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Biomedical subjects

M Lin

Publications and source records attributed to M Lin.

At least 289 records · Page 16Linked to original sources

Enhanced separation and detection of serum bilirubin species by capillary electrophoresis using a mixed anionic surfactant-protein buffer system with laser-induced fluorescence detection.

The four major bilirubin species in serum are separated by capillary electrophoresis and detected using laser-induced fluorescence detection. The optimum buffer system consists of 40 mM sodium dodecyl sulfate (SDS)-0.012 mM bovine serum albumin (BSA). The use of the SDS-BSA mixture in the mobile phase allows for the separation of four major bilirubin species at physiological pH with untreated capillaries. The results show that the use of BSA as a run buffer modifier in SDS solution improves separation efficiency and increases sample solubility via pH changes of the run buffer. The limits of detection for the bilirubin species using laser-induced fluorescence are between 30 and 150 nM, depending on the bilirubin species; not only is this approximately two orders of magnitude lower than with visible-light absorption methods, it allows the bilirubin species in normal sera to be quantitatively measured without sample pretreatment.

Adult↗

Antibody-antigen binding constants determined in solution-phase with the threshold membrane-capture system: binding constants for anti-fluorescein, anti-saxitoxin, and anti-ricin antibodies.

Affinities of various monoclonal and polyclonal antibodies for fluorescein-containing antigens, saxitoxin and ricin, were determined by using a light addressable potentiometric sensor-based system (Threshold). The dissociation constants, determined from Scatchard plots, ranged from 2 x 10(-7) to approximately 3 x 10(-12) M. Dissociation constants for fluorescein and saxitoxin were compared with values determined by independent means. This technique was found to be quick, simple, reproducible, and accurate.

Antibodies↗

High-grade stereo acuity after early surgery for congenital esotropia.

OBJECTIVE: To evaluate the effectiveness of very early surgery for establishing straight eyes and sensory fusion in patients with congenital esotropia. DESIGN: A review of consecutive patients with congenital esotropia who underwent surgery between 13 and 19 weeks of age. SETTING: A children's hospital with a teaching affiliation. PATIENTS: Seven patients who had surgery between 13 and 19 weeks of age. INTERVENTION: A bilateral medial rectus recession through a fornix incision with recessions ranging from 5.75 to 6.5 mm in infants younger than 6 months of age. MAIN OUTCOME MEASURES: Sensory fusion as measured by stereo acuity and Worth four-dot testing and motor alignment within 8 prism diopters. RESULTS: Five of the seven patients achieved essentially straight eyes with tropias of less than 8 prism diopters after one horizontal surgery. Five patients cooperated with sensory testing, and all showed stereo acuities that ranged from 400 to 40 seconds of arc. Three children had evidence of high-grade stereo acuity by showing stereopsis on random dot stereograms (Randot, Stereo Optical Co, Chicago, Ill) and by fusing the Worth four-dot test at distance and near range. Two of the patients with high-grade stereo acuity achieved a stereo acuity of 40 seconds of arc by Titmus testing; however, one had a late reduction of stereo acuity to 70 seconds of arc. CONCLUSION: Very early surgery can result in excellent motor alignment and high-grade stereo acuity in some patients with congenital esotropia.

Depth Perception↗

Imaging myelinated nerve fibres by confocal fluorescence microscopy: individual fibres in whole nerve trunks traced through multiple consecutive internodes.

Current methods of morphological analysis do not permit detailed imaging of individual myelinated fibres over substantial lengths without disruption of neighbouring, potentially significant, cellular and extracellular relationships. We report a new method which overcomes this limitation by combining aldehyde-induced fluorescence with confocal microscopy. Myelin fluorescence was intense relative to that from other tissue components, enabling individual myelinated nerve fibres to be traced for distances of many millimeters in whole PNS nerve trunks. Image obtained with a Bio-Rad MRC-600 confocal laser scanning microscope clearly displayed features of PNS and CNS myelinated fibres including nodes of Ranvier; fibre diameter; sheath thickness and contour; branch points at nodes; as well as (in the PNS) Schmidt-Lanterman incisures and the position of Schwann cell nuclei. Direct comparisons using the same specimens (whole nerve trunks; also teased fibres) showed confocal imaging to be markedly superior to conventional fluorescence microscopy in terms of contrast, apparent resolution and resistance to photobleaching. Development of the fluorophore was examined systemically in sciatic nerves of young adult rats. In separate experiments, animals were perfused systemically using (1) 5% glutaraldehyde; (2) Karnovsky's solution; (3) 4% paraformaldehyde; buffered with either 0.1 M sodium phosphate or sodium cacodylate (pH 7.4). The concentration of glutaraldehyde in the fixative solution was the principal determinant of fluorescence intensity. Confocal imaging was achieved immediately following perfusion with 5% glutaraldehyde or Karnovsky's. Fluorescence intensity increased markedly during overnight storage in these fixatives and continued to increase during subsequent storage in buffer alone. The fluorophore was stable and resistant to fading during storage (15 months at least), enabling data collection over extended periods. To demonstrate application of the method in neuropathology, individual fibres in transected sciatic nerve trunks were traced through multiple successive internodes: Classical features of Wallerian degeneration (axonal swelling and debris; ovoid formation and incisure changes; variation among fibres in the extent of degeneration) were displayed. The method is compatible with subsequent ultrastructural examination and will complement existing methods of investigation of myelinated fibre anatomy and pathology, particularly where preservation of 3-dimensional relationships or elucidation of spatial gradients are required.

Animals↗

Vasodilator therapy in chronic asymptomatic aortic regurgitation: enalapril versus hydralazine therapy.

OBJECTIVES: This study attempted to evaluate the long-term efficacy of enalapril versus hydralazine therapy on left ventricular volume, mass and function as well as on the renin-angiotensin system in chronic asymptomatic aortic regurgitation. BACKGROUND: We tested the hypothesis that early administration of a vasodilator drug might be able to reduce left ventricular dilation and mass expansion. Because the renin-angiotensin system may be activated in chronic aortic regurgitation, early enalapril therapy might be beneficial. METHODS: Between 1990 and 1993, 76 asymptomatic nonrheumatic patients with mild to severe chronic aortic regurgitation were enrolled in a randomized, double-blind trial comparing enalapril with hydralazine. All patients underwent serial noninvasive studies. Seventy patients completed the 12-month follow-up. RESULTS: At 1 year, patients receiving enalapril had a significant reduction in left ventricular end-diastolic and end-systolic volume indexes (124 +/- 15 vs. 108 +/- 17 ml/m2, p < 0.01; 50 +/- 12 vs. 40 +/- 14 ml/m2, p < 0.01, respectively) and mass index (131 +/- 16 vs. 113 +/- 19 g/m2, p < 0.01), whereas hydralazine therapy showed no significant changes. Both regimens not only had a significant reduction in left ventricular mean wall stress but also had a mild increase in exercise duration. Only enalapril therapy achieved a significant inhibition of the renin-angiotensin system, in contrast to hydralazine therapy. Moreover, the multiple r2 value from the analysis for end-diastolic volume index using the two variables of age and treatment drugs was 72.1% (p < 0.01). CONCLUSIONS: Both regimens decrease left ventricular mean wall stress. Enalapril therapy achieves significant left ventricular mass regression, left ventricular end-diastolic and end-systolic volume index reduction and renin-angiotensin system suppression. These findings suggest that early unloading enalapril therapy has the potential to favorably influence the natural history of chronic aortic regurgitation.

Aged↗

The incidence and significance of anti-"Mia" in Taiwan.

BACKGROUND: The incidence of the Mill phenotype among Chinese blood donors in Taiwan is 7.3 percent. Anti-"Mia" is the most frequently occurring alloantibody of potential clinical significance encountered among Chinese patients in Taiwan, with a frequency of 0.28 percent. CASE REPORTS: A case of hemolytic disease of the newborn and a transfusion reaction due to anti-"Mia" are described. CONCLUSION: It may be important to include the Mill phenotype in the antibody screening of sera from Chinese patients.

Adult↗

Glucose intolerance exaggerates left ventricular hypertrophy and dysfunction in essential hypertension.

The influence of glucose intolerance, the preclinical stage of diabetes mellitus, on the progression of left ventricular hypertrophy and left ventricular dysfunction in essential hypertension, was assessed with two-dimensional M-mode echocardiography in age- and sex-matched essential hypertensive patients with (n = 28) or without (n = 44) glucose intolerance, and normotensive control subjects (n = 29). Left ventricular mass index in hypertensive patients with glucose intolerance was significantly higher than that in hypertensive patients without glucose intolerance (mean +/- SD, 115.6 +/- 28.2 v 102.1 +/- 22.1 g/m2; P < .05). Left ventricular diastolic function as reflected by peak lengthening rate was reduced in glucose-intolerant hypertensive patients than in hypertensive patients without glucose intolerance (2.68 +/- 0.71 v 3.16 +/- 0.82/sec; P < .05). End-systolic wall stress/left ventricular end-systolic volume index, an index of left ventricular contractility, was reduced more in glucose-intolerant hypertensive patients than in hypertensive patients without glucose intolerance (2.75 +/- 0.55 v 3.13 +/- 0.55 10(3) dyn.m2/cm2.mL-1; P < .01). These findings suggest that glucose intolerance accelerates progression of left ventricular hypertrophy and deteriorates left ventricular diastolic function and contractility in essential hypertension.

Blood Glucose↗

Postnatal development of red cell Le(a) and Le(b) antigens in Chinese infants.

Lewis phenotyping of 487 blood samples from Chinese newborn infants and young children, revealed that 50% of cord cells were Le(a-b+) and 50% Le(a-b-). The weak Leb antigen of Le(a-b+) cord cells is most likely produced by the newborn infant rather than of maternal origin and it appears that these infants eventually develop by way of an intermediate Le(a+b+) stage into the adult Le(a-b+) phenotype. Most infants with Le(a-b-) cord cells, but not all, appear to develop through a transitional Le(a+b-) stage, into Le (a+b+) by about 1 month of age, most likely continuing as such into adulthood. This development of Le(a-b-) cord cells into the adult Le(a+b+) phenotype is postulated to be the result of the weak secretor gene Se omega. Those infants with Le(a-b-) cord cells that do not convert to Le(a+b+) during the first month of life, most likely remain as such into adulthood. The blood of 120 adult voluntary blood donors, used as controls, reconfirmed adult Chinese phenotypic frequencies of approximately 70% Le(a-b+), 22% Le(a+b+) and 8% Le(a-b-).

Adult↗

Transfusion-associated respiratory distress in Taiwan.

Transfusion-associated respiratory distress occurred more often in the past in Taiwan but recently only very rarely. From the results of our studies it would appear that the former cases did not represent immune reactions involving red blood cells, serum proteins (especially IgA), HLA or granulocyte-specific antigens. Other causes, such as improper handling of the blood units may have been involved, but further study is also needed to investigate the possibility of the role of cytokine release from leukocytes or other factors. In addition, it appears that both plasma and serum obtained by recalcification of plasma may cause false-positive reactions in the granulocyte microagglutination test.

Adolescent↗

Modification of standard Western pretransfusion testing procedures for Taiwan.

Due to significant differences in blood group antigen and antibody frequencies between Taiwanese and Caucasians, standard Western pretransfusion testing procedures have been modified for use in Taiwan. Pretransfusion testing consists simply of ABO grouping and antibody screening/major cross-matching using the manual Polybrene method without any antiglobulin phase. The manual Polybrene method is preformed using regents prepared in house and is rapid (about 3 min), inexpensive and easy to perform. Rh(D) typing of patients is unnecessary as the frequency of D in Taiwanes is 99.67% and the occurrence of anti-D in patients (or in haemolytic disease of the newborn) is uncommon. Great reductions in both cost and labour have resulted from these modifications, and it is suggested that other countries may consider similar modifications.

ABO Blood-Group System↗

[Cloning of T7 lysozyme gene and construction of the vector for transgenic plants resistant to bacterial infection].

DNA were extracted from bacteriophage T7 and digested partially with Ava II. T7 lysozyme gene was obtained by PCR. DNA sequence analysis showed that the nucleotide sequence of T7 lysozyme gene was 99.5% homologous with the reported sequence and its deduced amino acid sequence was the same as reported. DNA fragment encoding the signal peptide of the pathogenesis-related protein 1b(PR-1b) from tobacco and cecropin (Shiva-I) gene cloned in pUC19 were modified by PCR. The PR-1b signal peptide gene was fused respectively to the 5' terminals of T7 lysozyme gene and expression vector, so that T7 lysozyme gene and Shiva-I gene could express simultaneously in transgenic plants and the two gene products could be secreted to extracellular space.

Amino Acid Sequence↗

Pre-discharge atrial pacing test in evaluation of risk stratification after uncomplicated myocardial infarction.

Right atrial pacing (RAP) using three pacing stages (I: 100 BPM/5 min; II: 120 BPM/5 min; III: 140 BPM/5 min) was performed for residual myocardial ischemia, hypotensive response and related prognostic significance in 55 uncomplicated acute myocardial infarction (AMI) patients. We aimed to clarify whether early risk stratification and jeopardized myocardium score, calculated using pacing results, could predict disease severity and future major cardiac events during long-term follow-up. During RAP testing, 24 patients displayed negative and 31 patients positive RAP. The positive RAP group had a significantly higher incidence of multivessel disease, higher jeopardized myocardium scores and left ventricular end-diastolic pressure than the negative RAP group. As expected, according to pacing response the disease severity score also showed a significant difference. During the one-year follow-up, there were three recurrent angina attacks, reinfarction and two congestive heart failures in the negative RAP group. In the positive RAP group, four died, six had new or recurrent myocardial infarctions and six developed congestive heart failure. Only six patients in the positive RAP group carried the critical risk, four suffered from recurrent angina, two developed reinfarction, three developed congestive heart failure, and two died. Total major cardiac events in the positive RAP group appeared to significantly increase compared to those in the negative RAP group. Our results show that early RAP with three pacing stages is useful in predicting subsequent major cardiac events after uncomplicated myocardial infarction. We also observed that hypotensive response during positive RAP represents the best predictor of critical risk requiring further invasive studies. We believe that RAP is justified for risk strategy.

Aged↗

Right atrial pacing for risk stratification in patients with angina pectoris.

Right atrial pacing (RAP) has been used to assess the physiologic impact of coronary artery disease (CAD). Several variables have served as markers of pacing-induced myocardial ischemia or for predicting disease severity, but their clinical implications remain uncertain. Therefore, three-stage RAP was performed to evaluate whether this strategy could predict the disease severity of CAD and foretell subsequent major cardiac events in 49 patients with typical chest pain. RAP was considered positive if 1 mm or more of horizontal or downward ST depression developed. Of the 49 cases, 28 had positive RAP (group A), and the remaining 21 had negative RAP (group B). For hemodynamic data, early positive RAP had the highest post-pacing left ventricular end-diastolic pressure (LVEDP). The LVEDP increased significantly in Group A (p < 0.05), whereas there was no apparent change in group B. Furthermore, group A (36%) tended to develop typical chest pain more easily than group B (14%), but this was statistically insignificant. Group A had a higher incidence of multivessel disease than that of group B (p < 0.001), whereas group A had a lower incidence of non-significant CAD than that of group B (p < 0.001). During the mean two-year follow-up period, there were 23 major cardiac events (MCE) in group A in contrast to two episodes in group B (p < 0.005). The early positive subset had 18 episodes, whereas the late positive subset had only five episodes (p < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗