Effects of human papillomavirus type-specific antisense oligonucleotides on cervical cancer cells containing papillomavirus type 16.
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Base Sequence↗
Biomedical subjects
T K Chung
Publications and source records attributed to T K Chung.
A prospective study of the frequency of acute menopausal symptoms in Hong Kong Chinese women.
A prospective study was conducted amongst Hong Kong Chinese women to determine the incidence of acute menopausal symptoms following surgical menopause. Cases where a laparotomy was performed for other indications were used as controls. Hot flushes and sweating developed in 8/33 (24.2%) and 6/33 (18.2%), respectively, of those women having had a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Whilst vasomotor symptoms were more frequent in those women who had undergone a surgical menopause than in the controls, women in this population were shown to suffer fewer symptoms than has been demonstrated in Caucasian women. Although this study does not help to explain why such differences exist, the relative absence of symptoms may contribute to the low demand for hormone replacement therapy in Hong Kong and other countries where climacteric symptoms are relatively infrequent.
Adult↗
The influence of obstetric workload on cesarean section rate.
The cesarean section rate in a busy obstetric unit was studied in relation to the monthly confinement rate. A total of 30,825 births over a period of 5 years were analyzed. There was a negative correlation between the emergency cesarean section rate and the unit workload (correlation = -.498, 2 tailed p = 0.0001) whilst there was no relationship between workload and the elective cesarean section rate. This suggested that the unit may reach a certain saturation level as far as the emergency cases were concerned during the busy periods. However, there was no evidence that the perinatal outcome was affected by this variation in emergency cesarean section rate.
Cesarean Section↗
Myomectomy in the treatment of postpartum haemorrhage.
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Adult↗
Spontaneous abortion: a medical approach to management.
The conventional management of spontaneous abortion is surgical evacuation of the uterus to prevent complications which may arise from retained products of conception (POC). This procedure is not without complications and also demands operating theatre resources. The purpose of this study was to determine the efficacy of a medical approach to the management of spontaneous abortion using the prostaglandin analogue, gemeprost. From an initial 212 women presenting with spontaneous abortion, 4 groups were defined according to what they required in the way of initial management. A group of 20 women were excluded from conservative medical management at presentation because they were bleeding heavily and judged to be unsuitable. Sixty women initially required no further management other than determining that they had a complete abortion using transvaginal sonography (TVS). The 132 women were treated with the prostaglandin analogue, gemeprost. Sixty were judged to need no further management afterwards and were initially discharged. The remaining 72 women underwent evacuation of retained products of conception (ERPC) after the gemeprost treatment as medical evacuation of the uterus appeared to had been incomplete. In each of these 4 groups so defined, there was 1 case where an ERPC was required after the patients have been discharged because of complications attributable to retained POC. We therefore found that no ERPC was necessary in the management of 118 out of 212 (55.6%) women who presented with spontaneous abortion. This has important implications in patient management and economical use of hospital resources.
Abortifacient Agents, Nonsteroidal↗
Ki67 and AgNORs staining in squamous cell carcinoma of the cervix: a comparison.
Ki67 immunostaining was performed on 48 cases of squamous cell carcinoma of the cervix and AgNOR silver staining on 29 cases. There was no correlation between the clinical stage of the tumor and the two methods of staining but both methods correlated with histological grade. There was no correlation between the two methods of staining in 17 case where they were done on adjacent blocks of tumor tissue. High Ki67 score but not high AgNOR count was significantly associated with early recurrence.
Carcinoma, Squamous Cell↗
Dietary calcium intake in postmenopausal Chinese women.
Dietary calcium intake has been shown to vary both between and within populations. The aim of this study was to compare two methods of assessment of dietary calcium in the local population of postmenopausal Chinese women. The intake was measured using 24h dietary recall as well as a food frequency questionnaire. There was a high correlation in the measurement of calcium intake between these methods. The mean daily intake in postmenopausal women not taking calcium supplementation was 397.6 mg assessed using 24 h recall, and 390.9 mg according to the food frequency questionnaire. There was no evidence of a difference in the reproducibility of the results given by the two methods. The dietary intake of calcium in postmenopausal Chinese women is below the recommended daily allowance for adult females in East Asia, and coupled with other factors may predispose to the development of osteoporotic fractures.
Age Factors↗
Menadione nicotinamide bisulfite is a bioactive source of vitamin K and niacin activity for chicks.
Young chicks were fed a vitamin K-deficient soybean concentrate basal diet containing graded levels of menadione from menadione nicotinamide bisulfite (MNB) or menadione dimethyl-pyrimidinol bisulfite (MPB) to assess prothrombin time as a function of menadione intake. Prothrombin time decreased linearly as menadione dose increased from 0 to 400 micrograms/kg. Multiple linear regression slope-ratio calculations indicated that both sources of menadione were of equal potency. To assess niacin bioactivity of MNB, graded doses of nicotinamide (0 to 5 mg/kg) from MNB or nicotinamide were added to a niacin-deficient diet based upon corn, corn gluten meal and vitamin-free casein. Weight gain increased linearly as a function of nicotinamide dose, and multiple linear regression analysis of weight gain as a function of supplemental nicotinamide intake revealed no significant differences in slope between the two sources of nicotinamide. Using excess doses, MNB was compared with MPB in acute (single crop intubation) or chronic (fed in the diet for 14 d) toxicity trials. With a single menadione dose of 1600 mg/kg body wt, weight gain in the subsequent 14-d period was reduced by MNB but not by MPB. Mortality rates of 25 and 17% occurred for MPB and MNB, respectively, at this dose level. Doses lower than 1600 mg/kg body wt caused neither morbidity nor mortality. When provided in the diet for a 14-d feeding period, menadione doses of 3000 mg/kg diet from MNB reduced gain, feed intake, gain:feed ratio and blood hemoglobin concentration. Menadione doses of 6000 mg/kg diet were required to produce morbidity of this type when MPB was fed.(ABSTRACT TRUNCATED AT 250 WORDS)
Administration, Oral↗
Case report: spontaneous pregnancy following thymectomy for myasthenia gravis associated with premature ovarian failure.
We report the case of a 29-year-old woman who was diagnosed to have premature ovarian failure (POF) and myasthenia gravis at the age of 27 years. She was treated by thymectomy and pyridostigmine. Hormone replacement was started after the operation and she subsequently conceived spontaneously. We believe this is the first report of a spontaneous pregnancy after the diagnosis of POF associated with myasthenia gravis.
Adult↗
Ultrasound fetal weight estimation: precision or guess work?
We compared the prediction of birth-weight based on factors shown by epidemiological studies to influence it with the performance of 2 clinical examples of ultrasonic fetal weight estimation reported in the literature. The standardized absolute error of the 2 examples of ultrasonic fetal weight estimation was similar to estimation by multiple regression of birth-weight on maternal age, parity, height and weight in 11,516 Chinese mothers. This severely limits the clinical utility of the estimation derived from these ultrasonic measurements.
Birth Weight↗
Transvaginal sonography in the diagnosis and management of cervical incompetence.
Cervical incompetence remains a controversial area in obstetric management. The development of transvaginal sonography has resulted in a clearer image of the internal cervical os, a development which may indirectly have beneficial effects on outcome. However, the rapid development of cervical dilatation in some cases necessitates frequent ultrasound monitoring.
Adult↗
Tryptophan requirement of pigs in the weight category 10 to 20 kilograms.
Experiments were conducted to determine the tryptophan (Trp) requirement of 10- to 20-kg pigs. A Trp-deficient experimental diet (.11% total Trp, 18% CP, 3,320 kcal of ME/kg) was composed of corn, feather meal, corn gluten meal, soybean meal, and dried whey. True digestibility of Trp in the experimental diet was 70% (.077% digestible Trp) as established in a digestibility assay that involved cecectomized, adult cockerels (Exp. 1). An initial pig study (Exp. 2) verified that the experimental basal diet, when fortified with sufficient L-Trp, was capable of producing growth rate and feed efficiency similar to that of pigs fed a conventional corn-soybean meal-dried whey diet (18% CP, 3,320 kcal of ME/kg). In Exp. 3, crossbred pigs with an average BW of 10.9 kg were fed the Trp-deficient basal diet supplemented with 0, .015, .030, .045, .060, and .075% L-Trp. In Exp. 4, crossbred pigs that averaged 9.5 kg were fed the basal diet fortified with .030, .045, .060, and .075% L-Trp. By examining the data from Exp. 3 and 4 together, the digestible Trp requirement for maximum daily weight gain was estimated to be .14% of the diet. Assuming an 88% true digestibility of Trp in commercial diets based on corn and soybean meal (calculated from published data), the total Trp required in practice would be .16% (.89% of the dietary protein).
Animal Feed↗
Efficiency of dietary methionine utilization by young pigs.
An assay was conducted to determine the efficiency of dietary methionine retention for protein accretion in 14-kg pigs. During an 18-d feeding period, pigs were fed a chemically defined amino acid basal diet [147.7 g protein (N x 6.25)/kg, 14.43 MJ metabolizable energy/kg, 4000 mg L-cystine/kg] containing 1150, 1725 or 2300 mg L-methionine/kg. Linear (P less than 0.01) responses in daily gain, daily food intake, daily methionine intake, gain:food ratio and empty body weight gain were obtained as dietary methionine level increased. Representative pigs were killed at the beginning of the assay for whole-body compositional analysis, and the comparative slaughter technique was used to estimate methionine retention. Absolute retention of methionine, protein, water, fat and ash increased linearly (P less than 0.05) with dietary methionine supplementation. Regressing methionine retained on methionine intake resulted in an efficiency of methionine retention above maintenance of 71.7%. The maintenance requirement for methionine was estimated to be 57 mg/d (8 mg/kg body wt 0.75) in the presence of excess dietary cystine. Concentrations of most indispensable amino acids, including methionine, in whole-body protein increased linearly, although glycine and proline concentrations decreased as dietary methionine level increased. This suggests that the ratio of whole-body collagen protein to non-collagen protein decreases as dietary methionine is incremented from deficiency to near adequacy.
Amino Acids↗
Ideal amino acid pattern for 10-kilogram pigs.
Two growth assays and one nitrogen balance experiment were conducted to develop an ideal amino acid pattern for 10-kg pigs. Crossbred pigs were fed chemically defined amino acid diets containing four indispensable amino acid (AA) patterns: 1) the Illinois final amino acid pattern (IFP), a recently developed AA profile for purified diets; 2) the Illinois ideal amino acid pattern (IIP), a modification of IFP; 3) the Wang and Fuller ideal amino acid pattern (WFIP); and 4) the 1988 National Research Council (NRC) amino acid requirement pattern for 10-kg pigs (NRCP). A mixture of dispensable AA consisting of glutamate, glycine, and proline that had been proven to be an efficient mixture of dispensable AA nitrogen was fed together with the indispensable AA patterns. Diets were made isonitrogenous and isoenergetic within experiments. In Exp. 1, pigs were given ad libitum access to experimental diets with AA levels set above the NRC AA requirements. Regardless of which AA pattern was fed, pigs had similar (P greater than .05) daily gains, daily feed intakes, and gain:feed ratios. In Exp. 2, all levels of indispensable and dispensable AA were reduced to 50% of levels present in Exp. 1. When pigs had ad libitum access to these diets, daily gains of pigs fed IIP were superior (P greater than .05) to those of pigs fed IFP or NRCP, but similar (P greater than .05) weight gains occurred in pigs fed IFP, WFIP, and NRCP. In Exp. 3, the efficiency of nitrogen utilization of the four indispensable AA patterns was evaluated by a nitrogen balance experiment in pigs equally fed the same experimental diets fed in Exp. 2. Pigs fed NRCP utilized nitrogen with an efficiency of 74%, which was less (P less than .001) than the efficiencies of 79 to 80% obtained in pigs fed IFP, IIP, and WFIP. Nitrogen retained (grams) per gram of nitrogen intake from indispensable AA was greater (P less than .01) for IIP than for either IFP or WFIP. The results of these experiments indicate that WFIP contains excesses of leucine, valine, phenylalanine plus tyrosine, methionine plus cystine, and threonine for pigs between 10 and 20 kg BW. Also, NRCP is probably first-limiting in leucine and also limiting in other AA, resulting in lower nitrogen utilization than IIP. The pattern of indispensable AA in IIP (grams of AA/100 g lysine) is as follows: lysine (100), methionine+cystine (60), threonine (65), tryptophan (18), phenylalanine+tyrosine (95), leucine (100), isoleucine (60), valine (68), arginine (42), and histidine (32).
Amino Acids↗
Apparent and true amino acid digestibility of a crystalline amino acid mixture and of casein: comparison of values obtained with ileal-cannulated pigs and cecectomized cockerels.
Six ileal-cannulated pigs that averaged 100 kg BW and 16 adult cecectomized cockerels that averaged 2.35 kg BW were used to determine apparent and true digestibilities of amino acids (AA) in a complete crystalline AA mixture and in casein. A protein-free (PF) diet was included as a treatment to estimate endogenous AA losses. Fasted cockerels were compared to cockerels fed PF diets for calculation of true digestibility of AA in cockerels. For the AA diet, true digestibility of indispensable AA in the pig ranged from a low of 97.2% for leucine to a high of 100.5% for arginine (Arg). True digestibility of indispensable AA in casein ranged from a low of 93.5% for isoleucine (Ile) to a high of 99.9% for Arg. Correcting for endogenous losses increased digestibilities of lysine (Lys) and threonine (Thr) in pigs fed the AA diet by 2.4 and 7.1%, respectively, and increased Lys and Thr digestibility in pigs fed the casein diet by 1.8 and 6.1%, respectively. Feeding a PF diet to chickens to correct for endogenous losses resulted in higher true digestibility values for all AA with the exception of tryptophan, methionine, and Arg than those obtained using fasted animals. True digestibilities of Thr were 88.3 and 86.6% for AA and casein diets, respectively, using fasted controls but were 97.5 and 94.5% when the PF control was used. Proline digestibility was increased (P < .05) substantially in both pigs and cockerels when the PF control was used to correct for endogenous AA losses. Regardless of species, Ile in casein had a lower true digestibility value than any other indispensable AA. The results of this study indicated that true digestibilities of AA in a mixture of crystalline AA and in casein are essentially 100% in both pigs and cockerels.
Amino Acids↗
Maximal portion of the young pig's sulfur amino acid requirement that can be furnished by cystine.
Three pig experiments were conducted using a chemically defined, amino acid diet under conditions in which all nutrients were 100% bioavailable to assess the maximal portion of the sulfur amino acid (SAA) requirement that could be furnished by cystine (Cys). In Exp. 1, a methionine (Met)-deficient diet containing .12% L-Met and .40% L-Cys was supplemented with graded levels of L-Met. Pigs weighing 10 kg initially responded quadratically (P less than .05) to Met supplementation. A two-slope, broken-line regression model (weight gain regressed on percentage of dietary Met) estimated an infection point at .23% dietary Met. A constant level of .46% dietary SAA with differing Met:Cys weight (wt:wt) ratios was used in Exp. 2. Pigs fed Met:Cys ratios of 60:40 and 50:50 had similar (P greater than .05) weight gains, but pigs fed a 40:60 Met:Cys ratio gained less (P less than .05) than those fed the other diets. Maintaining dietary sulfur at .111% in Exp. 3, pigs fed Met:Cys ratios (wt:wt) of 100:0, 55:45, 50:50, and 45:55 gained weight at similar (P greater than .05) rates, but pigs fed the 45:55 Met:Cys ratio had a tendency to produce lower weight gains. Regardless of whether a constant dietary SAA or sulfur level was maintained, no more than 50% of the young pig's total SAA requirement (wt:wt) could be furnished by Cys.
Amino Acids, Sulfur↗
Methionine requirement of pigs between 5 and 20 kilograms body weight.
Four nursery experiments were conducted using a methionine (Met)-deficient feather meal-corn-soybean meal-dried whey basal diet (20% CP; 3,250 kcal of ME/kg, .11% choline, .19% Met, 1.00% cystine) supplemented with lysine, tryptophan, and histidine to determine the Met requirement of 5- to 10- and 10- to 20-kg pigs. Based on a true Met digestibility value of 81.6% estimated by a pig ileal digestibility assay, the Met-deficient basal diet contained .155% of digestible Met. A preliminary experiment (Exp. 1) indicated that pigs fed the Met-deficient basal diet when fortified adequately with Met could produce weight gains similar to those of pigs fed a 20% CP practical corn-soybean meal-dried whey diet. In Exp. 2 and 3, crossbred pigs weighing 5.8 kg initially were fed diets containing graded levels of digestible Met between .195 and .355%. Average daily gain increased quadratically (P less than .05) as the level of Met increased. When the data of Exp. 2 and 3 were examined together, the digestible Met requirement of 5- to 10-kg pigs was estimated to be .255% of the diet. In Exp. 4 and 5, crossbred pigs averaging 10 kg were fed digestible Met concentrations ranging from .155 to .315%. Average daily gain increased quadratically (P less than .05). The digestible Met requirement of 10- to 20-kg pigs was estimated at .255% for maximal weight gain, which was similar to that of 5- to 10-kg pigs. Assuming an 89% digestibility of Met in practical corn-soybean meal diets, the total Met level needed in practice would be .29%.(ABSTRACT TRUNCATED AT 250 WORDS)
Amino Acids, Sulfur↗
A chemically defined diet for maximal growth of pigs.
Three growth assays and one balance experiment were conducted to determine the optimal mixture of dietary amino acids for 10-kg pigs fed a chemically defined diet. Pigs were meal fed at 0700 and 1700 h in all experiments. Increasing all indispensable amino acids by 20% from their original levels improved weight gain and gain:feed ratio to levels equivalent to those of pigs fed a 20% protein corn-soybean meal-dried whey positive control diet. Replacing the glutamate-glycine-proline dispensable amino acid mixture with a complete mixture of dispensable amino acids (i.e., glutamate, glycine, proline, glutamine, serine, alanine, aspartate and asparagine) did not improve growth rate. A balance study showed that retention of nitrogen and energy (percentage of intake) from the final purified diet was superior to that of pigs fed the corn-soybean meal-dried whey diet. Metabolizable energy and metabolizable energy corrected for nitrogen retention of the final purified amino acid diet were determined to be 14.43 and 13.96 MJ/kg diet, respectively. The chemically defined diet developed here for young pigs provides a means of studying nutrient utilization in the pig under conditions in which all nutrients are essentially 100% bioavailable.
Amino Acids↗