Biomedical subjects

H Inooka

Publications and source records attributed to H Inooka.

17 recordsLinked to original sources

PubMed2004

Identification of the head-neck complex in response to trunk horizontal vibration.

A method is proposed for identifying the head-neck complex (HNC) in the seated human body when it is exposed to the trunk horizontal (fore-and-aft) vibration. It is assumed that the HNC only has the anteroposterior (flexion/extension) motion in the sagittal plane. An electrohydraulic vibrator is used as a source of vibration. To generate the trunk horizontal vibration, the trunk of the seated subject is fixed to the seatback. The subjects are exposed to the random vibration at a magnitude of 1.60 ms(-2) rms (root-mean-square) for 50 s. The coherence and frequency response function are then obtained in the frequency range 0.5-3 Hz. The results show that the HNC behavior is quasilinear with a resonance frequency between 1 and 1.4 Hz. Accordingly, a two-dimensional single-inverted pendulum is considered as a model for the HNC. The frequency domain identification method is then used to estimate the unknown parameters, including the HNC viscoelastic and inertia parameters. The model is examined in a time domain using the random vibration. Good agreement is obtained between experimental and simulation results, indicating the reliability of the proposed method.

Acceleration↗

PubMed2002

Ride quality evaluation of an actively-controlled stretcher for an ambulance.

This study considers the subjective evaluation of ride quality during ambulance transportation using an actively-controlled stretcher (ACS). The ride quality of a conventional stretcher and an assistant driver's seat is also compared. Braking during ambulance transportation generates negative foot-to-head acceleration in patients and causes blood pressure to rise in the patient's head. The ACS absorbs the foot-to-head acceleration by changing the angle of the stretcher, thus reducing the blood pressure variation. However, the ride quality of the ACS should be investigated further because the movement of the ACS may cause motion sickness and nausea. Experiments of ambulance transportation, including rapid acceleration and deceleration, are performed to evaluate the effect of differences in posture of the transported subject on the ride quality; the semantic differential method and factor analysis are used in the investigations. Subjects are transported using a conventional stretcher with head forward, a conventional stretcher with head backward, the ACS, and an assistant driver's seat for comparison with transportation using a stretcher. Experimental results show that the ACS gives the most comfortable transportation when using a stretcher. Moreover, the reduction of the negative foot-to-head acceleration at frequencies below 0.2 Hz and the small variation of the foot-to-head acceleration result in more comfortable transportation. Conventional transportation with the head forward causes the worst transportation, although the characteristics of the vibration of the conventional stretcher seem to be superior to that of the ACS.

Acceleration↗

PubMed2001

Conformation of a peptide ligand bound to its G-protein coupled receptor.

Many peptide hormones elicit a wide array of physiological effects by binding to G-protein coupled receptors. We have determined the conformation of pituitary adenylate cyclase activating polypeptide, PACAP(1--21)NH(2), bound to a PACAP-specific receptor by NMR spectroscopy. Residues 3--7 form a unique beta-coil structure that is preceded by an N-terminal extended tail. This beta-coil creates a patch of hydrophobic residues that is important for receptor binding. In contrast, the C-terminal region (residues 8--21) forms an alpha-helix, similar to that in the micelle-bound PACAP. Thus, the conformational difference between PACAP in the receptor-bound and the micelle-bound states is limited to the N-terminal seven residues. This observation is consistent with the two-step ligand transportation model in which PACAP first binds to the membrane nonspecifically and then diffuses two-dimensionally in search of its receptor; a conformational change at the N-terminal region then allows specific interactions between the ligand and the receptor.

Amino Acid Sequence↗

PubMed2001

Evaluation of the severity of chronic heart failure by the reactivity of peripheral vessels.

We developed a method to evaluate the severity of chronic cardiac failure by Doppler image analysis. Doppler images of the whole arterial lumen were consecutively recorded on video tape and the power spectrum (sum of intensity multiplied by frequency) of each frame was considered as an index of the blood flow volume (VI). The right brachial artery was occluded for 15-60 seconds by a occluding cuff, and was released quickly. The VI was determined until the VI returned to the level at rest and total VI was calculated as an O2 repayment. The O2 repayment rate (R-Rate) was calculated as a ratio of the O2 repayment divided by total VI during interruption. The cardiac function was evaluated by sub-maximal exercise using bicycle ergometer and was compared with the R-Rate. The subjects were 22 patients (18 males and 4 females) with chronic cardiac failure of NYHA class I (9), class II (6), class III (4), class IV (3) and 12 healthy controls. R-Rate was almost unchanged by the duration of occlusion and showed positive correlation with exercise capacity. R-Rate decreased as the class of NYHA advanced. In conclusion, determination of reactive hyperemia can be used for objectively evaluating the severity of cardiac failure. Doppler sonography; cardiac failure; reactive hyperemia; peripheral circulation

Aged↗

PubMed2000

Characteristics of human fingertips in the shearing direction.

The shearing strain of the human fingertip plays an important role in the determination of the optimal grasping force and in the perception of texture. Most research concerned with the mechanical impedance of the human fingertips has treated the orthogonal direction to the tip surface, and little attention has been paid to the tangential direction. This paper describes impedance characteristics of the human fingertips in the tangential directions to the tip surface. In the experiment, step and ramp shearing forces were individually applied to the tips of the thumb, middle finger, and little finger. Dynamics of the fingertips were represented by the Kelvin model. Experimental results show that each fingertip had different properties with respect to the shearing strain versus the applied force, and that the thumb had the strongest shearing stiffness among these three digits. Moreover, the shearing stiffness depended on the direction of the applied force, and the stiffness in the pointing direction was stronger than that in the perpendicular direction. As the contact force in the orthogonal direction to the fingertip surface was increased, the shearing stiffness and viscosity increased without regard to the load speed of the shearing force. Furthermore, it is shown that the average strain rate of the fingertip in the tangential direction to the fingertip surface became slower and converged to a constant value with higher contact forces.

Elasticity↗

PubMed2000

Efficacy of anti-anginal drugs in the treatment of angina pectoris associated with silent myocardial ischemia: importance of quantitative Holter ECG data for patient activity.

METHODS: We evaluated the clinical efficacy of transdermal nitroglycerin (NTG-TTS), a patch application of a nitrate, in the treatment of 27 patients with angina pectoris who had asymptomatic myocardial ischemic (SMI) attacks, using a double-blind cross-over method. Evaluation was made using Holter ECG and patient activity data. RESULTS: In frequency and duration of continuation of SMI episodes, no significant differences were noted between the observation and placebo treatment periods, while the values of both these parameters were decreased significantly in the active drug treatment period compared with those in the observation and placebo treatment periods. Critical heart rate, the heart rate at the initiation of ST-segment depression, was significantly higher during the period of active drug treatment than during the placebo treatment and observation periods. In SMI frequency index, which was determined by adjusting the SMI frequency for the number of steps taken, there were no significant differences between the 3 periods. The SMI time index was significantly lower in the active drug treatment period than in the observation period. CONCLUSIONS: These results indicated that the clinical evaluation of the efficacy of anti-anginal drugs against SMI should take into consideration individual patient activity data.

Administration, Cutaneous↗

PubMed1999

Iterative manual control model of human operator.

In this paper, we present an iterative manual control model of a human operator performing some repetitive task. Various aspects of the model are discussed in detail. Experiments have been done to study the human capability to perform the tasks by learning iteratively. Results of the experiments show the ability of the human operator to perform the tracking of a desired trajectory for some unknown non-linear system with quite reasonable accuracy during the iteration process. It is concluded that the human operator performs the repetitive task by modifying his control action using error and error rate in each iteration. During the modification, the human operator assigns different weights to the error and error rate in each iteration. These results can be implemented in designing more efficient iterative learning control algorithms.

Adenosine Diphosphate↗

PubMed1999

Human learning characteristics in the tracking tasks of iterative nature.

In this paper, human learning characteristics in the tracking tasks of iterative nature are investigated. Various linear and nonlinear systems are used as plant, and a human operator has to generate the proper control inputs to force these systems in tracking the desired trajectory. The learning behaviour of the human operator in modifying his control actions is studied and it is observed that the human operator can improve his performance quite efficiently despite the unavailability of any information about the system or the desired trajectories. It is concluded from the experiments that the human operator not only use the information that is directly available to him (error in this case), but also extracts some useful information (e.g. error rate) that he feels is necessary to generate a good control action. The limitation of the human performance is studied in frequency domain, and the performance of the human operator against the frequency bandwidth of error and error rate signals are highlighted. Analysis of the results revealed that a human operator gives more importance to the error rate in generating his control actions and, accordingly, it is observed that his limitation in term of performance is more sensitive to the frequency bandwidth of the error rate as compared to the error. The human operator cannot improve his performance once the frequency components of the error or error rates shift to the higher frequencies, say above 1.0 Hz.

Adult↗

PubMed1998

The effects of an angiotensin-converting inhibitor (enalapril) on patients with mild cardiac failure--evaluating cardiac function based on the relationship between daily walking pace and heart rate.

BACKGROUND: Heart failure has been evaluated by several methods, the New York Heart Association (NYHA) classification of heart failure based on symptoms being used most frequently. However, the degree of heart failure assessed by these criteria does not always correlate with cardiac function in daily life. HYPOTHESIS: The aim of the study was to evaluate cardiac function based on the walking pace/heart rate (HR) relationship to assess the effects of enalapril, an angiotensin-converting enzyme inhibitor, in patients with mild to moderate cardiac function. METHODS: To evaluate cardiac function objectively, we developed a method using a pedometer to count the steps walked while simultaneously recording HR using a Holter electrocardiograph (ECG). Step-count walk rate (WR) was recorded on the magnetic tape of the Holter apparatus, and both HR and walking pace were calculated automatically by the Holter ECG analysis system. Data were determined every hour, and mean pace and HR were plotted along the x and y axes, respectively. The slope of HR x WR was calculated using the least squares method. The slope and the total number of steps were regarded as indicators of cardiac function and quality of life, respectively. We analyzed 36 subjects, consisting of 8 normal volunteers, 8 patients in New York Heart Association (NYHA) class I. 11 in class II, and 9 in class III chronic mild heart failure, during maximal exercise work load by bicycle ergometer; furthermore, fractional shortening of the left ventricle on echocardiogram was determined in 14 patients with chronic mild heart failure and was compared with the slope of HR x WR. Enalapril was administered at a daily dose of 2.5-10 mg for 1-24 months (mean 6 months) in 60 patients to evaluate the effects of this drug on these parameters. RESULTS: There was a significant inverse relationship between maximal work load and the HR x WR slope, and also between the fractional shortening and the slope, suggesting that the slope may reflect the severity of cardiac dysfunction. Furthermore, the slope decreased significantly from 1.8 +/- 1.26 before enalapril to 1.0 +/- 0.94 (mean +/- standard deviation) after drug administration, while the total number of steps increased significantly from 4842 +/- 3581 to 7804 +/- 4793. CONCLUSION: The slope of the graph relating step count and HR proved to be a good, objective indicator of cardiac function, and enalapril therapy improved this parameter.

Adolescent↗

PubMed1997

On an ambulance stretcher suspension concerned with the reduction of patient's blood pressure variation.

The design process and control of an ambulance stretcher suspension to reduce patient's blood pressure variation (BPV) is discussed. The BPV caused by applying the vehicle brakes may lead to deterioration of a patient's condition. The proposed method can reduce BPV by tilting the stretcher and counterbalancing back-to-front acceleration of the ambulance with gravity. The experimental results obtained when using a manually controlled stretcher confirm that BPV is reduced by tilting the stretcher. A continuous control method that varies the tilting angle is investigated through simulation analysis. The results show that this control method reduces the BPV effectively and achieves safe transport of the patient.

Acceleration↗

PubMed1996

Diagnosis of silent myocardial ischemia using ambulatory electrocardiographic monitoring with pedometer, analysis of heart rate, and ST loop in ambulatory electrocardiogram.

BACKGROUND: It has been suggested that episodes of silent myocardial ischemia (SMI) might influence the prognosis of patients with ischemic heart disease, as its consequences are similar to those of myocardial ischemia accompanied by pain. Ambulatory electrocardiogram (ECG) is generally employed in diagnosis as well as in evaluation of clinical efficacy in patients with SMI, but problems related to its application remain because of the difficulty in differentiating between nonischemic and ischemic ST-segment depressions and because of the absence of data concerning body movement. METHODS AND RESULTS: We developed a method for simultaneously recording onto magnetic tape both the ECG chart and pedometer count, as well as a program which enables semi-automatic analysis of the heart rate (HR)-ST relationship. This new method was employed to record ambulatory ECG along with pedometer count for a total of 70 patients, consisting of 53 with coronary heart disease who were shown to have ischemic heart disease, and 17 with various heart diseases in whom coronary angiography revealed no coronary stenosis. The HR-ST relationship was assessed for periods during which steps were recorded by the pedometer, that is, when patients were confirmed to have been under exertion effort. Patients demonstrating the following findings were diagnosed as true positive for SMI: the ST segment level did not decline until HR increased to a certain threshold, and the rate of change in the ST-segment level noted thereafter was -0.025 mm/beats/min or lower; or the ST-segment depression induced by effort continued even after discontinuation of exercise, after which time HR began to decrease, and the HR-ST loop consequently described a counterclockwise rotation. Evaluation of the HR-ST relationship based on these criteria revealed excellent results, as demonstrated by values of 79.2% for sensitivity and 94% for specificity. CONCLUSION: Our newly developed method of assessment of the HR-ST relationship via analysis of simultaneous data from an ambulatory ECG and a pedometer appears to be time saving, highly objective, and useful with regard to the diagnosis of SMI and evaluation of the therapeutic effect of drugs in patients with ischemic heart disease.

Aged↗

PubMed1996

Evaluating the maneuverability of a control stick using electromyography.

This paper proposes maneuverability indexes for a control stick that are based on considerations of muscle characteristics. The indexes are defined on the basis of muscle forces: stiffness of the musculoskeletal system and torque for accelerating the stick. Measuring muscle forces with electromyography, we examine the effectiveness of the proposed indexes experimentally. In a slow tracking operation, the index based on stiffness conforms to the subjective evaluation, but the index based on the torque is inadequate as an index of maneuverability; we therefore use the index based on stiffness as the maneuverability index. In experiments on a step operation, we divided the operation into two phases: moving and holding. The index in the holding operation is in good agreement with the subjective evaluation. In both tracking and step operations the characteristics of the index are appropriate whether or not the controlled object has a first-order lag element. As a result, it is shown that the index can indicate the maneuverability in the low-frequency tracking operation of the stick.

Arm↗

PubMed1992

Pituitary adenylate cyclase activating polypeptide (PACAP) with 27 residues. Conformation determined by 1H NMR and CD spectroscopies and distance geometry in 25% methanol solution.

The conformation of pituitary adenylate cyclase activating polypeptide with 27 residues (PACAP27) has been determined by two-dimensional NMR and CD spectroscopies and distance geometry in 25% methanol. Residues 9-20 and 22-25 have well-defined conformations but other residues do not show ordered conformations. The conformation of residues 9-20 is composed of three distinct regions of beta turn-like conformation (residues 9-12), alpha helix (residues 12-14) and the looser helical conformation (residues 15-20), while residues 22-24 form alpha helix. PACAP27 has a 2 helices separated by a disordered region similar to a VIP analog reported by Fry et al. but is distinct from the VIP analog in the position of the first helix, which is shifted by 2 residues toward the C-terminus, and in the form of the second helix [Fry, D.C., Madison, V.S., Bolin, D.R., Greeley, D.N., Toome, V. and Wegrzynski, B.B. (1989) Biochemistry 28, 2399-2409].

Amino Acid Sequence↗

PubMed1990

Conformation in solution of porcine brain natriuretic peptide determined by combined use of nuclear magnetic resonance and distance geometry.

The conformation in solution of porcine brain natriuretic peptide was determined by combined use of NMR spectroscopy and distance geometry. A set of 157 inter-proton-distance constraints was derived from the two-dimensional NOE spectra, and further a set of three hydrogen bond constraints was obtained from analysis of the temperature dependence of labile protons. The five structures with minimal violations were selected after performing distance-geometry calculations starting from 40 random initial conformations. The distance-geometry structures were further refined by the use of restrained energy minimization and restrained molecular dynamics. This structure shows a compact conformation with the carboxy-terminal region, Asn21-Tyr26, folded back to the disulfide-linked loop region, Cys4-Cys20. The characteristics of the conformation determined are as follows: conformations of the three segments interposed by glycine residues, which are Arg7-Ile12, Ser14-Leu18 and Cys20-Arg25, were well defined and the segments Arg7-Ile12 and Cys20-Arg25 are rather close to each other and nearly parallel. The biological significance of these local conformations is discussed on the basis of comparisons with those of atrial natriuretic peptide reported by Kobayashi et al.

Amino Acid Sequence↗

PubMed1989

Solution conformation of endothelin determined by nuclear magnetic resonance and distance geometry.

The solution conformation of endothelium-derived vasoconstrictor peptide, endothelin, has been determined by two-dimensional 1H-NMR spectroscopy and distance geometry. Conformation in the N-terminal core region (residues 1-15) is well-defined and a characteristic is the helix-like conformation in the segment from Lys9 to Cys15. Contrarily, the C-terminal tail region (residues 16-21) does not assume a defined conformation and there are no specific interactions between the core and the tail regions.

Amino Acid Sequence↗

PubMed1987

Proton nuclear magnetic resonance study on the solution conformation of human epidermal growth factor.

This paper describes elucidation of the conformation of the human epidermal growth factor (hEGF) in an aqueous environment, using one- and two-dimensional proton nuclear magnetic resonance methods. The noted structural information obtained is that a rigid core structure is formed by the interplay of the three disulfide bridges and an antiparallel beta-sheet consisting of Val-19 to Glu-24 and Asp-27 to Asn-32. Furthermore, the hydrophobic amino acid residues of the long C-terminal segment fold back to interact locally with residues in the beta-sheet. It is suggested that the C-terminal residues play an inevitable role in the formation of the receptor-binding site.

Binding Sites↗

PubMed1982

[The diagnostic value of ultrasonotomography with reference to previous cesarean section scars during full term pregnancy (author's transl)].

It is very important to diagnose the condition of previous cesarean section scars when deciding the delivery mode. We have investigated the use of ultrasonotomography and obtained the following results. 1. As it is impossible to measure exact thickness of cesarean section scars, we have measured the interval of bladder wall to fetal surface (B-F interval) before delivery. 2. As a control group, 24 pregnant women with no history of cesarean section were examined. In twenty one cases (87.5%) we found a minimum B-F interval of 4 to 7mm, and no cases measured under 4mm. 3. Twenty one pregnant women were examined by ultrasonotomography, and of these 15 cases with previous cesarean section scars were revealed upon operation. Three cases had incomplete dehiscence, where B-F interval was 0mm. Another four cases had mild thin cesarean scars, where the minimum B-F interval was 3mm in two instances, 4mm in one and 5mm in the other. In another eight cases, no thin cesarean section scars were observed and the minimum B-F interval were 4 to 7mm in six cases but in two cases, the minimum B-F interval could not be detected by our machines. These results suggest that ultrasonotomography is useful to detect incomplete dehiscence, but difficult to do mild thin cesarean section scars.

Cesarean Section↗