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Biomedical subjects

F Y Teng

Publications and source records attributed to F Y Teng.

6 recordsLinked to original sources

The syntaxins.

SUMMARY: The SNARE hypothesis predicts that a family of SNAP receptors are localized to and function in diverse intracellular membrane compartments where membrane fusion processes take place. Syntaxins, the prototype family of SNARE proteins, have a carboxy-terminal tail-anchor and multiple coiled-coil domains. There are 15 members of the syntaxin family in the human genome and 7 syntaxin-like genes in the yeast Saccharomyces cerevisiae. In conjunction with other SNAREs and with the cytoplasmic NSF and SNAP proteins, syntaxins mediate vesicle fusion in diverse vesicular transport processes along the exocytic and the endocytic pathway. They are crucial components that both drive and provide specificity to the myriad vesicular fusion processes that characterize the eukaryotic cell.

Evolution, Molecular↗

Vacuum extraction: does duration predict scalp injury?

OBJECTIVE: To identify variables that increase the chance of neonatal scalp injury during vacuum extraction. METHODS: We conducted a prospective observational study of 134 vacuum extraction-assisted deliveries at Olive View-UCLA Medical Center in 1995. Data collected included parity, gestational age, duration of first and second stages of labor, indication for operative delivery, station and position of fetal head, duration of vacuum application, number of "pop-offs," neonatal weight, and descriptions of scalp marks or injury. Cranial imaging studies were obtained if clinically indicated. RESULTS: There were 28 infants with scalp trauma, including 17 superficial lacerations, six large caputs, and 12 cephalohematomata; one infant had subgaleal, subdural, and subarachnoid hemorrhages. Logistic regression analysis showed duration of vacuum application to be the best predictor of scalp injury, followed by duration of second stage of labor and paramedian cup placement. Duration of vacuum application ranged from 0.5 to 26 minutes, with a median length of 3 minutes. The proportion of injuries was greater for applications exceeding 10 minutes (6 of 9) than for those 10 minutes or shorter (22 of 121, P < .01). We did not encounter any cases of clinically important scalp injury. CONCLUSIONS: Cosmetic scalp trauma occurred in 21% of our newborns delivered by vacuum extraction and was more common after longer vacuum applications, longer second stages, and paramedian cup placement.

Adolescent↗

A comparative study of laparoscopy and colpotomy for the removal of ovarian dermoid cysts.

OBJECTIVE: To compare laparoscope-assisted transvaginal removal of dermoid cysts to more standard laparoscopic cystectomy techniques. METHODS: We conducted a retrospective review of 44 laparoscopic dermoid removals performed at Olive View-UCLA Medical Center between 1992 and 1995. Cases were divided into three groups based on surgical approach: 1) conventional laparoscopic ovarian cystectomy, 2) laparoscopic ovarian cystectomy and removal of the freed mass via colpotomy, and 3) laparoscopic inspection, then transvaginal cystectomy via colpotomy. Surgical time, estimated blood loss, cyst spillage, and complications were compared. RESULTS: There were 11-19 patients in each group. The groups were similar in patient age, parity, and weight. Larger cysts tended to be removed by the laparoscopy-colpotomy techniques (mean diameter 10 cm) rather than by the purely laparoscopic approach (mean diameter 7 cm, P < .05). Cyst spillage occurred less often (43%, P < .05) and surgical time was shortest (mean 81 minutes, P < .05) with laparoscope-assisted transvaginal ovarian cystectomy compared with conventional laparoscopic techniques. Disposable laparoscopic instruments were used less often with transvaginal cystectomy (7%) than with conventional laparoscopic cystectomy (77%, P < .01). The difference in mean estimated blood loss in the cases using colpotomy (89 mL) compared with cases that did not (65 mL) was not statistically significant. Among the three groups, there were four major operative complications related to blood loss and infection. CONCLUSION: Laparoscope-assisted transvaginal ovarian cystectomy allows the removal of larger dermoid cysts, with less cyst spillage and savings in operative time and equipment compared with conventional laparoscopic cystectomy.

Adult↗

Transvaginal probe ultrasonography. Diagnostic or outcome advantages in women with molar pregnancies.

This study attempted to determine whether patients with molar pregnancy initially evaluated by transvaginal ultrasound had earlier diagnoses and superior outcomes than did similar patients initially evaluated by only transabdominal scans. The medical records of 71 patients with molar pregnancy evacuated at the University of California at Los Angeles and affiliate hospital Olive View Medical Center between 1975 and 1988 were reviewed. Eight patients did not have ultrasound imaging prior to evacuation, and three had missing films. The remaining 60 patients were divided into two cohorts: 19 had transvaginal scans, while 41 had transabdominal scans only. The groups were compared retrospectively. Transvaginal pelvic ultrasound did not appear superior to the less expensive and less invasive transabdominal approach in identifying patients with molar pregnancy. These patients generally present with uteri over 10 weeks in size and often much larger; the gestation can be well visualized abdominally through the bladder window. Our study demonstrated no differences in outcome between patients from the two imaging groups.

Abdomen↗

Predictive value of HemoCue capillary whole blood glucose measurements in pregnancy.

OBJECTIVE: We determined the ability of capillary whole blood glucose concentrations to predict venous plasma and whole blood glucose levels. METHODS: During a standard oral glucose tolerance test in 29 pregnant women, paired capillary and venous blood samples were collected for analysis of glucose concentrations by the HemoCue photometer and by central laboratory methods. RESULTS: Glucose concentrations determined serially in a single blood sample by the HemoCue method were highly reproducible, with a coefficient of variation of 2.3%. However, glucose levels in blood from two different fingersticks from the same patient varied on average by 3 mg/dL, with a maximum difference of 14 mg/dL. Although capillary whole blood glucose results obtained by the HemoCue method correlated well with venous plasma or whole blood glucose measurements (r = 0.98 and r = 0.97, respectively) over the range investigated (60-250 mg/dL), individual capillary whole blood glucose measurements were only a fair predictor of venous values, with 95% of measured venous levels within +/- 26 mg/dL and +/- 20 mg/dL for concentrations predicted for plasma and whole blood, respectively. CONCLUSION: Sampling factors rather than measurement accuracy limit the ability of capillary whole blood glucose measurements to predict venous concentrations.

Blood Glucose↗