurna.1~1rn1ua:mn834

aiumreuuni ri,umr~u,nin,~u~ eUaa nIBDi =<," ",, n c i " m n h ~ ~ a t m l a % u r u 5s mj (ioua: 6.7) nv+ ni~l&r

li,a~nirdrS~~ni,~~d,UCnan~,WBI~dlIlii n,InB AZT ~inrnu'm~ltn ua=mrhiu, AZT i3uriu NVP m u ~ ~ n a m

'rs UO1)i, unqlnrrum rl<a,,, anCIIJen ,,,, ri,l~,,Bu',IB ~ * ~ ~ n ~ ~ 0 ~ ~ ~ a ~ a ~ l n i s ~ n u r i ~ ~ n 1 i o ~ ~ r i i % d ~ n i y r n ~ a i i i (p*

5B,Km mmP C,nuauu~,nmdna,R~3~~il mrem iu ~ . ~ ~ ~ ~ U ~ ~ ~ I ~ ~ ~ ~ ~ Y ~ ~ ? ' U ) ~ M ~ W ~ - ~ U L ~ ~ n h u n i n n N w

m,~j~~wq~nrru~~n,w~,HU,lnU,UnaLI ina, lmu,on,~ (Lun: 3.3) ~n=n$m~n~ l * i uLn * n ( i o n a i 9.2) ClnRnau

nq6nr>u6,unnnuqv h ~ ~ m r ~ v m ~ a ~ ~ u d j u ~ a n ~ i l i l n ' un; 'ul'allU1n?Uul ( j o U n 20)

h u n n 8 m n i m i r i ri1d165: ~ m n n ~ s i u t d n ~ n n l o k ~ n ~ r i ~ ~ n , ~ c u c d PCR

417 I. R.

16

7 I

3, 4

31

2 2

3.39 3

a

43 43.75

n u

I

Page 10: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

M d yqk, M irnl.qrdw, ~ n n i e s &Ah&. m u X w n i r u ¶ m ~ n m m u n X n m r a m a ~ s ~ u < ~ ~ a &q% ~.fslrnrmmrmpa 2 6 5 0 ; 1 6 ( ~ ~ d ~ ~ ~ ) : ~ 1 8 8 -

4L

m s f < o 1 ~ . r h m ~ ~ ~ a ~ n m ~ n u X o ~ r n r ~ 3 n i r q s n ~ 1 mudnnrnnrramnawTojumq 15-19 fl I#umlahuuaunw mmma n ~ ~ & ~ u u u u u w n q u *mu tdudava T ~ t k m n u m u bubudlnmu 2647 Ikdouunnnu 254s

ftand~ayshnaMmnub fwa= mmfM'nurmu<mnir dnnvn in h u 8s I) &a~ru lmt dwnrru?mrdamn nnhuar#~nmr~ iu y?fiu~nird~frl~us:wiautfiu~nir h u h n n u 6wrmu~rnruu;lhrnrsand1km~ unnhuuak tdm-~~m~nnimnunnd nmma humrfnm Xwmram Bmlr11pinunn6uazmnula fiudumnnir I'Mn~mmrnu aumhnlattuumn unrliunirldhdnm rlmmrhdnm Jqmsrnuai4nnlinOdnn, 2) sorud ~ ~ r n r l f i t f + a n ~ u dmrlulwilau uaztdr.~r1mluninlum,1dkamuu3mr 11-zo urt Ifiu3nrm"rtuunruanlrn I I h w r ? ~ hl f i hrRnlnvcln~buLhu 3) n i rba tu l~hmd l ld imnrrlna rnrba~dlnq1rnIhdua: nmmdrmhulnl\jXwm~ LdrnnR Malddk h u h n n u u9n,ruu:hr(*lnmn humflnm Ukm~htfmuam~uuunr~uRi, h u h m n n ulmmau,uuelhmrtduaumV uaniurnrlfihfflnm u3nir uwuvmnninai uarnilio&&8uluadunulun~r<~1Pu

e n m w nd w y sly so mg m r n*lcrin~ ~d Grmp daily 0.685 ng o(cc+g~.d~inq lm(.n (m w i l h / u i t b l 2 . 5 ~ g d ~ ~ . a ~ s ( M P ~ ) . ~

8. &pmd m n n - b y ~ d n d ~ h y ~ ~ ~ ~ o m i n d d r n . .

Realu: S o v a y - m p l h r aura m m l l d Eleven lt

llws - ududsd f w fmiliw m Ihs W.1 M-lp l

f db -up . - wr. m&md, CPU Grmp 9

30cpo(inGrcyB. Man*dicuim.Ihe-dRodiTdOmq

am& ~ d e (MGCF) in- 8 h.d drard rmn

19.0132.26 11.8e118.1, 12.56/9.37 md 9.9/8.16 .1 1-

nd 6-mathrapo*ivoly. 'Ih.&aklvai!f&rnuinp~

w u n d aatiniul ly i ipnif icm bavoa ((houp ad CFI wilhlwithan hWA (OrmpB)inohodlaia(mddmmerk*~np

lmrr6-~b>0.05). l h s e w w e m - l y ~ ~ ~

dlhne avn h: sndid, fdlicbeinuldng hamm ( F W

d IwiGzinghrmmo (Ut) ba- b h gmup

cmddn: PM, conuinng phyrwrogau, hn am& effw u r l M r uCEF., d sn aIh+vir I h r c l imedc r y m p m

primnapouul men. -mu g m p o m k b

treawml d d r m a & s p p a n s . Hovrwr, o p i r m l d a a d m k

be c l in id ly urucd to nap appqxiae indirihvl v. UJ 4: M mirifisr, C m m equine ampa,

Mdrnx-CD~X .ram+ v~mxrwnmp loou , Pcr immplr l

wmn. Phyloamgen

u m o a n a ~ u r i n h n r r a l n s t ~ 6 u r ( ) O b l n k : T o o r r l v u a ( h . e ~ m m p r i r m o fFww is

m i t i h (PM), m m n* b K- Knm W. @na mjcgatd

qineul- (CEE) wiullwilhout mrdmrypq~emno.ocute

(WA) lho wllrol of pinmwuul .ymm wiul cl inunuif

Vpmu. M.krW nd d l b d : PVi-YI -ntmding

! J , e b k 3 q m d ~ d ~ Y d ~ d ~ m " ~

mmk4 7h0 "-0, rymprmt arh u hol n u d u "ld "*I"

~ o S - ' d l S a r r r m p * M ~ , ~ l u l n d ~

b3gk.I tympl.m% - dso urrrrrd. R t i u ucrr x l lU" l l r i l~

i r o n - M d r y thcnpy. N l n p h t r h.d -1 FT. lsvclr vilL

ckvudTSH lack (5.9-15.6 mNIL.1, mntiuuu ..ilh I* din&-

norit ofcrmpnrUcd pimy hmhy ro i d im md liriw. pwn-

.barn1 thymid bairn had nqu i r e *id u u i w . No

me aim p h u vilh mmpauwd pi- by~hyroidirm.

mplimhmvcdahmb*i- inTSHWafI.r l ) .ad

fdlor-op Thehslmuluafb~eady.%r@Awheimpaaa

ofthyroid Wi mdlw hypmuurvrd P-8h.l-k

w.

roo nu

4

4)

A. or

.

Sixty 30 in A

la

3-,

PM A)

in PM in

in

in

Or

in

Page 11: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

SmotwwuL.1 P. C k v i w Y O . . I o . l l m S, SYw-

m r o n p S. TLs p.pdk n)c d P58 b

J M.d AsocT)II 2007;DO(O):

1833-8 ( ~ m w v r ~ 1 ~ u w ~ d u m ~ a m ~ 1 u k J ~ w a 1 m

B r t p a m J : PI3 plays a key mle 4 1 -, qopdt. wV. nginrrrrir MMum ma adior

w e n p M d u ~ r r c a r ~ ~ p m ~ a i ~ m d b ~ t i ~ ~

hmm -, m n m r n y .bau -ic indrr fcrnadr-

rrgslirtail i exiar. '

-:To I m t cmrluimr b u m (hs u p c p i m

dh. P69 parin s l i n i c o p u h o I ~ u l ~ , md rn .PB

Us m i e nlrc no&-rmluive inndra duad beas, mi-

M a W s d m m d : ~ ~ ~ -

fmm 71 md+--iva ke.s~

.I. m,.- nrlylcdwith

a n d pi+oll(ll(O.

and o d l rw i vd . M- tim vu

-: u- im xu N* a t i p n i m p g -

p a r 1 r * b a t .ollnbaW l h p y . Mtd umc

007;00(0):1930-3. ( ' + ~ ~ ~ 1 0 1 9 l ( 1 ~ l d ~ ~ l l d

regression in hi@-'m& non-Hodgkin

emin, ~heauk-mncpmnbs-ofn 26-

cunaim. Ytidly. a mnpl*e blmd rmnt

v*hrmrlmarlydIrmdmoa W W

uua we43 h'a, &"&@ gaunlusd 1ym-

mbmadih1.r &land bhpy r r d d to T-osli I y m w u l i c

lymphmu. l k w u f o l I o w d b y ! h . ~ + w 5 e d ~

1- iytir t y d - o m .nd rpnllnuxu nyrpim of Iymphlhno-

m y y.in. #his Bme, ruu treated with ~ l c+x@md&,

.bimydn, vinaiaim, .nd Wim vUh *mo). bnbl

i d i m , During seven molnhr d dmmhempy, r h pbphyrwl

uunimia, mdb(mdmcmiary vm 4. Blormmmly. &rr

r v o n mu- d the d i m y i d l y p q d md dti-

mm4y id hi h t h .

Key-&.: spmm-s lhm,lydr q*m+

HIV. T-cdl Iymphoblwis wcimnum~~nmln'i l ir

arPa undunf, inirrot i i lsqnsr, a i q m

nird?nqnnuRn~ihm~n(Inmnmad~md~mr~~a~~ niraauuuudaud~adauluna~ndfiJ~nirwm~~aaa~ L4namannam.mi&m n~enmmamaafMlfmnL

mmnm ranan, qmd daddm. q n h r w 3 w x Jep's

d~muIIlniu~~umiu&mnnmdhuhulunnh~~u.$~u ~r~t~audd~rRupninam~Jnnm~~n~1wlu~~~n1(11m. a w a n n a m m a h f as4~;2e(3):~6-44.

A,

in

DNA and

f a

and

in

in 12

follow-up 184.4

P53

J

he A

be

At ha

(CHOP)

CHOP.

to

lymphoma,

uiaflnd.

Page 12: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin
Page 13: 'EIW - WordPress.com · 2008-10-10 · diffcmn! m suhjcct* whm IS1 w.r< rhore u*l bclow Ihcmcan rnlvc hll n~ m luhj~~lr with normal rbnorm=l plucmc mlernncc. This indicated ,ha, insulin

S n g M d J ~ m m Val. I# M. I I"{.-A* 10011 421 cbxmw& I, R.

n~uhliumraaurn+nnrnuIhrahtim wnri& drn&&dlunraunir<uqrmaar{hkmt6fi nirasudn4nnnamadr&nir n u h A sdnlJshkql ~ ~ ~ t h ~ i h a ~ m m f ~ r l d l ~ u , l ~ ~ n n ~ f s l i I nnaP (P - a1.36, 20.98 10.41 p < 0.001) u l u h 6 dsu h l n u 101 mu t iTennq&shyusu l

u o ~ & f w ~ t ~ k A ~ r n r s m m m h a h w u n t e t m ~ a ~ ~ u ~ " o d r z n a u h . uuuiirnmriiap

n u d < u ~ i l s m + m r m u I h r ~ & h ~ ~ r e h l ~ ~ i r u p a u o ~ y ~ ~ n i r m s a m m ~ n L r n d~u7lknion~rs'.rnmn'uenuIh0nli9~& @h&,,u nn@wqqd h u un;n.aoumutdo~AodiXudr:3nd ~no~wns~um~;ti, + , n ~ + , n l u u r n u M uonrhmsumrv~ithliu 0.91 ~ t ~ n ~ a ~ ~ t d ~ d i s o a z

~ m 7 ~ n n n ; u s y u ~ ~ ~ n 1 ~ I s U m ~ ( I n l ~ m U I ~ n ~ ~ ( I riitabn d ~ ~ d m ~ u u r n a ~ ~ u uaz1naumi ~an i l JC& i

bn~ornmoud5u~iiatw'nnuf~~~rnuIhm ua:m"amr 6 ~ n ~ a m n l ~ ~ h 1 u ~ ~ ~ ~ a 1 n ~ 0 4 m f l ~ 1 a m 2 : ~ a u ~ u r n u ~ m u d ~ l h n n k r h X a d o n l m ~ ~ d & 1 ~ a@r:<d (Y - 3.21, S.D. - 0.27) dai inr~ndulurnrt,

hh&qDd: un~nd8w+nM~~;a, rnmm-rnr qsnnrmmaofiurz~u4wn (X - 3.42, S.D. - ,241 h u

m u h n qE-mrXm. -"rqlu* (t - 3.03.

S.D. - X - - n - 3.20, S.D. - fl.3 t s n i i ~ r , i ~ndn i tanjtanib, ~ u m m d ~ t n ~ o i . muGu) ua~nnuau~udITu9.m:4arnu~fia4ne Xdahq(In~mu~dn'Uvm-Ca&mm6ii s m n n 1 i r ~ ~ n m r n r L l h a u a e n l m & & ~ u m n ~ lyddmpnpiaii, ~wmmanosm~ni z5,e; i ln?~uduriud<~~am~am{~h~~~m~nn~faf iadi~i lG~(hX~

X6(3)37-SO. w#h.& 0.0s

nilJCn8~~~urnr~b~a3urrmiha tniKaqllr:md namy'"dnuMhuu,mlunnak*l~ , ~ s ~ n m r ~ ~ u u q a n , l e a m ~ ~ , O ~ m L n n t ~ n j I ~ u q ~ ~ a ~ ~ ~ : ~ u ~ ~ m ~ ~ d ~ ~ ~ ~ a ~ ~ ~ ~ n ~ ~ ~ ~ u ~ f l u o d 1 u ~ ~ ~ ~ qnngim3 1 1 8 d n m r n u ~ ~ ~ m q rnrdnm arnumn

P&naninlunirquaaum& aamnh&tj~halP&

aura mutricnnsamnd<t81ds~mrin rrammmn4ulhn hhrlql: ~h&Lnntfah, qsnne

unr

3

0.32; 2.96. S.D. 0.40; 0.46