Biomedical subjects

K Cao

Publications and source records attributed to K Cao.

72 records · Page 4Linked to original sources

PubMed1997

GB virus C/hepatitis G virus infection in southern China.

The prevalence of GB virus C/hepatitis G virus (GBV-C/HGV) infection among intravenous drug users (IVDUs), patients with liver diseases, and blood donors in Nanning, southern China was studied. GBV-C/HGV RNA was detected by reverse transcription polymerase chain reaction with primers derived from the 5'-untranslated region. GBV-C/HGV RNA was detected in 64 of 85 IVDUs, 20 of 80 persons with liver disease, and 1 of 50 blood donors. Among IVDUs, GBV-C/HGV infection was associated with antibodies to hepatis C virus (HCV) and with hepatitis B surface antigen (HBsAg). Eleven nucleotide sequences were determined and analyzed by molecular evolutionary analysis. In a phylogenetic tree, the isolates were grouped in three clusters with GBV-C and HGV grouped in two clusters. These data indicate that GBV-C/HGV infection is common in China among IVDUs but uncommon among persons with liver disease without HBsAg or anti-HCV and that there is a new group of GBV-C/HGV.

Blood Donors↗

PubMed1996

Radiofrequency catheter ablation of right ventricular tachycardia late after repair of congenital heart defects.

BACKGROUND: Ventricular arrhythmias after repair of congenital heart defects are a common finding and possibly contribute to sudden death in these patients. Optimal antiarrhythmic management has not yet been defined. METHODS AND RESULTS: The study population consisted of 16 patients in whom ventricular arrhythmias occurred 11 to 42 years after complete surgical repair of congenital heart defects. Fifteen patients had a history of symptomatic sustained or nonsustained ventricular tachycardia, and 1 had frequent nonsustained ventricular tachycardia. The diagnostic mapping procedure to identify the origin of the arrhythmia included pace mapping during sinus rhythm, activation mapping, and pacing interventions during ventricular tachycardia. Catheter ablation was carried out by means of radiofrequency energy in the temperature-controlled mode. The follow-up period was 6 to 33 months (mean, 16 months). A right ventricular origin of the tachycardia in the surgically corrected area could be determined in all patients. Catheter ablation was carried out without complications. Immediate noninducibility was achieved in 15 of the 16 patients. One patient in whom the tachycardia was again inducible at repeat stimulation 1 week later was successfully treated with amiodarone. Eleven patients were taken off antiarrhythmic drugs. During follow-up, none of them had a recurrence of the tachycardia that had been ablated. CONCLUSIONS: In patients with symptomatic or frequent ventricular tachycardia late after complete surgical repair of congenital heart defects, catheter ablation by means of radiofrequency energy is feasible and safe and thus might be taken into consideration for these patients. Short-term follow-up results are promising.

Adolescent↗

PubMed1996

GB virus C/hepatitis G virus infection among Japanese patients with chronic liver diseases and blood donors.

Recently, a novel hepatitis virus, GB virus C/hepatitis G virus (GBV-C/HGV), has been isolated. To elucidate the seroprevalence of chronic GBV-C/HGV infection in Japan and the phylogenetic relationship between Japanese strains and the strains previously reported, serum GBV-C/HGV RNA was detected by reverse transcription polymerase chain reaction (RT-PCR) in 203 patients with chronic liver diseases and 200 samples of voluntary blood donors. RT-PCR was performed with primers derived from the 5'-untranslated region which were conserved between GBV-C and HGV and distant from other flaviviruses including hepatitis C virus (HCV). The nucleotide sequences were determined by the dideoxy chain termination method. The phylogenetic analysis was performed by the neighbor-joining method. In 10 (4.7%) of 203 patients with chronic liver diseases and in 1 (0.5%) of 200 blood donor samples, serum GBV-C/HGV RNA was detected. Of 10 patients, 9 patients were positive for anti-HCV and negative for HBsAg, and 1 patient was positive for HBsAg and negative for anti-HCV. The phylogenetic analysis indicated that there were three major groups which were group 1 (GBV-C), group 2 (HGV), and group 3 (a group of Japanese strains). These data indicated that (1) there was a low prevalence of GBV-C/HGV infection in Japanese patients with chronic liver diseases, (2) a high proportion of patients with GBV-C/HGV infection had chronic HCV infection however, and (3) there were at least three groups in strains of GBV-C/HGV.

Adult↗

PubMed1996

Catheter ablation of incessant ventricular tachycardia: acute and long-term results.

SUBJECTS: Seventeen patients with incessant ventricular tachycardia refractory to anti-arrhythmic therapy underwent catheter ablation between 1987 and 1993. Fifteen patients had coronary heart disease and two had dilated cardiomyopathy. The mean age of the patients was 65 +/- 8 and the mean left ventricular ejection fraction was 31 +/- 9%. METHODS: Ablation sites were selected on the basis of endocardial activation mapping, concealed entrainment or bundle branch mapping. Catheter ablation was performed with direct current in nine patients and with radiofrequency energy in eight patients. Incessant ventricular tachycardia was terminated by catheter ablation in all 17 patients. RESULTS: One patient died after the ablation procedure due to pericardial tamponade. During electrophysiological testing 5-14 days later, 7 of 16 patients (44%) had inducible sustained or non-sustained ventricular tachycardia. Five of them underwent implantation of an automatic cardioverter/defibrillator, and three of these experienced discharges of the device during a mean follow-up of 30 +/- 12 months. another patient underwent implantation of a cardioverter/defibrillator after spontaneous recurrence of ventricular tachycardia. Out of the nine patients without inducible ventricular tachycardia, one died as a result of sudden cardiac death, and another had spontaneous ventricular tachycardia. Thus, ventricular tachycardia recurred clinically in 6 of 16 patients (38%), in whom ventricular tachycardia with the same morphology as that of the ablated ventricular tachycardia could be determined only in one patient. CONCLUSION: Catheter ablation is the method of choice for the emergency treatment of patients with incessant ventricular tachycardia. Due to the high risk of recurrence, additional anti-arrhythmic management, such as the implantation of a cardioverter/defibrillator, has to be considered.

Aged↗

PubMed1996

Implantable cardioverter defibrillator detection during radiofrequency catheter ablation of ventricular tachycardia.

Right ventricular radiofrequency catheter ablation was performed in an ICD patient with frequent ventricular tachycardia without prior inactivation of the device. The registrations of intracardiac ECG and marker channel were excellent during energy delivery: the surface ECG was affected. The device did not show dysfunction during and after energy delivery.

Catheter Ablation↗

PubMed1996

[Construction of the wt-p53 gene recombinant retroviral vector. Inhibiting the growth of laryngocarcinoma cell line].

We have constructed wt-p53 gene recombinant retroviral vector. The p53 cDNA with positive regulative sequence was subcloned into the Xho I site between the two LTRs of the N2A retroviral vector which contained the cytomegalovirus promotor/enhancer for expression and a neomycin resistance gene allowing G418 selection in reverse orientation and established the PA317 packaging cell line producing virus. The recipient cell line of Hep2 (laryngocarcinoma) containing the abnormal p53 gene was transfected in vitro with fresh retroviral stock produced. The result showed that the constructed wt-p53 gene recombinant retroviral vector was able to suppress growth of laryngocarcinoma cell in vitro. These observations indicate that recombinant retrovirus expressing wild-type p53 may be the useful vectors for gene therapy of human laryngocarcinoma.

DNA, Recombinant↗

PubMed1995

[Human's magnetoencephalography and normal value of auditory evoked magnetic field evoked by tone burst].

In magnetic shield room, 9 normal subjects were measured by magnetoencephalography (MEG) and auditory evoked magnetic field (AMF) with superconducting quantum device (SQUID). In our experiment, the magnitudes of MEG were between +100 fT and -100 fT and an AMF evoked with 1 kHz tone burst had 8 stable waves. The main waves were N2, P3, N3 with latencies 65, 118, 175 ms and magnitudes -13, +15, -12 fT. The latencies of waves showed small deviations. The magnitudes of waves were about +/- 15 fT. We also found that the two lateral records of countralateral AMFs have revert waveforms in the last two subjects.

Adolescent↗

PubMed1995

[A preliminary observation of EcochG and cochlear morphology after cervical sympathectomy in guinea pigs].

In order to examine the effect of sympathetic nerve on the inner ear, we observed the changes of EcochG and ultrastructure of the hair cells before and after cervical sympathectomy in 13 guinea pigs. We also compared the results with those of the contralateral side (as a normal control group). We found that there were morphologic changes in the stereocilia of the hair cells in the surgical side. No changes were found in the thresholds, amplitudes and latencies of EcochG. It seems that the effect of the morphologic changes are too small to be detected in the electrophysiologic experiments.

Animals↗

PubMed1994

Catheter ablation of ventricular tachycardia in 136 patients with coronary artery disease: results and long-term follow-up.

OBJECTIVES: This study attempted to determine the feasibility and long-term efficacy of catheter ablation by means of either radiofrequency or direct current energy in a selected group of patients with coronary artery disease. BACKGROUND: Catheter ablation of ventricular tachycardia has proved to be highly effective in patients with idiopathic and bundle branch reentrant ventricular tachycardia. In patients with coronary artery disease and recurrent sustained ventricular tachycardia resistant to medical antiarrhythmic management, the value of catheter ablation has not yet been established. METHODS: One hundred thirty-six patients with coronary artery disease and one configuration of monomorphic sustained ventricular tachycardia underwent radiofrequency (72 patients) or direct current catheter ablation (64 patients). The mapping procedure to localize an adequate site for ablation included pace mapping during sinus rhythm, endocardial activation mapping, identification of isolated mid-diastolic potentials and pacing interventions during ventricular tachycardia. RESULTS: Primary success was achieved in 102 (75%) of 136 patients (74% of 72 undergoing radiofrequency and 77% of 64 with direct current ablation). Complications were noted in 12% of patients. During a mean (+/- SD) follow-up period of 24 +/- 13 months (range 3 to 68), ventricular tachycardia recurred in 16% of patients. CONCLUSIONS: Catheter ablation of ventricular tachycardia in coronary artery disease is feasible in patients with one configuration of monomorphic sustained ventricular tachycardia. There is no significant difference with respect to the type of energy applied. The follow-up data show that in a selected group of patients with coronary artery disease, catheter ablation offers a therapy alternative.

Adult↗

PubMed1994

Management of patients after catheter ablation of ventricular tachycardia.

The management of patients after catheter ablation of ventricular tachycardia is not well defined. In this article we summarize recently published results and report our own experience. Factors influencing the clinical outcome of these patients and methods to identify patients with an increased risk of recurrence of ventricular tachycardia are discussed. Furthermore, a review is given on current concomitant therapeutic tools including antiarrhythmic drugs and the implantation of an automatic cardioverter defibrillator.

Catheter Ablation↗

PubMed1994

[An experimental study of the auditory brainstem implant in guinea pigs].

In order to examine the characteristics of the auditory brainstem implant, an animal model with electrical stimulation of the cochlear nucleus in guinea pigs was created. Middle latency response (MLR) to pulsatile electrical stimulation of the cochlear nucleus was recorded from the auditory cortex with bipolar plantinumiridium electrodes and stereotaxic technique. The electrically and acoustically generated MLRs have a similar morphology though there are little differences in the latencies, wave intervals and dynamic ranges. The results indicated that the central auditory pathways can be activated by means of electrical stimulation. The safety of the brain tissue to the electrical stimulation are also discussed.

Acoustic Stimulation↗

PubMed1993

[Ventricular macro-reentry tachycardia of the bundle branch type--indications for catheter ablation].

Out of 115 patients with recurrent sustained monomorphic ventricular tachycardia who underwent catheter ablation between August, 1987 and May, 1992, 7 were found to have bundle branch reentry. Bundle branch reentrant tachycardia was assumed if His potential or bundle branch potential preceded ventricular activation during tachycardia with identical H-H'- and V-V'-intervals. In 5 patients, catheter ablation of the right bundle branch and in 2 patients, ablation of the proximal left bundle branch were performed with direct current or radiofrequency energy. The procedure was successful in all 7 patients. During the follow-up of 15 +/- 12 months, 3 patients died due to cardiac failure. One patient had sustained ventricular tachycardia 12 months after catheter ablation which was not due to bundle branch reentry and was treated with an implantable cardioverter/defibrillator. Atrioventricular conduction delay in the surface electrogram and during electrophysiologic study may give a hint at bundle branch reentrant ventricular tachycardia since it was seen in 5 of our 7 patients. Catheter ablation of one bundle branch is an effective treatment which can prevent recurrence of this tachycardia.

Aged↗

PubMed1993

Association between HLA antigens and families with psoriasis vulgaris.

This paper typed HLA-A, B, C and DR antigens in patients with psoriasis vulgaris and healthy persons in 12 families. The phenotype frequencies of HLA-A1, B13, B17, Cw4 and Cw6 in the patients were higher than those in the controls. The analysis of haplotype segregation showed that HLA haplotypes in families with more psoriatic cases were marked deviation from random distribution. One or two HLA haplotypes sharing among affected siblings occurred more frequently than expected. The result of Lods score for six families showed that there was a close linkage between the gene of psoriasis vulgaris and HLA antigens. The gene of psoriasis was coincided with the recessive hereditary mode.

Family Health↗

PubMed1992

An animal model of chronic tympanic membrane perforation.

Previous investigations into the healing and reconstruction of tympanic membrane (TM) perforations have involved animal models with acute TM perforations. A problem with the acute TM perforation model is that most acute TM perforations will heal spontaneously, both in animals and human beings. A second inadequacy of acute perforation models is that they are not analogous to the salient problem in human beings: long-standing TM perforation. The ideal animal model must have a TM perforation that is permanent, well-epithelialized, and free from infection. The perforation must also be subtotal to preserve a rim of membrane for experimental manipulations. In the chinchilla, we have identified a hardy animal with a short, wide ear canal and relatively large tympanic membranes. Thermal myringectomy, followed by medial infolding of TM microflaps, has resulted in permanent, subtotal chronic TM perforations in the chinchilla animal model. Of the 19 chinchillas (38 TMs) perforated, chronic subtotal perforations were created in 32 ears, 6 to 8 weeks after the initial procedure (84% success). Persistent infection or TM regeneration despite reperforation was recorded in 6 ears (16%) failure). This model is currently being used to assess various biomembrane scaffolds impregnated with growth-promoting substances in the regeneration of a physiologically sound TM, initially in our animal model and then in human beings. We envision the development of a biomembrane disc impregnated with biorecombinant growth factors that may provide a simple office technique for the repair of chronic, non-infected TM perforations.

Animals↗

PubMed1991

Chronic intracochlear electrical stimulation in the neonatally deafened cat. II. Temporal properties of neurons in the inferior colliculus.

The major focus of this study was to define the effects of chronic intracochlear electrical stimulation (ICES) on single unit responses in the inferior colliculus from three experimental groups: 1) normal adults 2) neonatally-deafened/unstimulated adults; and 3) neonatally-deafened/chronically stimulated adults. The major findings include: 1) IC neurons in normal adults showed a diversity of perstimulus responses to ICES which were qualitatively similar to those evoked by acoustic stimuli. They responded with: an onset burst, a sustained discharge, a decrease in their spontaneous activity, or a strong post-stimulus response. The excitatory responses showed either a monotonic or a nonmonotonic increase in activity with increasing stimulus intensity. Response latencies ranged from 5 to over 40 ms. 2) Responses to ICES in normal and deafened/unstimulated animals were virtually indistinguishable from one another. 3) In contrast, responses to ICES in neonatally deafened stimulated animals were different from normal and from deafened, unstimulated animals. Their perstimulus response latencies were significantly shorter, their late response latencies were significantly longer, and the frequency of occurrence of inhibitory and late responses were significantly higher. From these results we conclude that the responses to intracochlear electrical stimulation are directly comparable to those observed following normal acoustic stimulation; that development of cochleotopic organization of the inferior colliculus is not affected by the almost complete lack of normal acoustic input experienced by neonatally deafened animals; and that the basic response properties of IC units are likewise unaffected by neonatal deafening. Moreover, the results suggest that, although the limited regime of electrical stimulation employed in these studies produced no major qualitative distortions in the perstimulus response patterns of IC neurons, it did result in some quantitative changes in those responses.

Animals↗

PubMed1991

[Determination of myristicin and safrol in the volatile oil of semen Myristicae and its processed products by TLC-scanning].

This paper reports the determination of myristicin and safrol in the volatile oil of Semen Myristicae and its processed products by TLC-Scanning. The results showed that in the processed products myristicin decreased markedly and safrol decreased slightly. The quantity of myristicin roasted with paste less than with wheat bran less than with talcum powder less than the unprocessed one. The toxicity of Semen Myristicae is related to the quantities of myristicin.

Allylbenzene Derivatives↗

PubMed1984

Improved resolution with one-dimensional polyacrylamide gel electrophoresis: myofibrillar proteins from typed single fibers of human muscle.

Standard procedures for one-dimensional discontinuous sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis and silver staining were modified to give more effective separation and an improved resolution of human skeletal muscle proteins. In this system, an electrophoresis buffer composed of 100 mM L-isoleucine, 25 mM Tris base, and 0.1% SDS was used. The separating gel consisted of 16% acrylamide with N,N'-methylenebisacrylamide as a crosslinker (1:23), 0.4% SDS, 1.5 M Tris-HCl, pH 8.8. By the present procedure, the slow and the fast forms of myosin light chains (LCs, LCf) and other contractile proteins from human muscle could be better separated. The silver stain is based on a combination of methods previously described. The modified method requires a small fragment of a single fiber to observe as few as 10 ng of myofibrillar muscle proteins. The described simplifications made it possible to assay and compare up to 40 single fibers in the same electrophoretic run. Improved separation of other proteins migrating at basic pH could be achieved by a similar approach.

Electrophoresis, Polyacrylamide Gel↗

PubMedDate not supplied

Entrapped mixed microbial cell process for combined secondary and tertiary wastewater treatment.

An entrapped mixed microbial cell (EMMC) process was investigated for simultaneous removal of carbon and nitrogen from a synthetic wastewater in a single bioreactor. The influent had a soluble chemical oxygen demand (SCOD)/nitrogen ratio varying from 4 to 15 and an alkalinity of 140 and 230 mg/L as calcium carbonate. An alternating schedule of intermittent aeration was used for two sizes of carriers: 10 x 10 x 10 mm3 and 20 x 20 x 20 mm3. The medium carrier (10 x 10 x 10 mm3) was found to achieve higher removals of nitrogen, chemical oxygen demand, and 5-day biochemical oxygen demand of 92, 95, and 97%, respectively. These higher removal rates occurred at a 12-hour hydraulic retention time (HRT), an aeration/ nonaeration ratio of 0.5:2 hours, and an SCOD/nitrogen ratio of 15 in the influent. Influent alkalinity concentrations of 140 and 230 mg/L as calcium carbonate were found to have minimum effect on the removal of carbon and nitrogen. However, the oxidation-reduction potential, ranging from -100 to 400 mV (during air-off period), provides better nitrogen removal efficiency to maintain the total nitrogen (nitrate, nitrite, and ammonium) less than 10 mg/L when an SCOD/nitrogen ratio of 10 or 15 is maintained in the influent. Nitrogen removal efficiency increased with increasing ratios of SCOD/nitrogen in the influent (i.e., SCOD/ nitrogen ratio of 15 > 10 > 7 > 4.0). The results of actual wastewater operation based on a study of synthetic wastewater show that organics removal efficiencies (94.6 and 94.2%) and nitrogen removal efficiencies (61.0 and 60.9%) are similar for reactors packed with medium and large carriers, respectively, when they are operated with a 9-hour HRT, an air on/air off ratio of 1 hour:2 hours and an SCOD/nitrogen ratio of 4.6.

Bioreactors↗