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Biomedical subjects

D Y Chung

Publications and source records attributed to D Y Chung.

At least 19 recordsLinked to original sources
PubMed2002

Prolonged paralysis following mivacurium administration.

Mivacurium is a benzylisoquinolone, choline-like, non-depolarizing muscle relaxant. Its onset of action is similar to that of atracurium but its duration of action is shorter (approximately 10-15 minutes). Mivacurium is metabolized by plasma cholinesterases at approximately 70% of the rate of metabolism of suxamethonium. Deficiency or abnormality of plasma cholinesterase may cause the duration of action of both suxamethonium and mivacurium to be greatly prolonged. We describe a case of prolonged mivacurium paralysis after day surgery. Laboratory investigations showed a genetic tendency toward abnormal cholinesterase levels, but markedly depressed cholinesterase activity was suggestive of additional acquired causes. This patient had a history of liver disease, malnutrition and anticholinesterase use, which we believe were the most significant factors involved.

Aged↗
PubMed2001

Structure and thermoelectric properties of the new quaternary bismuth selenides A(1-x)M(4-x)Bi(11+x)Se21 (A = K and Rb and Cs; M = Sn and Pb)--members of the grand homologous series Km(M6Se8)m(M(5+n)Se(9+n)).

Several members of the new family A(1-x)M(4-x)Bi(11+x)Se21 (A = K, Rb, Cs; M = Sn, Pb) were prepared by direct combination of A2Se, Bi2Se3, Sn (or Pb), and Se at 800 degrees C. The single-crystal structures of K(0.54)Sn(3.54)Bi(11.46)Se21, K(1.46)Pb(3.08)Bi(11.46)Se21, Rb(0.69)Pb(3.69)Bi(11.31)Se21, and Cs(0.65)Pb(3.65)Bi(11.35)Se21 were determined. The compounds A(1-x)M(4-x)Bi(11+x) Se21 crystallize in a new structure type with the monoclinic space group C2/m, in which building units of the Bi2Te3 and NaCl structure type join to give rise to a novel kind of three-dimensional anionic framework with alkali-ion-filled tunnels. The building units are assembled from distorted, edge-sharing (Bi,Sn)Se6 octahedra. Bi and Sn/Pb atoms are disordered over the metal sites of the chalcogenide network, while the alkali site is not fully occupied. A grand homologous series Km(M6Se8)m(M(5+n)Se(9+n)) has been identified of which the compounds A(1-x)M(4-x)Bi(11+x)Se21 are members. We discuss here the crystal structure, charge-transport properties, and very low thermal conductivity of A(1-x)M(4-x)Bi(11+x)Se21.

Journal Article↗
PubMed2001

Spectral analysis of fetal heart rate variability as a predictor of intrapartum fetal distress.

OBJECTIVE: To evaluate the usefulness of power spectral analysis on fetal heart rate variability as a new diagnostic method of fetal distress. STUDY DESIGN: Among 76 pregnant women who underwent computerized electronic fetal monitoring and cord blood gas analysis, we divided them into three groups: normal fetus group (36); presumed distress group (26); and acidemic distress group (14). In order to perform linear analysis on the raw data of the fetal heart rate, after resampling, we performed Fourier transformation and investigated power distributions among very low frequency (VLF), low frequency (LF), high frequency (HF) bands, and autonomic balance (LF/HF). RESULTS: The results of the spectral analysis showed that in normal fetus group, the difference in the distribution of power spectrums of VLF, LF and HF was significantly higher than in presumed distress group and acidemic distress group. In fetal distress, the LF and VLF value (< or = 0.0023, > or = 0.0437) were good predictors (sensitivity 97.5%, 75.0% and specificity 86.1%, 94.4%). The LF value (< or = 0.0013) was a good predictor in fetal acidemia (sensitivity 97.5% and specificity 86.1%). CONCLUSIONS: A computerized spectral analysis of fetal heart rate variation is a good predictor of fetal distress, which is made automatically and objectively.

Adult↗
PubMed2000

A case of nephrogenic diabetes insipidus caused by obstructive uropathy due to prostate cancer.

Nephrogenic diabetes insipidus (DI) secondary to chronic urinary tract obstruction is a rare disease. The exact cause is unknown but it is likely that increased collecting duct pressures cause damage to the tubular epithelium, resulting in insensitivity to the action of arginine-vasopressin (AVP). A 77-year-old man complaining of polyuria and polydipsia was treated with alpha glucosidase inhibitor under the impression of polyuria due to diabetes mellitus. But his symptoms did not improve. Water deprivation and AVP administration study revealed that the patient had nephrogenic DI. Urinary tract obstruction due to an enlarged prostate was suggested as a principal cause of nephrogenic DI. The patient underwent transurethral resection of the prostate and bilateral subcapsular orchiectomy. After surgery, the urine osmolarity was normalized and the patient became symptom-free. We report a case of nephrogenic DI due to obstructive uropathy which was cured by surgery eliminating obstruction.

Adenocarcinoma↗
PubMed1999

Antioxidant effects of extracts from Cassia tora L. prepared under different degrees of roasting on the oxidative damage to biomolecules.

The effects of water extracts from Cassia tora L. (WECT) treated with different degrees of roasting (unroasted and roasted at 150, 200, and 250 degrees C) on the oxidative damage to deoxyribose, DNA, and DNA base in vitro were investigated. It was found that WECT alone induced a slight strand breaking of DNA. In the presence of Fe(3+)/H(2)O(2), WECT accelerated the strand breaking of DNA at a concentration of 2 microg/mL; however, it decreased with increasing concentrations (>5 microg/mL) of WECT. WECT also accelerated the oxidation of deoxyribose induced by Fe(3+)-EDTA/H(2)O(2) at a concentration of 0.2 mg/mL but inhibited the oxidation of deoxyribose induced by Fe(3+)-EDTA/H(2)O(2)/ascorbic acid. Furthermore, WECT accelerated the oxidation of 2'-deoxyguanosine (2'-dG) to form 8-OH-2'-dG induced by Fe(3+)-EDTA/H(2)O(2). The prooxidant action of WECT on the oxidation of 2'-dG was in the order of unroasted > roasted at 150 degrees C > roasted at 200 degrees C > roasted at 250 degrees C. The decrease in the prooxidant activity of the roasted sample might be due to the reduction in its anthraquinone glycoside content or the formation of antioxidant Maillard reaction products after roasting. Thus, WECT exhibited either a prooxidant or an antioxidant property in the model system that was dependent on the activities of the reducing metal ions, scavenging hydroxyl radical, and chelating ferrous ion.

Anthraquinones↗
PubMed1997

Partial anatomical and physiological characterization and dissociated cell culture of the nervous system of the marine mollusc Aplysia kurodai.

Snail nervous systems are powerful tools for neurobiological studies as the biophysical properties of the giant neurons and their neural circuits can be examined in relation to specific behaviors of animals. The marine mollusc Aplysia californica is particularly useful for analyzing the components of learning and memory at the molecular and cellular levels. Here we partially examined the nervous systems of two species (A. kurodai and A. juliana) commonly found along the Korean coast in comparison with that of A. californica, one of the American marine snails. A. kurodai appeared to be identical to A. californica in both anatomical and physiological properties of the nervous system. A. juliana could be distinguished from A. californica in certain morphological aspects of the nervous system. The hemolymph either from A. kurodai or from A. juliana was required for effectively elongating neurite outgrowth of A. kurodai neurons in dissociated cell culture. The cultured cells retained neuronal properties such as neurite outgrowth, synapse formation, and generation of action potentials. The sensory cells of A. kurodai in dissociated cultures showed a response to serotonin (5-HT) of spike broadening and enhanced membrane excitability as in intact ganglia. Therefore, the nervous system and dissociated neuronal culture of A. kurodai may be useful for studying learning and memory in the context-of well-defined neural circuits of A. californica.

Action Potentials↗
PubMed1997

Elevated serum nicked and urinary beta-core fragment hCG in preeclamptic pregnancies.

OBJECTIVE: To determine whether different molecular forms of hCG in serum and urine are elevated in preeclamptic pregnancies. METHODS: Forty-three pregnant women were studied: 25 preeclamptic women and 18 normotensive women. Immediately after blood and urine samples were collected, the protease inhibitors leupeptin (0.35 mM) and phenanthroline (22 mM) were added. Various molecular forms of hCG in serum (complete hCG, nonnicked hCG, complete free beta hCG) and in urine (complete hCG, beta-core fragment hCG) were measured by matched immunoassays with a common enzyme-labeled tracer antibody. The nicked hCG assay used a coating of beta-subunit monoclonal antibody with the addition of scavenger antibody to remove nonnicked hCG. Mann-Whitney U test and chi 2 test were used for statistical analyses. RESULTS: Preeclamptic women had significantly higher median (range) levels of serum complete and nicked hCG than did normotensive women (3620 [850-12,000] versus 2420 [310-4840] ng/mL, P = .024; and 102 [45-275] versus 71 [11-143] ng/mL, P = .010, respectively). Both median (range) urinary complete hCG-creatinine and beta-core fragment-creatinine ratios were significantly higher in preeclamptic women than in normotensive women (37.6 [0.5-185] versus 11.3 [1.9-54], P = .013; and 11.8 [2-67] versus 5.3 [0.3-29], P = .009, respectively). CONCLUSIONS: Various molecular forms of hCG in serum and urine were significantly higher in preeclamptic than in normotensive pregnancies.

Biomarkers↗
PubMed1997

Subepithelial hematoma of the renal pelvis simulating neoplasm (Antopol-Goldman lesion).

Subepithelial hematoma of the renal pelvis (Antopol-Goldman lesion) is an extremely rare lesion. We report on a 55-year-old woman who presented with gross hematuria. It was incorrectly diagnosed as renal pelvic cancer and left radical nephroureterectomy with bladder cuff resection was performed. With awareness and high suspicion of Antopol-Goldman lesion in the radiographic differential diagnosis of a renal pelvic mass, this lesion can be treated conservatively or with partial nephrectomy.

Diagnosis, Differential↗
PubMed1995

Transplantation of reproductive organs.

A historical review of the literature concerning replantation and transplantation of reproductive organs has included studies from this laboratory, using rats, over the past 25 years. From the basic observation of ischemic and traumatic injury due to the transplantation, syngeneic testicle transplants, resulting in a partner's impregnation and histological restoration of the testicles, led to human testicular transplantation. As to the ovarian transplants, granulosa-theca cell tumors may transform into malignancies if followed for a prolonged period as intrasplenic ovaries, and high doses (15 to 20 mg/kg b.w.) of azathioprine can produce such malignant tumors in a shorter period. By caval-portal shunt, ovarian hormones enter directly into the portal blood stream and no typical granulosa-theca cell tumors were produced, owing to the fact that the liver cannot degrade all the hormones secreted by both ovaries. While en-bloc vagino-utero-ovarian transplantation in the rat is possible, no impregnation has been yet achieved. Finally, it is hypothesized that those who have acquired microsurgical techniques and have a full understanding of the anatomy of the reproductive system will not only be able to perform replantation of the penis, but also will be capable of allogeneic transplantation of genital organs, whether ethically approved or not, and sooner than one may think. In such cases a penile part may be obtained at a sex-change surgery or from a cadaveric donor, similar to other vital organ transplantation practices.

Animals↗
PubMed1993

Effect of caval-portal shunt on ovarian tissue in rats: I. Histological observation.

Forty-three female Sprague Dawley rats were divided into five groups, with groups 1-4 subjected to end-to-side caval-portal shunt (CPS). In addition to CPS, group 1 (n = 13), group 2 (n = 10), and group 3 (n = 7) rats had undergone removal of the right ovary and one-half of the left ovary, the left ovary, and one-half of the left ovary, respectively. Group 4 (n = 6) rats were not subjected to ovariectomy. Group 5 (n = 7) animals were not subjected to CPS but underwent left ovarian hemiresection. The ovarian volume of the hemiresected ovaries increased to 393.00 +/- 4.83 mm3 and 126.00 +/- 44.3 mm3 from 18.40 +/- 0.54 mm3 and 18.40 +/- 0.59 mm in groups 1 and 3, respectively, at the end of three postoperative months. The nonresected ovaries enlarged to 339.98 +/- 5.09 mm3 and 226.3 +/- 46.2 mm3 from 36.79 +/- 1.09 mm3 in groups 2 and 3, respectively. When no ovaries were resected, the CPS animals in group 4 showed an increment of ovarian volume of 1.75-2.2 times as much as the preoperative ones. In the animals that had undergone simple hemiovariectomy (group 5), the contralateral ovaries showed a significant increase in volume (40.2 +/- 8.3 mm3 to 243.1 +/- 114.8 mm3) at 3 months. The hemiresected ovarian volume increased from 27.1 +/- 5.5 mm3 to 44.1 +/- 11.8 mm3.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1984

Factors affecting the prevalence of tinnitus.

The prevalence of tinnitus was studied in a large population of noise-exposed workers. It was found that 6.6% had tinnitus which was more than momentary. Results of two other studies were compared. Factors possibly relating to the prevalence of tinnitus were studied. The single most important factor found to be related to tinnitus is hearing level. The higher the hearing level, the faster the rate of increase in the prevalence of tinnitus. Other factors such as sex, age, laterality, smoking and shooting do not seem to have a significant, direct relationship with tinnitus, but they are related to the prevalence of tinnitus indirectly through the influence they have on hearing loss.

Adolescent↗
PubMed1983

The performance of circumaural hearing protectors by dosimetry.

The performance of earmuffs in the actual working environment was studied with two modified dosimeters. It was found that personal hearing protection, at least with earmuffs, is a potentially adequate method of protection against noise-induced hearing loss in most industrial working situations. Most of the problems involving the use of hearing protectors in a hearing conservation program can be overcome by education and proper fitting.

Adolescent↗
PubMed1983

The ear effect as a function of age and hearing loss.

Many studies have shown that the right ear statistically is slightly more sensitive than the left ear, particularly in the male adult population. In this study, we examined the lateral difference in hearing sensitivity, termed the ear effect here, in an industrial noise-exposed, nonshooting population, by sex, age, and hearing level. It was found that the male population had a larger ear effect (right ear being more sensitive) than the female population. The magnitude of the ear effect was found to be significantly related to the hearing threshold level. The ear effect was highest when the threshold was between 30- and 40-dB HL. Several possible causes for the ear effect are discussed.

Adult↗
PubMed1983

Lateral differences in susceptibility to noise damage.

Usually equal noise exposure is considered to cause symmetrical hearing loss. In studying 1 461 audiometric records of claims for noise-induced hearing loss, it was found that 69 (4.7%) had a well-defined pattern of hearing loss in which only 2 kHz is asymmetrical by 20 dB or more. Audiograms of this type suggest that the cochlea of the worse ear has been damaged more extensively towards the apex. Of the 69 cases with a 2-kHz asymmetry, 82.6% had worse hearing thresholds in the left ear at 2 kHz. In 50% of the 69 cases, the asymmetry could not be accounted for even after the examination of their medical, occupational and nonoccupational histories. It is believed that the asymmetry at 2 kHz is a manifestation of a lateral difference in susceptibility to noise damage and that the left ear is the more susceptible one in the majority of cases.

Adult↗
PubMed1983

Asymmetrical noise exposure and hearing loss among shingle sawyers.

Shingle sawyers are exposed to noise predominantly from the left side. This study examined the asymmetry in hearing loss among shingle sawyers and its possible relation to the difference in noise exposure to the two ears. The results suggest that the lateral difference in noise exposure in industry, even in the obvious case of a shingle sawyer, is small. The resulting asymmetrical noise-induced hearing loss is also relatively small. Therefore, significant asymmetry in hearing loss in this type of occupation should be viewed with caution. Special tests and medical examination should be undertaken to determine if there are other contributing factors.

Adult↗
PubMed1982

Temporal integration: its relationship with noise-induced hearing loss.

Hearing thresholds at 0.5, 1, 2, 3, 4, and 6 kHz were measured with 20-msec and 500-msec tones for 14 normal hearers and 23 subjects with nose-induced hearing loss. The differences between the hearing thresholds of the long- and short-duration tones were plotted as a function of frequency (temporal integration function). Preliminary data from this study suggest that temporal integration function is more closely related to the configuration of the audiogram than the hearing threshold level when data of an individual are concerned. The results also support the notion that temporal integration function is affected by the presence of 'subclinical' cochlear lesions.

Adult↗
PubMed1981

Tone-on-tone masking in subjects with normal hearing and with sensorineural hearing loss.

Quiet and masked thresholds were obtained from 5 subjects with normal hearing and 31 subjects with sensorineural hearing loss. Maskers were pure tones varying in frequency and intensity. The hearing-impaired subjects showed an abnormal spread of masking when masking was measured in terms of masked threshold. The abnormal spread of masking seems to be related to both the hearing threshold of the masker and the quiet threshold of the test signal. The notch due to detection of combination tones found on the high-frequency slope of masked audiograms of normal subjects (obscuring the actual extent to which the signal is masked) tends to accentuate the apparent abnormal upward spread of masking in the hearing-impaired subjects. The abnormal spread in the latter case is real, but comparison with the normal case must take the notch into account.

Acoustic Stimulation↗