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Biomedical subjects

Y H Chang

Publications and source records attributed to Y H Chang.

At least 109 records · Page 6Linked to original sources
PubMed1997

Is renal function at the tumor side a prognostic factor in ureteral transitional cell carcinoma?

OBJECTIVES: To evaluate whether the ipsilateral renal function on the tumor side is a prognostic factor in transitional cell carcinoma (TCC) of the ureter. PATIENTS AND METHODS: We retrospectively reviewed 129 consecutive patients with ureteral TCC between September 1973 and July 1993 at our hospital. There were 98 males and 31 females aged from 31 to 84 years (mean 64.9). Of them, 126 patients who received intravenous pyelography (IVP) were divided into 3 groups according to their radiological findings (group 1: nonvisualization of kidney at tumor side; group 2: hydronephrosis or hydroureter; group 3: no obstruction). Eighty patients receiving radionuclide (131I-hippuran) renal function test (RRFT) with available effective renal plasma flow (ERPF) were divided into 2 groups using ipsilateral ERPF 50 ml/min as a cutoff value (group 1: < 50 ml/min; group 2: > or = 50 ml/min). The mean survival of each group was estimated by the Kaplan-Meier method. RESULTS: For patients receiving IVP, the mean survivals were 61.7, 99.7 and 83.8 months for groups 1, 2, and 3, respectively, and the differences between each 2 of the 3 groups were statistically significant (p < 0.05). For patients having RRFT, the mean survivals were 65.8 months for group 1 and 89.2 months for group 2 patients, and the difference between them was statistically significant (p < 0.05). When renal function, tumor number, grade, stage and type of treatment were analyzed using a multivariate method, only tumor stage was statistically significant as a prognostic factor. CONCLUSION: Ipsilateral renal function at the tumor side is not a good prognostic factor for patients with ureteral TCC. However, when the stage of tumor is not available, renal function at the tumor side may provide an implication of the patient's prognosis.

Adult↗
PubMed1997

The dynamics of flight-initiating jumps in the common vampire bat Desmodus rotundus.

Desmodus rotundus, the common vampire bat (Phyllostomidae: Desmodontinae), exhibits complex and variable terrestrial movements that include flight-initiating vertical jumps. This ability is unique among bats and is related to their unusual feeding behavior. As a consequence of this behavior, the wing is expected to have design features that allow both powered flight and the generation of violent jumps. In this study, high-speed cine images were synchronized with ground reaction force recordings to evaluate the dynamics of jumping behavior in D. rotundus and to explore the functional characteristics of a wing operating under competing mechanical constraints. The pectoral limbs are responsible for generating upward thrust during the jump. The hindlimbs stabilize and orient the body over the pectoral limbs. The thumbs (pollices) stabilize the pectoral limb and contribute to extending the time over which vertical force is exerted. Peak vertical force can reach 9.5 times body weight in approximately 30 ms. Mean impulse is 0.0580+/-0.007 N s (mean +/- s.d., N=12), which accelerates the animal to a mean take-off velocity of 2.38+/-0.24 m s-1. A model of the muscular activity during jumping is described that accounts for the characteristic force output shown by these animals during flight-initiating jumps.

Animals↗
PubMed1997

A dynamic force and moment analysis system for brachiation.

We describe a transducer system and analysis strategy that allows the determination of dynamic forces and moments applied by an arm-swinging animal during locomotion. We have employed readily available technology and analysis procedures to produce a low-cost but effective system. The solutions to several problems in the design of the system are provided, and the functional characteristics of the system are demonstrated using both an inert pendulum and an actively brachiating gibbon (Hylobates lar).

Animals↗
PubMed1997

The route of seminal vesicle involvement in adenocarcinoma of prostate: lymphaticovascular or local extension?

BACKGROUND: Adenocarcinoma of the prostate with seminal vesicle involvement indicates a rather poor prognosis. The aim of this study is to evaluate the route of seminal vesicle involvement via lymphaticovascular or local extension, as a possible way which may determine the extent of disease as systemic or local. METHODS: In a retrospective study of 32 patients who underwent radical prostatectomy for localized cancer of the prostate, medical records and imaging studies were reviewed, and the histopathological slides of the resected specimens were rechecked. RESULTS: Of 32 patients, 12 (37.5%) had seminal vesicle involvement. Seven patients had involvement of bilateral seminal vesicles and five had unilateral involvement. Tumor cells invaded the muscle portion of seminal vesicle from the adjacent prostatic tissues in all 12 patients. Four of the seven patients with involvement of bilateral seminal vesicles developed bony metastasis 7 to 12 months after operation. No patient with unilateral involvement of seminal vesicle was found to have disease progression to bony metastasis during follow-up for as long as 39 months. CONCLUSIONS: The route of seminal vesicle involvement in prostate cancer was through local extension in all of our patients. Involvement of bilateral seminal vesicles may have more chances to develop bony metastasis than unilateral involvement. Further study with a large number of patients is necessary to clarify the issue regarding the route of seminal vesicle involvement in adenocarcinoma of prostate.

Adenocarcinoma↗
PubMed1996

Evidence that the human homologue of a rat initiation factor-2 associated protein (p67) is a methionine aminopeptidase.

Previously, we cloned a human cDNA encoding a protein which has a 92% amino acid sequence identity to a rat initiation factor-2 associated protein (p67). Rat p67 plays an important role in translational regulation by preventing the phosphorylation of the alpha subunit of initiation factor-2. Interestingly, several lines of indirect evidence suggested that this protein may also function as a methionine aminopeptidase (MetAP). To test this hypothesis, we expressed the human cDNA in a baculovirus system, purified it to homogeneity and characterized it. Using 13 different peptide substrates, we found that the human p67 has a similar substrate specificity with other MetAPs. Kinetic analyses revealed that the Kcat/K(m) values of the human MetAP on two representative substrates are similar to those of yeast and porcine MetAPs. Furthermore, we found that this enzyme, like other MetAPs, is also a cobalt-dependent metalloenzyme.

Aminopeptidases↗
PubMed1996

Increase of locomotor activity by acupuncture on Bai-Hui point in rats.

The effect of acupuncture on locomotor activity was investigated in rats. Stimulation with acupuncture inserted in Bai-Hui point, which is located at the vertex of the head, increased the spontaneous locomotor activity of rats measured in ANIMEX meter. This effect was obtained in rats which received acupuncture significantly at 60 min later as compared with sham-treated control. The sleeping time induced by hexobarbital was also reduced markedly in rats receiving acupuncture. An activation of the central nervous system by acupuncture at Bai-Hui point can thus be considered. This action was unrelated to opioids because naloxone failed to modify it. Increase in locomotor activity was abolished by an intraperitoneal (i.p.) injection of alpha-methyl-p-tyrosine (200 mg/kg) at 2 h before insertion of acupuncture. Deprenyl at the dose sufficient to elevate monoamine enhanced this action of acupuncture. Mediation of cerebral monoamines can also be considered. This view was supported by the dose-dependent inhibition of chlorpromazine. Action of acupuncture was not observed in apomorphine (0.5 mg/kg, i.p.)-treated rats, probably due to an activated receptor of dopamine. Otherwise, action of acupuncture was enhanced by para-chlorophenylalanine, the depleter of endogenous 5-hydroxytryptamine (5-HT), and eliminated by 5-hydroxytryptophan, the precursor of 5-HT, in the initial stage of insertion. Participation of 5-HT can be considered as an initial way in rats that received acupuncture at Bai-Hui point. These results suggested that stimulation of Bai-Hui point with acupuncture can activate central neurotransmission of monoamines to increase the spontaneous locomotor activity in rats.

Acupuncture Points↗
PubMed1996

Ethnic differences in immune responses to hepatitis B vaccine.

A national vaccination program against hepatitis B virus (HBV) to immunize every newborn was initiated in Taiwan in 1986. A serologic survey of 1,812 fully vaccinated children residing in four aboriginal villages and four adjacent nonaboriginal Han Chinese rural villages was conducted in 1993. Children in three of the four aboriginal villages had significantly lower titers of antibody against hepatitis B surface antigen (anti-HBs) than did children in the nonaboriginal villages. Evaluation of cold chain operation for vaccine storage and transport suggested that cold chain failure was not responsible for the fact that children residing in the more remote aboriginal villages had lower mean titers of anti-HBs. However, children whose parents were both aborigines had lower anti-HBs mean titer than did children whose parents were both ethnic Han Chinese. Children of mixed parental origins had intermediate mean titer of anti-HBs. Serologic responses to Japanese encephalitis virus and diphtheria vaccines did not show such correlation with ethnic groups, indicating that the determinant for HBV hyporesponsiveness among the aboriginal children is distinct from that of other childhood vaccines. It was therefore concluded that host factors pertaining to ethnic origin might be responsible for the hyporesponsiveness to HBV vaccine in the aboriginal populations. This finding, if substantiated with further prospective studies, might provide possible means for more targeted trials to improve vaccine response and to reduce vaccine failure among these well-defined ethnic groups.

Child↗
PubMed1996

Adaptive computer-aided diagnosis scheme of digitized mammograms.

RATIONALE AND OBJECTIVES: We investigated an adaptive rule-based computer-aided diagnosis (CAD) scheme for digitized mammograms that can be optimized by using an image difficulty index as determined from global measures of image characteristics. METHODS: First, we defined an image "difficulty" index based on image feature measurements in both the spatial and frequency domains. The CAD scheme then segmented the database into three groups. An image database of 428 digitized mammograms with 220 verified masses was randomly divided into two subsets, one for training (rule-setting) and the other for testing the adaptive CAD scheme. Each of the image difficulty groups in the training set was optimized independently to achieve a low false-positive detection rate while maintaining high detection sensitivity. Scheme performance was then evaluated with the test set, and the results were compared with a global rule-based system that was optimized without the adaptive method. RESULTS: In this preliminary study, a relatively simple adaptive scheme reduced false-positive mass detections compared with the nonadaptive scheme from 0.85 to 0.53 per image. At the same time sensitivity was not significantly changed. CONCLUSION: This adaptive CAD scheme has distinct advantages in improving CAD scheme performance as long as the training database includes a large number of cases in each image difficulty group with a variety of true-positive abnormalities.

False Positive Reactions↗
PubMed1996

The significance of tumour grade in predicting disease progression in stage Ta transitional cell carcinoma of the urinary bladder.

OBJECTIVE: To determine the significance of tumour grade in predicting disease progression in stage Ta transitional cell carcinoma (TCC) of the urinary bladder. PATIENTS AND METHODS: From August 1975 to January 1991, 140 patients (121 men and 19 women, mean age 64.2 years, range 30-83) with stage Ta TCC of the urinary bladder were treated at the Veterans General Hospital-Taipei by transurethral resection and post-operative adjuvant intravesical chemotherapy. There were 48 patients (34%) with grade 1, 78 patients (56%) with grade 2 and 14 patients (10%) with grade 3 tumours. Disease progression and muscle invasion were assessed during a mean follow-up of 74.3 months and related to grade, urine cytology and the number and location of tumours. RESULTS: A total of 10 patients (7%) had tumour recurrence which invaded the muscle, of whom one had grade 1, six had grade 2 and three had grade 3 tumours. The patient with a grade 1 tumour developed muscle invasion within 16 months of surgery. The mean interval to the development of muscle invasion was 49.2 months in patients with grade 2 and 39.4 months with grade 3 tumour. In patients with stage Ta TCC, a grade 3 tumour was more likely to progress to muscle invasion (21%) than was a grade 1 (2.1%; P < 0.05) or grade 2 (7.7%; P < 0.05) tumour. One patient with a grade 2 and one patient with grade 3 tumour developed distant metastases without muscle invasion. Overall, the disease progression rate was 8.6% (12/140) in stage Ta TCC. Disease progression was more common with grade 3 (28.5%) than with grade 2 (9.0%; P < 0.05) and grade 1 (2.1%; P < 0.05) tumours. CONCLUSION: Tumour grade may be used to predict disease progression after resection of stage Ta urinary bladder cancer. A higher grade of tumour was associated with a higher incidence of disease progression.

Administration, Intravesical↗
PubMed1996

Computerized identification of suspicious regions for masses in digitized mammograms.

RATIONALE AND OBJECTIVES: A simple and effective computerized detection scheme was developed to identify suspicious mass regions in digitized mammograms. METHODS: This method identifies a maximum of five suspicious mass regions per image and was tested with a database of 510 images, including 162 verified masses. It includes a series of five rule-based processes that select one region with each of the following characteristics: 1) a global minimum of optical density in a smoothed image; 2) a local minimum of optical density in the original image; 3) a local minimum of optical density in a filtered image; 4) a small "mass" of low contrast; and 5) a small "mass" of high contrast. RESULTS: This multi-stage process achieved a sensitivity of 95% while limiting false-positive detection rates to below an average of two per image. CONCLUSION: Because this method limits the initial number of suspicious mass regions while retaining high sensitivity, it may be applicable to clinically usable computer-aided diagnosis schemes.

Breast Diseases↗
PubMed1996

Robustness of computerized identification of masses in digitized mammograms. A preliminary assessment.

RATIONALE AND OBJECTIVES: The authors assess the robustness of a computer-aided diagnosis (CAD) scheme with five rule-based stages to identify regions suspicious for mass in digitized mammograms. METHODS: With a database of 428 mammograms, 234 of which had not been analyzed by this scheme before, the authors evaluated the performance robustness of their CAD scheme. The following four issues were investigated to assess the variability of the scheme's performance due to: (1) the maximum permissible number of "masses" detected at each stage; (2) exclusion of selected individual rule-based stages; (3) added image noise; and (4) repeated digitizations of the same image. RESULTS: Enabling the CAD scheme to select a maximum of two suspicious mass regions at any one stage increased sensitivity by as much as 4% (from 93% to 97%), but it increased the false-positive detection rate by as much as 1.2 per image (from 1.7 to 2.9). Eliminating any individual stage decreased sensitivity by as much as 6%, but this reduced the false-positive detection rate by as much as 0.4 per image (from 1.7 to 1.3). The addition of reasonable noise levels decreased sensitivity by as much as 4% without substantially affecting the false-positive detections. Repeated digitizations of selected images demonstrated a scheme sensitivity of 93% +/- 1.8% with more than a 90% overlap of the false-positive regions. CONCLUSIONS: The results of this preliminary study clearly indicate that this scheme is reasonably robust to the variables investigated here.

Breast Neoplasms↗
PubMed1996

On the reporting of mass contrast in CAD research.

As research efforts for developing computer-aided diagnosis (CAD) schemes of digitized mammograms increase and interscheme results are compared, the desire to establish an acceptable consistent reporting protocol of the distribution of abnormal characteristic is becoming an issue. "Mass contrast" is very important and frequently reported in current CAD studies. In this report, 100 verified mass regions were analyzed systemically using 6 different definitions of "mass contrast." Measured variability in mass contrast was demonstrated by the distribution shift in this group masses. The need for universally accepted and largely standardized descriptors of objects of interest is clearly demonstrated.

Biophysical Phenomena↗
PubMed1996

Detection of protein A produced by Staphylococcus aureus with a fiber-optic-based biosensor.

Staphylococcus aureus is a pathogen important in causing human infections and intoxication. A sensitive fiber-optic that produces evanescent waves was developed for the detection of protein A, a product secreted only by S. aureus. In the immunosensor, a 40-mV argon-ion laser that generated laser light at 488 nm was used together with plastic optical fiber and antibodies to protein A were physically adsorbed onto the fiber. The principle of the detection involved a sandwich immunoassay with fluorescein isothiocyanate conjugated with anti-(protein A) immunoglobulin G to produce signals of the antigen-antibody reaction. The detection limit was 1 ng of protein A per milliliter. The fiber-optic immunosensor could be used for rapid and specific detection of S. aureus in clinical specimens and foods.

Biosensing Techniques↗
PubMed1996

Mass detection in digitized mammograms using two independent computer-assisted diagnosis schemes.

OBJECTIVE: Using two independent computer-assisted diagnosis (CAD) schemes, we investigated the potential to improve the sensitivity of mass detection by applying a logical "or" operation and to improve the specificity using a logical "and" operation. MATERIALS AND METHODS: Two independent mass detectors, one with Gaussian bandpass filtering and multilayer topographic feature analysis and the other with a five-stage search for a single suspicious region, were applied to a large image database that included 428 digitized mammograms with 220 verified masses. The performance of the two schemes and a combination of them in the form of either logical "or" or logical "and" operations were compared. RESULTS: In this preliminary study, a multilayer topographic feature analysis CAD scheme (CAD-1) achieved a sensitivity of 96% and had a false-positive detection rate of 0.79 per image. A five-stage search method scheme (CAD-2) achieved a sensitivity of 94% and had a false-positive detection rate of 1.69 per image. With an "or" operation, the combined results yielded 100% sensitivity with a false-positive detection rate of 2.07 per image. A logical "and" operation produced a reduction of the false-positive detection rate to 0.4 per image, but sensitivity also decreased to 90%. CONCLUSION: Similar to an independent double-reading approach and depending upon the relevant clinical question, sensitivity or specificity can be improved by combining the results of several independent CAD schemes.

Breast Neoplasms↗
PubMed1996

Characterization of human DNA topoisomerase II as an autoantigen recognized by patients with IDDM.

Autoantibodies against several cytoplasmic autoantigens such as glutamic acid decarboxylase, heat shock protein 65, insulin, and carboxypeptidase H have been identified in the sera of patients with IDDM. To investigate whether type II DNA topoisomerase (TopII) is an autoantigen in IDDM patients, we have constructed a series of overlapping DNA TopII fragments that covered the entire length of this enzyme. These fragments were used as antigens to screen sera of IDDM patients. We have examined 195 Chinese IDDM patients (mean age 14.2 +/- 7.5 years, age at onset 9.2 +/- 6.4 years, duration of diabetes 4.6 +/- 3.4 years) and 51 nondiabetic individuals. The results showed that DNA TopII autoantibodies were detected in 49.2 and 47.2% of IDDM patients using purified TopII fragments and full-length TopII as antigens, respectively. The frequency of anti-TopII positivity was relatively stable irrespective of sex and disease duration. The patients were slightly older at onset and the prevalence of anti-thyroglobulin/anti-microsomal autoantibodies was twice that in the IDDM subgroup positive for anti-TopII than in IDDM patients who were negative for anti-TopII. We also characterized the epitopes of DNA TopII that were recognized by IDDM sera. Those epitopes resided mostly in three distinct domains. One resided in amino acid residues 1-147, another in amino acid residues 286-472, and the third in the COOH-terminal one-third of DNA TopII. Intriguingly, we found that these epitopes shared similarity (up to 36% identity and 63.6% homology) to previously identified epitopes of IDDM autoantigens.

Adolescent↗
PubMed1996

Restorative effect of Coriolus versicolor polysaccharides against gamma-irradiation-induced spleen injury in mice.

AIM: To study the restorative effect of Coriolus versicolor polysaccharides (CVP) on spleen injury induced by gamma-ray irradiation in mice. METHODS: ICR Male mice, 6-8 wk old, were divided at random into 3 groups: A) normal control; B) irradiated with 1 Gy; and C) after 1 Gy irradiation, given CVP 60 mg.kg-1 (ig) daily for 10 d continuously. Body weight (BW), spleen weight (SW), relative SW (RSW), DNA synthesis of splenocytes (DNA-SS), and relative DNA-SS were measured on d 5, 12, 19, 26, and 33 after irradiation. RESULTS: SW, RSW, DNA-SS, and relative DNA-SS decreased after irradiation. CVP enhanced the recovery of SW, RSW, DNA-SS, and relative DNA-SS inhibited by irradiation. CONCLUSION: CVP has the restorative effect against spleen injury induced by gamma-ray irradiation in mice.

Animals↗
PubMed1995

Decrease of anesthetics activity by electroacupuncture on Jen-Chung point in rabbits.

The effect of acupuncture at life-saving point on the central nervous depressive action of anesthetics was investigated in rabbits. Stimulation with electroacupuncture (EA) inserted in Jen-Chung point, which is located at the mid-point on the upper lip, decreased the sleeping time induced by pentobarbital or propofol. However, this action of acupuncture was not modified by naloxone at the doses sufficient to block opiate receptors. Plasma beta-endorphin detected by radioimmunoassay was also not markedly changed in rabbits which received similar electrostimulation. Moreover, pretreatment with para-chlorophenylalanine at a dose sufficient to deplete endogenous 5-hydroxytryptamine (5-HT) failed to influence the action of EA. Mediation of endogenous opioids and/or 5-HT in this action of EA was then ruled out. Prazosin reversed the sleeping time decreasing action of acupuncture in a dose-dependent manner. Also, the action of acupuncture was eliminated in rabbits which received intracerebroventricular injection of guanethidine at a dose which could block noradrenergic nerve terminals. It is suggested that stimulation of Jen-Chung point through EA can activate noradrenergic neurotransmission in the brain, which in turn reduces the central nervous depressive activity of anesthetics.

Acupuncture Analgesia↗