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Biomedical subjects

Ching-Ying Yeh

Publications and source records attributed to Ching-Ying Yeh.

12 recordsLinked to original sources

Estimation of acceptable mercury intake from fish in Taiwan.

The US Food and Drug Administration (USFDA) and Environmental Protection Agency (USEPA) are advising women and young children to avoid eating fish that contain high levels of mercury (Hg). However in Taiwan, the annual Black Fin Tuna Festival encourages the public to consume fish. The aim of this study was to assess fish intake in relation to the health risks of mercury exposure and calculate the acceptable and safe intake of fish in children and women of childbearing age. From the Monte Carlo simulation, based on USEPA's reference dose (0.1 microgkg(-1)d(-1)), we found that 21.6%-24.3% and 45.6%-57.4% of the daily mercury dose estimates exceeded the reference dose for typical and high-seafood consumers. The acceptable ingestion rates are <50 g d(-1) (children) and 90.8 +/- 15.7 g d(-1) (women of childbearing). Sensitivity analysis suggests that Hg concentration in fish may be a key parameter to aid governments as they offer guidance for risk management.

Adult↗

Analysis of the health risk of exposure to breast milk mercury in infants in Taiwan.

The aim of this study was to assess the total concentration and health risk to infants of breast milk mercury in urban mothers and mothers married to fishermen in relation to fish intake in Taiwan. A total of sixty-eight healthy mothers were recruited for the study. The breast milk mercury geometric mean concentration was 2.02 microgl(-1) (n=56, range: 0.24-9.45 microgl(-1)) for the city group and 2.04 microgl(-1) (n=12, range: 0.26-8.62 microgl(-1)) for the fishermen's group. Of the three sources of mercury exposure (i.e., ingestion (breast milk), inhalation (ambient air), and dermal exposure (shower)), breast-feeding was found to be the largest (96.3-99.6% of the total). From a Monte Carlo simulation, in which methyl mercury accounted for about 50% of total mercury, the hazard quotient (exposure estimate/oral minimal risk level or target organ toxicity dose) exceeded 1.0 for 12.9% of urban babies and 18.8% of fishermen's babies (chronic oral minimal risk level and target organ toxicity dose: 3 x 10(-4)mgkg(-1)d(-1)). The calculated mercury exposure was 3.02 x 10(-1) microgkg(-1)d(-1) for a 3.49 kg urban baby boy and 3.06 x 10(-1) microgkg(-1)d(-1) for a 3.44 kg urban baby girl. These results suggest the life style of mothers (eating raw fish and shellfish such as used in "Sashimi" and "Sushi," and vitamin supplementation) may influence the mercury concentration in breast milk.

Adult↗

Leptin, superoxide dismutase, and weight loss: initial leptin predicts weight loss.

OBJECTIVE: Our goal was to study how plasma leptin concentration, superoxide dismutase (SOD) activity, and weight loss are related in obese adults. RESEARCH METHODS AND PROCEDURES: Serum leptin concentration, SOD activities, general biochemical data, and body composition measurements were obtained for 62 overweight and obese subjects before and after an 8-week body weight reduction (BWR) regimen. The subjects were on dietary control, performed moderate aerobic and strength training exercises, and attended educational lectures. RESULTS: The measurement results indicated that the following criteria were significantly reduced: body weight [84.4 +/- 17.0 vs. 79.3 +/- 16.1 (standard error) kg, p < 0.001]; BMI (31.5 +/- 4.3 vs. 29.4 +/- 4.2 kg/m(2), p < 0.001), and fat mass (33.3 +/- 10.0 vs. 29.8 +/- 10.4 kg, p < 0.001). Plasma leptin levels also significantly decreased from 31.5 +/- 17.6 to 26.5 +/- 17.2 ng/mL (p < 0.001). Additionally, SOD activity was significantly increased from 261.4 +/- 66.0 to 302.7 +/- 30.9 U/mL (p < 0.001). Based on linear regression analysis results, a 3.78- to 8.13-kg reduction in weight can be expected after the 8-week BWR regimen when initial leptin concentration was 5 to 30 ng/mL. DISCUSSION: We found that an 8-week exercise and diet program was effective in reducing weight and fat mass and, notably, had further beneficial effects on leptin resistance and SOD activity. Additionally, this study demonstrated that initial plasma leptin concentration may be used as a predictor for weight loss outcome.

Adolescent↗

Static magnetic fields up-regulate osteoblast maturity by affecting local differentiation factors.

Cell culture studies have shown that static magnetic fields induce osteoblastic differentiation at an early stage. However, the mechanisms of differentiated effects have not been well described. We postulated that static magnetic fields stimulate osteoblastic differentiation by regulating early local factors released by the cells. To examine our hypothesis, MG63 osteoblast-like cells were exposed continuously to 0.4-T static magnetic fields for 12, 24, 48, and 72 hours. The morphologic changes and matrix vesicles release were observed by scanning and transmission electron microscopy. The effects of static magnetic fields on levels of transforming growth factor-beta1, Type I collagen, osteopontin, and alkaline phosphatase were compared between the exposed and unexposed cells. The data suggest MG63 cells treated with static magnetic fields have more differentiated morphologic features. The local regulatory factors produced by static magnetic field-treated cells were greater than those of the control cultures. These findings provide evidence that static magnetic fields affect osteoblastic maturation by up-regulating early local factors.

Analysis of Variance↗

Effect of the mother's consumption of traditional Chinese herbs on estimated infant daily intake of lead from breast milk.

Infant exposure to lead through breast milk is of special concern because breast milk is considered the best food source for infants under 6 months. In this study, a total of the mothers provided colostrum samples once in the early postpartum period, but only 16 of them provided breast milk weekly at 1-60 days postpartum. The geometric mean of lead concentrations in all colostrum samples (n=72) was 7.68+/-8.24 microg/L. The concentration of lead in the breast milk of the consumption group (the mothers who consumed traditional Chinese herbs) was 8.59+/-10.95 microg/L, a level significantly higher than the level of 6.84+/-2.68 microg/L found in the control group (mothers who did not consume traditional Chinese herbs). In the consumption group (n=9), the mean concentration of lead in the breast milk decreased with days postpartum, from 9.94 microg/L in colostrum to 2.34 microg/L in mature milk. We found the highest daily lead intake in infants at birth, and the level gradually decreased after the first month. We used an estimation of the hazard index (HI) to analyze the health risk of infants. In total, 5.7% (2 out of 35) of the HI estimates exceed 1.0 for the consumption group. In conclusion, the consumptions of traditional Chinese herbs by the mothers in this study significantly affected the body burden of lead in their infants.

Drugs, Chinese Herbal↗

Pharmacokinetic model of daily selenium intake from contaminated seafood in Taiwan.

Contaminated seafood has been reported as an important source of human exposure to metals in Taiwan. Seafood represents a non-negligible source of selenium in the human diet. This study was designed to determine the concentration of selenium in different types of seafood and predict the concentration of selenium in the blood of Taiwanese using a one-compartment steady-state pharmacokinetic (PK) model. Samples involved three subgroups, including fish, crustaceans and bivalve molluscs. Quantitative analysis for selenium was performed using an ICP-AES (Perkin Elmer) instrument. Selenium concentrations in seafood ranged from 0.63 to 2.01 microg/g wet wt. The highest selenium concentration found in fish was 2.01+/-0.36 microg/g wet wt in Salmo salar Linnaeus. In general, selenium concentration increased in the order of bivalve molluscs<crustacean<fish. The daily selenium intakes resulting from a high-seafood diet and an average diet were 145.2 and 60.2 microg/day, respectively. Daily selenium intake from seafood alone is higher than the US recommended daily allowance (RDA) of 55 microg/day and the World Health Organization (WHO) normative requirement of 40 microg/day. From PK model estimates, the concentrations of selenium in the blood of a typical seafood consumer and a high-seafood consumer were approximately 93 and 224 microg/l based on daily seafood intake of 60.2 and 145.2 microg/day, respectively.

Diet↗

Association of hepatitis virus infection, alcohol consumption and plasma vitamin A levels with urinary 8-hydroxydeoxyguanosine in chemical workers.

Urinary 8-hydroxydeoxyguanosine (8-OHdG) DNA adduct has been used as a biomarker in epidemiological studies. However, the determinants for urinary 8-OHdG have not been clearly identified. We tested urinary 8-OHdG levels in 205 male workers who had been exposed to vinyl chloride monomer (VCM). Epidemiological information was obtained by an interviewer-administered questionnaire. Hepatitis B surface antigen (HBsAg) and anti-hepatitis C antibody (anti-HCV) were also determined by immunoassay. Plasma antioxidants including Vitamins A and E, alpha- and beta-carotenes were assayed by high performance liquid chromatography. Median of urinary 8-OHdG level was 9.8 ng/mg creatinine (range, 1.4-60.1). Multiple linear regression analysis showed that alcohol drinkers had higher urinary 8-OHdG than those who did not, but there was no dose-response between the amount of alcohol consumption and urinary 8-OHdG. Workers with positive HBsAg, anti-HCV and elevated plasma Vitamin A level were independently associated with higher levels of urinary 8-OHdG, whereas age, smoking, body mass index, plasma alpha- and beta-carotenes, Vitamin E levels, or VCM exposure did not show such an association. The results suggest that active inflammation of hepatitis B and C, alcohol consumption and higher Vitamin A level can induce oxidative stress. Thus, we conclude that potential determinants need to be considered in epidemiological studies when urinary 8-OHdG is used as a biomarker.

8-Hydroxy-2'-Deoxyguanosine↗

Factors influencing the resonance frequency of dental implants.

PURPOSE: Resonance frequency (RF) analysis has been used by several investigators to assess the boundary conditions of dental implants. However, a scientific investigation of the association between the structural condition of the alveolar bone and the dynamic behavior of dental implants has not yet been reported. The aim of this study was to assess the factors influencing the RF of dental implants using an in vitro modal analysis. MATERIALS AND METHODS: Resonant vibration within implants was induced by an impulse-force hammer. The induced vibration signal was subsequently detected using an acoustic microphone and analyzed by fast Fourier transform. The resultant data were further analyzed to test the statistical effects of the embedding-material boundary height, thickness, and density on the RF values of the sample implants. RESULTS: Significant changes (P <.05) in RF values were revealed for implants embedded within a high-density block when decreasing boundary height reached 6, 5, and 4 mm, at respective thickness increments of 10, 15, and 20 mm. For analogous low-density samples, significant changes (P <.05) in RF values were found when respective decreasing boundary height reached 6, 4, and 3 mm. CONCLUSIONS: Our findings indicate that boundary height, width, and density factors can influence the RF of dental implants and that a lower boundary density and greater boundary thickness can lead to more obvious RF changes.

Alveolar Bone Loss↗

Early detection of implant healing process using resonance frequency analysis.

In this study, in vitro and in vivo models were adopted for assessing the application of resonance frequency analysis (RFA) in the early detection of implant stability. In the in vitro tests, RF values of implants placed in bone block with predrilled cavities of 3.75 and 5.0 mm were measured and compared. Stone was used to fill the inter-space between implants and the bone blocks. Our results showed that poor initial stability conditions contributed to a lower initial RF (IRF) value (5.41+/-0.32 kHz) and a longer simulated healing period (41 min) than that of well-fitted conditions (9.63+/-0.34 kHz for IRF, 14 min for the simulated healing period, P<0.05). To validate such in vitro tests, animal models were also performed. Implants were placed in the left tibias of six rabbits using a general surgery procedure. The modal testing method was used to test the RF values of the implants. The RF values of the implants increased significantly (P<0.05) during the healing period and reached a plateau when the implant-bone interface was united. The variations of RF values of the testing implants showed a similar trend to the results of in vitro tests, i.e., implants with higher initial RF values had shorter simulated healing times. Based on these findings, we concluded that RFA is a reliable and accurate method for early assessment of the osseointegration process.

Acoustics↗

A case-control study of the association of diet and obesity with gout in Taiwan.

BACKGROUND: Gout has been a significant metabolic disorder for Chinese men in Taiwan; however, there is insufficient information on diet and lifestyle risk factors in this population. OBJECTIVE: The purpose of this case-control study was to explore potential dietary and lifestyle risk factors associated with gout in Chinese men. DESIGN: Between 1998 and 1999, we recruited and conducted face-to-face interviews with patients from outpatient clinics in Taipei who had incident gout (n = 92) and with their healthy coworkers (controls; n = 92). RESULTS: Systolic blood pressure, diastolic blood pressure, waist-to-hip ratio, waist-to-height ratio, and body mass index were significantly higher in cases than in controls. Family histories of gout and diabetes mellitus were strong risk factors for gout. Frequencies of vegetable and fruit consumption were significantly lower in cases than in controls. Logistic regression analyses showed that high alcohol intake and low intakes of fiber, folate, and vitamin C increased the risk of gout, but no association was found with purine intake. After covariates were controlled for, the adjusted odds ratios for the middle and highest tertiles of waist-to-height ratio (0.50-0.54 and >/==" BORDER="0"> 0.55, respectively) were 3.89 (95% CI: 1.32, 11.46) and 4.37 (1.18, 16.22), respectively, but no linear association was found for waist-to-hip ratio and waist circumference. CONCLUSIONS: Consumption of alcohol, but not of purine, may be a significant dietary risk factor for gout. Food sources rich in dietary fiber, folate, and vitamin C, such as fruit and vegetables, protect against gout. Waist-to-height ratio, which indicates central obesity, has a significant linear effect on gout occurrence, independent of body mass index.

Adult↗

Daily intake of TBT, Cu, Zn, Cd and As for fishermen in Taiwan.

The consumption of contaminated seafood has been reported as an important route of human exposure to metals in Taiwan. We consider the concentrations of TBT, Cu, Zn, Cd, As, and the consumption of oysters of Taiwanese to be the important information related to public health in Taiwan. Therefore, the aim of this study was to evaluate the public health risks associated with TBT, Cu, Zn, Cd and As from shellfish for the general population and fishermen of Taiwan. In general, TBT concentrations in various oysters ranging from 0.32 to 1.51 microg/g dry wt. varied with sampling locations. The highest TBT, Cu, and Zn geometric mean (GM) concentrations in oysters of 1.51, 1180 and 1567 microg/g dry wt. were obtained from the Hsiangshan coastal area. The values of oyster consumption for fishermen were 94.1 and 250 g/day for typically and maximally exposed individuals, respectively. In particular, the highest intake (250 g/day) from fishermen was almost two times greater than that of the general population (139 g/day). The THQ (target hazard quotient) values of Hsiangshan's fishermen are 3.87 and 20.50 for TBT and Cu for maximally exposed individuals are higher than other oyster culture areas. It is interesting that those consuming oysters from Hsiangshan, Lukang, Taishi caused abnormally high THQs of TBT and other metals (100% over 1.0), and TBT was attributed to only 3-21% of the total THQs in different fishermen of Taiwan. Our results suggest that current environmental levels of TBT and other metals are associated with a significant potential threat to human health for fishermen resident in coastal areas of Taiwan.

Adult↗

Resonance frequency assessment of dental implant stability with various bone qualities: a numerical approach.

Resonance frequency analysis (RFA) has been used by several investigators to assess the boundary conditions of dental implants. The goal of the current study was to determine the vibrating behavior of a dental implant under various surrounding bone conditions. A 3D finite element (FE) model of a cylinder-type titanium implant was developed. In this model, the implant was embedded into a cubic section of bone. The model was first validated using a series of modal testing experiments. The effects of bony conditions on the resonance frequencies of the implant were computed with different bone types and bone densities. Our results show that the resonance frequency of the implant with type III surrounding bone decreased linearly (r = -0.996, P < 0.01) from 17.9 kHz (without loss in bone density) to 0.6 kHz (90% loss in bone density) when the bone densities were decreased. On the other hand, without bone loss, the highest resonance frequency value (36.1 kHz) was found when the implant was placed into type I surrounding bone. In contrast, the resonance frequency of the implant with type IV bone quality was found to be 9.9 kHz, which is almost four-fold less than that found in the type I model. These results suggest that RFA could serve as a non-invasive diagnostic tool for detecting the stability of dental implants during the healing stages and in subsequent routine follow-up care after treatment.

Animals↗