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Biomedical subjects

D Y Yang

Publications and source records attributed to D Y Yang.

At least 55 records · Page 3Linked to original sources
PubMed1994

Bromocriptine treatment of postoperative prolactinoma patients.

BACKGROUND: Prolactinoma is the leading cause of pituitary adenoma. It causes amenorrhea in women and impotence in men. Surgical and bromocriptine treatment are the mainstays of therapy in most of the patients with this disease. Determining the outcome for postoperative hyperprolactinemia patients who received bromocriptine treatment was the main purpose of this study. METHODS: Thirty-two patients who received operation for prolactinoma have been investigated. Twenty of them had received bromocriptine treatment before conception, 14 were diagnosed as having macroadenoma and all of them had post-operative hyperprolactinemia. RESULTS: Five patients needed bromocriptine treatment of more than 12.5mg/day to decrease the serum prolactin level. Three patients received radiotherapy postoperatively. Other patients were bromocriptine sensitive. Eight of them had menses restored, and of these, five became pregnant. CONCLUSIONS: Operation can successfully treat most of the patients with microadenoma. If there has postoperative hyperprolactinemia, bromocriptine treatment should be the first choice before radiotherapy.

Adolescent↗
PubMed1993

Aneurysm of the left atrium.

A case of aneurysm of the body of the left atrium is reported. Diagnosis of this condition should be considered in patients presenting with supraventricular tachyarrhythmia and a mass on the left side of the heart. Surgery to remove the aneurysm is the treatment of choice.

Adult↗
PubMed1993

[Effect of implantation of an Ommaya reservoir on prognosis for cryptococcal meningitis].

Cryptococcal meningitis has a high mortality rate of central nervous infection. The patients usually die of the disease itself, or complications from increased intracranial pressure. Early diagnosis and treatment, including surgical drainage, will improve the results. In this series, twenty-one patients with high intracranial pressure (ICP > 300 mmH2 O) are presented. Fourteen received implantation of Ommaya reservoir to aspirate cerebrospinal fluid (CSF) for relief of symptoms of ICP. Meanwhile 4 of these 14 patients also received intraventricular injection of amphotericin B because of poor response to systemic drugs. Another seven patient received systemic drug therapy only. Survival during therapy occurred in 11 of 14 patients in the surgical group, compared with only 1 of 7 patients treated by drug therapy alone (P = 0.019). In the 14 patients who received implantation of an Ommaya reservoir, there was one complication of CSF leakage when the reservoir ruptured because of repeated aspiration. For patients with cryptococcal meningitis with high ICP, early implantation of an Ommaya reservoir will improve the survival rate.

Adolescent↗
PubMed1992

Ossification of the posterior cervical longitudinal ligament.

Forty patients with cervical myelopathy due to OPLL (Ossification of the Posterior Longitudinal Ligament) of the cervical spine were studied. According to Abe's or Yamamoto's classification, 12 of them had a 50% decrease in the cross-sectional area of the spinal canal. Subtotal vertebrectomy was carried out in 8 of these patients and the remaining 4 patients received posterior decompression. We concluded that anterior decompression, if possible, is the treatment of choice and posterior decompression is recommended only for the longitudinal type involving more than 3 segments.

Cervical Vertebrae↗
PubMed1991

Analysis of insulin-like growth factor II (IGF-II) expression in neoplastic nodules and hepatocellular carcinomas of woodchucks utilizing in situ hybridization and immunocytochemistry.

Hepatocarcinogenesis in woodchucks that are persistently infected with woodchuck hepatitis virus (WHV) follows a progressive course characterized by foci of altered hepatocytes, benign neoplastic nodules and finally hepatocellular carcinoma (HCC). In situ hybridization studies have demonstrated that insulin-like growth factor II (IGF-II) is expressed in most HCCs in woodchucks but that the patterns of expression are variable from tumor to tumor. In some cases, expression of IGF-II is high throughout the tumor, and in others expression is limited to the growing edge of the tumor. IGF-II expression is also activated in focal groups of cells in neoplastic nodules. The major IGF-II mRNA in nodules and HCCs is a 3.4 kb transcript corresponding to one of two IGF-II RNAs in fetal woodchuck liver. A single 15 kDa IGF-II polypeptide accumulates in the perinuclear cytoplasm of hepatocytes in fetal woodchuck liver, neoplastic nodules and HCCs. Thus IGF-II expression in woodchuck liver is reactivated in lesions which are believed to be the precursors of HCC and continues to be expressed as HCCs develop.

Animals↗
PubMed1991

[The development of radiosurgery--introduction of the gamma knife for brain lesions].

In 1990, the first gamma unit in Asia was installed at Tokyo University Hospital. This article describes the radiosurgical techniques used and clinical experiences during treatment of 70 cases at the unit. Stereotactic radiosurgery using a gamma knife for the treatment of AVM, CPA tumor and meningioma has been used for more than 20 years. With this form of therapy, a high dose of radiation is delivered from multi-directional beams to deep lesions of the brain, incurring only minimal radiation exposure at the periphery. When a large dose of radiation is applied to a small area, there may be certain side effects especially if care is not taken. Accordingly, treatment of brain lesions using a gamma knife requires teamwork, even though it appears to be a safe procedure at the present time.

Adult↗
PubMed1990

Solitary spinal cord metastasis of Wilms' tumor.

Wilms' tumor metastasis to the spinal cord is very rare at any age. We recently encountered a case of a 4-year-old girl, who had a solitary lumbar spinal cord metastasis about 1 year following the initial nephrectomy and an incomplete course of chemotherapy for a stage I Wilms' tumor. The patient recovered uneventfully after decompressive laminectomy, removal of the extradural spinal cord tumor, adjuvant chemotherapy, and radiotherapy according to the National Wilms' Tumor Study (NWTS)-IV protocol.

Child, Preschool↗
PubMed1990

Endogenous digoxin-like substance as an important factor in the development of hypertension in children.

In this study, endogenous digoxin-like substance within the plasma was measured by radio-immunoassay in 122 children with the systolic blood pressure equal to or greater than the 75th percentile (age = 12.3 +/- 2.5 years) and 136 children with the systolic blood pressure at or less than the 50th percentiles (age = 11.9 +/- 2.8 years) after a follow-up of one year. The levels of digoxin-like substance in the plasma of children with the higher blood pressure were much higher than those in the controls (32.7 +/- 17.3 versus 22.7 +/- 12.7 pg/ml, P less than 0.001) and were positively correlated to the blood pressure (r = 0.21, P less than 0.05 for systolic blood pressure; and r = 0.41, P less than 0.01 for diastolic), and to the sodium content of the red cells (r = 0.36, P less than 0.001), plasma (r = 0.25, P less than 0.01) and 8-hour overnight urinary output (r = 0.32, P less than 0.05). The children in the group with higher blood pressure exhibited an exaggerated natriuresis after an oral saline-water load. We believe that a circulating inhibitor of sodium transport may play an important role in the early stage of the evolution of hypertension.

Adolescent↗
PubMed1990

Intra-cellular electrolyte changes and levels of endogenous digoxin-like substance within the plasma in patients with congestive heart failure.

In this study, the lymphocytes and erythrocytes from peripheral venous blood were used as the study model from which were measured the cellular contents of potassium, sodium, calcium and magnesium in 50 patients with chronic congestive heart failure and 39 control patients. Levels of endogenous digoxin-like substance in the plasma and activities of Na/K ATPase in red cell membrane wer monitored simultaneously. In the patients with heart failure, the intracellular contents of potassium and magnesium were decreased while those of sodium and calcium were increased significantly. The levels of endogenous digoxin-like substance were much higher in the plasma than those either in healthy controls or in patients with heart disease but without congestive failure (273.7 +/- 35.5 vs 23.3 +/- 2.2 and vs 32.9 +/- 3.6 pg/ml, respectively, P less than 0.001 for both). The activities of Na/K-ATPase were much lower in the patients with heart failure than in the controls. Values for intracellular electrolytes were significantly correlated with the rising levels of digoxin-like substance in the plasma. Non-digitalis inotropic therapy was associated with the recovery of these alterations of heart function, with the levels of the digoxin-like substance decreasing and activity of Na/K-ATPase going up. We conclude that endogenous digoxin-like substance might play a role in the imbalance of intra-cellular electrolytes seen in patients with congestive heart failure. Digoxin may exacerbate the loss of intracellular potassium.

Adult↗
PubMed1989

An immunocytochemical study on the distribution of ferritin and other markers in 36 cases of malignant histiocytosis.

The distribution of ferritin in 36 autopsy cases of malignant histiocytosis was investigated by immunocytochemical staining, together with the detection of alpha 1-antichymotrypsin, alpha 1-antitrypsin, lysozyme, S-100 protein, and ricinus communis agglutinin in the consecutive sections. The results showed that ferritin-positive tumor cells were present in every case. The quantity of cellular ferritin in well-differentiated histiocytes was higher than that in atypical histiocytes. Double labeling showed that ferritin and alpha 1-antichymotrypsin might be located either in one tumor cell or in separate cells. Our data suggest that ferritin may be a tumor associated antigen in malignant histiocytosis, playing a regulatory role for tumor cell differentiation.

Adult↗
PubMed1989

[Studies on the virulence in the guinea pig of tuberculosis bacilli isolated from patients with pulmonary tuberculosis before treatment in Shanghai].

The virulence in guinea-pig of 44 tubercle bacilli cultures from patients of tuberculosis before treatment in Shanghai and 26 from Tokyo has been studied for comparison. The results showed that the virulence of tubercle bacilli from Shanghai was lower than that from Tokyo. The difference was statistically significant (P less than 0.01). Among the 44 cultures from Shanghai high virulence accounted for 54.5%, low virulence 15.9% and middle virulence 29.5% whereas for the cultures from Tokyo high virulence accounted for 96.2% and middle virulence 3.8%.

Animals↗
PubMed1989

Sodium and potassium levels in hypertensive children.

In a baseline survey of 4,936 school children aged 6-16 years, 199 children with systolic blood pressure (SBP) values equal or greater than the 95-th percentiles for age and sex were chosen as the hypertensive group (HBP), and were matched for age and sex with 197 children with SBP from the 5-th through the 50-th percentiles as the control (normotensive) group (NBP). For both groups the intra-RBC and plasma sodium and potassium contents, 8-hour night urinary sodium, potassium and creatinine excretions for three days, and an oral saline-water load test were performed. The results show that (1) intra-RBC potassium level in the HBP was lower than that in NBP. The level in those with positive hypertension family history (FH+) was lower than that with negatives (FH-). The intra-RBC potassium contents correlated inversely with diastolic BP. No correlation between intra-RBC sodium and BP was found; (2) Plasma sodium concentration in HBP was much lower than that in NBP. No difference was found between the FH+ and FH- in the plasma sodium concentrations; (3) Mean 8-hour night urinary potassium excretion expressed as mmol/g creatinine, was lower in HBP than in NBP; (4) After the saline load test the 4-hour urinary sodium excretion was significantly higher in HBP. Of those children with FH- the 4-hour sodium excretion in HBP was higher than that in NBP, but no significant difference was found between HBP and NBP of the FH+ children in the 4-hour urinary sodium excretions.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1989

[Sodium and potassium in children with hypertension].

On a baseline survey of 4936 school children, age ranged from 6 to 16 years, 199 children with the systolic blood pressure (SBP) value equal or greater than 95-th percentiles for age and sex were chosen as the hypertensive group (HBP), and the same number of children with the SBP lower than 50-th percentiles were matched as the normotensive group (NBP). For both groups the intra-RBC and plasma Na and K content, three sequential nights 8-hour urinary Na, K and creatinine excretion, and an oral saline-load test were performed. The results show that: (1) The intra-RBC K in the HBP was lower than in NBP, 259 +/- 57 vs 291 +/- 78 mumol/g-protein, P less than 0.01. That in those with positive hypertensive family history (FH+) was lower than in those of negatives (FH-). The intra-RBC K content was correlated inversely with diastolic BP, r = -0.43, P less than 0.001. No correlation between intra-RBC Na and BP was found; (2) Plasma Na concentration in HBP was much lower than in NBP, 137.5 +/- 7.9 vs 142.6 +/- 6.9 mmol/L, P less than 0.001. No difference was found between FH+ and FH-; (3) Mean 8-hour urinary K excretion at night was lower in HBP than in NBP, 23.9 +/- 11.5 vs. 28.2 +/- 14.7 mmol/g-creatinine, P less than 0.01; (4) After a load of oral saline the 4-hour urinary Na excretion was significantly higher in HBP than in NBP, 39.5 +/- 29.1 vs 30.8 +/- 23.2 mmol, P less than 0.01. Of those children with FH-, the 4-hour Na excretion in HBP was higher than in NBP, 39.8 +/- 29.4 vs 29.3 +/- 21.5 mmol, P less than 0.001, but no significant difference was found between HBP and NBP in children with FH+. We believed that the above changes in electrolytes in the children with their BP at higher-level percentiles represent an abnormal relation between potassium and arterial BP in the early stage of hypertension, as well as the early compensatory natriuresis of the kidneys.

Adolescent↗
PubMed1989

[Intracranial meningiomas--5 year analysis].

Intracranial meningiomas account for 18.2% of all intracranial tumors. During Jan. 1982-Dec. 1986, 65 cases of intracranial meningiomas were diagnosed after operations and pathologic examinations at Taichung Veterans General Hospital. There were 36 females and 29 males, aged from 18 to 80 with a mean of 52 years. Average period of follow-up was 23.7 months. All patients received craniotomy or craniectomy with or without microscopic technique to remove the tumors & 3 cases received postoperative radiotherapy. The most common sites of meningiomas were the posterior fossa, convexity, parasagittal area and falx. The complete removal rate was 84.8%, the mortality rate 9.1% and the morbidity rate 33%. The major complications were intracerebral hemorrhage, infection of central nerve system, and hydrocephalus. There were 3 cases (4.6%) of multiple meningiomas. The most common symptoms and signs in order were headache, hemiparesis, seizure, nausea and vomiting, conscious disturbance & trigeminal neuralgia. The average duration of symptoms was 18.5 months. There were 9 cases of trigeminal neuralgia and 2 cases of hemifacial spasm. There were 3 cases (5.6%) of recurrence and 4 cases (6.1%) of malignancy. The most frequently found subtypes of meningiomas were the meningotheliomatous type and the transitional type. Mean size of the tumors was 5 cm. Tumor location and its biological behavior were closely related to the removal rate, prognosis and recurrence, while tumor size was of less importance. Ability of daily life was improved and seizure was better controlled by antiepileptic drugs in postoperative days.

Adolescent↗
PubMed1989

Cerebello-pontine angle (CPA) tumor causing contralateral trigeminal neuralgia--a case report.

A rare case of CPA tumor causing contralateral trigeminal neuralgia was encountered in our hospital. The radiological findings showed a right CPA tumor with compression and distortion of the brain stem and obliteration of the left CP angle. This was considered the cause of the left trigeminal neuralgia. In this case report, clinical management is discussed and the literature is reviewed.

Aged↗