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Yeung KSK, Kwok CY, Chow YF. Anaesthesia in a patient with COVID-19 undergoing elective lower segment caesarean section: a case report. Hong Kong Med J 2021; 27:210-212. [PMID: 34127562 DOI: 10.12809/hkmj208944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- K S K Yeung
- Department of Anaesthesiology and Operating Theatre Services, Queen Elizabeth Hospital, Hong Kong
| | - C Y Kwok
- Department of Anaesthesiology and Operating Theatre Services, Queen Elizabeth Hospital, Hong Kong
| | - Y F Chow
- Department of Anaesthesiology and Operating Theatre Services, Queen Elizabeth Hospital, Hong Kong
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Kwok CY, Pang Q, Worku A, Liang X, Gauthier M, Nazar LF. Impact of the Mechanical Properties of a Functionalized Cross-Linked Binder on the Longevity of Li-S Batteries. ACS Appl Mater Interfaces 2019; 11:22481-22491. [PMID: 31141332 DOI: 10.1021/acsami.9b06456] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
One of the very challenging aspects of Li-S battery development is the fabrication of a sulfur electrode with high areal loading using conventional Li-ion binders. Herein, we report a new multifunctional polymeric binder, synthesized by the free-radical cross-linking polymerization of [2-(acryloyloxy)ethyl]trimethylammonium chloride (AETMAC) and ethylene glycol diacrylate (EGDA) to form poly(AETMAC- co-EGDA), that not only helps to confine the soluble polysulfide species but also has the desired mechanical properties to allow stable cycling of high-sulfur loading cathodes. Through a combination of spectroscopic and electrochemical studies, we elucidate the chemical interactions that inhibit polysulfide shuttling. We also show that extensive cross-linkage enables this polymeric binder to exhibit a low degree of swelling as well as high tensile modulus and toughness. These attributes are essential to maintain the architectural integrity of the sulfur cathode during extended cycling. Using this material, Li-S cells with a high-sulfur loading (6.0 mg cm-2) and a low-intermediate electrolyte/sulfur ratio (7 μL:1 mg) achieve an areal capacity of 5.4 mA h cm-2 and can be (dis)charged for 300 cycles with stable reversible redox behavior after the initial cycles.
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Wang P, Michael A, Kwok CY. High aspect ratio sharp nanotip for nanocantilever integration at CMOS compatible temperature. Nanotechnology 2017; 28:32LT01. [PMID: 28718454 DOI: 10.1088/1361-6528/aa7a54] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In this paper, we demonstrate a novel low temperature nanofabrication approach that enables the formation of ultra-sharp high aspect ratio (HAR) and high density nanotip structures and their integration onto nanoscale cantilever beams. The nanotip structure consists of a nanoscale thermally evaporated Cr Spindt tip on top of an amorphous silicon rod. An apex radius of the tip, as small as 2.5 nm, has been achieved, and is significantly smaller than any other Spindt tips reported so far. 100 nm wide tips with aspect ratio of more than 50 and tip density of more than 5 × 109 tips cm-2 have been fabricated. The HAR tips have been integrated onto an array of 460 nm wide cantilever beams with high precision and yield. In comparison with other approaches, this approach allows the integration of HAR sharp nanotips with nano-mechanical structures in a parallel and CMOS compatible fashion for the first time to our knowledge. Potential applications include on-chip high-speed atomic force microscopy and field emission devices.
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Affiliation(s)
- P Wang
- The University of New South Wales, Sydney, NSW, Australia
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Abstract
We computationally study the micromechanics of shear-induced size segregation and propose distinct migration mechanisms for individual large and small particles. While small particles percolate through voids without enduring contacts, large particles climb under shear through their crowded neighborhoods with anisotropic contact network. Particle rotation associated with shear is necessary for the upward migration of large particles. Segregation of large particles can be suppressed with inadequate friction, or with no rotation; increasing interparticle friction promotes the migration of large particles, but has little effect on the percolation of small particles.
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Affiliation(s)
- L Jing
- Department of Civil Engineering, The University of Hong Kong, Pokfulam Road, Hong Kong, China
| | - C Y Kwok
- Department of Civil Engineering, The University of Hong Kong, Pokfulam Road, Hong Kong, China
| | - Y F Leung
- Department of Civil and Environmental Engineering, The Hong Kong Polytechnic University, Hong Kong, China
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Abstract
Base roughness plays an important role in the dynamics of granular flows but is still poorly understood due to the difficulty of its quantification. For a bumpy base made of spheres, at least two factors should be considered in order to characterize its geometric roughness, namely, the size ratio of flow to base particles and the packing arrangement of base particles. In this paper, we propose an alternative definition of base roughness, R_{a}, as a function of both the size ratio and the distribution of base particles. This definition is generalized for random and regular packings of multilayered spheres. The range of possible values of R_{a} is presented, and optimal arrangements for maximizing base roughness are studied. Our definition is applied to granular chute flows in both two- and three-dimensional configurations, and is shown to successfully predict whether slip occurs at the base. A transition is observed from slip to nonslip conditions as R_{a} increases. Critical values of R_{a} are identified for the construction of a nonslip base at various angles of inclination.
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Affiliation(s)
- L Jing
- Department of Civil Engineering, The University of Hong Kong, Haking Wong Building, Pokfulam Road, Hong Kong
| | - C Y Kwok
- Department of Civil Engineering, The University of Hong Kong, Haking Wong Building, Pokfulam Road, Hong Kong
| | - Y F Leung
- Department of Civil & Environmental Engineering, The Hong Kong Polytechnic University, Hong Kong
| | - Y D Sobral
- Departamento de Matemática, Universidade de Brasília, Campus Universitário Darcy Ribeiro, 70910-900 Brasília, DF, Brazil
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Kwok CY, Li C, Cheng HL, Ng YF, Chan TY, Kwan YW, Leung GPH, Lee SMY, Mok DKW, Yu PHF, Chan SW. Cholesterol lowering and vascular protective effects of ethanolic extract of dried fruit of Crataegus pinnatifida, hawthorn (Shan Zha), in diet-induced hypercholesterolaemic rat model. J Funct Foods 2013. [DOI: 10.1016/j.jff.2013.04.020] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Wan CW, Wong CNY, Pin WK, Wong MHY, Kwok CY, Chan RYK, Yu PHF, Chan SW. Chlorogenic acid exhibits cholesterol lowering and fatty liver attenuating properties by up-regulating the gene expression of PPAR-α in hypercholesterolemic rats induced with a high-cholesterol diet. Phytother Res 2012; 27:545-51. [PMID: 22674675 DOI: 10.1002/ptr.4751] [Citation(s) in RCA: 149] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2012] [Accepted: 05/05/2012] [Indexed: 11/11/2022]
Abstract
Hypercholesterolemia is a major risk factor for the development of cardiovascular disease and nonalcoholic fatty liver disease. Natural compounds have been proved to be useful in lowering serum cholesterol to slow down the progression of cardiovascular disease and nonalcoholic fatty liver disease. In the present study, the hypocholesterolemic and hepatoprotective effects of the dietary consumption of chlorogenic acid were investigated by monitoring plasma lipid profile (total cholesterol, triglycerides, high-density lipoprotein and low-density lipoprotein) in Sprague-Dawley rats fed with a normal diet, a high-cholesterol diet or a high-cholesterol diet supplemented with chlorogenic acid (1 or 10 mg/kg/day p.o.) for 28 days. Chlorogenic acid markedly altered the increased plasma total cholesterol and low-density lipoprotein but decreased high-density lipoprotein induced by a hypercholesterolemic diet with a dose-dependent improvement on both atherogenic index and cardiac risk factor. Lipid depositions in liver were attenuated significantly in hypercholesterolemic animals supplemented with chlorogenic acid. It is postulated that hypocholesterolemic effect is the primary beneficial effect given by chlorogenic acid, which leads to other secondary beneficial effects such as atheroscleroprotective, cardioprotective and hepatoprotective functions. The hypocholesterolemic functions of chlorogenic acid are probably due to the increase in fatty acids unitization in liver via the up-regulation of peroxisome proliferation-activated receptor α mRNA.
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Affiliation(s)
- Chun-Wai Wan
- Food Safety and Technology Research Centre, Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong, SAR, China
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Chan E, Wong CYK, Wan CW, Kwok CY, Wu JH, Ng KM, So CH, Au ALS, Poon CCW, Seto SW, Kwan YW, Yu PHF, Chan SW. Evaluation of Anti-Oxidant Capacity of Root of Scutellaria baicalensis Georgi, in Comparison with Roots of Polygonum multiflorum Thunb and Panax ginseng CA Meyer. Am J Chin Med 2012; 38:815-27. [DOI: 10.1142/s0192415x10008263] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
In Chinese communities, regular consumption of Chinese-medicated diets (CMD) (usually in the form of soup) is a traditional practice to promote health and prevent disease development. The overall improvement of health conditions is believed to be correlated with the anti-oxidant potentials of these herbs. Huangqin, roots of Scutellaria baicalensis Georgi (Lamiaceae), is one of the herbs commonly used in CMD. In this study, the anti-oxidant capacities of Huangqin extracts (water, ethanol and ether extracts) were evaluated and compared to commonly used CMD herbs, Heshouwu, roots of Polygonum multiflorum Thunb (Polygonaceae) and Renshen (or Ginseng), roots of Panax ginseng CA Meyer (Araliaceae). The anti-oxidant capacities were measured by using both cell-free assay [ferric reducing/anti-oxidant power (FRAP)] and biological methods [2,2'-azobis–(2-amidinopropane) (AAPH)-induced haemolysis assay and H2O2 -induced cell damage on H9C2 cells]. Additionally, the total phenolic content was measured using Folin-Ciocalteu methods. Water extract of Huangqin has the highest anti-oxidant activities compared to the ethanol and ether extracts. A positive relationship between the anti-oxidant effects and total phenolic contents of extracts was demonstrated. This shows that Huangqin could be an effective dietary anti-oxidant that can be consumed regularly as a functional food for the prevention of oxidant/free radical-related diseases.
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Affiliation(s)
- Enoch Chan
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Cynthia Ying-Kat Wong
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Chun-Wai Wan
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Ching-Yee Kwok
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Jian-Hong Wu
- State Key Laboratory of Chinese Medicine and Molecular Pharmacology, Shenzhen, China
| | - Kar-Man Ng
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Chi-Hang So
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Alice Lai-Shan Au
- Institute of Vascular Medicine, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Christina Chui-Wa Poon
- Institute of Vascular Medicine, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Sai-Wang Seto
- Institute of Vascular Medicine, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Yiu-Wa Kwan
- Institute of Vascular Medicine, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Peter Hoi-Fu Yu
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
- State Key Laboratory of Chinese Medicine and Molecular Pharmacology, Shenzhen, China
| | - Shun-Wan Chan
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, China
- State Key Laboratory of Chinese Medicine and Molecular Pharmacology, Shenzhen, China
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Tang WM, Chan E, Kwok CY, Lee YK, Wu JH, Wan CW, Chan RYK, Yu PHF, Chan SW. A review of the anticancer and immunomodulatory effects of Lycium barbarum fruit. Inflammopharmacology 2011; 20:307-14. [PMID: 22189914 DOI: 10.1007/s10787-011-0107-3] [Citation(s) in RCA: 89] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2011] [Accepted: 11/29/2011] [Indexed: 01/27/2023]
Abstract
The anticancer effects of traditional Chinese medicine (TCM) have attracted the attention of the public vis-à-vis existing cancer therapies with various side effects. Lycium barbarum fruit, commonly known as Gou Qi Zi in China, is a potential anticancer agent/adjuvant. Its major active ingredients, L. barbarum polysaccharides (LBP), scopoletin and 2-O-β-D-glucopyranosyl-L-ascorbic acid (AA-2βG), are found to have apoptotic and antiproliferative effects on cancer cell lines. Moreover, LBP also contributes to body's immunomodulatory effects and enhances effects of other cancer therapies. It is not known whether there are any undesirable effects. Further studies on its pharmacological mechanisms and toxicology could facilitate a safe usage of this TCM herb.
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Affiliation(s)
- Wai-Man Tang
- Food Safety and Technology Research Centre, Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China
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Wan CW, Lee YK, Kwok CY, Chan RYK, Yu PHF, Chan SW. A VALIDATED HPLC METHOD WITH DUAL WAVELENGTH DETECTION FOR CHLOROGENIC ACID WITH AN INTERNAL STANDARD IN PLASMA AND ITS APPLICATION IN PHARMACOKINETIC STUDIES IN RATS. J LIQ CHROMATOGR R T 2010. [DOI: 10.1080/10826070903524084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Chun-Wai Wan
- a Open Laboratory of Chirotechnology, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China
| | - Yee-Ki Lee
- a Open Laboratory of Chirotechnology, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China
| | - Ching-Yee Kwok
- a Open Laboratory of Chirotechnology, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China
| | - Robbie Yat-Kan Chan
- a Open Laboratory of Chirotechnology, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China
| | - Peter Hoi-Fu Yu
- a Open Laboratory of Chirotechnology, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China
- b State Key Laboratory of Chinese Medicine and Molecular Pharmacology , Shenzhen, China
| | - Shun-Wan Chan
- a Open Laboratory of Chirotechnology, Department of Applied Biology and Chemical Technology , The Hong Kong Polytechnic University , Hong Kong, China
- b State Key Laboratory of Chinese Medicine and Molecular Pharmacology , Shenzhen, China
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Kwok CY, Hung CT. Clinical experience of trainee anaesthesiologists: logbook analysis. Hong Kong Med J 2006; 12:125-32. [PMID: 16603780] [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: 05/08/2023] Open
Abstract
OBJECTIVE To study the clinical experience acquired by trainee anaesthesiologists after 6 years of training in Hong Kong. DESIGN Retrospective observational study. SETTING Recognised anaesthesiology training posts in the Hong Kong Hospital Authority. PARTICIPANTS All anaesthesiology trainees who sat the Exit Assessment between January 2001 and June 2002 after completing more than 48 months of anaesthetic training. MAIN OUTCOME MEASURES Anaesthetic experience of trainees. RESULTS All data provided by 25 trainees were computed for analysis. Each trainee administered a mean of 2668 anaesthetics over a 6-year period, including 57 anaesthetics for thoracic surgery, 15 for cardiac surgery, 213 for caesarian section (34% under general anaesthesia), and 100 for neurosurgical operations. The paediatric anaesthesia exposure involved a mean of 12 neonates and 180 children who were younger than 4 years. Apart from cardiac and thoracic anaesthesia, there was no statistical difference in subspecialty anaesthetic experience among trainees from different parent hospitals. CONCLUSION The current training system provides sufficient anaesthetic experience in terms of case variety and subspecialty case numbers. There was uneven exposure to cardiac, thoracic, and paediatric anaesthesia. An accurate logbook that is reviewed regularly by a supervisor will help ensure adequate subspecialty exposure. An electronic logbook will facilitate a more comprehensive reviewing process.
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Affiliation(s)
- C Y Kwok
- Department of Anaesthesiology, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong.
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Ching ES, Kwok CY. Statistics of local temperature dissipation in high rayleigh number convection. Phys Rev E Stat Phys Plasmas Fluids Relat Interdiscip Topics 2000; 62:R7587-R7590. [PMID: 11138107 DOI: 10.1103/physreve.62.r7587] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2000] [Indexed: 05/23/2023]
Abstract
We study the statistics of the local temperature dissipation in high Rayleigh number convection. We find that its probability distribution deviates from a lognormal, although very low order moments can be approximated by a lognormal distribution. Instead, the moments satisfy a hierarchy similar to that proposed by She and Leveque [Phys. Rev. Lett. 72, 336 (1994)] for the local energy dissipation. Moreover, the moments scale with the separation time. No change in the scaling behavior is observed when the Bolgiano scale is crossed, indicating that the statistics have the same nature in the buoyancy-driven and the inertia-driven regimes.
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Affiliation(s)
- ES Ching
- Department of Physics, The Chinese University of Hong Kong, Shatin, Hong Kong
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Dong NZ, Gu ZL, Chou WH, Kwok CY. Securinine induced apoptosis in human leukemia HL-60 cells. Zhongguo Yao Li Xue Bao 1999; 20:267-70. [PMID: 10452105] [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: 02/13/2023]
Abstract
AIM To study whether securinine might induce apoptosis in human leukemia HL-60 cells. METHODS Inhibition of proliferation was measured using MTT assay. The amount of apoptotic cells was measured by flow cytometry. DNA fragmentation was visualized by DNA agarose gel electrophoresis and the cellular changes were observed by electron microscope. RESULTS Securinine 5-80 mg.L-1 elicited typical apoptosis morphological changes and DNA fragmentation in a concentration-dependent manner in HL-60 cells. Securinine inhibited HL-60 cell proliferation in a time- and concentration-dependent manner. The IC50 and 95% confidence limits were 27 (15-47) mg.L-1 after 12-h treatment with securinine. CONCLUSION Securinine induced apoptosis in HL-60 cells.
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Affiliation(s)
- N Z Dong
- Department of Pharmacology, Suzhou Medical College, China
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Yuan J, Gu ZL, Chou WH, Kwok CY. Elemene induces apoptosis and regulates expression of bcl-2 protein in human leukemia K562 cells. Zhongguo Yao Li Xue Bao 1999; 20:103-6. [PMID: 10437153] [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: 02/13/2023]
Abstract
AIM To study the antitumor action of elemene (Ele) and its mechanism. METHODS Inhibition of proliferation was measured with a colorimetric 3-[4,5-dimethyl thiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) assay. Morphological assessment of apoptosis was performed with fluorescence microscope. DNA fragmentation was assessed by agarose gel electrophoresis and flow cytometry. The levels of bcl-2 protein was measured with flow cytometry. RESULTS Exposure of exponentially growing K562 cells to Ele 65-520 mumol. L-1 for 48 h resulted in growth arrest. The values of IC50 and 95% confidence limits were 220 (152-319) mumol.L-1. After treatment of K562 cells with Ele 130 mumol.L-1, marked morphological changes including "Apo bodies" reduction in volume were observed with fluorescence microscope. Agarose gel electrophoresis of DNA from cells treated with Ele for 48 h revealed "ladder" pattern. The levels of bcl-2 protein in K562 cells treated with Ele for 48 h were obviously decreased. CONCLUSION Ele induces apoptosis of K562 cells, which is related with the down-regulation of bcl-2 protein in K562 cells.
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Affiliation(s)
- J Yuan
- Department of Pharmacology, Suzhou Medical College, China.
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Kwok CY, Cheong WK. Atrophie blanche--a special form of vasculopathy. Singapore Med J 1997; 38:123-4. [PMID: 9269380] [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: 02/05/2023]
Abstract
Although atrophie blanche is classified as a vasculitis, its presentation and management differ from the classical vasculitis. We present a patient with idiopathic atrophie blanche and discuss its management.
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Abstract
A seven-year retrospective study was done on histologically proven nodular vasculitis presenting at the National Skin Centre, Singapore. We collected 25 patients and found that they differed from the classical European model. They most commonly involved the shins and did not ulcerate. A tuberculous aetiology accounted for 28% of cases. Useful indicators of tuberculosis were a past history of tuberculosis, an abnormal chest X-ray and a strongly positive Mantoux test.
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