H-FABP can be a useful early diagnostic biochemical marker, particularly within the first 6 h of symptoms, in patients attending the emergency department.
The reproducibility of 24-hour intraesophageal pH monitoring in the pediatric population is suboptimal. The investigation should be extended or repeated if the result does not correlate with the patient's clinical history.
Summary: Quantitative receptor autoradiography was used to evaluate the density of high-affinity binding sites for the "peripheral-type" benzodiazepine receptor (PTBR) ligand [3H]PK11195 in brain regions of the rat at different stages of pyrithiamine-induced thiamine defi ciency encephalopathy, an experimental model of the Wernicke-Korsakoff syndrome (WKS). Assessment of the density of [3H]PK11195 binding sites in thiamine deficient animals showing no neurologic signs of thiamine deficiency encephalopathy, and revealed no significant alterations compared with pair-fed control animals in any brain region studied. Densities of [3H]PK 11195 binding sites were, however, significantly increased in brain re gions of the rat at the symptomatic stage, where increased densities were seen in the inferior colliculus (233% in crease, p < 0.001), inferior olivary nucleus (154% in crease, p < 0.001) and thalamus (up to 107% increase, p Thiamine, in the form of thiamine pyrophos phate, is a cofactor for several enzymes involved in cerebral glucose metabolism, including the pyru vate dehydrogenase (a-KGDH) complex, the a-ke toglutarate dehydrogenase complex, and transketo lase (TK), which are important for energy produc tion and synthesis of neurotransmitters such as glutamate, ,),-aminobutyric acid, and aspartate. Py rithiamine-induced thiamine deficiency in the rat re sults in region-selective metabolic abnormalities in-
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