Do-not-resuscitate orders at a teaching hospital in Japan.
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Aged↗
Biomedical subjects
H Tazawa
Publications and source records attributed to H Tazawa.
Two-dimensional cardiogenic ballistic movements of avian eggs.
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Animals↗
[Chronic active EB virus infection accompanied by monoclonal proliferation of granular lymphocytes].
An 18-year-old man was admitted to our hospital because of 39 degrees C fever for over one month, marked hepatosplenomegaly, and pancytopenia. Malignant histiocytosis, malignant lymphoma, or hemophagocytic syndrome were ruled out by bone marrow aspiration and liver biopsy. A diagnosis of chronic EB virus infection was made according to his characteristic clinical features, abnormally high titiers of anti-EBV antibodies (VCA-IgG x 2560, EA-IgG x 1280), and the detection of EBV genome in the peripheral blood mononuclear cells by polymerase chain reaction. He also manifested granular lymphocyte proliferative disorder (GLPD). The phenotype of the proliferating granular lymphocytes was CD2 (+), CD3 (-), CD56 (+), and IL-2R beta (+), showing the NK lineage of these cells. Chromosomal abnormality of the cells cultured for a short time with IL-2 and a monoclonal junctional DNA structure of EB virus terminal repeat analyzed by the Southern blotting provided definitive evidence for the monoclonal expansion of the granular lymphocytes. These findings indicate a causative role of EV virus in NK-GLPD or NK-leukemia.
Adolescent↗
Simple, noninvasive system for measuring the heart rate of avian embryos and hatchlings by means of a piezoelectric film.
Using a flexible piezoelectric film, the authors developed a simple system to determine noninvasively the heart rate of chicken embryos and hatchlings. The film was piezoelectric polyvinylidene fluoride (PVDF), which is sensitive enough to detect cardiogenic ballistic movements of the egg (ballistocardiogram (BCG)) and precordial movements of the hatchling attributable to cardiac contractions (apexcardiogram (ACG)). The BCG could be detected, during the second half of incubation, by placing the egg on the PVDF film on a soft substrate. The detected signal was found to be a measure of movement velocity. The ACG could be measured when the hatchling's chest wall made contact with the PVDF film installed in a box in which the hatchling was confined. The heart rate was counted from the lag time of autocorrelation calculated for a certain time segment (e.g. 2 s) of the BCG and ACG recordings.
Animals↗
[Intraocular penetration of current antibiotics].
We studied the intraocular penetration of 42 antibiotics in white rabbit eyes between 1980 to 1990 in our department. The parenteral route (intravenous, intramuscular): the ratios of maximum aqueous humor to serum level were 5.28-11.6% in penicillins (PCs), 5.95-20.17% in cephems and 13.4-30.27% in aminoglycosides (AGs). The aqueous concentration of antibiotics reached a peak within 1/4-1 hour after injection. Oral administration: the ratios of aqueous to serum level were 8.52-20.6% in PCs, 3.62-20.11% in cephems, 22.8-75.8% in macrolides (MLs) and 6.38-23.6% in quinolones. The aqueous concentration of antibiotics reached a peak within 1-4 hours after oral administration. The ratio of aqueous to serum level was the highest in MLs. The aqueous level reached a peak faster and the ratio of aqueous to serum level was higher by injection than by oral administration.
Administration, Oral↗
Embryonic heart rate of the domestic fowl (Gallus domesticus) in a quasiequilibrium state of altered ambient temperatures.
1. The heart rates (fH) of 12-day-old embryos (young), 16- and 18-day-old embryos (late) and of 20-day-old embryos (externally pipped eggs, EP) were measured noninvasively at a temperature of 38 degrees C and after a 5 hr exposure to an ambient temperature (Ta) within the range 34-46 degrees C. 2. All embryos survived the 5 hr exposure to Ta of 42 degrees C. The lethal Ta ranged from 44 degrees C (EP eggs) to 46 degrees C (young embryos). 3. The temperature coefficient (Q10) of fH became smaller than 2 in EP eggs as Ta was decreased or increased from 38 degrees C, implying an incipient homeothermic response of fH.
Animals↗
Early diagnosis of tuberculosis by fibreoptic bronchoscopy.
We carried out a retrospective study of the methods used to achieve an early diagnosis of 67 patients with pulmonary tuberculosis treated at our institute between 1984 and 1989. Sputum bacteriology was positive in 56 of the 67 patients, 22 were positive on microscopical examination of smears and on culture and 34 on culture alone. The 11 patients with negative sputum bacteriology were all diagnosed by fibreoptic bronchoscopy. In addition, 21 of the 34 smear-negative/culture-positive patients were examined by fibreoptic bronchoscopy and the initial diagnosis was made in 7 of these. Thus the initial diagnosis was made by sputum bacteriology in 49 cases and by fibreoptic bronchoscopy in 18 cases. The median number of days between obtaining a specimen and starting therapy was 7 days for sputum microscopy, 41 days for sputum culture, 7 days for microscopic examination of bronchoscopy specimens, 51 days for culture of the same and 19 days for biopsy. Fibreoptic bronchoscopy is therefore useful for the diagnosis of cases of tuberculosis in which tubercle bacilli are not detected in sputum and, in some instances, for an earlier diagnosis of smear-negative/culture-positive patients.
Adult↗
Non-invasive determination of heart rate in newly hatched chicks.
1. Using a flexible piezoelectric probe, we detected non-invasively the cardiogenic precordial movements of domestic fowl chicks and measured heart rate (HR) daily over the first week after hatching (day 0) for comparison with previously measured embryonic HR. 2. HR of the hatchlings was much more variable than embryonic HR. The mean HR at a given age also varied among the 5 chicks measured. 3. The overall mean HR was 280 +/- 20 (SD, n = 5) bpm on day 0. This value was similar to the prepipping HR and lower than that of externally pipped embryos. It increased to 342 +/- 39 bpm 3 days later.
Animals↗
[Symptoms, signs and laboratory findings in patients with chronic fatigue syndrome].
This review summarizes the symptoms, signs and laboratory abnormalities seen in 59 patients with chronic fatigue syndrome (CFS), 2 patients with post-infectious CFS and in 26 patients with possible CFS whose illnesses fulfill the criteria proposed by the study group of the Ministry of Welfare, Japan. The characteristic symptoms and signs of CFS are prolonged generalized fatigue following exercise, headache, neuropsychological symptoms, sleep disturbance and mild fever. In possible CFS patients, the frequency of mild fever, muscle weakness, myalgia and headache is low. Our standard hematologic and laboratory tests revealed a few abnormality in patients with CFS. The characteristic abnormality in CFS patients is the low values of 17-Ketosteroid-Sulfates/creatinine in morning urine and the acylcarnitine deficiency. It seems likely that this deficiency of acylcarnitine induces an energy deficit in the skeletal muscle, resulting in general fatigue, myalgia, muscle weakness and postexertional malaise in CFS patients. Virologic studies revealed no evidence of retrovirus infection with HTLV-1, HTLV-2 and HIV, but the reactivation of HHV-6 infection was apparent.
Adolescent↗
[MRSA ocular infections].
Staphylococcus aureus and Staphylococcus epidermidis are organisms that frequently cause conjunctivitis, keratitis and endophthalmitis. MRSA comprised about 25% of the S. aureus isolated from ocular infections; most were from compromised host. MRSA was resistant to penicillins, cephems and macrolides but was sensitive to amikacin, netilmicin, minocycline and ofloxacin. Ofloxacin-resistant strains, however increased rapidly. Topical vancomycin, arbekacin and minocycline were used when commercially available antibiotics were inadequate.
Adolescent↗
Synchronous cancer of squamous cell carcinoma of the lung and lymphocytic leukemia (B-cell type): a case report.
The patient was an 82-year-old male who consulted us over a lymph node enlargement in the right side of his neck. The WBC was 23,700/microliters (lymphocytes 80%), and a diagnosis of chronic lymphocytic leukemia (CLL) was given based on the findings of a bone marrow puncture and lymph node biopsy. During the observation period, abnormal shadows accompanied by cavitation appeared in the right lower lung field, and CT-guided percutaneous biopsy findings indicated a squamous cell carcinoma of the lung. No metastatic lesions were noted. No aggressive surgical or internal treatments were performed in consideration of the patient's age. The patient was admitted again and died of respiratory failure due to lung carcinoma. Reports of CLL and other malignant tumors arising in one patient are rare in Japan, and those of their occurring concurrently are even rarer. In the present report, a case of synchronous cancer of squamous cell carcinoma of the lung and CLL is described, together with a review of the literature.
Aged↗
Cardiogenic ballistograms of chicken eggs: comparison of measurements.
In the incubated avian egg, minute movements occur that are synchronised with embryonic cardiac contractions. We previously developed two systems to noninvasively record this cardiogenic ballistic movement of the egg (referred to as the ballistocardiogram, BCG); one was based on applying an audiocartridge and the other a laser speckle phenomenon. A third system, which detects the ballistic movement as the measurement of displacement (referred to as displacement BCG), is applied in the present study, together with the previous two systems, to the ballistocardiography of the egg. The BCG is measured with three systems simultaneously for comparison. The differentiation of the displacement BCG produces a pattern identical to the BCG recorded by the cartridge method, and the integrated pattern of the latter BCG is identical to the displacement BCG. This indicates that the cartridge system detects the cardiogenic movement as the measure of velocity and it may be referred to as velocity BCG. The BCG by the laser speckle method is not related to that recorded by the other two systems, which may be referred to as movement BCG.
Animals↗
[Informed consent of the family in the chemotherapy for lung cancer].
In Japan where the question of cancer notification has yet to be resolved, it is difficult to obtain an informed consent from the patient himself in clinical studies of the chemotherapies for cancer. In fact, the chemotherapy is administered while not enough explanation is given to the family let alone the patient. Such is the present situation. For the purpose of finding out the best possible method at present, we carried out a method whereby an informed consent of the family is substituted for a consent of the patient in phase II study of inoperable non-small cell carcinoma of the lung. As a result, the consent was obtained from 21 (91.3%) out of 23 families. This method should be taken into consideration as a feasible one under the present circumstances. It was in only one family (4.3%) that a consent on the notification of diagnosis from the family to the patient was obtained. In order for the informed consent to be established, efforts to form a social consensus on cancer notification are needed.
Adult↗
Comparative metabolic responses to prolonged cooling in precocial duck (Anas domestica) and altricial pigeon (Columba domestica) embryos.
1. Embryos and hatchlings of the duck and pigeon were exposed to a lowered temperature for 6 hr. The oxygen consumption (MO2) was measured before and after cooling and the ratio of the two was compared with that predicted for a temperature coefficient of 2 (Arrhenius value). 2. Late prenatal ducks kept the MO2 above the Arrhenius value at 28 degrees C, while the MO2 of pigeon hatchlings became the same as the Arrhenius value even at 32 degrees C. 3. Thus, incipient homeothermic ability appears in the duck during prenatal development, but it is not evident in the pigeon even after emergence from the shell. The precocial chicken and semi-precocial noddy previously studied are intermediate in their metabolic response between the duck and the pigeon.
Animals↗
[Adherence of Pseudomonas aeruginosa to the rabbit corneal epithelium].
Adherence of bacteria to the corneal epithelium is the first step in the pathogenesis of corneal infection. Keratitis caused by Pseudomonas aeruginosa usually occurs among the contact lens wearers. Adherence of Pseudomonas aeruginosa to rabbit corneal epithelium, damaged by one week of hard contact lens wear, was examined histologically. The cornea was excised for scanning electron microscopy at 5, 15, 30 and 60 minutes after inoculation of Pseudomonas aeruginosa (0.2 ml, 10(8)CFU/ml). Pseudomonas aeruginosa did not adhere to the intact corneal epithelium, but traumatized cornea provided a site for adherence. In rabbits in which the eyelid was opened by lid retractors, large numbers of organisms were observed adhering to the injured cornea mediated by ocular surface mucin. Thirty minutes after inoculation, the adherent bacteria began to penetrate the epithelial cells and surface mucin by the formation of pockets surrounding the organism.
Animals↗
[Giant renal cell carcinoma: a case report].
Though renal cell carcinoma is a fairly common disease, it is extremely rare to encounter a case providing a resected mass as large as over 2,000 g in weight. We report a case in which a giant 2,200 g tumor was resected after renal arterial embolization and interferon treatment for reduction of its size. A forty-three-year-old woman was first seen at a certain hospital with a chief complaint of fever and right flank pain. Under suspicion of right renal tumor, nephrectomy by extraperitoneal flank incision was attempted. However, the tumor was too large to be resected. After transfer to our department, she was treated by renal arterial embolization with absolute ethanol and steel coil and by the administration of interferon (rIFN-alpha A). As the tumor shrank to 77% of its original size on CT measurements and became mobile, transperitoneal nephrectomy was performed. The resected mass was as large as 12 x 12 x 21 cm. Pathologically, it was a clear cell type tumor showing mucinous degeneration and hyaline degeneration of tumor cells. Interferon used amounted to as high as 864 x 10(6) units, but no particular side effect occurred. No recurrence has been detected so far.
Adult↗
Noninvasive heart rate monitoring system for avian embryos based on the ballistocardiogram.
A noninvasive heart rate (HR) monitoring system for avian embryos has been developed based on the ballistocardiogram (BCG). The BCG was detected using a phonograph cartridge as a record of the velocity of the minute ballistic movements of the eggshell, which are generated by recoil and impact of heart contraction and blood ejection. The autocorrelation coefficients (ACCs) of the detected signal were computed to confirm whether the detected signal contained ballistic movement. An envelope of ACC was calculated by the monitoring system to measure the intervals between peaks and/or highly correlated parts in the ACC, and then the system obtained HR by measuring these intervals. To demonstrate the valid range of the detecting method, the BCGs of chickens and Japanese quail embryos of different ages were measured. The result of the experiment shows that the BCGs of chickens and quail embryos are detected fully after about two-thirds of the incubation period has passed. The monitoring system will enable us to perform long-term HR measurement for developing avian embryos up to hatching.
Animals↗