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Kuo CY, Tay RJ, Lin HC, Juan SC, Vidal-Diez de Ulzurrun G, Chang YC, Hoki J, Schroeder FC, Hsueh YP. The nematode-trapping fungus Arthrobotrys oligospora detects prey pheromones via G protein-coupled receptors. Nat Microbiol 2024:10.1038/s41564-024-01679-w. [PMID: 38649409 DOI: 10.1038/s41564-024-01679-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 03/20/2024] [Indexed: 04/25/2024]
Abstract
The ability to sense prey-derived cues is essential for predatory lifestyles. Under low-nutrient conditions, Arthrobotrys oligospora and other nematode-trapping fungi develop dedicated structures for nematode capture when exposed to nematode-derived cues, including a conserved family of pheromones, the ascarosides. A. oligospora senses ascarosides via conserved MAPK and cAMP-PKA pathways; however, the upstream receptors remain unknown. Here, using genomic, transcriptomic and functional analyses, we identified two families of G protein-coupled receptors (GPCRs) involved in sensing distinct nematode-derived cues. GPCRs homologous to yeast glucose receptors are required for ascaroside sensing, whereas Pth11-like GPCRs contribute to ascaroside-independent nematode sensing. Both GPCR classes activate conserved cAMP-PKA signalling to trigger trap development. This work demonstrates that predatory fungi use multiple GPCRs to sense several distinct nematode-derived cues for prey recognition and to enable a switch to a predatory lifestyle. Identification of these receptors reveals the molecular mechanisms of cross-kingdom communication via conserved pheromones also sensed by plants and animals.
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Affiliation(s)
- Chih-Yen Kuo
- Molecular and Cell Biology, Taiwan International Graduate Program, Academia Sinica and Graduate Institute of Life Science, National Defense Medical Center, Taipei, Taiwan
- Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan
| | - Rebecca J Tay
- Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan
| | - Hung-Che Lin
- Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan
| | - Sheng-Chian Juan
- Molecular and Cell Biology, Taiwan International Graduate Program, Academia Sinica and Graduate Institute of Life Science, National Defense Medical Center, Taipei, Taiwan
- Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan
| | | | - Yu-Chu Chang
- Department of Biochemistry and Molecular Cell Biology, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Jason Hoki
- Boyce Thompson Institute, Cornell University, Ithaca, NY, USA
- Department of Chemistry and Chemical Biology, Cornell University, Ithaca, NY, USA
| | - Frank C Schroeder
- Boyce Thompson Institute, Cornell University, Ithaca, NY, USA
- Department of Chemistry and Chemical Biology, Cornell University, Ithaca, NY, USA
| | - Yen-Ping Hsueh
- Molecular and Cell Biology, Taiwan International Graduate Program, Academia Sinica and Graduate Institute of Life Science, National Defense Medical Center, Taipei, Taiwan.
- Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan.
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Lin HC, de Ulzurrun GVD, Chen SA, Yang CT, Tay RJ, Iizuka T, Huang TY, Kuo CY, Gonçalves AP, Lin SY, Chang YC, Stajich JE, Schwarz EM, Hsueh YP. Key processes required for the different stages of fungal carnivory by a nematode-trapping fungus. PLoS Biol 2023; 21:e3002400. [PMID: 37988381 PMCID: PMC10662756 DOI: 10.1371/journal.pbio.3002400] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 10/24/2023] [Indexed: 11/23/2023] Open
Abstract
Nutritional deprivation triggers a switch from a saprotrophic to predatory lifestyle in soil-dwelling nematode-trapping fungi (NTF). In particular, the NTF Arthrobotrys oligospora secretes food and sex cues to lure nematodes to its mycelium and is triggered to develop specialized trapping devices. Captured nematodes are then invaded and digested by the fungus, thus serving as a food source. In this study, we examined the transcriptomic response of A. oligospora across the stages of sensing, trap development, and digestion upon exposure to the model nematode Caenorhabditis elegans. A. oligospora enacts a dynamic transcriptomic response, especially of protein secretion-related genes, in the presence of prey. Two-thirds of the predicted secretome of A. oligospora was up-regulated in the presence of C. elegans at all time points examined, and among these secreted proteins, 38.5% are predicted to be effector proteins. Furthermore, functional studies disrupting the t-SNARE protein Sso2 resulted in impaired ability to capture nematodes. Additionally, genes of the DUF3129 family, which are expanded in the genomes of several NTF, were highly up-regulated upon nematode exposure. We observed the accumulation of highly expressed DUF3129 proteins in trap cells, leading us to name members of this gene family as Trap Enriched Proteins (TEPs). Gene deletion of the most highly expressed TEP gene, TEP1, impairs the function of traps and prevents the fungus from capturing prey efficiently. In late stages of predation, we observed up-regulation of a variety of proteases, including metalloproteases. Following penetration of nematodes, these metalloproteases facilitate hyphal growth required for colonization of prey. These findings provide insights into the biology of the predatory lifestyle switch in a carnivorous fungus and provide frameworks for other fungal-nematode predator-prey systems.
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Affiliation(s)
- Hung-Che Lin
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
| | | | - Sheng-An Chen
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
| | - Ching-Ting Yang
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
| | - Rebecca J. Tay
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
| | - Tomoyo Iizuka
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
| | - Tsung-Yu Huang
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
- Molecular and Cell Biology, Taiwan International Graduate Program, Academia Sinica and Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan
| | - Chih-Yen Kuo
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
- Molecular and Cell Biology, Taiwan International Graduate Program, Academia Sinica and Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan
| | - A. Pedro Gonçalves
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
| | - Siou-Ying Lin
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
| | - Yu-Chu Chang
- Department of Biochemistry and Molecular Cell Biology, School of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Jason E. Stajich
- Department of Microbiology and Plant Pathology, University of California, Riverside, California, United States of America
| | - Erich M. Schwarz
- Department of Molecular Biology and Genetics, Cornell University, Ithaca, New York, United States of America
| | - Yen-Ping Hsueh
- Institute of Molecular Biology, Academia Sinica, Nankang, Taipei, Taiwan
- Molecular and Cell Biology, Taiwan International Graduate Program, Academia Sinica and Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan
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Chen YR, Kuo CY, Fu SF, Chou JY. Plant growth-promoting properties of the phosphate-solubilizing red yeast Rhodosporidium paludigenum. World J Microbiol Biotechnol 2023; 39:54. [PMID: 36565394 PMCID: PMC9789928 DOI: 10.1007/s11274-022-03498-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 12/13/2022] [Indexed: 12/25/2022]
Abstract
Phosphorus (P) is one of the essential elements that are necessary for plant development and growth. However, the availability of soluble forms of P for plants in the soils is limited, because a large proportion of it is bound to soil constituents. Thus, the concentration of P available to plants at any time is very low and, moreover, its availability depends on the soil pH. As a solution, phosphate-solubilizing microorganisms (PSMs) are employed that render inorganic P available to plants in soluble form. Thus far, research into PSMs has been insufficient, and only few such organisms have been considered for exploitation as microbial fertilizer strains. The characteristics of plant growth promotion with the plant-PSMs coculture system remain to be elucidated. In the current study, we report on the isolate Rhodosporidium paludigenum JYC100 that exhibits good performance for solubilizing calcium phosphate. We found that it can be regulated by the amount of soluble phosphate. Furthermore, R. paludigenum JYC100 promotes plant growth under specific conditions (P deficiency, but with insoluble phosphate) in different media and soil pots. In contrast, the yeast Aureobasidium pullulans JYC104 exhibited weak phosphate-solubilizing capacities and no plant growth-promoting ability. Compared to control plants, the biomass, shoot height, and cellular inorganic P content of plants increased in plants cocultivated with R. paludigenum JYC100. In addition, histochemical GUS and qRT-PCR assays of phosphate starvation-induced (PSI) genes showed that the transcript levels of these PSI genes are decreased in the plants cocultured with R. paludigenum JYC100. These findings reflect the unique ability of R. paludigenum JYC100 to convert insoluble P compounds to plant-available P, thereby leading to growth promotion. Our study results highlight the use of yeasts as potential substitutes for inorganic phosphate fertilizers to meet the P demands of plants, which may eventually improve yields in sustainable agricultures.
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Affiliation(s)
- Yi-Ru Chen
- grid.412038.c0000 0000 9193 1222Department of Biology, National Changhua University of Education, Changhua City, 500 Taiwan
| | - Chih-Yen Kuo
- grid.412038.c0000 0000 9193 1222Department of Biology, National Changhua University of Education, Changhua City, 500 Taiwan
| | - Shih-Feng Fu
- grid.412038.c0000 0000 9193 1222Department of Biology, National Changhua University of Education, Changhua City, 500 Taiwan
| | - Jui-Yu Chou
- grid.412038.c0000 0000 9193 1222Department of Biology, National Changhua University of Education, Changhua City, 500 Taiwan
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Kuo CY, Lu YR, Yang SM. On the Image Sensor Processing for Lane Detection and Control in Vehicle Lane Keeping Systems. Sensors (Basel) 2019; 19:s19071665. [PMID: 30965566 PMCID: PMC6479783 DOI: 10.3390/s19071665] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 03/29/2019] [Accepted: 04/03/2019] [Indexed: 11/16/2022]
Abstract
Lane keeping systems for a keeping a vehicle in the desired lane is key to advanced driving assistance system in autonomous vehicles. This paper presents a cost-effective image sensor with efficient processing algorithm for lane detection and lane control applications to autonomous delivery systems. The algorithm includes (1) lane detection by inverse perspective mapping and random sample consensus parabola fitting and (2) lane control by pure pursuit steering controller and classical proportional integral speed controller based on a nonholonomic kinematic model. The image sensor experiments conducted on a 1/10 scale model car maneuvering in a straight⁻curve⁻straight lane validate the better processing performance before, during, and after the turning section over previous work. The image sensor with the processing algorithm achieves the average lane detection error within 5% and maximum cross-track error within 9% in real-time. The development shall pave the way to cost-effective autonomous delivery systems.
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Affiliation(s)
- C Y Kuo
- International Program on Energy Engineering, National Cheng Kung University, Tainan 70101, Taiwan.
| | - Y R Lu
- International Program on Energy Engineering, National Cheng Kung University, Tainan 70101, Taiwan.
| | - S M Yang
- International Program on Energy Engineering, National Cheng Kung University, Tainan 70101, Taiwan.
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Wu CH, Kuo CY, Dong CD, Chen CW, Lin YL. Removal of sulfonamides from wastewater in the UV/TiO 2 system: effects of pH and salinity on photodegradation and mineralization. Water Sci Technol 2019; 79:349-355. [PMID: 30865606 DOI: 10.2166/wst.2019.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
The effects of salinity on the photodegradation and mineralization of sulfonamides in the UV/TiO2 system were investigated. The goals of this study were to analyze the effects of pH and salinity on the sulfonamide concentration and total organic carbon (TOC) during the removal of sulfonamides in a UV/TiO2 system. Four sulfonamides - sulfadiazine (SDZ), sulfamethizole (SFZ), sulfamethoxazole (SMX) and sulfathiazole (STZ) - were selected as parent compounds. The photodegradation and mineralization rates of sulfonamides in the UV/TiO2 system satisfy pseudo-first-order kinetics. Direct photolysis degraded sulfonamides but sulfonamides cannot be mineralized. The photodegradation and mineralization rate constants in all experiments followed the order pH 5 > pH 7 > pH 9. At pH 5, the mineralization rate constants of SMX, SFZ, SDZ and STZ were 0.015, 0.009, 0.012 and 0.011 min-1, respectively. The addition of NaCl inhibited the mineralization of the four tested sulfonamides more than it inhibited their photodegradation. The inhibitory effect of chloride ions on the removal of sulfonamides in the UV/TiO2 system was attributed to the scavenging by chloride ions of hydroxyl radicals (HO•) and holes and the much lower reactivity of chlorine radicals thus formed, even though the chlorine radicals were more abundant than HO•.
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Affiliation(s)
- C H Wu
- Department of Chemical and Materials Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan E-mail:
| | - C Y Kuo
- Department of Environmental and Safety Engineering, National Yunlin University of Science and Technology, Yunlin, Taiwan
| | - C D Dong
- Department of Chemical and Materials Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan E-mail:
| | - C W Chen
- Department of Chemical and Materials Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan E-mail:
| | - Y L Lin
- Department of Chemical and Materials Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan E-mail:
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Chung TY, Kuo CY, Lin WJ, Wang WL, Chou JY. Indole-3-acetic-acid-induced phenotypic plasticity in Desmodesmus algae. Sci Rep 2018; 8:10270. [PMID: 29980731 PMCID: PMC6035231 DOI: 10.1038/s41598-018-28627-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 06/26/2018] [Indexed: 11/09/2022] Open
Abstract
Phenotypic plasticity is the ability of a single genotype of an organism to exhibit variable phenotypes in response to fluctuating environments. It plays a crucial role in their evolutionary success. In natural environments, the importance of interactions between microalgae and other microorganisms is generally well appreciated, but the effects of these interactions on algal phenotypic plasticity has not been investigated. In this study, it revealed that indole-3-acetic acid (IAA), the most common naturally occurring plant hormone, can exert stimulatory at low concentrations and inhibitory effects at high concentrations on the growth of the green alga Desmodesmus. The morphological characteristics of Desmodesmus changed drastically under exposure to IAA compared with the algae in the control environment. The proportion of Desmodesmus unicells in monocultures increased with the IAA concentration, and these unicells exhibited less possibility of sedimentation than large cells. Furthermore, we discovered that lipid droplets accumulated in algal cells grown at a high IAA concentration. Results also demonstrated that the presence of algal competitor further stimulated inducible morphological changes in Desmodesmus populations. The relative abundance of competitors influenced the proportion of induced morphological changes. The results indicate that phenotypic plasticity in microalgae can be a response to fluctuating environments, in which algae optimize the cost–benefit ratio.
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Affiliation(s)
- Tan-Ya Chung
- Department of Biology, National Changhua University of Education, Changhua, 500, Taiwan
| | - Chih-Yen Kuo
- Department of Biology, National Changhua University of Education, Changhua, 500, Taiwan
| | - Wei-Jiun Lin
- Department of Biology, National Changhua University of Education, Changhua, 500, Taiwan
| | - Wei-Lung Wang
- Department of Biology, National Changhua University of Education, Changhua, 500, Taiwan
| | - Jui-Yu Chou
- Department of Biology, National Changhua University of Education, Changhua, 500, Taiwan.
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8
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Kuo CY, Wu CH, Wu JT, Chen YC. Preparation of immobilized Cu2O using microwave irradiation and its catalytic activity for bisphenol A: comparisons of Cu2O/H2O2 and visible-light/Cu2O/H2O2 systems. Water Sci Technol 2014; 70:1428-1433. [PMID: 25353950 DOI: 10.2166/wst.2014.373] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This study produced immobilized Cu2O via microwave irradiation. The surface properties of Cu2O were assessed by X-ray diffraction, scanning electron microscopy, and UV-vis spectroscopy. The catalytic activity of the generated Cu2O was examined for bisphenol (BPA) degradation in Cu2O/H2O2 and visible-light/Cu2O/H2O2 systems under various H2O2 concentrations. Cu2O can decompose H2O2 to generate radicals, similar to the Fenton-like process. The BPA degradation rate followed pseudo-first-order kinetics. The optimal H2O2 concentration was 30 mM and the BPA degradation rate under 30 mM H2O2 in the Cu2O/H2O2 and visible-light/Cu2O/H2O2 systems was 1.43 and 2.69 h(-1), respectively. The original Cu2O partly oxidized into CuO in the visible-light/Cu2O/H2O2 system and the BPA degradation percentage declined to 51% from 100% after the fifth cycle.
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Affiliation(s)
- C Y Kuo
- Department of Environmental and Safety Engineering, National Yunlin University of Science and Technology, Taiwan
| | - C H Wu
- Department of Chemical and Materials Engineering, National Kaohsiung University of Applied Sciences, 415 Chien Kung Road, Kaohsiung 807, Taiwan E-mail:
| | - J T Wu
- Department of Chemical and Materials Engineering, National Kaohsiung University of Applied Sciences, 415 Chien Kung Road, Kaohsiung 807, Taiwan E-mail:
| | - Y C Chen
- Department of Environmental and Safety Engineering, National Yunlin University of Science and Technology, Taiwan
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Yang JC, He Q, Suresha SJ, Kuo CY, Peng CY, Haislmaier RC, Motyka MA, Sheng G, Adamo C, Lin HJ, Hu Z, Chang L, Tjeng LH, Arenholz E, Podraza NJ, Bernhagen M, Uecker R, Schlom DG, Gopalan V, Chen LQ, Chen CT, Ramesh R, Chu YH. Orthorhombic BiFeO3. Phys Rev Lett 2012; 109:247606. [PMID: 23368382 DOI: 10.1103/physrevlett.109.247606] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2012] [Revised: 09/07/2012] [Indexed: 05/12/2023]
Abstract
A new orthorhombic phase of the multiferroic BiFeO3 has been created via strain engineering by growing it on a NdScO(3)(110)(o) substrate. The tensile-strained orthorhombic BiFeO3 phase is ferroelectric and antiferromagnetic at room temperature. A combination of nonlinear optical second harmonic generation and piezoresponse force microscopy revealed that the ferroelectric polarization in the orthorhombic phase is along the in-plane {110}(pc) directions. In addition, the corresponding rotation of the antiferromagnetic axis in this new phase was observed using x-ray linear dichroism.
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Affiliation(s)
- J C Yang
- Department of Materials Science and Engineering, National Chiao Tung University, Hsinchu 300, Taiwan
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Kuo CY, Pai CY, Wu CH, Jian MY. Effects of oxidant concentration and temperature on decolorization of azo dye: comparisons of UV/Fenton and UV/Fenton-like systems. Water Sci Technol 2012; 65:1970-1974. [PMID: 22592466 DOI: 10.2166/wst.2012.095] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This study applies photo-Fenton and photo-Fenton-like systems to decolorize C.I. Reactive Red 2 (RR2). The oxidants were H(2)O(2) and Na(2)S(2)O(8); Fe(2+), Fe(3+), and Co(2+) were used to activate these two oxidants. The effects of oxidant concentration (0.3-2 mmol/L) and temperature (25-55 °C) on decolorization efficiency of the photo-Fenton and photo-Fenton-like systems were determined. The decolorization rate constants (k) of RR2 in the tested systems are consistent with pseudo-first-order kinetics. The rate constant increased as oxidant concentration and temperature increased. Activation energies of RR2 decolorization in the UV/H(2)O(2)/Fe(2+), UV/H(2)O(2)/Fe(3+), UV/Na(2)S(2)O(8)/Fe(2+) and UV/Na(2)S(2)O(8)/Fe(3+) systems were 32.20, 39.54, 35.54, and 51.75 kJ/mol, respectively.
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Affiliation(s)
- C Y Kuo
- Department of Environmental and Safety Engineering, National Yunlin University of Science and Technology, Taiwan
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Wu CH, Kuo CY, Yeh CH, Chen MJ. Removal of C.I. Reactive Red 2 from aqueous solutions by chitin: an insight into kinetics, equilibrium, and thermodynamics. Water Sci Technol 2012; 65:490-495. [PMID: 22258680 DOI: 10.2166/wst.2012.878] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
In this study, C.I. Reactive Red 2 (RR2) was removed from aqueous solutions by chitin. Exactly how the RR2 concentration, chitin dosage, pH, and temperature affected adsorption of RR2 by chitin was then determined. After reaction for 120 min, the amount of 10 and 20 mg/L RR2 absorbed onto chitin was 5.7 and 7.5 mg/g, respectively. The adsorption percentage increased from 56 to 94% when the chitin dosage was increased from 1.5 to 2.5 g/L. Experimental results indicated that the pseudo-second-order model best represents adsorption kinetics. Adsorption of RR2 increased as the temperature increased; however, it decreased with an increased pH. Experimental results further demonstrated that the Freundlich model is superior to the Langmuir model in fitting experimental isotherms. The ΔH° and ΔS° were 16.34 kJ/mol and 152.10 J/mol K, respectively. ΔH° suggested that adsorption of RR2 onto chitin was via physisorption.
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Affiliation(s)
- C H Wu
- Department of Chemical and Materials Engineering, National Kaohsiung University of Applied Sciences, 415 Chien Kung Road, Kaohsiung 807, Taiwan.
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Zhang JX, He Q, Trassin M, Luo W, Yi D, Rossell MD, Yu P, You L, Wang CH, Kuo CY, Heron JT, Hu Z, Zeches RJ, Lin HJ, Tanaka A, Chen CT, Tjeng LH, Chu YH, Ramesh R. Microscopic origin of the giant ferroelectric polarization in tetragonal-like BiFeO(3). Phys Rev Lett 2011; 107:147602. [PMID: 22107234 DOI: 10.1103/physrevlett.107.147602] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2011] [Indexed: 05/12/2023]
Abstract
We report direct experimental evidence for a room-temperature, ∼130 μC/cm(2) ferroelectric polarization from the tetragonal-like BiFeO(3) phase. The physical origin of this remarkable enhancement of ferroelectric polarization has been investigated by a combination of x-ray absorption spectroscopy, scanning transmission electron microscopy, and first principles calculations. A large strain-induced Fe-ion displacement relative to the oxygen octahedra, combined with the contribution of Bi 6s lone pair electrons, is the mechanism driving the large ferroelectric polarization in this tetragonal-like phase.
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Affiliation(s)
- J X Zhang
- Department of Physics, University of California, Berkeley, California 94720, USA.
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Wu CH, Kuo CY, Hong PKA. Effects of operational parameters on decolorisation of C.I. Reactive Black 5 in UV/TiO(2) system. Water Sci Technol 2011; 63:1032-1036. [PMID: 21411955 DOI: 10.2166/wst.2011.286] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This study utilises a UV/TiO(2) system to decolorise C.I. Reactive Black 5 (RB5). The effects of TiO(2) dosage, pH, RB5 concentration and light power on the decolorisation efficiency using the UV/TiO(2) system were determined. IO(4)(-) was employed as an oxidant to increase the photodegradation efficiency of UV/TiO(2). The decolorisation rate constants (k) of RB5 in the UV/TiO(2) system are consistent with pseudo-first-order kinetics. The k values of 0.1, 0.5, 1.0 and 2.0 g/l TiO(2) were 0.53, 0.52, 0.69 and 0.68 h(-1), respectively. The rate constant increases with decreasing pH from 10 to 4. The decolorisation rate approximates linear relationship with RB5 concentration, as given by k=1.05[1/RB5](0.98); it varies nonlinearly with light power, as given by k=0.178[power](0.63). The experimental results reveal that the rate of decolorisation obtained using UV/TiO(2)/IO(4)(-) exceeds that obtained using UV/TiO(2).
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Affiliation(s)
- C H Wu
- Department of Chemical and Materials Engineering, National Kaohsiung University of Applied Sciences, 415 Chien Kung Road, Kaohsiung 807, Taiwan.
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Ho HC, Hsu SL, Ting CT, Kuo CY, Yang VC. Caffeic acid phenethyl ester inhibits arterial smooth muscle cell proliferation and migration in vitro and in vivo using a local delivery system. Cell Mol Biol (Noisy-le-grand) 2009; 55 Suppl:OL1161-OL1167. [PMID: 20003810] [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] [Received: 08/09/2009] [Accepted: 10/01/2009] [Indexed: 05/28/2023]
Abstract
Over the last two decades, significant advances have been made in percutaneous coronary intervention (PCI) for the treatment of atherosclerotic plaques. However, restenosis after PCI still challenges both vascular biologists and interventional cardiologists. In this study, we found that caffeic acid phenethyl ester (CAPE) displayed an inhibitory effect on human coronary smooth muscle cell (HCSMC) growth and migration. Flow cytometry analysis showed that the ratio of S phase increased after exposing cells to CAPE for 48-72 h. Pretreatment of cells with CAPE significantly suppressed Cyclin E, CDK2, Cyclin A, and proliferating-cell nuclear antibody expression. We demonstrated that CAPE inhibited AKT 1 and MEK1/2 activation. Using a local infusion system, CAPE was able to regress the intima thickening of the iliac artery in rabbits after balloon injury. The percentage of intimal thickening decreased significantly to 55.0 +/- 0.12 in the group after local CAPE infusion compared to the group after saline infusion (98.3 +/- 0.41%). In conclusion, CAPE can inhibit the proliferation and migration of HCSMCs by inducing cell cycle arrest. Decreased cell cycle genes and associated signaling pathway target gene expression may mediate anti-proliferative and anti-migration effects of CAPE. Furthermore, CAPE prevents intima thickening in rabbits after balloon angioplasty. These results indicate that CAPE may have therapeutic relevance for the prevention of restenosis during PCI in the treatment of coronary artery diseases.
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Affiliation(s)
- H C Ho
- Department of Life Science, Tunghai University, Taichung, Taiwan, ROC
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15
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Abstract
Heavy metals were removed from industrial sludge by traditional and microwave-assisted acid extraction approaches. The effects of acid concentration, extraction time, sludge particle size and solid/liquid (S/L) ratio on copper-extraction efficiency were assessed. Leaching with increased acid concentrations increased the yield of heavy metals from the industrial sludge. In microwave-assisted acid extraction, reducing the S/L ratio and sludge particle size increased copper-extraction efficiency. These experimental findings indicate that S/L ratio most strongly influenced microwave-assisted acid extraction. Both traditional and microwave-assisted acid extraction demonstrate that sulfuric acid was an effective extractant, and the copper fraction in extracted sludge shifted from being primarily bound to Fe-Mn oxides and organic-matter partition, to being mostly bound to organic matter, remaining as a residue during acid extraction.
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Affiliation(s)
- C H Wu
- Department of Environmental Engineering, Da-Yeh University, 112, Shan-Jiau Road, Da-Tsuen, Chang-Hua, Chinese Taiwan.
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16
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Abstract
Spontaneous perforation of pyometra is an extremely rare emergent gynecologic disease. We report a 73-year-old woman with a spontaneously perforated pyometra presenting with acute abdomen in the emergency department. A dedicated computed tomography examination of the abdominal and pelvic regions revealed the diagnosis. The patient recovered well after surgical intervention and antibiotic treatment.
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Affiliation(s)
- K S Chan
- Department of Intensive Care Medicine, Chi-Mei Medical Center, Tainan, Taiwan.
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17
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Cheng MT, Lin YC, Chio CP, Wang CF, Kuo CY. Characteristics of aerosols collected in central Taiwan during an Asian dust event in spring 2000. Chemosphere 2005; 61:1439-50. [PMID: 16005941 DOI: 10.1016/j.chemosphere.2005.04.120] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2004] [Revised: 04/26/2005] [Accepted: 04/26/2005] [Indexed: 05/03/2023]
Abstract
Aerosol samples for PM(2.5) and PM(2.5-10) were collected at four locations in central Taiwan from 26 to 31 March 2000, a period that experienced exceedingly high PM levels from 29 to 30 March due to the passage of an Asian dust storm. The samples were analyzed for mass, metallic elements, ions, and carbon. The purpose of this paper is to investigate the influence of the dust storm on the characteristics of local ambient particulate matter. The results indicate that the concentrations of the crustal elements Ca, Mg, Al, Fe and the sea salt species Na+ and Cl- in PM(2.5-10) during the dust episode exceed the mean concentrations in the non-dust period by factors of 3.1, 2.9, 2.6, 2.2, 2.3 and 2.1 respectively. Enrichment factors of Ca, Fe, and Mg in PM(2.5-10) during the dust event are close to unity, indicating that these elements are from soil. Reconstruction of aerosol compositions revealed that soil of coarse particulates elevated approximately 50% in the dust event. It is noted that during the dust event, the ratio of Mg/Al in PM(2.5-10) ranged from 0.21 to 0.25 while that of Ca/Al ranged from 0.6 to 0.9, levels more constant than those obtained in non-dust period.
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Affiliation(s)
- M T Cheng
- Department of Environmental Engineering, National Chung Hsing University, 250, Kuokuang Road, Taichung 402, Taiwan, ROC.
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18
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Ko YC, Lee CT, Cheng YF, Hung KH, Kuo CY, Huang CC, Chen JB. Hypercalcaemia and haemophagocytic syndrome: rare concurrent presentations of disseminated tuberculosis in a dialysis patient. Int J Clin Pract 2004; 58:723-5. [PMID: 15311732 DOI: 10.1111/j.1368-5031.2004.00054.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [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: 11/30/2022] Open
Abstract
Tuberculosis remains an important cause of infection in chronic haemodialysis patients. Frequent extrapulmonary involvement, non-specific presentation and limited diagnostic tools usually make early diagnosis difficult. Herein, we report on an 83-year-old female patient who had been on regular heamodialysis therapy for 15 years, who presented with asymptomatic hypercalcaemia and pancytopenia. Haemophagocytic syndrome was documented during the admission period. Mycobacterium tuberculosis was cultured from bone marrow 1 month after her demise. This case report highlights the non-specific manifestations of extrapulmonary tuberculosis in dialysis patients and the limited value of conventional diagnostic methods. We would like to recommend aggressive intervention and early tissue aspiration from possible infectious sites when tuberculosis cannot be completely ruled out. Disseminated tuberculosis should be considered as an indication of hypercalcaemia where haemophagocytic syndrome occurs simultaneously.
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Affiliation(s)
- Y C Ko
- Division of Pulmonary Medicine, Department of Internal Medicine, Chang-Gung Memorial Hospital, Kaohsiung, Taiwan, ROC
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19
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Abstract
Three common sources of environmental exposure to particulate polycyclic aromatic hydrocarbons (PAHs) in Taiwan were chosen for this study. They are smoke of incense burning, exhausts of motor vehicles, and fumes of charcoal burning. The campus environment without any specific PAH sources (nonpoint sources) was chosen as the control. The particulate PAH concentrations in the air samples containing smoke of incense burning were only slightly higher than those in the control. However, the total concentration of particulate PAHs in the air samples with exhausts of motor vehicles and fumes of charcoal burning was about 7.5 times and 22 times higher than those observed in the control, respectively. The mean inhalation amounts of particulate PAHs per unit time are very high both in samples with exhausts of motor vehicles (13.9 ng/min) and fumes of charcoal burning (38.1 ng/min). The exposure dose of 22 PAHs per day ranged from 3.18 to 18.0 microg/day under four exposure conditions. Moreover, the personal inhalation BaP(eq) levels are in the range of 0.4 to 1.55 microg/day.
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Affiliation(s)
- C Y Kuo
- Department of Public Health, Chung Shan Medical University, No. 110, Sec. 1, Chien-Kuo N. Road, Taichung, Taiwan, ROC.
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20
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Abstract
Functional neuromuscular stimulation (FNS)/functional electrical stimulation (FES) is a potential way to restore some functionality to the limbs of patients with spinal cord injury through direct/indirect stimulation of the motoneuron. One of the constraints for wider use of FNS on paraplegic patients is the lack of efficient control algorithm. Most of the published works on FNS/FES control are based on oversimplified models of human body dynamics. An innovative control strategy for stabilizing the standing posture of paraplegic patients is proposed here which is a combination of a proportional-plus-derivative controller for motions of the skeletal system and a control action prediction mechanism to produce musculotendon activation. The goal is to produce musculotendon torque which can approximate those demanded by the controller for the skeletal system. In computer simulations, using a detailed skeletal-musculotendon-muscle activation dynamics model of human body, this FNS/FES control approach can stabilize a paraplegic patient's standing posture with the minimum number of musculotendon groups. Also, it is found that this control strategy can maintain stability even in the presence of reasonable variations in the controller's musculotendon parameters.
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Affiliation(s)
- D Soetanto
- Instituto de Sistemas e Robotica, Lisboa, Portugal.
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21
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Abstract
We reviewed 62 episodes (from 59 infants) of neonatal candidemia that occurred between January 1994 and June 1999. Except 5 term babies, all infants were premature (median gestational age [GA], 30 weeks) and birth weight was less than 2,500 g (median, 1,300 g). Most infants had reported risk factors and other neonatal problems. The age at onset of candidemia ranged from 15 to 173 days with a median of 34 days. In addition to catheter removal, all but one infants received antifungal agents and candidemia was eradicated subsequently in 46 episodes (75%). Eighteen infants with 19 episodes ever received fluconazole therapy. Fluconazole was administered as the first line agent in 6 episodes and successfully cleared candidemia in 5 episodes. Fluconazole was used as an alternative agent in an additional 13 episodes after amphotericin B (am B) +/- flucytosine were given for a period without a satisfactory result and eradication of candidemia was achieved in 8 episodes subsequently. All 18 infants tolerated fluconazole well and no withdrawal was required on account of its adverse effect. In contrast, am B alone was administered as the first line agent in 55 episodes and successfully cleared candidemia in 32 episodes (58%). This retrospective analysis suggests that fluconazole appears to be safe in neonates and can be used as an alternative agent in treating neonatal candidemia. A large-scaled prospective study may be needed.
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Affiliation(s)
- Y C Huang
- Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Chang Gung University, Taoyuan, Taiwan
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22
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Kuo CY. Endothelin-A receptor antagonist prevents neonatal pulmonary hypertension in meconium aspiration in piglets. J Formos Med Assoc 2001; 100:420-3. [PMID: 11480254] [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: 02/20/2023] Open
Abstract
In order to test the hypothesis that endothelin-1 (ET-1) directly contributes to the pathophysiology of pulmonary hypertension induced by meconium aspiration, we randomized 12 anesthetized and paralyzed piglets to receive BQ-123, a selective endothelin-A receptor antagonist (BQ group), or normal saline (NS group) after meconium aspiration. The animals were instilled with meconium mixture (3 mL/kg) via an endotracheal tube, and then given intravenous BQ-123 (2 mg/hr) or normal saline. Plasma ET-1 concentrations, arterial blood gases, and hemodynamics were measured at baseline and at 60, 120, 180, and 240 minutes after instillation. The results showed that plasma ET-1 concentrations were similar in both groups. However, in the BQ group, pulmonary artery pressure was significantly lower after 120 minutes (p < 0.05 at 120 min, p < 0.01 at 180 and 240 min) and pulmonary vascular resistance was significantly lower after 180 minutes (p < 0.01) than in the NS group. No significant difference was found in systemic hemodynamics. These data suggest that ET-1 directly contributes to the pathophysiology of pulmonary hypertension induced by meconium aspiration.
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Affiliation(s)
- C Y Kuo
- Division of Neonatology, Department of Pediatrics, Chang Gung Children's Hospital, Taiwan
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23
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Kuo CY, Chou YH, Lien R, Yang PH. Study of plasma endothelin-1 concentrations in Taiwanese neonates with respiratory distress. Chang Gung Med J 2001; 24:239-44. [PMID: 11413881] [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: 02/20/2023]
Abstract
BACKGROUND Endothelin-1 (ET-1) is a novel and potent endothelium-derived vasoconstriction peptide present in human plasma. In this study, plasma ET-1 concentrations were determined and their physiological significance was evaluated in Taiwanese neonates with respiratory distress. METHODS Sixty newborn infants consisting of 22 with respiratory distress syndrome (RDS), 13 with transient tachypnea of newborn (TTNB), 4 with meconium aspiration syndrome, 10 healthy preterm and 11 healthy full-term infants were included for plasma ET-1 determination. Plasma ET-1 levels were measured by enzyme immunoassay at the of age of 1 day. For those who were diagnosed with RDS, plasma ET-1 concentrations were scheduled for evaluation at the ages of 1, 2, 3, 7, 14, 28, and 35 days as long as oxygen was being used. RESULTS On the first day of life, there was no significant difference in plasma ET-1 concentrations between healthy preterm and term infants (3.92 +/- 0.88 vs. 3.56 +/- 1.98 pg/mL, p = 0.606). However, plasma ET-1 concentrations of infants with RDS were significantly higher than those with TTNB (6.46 +/- 0.58 vs. 3.77 +/- 1.29 pg/mL, p < 0.001). In RDS infants, plasma ET-1 concentrations showed no significant difference between those who developed bronchopulmonary dysplasia (BPD, N = 4) and those who recovered (non-BPD, n = 18) (7.84 +/- 1.85 vs. 5.81 +/- 2.76 pg/mL, p = 0.242). CONCLUSION Plasma ET-1 concentrations were similar in preterm and term infants. ET-1 concentrations were higher in infants with RDS than in infants with TTNB, which suggests that plasma ET-1 levels can be useful in the differential diagnosis. However, the plasma ET-1 concentrations can not be a predictor for BPD.
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Affiliation(s)
- C Y Kuo
- Division of Neonatology, Department of Pediatrics, Chang Gung Children's Hospital. 5-7, Fu-Shin Street, Kweishan, Taoyuan, Taiwan, R.O.C.
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24
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Liao SL, Lai SH, Chou YH, Kuo CY. Effect of hypocapnia in the first three days of life on the subsequent development of periventricular leukomalacia in premature infants. Acta Paediatr Taiwan 2001; 42:90-3. [PMID: 11355071] [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: 04/16/2023]
Abstract
Several etiologies for causing periventricular leukomalacia (PVL) in preterm infants have been investigated worldwidely. The aim of this study is to investigate whether hypocapnia plays a role in the pathogenesis of the subsequent development of PVL. From Jan. 1997 to June 1998, 91 premature infants (mean gestational age 28.8 +/- 2.5 weeks and birth body weight 1169 +/- 385 g) born in Chung Gung Children's Hospital requiring mechanical ventilation in the first 72 hrs were enrolled in our study. Serial neuorosonogram were followed on day 1, 3, 7 and then at least every 2 to 3 weeks until discharge. These infants were divided into two groups defined as the PVL group and non-PVL group. Variables comprising perinatal data were analyzed and compared between these two groups to screen out possible risk factors related to the development of PVL. There was no difference noted. As for the effect of PaCO2, we found the infants with PVL to have mean lower PaCO2 during the first 72 hours of life. (P = 0.004). Logistic regression model revealed that the incidence for PVL increased significantly when mean PaCO2 is lowered to less than 25 mmHg. Hypocapnia during the first three days of life seems to be an important etiological factor associated with the development of periventricular leukomalacia. Therefore, the ventilatory strategy in the care of the premature neonates should not only provide adequate ventilation but also careful avoidance of hypocapnia.
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Affiliation(s)
- S L Liao
- Division of Neonatology, Chang Gung Children's Hospital, 5 Fu-Hsin Street, Kweishan 333, Taoyuan, Taiwan
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25
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Wu CH, Lo SL, Lin CF, Kuo CY. Modeling Competitive Adsorption of Molybdate, Sulfate, and Selenate on gamma-Al(2)O(3) by the Triple-Layer Model. J Colloid Interface Sci 2001; 233:259-264. [PMID: 11121274 DOI: 10.1006/jcis.2000.7223] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Competitive adsorption of molybdate, sulfate, and selenate onto gamma-Al(2)O(3) was investigated in the present study. Binary solute systems of MoO(2-)(4)+SO(2-)(4), MoO(2-)(4)+SeO(2-)(4), and SO(2-)(4)+SeO(2-)(4) and a ternary solute system of MoO(2-)(4)+SO(2-)(4)+SeO(2-)(4) were evaluated to determine their relative effects on competitive adsorption on the gamma-Al(2)O(3) surface. Anionic competitive adsorption efficiency was pH dependent. The higher the pH, the lower the efficiency of MoO(2-)(4) in preventing SO(2-)(4) and SeO(2-)(4) adsorption; similar results were found in SeO(2-)(4) depressing SO(2-)(4) adsorption. This research found that more sites are occupied in mixed anionic adsorbate systems than when either ion is present alone. The results suggest that the gamma-Al(2)O(3) surface is composed of many groups of binding sites. Because of the heterogeneity of adsorption sites, the triple-layer model (TLM) predicted the competitive effects qualitatively but not quantitatively. TLM gave reasonable descriptions of molybdate adsorption in the presence of sulfate and selenate, indicating that the model may be useful in predicting molybdate adsorption on gamma-Al(2)O(3). Copyright 2001 Academic Press.
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Affiliation(s)
- CH Wu
- Graduate Institute of Environmental Engineering, National Taiwan University, 71 Chou-Shan Road, Taipei, 106, Taiwan
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26
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Liao SL, Lai SH, Kuo CY. Effect of carbon dioxide tension in the first three days of life on the development of retinopathy of prematurity. Chang Gung Med J 2000; 23:755-60. [PMID: 11416896] [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: 04/16/2023]
Abstract
BACKGROUND This study focuses on the effect of carbon dioxide tension in the first 3 days of life on the development of retinopathy of prematurity (ROP) in mechanically ventilated premature infants. METHODS From January 1997 to June 1998, 91 premature infants (gestational age 28.8 +/- 2.5 weeks, birth weight 1169 +/- 385 g) born in Chung Gung Children's Hospital requiring mechanical ventilation in the first 72 hours were enrolled in our study. Ophthalmic examination was performed initially at 4-6 weeks of age and then every week if ROP was found and every other week if the result was normal until discharge. These infants were divided into 2 groups: those with and without ROP. Medical records of the highest and lowest blood gas measurements were recorded during the first 3 days of life. To screen for possible risk factors related to the development of ROP within these 2 groups, variables comprising perinatal data were compared. RESULTS The perinatal factors were compared, whish showed that infants with ROP had a lower mean gestational age (p < 0.001), mean birth body weight (p < 0.001), and a longer duration under mechanical ventilation (p < 0.001). The severity and incidence of ROP were not affected by either hypercapnia or hypocapnia; even with the superimposed effect of hyperoxia, the effect was minimal. CONCLUSION Hypercarbia or hypocarbia in the first 3 days of mechanically ventilated preterm neonates does not affect the subsequent development of retinopathy of prematurity. However, a lower gestational age and birth weight as well as longer-duration mechanical ventilation might be independent predictors for the occurrence of ROP. The role of PaCO2 in the pathophysiology of retinopathy of prematurity remains undetermined, and further investigation in the future is warranted.
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Affiliation(s)
- S L Liao
- Division of Neonatology, Department of Pediatrics, Chang Gung Children's Hospital, 5 Fu-Shin Street, Kweishan, Taoyuan, Taiwan, R.O.C
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Chu SM, Hsieh WS, Lin JN, Yang PH, Fu RH, Kuo CY. Treatment and outcome of congenital diaphragmatic hernia. J Formos Med Assoc 2000; 99:844-7. [PMID: 11155774] [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: 02/18/2023] Open
Abstract
BACKGROUND AND PURPOSE Congenital diaphragmatic hernia (CDH) is a challenging condition and is associated with a high mortality rate; optimal therapy remains unclear. This retrospective study describes the clinical characteristics of treatment and outcome in 48 infants with CDH. METHODS Twenty-eight male (58%) and 20 female (42%) infants with CDH were treated from 1987 through 1998. The goals of the ventilator strategy were permissive hypercapnea (PaCO2 < or = 55 mm Hg) and avoidance of hyperventilation. Infants were initially ventilated with an intermittent mandatory rate of 40 to 60 per minute, peak inspiratory pressure of 20 to 25 cm H2O, and positive end-expiratory pressure of 5 cm H2O. High-frequency positive pressure ventilation was used if hypoxemia or severe hypercapnea (PaCO2 > 60 mm Hg) occurred. Most infants underwent repair after 3 days of age and only four infants underwent early repair within 24 hours of birth. A prophylactic chest tube was placed in the ipsilateral hemithorax postoperatively in all patients treated before 1996. The severity of respiratory distress was estimated by alveolar-arterial oxygen difference, oxygenation index, and alveolar-arterial ratio. RESULTS Forty-six patients presented with Bochdalek CDH, and two with Morgangni CDH. Antenatal diagnosis was made in 10 cases. Respiratory distress was the major manifestation and usually occurred immediately after birth. Six cases were diagnosed several months after birth and presented mainly with gastrointestinal symptoms. Eleven patients died before surgery and 37 patients underwent surgical repair. Two infants died postoperatively because of congestive heart failure and tension pneumothorax, respectively. The overall mortality rate was 27%. The major causes of mortality were severe respiratory failure, persistent pulmonary hypertension, pneumothorax, and associated anomalies. CONCLUSION Nearly 75% of patients in this series survived. This suggests that noninvasive respiratory care combined with delayed surgery may be an acceptable strategy for the treatment of CDH, and can be used in most medical institutions without equipment for extracorporeal membrane oxygenation therapy.
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Affiliation(s)
- S M Chu
- Department of Pediatrics, Chang Gung University, Taoyuan
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Abstract
OBJECTIVES This study evaluated the effect of the motorcycle helmet law implemented in Taiwan on June 1, 1997. METHODS Collecting data on 8795 cases of motorcycle-related head injuries from 56 major Taiwanese hospitals, we compared the situation 1 year before and after implementation of the helmet law. RESULTS After implementation of the law, the number of motorcycle-related head injuries decreased by 33%, from 5260 to 3535. Decreases in length of hospital stay and in severity of injury and better outcome were also seen. The likelihood ratio chi 2 test showed that severity decreased after the law's implementation (P < .001). Full helmets were found to be safer than half-shell helmets. CONCLUSION The helmet law effectively decreased the mortality and morbidity from motorcycle-related head injuries.
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Affiliation(s)
- W T Chiu
- Taipei Municipal Wan-Fang Hospital, Taiwan
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29
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Huang YC, Lin TY, Lien RI, Chou YH, Kuo CY, Yang PH, Hsieh WS. Candidaemia in special care nurseries: comparison of albicans and parapsilosis infection. J Infect 2000; 40:171-5. [PMID: 10841095 DOI: 10.1053/jinf.2000.0638] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.6] [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: 11/11/2022]
Abstract
OBJECTIVES Candidaemia caused by Candida parapsilosis (CP) is being increasingly reported among infants in neonatal intensive care units (NICU). To assess relative severity, clinical manifestations of candidaemia caused by C. albicans (CA) and CP in a NICU were compared. METHODS Between January 1994 and July 1997, episodes of candidaemia occurring among infants hospitalized in the NICU were identified in a children's hospital. The demographic characteristics, associated risk factors, clinical manifestations and outcome of the infants with CP fungaemia were collected and compared with those of the infants with CA fungaemia. RESULTS Twenty-four episodes caused by CA and 22 episodes caused by CP were included in this study. No significant differences were found between the two groups for gestational age, birth weight, male gender, post-natal age at onset of candidaemia, frequency of antecedent neonatal events, prior duration of antibiotic therapy and hyperalimentation, as well as presence of central venous catheter (CVC). Infants with CA fungaemia were significantly more likely than those with CP fungaemia to present with hypoxaemia, bradycardia and respiratory distress requiring intubation, and have a longer prior duration of indwelling CVC and a higher dissemination rate. The eradication rate of candidaemia and overall case fatality rate were comparable in both groups. but CP fungaemia did not appear to cause acute lethal events. CONCLUSION The presenting signs of CP fungaemia are relatively not so severe, but CP fungaemia, which is relatively difficult to eradicate, increases the morbidity and mortality of the infants.
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Affiliation(s)
- Y C Huang
- Division of Paediatric Infectious Diseases, Chang Gung Children's Hospital, Chang Gung University, Kweishan, Taoyuan, Taiwan
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Liu TT, Chen JB, Chen WJ, Kuo CY, Lee CT. Idiopathic myelofibrosis associated with renal extramedullary hematopoiesis and nephrotic syndrome: case report. Chang Gung Med J 2000; 23:169-74. [PMID: 15641221] [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: 05/01/2023]
Abstract
Idiopathic myelofibrosis is characterized by bone marrow fibrosis, anemia, leukoerythroblastosis, and extramedullary hematopoiesis in many organs. Renal abnormalities in idiopathic myelofibrosis have been rarely described in the literature and include extramedullary hematopoiesis in the pararenal or retroperitoneal areas resulting in obstructive uropathy and hemtopoietic cell infiltration in tubulointerstitial area and urolithiasis. These lead to azotemia or acute renal failure, which may respond well to radiotherapy and adjuvant chemotherapy. To our knowledge, there has been only one case report of nephrotic syndrome associated with glomerulonephritis in a myelofibrosis patient; however, no effective treatment was described. Herein, we report the case of a patient with idiopathic myelofibrosis who initially presented with hepatomegaly, anemia, and leukoerythroblastosis. A nephrotic syndrome developed 7 years after initial diagnosis. Renal biopsy disclosed the unique pathological finding of simultaneous mesangial proliferative glomerulonephritis, renal extramedullary hematopoiesis, and gouty nephropathy. Despite treatment with busulfan, proteinuria persisted that implied irreversible glomerular injury and a terminal prognosis. We focus on the unusual pathological finding and the association between nephrotic syndrome and idiopathic myelofibrosis.
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Affiliation(s)
- T T Liu
- Division of Nephrology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung.
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31
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Yang LY, Wu JC, Wong SL, Kuo CY, Eng HL. Multiple myeloma presenting with a paraspinal tumor and malignant effusion: case report. Changgeng Yi Xue Za Zhi 1999; 22:293-8. [PMID: 10493038] [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: 02/14/2023]
Abstract
We describe a patient with multiple myeloma which presented as a thoracic paraspinal tumor and myelomatous pleural effusion. He had manifested a gradual onset of upper back pain with radiation to the left chest wall for 3 months. A radiographic examination showed left pleural effusion and a paraspinal tumor with rib destruction at the--left T5-6 level. Laboratory data showed anemia and a reversed serum albumin to globulin ratio. Protein electrophoresis and immunoelectrophoresis showed a monoclonal IgG-lambda chain component in the serum, urine, and pleural effusion fluid. Ultrasound-guided transthoracic mass biopsy and thoracentesis were performed for diagnosis. Biopsy of the thoracic tumor showed a solid mass composed of immature plasma cells. The pleural effusion fluid contained numerous immature plasma cells. An immunophenotype study of the pleural effusion fluid revealed monoclonal plasma cells, compatible with malignant pleural effusion. A specimen of bone marrow was interpreted as typical for plasma cell myeloma. Local radiotherapy and chemotherapy with melphalan and prednisolone resulted in good partial remission with a stable condition. Later, however, the disease flared up and hyperviscosity syndrome developed with epistaxis and retinal hemorrhage. He died of sepsis about 15 months after the initial diagnosis.
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Affiliation(s)
- L Y Yang
- Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C
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32
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Abstract
Two young men with severe hypercalcemia in association with renal failure (one acute and one chronic) are reported in whom usual diagnostic tests failed to reveal an etiology, and the final diagnoses were given by bone marrow examinations. Early bone marrow examinations in specific patients with hypercalcemia of undetermined origin sometimes are vital as shown by our two patients.
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Affiliation(s)
- K K Lam
- Department of Internal Medicine, Chang Gung Memorial Hospital at Kaohsiung, Taiwan.
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Kuo CY, Cheng YW, Chen CY, Lee H. Correlation between the amounts of polycyclic aromatic hydrocarbons and mutagenicity of airborne particulate samples from Taichung City, Taiwan. Environ Res 1998; 78:43-49. [PMID: 9630444 DOI: 10.1006/enrs.1998.3838] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Taichung is the largest city in the central part of Taiwan, and its air pollution problems are similar to those in other large cities around the world. To evaluate the potential of the air pollution and identify major pollutant sources in this city, 181 airborne particulate samples were collected biweekly from seven locations around Taichung over an entire year. The mutagenicity of acetone extracts of the air samples was evaluated using the Salmonella/microsomal test with Salmonella typhimurium TA98 in the presence and absence of S9 mixtures. The air samples from September 1994 showed the highest direct and indirect mutagenicity among the 12 months, whereas those from October and June had the lowest direct and indirect mutagenicity, respectively. To elucidate the correlation between mutagenicity and polycyclic aromatic hydrocarbons (PAHs), high-performance liquid chromatography was used to determine the amount of each of 10 PAHs in the air samples. Among the 10 PAHs, the monthly average amount of B[g,h,i]P in the samples was the highest, followed by B[a]FA, B[a]P, and B[k]FA. Linear regression analysis showed a positive correlation between monthly average total amounts of PAHs and indirect mutagenicity. The monthly average amount of B[g,h,i]P was correlated more with indirect mutagenicity than with other PAHs. B[g,h,i]P is an indicator PAH emitted from both diesel and gasoline engine exhaust. Thus, we suggest that mobile air pollutant sources in Taichung City may be more significant than stationary ones. Moreover, B[g,h,i]P seems to act as a mutagenicity indicator compound in air samples from Taichung City.
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Affiliation(s)
- C Y Kuo
- Institute of Toxicology, Chung Shan Medical and Dental College, Taichung, Taiwan, Republic of China
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Kuo CY, Hsueh C, Wang CR. Liquid ventilation for treatment of meconium aspiration syndrome in a piglet model. J Formos Med Assoc 1998; 97:392-9. [PMID: 9650467] [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: 02/08/2023] Open
Abstract
We tested the hypothesis that liquid ventilation (LV) with perfluorocarbon (PFC) can remove aspirated meconium and improve lung function in experimental meconium aspiration syndrome (MAS). PFC (FC-77) was used as the medium in LV. Sixteen piglets were divided into control and LV groups (8 animals/group). All animals received slurry meconium (20% in normal saline) via endotracheal instillation at baseline. Thirty minutes later, the LV group received 15 cycles of LV. Pulmonary mechanics, arterial blood gases, and hemodynamic values were recorded at baseline, and 30, 60, 120, 180, and 240 minutes after meconium instillation. Chest radiographs and lung sections were taken and scored at the end of the study. The percentage of meconium cleared by LV was calculated as the ratio of the dry weight of washings to that of meconium instilled, multiplied by 100. The procedure was tolerated well by the animals. LV cleared 25% +/- 7% of the instilled meconium. Tidal volume (9.5 +/- 2.0 vs 7.1 +/- 0.8 mL/kg, p = 0.012), respiratory system compliance (2.32 +/- 0.60 vs 1.60 +/- 0.24 mL/cmH2O, p = 0.01), PaO2 (65 +/- 7 torr vs 55 +/- 6 torr, p = 0.0067), and arterial to alveolar oxygen ratio (0.14 +/- 0.01 vs 0.12 +/- 0.01, p = 0.0077) were improved in the LV group at 60 minutes after meconium instillation compared with those of the control group. The scores of exudative debris (1.7 +/- 0.3 vs 2.1 +/- 0.2) and visible meconium (1.4 +/- 0.5 vs 2.1 +/- 0.5) were significantly lower in the LV group. In conclusion, short-term L.V with FC-77 can partially remove aspirated meconium from the lungs and improve pulmonary function transiently.
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Affiliation(s)
- C Y Kuo
- Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan
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Abstract
A direct ion chromatographic method of measuring carboxylic acids was modified and expanded to include measurement of eight components at parts-per-billion levels. These components, listed by eluting order, were acetate, propionate, formate, pyruvate, glyoxalate, dichloroacetate, oxalate and ketomalonate. The calculated method detection limits were 2-6 micrograms/l. Preliminary data were obtained by using California state project water from the filter influent of the Oxidation Demonstration Plant of the Metropolitan Water District of Southern California. Oxalate was measured at levels above 200 micrograms/l, formate above 100 micrograms/l, acetate above 50 micrograms/l, pyruvate and glyoxalate at approximately 30 micrograms/l and propionate and ketomalonate at trace levels near the detection limits. This method utilizes a new preservative, benzalkonium chloride, as a substitute for the environmentally unsafe mercuric chloride that had previously been used. Preservation studies indicate that all eight compounds are stable for a testing period of 30 days when benzalkonium chloride is maintained at or above 30 mg/l in the water sample.
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Affiliation(s)
- C Y Kuo
- Metropolitan Water District of Southern California, Water Quality Division, La Verne, CA 91750-3399, USA
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Chen HY, Chen SS, Chiu WT, Lee LS, Hung CI, Hung CL, Wang YC, Hung CC, Lin LS, Shih YH, Kuo CY. A nationwide epidemiological study of spinal cord injury in geriatric patients in Taiwan. Neuroepidemiology 1997; 16:241-7. [PMID: 9346344 DOI: 10.1159/000109693] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.3] [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: 02/05/2023] Open
Abstract
This prospective epidemiological survey of spinal cord injury (SCI) in Taiwan was carried out among patients attended by physicians from various medical centers and general hospitals all over Taiwan from July 1992 to June 1996. In all, 1,586 new cases of SCI were registered, representing about 70% of all possible SCI cases in Taiwan. The observed average annual incidence of SCI in Taiwan was 18.8 per million people, whereas it was 47.5 for the geriatric section. The mean age was 46.1 years with a plateau distribution after 20 years and older. Geriatric victims (297 cases, 18.7%, group II) formed a major section of SCI cases in Taiwan. Another group of younger SCI patients (15-64 years old, 1,232 cases, group I) was selected for comparison. The results showed that the male-to-female ratio, pattern of neurological deficits, and causes of injury and death of geriatric SCI patients differed significantly from those of the younger SCI group. Elderly women were exposed to a higher risk of SCI than younger women (M/F ratio 1.7:1). Falls were the leading cause of geriatric SCI, and two thirds of them occurred on level ground. Traffic accidents accounted for a third of SCI cases, half of which involved motorcycle accidents, a fifth of them pedestrians. Quadriplegia and quadriparesis occurred more frequently among elderly cases of SCI than in the younger group and a higher proportion of them died of SCI complications. Two thirds of elderly SCI patients recovered well enough after comprehensive treatment to be able to take care of themselves at home. The government should initiate programs of prevention to reduce the prevalence of geriatric SCI in Taiwan.
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Affiliation(s)
- H Y Chen
- Head and Spinal Cord Injury Research Group, Neurological Society, Taipei, Taiwan/ROC
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Jackson JH, Vollenweider M, Hill J, Rodriguez H, Schwabacher AW, Mitra G, Kuo CY. Stimulated human leukocytes cause activating mutations in the K-ras protooncogene. Oncogene 1997; 14:2803-8. [PMID: 9190896 DOI: 10.1038/sj.onc.1201118] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Human tissues which are chronically infiltrated with inflammatory leukocytes are more likely to develop malignancies than non-inflamed tissues, however the mechanism(s) by which leukocytes contribute to carcinogenesis is unknown. Stimulated human leukocytes release superoxide anion and hydrogen peroxide which, in the presence of iron, can be converted into the potent oxidant, hydroxyl radical (.OH). Previous studies have shown that leukocyte-derived .OH (or a .OH-like species) can cause DNA damage, however a relationship between leukocyte-induced DNA damage and carcinogenesis has not been established. The present report demonstrates that leukocyte-derived .OH-induced DNA damage can cause K-ras oncogene activation, and suggests that there may be a characteristic pattern of .OH-induced K-ras oncogene activation. Since activation of the K-ras oncogene is believed to play a crucial role in the pathogenesis of many human malignancies, .OH-induced K-ras oncogene activation could be an important mechanism by which human leukocytes contribute to carcinogenesis.
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Affiliation(s)
- J H Jackson
- Department of Immunology, The Scripps Research Institute, La Jolla, California 92037, USA
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Abstract
PURPOSE To characterize retinal electrophysiologic and psychophysical abnormalities associated with membranoproliferative glomerulonephritis type II. METHODS Three adults with membranoproliferative glomerulonephritis type II were studied. Retinal function was measured psychophysically (automated perimetry, Farnsworth D-15 color vision testing, and dark adaptometry) and electrophysiologically (full-field flash electroretinography and electro-oculography). RESULTS Two symptomatic individuals had prominent drusenlike deposits and retinal pigment epithelial disturbances, findings characteristic of membranoproliferative glomerulonephritis type II retinopathy. These individuals had mild visual field and color vision abnormalities, prolonged dark adaptation, and delayed electroretinographic dark-adapted dim and bright flash responses of normal amplitude. The electro-oculogram of the most severely affected individual was abnormal. The third individual who was asymptomatic had the mildest fundus abnormalities and exhibited normal psychophysical and electrophysiologic responses. CONCLUSIONS Membranoproliferative glomerulonephritis type II retinopathy may be associated with symptomatic and measurable psychophysical and electrophysiologic abnormalities of retinal function.
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Affiliation(s)
- R Y Kim
- Department of Ophthalmology, University of California, San Francisco 94143-0730, USA.
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Kuo CY. Relief of protracted hypercarbia by high-frequency oscillatory ventilator in a young infant with bronchopulmonary dysplasia. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1997; 38:57-60. [PMID: 9066192] [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: 02/03/2023]
Abstract
Conventional ventilators have their limitations in management of certain conditions such as protracted hypercarbia in bronchopulmonary dysplasia (BPD). Although high-frequency ventilators (HFV) may be less effective in patients with lung diseases complicated by high airway resistance, such as BPD, high-frequency oscillatory ventilators (HFOV) can still provide an alternative treatment of choice due to its property of active exhalation, in addition to its tidal volume being less than dead space and its minute ventilation being more dependent on tidal volume. This report describes 3 episodes of successful relief of protracted hypercarbia in a young infant with BPD using HFOV after failure of conventional ventilatory therapy.
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Affiliation(s)
- C Y Kuo
- Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Medical College, Taoyuan, Taiwan, R.O.C
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Kuo CY, Chang PC, Wei JS. The effect of decoction of Artemisia, Rheum, and Gardeniae in a piglet model of hyperbilirubinemia. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1996; 37:253-6. [PMID: 8854345] [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: 02/02/2023]
Abstract
To find an alternative treatment for neonatal hyperbilirubinemia, the effect of a decoction of Artemisia Rheum Gardeniae was tested in an animal model. Fifteen male newborn piglets (four to six days old) were separated into three groups (five piglets/group). The animals of the first group, or Control Group, were intravenously infused with purified bilirubin (40 mg/kg) to simulate neonatal indirect hyperbilirubinemia. The animals of the second and the third groups received the decoction via oral-gastric tube feeding (Enteral Treatment Group) and intravenous injection (Parenteral Treatment Group), respectively, after infusion of bilirubin. Serum bilirubin levels were determined at 0, 0.5, 1, 2, 4 and 8 hours in these groups. The results revealed no significant effect of the decoction on hyperbilirubinemia within eight hours. The implication of this study suggests that a decoction of Artemisia Rheum Gardeniae may be not useful in the treatment of neonatal hyperbilirubinemia.
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Affiliation(s)
- C Y Kuo
- Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, R.O.C
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Kuo CY, Gerhardt T, Bolivar J, Claure N, Bancalari E. Effect of leak around the endotracheal tube on measurements of pulmonary compliance and resistance during mechanical ventilation: a lung model study. Pediatr Pulmonol 1996; 22:35-43. [PMID: 8856802 DOI: 10.1002/(sici)1099-0496(199607)22:1<35::aid-ppul6>3.0.co;2-j] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [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: 02/02/2023]
Abstract
We studied the effect of leaks around the endotracheal tube (ETT) on the measurement of pulmonary mechanics during mechanical ventilation. We also evaluated the influence of different ventilator settings on the magnitude of leak. An adjustable leak was created at the end of the ETT in a lung model with constant compliance. Flow, tidal volume, and pressure changes were measured above and below the leak. Compliance (Ci) and resistance (Ri) during inspiration were determined by linear regression analysis (LRA) using the equation of motion and the Mead and Wittenberger method (MWM). The ventilatory change that influenced the degree of leak most was prolongation of inspiratory time (Ti). The presence of a leak around the ETT resulted in an overestimation of the Ci and Ri values, which was proportional to the size of the leak. This overestimation was also influenced by the method used to determine Ci and Ri. Because the contribution of the leak to the fidal volume progressively increases as inspiration continued, methods of analysis that depended mainly on measurement points at the end of inspiration showed a larger deviation from the true Ci and Ri values than methods mainly influenced by measurement points at the beginning of inspiration. Because of this, shortening of inspiration, or analysis of points at the beginning of inspiration reduces the error in the measurements of Ci and Ri when a leak is present. Breaths with a large leak should be excluded from any analysis of pulmonary mechanics.
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Affiliation(s)
- C Y Kuo
- University of Miami School of Medicine, Department of Pediatrics, FL 33101, USA
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42
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Kuo CY. Neonatal endotracheal tube leakage and compliance and resistance measurements. J Formos Med Assoc 1996; 95:218-24. [PMID: 8857254] [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: 02/02/2023] Open
Abstract
The effects of neonatal endotracheal tube (ETT) leakage on inspiratory compliance (Ci) and resistance (Ri) were examined using a lung model with constant compliance. An air leak was created at the end of an ETT. Flow was measured at, above and below the leak by a hot wire anemometer and a pneumotach. Tidal volume (VT) was derived from digitally integrated flow. Pressure was measured at the side port of the ETT adaptors above and below the leak. Percent of air leak (% leak) was defined as the difference between inspiratory volume above (VTa) and below (VTb) the leak divided by VTa and multiplied by 100. Ci and Ri were analyzed conventionally and by linear regression. Percent error of Ci was defined as the difference between inspiratory compliance above the leak (Cia) and below the leak (Cib) divided by Cia and multiplied by 100. The results showed that the inspiratory time (Ti) of the ventilatory setting is the most important factor for determining %leak. Percent error of Ci is in proportion to %leak. The change in inspiratory resistance is complicated, depending on the ventilatory setting, leak site resistance and the method of analysis. This study demonstrates the origin of the computational error in breaths with ETT leakage diagramatically and by use of mathematics. It suggests that air leakage may contribute to a high variability in compliance and resistance measurements.
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Affiliation(s)
- C Y Kuo
- Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan
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43
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Kuo CY. Treatment of patent ductus arteriosus with low-dose indomethacin in very low birth weight neonates with impairment of renal function: report of three cases. J Perinat Med 1996; 24:657-60. [PMID: 9120749 DOI: 10.1515/jpme.1996.24.6.657] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [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: 02/04/2023]
Abstract
This paper reports three cases of very low-birth-weight preterm infants with impairment in renal function and occurring simultaneously with patent ductus arteriosus (PDA). The PDA was treated successfully with low-dose indomethacin without adverse effects. Only one patient had recurrence of the PDA, and the PDA was closed again in this case without problems using the same regimen. One of the other two cases died of necrotizing enterocolitis one month later. The hospital course of the remaining case was uneventful thereafter. It is suggested that low-dose indomethacin can be applied safely in a situation that is conventionally regarded to be a contraindication to the use of indomethacin such as impairment in renal function.
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Affiliation(s)
- C Y Kuo
- Department of Pediatrics, Chang Gun Children's Hospital, Taoyuan Hsien, Taiwan, Rep. of China
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45
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Nathan B, Floor E, Kuo CY, Wu JY. Synaptic vesicle-associated glutamate decarboxylase: identification and relationship to insulin-dependent diabetes mellitus. J Neurosci Res 1995; 40:134-7. [PMID: 7714921 DOI: 10.1002/jnr.490400115] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [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: 01/26/2023]
Abstract
Glutamic acid decarboxylase (GAD) catalyzes the biosynthesis of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA). GAD has been suggested as an autoantigen in insulin-dependent diabetes mellitus and stiff-man syndrome. Recently, three forms of membrane-associated GAD (MGAD) have been characterized in porcine brain, but the subcellular localization and function of these proteins are unknown. We present evidence that GAD activity is associated with synaptic vesicles from porcine brain. These vesicles contain a 60 kDa protein recognized by serum from patients with insulin-dependent diabetes mellitus, probably MGADII, as shown by subcellular fractionation and immunoblotting. These results raise the possibility that the association of MGADII with synaptic vesicles may be crucial for its role as an autoantigen in insulin-dependent diabetes mellitus.
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Affiliation(s)
- B Nathan
- Department of Physiology and Cell Biology, University of Kansas, Lawrence 66045-2106
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46
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Chung MT, Kuo CY, Wang JW, Hsieh WS, Huang CB, Lin JN. Gastric perforation in the neonate: clinical analysis of 12 cases. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1994; 35:460-5. [PMID: 7942035] [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
Gastric perforation is a rare abdominal catastrophe which associated with high mortality in newborn infants. From June 1978 to July 1991, twelve cases of neonatal gastric perforation presented at Chang Gung Memorial Hospital. Male to female ratio was 9:3. The most common presenting signs were abdominal distension (100%), feeding intolerance (92%), respiratory distress (67%) and poor activity (58%). All cases had significant symptoms between two and five days of age. All of the abdominal plain film showed pneumoperitonium. The most common site of perforation was the great curvature of the stomach (83%). Among the 10 pathological reports available, 8 cases had ischemic change and 2 cases had hemorrhage and inflammatory cell infiltration. There was a high mortality rate of 58% in this series. Male, hyponatremia (serum sodium < 130 meq/l) and metabolic acidosis (pH < 7.3) were poor prognostic factors. This report suggests that early diagnosis and early management before clinical deterioration of the metabolic status may improve prognosis for neonatal gastric perforation patients.
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Affiliation(s)
- M T Chung
- Department of Pediatrics and Pediatric Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C
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47
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Chen WF, Huang SC, Kuo CY. Osteogenesis imperfecta in a family. Changgeng Yi Xue Za Zhi 1994; 17:168-72. [PMID: 8069742] [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
Osteogenesis imperfecta (OI) is a rare, inherited condition in which not only the bones are abnormally brittle but also abnormalities in the ligamentous structures, of the eye, ear and skin coexist. Three members of the same family experienced the pathologic fractures with squaring deformity, but no blue sclerae or deafness. They presented with a relatively benign course treated conservatively.
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Affiliation(s)
- W F Chen
- Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C
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48
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Nathan B, Bao J, Hsu CC, Yarom M, Deupree DL, Lee YH, Tang XW, Kuo CY, Burghen GA, Wu JY. An integral membrane protein form of brain L-glutamate decarboxylase: purification, characterization and its relationship to insulin-dependent diabetes mellitus. Brain Res 1994; 642:297-302. [PMID: 8032892 DOI: 10.1016/0006-8993(94)90934-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
A new and novel form of L-glutamate decarboxylase (GAD; EC 4.1.1.15) was purified from whole porcine brain to apparent homogeneity by a combination of column chromatographies on DE-52, ultragel AcA 34, hydroxylapatite and Sephadex G-200, and native gel electrophoresis. The purified GAD was established as an integral membrane protein based on hydrophobic interaction chromatography and membrane extraction studies. This membrane GAD (MGAD) has a native molecular weight of 120 +/- 5 kDa and is a homodimer of 60 +/- 2 kDa. Immunoprecipitation and immunoblotting tests using the sera from insulin-dependent diabetes mellitus (IDDM) patients revealed the presence of antibodies against this newly identified MGAD in IDDM. The role of MGAD in the pathogenesis of IDDM and related autoimmune disorders is also discussed.
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Affiliation(s)
- B Nathan
- Department of Physiology and Cell Biology, University of Kansas, Lawrence 66045
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49
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Huang CC, Cheng YF, Kuo CY, Lee TY, Tsai CC. Magnetic resonance imaging of the kidneys in paroxysmal nocturnal hemoglobinuria. Changgeng Yi Xue Za Zhi 1994; 17:100-4. [PMID: 8205492] [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: 01/29/2023]
Abstract
Paroxysmal nocturnal hemoglobinuria (PNH) is a blood cell disorder characterized by repeated intravascular hemolysis. Histologically, there is hemosiderin deposition in the proximal tubular cells of the renal cortex. We report a case of PNH with characteristic magnetic resonance findings. The signal intensity of the renal cortex was markedly decreased in various pulse sequences because of the T2-shortening paramagnetic effect of hemosiderin. The significance of signal intensity ratios between renal cortex and medulla, renal cortex and skeletal muscle are discussed. These ratios of the PNH patient are significantly different from those of normal controls (p = 0.0000).
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Affiliation(s)
- C C Huang
- Department Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C
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50
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Nathan B, Bao J, Hsu CC, Aguilar P, Wu R, Yarom M, Kuo CY, Wu JY. A membrane form of brain L-glutamate decarboxylase: identification, isolation, and its relation to insulin-dependent mellitus. Proc Natl Acad Sci U S A 1994; 91:242-6. [PMID: 8278373 PMCID: PMC42923 DOI: 10.1073/pnas.91.1.242] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
A membrane form of L-glutamate decarboxylase (GAD) was identified and purified to apparent homogeneity from hog brain. The purified GAD was established as an integral membrane protein by phase-partitioning assay, charge-shift electrophoresis, and chromatography on a hydrophobic interaction column. This membrane GAD has a native molecular mass of 96 +/- 5 kDa and is a homodimer of 48 +/- 3-kDa subunits. Immunoprecipitation and immunoblotting tests revealed the presence of antibodies against this membrane GAD in sera from patients with insulin-dependent diabetes mellitus. Since this form of GAD appears to be an integral membrane protein and is presumed to have extracellular domains exposed, it seems reasonable to suggest that membrane GAD is more likely than soluble GAD to be involved in the pathogenesis of insulin-dependent diabetes and related autoimmune disorders such as stiff-man syndrome.
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Affiliation(s)
- B Nathan
- Department of Physiology and Cell Biology, University of Kansas, Lawrence 66045-2106
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