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Biomedical subjects

K C Hsu

Publications and source records attributed to K C Hsu.

At least 55 records · Page 3Linked to original sources
PubMed1991

Prognostic factors in management of traumatic perforation of colon and rectum.

A retrospective analysis was made of the prognostic factors and management of traumatic perforation of the colon and rectum in 80 patients during the period of 1980 to 1988 at Chang Gung Memorial Hospital. The total mortality was 11%. Morbidity was 18% among the survivors. The mortality was higher in patients with old age (50% for those over 60 years old), delayed operation (50% for a delay of more than 72 hours), poor nutrition (57%), shock condition before or during operation (50%), severe abdominal fecal contamination (35%) and associated abdominal injury. We conclude that the surgical procedures for traumatic perforation of colon and rectum performed depend upon the patient's condition. The prognostic factors in patients with traumatic perforation are patient's age, timing of operation, degree of abdominal fecal contamination, injury to other abdominal organs and general condition such as nutrition and shock.

Adolescent↗
PubMed1991

[Acetabular roof reconstruction with femoral head bone-graft for severe acetabular deficiency in total hip replacement].

From July 1984 to September 1989 at Taichung Veterans General Hospital, 14 patients (15 hips) received femoral head bone-grafting by modified Harris method as a part of their total hip replacement for acetabular bony deficiencies. They were followed up for an average of 31.7 months (range from 7 to 66 months). The clinical results were classified as excellent (58.3%) and good (41.7%) by Harris hip scoring system. All the grafts presented as "solid incorporation" with the pelvic wall and only one of the grafts was assessed to be "definite resorption" (volume reduction greater than 50%) by radiologic study. The "biologic viability" of these grafts were proved to be positive by scintigraphy in three-dimensional technique (SPECT). According to our limited experience and primary follow-up studies, we found that good clinical results depend on ideal positioning of the acetabular component in the true acetabulum and femoral head bone-grafting is an ideal procedure for the reconstruction of severe acetabular dysplasia in total hip arthroplasty.

Acetabulum↗
PubMed1991

Solid-phase direct DNA sequencing of allele-specific polymerase chain reaction-amplified HLA-DR genes.

We describe in this report a new strategy to directly sequence polymerase chain reaction-amplified human leucocyte antigen DRB genes using biotinylated allele-specific synthetic oligonucleotide primers coupled to streptavidin-coated magnetic beads. The use of allele-specific primers in the polymerase chain reaction allows for selective amplification of DNA from one haplotype, which when combined with the direct sequencing technique circumvents the need for DNA cloning prior to sequencing. We demonstrate here that this method can be used to characterize human leucocyte antigen DRB genes among heterozygous individuals. This method can be used for the rapid analysis of highly polymorphic genes among individuals heterozygous at the gene of interest.

Alleles↗
PubMed1990

Diagnosis of colorectal carcinoma--is colonoscopy superior to barium enema?

From January 1984 to December 1987, 520 pathologically proved cases of colorectal carcinomas were treated in Mackay Memorial Hospital - 272 (52.5%) were male and 248 (47.7%) were female. The distribution of carcinomas in the colorectum were caecum 27 (5%), ascending colon 49 (9.1%), transverse colon 70 (13%), descending colon 41 (7.6%), sigmoid colon 93 (17.3%), rectosigmoid colon 19 (3.5%) and rectum 239 (44.4%). Fourteen cases (3.3%) had double carcinomas. When 334 barium enema examinations (210 single contrast, 124 double contrast) and 207 colonoscopies were done, false negative results were found in 31 (14.76%) single contrast barium enema (BaE-S) and eight (6.45%) in double contrast barium enema (BaE-D) examinations, and 7 (3.38%) colonoscopic examinations failed to demonstrate cancer lesions because of incomplete examinations from technical problems. False negative in BaE were mostly due to failure to recognize or misinterpret the lesions especially in the rectum. Colonoscopy is significantly more accurate than BaE-S but not with BaE-D. BaE especially BaE-D can be complementary to colonoscopy in a nearly obstructing colon. Direct biopsy of the lesion makes colonoscopy more useful than BaE. Complete removal of a malignant polyp turns colonoscopy into a therapeutic modality. However, a well-trained endoscopist is essential in making colonoscopy a less suffering and more accurate examination. In a symptomatic patient, a confirmatory examination is always needed after positive BaE finding. Sometimes this can be avoided by having colonoscopy done first.

Adult↗
PubMed1990

[Clinical experience of hemiarthroplasty with Bateman bipolar endoprosthesis].

Between April 1985 and August 1986, 97 patients (101 hips) were treated with Bateman bipolar hemiarthroplasty after diagnosis of femoral neck fracture and ischemic necrosis of the femoral head at Veterans' General Hospital, Taichung. Seventy hips were followed up for an average of 44 months (range from 36 to 53 months). 58.6% of the patients had excellent or good results, 21.4% had fair results and 20% poor results. Twelve cases (17.1%) with thigh pain were diagnosed as have loosening of the stem and this was verified by X-ray and 99m Tc-MDP bone scan examination. 2 of these twelve cases received revisional total hip replacement. Wearing of the acetabulum was noted in only 2 patients (2.9%). From the short-term follow-up study, we would suggest that good results can be obtained with improved cementing technique or a special stem design to fit the different indications.

Adult↗
PubMed1989

[Simultaneous cholecystectomy with colon surgery].

Both colorectal pathology and cholecystopathy are common disorders, especially among the elderly. Postoperative cholecystitis was well known to be associated with high morbidity and mortality. The presence of gall bladder pathology has also been reported to precipitate acute cholecystitis. In addition, these patients with gall bladder pathology may eventually need a cholecystectomy because of complications. In the above cases, some authors have suggested a simultaneous cholecystectomy at the time of colon surgery. In past 4 years, a series of 28 cases with concomitant cholecystectomy and colectomy were reviewed. The male to female ratio was 11:17, and their age ranged from 41 to 83 years old (mean age 61). The main colonic pathology was adenocarcinoma of colon and rectum (26/28). All gall bladder pathologies were diagnosed preoperatively by abdominal ultrasound, and gall stones were present in 25 of 28 cases. There were no intraoperative complications and no operative mortalities. Our data suggested that a cholecystectomy can be performed safely at the time of colon surgery, if the patient's condition is stable and contamination from colon surgery is minimal.

Adult↗
PubMed1989

[Is synchronous hemorrhoidectomy with colonoscopy a worthwhile procedure?].

There were 201 patients receiving preoperative colonoscopy prior to hemorrhoidectomy in the meanwhile at MMH from July 1984 to June 1988. Other than rectal bleeding, they had colonic symptoms such as anemia, abdominal pain, familiar history of cancer and change of bowel habit etc. The study included 114 male and 87 female with ages ranging from 15 to 74 years (Median, 42 years). Three patients with colonic cancer and twenty-eight patients with neoplastic polyps were found by colonoscopic examination. Three cancer patients all received cancer surgery instead of hemorrhoidectomy as quickly as possible in a short time. One patient died for advanced stage and the other two patients got good results. The literatures were reviewed and discussed in accordance with the colonoscopic finding, operative time, hospital stay, post-operative morbidity and complication. There were not increase the postoperative morbidity in this series which compare with that of other series. The advantages of this procedure included: 1) Preventing suffer from twice colon preparations. 2) Preventing waiting period for Barium enema. 3) Preventing delay diagnosis of colorectal lesions especially colon cancer or precancer lesions of neoplastic polyps. 4) Performing examination and surgery at the same time-money-saving and time-saving. We thought synchronous hemorrhoidectomy with colonoscopy is a worthwhile clinical procedure.

Adolescent↗
PubMed1987

Isolation of viable mouse primordial germ cells by antibody-directed flow sorting.

The germ line represents a cell type of unique interest in mammals because it retains complete genotypic totipotency while undergoing significant phenotypic differentiation. Analysis of the mechanism that underlies the maintenance of this totipotency requires the ability to isolate and study all stages of the germ cell lineage. The primordial germ cells (PGC) are the earliest identifiable germ cells in the embryo. It has not previously been possible to isolate PGC in sufficient numbers and purity to facilitate biochemical and/or molecular analysis. We report here that the use of a monoclonal antibody in combination with flow cytometry does permit the isolation of reasonably large and pure yields of viable mouse PGC.

Animals↗
PubMed1986

In-vitro activity of cefpirome (HR-810), WIN-49375, BMY-28142 and other antibiotics against nosocomially important isolates from cancer patients.

The activity of three new antimicrobial agents [cefpirome (HR 810), BMY 28142, WIN 49375], and imipenem was compared to that of four currently available agents, ceftazidime, aztreonam, timentin and piperacillin, against 253 bacterial isolates from cancer patients. The activity of all four agents not yet in clinical use at our institution was significantly greater than that of the four antibiotics already in use.

Anti-Bacterial Agents↗
PubMed1982

Characterization of rat colonic cell surface glycoconjugates by fluoresceinated lectins. I. Importance of fixation techniques.

Cryostat and paraffin embedded sections from cecum, proximal and distal colonic segments of male Sherman rats were examined by fluorescence microscopy after labeling with six fluorescein-conjugated lectins. These FITC-conjugated lectins were used as specific probes to define the labeling pattern of carbohydrate containing components of the lumenal and basolateral surfaces of epithelial cells, goblet cell mucin and lumenal mucin at all three sites. Marked regional differences in labeling were detected, indicating that the various carbohydrate components of these cells differ significantly along the length of the colon. Furthermore, the patterns of labeling components with each lectin appeared to vary depending on the fixation technique employed. Cryostat preparations generally resulted in a broader distribution of label and more intense staining with these lectins than fixed paraffin sections. While the reason(s) for these variations remain unclear at this time and will require further studies, the present data emphasize the importance of the fixation method when interpreting results obtained utilizing FITC-conjugated lectins.

Animals↗
PubMed1982

Morphological transformation, DNA strand separation, and antinucleoside immunoreactivity following exposure of cells to intercalating drugs.

The intercalating drugs quinacrine and proflavine induced increases in single-stranded DNA detected in the nuclei of mouse BALB/c 3T3 1--13 cells. The denatured DNA was detected by fluorescein-labeled antinucleoside antibodies, which bind to single-stranded but not double-stranded DNA. Exposure of cells to the potent mutagen proflavine increased the fraction of immunoreactive nuclei from 0.65 to 0.8. With the weaker mutagen quinacrine, higher concentrations were needed to induce increases in immunoreactivity. Both intercalating drugs rapidly induced morphological transformation in mouse 3T3 cells. Treatment with proflavine resulted in higher transformation frequencies than were found with quinacrine. Significant increases in cell transformation frequency were observed at the concentrations which induced high levels of immunoreactivity. These results suggest that DNA strand separation is itself, or at least accompanies, an early step in cell transformation by intercalating drugs.

Animals↗
PubMed1981

Benzodiazepines have high-affinity binding sites and induce melanogenesis in B16/C3 melanoma cells.

We found that two markers of differentiation, tyrosinase (monophenol, dihydroxyphenylalanine:oxygen oxidoreductase, EC 1.14.18.1) activity and melanin synthesis, are induced by diazepam in B16/C3 mouse melanoma cells. We also demonstrated high-affinity binding sites for [3H]diazepam in these cells by radioreceptor assay, and we visualized binding to the cell surface by fluorescence microscopy with a benzodiazepine analog conjugated to a fluorescein-labeled protein. Our studies also showed that there are differences between the binding characteristics in intact cells and in membrane fractions prepared from these cells. Scatchard analysis of the binding data from membrane fractions gave a linear plot (Kd = 9.1 X 10(-8) M). With intact cells, a curvilinear Scatchard plot was obtained. This was resolved into two components defining binding sites with affinity constants of 1.7 X 10(-9) M and 4.6 X 10(-7) M. Thus, it appears that [3H]diazepam binding in intact cells is more complex than in isolated membranes. Several related benzodiazepines, including flunitrazepam, Ro-5-4864, nitrazepam, oxazepam, lorazepam, Ro-5-3072, chlordiazepoxide, and clonazepam also induced melanogenesis. When these compounds were tested for their ability to inhibit [3H]diazepam binding, flunitrazepam, diazepam, and Ro-5-4864 were found to be the most effective inhibitors. These three compounds were also the most potent in inducing melanogenesis. Our results suggest that the benzodiazepines modulate cell differentiation. The presence of high-affinity binding sites in this homogeneous, easily grown cell line may provide a useful model for studies on the mechanism of action of these compounds.

Benzodiazepines↗
PubMed1981

Preparation of ferritin conjugates and antibodies for the localization and identification of antigens in tissues and cells by electron microscopy.

Ferritin, due to its high electron density, serves s a good marker in immunoelectron microscopic studies to localize antigens on and in cells and tissues. A step-by-step methodology for the conjugation of antibodies to ferritin is presented. Special attention has been placed on the techniques for the purification of ferritin and antibodies, conjugation procedures, and the treatment of specimens with conjugates. Methods for obtaining the separation of conjugated antibodies from unconjugated antibodies and for testing the purity and specificity of the labeling reagents are discussed.

Animals↗
PubMed1980

Counterimmunoelectrophoretic studies of serum prostatic acid phosphatase.

A counterimmunoelectrophoretic (CIEP) assay for the specific determination of prostatic acid phosphatase (PAP) is described. PAP was obtained from benign human prostatic tissue and a specific antiserum to this enzyme was produced in rabbits and goats. The lowest detectable activity of PAP was at 0.3 IU/l or 4 ng./0.1 ml. This CIEP method was compared to a standard biochemical method (Roy) on a wide spectrum of prostatic and nonprostatic disease. Nonprostatic malignancies and other disorders associated with hyperacidphosphatasemia by the biochemical method were found to be nonreactive for PAP by CIEP. Patients under treatment with various stages of prostatic carcinoma showed comparable elevations by both methods (35%). In untreated patients, the CIEP was statistically most sensitive in stage A (39% by CIEP and 14% by chemical).

Acid Phosphatase↗
PubMed1980

Bone marrow acid phosphatase in prostate cancer: an assessment by immunoassay and biochemical methods.

Comparisons of the bone marrow and serum acid phosphatase values obtained by counter-immunelectrophoresis and the Roy biochemical test were made in 72 patients with and in 13 patients without prostatic cancer. The counter-immunoelectophoresis test, when positive at more than 1 international unit per liter, showed only 4.4 per cent falsely positive results. The Roy biochemical test, which used sodium thymolphthalein monophosphate as the substrate, had 65 per cent falsely positive bone marrow acid phosphatase levels. Conflicting reports regarding the value of bone marrow acid phosphatase determinations in patients with prostatic cancer result from the use of non-specific substrates in biochemical methods for measurement and from the trauma incidental to bone marrow aspiration, which releases many non-prostatic acid phosphatase enzymes. The use of immunoassay such as counter-immunoelectrophoresis minimizes this source of error.

Acid Phosphatase↗
PubMed1980

Sensitivity and specificity of virion and cell surface labeling using the unlabeled antibody-hemocyanin bridge method.

The sensitivity and specificity of the unlabeled antibody-hemocyanin bridge method for immunoelectron microscopic localization of virion and cell surface antigens has been demonstrated using a hyperimmune serum to the Rauscher murine leukemia virus structural envelope glycoprotein (gp 70). The technique localized the gp70 on the viral envelope and on the infected cell surface at dilutions of greater than 10(-3) for the primary antiviral serum. Little or no nonspecific binding of hemocyanin was detected in control experiments using high concentrations of normal nonreacting or adequately absorbed antiviral primary sera and excess antibody bridge and marker; thus, the system is highly specific. Furthermore, sensitivity can be increased approximately fivefold by marked amplification steps whereby a specimen fixing only a slight amount of hemocyanin can be subsequently treated with antihemocyanin antibody, followed by hemocyanin.

Animals↗