Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association最新文献_第10页

[Cervicofacial actinomycosis: report of a case]. [颈面放线菌病1例报告]。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-07-01

F P Lee, T S Huang, A M Wang

{"title":"[Cervicofacial actinomycosis: report of a case].","authors":"F P Lee, T S Huang, A M Wang","doi":"","DOIUrl":"","url":null,"abstract":"Actinomycotic infection involving the head and neck is not commonly diagnosed and is often a diagnostic enigma to the otolaryngologist. The reasons for this are due to the infrequency of this disease itself, the current general lack of familiarity with this disease and the pronounced sensitivity of actinomyces organisms to most of the common antibiotics in current use. The case reported here is fairly typical of cervicofacial actinomycosis. A 26-year-old man suffering from trismus and a noncharacteristic mass over the right parotidomasseteric region for one month after a lower molar tooth was extracted presented at our hospital. There were many yellowish gritty \"sulfur granules\" found within the pus when surgical drainage was made. Immediate Gram stain examination of these granules showed numerous filamentous Gram-positive bacilli, some of which showed true branching. Bacterial culture grew only an anaerobic organism which was identified as Actinomyces israelii by biochemical tests. This patient improved after further treatment with intensive intravenous penicillin injections for ten days and prolonged oral tetracycline treatment for two months. We suggest that increased alertness of clinicians and microbiologists to the presence of anaerobic organisms as the cause of cervicofacial infections could result in an earlier and more frequent diagnosis of actinomycosis.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13948530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute graft-versus-host disease: a clinical report and analysis of risk factors. 急性移植物抗宿主病:临床报告及危险因素分析

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-07-01

R L Hong, C H Wang, K H Lin, T L Chen, D T Lin, Y C Chen

引用次数: 0

Immediate prognostic significance of complete atrioventricular block in acute myocardial infarction. 急性心肌梗死完全性房室传导阻滞的即时预后意义。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-07-01

C T Kuo, C Y Liu, T S Hsu, C W Chiang, Y S Lee

{"title":"Immediate prognostic significance of complete atrioventricular block in acute myocardial infarction.","authors":"C T Kuo, C Y Liu, T S Hsu, C W Chiang, Y S Lee","doi":"","DOIUrl":"","url":null,"abstract":"To discern the relative prognostic role of complete atrioventricular block (CAVB) in patients with acute myocardial infarction (AMI), 908 consecutive patients with AMI were studied over a 7-year period. Of the 559 patients with anterior wall AMI, 13 (2.3%) demonstrated CAVB, of whom 10 (76.9%) died in the hospital (vs 10.4% in those without CAVB) (p less than 0.001). In 349 patients with inferior wall AMI, 30 (8.6%) developed CAVB, of whom 6 (20%) died (vs 6.3% in those without CAVB) (p less than 0.01). In anterior wall AMI, all 5 patients with narrow QRS complexes (vs 8/11 with wide QRS complexes) (p = NS) died; in inferior wall AMI, 4/25 with narrow QRS complexes (vs 2/5 with wide QRS complexes) (p = NS) died. The mortality rate of patients with an escape frequency of less than or equal to 50/min did not differ significantly from that of patients with greater than 50/min regardless of the site of infarction or whether a pacemaker was used. In anterior wall AMI, the mortality rate of paced patients was 70% (7/10) compared to 100% (3/3) of non-paced patients (p = NS). In inferior wall AMI, the mortality rate of paced (5/25) and non-paced (1/5) patients was both 20%. Thus, none of the clinical parameters such as escape rhythm, the width of escape QRS complexes and pacemaker therapy discriminated the survivors from the deaths. In anterior wall AMI, episodes of cardiac standstill or bradycardia were of short duration, and pacemaker therapy was only one of the therapies applied.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13948525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abnormal thyroid function and hypercholesterolemia in a case of acute intermittent porphyria. 急性间歇性卟啉症的甲状腺功能异常和高胆固醇血症1例。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-07-01

J W Shiue, F Y Lee, K J Hsiao, Y T Tsai, S D Lee, S J Wu

{"title":"Abnormal thyroid function and hypercholesterolemia in a case of acute intermittent porphyria.","authors":"J W Shiue, F Y Lee, K J Hsiao, Y T Tsai, S D Lee, S J Wu","doi":"","DOIUrl":"","url":null,"abstract":"Acute intermittent porphyria is a genetic hepatic porphyria characterized by acute gastrointestinal and neurological symptoms, and accompanied by excess excretion of delta-aminolevulinic acid and porphobilinogen. Here, we report a case of acute intermittent porphyria with attacks of abdominal pain, an elevated serum thyroxine level, and hypercholesterolemia with an increased level of high-density lipoprotein-cholesterol concentration. The diagnosis of acute intermittent porphyria was confirmed by a high urinary excretion of porphobilinogen and a low level of erythrocyte hydroxymethylbilane synthase activity. After being treated with a high carbohydrate intake and propranolol, the patient improved gradually during the following 3 weeks. The patient remained asymptomatic during the 6-month follow-up period. The serum thyroxin and cholesterol levels returned to normal 6 months later. In conclusion, we suggest that for any patient who presents with unexplained abdominal pain, abnormal thyroid function and hypercholesterolemia, a simple Watson-Schwartz urine test should be performed for the screening of acute intermittent porphyria. If the Watson-Schwartz test is positive, the erythrocyte hydroxymethylbilane synthase activity should be determined to confirm the diagnosis of acute intermittent porphyria.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13948528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Plasma homovanillic acid in schizophrenics: supportive evidence for the two-subtype hypothesis. 精神分裂症患者血浆高香草酸:两亚型假说的支持证据。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-06-01

T Y Chen, C F Lee, F W Lung, T C Lee, W L Lin, W H Hu, E K Yeh, W H Chang

引用次数: 0

Malignant fibrous histiocytoma of the head and neck: report of 5 cases. 头颈部恶性纤维组织细胞瘤附5例报告。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-06-01

Y H Young, T Hsieh

引用次数: 0

[The effects of leg elevation to reduce leg edema resulting from prolonged standing]. 【腿抬高对减少长时间站立引起的腿部水肿的作用】。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-06-01

M Y Liaw, M K Wong

{"title":"[The effects of leg elevation to reduce leg edema resulting from prolonged standing].","authors":"M Y Liaw, M K Wong","doi":"","DOIUrl":"","url":null,"abstract":"In order to find the most comfortable and effective posture to reduce lower leg edema, 31 young women working in Chang Gung Memorial Hospital, ages ranging from 20 to 40, were studied by the volumetric displacement method with leg placed in a specially designed container. The effects of five different angles of leg elevation on reduction of leg edema were separately evaluated in 5 days. For each evaluation, two measurements of volumetric displacement of lower leg edema were performed after prolong sitting or standing of more than 4 hours, and at the end of 15 minutes of supine lying (angle of leg elevation = 0 degrees), or after the leg was elevated in an angle of 30 degrees, 45 degrees, 60 degrees, or 90 degrees respectively. A good correlation was found between the displaced volume and increasing angle of leg elevation (regression line Y = 99.109-0.016X, r = -0.96). There was a significant difference between leg elevation of 90 degrees and supine lying (t = 3.01, p less than 0.01). The degree of comfort in leg elevation was in the order of 30 degrees, 45 degrees, 60 degrees, 0 degrees, 90 degrees. Many subjects complained of numbness and throbbing pain over the lower legs or pain at the buttocks in the upright leg elevation to 90 degrees posture, but felt rather comfortable in the 30 degrees posture. Seventeen of these subjects were further studied for the degree of comfort in leg elevation at 30 degrees for 30 minutes as compared with those of 30 degrees, 15 minutes and 90 degrees, 15 minutes.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13934726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Human sperm chromosome analysis in primary infertility: a preliminary report. 原发性不孕症的人类精子染色体分析:初步报告。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-06-01

S J Lin, C C Hsu, Y R Lien, Y S Yang, T R Wang, S M Chuang, T Y Lee

{"title":"Human sperm chromosome analysis in primary infertility: a preliminary report.","authors":"S J Lin, C C Hsu, Y R Lien, Y S Yang, T R Wang, S M Chuang, T Y Lee","doi":"","DOIUrl":"","url":null,"abstract":"Human sperm chromosomes can be analyzed using the zona-free hamster egg system. In order to familiarize ourselves with this new technique and to investigate the chromosome aberration frequency in fertile and possibly infertile men, we performed sperm chromosome analysis in 39 successful experiments. The subjects were divided into two groups. Group 1 was healthy men with proven fertility. Group 2 was husbands of couples with unexplained infertility. Semen samples were prepared freshly or preserved in TEST-yolk buffer for 12 to 72 hours. In group 1 using fresh samples, the mean penetration rate was 67.40 +/- 14.08% (mean +/- 2SD), the maturation index was 1.33 +/- 0.31. For samples treated with yolk buffer, the mean penetration rate was 91.34 +/- 7.42%, and the maturation index was 1.58 +/- 0.42. There was a statistically significant increase in penetration after yolk buffer treatment (p less than 0.001). In group 1 there were 89 haploid chromosomes, four were aneuploidy (4.5%), and three with structural aberrations (3.4%). In group 2, for fresh samples, the mean penetration rate was 71.34 +/- 27.96%, and the maturation index was 1.37 +/- 0.25. For samples treated with yolk buffer, the penetration rate was 86.33 +/- 25.18%, and maturation index 1.40 +/- 0.23. In group 2, there were 135 haploid chromosomes, 6 were aneuploidy (4.4%), and 4 with structural aberrations (3.0%). There was no statistically significant difference between group 1 and group 2 in the penetration rate, maturation index and frequency of chromosome abnormalities.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13933435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between dental caries prevalence and Streptococcus mutans among 13-year-old children. 13岁儿童龋齿患病率与变形链球菌的关系

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-06-01

J S Chia, L J Teng, M Y Wong, C C Hsieh

{"title":"Association between dental caries prevalence and Streptococcus mutans among 13-year-old children.","authors":"J S Chia, L J Teng, M Y Wong, C C Hsieh","doi":"","DOIUrl":"","url":null,"abstract":"The prevalence of caries associated prevalence with Streptococcus mutans in saliva and pooled plaque was investigated among 13-year-old Chinese children. In conjunction with saliva sampling simplified greatly by adopting the oral rinse method, an initial threshold value of 10(4) colony forming units (cfu) per ml of rinse was established on the basis of the S. mutans counts from 27 caries-free individuals. The results of the present study showed that, of the total 58 children, 67.3% had S. mutans counts above the threshold value in their saliva, and they developed significantly more decayed surfaces (D) and decayed, missing, filled surfaces (DMFS) than did the children below this value. The association between caries activity and S. mutans counts either in saliva or in pooled plaque samples was even stronger when only decayed surfaces were taken into account. In addition, the detection frequency of S. mutans (81.8%) was higher in saliva than in the pooled plaque samples (43.2%). This may demonstrate that saliva is more sensitive than dental plaque in predicting caries activity. The most prevalent biotypes of the S. mutans strains observed in this study were c and d. The results of this study indicate a significant association of S. mutans levels with caries prevalence. In the estimation of salivary S. mutans levels, the rinse method offered an easy and rapid identification for children with high caries risk and proved to be very practicable for epidemiological study on a larger scale.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13934720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mosquito bite allergies terminating as hemophagocytic histiocytosis: report of a case]. 蚊咬过敏以噬血细胞性组织细胞增多症1例报告。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-06-01

W C Tsai, S F Luo, S J Liaw, T T Kuo

{"title":"[Mosquito bite allergies terminating as hemophagocytic histiocytosis: report of a case].","authors":"W C Tsai, S F Luo, S J Liaw, T T Kuo","doi":"","DOIUrl":"","url":null,"abstract":"A 21-year-old woman had suffered from repeated vasculitis and panniculitis with fever and chills after following mosquito bites since age 7. These manifestations were confirmed with a direct mosquito bite test during her admission to another hospital at age 17. The patient presented to our hospital with progressive dyspnea, productive cough and intermittent fever for one week. In addition to the bilateral infiltrative lesions on chest roentgenography, hepatosplenomegaly with an abnormal liver function test, pancytopenia, and elevated IgE were also detected. Blood and sputum cultures grew no microorganisms. Epstein-Barr virus-IgM, Cytomegalovirus-IgM and Mycoplasma pneumonia antibodies were all negative. Bone marrow aspiration and biopsy revealed histiocytosis with hemophagocytosis. No atypical histiocyte was found. The patient was put on dexamethasone treatment with improvement. Unfortunately, symptoms relapsed two weeks later. A repeated bone marrow aspiration and biopsy revealed a picture similar to the previous one. Despite antibiotic administration and ventilator support, a rapidly deteriorated course terminated in the patient's death by respiratory failure. Mosquito bite allergies were reported to be associated with malignant histiocytosis in Japan. However, atypical histiocytes were not found in our case upon repeated bone marrow aspirations, biopsies and skin biopsies. Mature histiocytes with hemophagocytosis were prominent instead. Reactive histiocytosis was thus favored rather than malignant histiocytosis. Although opportunistic infection cannot be excluded, we propose that a mosquito bite allergy with consequent histiocytic activation by antigen, immune complex or IgE is the possible pathogenetic mechanism for hemophagocytic histiocytosis in this patient.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13715362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0