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Biomedical subjects

M S Wang

Publications and source records attributed to M S Wang.

At least 19 recordsLinked to original sources
PubMed1992

[Distinguishing Anopheles dirus of Hainan Province by gas chromatography of cuticular hydrocarbons].

In order to identify the members of Anopheles dirus complex of Hainan Province an analysis of relative content of cuticular saturated n-paraffins of Anopheles dirus collected from different localities and in different months in Hainan Province was performed by using gas chromatography. The difference among the cuticular hydrocarbons n-paraffins components was statistically insignificant. The values of stepwise cluster analysis (Q model) were very close for all the collected populations. These data suggested that there might be one species of Anopheles virus complex which was further confirmed by the similarities between blood preference, seasonal variation, and nocturnal activity.

Animals↗
PubMed1992

Can cancer pain attenuate the physical dependence on chronic long-term morphine treatment?

This prospective and comparative study was designed to determine the role of cancer pain and attitudes towards morphine in attenuating the intensity and duration of physical dependence following chronic morphine treatment. Morphine was administered via a stepwise ladder approach in order of oral, spinal and intravenous routes depending on the adequacy of analgesia. On-demand titration of a dose, either upward or downward, was liberal and unlimited. Withdrawal strategy was evaluated and initiated either by patients (PI group) or their families (FI group). The manifestation of physical dependence on morphine was compared between patients who successfully withdrew (total withdrawal), and patients who failed to withdraw (episodic withdrawal), from morphine for a period of more than two weeks. Eighty-eight out of 627 patients (14.1%) were excluded from our protocol; 75% of these exclusions were due to objections toward morphine as the major form of analgesic. Drop-out due to poorly tolerated side effects was relatively rare (18.2%). Fifty-four (10.0%) achieved total withdrawal and 212 (39.3%) experienced episodic withdrawal. Non-pain-related abstinence symptoms were highly prevalent but were tolerable for both groups. Pain-related symptoms were more exaggerated during episodic withdrawal. Intolerable pain, rather than physical dependence, contributed to the failure to withdraw from morphine. Among a total of 539, addiction was found in only one patient (0.18%) who began drug use long before entering our protocol. Attitudes towards morphine affect the acceptance of treatment and hasten the withdrawal strategy. Families were more anxious about morphine than the patients themselves which led to more aggressive, but less tolerable, withdrawal.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1992

Do postsuctioning transcutaneous PO2 values change when a neonate's movements are restrained?

The purpose of this research was to examine the effects of containment (restraint of an infant's movements) on premature infants' postsuctioning transcutaneous PO2 values. The hypothesis was that premature infants receiving containment would have significantly different postsuctioning transcutaneous PO2 levels than infants receiving no containment. Premature infants with respiratory disease require suctioning to remove excess secretions from their lungs. Research studies document a variety of infant responses to suctioning; hypoxia, hypoxemia, increased blood pressure, bradycardia, increased intracranial pressure, and increased cerebral blood flow velocity. Most studies have examined only a few isolated variables and the magnitude and duration of hypoxemia in response to suctioning. Our sample comprised 24 infants less than 72 hours of age, who had respiratory distress syndrome and had been born at between 24 and 33 weeks' gestational age. The setting was a neonatal intensive care unit of a large county hospital. The same nurse performed the suctioning and containment procedures in all subjects. Student's t-tests and analysis of variance were carried out to determine the effect of the technique.

Blood Gas Monitoring, Transcutaneous↗
PubMed1990

Comparison of continuous epidural infusion of fentanyl and fentanyl-bupivacaine for post cholecystectomy pain control.

Epidural narcotics has been shown to produce profound and long-lasting analgesia. It has been suggested that lipid-soluble narcotics such as fentanyl, because of their short transit time in the CSF, are less likely to be associated with delayed respiratory depression and side effects. We tried to combine low concentrations of fentanyl with bupivacaine to minimize side effects and to see if synergistic effect existed. Forty ASA physical status I or II patients who present for cholecystectomy were included in the trial. Before surgery a thoracic epidural catheter was inserted and pain control began when patients became fully awake and complained of pain in the recovery room after surgery. Patients were randomized in a double-blind fashion to one of four groups. Patients in group I were given epidural infusions of fentanyl 0.001%; patients in group 2 received fentanyl 0.001% mixed with bupivacaine 0.1%; patients in group 3 received fentanyl 0.0005%; patients in group 4 received fentanyl 0.0005% mixed with bupivacaine 0.1%. A continuous epidural infusion of these drugs began at a rate of 10 mL/h after a 5-mL bolus of the solution. Pain relief was assessed with visual analogue pain scale. Respiratory rates, vital signs, and mental status were assessed hourly. Except the group 3, the degree of analgesia achieved was similarly satisfactory in all other groups. There was no respiratory depression developed in either group. Motor block was minimal or absent in all groups. The incidence of nausea and pruritus was significant less in group 3 and group 4. In conclusion, the continuous infusion of dilute bupivacaine with fentanyl provides synergistic analgesia with minimal side effects.

Analgesia, Epidural↗
PubMed1989

[Serological survey of cytomegalovirus infection in Guizhou].

From August to October 1987, 577 serum samples were examined for the presence of CMV-IgG antibody by using indirect ELISA in Guizhou. The positive rate of CMV antibody varied from 87.5 to 92.4% in three areas and from 80.9-94.9% in various ages groups. It was suggested that the main transmission route of CMV infection in early life might be transmitted from mothers to their infants, but there might be some close contact transmission in population. The results showed that CMV infection was common in Guizhou. It was necessary to study further the correlation between CMV infection and birth defects.

Adolescent↗
PubMed1989

Prevention of hypothermia during abdominal surgery: comparison of thermal tube and blanket.

Twenty patients who received elective abdominal surgery for more than two hours were randomly assigned into two groups. Group 1 was warmed by using "EXACON" thermal therapy system model TT8200. Group 2 was warmed by using a thermal blanket of aquamatic K-thermia (electronic control), model PK-600 of American Hamilton medical systems. Other variables were kept constant, and the theater temperature was maintained at 24 degrees C. Core temperature was recorded every five minutes in a two hour period. There were statistically significant differences between these two groups intra-operatively. Decrease of temperature between these two groups had significant changes from 30 minutes to 2 hours (p less than 0.05). The warming effect of esophageal thermal tube was well controlled by directly warming the central compartment. However, the effect of blanket was unpredictable due to wet dressing and superficial warming of surgical fields. There were no side effects during the study.

Abdomen↗
PubMed1984

Renal gluconeogenesis: axial and internephron heterogeneity and the effect of parathyroid hormone.

To better understand the regulation of renal gluconeogenesis that occurs in the proximal nephron, glucose production rates from various substrates were determined in defined proximal tubule segments of the rat. Tubule segments tested were the S1 and S2 segments of superficial (SF) nephrons, the S1 segments of juxtamedullary (JM) nephrons, and the S3 segments. Glucose production (in decreasing order) was: from alpha-ketoglutarate, JM S1, SF S1, SF S2; from pyruvate, SF S2, JM S1, and SF S1; from glutamine, SF S1, JM S1; and from glutamate, SF S1 = JM S1. Little glucose was produced in the S3 segments. Glucose production from glutamate was lower than that from the other three substrates in JM S1, and glutamine was the best gluconeogenic substrate in SF S1. The effects of parathyroid hormone (PTH), a known stimulator of renal gluconeogenesis, and cAMP were examined using alpha-ketoglutarate as the substrate. Both stimulated glucose production in the S1 and S2 segments of the SF nephron. Although PTH stimulated adenylate cyclase in the S1 segments of the SF and JM nephrons, it had no effect on glucose production in the JM S1. Glucose production rose in the SF S1 and JM S1 in response to increasing concentrations of hydrogen or calcium ions, indicating that gluconeogenesis can be increased in these nephron segments. Differences may therefore be present in the cellular responses to PTH distal to cAMP formation in the nephron segments of the SF and JM nephrons. These findings show the presence of both axial and internephron heterogeneity of renal gluconeogenesis and suggest the difference in the effects of PTH on the function of SF and JM nephrons.

Adenylyl Cyclases↗