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Biomedical subjects

W J Liu

Publications and source records attributed to W J Liu.

At least 55 records · Page 3Linked to original sources

Somatostatin, substance P, prolactin and vasoactive intestinal peptide levels in serum and cerebrospinal fluid of children with seizure disorders.

Seventy patients aged from one month to 18 years with seizure disorders were classified into three groups: I. Patients who had hard control seizure attacks even under medication; II. those who had occasional seizure attacks (less than 6 times per year) and III. those who had no seizure attacks after receiving medication for at least one year. Blood samples were taken for somatostatin, substance P, prolactin and vasoactive intestinal peptide (VIP) assays. Lumbar puncture was made in 32 children and CSF samples were also assayed for neuropeptides. Somatostatin levels in serum were significantly elevated in group I and group II (P = 0.05, ANOVA) but not in group III and control group. Similar observations were made in substance P, prolactin and VIP studies. In CSF, the somatostation can better indicate the difference between epileptic and normal children (comparison with group I, P greater than 0.001; with group II, P less than 0.001; even with those who were seizure free after medication, P less than 0.05). In conclusion, the levels of several neuropeptides (somatostatin, substance P. prolactin, VIP) were elevated in children with seizure disorders both in serum and CSF. The present investigation provides a new category for the understanding of the pathogenesis, treatment as well as prognosis of seizure disorders.

Adolescent↗

Extraction versus periodontal-orthodontic treatment: a case report.

This paper reports the management of a patient with severe localized periodontitis accompanied by drifting and extrusion of a central incisor. Although the traditional treatment approach to this condition often includes extraction and prosthetic replacement, the approach presented here provides an alternative to extraction by combining periodontal and orthodontic treatment.

Adult↗

[The analysis of motivation and attitude of premarital medical examinees].

The study aims to analyse the motivation and attitude of premarital medical examinees. Ninety-two premarital medical examines, which include 46 self-paid persons and 46 government paid (subsidized by the Department of Health) visited the Family Clinic. They were studied from Oct. 27, 1988 to Nov. 8, 1989. Among 48 male and 44 female examinees, the sex ratio (male:female) was 1.09:1. The predominant age distribution was 26-30 y/o (58.2%); and the predominant level of education was college (54.4%). Questionnaires were sent to these premarital medical examinees. We received 70 questionnaires-47.1% from self-paid, and 52.9% from government paid. The recovery rate was 76.1%. The results of analysis were: 1) Concerning the motivation of examination, 35.1% of self-paid were introduced by relatives or friends; while 50% of government paid were introduced by newspapers; 41.2% of the total response were afraid of genetic disease. 2) Concerning the opinion of the examination fee, there were no significant differences between those of self-paid and government paid.

Adolescent↗

Lymphocyte transformation in patients with HBsAg-positive chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma.

To evaluate cellular immunity, mitogen-induced lymphocyte transformation was assessed in 146 patients with chronic hepatitis B virus (HBV) infection, including 63 patients with chronic hepatitis (CH), 34 with liver cirrhosis (LC), and 49 patients combined with liver cirrhosis and hepatocellular carcinoma (HCC). The PHA-induced transformation indices (TI) were lower in patients with chronic HBV infection, especially in the LC and the HCC groups. The Con A-induced TI were also diminished in patients with chronic HBV infection. The mitogen-induced TI in patients with CH showed no significant difference in regards to different histological patterns, HBeAg/anti-HBe statuses, sex groups, age distributions, and SGPT levels. However, the mitogen-induced TI were substantially higher in CH patients with elevated serum AFP levels, especially in the group with AFP levels over 100 ng/ml. From these data, we conclude that: (1) impaired PHA-induced TI in patients with LC may partly explain the high risk factor of LC in the occurrence of HCC; (2) the reduction in TI induced by optimal concentration of Con A reflects the defective suppressor cell activity in patients with chronic HBV infection, even in patients with HCC; (3) no significant difference among the control group and patients with chronic HBV infection in PWM-induced TI implies that the response of B cells may be normal in patients with chronic HBV infection; (4) elevated mitogen-induced TI in CH patients with high AFP levels indicate that the activation of lymphocyte may contribute to the severity of inflammation and tissue damage.

Adult↗

Enterotoxin effect on hepatocytes in experimental intestinal obstruction in the rat.

Thirty-two Wistar rats were studied for liver injury caused by enterotoxemia due to experimental intestinal obstruction. In the experimental group, enterotoxin titers were measured 1.83 +/- 0.38, 2.40 +/- 0.39, 10.80 +/- 2.97 (M +/- SE) in the group of the duration of intestional obstruction for 2-, 4-, and 7-day respectively. The distribution of E. coli endotoxin in the liver cell was started from Zone 3 and then extended into Zone 1 with prolonged obstruction. The experimental group which experienced the longest period of obstruction also exhibited elevated serum GPT and GOT levels. The severity of damage increased with time of obstruction. The disturbance of liver cells in enterotoxemia induced by intestional obstruction was clear and needed our attention in the management of intestional obstruction from this animal model.

Animals↗

[Field observation on the relapse pattern in patients naturally infected with vivax malaria from spring to autumn seasons in Cili County, Hunan Province].

215 patients of vivax malaria were treated with chloroquine phosphate alone at the dose of 1.5g for three days from April 1986 to October 1987 in Cili County in the northwest part of Hunan Province. Among them, 58 cases relapsed, the relapse rate being 27.0%. In patients admitted in April and May, as judged from the interval between treatment and the first relapse, the latent period was short, between 60.8d and 63.5d. On the contrary, when chloroquine treatment was given in August and September, the latent period in all the patients was long, between 292.4d and 297.5d. It is very interesting to note that in patients treated in June and July, both long and short latent periods occurred. 72.7% of the patients treated in June had short latent period (63.7d), while 75.0% of the patients treated in July had long latent period (285.4d).

Animals↗

Pneumocystis Carinii pneumonia in an AIDS patient with dramatic response to inadvertent steroid therapy--a case report.

A 28 year-old homosexual man had one month history of intermittent high fever, nonproductive cough and progressive shortness of breath. He not only had immunity deficits, with decrease CD4 cells decreased CD8 cells and inverted CD4/CD8 ratio, but also presented with evidence of human immunodeficiency virus infection (positive ELISA antibody tests and Western blot tests). Chest X-ray showed diffuse pulmonary infiltration. The arterial blood gases revealed hypoxemia. The PaO2 was 69 mmHg. Spirometry showed FVC 2.28 L (45% predicted), FEV1 2.21 L (49% predicted), FEV1/FVC 93%, and MMEF 4.41 L/sec (90% predicted). The configuration of the Flow-Volume loop was consistent with a restrictive ventilatory defect. Transthoracic lung biopsy demonstrated pneumocystis carinii pneumonia (PCP). He had inadvertent steroid therapy and showed some clinical, pulmonary function and chest X-ray improvement before the diagnosis was established. Steroids might be as adjunctive therapy for a short period of time in treatment of PCP associated with acquired immunodeficiency syndrome (AIDS) at respiratory failure.

Acquired Immunodeficiency Syndrome↗

[A case report of carotenemia].

Carotenemia is a common disease in children, and it is mainly due to excessive intake of food enriched with carotene. A fourteen-year-old girl, whose skin had been discolored yellow for several months, was brought to Kaohsiung Medical College Hospital for examination. Physical examination revealed she had a marked yellow color skin, especially on the palms and soles; conjunctiva was not anemic; sclera was not icteric; breath and heart sounds were normal; liver and spleen were not enlarged. Laboratory examination revealed normal results for the liver function test, however, serum carotene was elevated to 460 micrograms/dl in contrast to 80 micrograms/dl from a same-aged healthy child as a control (normal range of the serum carotene: 50-250 micrograms/dl). Tracing back her past history, she had taken a lot of oranges daily for more than one year. After consulting a nutritionist and changing her eating habits to a balanced diet for eight weeks, the serum carotene level decreased to 270 micrograms/dl (same-aged healthy child: 30 micrograms/dl). The skin color was also improved.

Adolescent↗