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Biomedical subjects

Y Fu

Publications and source records attributed to Y Fu.

At least 235 records · Page 13Linked to original sources

[Role of several hosts in transmission of Schistosomiasis japonica in lake region].

From 1989 to 1990, an investigation was conducted in three villages in Junsan township, Hanyang County, Hubei Province. The results showed that the infection rates of local residents were 55.1%, 49.5% and 44.3%, respectively; the EPG were 5.6, 5.2 and 2.0, respectively; the relative transmission index (RTI) were 7.1%, being highest in the age group 30-39 years. The relative index of potential contamination (IPC) was 67.2% in the age group 20-49 years, this group was considered as the main transmission source in the population. In animal hosts buffaloes, pigs and dogs, the infection rates were 35.7%, 60.0% and 75.0%, respectively; MPG (miracidium per gram), 0.4, 0.4 and 80.4, respectively; RTI (relative transmission index), 38.6%, 7.7 and 46.6%, respectively. The infection rates of pigs and dogs were high in Huangshi village, while the infection rate of buffaloes was high in Chuangjiang village. These results coincided with the transmission of schistosomiasis in these villages. The results showed that dogs as the main transmission sources had important significance in the epidemiology of schistosomiasis and that buffaloes and pigs herd and fed in the snail-habitats could be heavily infected.

Adolescent↗

[The causes responsible for recurrence of pituitary adenomas and an evaluation of reoperation effects].

Four hundred and twenty one cases of transfrontal removal of pituitary adenomas were presented. Of these 23 had recurrence of tumor which was confirmed by reoperation and histopathological examination. The rate of recurrence decreased while the patients' age increased. Incomplete removal of the tumor tissue was one of the most important causes of recurrence. Invasiveness was another important cause. Most of the tumors in this series were large and had pathologically proven invasiveness. At the reoperations, there were evidences of worse invasiveness, especially the infiltration of adenomas into the capsules and adjacent structures. There was a case of Nelson's syndrome, suggesting the endocrine causes of recurrence. Apparent adhesion and topographic disorders were found during reoperation, improvement of visual impairment decreased obviously, and the mortality rate increased; therefore, the reoperations should be decided with great deliberation.

Adenoma, Chromophobe↗

[Surgical treatment of arteriovenous malformations in the brain stem].

The authors report the surgical removal of four arteriovenous malformations (AVM's) in the brain stem causing hemorrhage. These included two intra-axial and two extra-axial AVM's. Three of the four were situated at the pons, and the remaining one in the posterior medullary velum. Complete surgical removal was obtained in the two extra-axial cases and in one of the intra-axial cases. The patient in whom complete removal was not obtained received partial embolization therapy with the remaining feeder being coagulated surgically. No patient was made permanently worse after surgery. One patient, in a comatose state on admission, died, while the remaining three patients showed useful recovery. These data indicate that surgical therapy with or without endovascular surgery appears to be possible for some AVM's and can be performed at an acceptable risk.

Adult↗

Microcomputer-based cardiac field simulation model.

Cardiac field simulation is one of the frontier subjects in electrocardiogram theory study. The paper describes a complete cardiac simulation model implemented on an IBM-PC/AT microcomputer. This model uses a new algorithm for excitation propagation simulation. In comparison with the previous rule-based algorithms, the new algorithm shows better in simulation speed and simulation accuracy.

Algorithms↗

Mechanism of acute deterioration of the neurological status following rapid and massive intraluminal thrombosis in case of a giant intracavernous carotid artery aneurysm: demonstration by MR imaging.

A case is reported of a thrombosed giant aneurysm of the intracavernous carotid artery. Transient neurological deterioration was attributable to the acute swelling of the aneurysmal mass after rapid and massive intraluminal thrombosis. Characteristics on the magnetic resonance imaging of this case are reported and discussed.

Acute Disease↗

Estrogen and progesterone receptors in human decidua after RU486 treatment.

OBJECTIVE: To examine RU486 action on decidua at the level of cellular estrogen receptor (ER) and P receptor (PR). DESIGN: Controlled basic study for contragestion mechanism of mifepristone. SETTING: Normal human volunteers in an academic research environment. PATIENTS: Sixty women with 6 to 7 weeks of gestation who voluntarily requested termination of pregnancy were recruited and randomly divided into three groups. INTERVENTION: A single dose of 200 mg RU486 was orally administered to the two treatment groups 12 and 24 hours, respectively, before surgical interruption of pregnancies. Placebo was used for control group. Decidual tissues were collected right after operation. MAIN OUTCOME MEASURE: Immunocytochemical reactions of PR and ER in decidua after RU486 treatment were compared with the control subjects. The differences of the reaction in decidual area with or without trophoblast invasion were noted. RESULTS: RU486 treatment increased PR and ER staining in vessel and stroma of decidua without trophoblast invasion (decidua parietalis) but not in decidua with trophoblast invasion (decidua capsularis or basalis). Chi-squared analysis indicated a significant increase in the number of ER-positive samples after RU486 treatment. CONCLUSION: The decidua parietalis was the primary target site of RU486. The lack of RU486 effect on decidua capsularis implied that trophoblast invasion prevented against antiprogestin impact.

Abortion, Induced↗

The effect of RU 486 on progesterone receptor in villous and extravillous trophoblast.

A total of 60 women with 6-7 weeks' amenorrhoea were randomly allocated to three groups. The women in the first group (control) took a placebo 24 h before undergoing vacuum aspiration. The subjects in the second and third groups were given orally 200 mg of RU 486, 12 or 24 h before surgical interruption of their pregnancy. Villi and decidua were collected and frozen in liquid nitrogen. There were no significant differences in villous cytosolic steroid concentrations between the control and RU 486-treated groups. The RU 486 concentration was lower in villous cytosol than in decidua and serum. The immunostaining of progesterone receptor in villous and extravillous trophoblast was weak and localized in both cytoplasm and nucleus. RU 486 treatment had no effect on the immunostaining of progesterone receptors in trophoblast populations except in the placental bed giant cells, where the weak and diffuse progesterone receptor staining in the cytoplasm of controls seemed to be concentrated in the nucleus after RU 486 treatment. In conclusion, RU 486 might have no effect on the immunostaining of progesterone receptor and on steroid concentrations in villi in vivo.

Chorionic Villi↗

Defective major histocompatibility complex class I expression on lymphoid cells in autoimmunity.

Lymphocytes from patients with insulin-dependent diabetes mellitus (IDDM), a chronic autoimmune disease, have recently been shown to have decreased surface expression of MHC class I antigens. Since IDDM and other autoimmune diseases share a strong genetic association with MHC class II genes, which may in turn be linked to genes that affect MHC class I expression, we studied other autoimmune diseases to determine whether MHC class I expression is abnormal. Fresh PBLs were isolated from patients with IDDM, Hashimoto's thyroiditis, Graves' disease, systemic lupus erythematosis, rheumatoid arthritis, and Sjogren's syndrome. Nondiabetic and non-insulin-dependent diabetes mellitus patients served as controls. MHC class I expression was measured with a conformationally dependent monoclonal antibody, W6/32. Freshly prepared PBLs from the autoimmune diseases studied and the corresponding fresh EBV-transformed B cell lines had decreased MHC class I expression compared with PBLs from normal volunteers and non-insulin-dependent (nonautoimmune) diabetic patients. Only 3 of more than 180 donors without IDDM or other clinically recognized autoimmune disease had persistently decreased MHC class I expression; one patient was treated with immunosuppressive drugs, and subsequent screening of the other two patients revealed high titers of autoantibodies, revealing clinically occult autoimmunity. Patients with nonautoimmune inflammation (osteomyelitis or tuberculosis) had normal MHC class I expression. Autoimmune diseases are characterized by decreased expression of MHC class I on lymphocytes. MHC class I expression may be necessary for self-tolerance, and abnormalities in such expression may lead to autoimmunity.

Adult↗

Aneurysmal rupture during angiography.

The aim of the present study was to analyze the clinical data on rebleeding in cerebral aneurysms during angiography and to evaluate the importance of the time interval between the latest rupture and angiography. Fourteen personal cases and 202 patients reported in the literature are reviewed. Rebleeding during angiography occurred most often (78%) on Day O; 89% bled when angiography was performed within 6 hours of the latest rupture. The prognosis in such ruptures was poor, with a mortality of 79%. Intentional delay in angiography of at least 6 hours from the latest rupture is recommended if the associated hematoma is not large.

Adult↗

Pontine hemorrhages presenting as trigeminal neuropathy--report of three cases.

Three patients with pontine hemorrhages presenting clinically as trigeminal neuropathy are described. No patient was hypertensive and angiograms were normal. Magnetic resonance (MR) imaging showed heterogeneous lesions, suggesting cavernous malformation, in one patient, but no definite diagnosis could be made in the other two patients. Such cases are rare and should be evaluated using serial MR imaging to differentiate angiographically occult vascular malformation from spontaneous hemorrhage.

Adult↗

Repair of large bone defect by transplanting xenografts implanted with autovessels.

This paper reports on the role of autovessels implanted into an organic xenograft (AX) from the vertebrae of pigs in repairing fibular defect (2 cm long) in rabbits. The incorporation rate and mechanical strength of AX implanted with autovessels (AXV) and AX with combined autologous red marrow and autovessels implanted (AXMV) were determined at 2-week intervals up to 12 weeks after operation by roentgenograms, histological investigations and mechanical strength measurement. The results of AXV and AXMV were compared with those of AX impregnated with autologous red marrow (AXM), simple AX and xenografts treated with alcohol (XTA). The results indicated that the incorporation rates of AXV and AXMV were higher than those of AXM and AX (90.9% and 88.9% vs 66.7% and 62.5%, respectively). In contrast, XTA showed no sign of bone incorporation at 12 weeks after operation.

Animals↗

Expression of a fusion protein containing calf prochymosin B(1-161) and human proinsulin.

The plasmid pJG202 containing Tac promoter, calf prochymosin B(1-161) gene and human proinsulin gene was constructed and transformed into E. coli JM105. The expression of the fusion protein consisting of 249 amino acids was controlled by IPTG and temperature, and the expressed protein was estimated to be 20-35% of the total cellular proteins by scanning of the SDS-PAGE gel stained with Coomassie brilliant blue R250. After CNBr cleavage, sulfitolysis, partial separation of the S-sulfonated human proinsulin and recombination of the disulfide bonds, human proinsulin with native properties, as evidenced by amino acid composition analysis, receptor binding and radioimmunoassays, could be obtained.

Animals↗

[Surgical treatment of ruptured dissecting aneurysms: proximal clipping vs trapping].

The best surgical treatment for ruptured dissecting aneurysms of the vertebral artery is still controversial. Four patients (1 male, 3 female), age ranging from 43 to 62, were operated upon in our department during the last 6 years. Duration from rupture to the operation was 0 to 4 days. In 2 cases, proximal clipping was the primary treatment, while 2 had a trapping. Antiplatelet agents were given to prevent vasospasm in all cases postoperatively. In proximal clipping cases, one patient had suffered from fatal rerupture on the sixth postoperative day. In trapping cases, Wallenberg syndrome developed in one patient. These results suggest that a proximal clipping may not allow the treatment for the vasospasm because of the danger of rebleeding and also a trapped segment of vertebral artery should be as short as possible to avoid compromised perforators.

Adult↗

[Neurological deterioration induced by giant intracranial aneurysms even though these aneurysms had not ruptured; mural hemorrhage and intraluminal thrombosis].

The authors report two cases of intracranial giant aneurysms inducing acute neurological deterioration even though rupture of the aneurysms had not occurred. Neurological aggravation was attributable to the acute swelling of the aneurysmal mass after intramural hemorrhage in one case, and the formation of rapid and massive intraluminal thrombosis in another case. MRI confirmed these mechanisms in both cases. MRI is very useful for demonstrating mural and intraluminal pathologies involving giant aneurysms.

Aneurysm, Ruptured↗