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Biomedical subjects

H Takeuchi

Publications and source records attributed to H Takeuchi.

At least 847 records · Page 47Linked to original sources
PubMed1985

[Horseshoe kidney in an infant associated with ureteropelvic junction and ureterovesical junction obstructions].

A 4-month old baby was seen in August, 1982 because of abdominal distension. The findings of the physical examination were normal except for a man's fist sized mass in the left upper abdomen. IVP revealed left nonvisualizing kidney. CT scans revealed a large mass in the left abdomen with low density contents and renal scintigraphy revealed a horseshoe kidney. The tentative diagnosis was horseshoe kidney associated with hydronephrosis due to ureteropelvic junction obstruction. Left pyeloplasty was performed in September 1982 and postoperative X-ray examinations revealed left ureterovesical junction obstruction. Left ureteroneocystostomy was performed in October, 1982 and postoperative course was uneventful. Horseshoe kidney in infants is rare in the Japanese literature and our case is quite unique in that horseshoe kidney is associated with ureteropelvic junction and ureterovesical junction obstruction.

Humans↗
PubMed1985

[Two cases of nonfunctioning adrenocortical adenoma].

Two cases of benign nonfunctioning adrenocortical adenoma found incidentally by computerized tomography (CT)scan are presented. One patient had some abnormal values in subsequent endocrine studies, but did not have any recognizable clinical syndromes. The adenomas were removed surgically.

Adenoma↗
PubMed1985

[Giant liposarcoma of the spermatic cord: report of a case].

We report a case of a 3,100 g giant liposarcoma of the spermatic cord in an 88-year-old man. The tumor had been present for 13 years. The pathological diagnosis was well-differentiated liposarcoma of sclerosing type. Twenty-two cases of spermatic cord liposarcoma found in the Japanese literature were reviewed. This case was thought to be of the largest tumor and oldest patient in the Japanese literature.

Aged↗
PubMed1985

[Formation of the staghorn calculi].

To study the process of formation of staghorn calculi, 58 patients with staghorn calculi were evaluated clinically and the removed stones were studied architecturally. Of 35 patients with infection stones composed of struvite and/or apatite in the nuclei as well as peripheral layers, 18 had identified predisposing factors related to infection. Of 13 patients with infection stones containing calcium oxalate in the nuclei, 7 had predisposing factors of infection but only 2 had metabolic disorders. The patients with infection stones who had no predisposing factors may have transient or subclinical abnormalities. Initial stone formation of oxalate may also be one of the predisposing factors of infection. Most of the patients with staghorn calculi composed of uric acid, oxalate and cystine, had metabolic disorders related to these substances. Large numbers of bacteria and large amounts of organic matrix were found extensively within infection stones and were thought to be important components as well as crystals. Metabolic stones contained little matrix. In this case crystal aggregation is thought to play the most important role in stone formation.

Adolescent↗
PubMed1985

[Spontaneous urinary extravasation due to chronic ureteral obstruction].

Spontaneous nontraumatic perirenal extravasation of urine is an unusual phenomenon, and the majority of the reported case were caused by acute obstruction with passage of a ureteric calculus. Extravasation due to obstruction of more gradual onset occurs less frequently. We report four cases, three caused by tumor obstruction of the ureter, and one thought to be obstructed by the stricture due to ureteral inflammation. We discuss the diagnosis and treatment of spontaneous urinary extravasation, especially due to chronic ureteral obstruction.

Adenocarcinoma↗
PubMed1984

Effects of alpha-kainic acid, domoic acid and their derivatives on a molluscan giant neuron sensitive to beta-hydroxy-L-glutamic acid.

No identifiable giant neuron of an African giant snail (Achatina fulica Férussac) was found to be sensitive to L-glutamic acid (L-Glu). However, some of them, including the RAPN (right anterior pallial neuron), were sensitive to beta-hydroxy-L-glutamic acid (L-BHGA). The effects on RAPN of alpha-kainic acid (alpha-KA), domoic acid (DMA) and their derivatives, which are structurally related to L-Glu and L-BHGA, were examined in order to elucidate the chemical structures necessary to produce the effects under study. Erythro- and threo-L-BHGA showed similar excitatory effects on RAPN (the minimal effective concentration (M.E.C.): 10(-4)M). alpha-KA, alpha-KA methylketone and DMA also showed marked excitatory effects on the same neuron (M.E.C.: 3 X 10(-5)-10(-4)M). The two derivatives of alpha-KA, (2S, 3S, 4S)-2-carboxy-4-(1-methyl-5(R)-hydroxymethyl-l(Z),3(Z)-hexadienyl) pyrrolidine-3-acetic acid and (2S,3S,4S)-2-carboxy-4-(1-methyl-5(R)-hydroxymethyl-1(Z),3(E)-hexadie nyl) pyrrolidine-3-acetic acid, also had excitatory effects (M.E.C.: about 3 X 10(-4)M) which were somewhat less potent than those of L-BHGA, alpha-KA etc. However, alpha-allo-KA, alpha-allo-KA methylketone and dihydro-alpha-KA even at a high concentration of 4.7 X 10(-4)M, had no effect on RAPN. From the results obtained, it appears likely that the seven excitatory compounds mentioned above act on the common receptors of the RAPN neuromembrane, due to similarities in their structures and in the type of excitation caused by these compounds.

Animals↗
PubMed1984

The Guillain-Barré syndrome: clinical and electroneuromyographic studies.

Clinical and electrophysiological studies were carried out on 39 patients with the Guillain-Barré syndrome to evaluate which elements were of prognostic value during the acute phase. Residual clinical signs such as motor weakness and absent patellar tendon reflexes were found in 16 (52%) of those patients who had had a preceding illness. Persistence of deficit was significantly correlated to age at onset, the degree of quadriparesis and loss of deep sensation in the acute phase. Of the 10 patients who showed a reduction in motor nerve conduction velocity (MCV) in the early stage, 8 (80%) revealed significantly residual clinical symptoms at follow-up. There was a tendency for the incidence of residual signs to be more common in the patients with slowing of mixed nerve conduction velocity, and prolonged latency of H-wave and the residual latency. Nerve conduction studies, especially measurement of MCV, were of value as a reliable prognostic indicator in this syndrome.

Adolescent↗
PubMed1984

Identification and pharmacological characteristics of the two giant neurons, v-RPLN and v-VNAN, on the ventral surface in the suboesophageal ganglia of the African giant snail (Achatina fulica Férussac).

Two giant neurons, v- RPLN (ventral-right parietal large neuron) and v- VNAN (ventral-visceral noisy autoactive neuron), were identified on the ventral surface in the caudal part of the suboesophageal ganglia of the African giant snail (Achatina fulica F erussac ), and their pharmacological features to the common putative neurotransmitters and their related substances were examined. The giant neuron examined, v- RPLN , is situated in front of the exit of the right anterior pallial nerve in the right parietal ganglion. The neuron, which is 250-300 microns in diameter, one of the largest neurons in the ganglia, was usually silent without spontaneous firing. The neuron was excited by L-norepinephrine (L-NE), DL-octopamine (DL-OA), 5-hydroxytryptamine (5-HT), L-homocysteic acid (L-HCA) and erythro-beta-hydroxy-L-glutamic acid (erythro-L- BHGA ); and inhibited by dopamine (DA), GABA, acetylcholine (Ach) and its related substances. Another giant neuron examined, v- VNAN , is situated very close to the right side of the exit of the right posterior pallial nerve in the visceral ganglion. The neuron is elliptical and about 150 micron in diameter. It showed spontaneous firing highly modified by the synaptic influences. DA, 5-HT, glycine (Gly), GABA and its related substances, L-HCA, erythro-L- BHGA , and Ach and its related substances all had the direct (not via synaptic influences) excitatory effects on the neuromembrane examined. Some of them, for example, L-NE, 5-HT and Ach and its related substances caused transient excitation of the neuron, probably due to the synaptic influences, immediately after their application. No substance producing any inhibition of the neuron could be found in the present study.

Acetylcholine↗
PubMed1984

Scanning electron microscopy detects bacteria within infection stones.

The viability and location of bacteria within infection stones were investigated. Many stones were infected with urea-splitting bacteria, such as Proteus mirabilis and Pseudomonas aeruginosa. Large numbers of bacterial impressions and bodies were found in the interstices surrounded by crystals of apatite and struvite from the nuclei to the peripheral layers. The presence of bacterial colonies even in the nuclear portion of the stones suggests that bacteria participate in the initial stone formation as well as in growth of infection stones. Streptococcus faecalis, a nonurea -splitting bacteria, also was found in some infection stones and probably represents a superimposed infection as a result of changes in bacterial flora owing to treatment with antibiotics.

Enterococcus faecalis↗
PubMed1984

A newly designed model for infection-induced bladder stone formation in the rat.

A newly designed urolithiasis model for rats, inducing a mild urinary tract infection, exhibiting reduced renal damage without pyelonephritis and causing reliable stone formation, was established. This was accomplished by implanting a zinc disc in the bladder and then performing transvesical inoculation of Proteus mirabilis into the bladder. Five days after challenge with 10(7) colony forming units (CFU) of P. mirabilis in each rat, the number of organisms in the bladder urine reached a level of over 10(5) colony forming units per ml. The infection was mostly restricted to the urinary tract organs. Infectious bladder stones were formed 5 days after infection and developed day by day, weighing 88.3 +/- 18.8 mg. on the 21st day. Blood urea nitrogen values stayed in the normal range in all test animals during this experiment. The main composition of the stones formed was shown to be struvite (MgNH4PO4 X 6H2O).

Animals↗