[New operative procedure, "auto strut method" for funnel chest].
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Biomedical subjects
Publications and source records attributed to H Nagara.
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Extracorporeal systemic hyperthermia was effective in removing pleural effusion or ascites and for pain relief in patients with advanced cancer. The administration of cisplatin was combined with hyperthermia. Partial remission was noted in 18% of the cases. With the use of cisplatin dosage over 1 mg/kg, approximately 50% of cases showed effective results. Cisplatin dosage should be 1.6mg/kg or more when combined with hyperthermia. Renal failure was the most common complication.
'Radial component' of the central myelin was investigated in a neurological mutant mouse, shiverer, which is characterized by the lack of myelin basic protein and paucity of the major dense line in the CNS myelin. As has been noted previously in the normal as well as other neurological mutant mice, radial component consisted of rows of interlamellar tight junctions and was accompanied with electron lucent linear structures (ELLS) over the major dense lines. In the areas where major dense line had formed in shiverer CNS myelin, numerous ELLS run across the major dense lines and were not always associated with a fusion of double intraperiod lines. The possible role of ELLS in myelin formation is briefly discussed.
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The pattern of early myelination was investigated in the dorsal columns of the cervical spinal cord in the twitcher, an authentic murine model of human globoid cell leukodystrophy, and their littermates. There were no differences in the number of myelinated fibers until the day 20 postnatal. However, myelin sheath in the homozygous affected twitchers at the day 20 were thinner than those of heterozygous and normal littermates, while at the day 10 no significant differences were detected. These observations indicated that in the twitcher mouse, despite the genetic deficiency of galactosylceramidase, myelination progresses normally in early stages and then hypomyelination becomes apparent before myelin breakdown.
Quaking is a neurologic mutant mouse with hypomyelination of CNS and PNS. In this mutant mouse of over 6 months of age, extensive vacuolation was found in the nerve fibers of the spinal roots, mostly in the ventral root. Normal axoplasmic constituents, such as mitochondria, neurotubules, and neurofilaments were, in general, well preserved. Many of these vacuoles appeared to be intra-axonal and only a few showed direct continuity with dilated periaxonal space. However, moderately electron-dense fluffy materials were often found in both the vacuoles and in the dilated periaxonal space, and rare mononuclear cells were found within the vacuoles, suggesting that these vacuoles were likely to be dilated periaxonal spaces. The vacuoles tended to be found more often in the myelinated nerve fibers than non-myelinated fibers. The changes in the periaxonal spaces observed in the old quaking mice were closely similar to those found in the myelinated cultures maintained on low calcium medium (Blank et al. 1974). Since calcium is highly concentrated in the node-paranodal regions and may be involved in the adhesion of Schwann cell loops to the axolemma (Ellisman et al. 1979), disturbed calcium and possibly other ionic concentrations due to structural abnormalities of node and paranodal regions in quaking mouse (Suzuki and Zagoren 1977) are speculated to be responsible for such morphological changes of spinal root in this mutant mouse.
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The radial component of central myelin, a series of radially oriented interlamellar tight junctions, was investigated in three neurologic mutant mice with myelin disorders--quaking, jimpy, and twitcher. In normal adult mice, the radial component of compacted myelin sheaths was usually localized deep in the myelin sheath lying under the cytoplasm of oligodendroglia, in particular between outer and inner tongues. In quaking mice, there were numerous rows of interlamellar tight junctions in the compacted myelin sheaths, and a single tight junction was frequently found between the opposing plasma membranes of oligodendroglia. The junctions were usually closely associated with cytoplasmic islands of oligodendroglia, but redundant myelin sheaths without associated axons or islands of oligodendroglia also occasionally revealed numerous radial components or rows of interlamellar tight junctions. In jimpy mice, the radial component was very poorly developed and could not be detected in the majority of myelin sheaths. Rare radial components were usually extended only partially across the myelin sheaths. In contrast to quaking and jimpy mice, the pattern and distribution of the radial component in twitcher mice were identical in the preclinical stage to that of the normal mouse. These observations further suggest that myelination is abnormal in quaking and jimpy mice but not in the twitcher mouse.
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