1
|
Tsao DA, Shiau YF, Tseng CS, Chang HR. Expression of Raf kinase inhibitor protein in human hepatoma tissues by two-dimensional gel electrophoresis and matrix-assisted laser desorption/ionization time-of-flight methods. Indian J Cancer 2017; 53:216-219. [PMID: 28071612 DOI: 10.4103/0019-509x.197730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
PURPOSE Hepatocellular carcinoma (HCC) is the most common malignant liver tumor. To reduce the mortality and improve the effectiveness of therapy, it is important to search for changes in tumor-specific biomarkers whose function may involve in disease progression and which may be useful as potential therapeutic targets. Materials and Mehtods: In this study, we use two-dimensional polyacrylamide gel electrophoresis (2-DE) and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry to observe proteome alterations of 12 tissue pairs isolated from HCC patients: Normal and tumorous tissue. Comparing the tissue types with each other, 40 protein spots corresponding to fifteen differentially expressed between normal and cancer part of HCC patients. RESULTS Raf kinase inhibitor protein (RKIP), an inhibitor of Raf-mediated activation of mitogen-activated protein kinase/extracellular signal-regulated kinase, may play an important role in cancer metastasis and cell proliferation and migration of human hepatoma cells. RKIP may be considered as a marker for HCC, because its expression level changes considerably in HCC compared with normal tissue. In addition, we used the methods of Western blotting and real time-polymerase chain reaction to analysis the protein expression and gene expression of RKIP. The result showed RKIP protein and gene expression in tumor part liver tissues of HCC patient is lower than peritumorous non-neoplastic liver tissue of the corresponding HCC samples. CONCLUSION These results strongly suggest that RKIP may be considered to be a marker for HCC and RKIP are down-regulated in liver cancer cell.
Collapse
Affiliation(s)
- D A Tsao
- Department Medical Technology, Fooyin University, Kaohsiung City, Taiwan
| | - Y F Shiau
- Department Medical Technology, Fooyin University, Kaohsiung City, Taiwan
| | - C S Tseng
- Department of Hepato-Gastroenterology, Center-of-Hepato-Gastroenterology, Yuan's General Hospital, Kaohsiung City, Taiwan
| | - H R Chang
- Department of Biomedical Engineering, I-Shou University, Taiwan
| |
Collapse
|
2
|
Huang GS, Tseng CS, Linju Yen B, Dai LG, Hsieh PS, Hsu SH, Hsu SH. Solid freeform-fabricated scaffolds designed to carry multicellular mesenchymal stem cell spheroids for cartilage regeneration. Eur Cell Mater 2013; 26:179-94; discussion 194. [PMID: 24122653 DOI: 10.22203/ecm.v026a13] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Three-dimensional (3D) cellular spheroids have recently emerged as a new trend to replace suspended single cells in modern cell-based therapies because of their greater regeneration capacities in vitro. They may lose the 3D structure during a change of microenvironment, which poses challenges to their translation in vivo. Besides, the conventional microporous scaffolds may have difficulty in accommodating these relatively large spheroids. Here we revealed a novel design of microenvironment for delivering and sustaining the 3D spheroids. Biodegradable scaffolds with macroporosity to accommodate mesenchymal stem cell (MSC) spheroids were made by solid freeform fabrication (SFF) from the solution of poly(D,L-lactide-co-glycolide). Their internal surface was modified with chitosan following air plasma treatment in order to preserve the morphology of the spheroids. It was demonstrated that human MSC spheroids loaded in SFF scaffolds produced a significantly larger amount of cartilage-associated extracellular matrix in vitro and in NOD/SCID mice compared to single cells in the same scaffolds. Implantation of MSC spheroid-loaded scaffolds into the chondral defects of rabbit knees showed superior cartilage regeneration. This study establishes new perspectives in designing the spheroid-sustaining microenvironment within a tissue engineering scaffold for in vivo applications.
Collapse
Affiliation(s)
- G S Huang
- Institute of Polymer Science and Engineering, National Taiwan University, No. 1, Sec. 4 Roosevelt Road, Taipei 10617, Taiwan,
| | | | | | | | | | | | | |
Collapse
|
3
|
Abstract
This paper presents a new single-layer neural network which is based on orthogonal functions. This neural network is developed to avoid the problems of traditional feedforward neural networks such as the determination of initial weights and the numbers of layers and processing elements. The desired output accuracy determines the required number of processing elements. Because weights are unique, the training of the neural network converges rapidly. An experiment in approximating typical continuous and discrete functions is given. The results show that the neural network has excellent performance in convergence time and approximation error.
Collapse
Affiliation(s)
- S S Yang
- Dept. of Mech. Eng., Nat. Central Univ., Chung-Li
| | | |
Collapse
|
4
|
Lu YS, Shien YS, Tsai HJ, Tseng CS, Lee SH, Lin DF. Swollen head syndrome in Taiwan-isolation of an avian pneumovirus and serological survey. Avian Pathol 2009; 23:169-74. [PMID: 18671082 DOI: 10.1080/03079459408418985] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Outbreaks of swollen head syndrome (SHS) were observed in two broiler and two broiler-breeder farms in Taiwan. The disease was characterized by oedematous swelling of the head, especially surrounding the eyelids, the neck and wattles. Avian pneumovirus and Escherichia coli were isolated from birds in all four farms. In addition, Staphylococcus aureus and infectious bursal disease virus were each isolated from one farm. A serological survey of 398 birds from 11 broiler breeder farms showed 86.4% (344) of them had ELISA antibodies against turkey rhinotracheitis virus.
Collapse
Affiliation(s)
- Y S Lu
- Department of Epidemiology, Taiwan Provincial Research Institute for Animal Health, Taipei, Taiwan, ROC
| | | | | | | | | | | |
Collapse
|
5
|
Abstract
A problem nowadays tissue engineers encounter in developing sizable tissue implants is the nonuniform spread of cells and/or extracellular matrices. Research shows such a nutrients transport restriction may be improved by employing hydrodynamic culture systems. We propose a compact model for the simulation of cell growth in a porous construct under direct perfusion. Unlike the previous model proposed in the literature, which composes a cellular scaffold sandwiched between two culture media layers, the current model includes only the scaffold layer to simplify the mathematical and computational complex. Results show the present single-layer model can predict cell spreads and the nutrient and metabolic waste distribution as accurately as does the three-layer model. Only if the hydrodynamic aspects such as the pressure and viscous stress are prominent to know, should the more sophisticated analyses with the three-layer model be employed. The compact model provides comparable investigations for the tissue-engineering construct developments.
Collapse
Affiliation(s)
- C A Chung
- Department of Mechanical Engineering, National Central University, Jhongli 32001, Taiwan.
| | | | | | | |
Collapse
|
6
|
Chung CA, Chen CW, Chen CP, Tseng CS. Enhancement of cell growth in tissue-engineering constructs under direct perfusion: Modeling and simulation. Biotechnol Bioeng 2007; 97:1603-16. [PMID: 17304558 DOI: 10.1002/bit.21378] [Citation(s) in RCA: 100] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Perfusion bioreactors improve mass transfer in cell-scaffold constructs. We developed a mathematical model to simulate nutrient flow through cellular constructs. Interactions among cell proliferation, nutrient consumption, and culture medium circulation were investigated. The model incorporated modified Contois cell-growth kinetics that includes effects of nutrient saturation and limited cell growth. Nutrient uptake was depicted through the Michaelis-Menton kinetics. To describe the culture medium convection, the fluid flow outside the cell-scaffold construct was described by the Navier-Stokes equations, while the fluid dynamics within the construct was modeled by Brinkman's equation for porous media flow. Effects of the media perfusion were examined by including time-dependant porosity and permeability changes due to cell growth. The overall cell volume was considered to consist of cells and extracellular matrices (ECM) as a whole without treating ECM separately. Numerical simulations show when cells were cultured subjected to direct perfusion, they penetrated to a greater extent into the scaffold and resulted in a more uniform spatial distribution. The cell amount was increased by perfusion and ultimately approached an asymptotic value as the perfusion rates increased in terms of the dimensionless Peclet number that accounts for the ratio of nutrient perfusion to diffusion. In addition to enhancing the nutrient delivery, perfusion simultaneously imposes flow-mediated shear stress to the engineered cells. Shear stresses were found to increase with cell growth as the scaffold void space was occupied by the cell and ECM volumes. The macro average stresses increased from 0.2 mPa to 1 mPa at a perfusion rate of 20 microm/s with the overall cell volume fraction growing from 0.4 to 0.7, which made the overall permeability value decrease from 1.35 x 10(-2)cm(2) to 5.51 x 10(-4)cm(2). Relating the simulation results with perfusion experiments in literature, the average shear stresses were below the critical value that would induce the chondrocyte necrosis.
Collapse
Affiliation(s)
- C A Chung
- Department of Mechanical Engineering, National Central University, Jhongli 32001, Taiwan.
| | | | | | | |
Collapse
|
7
|
Tseng CS, Tang KS, Lo HW, Ker CG, Teng HC, Huang CS. UDP-glucuronosyltransferase 1A7 genetic polymorphisms are associated with hepatocellular carcinoma risk and onset age. Am J Gastroenterol 2005; 100:1758-63. [PMID: 16086712 DOI: 10.1111/j.1572-0241.2005.41857.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVES It has been demonstrated that the UDP-glucuronosyltransferase (UGT) 1A7*3 allele is a risk factor for hepatocellular carcinoma (HCC) in German and Japanese populations. In this study, therefore, we evaluated the association between UGT1A7 genetic polymorphisms and HCC risk in southern Taiwan, where hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are endemic. METHODS The 217 HCC patients and 291 controls enrolled in this case-control study were genotyped for UGT1A7 polymorphisms using polymerase chain reaction-restriction fragment length polymorphism. RESULTS Univariate logistic regression analysis revealed that presence of UGT1A7*2 and *3 alleles was associated with HCC risk [odds ratio (OR) = 1.50, 95% confidence interval (CI): 1.04 approximately 2.16 and OR = 1.73, 95% CI: 1.19 approximately 2.52, respectively]. Multiple logistic regression analysis demonstrated that significant independent risk factors for HCC were male gender (OR = 2.53, 95% CI: 1.42 approximately 4.52), HBV infection (OR = 13.73, 95% CI: 8.04 approximately 23.46), HCV infection (OR = 83.93, 95% CI: 37.01 approximately 190.32), and low-activity UGT1A7 genotype [high/low (H/L) genotype: OR = 1.93, 95% CI: 1.12 approximately 3.32; low/low (L/L) genotype: OR = 3.06, 95% CI: 1.50 approximately 6.24]. For male HCC patients, significantly earlier onset age was observed for those bearing the UGT1A7 low-activity genotype as opposed to those with the high-activity analogue (median age: 50 vs 59 yr; p < 0.05). CONCLUSIONS An inverse dose-response relationship was demonstrated between the detoxifying activity of the UGT1A7 genotypes and HCC. Of the male HCC patients, median onset age for those carrying an UGT1A7 low-activity genotype was 9 yr lower than those bearing the high-activity variant.
Collapse
Affiliation(s)
- Chien-Sen Tseng
- Division of Hepatology, Center of Hepato-Gastroenterology, Yuan's General Hospital, Kaohsiung, Taiwan
| | | | | | | | | | | |
Collapse
|
8
|
Tseng CS, Lo HW, Teng HC, Lo WC, Ker CG. Elevated levels of plasma VEGF in patients with dengue hemorrhagic fever. ACTA ACUST UNITED AC 2005; 43:99-102. [PMID: 15607642 DOI: 10.1016/j.femsim.2004.10.004] [Citation(s) in RCA: 69] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2004] [Revised: 10/13/2004] [Accepted: 10/18/2004] [Indexed: 01/23/2023]
Abstract
Vascular endothelial growth factor (VEGF) can be produced by monocytes and endothelial cells. It plays important role in angiogenesis and vascular permeability. The phenomenon of extensive plasma leakage into various serous cavities of the body is a cardinal symptom of dengue hemorrhagic fever (DHF). This study was performed to investigate the role of VEGF in patients with DHF. Plasma samples collected from the 53 dengue fever (DF) patients (including 14 patients with DHF), and 5 additional subjects with non-dengue febrile illness as controls were tested for VEGF levels using commercial enzyme-linked immunosorbent assay (ELISA) kits. The results showed that median plasma levels of VEGF in the patients with DHF (54.6 pg ml(-1)) were significantly higher than those of DF (14.6 pg ml(-1)) and control group (27.1 pg ml(-1)) (P<0.05). In addition, VEGF levels in DF patients were not significantly different from those of control patients with non-dengue febrile illness (P=0.17). Multiple regression analysis was used to analyze the clinical variables independently associated with VEGF levels. The data showed that D-dimer levels were significantly associated with VEGF levels. In this study, plasma VEGF levels in patients with DHF were significantly higher than values from DF patients. The association between increased plasma VEGF levels and increased plasma D-dimer levels in the patients with dengue illness suggests that activation of the fibrinolytic system may play a role in VEGF production in the patients with DF.
Collapse
Affiliation(s)
- Chien-Sen Tseng
- Department of Internal medicine, Yuan's General Hospital, Kaohsiung, Taiwan.
| | | | | | | | | |
Collapse
|
9
|
Chang SY, Tsai PC, Tseng CS, Liang PH. Refolding and characterization of a yeast dehydrodolichyl diphosphate synthase overexpressed in Escherichia coli. Protein Expr Purif 2001; 23:432-9. [PMID: 11722180 DOI: 10.1006/prep.2001.1511] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Dehydrodolichyl diphosphate synthase (DDPPs) catalyzes the sequential condensation of isopentenyl diphosphate with farnesyl diphosphate to synthesize long-chain dehydrodolichyl diphosphate, which serves as a precursor of glycosyl carrier in glycoprotein biosynthesis in eukaryotes. To perform kinetic and structural studies of DDPPs, we have expressed yeast DDPPs using Escherichia coli as the host cell. Thioredoxin and His tag were utilized to increase the solubility of the recombinant protein and facilitate its purification using Ni-nitrilotriacetic acid (NTA) column. The protein was overexpressed in E. coli but mostly existed in pellet in the absence of detergent. The low quantity of soluble DDPPs was purified using Ni-NTA, Mono Q anion-exchange, and size-column chromatographies. The protein in the pellet was solubilized with 7 M urea and purified using Ni-NTA under denaturing condition. The protein refolding was achieved via the stepwise dialysis to remove the denaturant in the presence of 6 mM beta-mercaptoethanol. Detergent n-octyl-beta-d-glucopyranoside and Triton X-100 increased the solubility of the DDPPs so that refolding can be performed at higher protein concentration. Alternatively, on-column refolding was carried out in a single step to obtain the active protein in large quantities. beta-Mercaptoethanol and Triton were both required in this quick refolding process. The kinetic studies indicated that the soluble and refolded DDPPs have comparable activities (k(cat) = 2 x 10(-4) s(-1)). Unlike its bacterial homologue, undecaprenyl diphosphate synthase, yeast DDPPs activity was not enhanced by Triton.
Collapse
Affiliation(s)
- S Y Chang
- Institute of Biological Chemistry, Academia Sinica, Nankang, Taipei, 11529, Taiwan
| | | | | | | |
Collapse
|
10
|
Abstract
The purpose of this investigation is to establish a practical method to predict and create surface a profile of bone defects by a well-trained 3-D orthogonal neural network. First, the coordinates of the skeletal positions around the boundary of bone defects are input into the 3-D orthogonal neural network to train it to learn the scattering characteristic. The 3-D orthogonal neural network avoids local minima and converges rapidly. After the neural network has been well trained, the mathematic model of the bone defect surface is generated, and the pixel positions are derived. Herein, to verify its performance the proposed method is applied on a patient with a craniofacial defect.
Collapse
Affiliation(s)
- J H Hsu
- Department of Mechanical Engineering National Central University, Chungli 320, Taiwan, Republic of China.
| | | |
Collapse
|
11
|
Abstract
Image segmentation is the partition of an image into a set of non-overlapping regions that comprise the entire image. The image is decomposed into meaningful parts, which are uniform with respect to certain characteristics, such as grey level or texture. This study presents a novel methodology to evaluate ultrasound image segmentation algorithms. The sonographic features can differentiate between various sized malignant and benign breast tumours. The clinical experiment can determine whether a tumour is benign or not, based on contour, shape, echogenicity and echo texture. Further study of the standardized sonographic features, especially the tumour contour and shape, will improve the positive predictive value and accuracy rate in breast tumour detection. The effectiveness of using this methodology is illustrated by evaluating image segmentation on breast ultrasound images. Via definite segmentation, the appreciated tumour shape and contour can be ascertained. Furthermore, this method can enhance the ability of ultrasound to distinguish between benign and malignant breast lesions.
Collapse
Affiliation(s)
- J H Hsu
- Department of Mechanical Engineering, National Central University, Chungli, Taiwan, ROC.
| | | | | |
Collapse
|
12
|
Abstract
Traditionally, the orthopaedist, according to their past experience, reconstructs damaged area while the operation is in progress. This may prolong the operation and cause the wound to become infected. Most importantly it is difficult to precisely match the skeletal defect. A well-disciplined network of prediction re-fabricates the damaged area through automation. This research is based on the CT image file, which is the product of X-ray computed tomography (CT), and computes the skeletal positions around the damaged area through image processing and boundary detection. The skeletal positions are inputted into the orthogonal neural network and discipline the network so that it possesses the scattering characteristic of bone. The network then calculates skeletal positions in the damaged area and revises the former CT image file to rebuild a 3D model. Accordingly, in comparison with a manual sketch, the orthogonal neural network forecast is more geometrically precise. Moreover, the forecast satisfies the second order derivative, which is a continuous function, and the edge of the fabricated bone is therefore kept smoother.
Collapse
Affiliation(s)
- J H Hsu
- Department of Mechanical Engineering, National Central University Chungli, Taiwan, 320 ROC
| | | |
Collapse
|
13
|
Tseng CS, Chung CW, Chen HH, Wang SS, Tseng HM. Development of a robotic navigation system for neurosurgery. Stud Health Technol Inform 1999; 62:358-9. [PMID: 10538386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
This paper presents a robotic navigation system for image-guided neurosurgery, which can be applied to the treatment of Parkinson's disease and biopsy of brain tumor. The system integrates a computer for real-time display of brain anatomy, a magnetic tracking device for measuring the positions and orientations of surgical instruments, and a robot manipulator for guiding surgical instruments to the preplanned positions and orientations. The computer display of brain anatomy offers a convenient tool for surgeons to diagnose brain disease and to plan safe surgical paths; while the tracking device assists the robot manipulator to automatically guide surgical instruments to the preplanned direction. The registrations among the tracking device, the image system, and the robot are completed on the base of coordination mappings of external markers. An experiment of using a skull model for simulating a robotic biopsy of brain tumor has been done to verify the performance of the navigation system. The result shows that the system can accomplish a positioning accuracy around 2 mm.
Collapse
Affiliation(s)
- C S Tseng
- Department of Mechanical Engineering, National Central University, Jungli, Taiwan.
| | | | | | | | | |
Collapse
|
14
|
Chang SC, Liao YF, Hung LM, Tseng CS, Hsu JH, Chen JK. Prefabricated implants or grafts with reverse models of three-dimensional mirror-image templates for reconstruction of craniofacial abnormalities. Plast Reconstr Surg 1999; 104:1413-8. [PMID: 10513927 DOI: 10.1097/00006534-199910000-00027] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- S C Chang
- Department of Plastic Surgery, Craniofacial Center, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan
| | | | | | | | | | | |
Collapse
|
15
|
Wu CC, Tseng CS, Shen CH, Yang TC, Chi KP, Ho WM. Succinylcholine-induced cardiac arrest in unsuspected becker muscular dystrophy--a case report. Acta Anaesthesiol Sin 1998; 36:165-8. [PMID: 9874866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
A five year-old boy undergoing elective tonsillectomy sustained cardiac arrest following the administration of a single dose of succinylcholine during induction of anesthesia. With a 10-minute cardiopulmonary resuscitation (CPR) during which intravenous calcium gluconate, epinephrine, and sodium bicarbonate were given and DC counter shock applied, we were successful to restore cardiac activity without neurological sequelae. The cause of cardiac arrest we speculated was hyperkalemia, possibly secondary to succinylcholine-induced rhabdomyolysis. It is suggested that succinylcholine should not be used in patients with known or suspected muscular dystrophy.
Collapse
Affiliation(s)
- C C Wu
- Department of Anesthesiology, Veterans General Hospital-Taichung, Taiwan, R.O.C
| | | | | | | | | | | |
Collapse
|
16
|
Tseng CS, Lee YY, Chan YP, Wu SS, Chiu AW. A PC-based surgical simulator for laparoscopic surgery. Stud Health Technol Inform 1997; 50:155-60. [PMID: 10180533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
Surgical simulators for minimally invasive surgery have been developing in the 1990s. Most of them use high-end UNIX workstations for real-time simulation of complex human organ models. Only few of them have input devices with force feedback. Recently, personal computer technologies have made real-time display of relatively complex models feasible. We are developing an Intel-based laparoscopic surgical simulator that provides near real-time intuitive interaction between the trainee and simulated models of human organs. The surgical simulator has a prototypical scenario of cholecystectomic surgery. It can interactively simulate the deformation and cutting of cystic duct and vein. In addition, a set of input devices with force feedback has been designed and tested to imitate the manipulation of surgical instruments. The input device has five degrees of freedom and three of them are driven by DC motors to produce force feedback.
Collapse
Affiliation(s)
- C S Tseng
- Department of Mechanical Engineering, National Central University, Chungli, Taiwan.
| | | | | | | | | |
Collapse
|
17
|
Tsai YS, Wang SJ, Shih HC, Huang YC, Chi KP, Tseng CS, Ho WM. Unilateral pulmonary edema during general anesthesia--report of two cases. Acta Anaesthesiol Sin 1997; 35:175-80. [PMID: 9407683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Unilateral presentation of pulmonary edema, though well known to occur, is an uncommon entity. Previous reviews of this subject have discussed the different etiologies, which include rapid reexpansion of collapsed lung, down lung syndrome (gravitational edema), systemic-to-pulmonary arterial shunts, heart failure, compression or occlusion of pulmonary vasculatures, obstruction of a bronchus and an acute manifestation of neuropulmonary reaction (neurogenic pulmonary edema). Occurrence of this complication during surgery, however, is even rarer. We report 2 cases of unilateral pulmonary edema occurring during general anesthesia for elective surgery.
Collapse
Affiliation(s)
- Y S Tsai
- Department of Anesthesiology, Veterans General Hospital-Taichung, Taiwan, R.O.C
| | | | | | | | | | | | | |
Collapse
|
18
|
Hsu HC, Chiu CF, Tan TD, Chau WK, Tseng CS, Ho CH. Post-remission intensive consolidation with high-dose cytarabine-based chemotherapy and granulocyte colony-stimulatory factor in adults with acute myelogenous leukemia: a preliminary report. Zhonghua Yi Xue Za Zhi (Taipei) 1995; 56:305-11. [PMID: 8605644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Modern induction chemotherapy produce 60% to 80% complete remission in adults with newly diagnosed acute myelogenous leukemia (AML). A major challenge is to eradicate subclinical disease in remission and prevent leukemic relapse. Intensive post-remission chemotherapy was proved of comparable disease-free survival as BMT. METHODS From February 1992 to to March 1995, twelve patients with AML, aged 15 to 57 y/o, received intensive consolidation chemotherapy immediately after the first complete remission. The chemotherapy included either 4 courses of high dose Arac (HiDAC), 3 gm/m2 q12h x3 days, or 2 courses of HiDAC (4 days) plus mitoxantrone for 3 days and etoposide for 7 days (HiDAC-3-7). Granulocyte colony-stimulating factor (G-CSF) used used 24 hours after chemotherapy until absolute neutrophile count greater than 500/mm3. RESULTS Totally 24 courses of high dose chemotherapy were given. The median duration of severe neutropenia (absolute neutrophile count < or = 500/mm3) was 12 days, thrombocytopenia (< or = 50,000/mm3) 18 days, fever > or = 38 degrees C 6 days, and from severe neutropenia (absolute neutrophile count < or = 500/mm3) was 12 days, thrombocytopenia (< or = 50,000/mm3) 18 days, fever > or = 38 degrees C 6 days, and from severe neutropenia (< or = 500/mm3) to infection 4 days. Infection was the most frequent complication during HiDAC treatment. No toxic death was noted. After a median follow-up of 16 months, early relapse was noted in 3 patients (2, 4, and 5 months, respectively), and late relapse in two patients (11 and 20 months, respectively). Seven patients remained in complete remission status after a median follow-up of 14+ months (7+ to 37+ months). CONCLUSIONS Intensive consolidation chemotherapy is well tolerable and may prolong remission duration when used in the early post-remission phase of AML.
Collapse
Affiliation(s)
- H C Hsu
- Department of Medicine, Veterans General Hospital-Taipei, Taiwan, R.O.C
| | | | | | | | | | | |
Collapse
|
19
|
Tseng CS, Tso HS. Effects of opioid agonists and opioid antagonists in endotoxic shock in rats. Ma Zui Xue Za Zhi 1993; 31:1-8. [PMID: 7968322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Endotoxic shock is presented with a complex pathophysiology and is associated with high mortality. Recently, it has been reported that endogenous opioids play an important role in endotoxic shock. Pressor effect of naloxone in shock may be mediated through antagonism of endogenous opioid inhibition of the sympatho-adrenal catecholaminergic system. In endotoxemic animal, circulating catecholamine levels were not elevated by naloxone. It is possible that naloxone acts upon opiate receptors to enhance catecholamine actions at the receptor level or post-receptor level. We investigated endotoxic shock using a rat model. The animals anesthetized with phenobarbital were infused with E. coli LPS for 30 minutes. They were divided into 5 groups. After an endotoxin i.v. infusion of 15 mg/kg (LD 60), a significant fall in mean arterial pressure (MAP), heart rate and pH occurred in all groups. Treatment with naloxone or buprenorphine or naloxone + epinephrine resulted in significant improvement in MAP, pH and base excess. Treatment with morphine resulted in a decrease in MAP and an increase in heart rate. The pressor response to epinephrine 10, 30, 60 microgram/kg i.v. caused an increase of 62%, 48% and 17% of control values respectively in endotoxic treated rats. The duration of the pressor response to epinephrine was significantly increased by naloxone, although no significant effects on survival were seen at 4 hours after the start of treatment. These findings suggest that the buprenorphine may prove to be an alternative to naloxone, the co-administration of naloxone and epinephrine may be of benefit in the management of septic shock.
Collapse
Affiliation(s)
- C S Tseng
- Department of Anesthesiology, Taichung Veterans General Hospital
| | | |
Collapse
|
20
|
Tseng CS, Tso HS, Fung KP, Chen YT, Lee CM. [Use of continuous lumbar epidural anesthesia of low concentration and dosage in a patient with idiopathic hypertrophic subaortic stenosis]. Ma Zui Xue Za Zhi 1988; 26:227-32. [PMID: 3185172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|