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Biomedical subjects

H K Hsu

Publications and source records attributed to H K Hsu.

86 records · Page 5Linked to original sources

Initial report of a mycotic aneurysm of the common iliac artery with compression of the ipsilateral ureter and femoral vein: a literature review and case report.

Iliac artery aneurysms are rare and the usual symptoms, pelvic pain and urological complaints, are nonspecific. We describe a patient with pelvic pain, intermittent urinary retention, and lower extremity edema. A right common iliac artery aneurysm was discovered during surgery after rupture had occurred. Pathologic examination revealed a mycotic process. This case demonstrates the obscure and unreported clinical features of iliac artery aneurysms. When this lesion is suspected, an angiogram should be performed promptly in an effort to prevent the predictable catastrophic consequences.

Journal Article↗

SEM observations of the neural fold associated with neurulation in the rat.

The topography of the ectoderm was examined by scanning electron microscopy during neurulation in rat embryos at stage 24 (somites 8-11). A zone of altered cell morphology was observed along the crest of neural folds. This zone was located between the presumptive neural tube and the surface ectoderm and exhibited numerous rounded cell blebs, immediately prior to fusion between the folds. It is suggested that the observed surface alterations may reflect a change in the properties of the altered cell which correlate with initial adhesion between the folds.

Animals↗

The influence of estrogen on the hyperglycemic action of alloxan in female rats.

The purposes of this study were to investigate (1) the relationship between estrogen and glucose levels in the circulation during an estrous cycle of the rat and (2) the effect of estrogen on the hyperglycemic action of alloxan. Three-month old Long Evans strain rats were used. The present study established for the first time the correlation between estrogen and glucose levels in the circulation during an estrous cycle. A significant (p less than 0.01) negative correlation was observed with the lowest glucose level at the proestrus stage where estrogen is at peak. The severity of hyperglycemia induced by alloxan was positively correlated with the circulating level of endogenous estrogen, but was negatively correlated with the fasting glucose level. A similar pattern was observed in ovariectomized female rats that were followed by estradiol implantation to achieve a constant level of circulating estrogen. It may be concluded from the present study that estrogen, under physiological conditions, participates in the regulation of glucose metabolism during various stages of the estrous cycle in the rats, and that glucose is likely able to protect the pancreatic beta cells of the animals against the hyperglycemic action of alloxan.

Alloxan↗

Surgical management of synchronous coronary artery disease and multiple aortic stenosis: a case report with brief review of the literature.

One-stage surgery was successfully performed in a 44-year-old hypertensive man with uncontrolled angina, multiple coarctations of the thoracic and abdominal aorta, and a previous subtotal gastrectomy. There was a gradient of 120 mm Hg between the thoracic and abdominal aorta. A graft was placed retroperitoneally from the infrarenal aorta to the ascending aorta and was followed by a coronary artery bypass graft. Twenty-four months postoperatively, the patient was free of angina, and his hypertension was easily controlled.

Journal Article↗

Aortico-right ventricular shunt following aortic valve replacement.

A 58-year-old man developed cardiac decompensation following aortic valve replacement as a result of an aortico-right ventricular fistula. Serial hemodynamic and electrocardiographic changes are presented. Attention is drawn to this rare complication as a cause of hemodynamic deterioration following aortic valve surgery.

Aortic Diseases↗

Serotoninergic mechanisms of the hypothermia induced by clerodenron fragrans (Ventenaceae) in the rat.

The effects of the Chinese herb Chou-Mou-Li, clerodenron fragrans (Ventenaceae) on metabolic, respiratory and vasomotor activities as well as body temperature were assessed in conscious rats at three different ambient temperatures (Ta) of 8, 22 and 30 degrees C. Intraperitoneal administration of Chou-Mou-li produced dose-dependent hypothermia in rats at both 8 and 22 degrees C Ta- At 8 degrees C Ta the hypothermia in response to Chou-Mou-Li was due to decreased metabolism, while at 22 degrees C Ta the hypothermia was due to both decreased metabolism and cutaneous vasodilatation. There was no change in respiratory evaporative heat loss. Furthermore, the hypothermia induced by Chou-Mou-Li was greatly antagonized by pretreatment of animals with p-chlorophenylalanine (a selective depletor of brain serotonin), but not by either atropine sulfate (a selective blocker of cholinergic receptors), regitine (a selective blocker of alpha-adrenergic receptors) or DL-propranolol (a selective blocker of beta-adrenergic receptors). However, at 30 degrees C Ta, systemic administration of Chou-Mou-Li produced no change in rectal temperature or other thermoregulatory responses. On the other hand, direct administration of serotonin into the lateral cerebral ventricle of conscious rats also produced dose-dependent hypothermia at 8 and 22 degrees C Ta. Again, the hypothermia in response to serotonin was due to decreased metabolism at 8 degrees C Ta and was due to both decreased metabolism and cutaneous vasodilatation at 22 degrees C Ta. At 30 degrees C Ta administration of serotonin also produced no change in thermoregulatory functions. The data indicate that Chou-Mou-Li produces hypothermia by increasing sensible heat loss and decreasing metabolic heat production, probably via the release of endogenous serotonin within brain.

Animals↗

Hypothalamic neuron number of old female rats.

Neuron density, volume of the area and total neuron number were measured in the medial preoptic area (MPOA), supraoptic nucleus (SO), paraventricular nucleus (PVN), anterior hypothalamic area (AHA), ventromedial nucleus (VMN), dorsomedial nucleus (DMN) and arcuate nucleus (ARN) of the hypothalamus in young adult female rats (3.5-5 months old) and in old female rats (over 24 months old). As age advances there is a tendency to increase in the volume of hypothalamic area and consequently decrease in the neuron density. However, loss of neuron due to aging occurs only in MPOA, AHA and ARN. The decrease in neuron number due to aging in these three areas ranged from 23 to 50%. No neuron loss due to aging was observed in SO, PVN, VMN and DMN. The physiological significance of neuron loss in MPOA, AHA and ARN is discussed.

Aging↗

Surgical results of corrosive injuries involving esophagus to jejunum.

BACKGROUND/AIM: Severe corrosive injury involving esophagus to jejunum remains an unique surgical problem which is associated with high mortality and morbidity. MATERIAL AND METHODS: Herein we report the outcomes of 28 caustic patients who underwent resections of the stomach, duodenum, a segment of jejunum, and adjacent involving organs. RESULTS: In all of these patients except one, esophagectomy was also performed. The concomitant procedures included pancreaticojejunostomy (n = 24), choledochojejunosotmy (n = 4), cholecystostomy (n = 4), common bile duct or pancreatic duct drainage, feeding and drainage jejunostomies, and cervical esophagostomy. Major complications consisted of bile leakage (n = 10), bile-bronchial fistula (n = 2), internal bleeding due to vessel necrosis (n = 5), peritonitis (n = 4), acute renal failure (n = 4), and septicemia (n = 4). There were 13 hospital deaths (46.4%) and three late deaths. Eight out of 12 survivors underwent subsequent reconstruction of esophagus. The remaining four survivors depended on jejunostomy feeding. CONCLUSIONS: Early approaches and appropriate procedures can save a number of patients with corrosive injury involving esophagus to jejunum.

Adult↗

Expression of estrogen and progesterone receptors in non-small-cell lung cancer: immunohistochemical study.

Estrogen receptor (ER) and progesterone receptor (PgR) have been recognized as being involved in the tumourigenesis of non-small-cell lung cancer (NSCLC). Forty-nine resected NSCLC (39 males and 10 females) were studied immunohistochemically in formalin-fixed, paraffin-embedded sections for ER and PgR. There were 26 squamous cell carcinomas, 22 adenocarcinomas and one adenosquamous carcinoma. 38.8% (19/49)NSCLC had either a positive ER or PgR status of which one was ER+/PgR+, 2 were ER+/PgR- and 16 were ER-/PgR+. There was no statistical difference in hormone receptors status for sex and histological subtypes (p > 0.05). The immunohistochemical assay of formalin-fixed paraffin-embedded sections allows the retrospective analysis of ER and PgR in NSCLC. The ER-/PgR+ status was detected in about one third NSCLC. The discordance between these receptors is suggested to be due to either the presence of functioning variant ER or the constitutive synthesis of PgR independent of estrogen induction in certain ER-/PgR+ NSCLC.

Adenocarcinoma↗