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Biomedical subjects

K Ishida

Publications and source records attributed to K Ishida.

At least 19 recordsLinked to original sources

Risk factors for chronic kidney disease in a community-based population: a 10-year follow-up study.

The purpose of this study was to explore risk factors affecting the incidence of chronic kidney disease (CKD) in general population. We conducted a 10-year follow-up study with 123 764 (male: 41 012, female: 82 752) adults aged 40 years and over who received community-based annual examinations. The primary outcome for the analysis was the development of CKD during the follow-up period. Predictors for the development of CKD were obtained by the significant hazard ratios (HR) in Cox regression model by sex. During the follow-up period, 4307 subjects (male: 2048, female: 2259) developed CKD stage I or II, and 19 411 subjects (male: 4257, female: 15 154) developed CKD stage III or higher. The baseline-adjusted predictor of developing CKD included age, glomerular filtration rate, hematuria, hypertension, diabetes, serum lipids, obesity, smoking status, and consumption of alcohol. Treated diabetes in male subjects, and treated hypertension, systolic blood pressure >160 mm Hg and/or diastolic blood pressure >100 mm Hg, diabetes, and treated diabetes in female subjects were associated with more than a doubling of the HR. For the development of CKD stage III or higher, proteinuria of >or= + +, and proteinuria and hematuria were associated with more than a doubling of the HR in male subjects. The prevalence of newly developed CKD over 10 years was 23 718 subjects (19.2%) in adults. This study suggested that not only hypertension and diabetes but also several metabolic abnormalities were independent risk factors for developing CKD.

Adult↗

Treatment of a full-thickness articular cartilage defect in the femoral condyle of an athlete with autologous bone-marrow stromal cells.

OBJECTIVES: Human bone-marrow stromal cells are believed to be multipotent even in adults. This study assessed the effectiveness of autologous bone-marrow stromal cells, which were embedded within a collagen scaffold, to repair a full-thickness articular cartilage defect in the medial femoral condyle of an athlete. PATIENT AND METHODS: A 31-year-old male judo player suffering from pain in the right knee was reviewed. A 20 x 30-mm full-thickness cartilage defect (International Cartilage Repair Society classification (ICRS) grade IV) was revealed in the weight-bearing area of the medial femoral condyle. With the informed consent of the patient, the defect was treated with autologous bone-marrow stromal cells. Bone marrow was aspirated from the iliac crest of the patient 4 weeks before surgery. After removing the erythrocytes, the remaining cells were expanded in culture. Adherent cells were collected and embedded within a collagen gel, which was transferred to the articular cartilage defect in the medial femoral condyle. The implant was covered with an autologous periosteal flap. RESULTS: Seven months after surgery, arthroscopy revealed the defect to be covered with smooth tissues. Histologically, the defect was filled with a hyaline-like type of cartilage tissue which stained positively with Safranin-O. One year after surgery, the clinical symptoms had improved significantly. The patient had reattained his previous activity level and experienced neither pain nor other complications. CONCLUSIONS: Our findings indicate that the transplantation of autologous bone-marrow stromal cells can promote the repair of large focal articular cartilage defects in young, active patients.

Adult↗

Cobalt-base high-temperature alloys.

We have identified cobalt-base superalloys showing a high-temperature strength greater than those of conventional nickel-base superalloys. The cobalt-base alloys are strengthened by a ternary compound with the L1(2) structure, gamma' Co3(Al,W), which precipitates in the disordered gamma face-centered cubic cobalt matrix with high coherency and with high melting points. We also identified a ternary compound, gamma' Ir3(Al,W), with the L1(2) structure, which suggests that the Co-Ir-Al-W-base systems with gamma+gamma' (Co,Ir)3(Al,W) structures offer great promise as candidates for next-generation high-temperature materials.

Journal Article↗

Magnetic-field-induced shape recovery by reverse phase transformation.

Large magnetic-field-induced strains have been observed in Heusler alloys with a body-centred cubic ordered structure and have been explained by the rearrangement of martensite structural variants due to an external magnetic field. These materials have attracted considerable attention as potential magnetic actuator materials. Here we report the magnetic-field-induced shape recovery of a compressively deformed NiCoMnIn alloy. Stresses of over 100 MPa are generated in the material on the application of a magnetic field of 70 kOe; such stress levels are approximately 50 times larger than that generated in a previous ferromagnetic shape-memory alloy. We observed 3 per cent deformation and almost full recovery of the original shape of the alloy. We attribute this deformation behaviour to a reverse transformation from the antiferromagnetic (or paramagnetic) martensitic to the ferromagnetic parent phase at 298 K in the Ni45Co5Mn36.7In13.3 single crystal.

Journal Article↗

Effect of prestrain on martensitic transformation in a Ti46.4Ni47.6Nb6.0 superelastic alloy and its application to medical stents.

The effect of applied strain on martensitic transformation in a superelastic Ti(46.4)Ni(47.6)Nb(6.0) alloy at room temperature was investigated by tensile tests, differential scanning calorimetry measurements, and X-ray diffraction. Reverse transformation starting (A(s)) and finishing (A(f)) temperatures increased with the application of tensile-strain over 13%, the undeformed specimen showing A(s) = -29.2 degrees C and A(f) = 17.9 degrees C, while the 13% predeformed alloy exhibited A(s) = 37.1 degrees C and A(f) = 40.2 degrees C. Furthermore, the values of the A(s) and A(f) for the predeformed alloy almost recovered to those of the undeformed alloy when heated to about 42 degrees C and then showed superelasticity again at room temperature. This characteristic is significant for application in sensors, actuators, and medical devices. Especially, medical stents with such qualities show promise as a new class of self-expandable stents with both excellent mountability and deliverability.

Alloys↗

High maneuverability guidewire with functionally graded properties using new superelastic alloys.

Nitinol shape memory alloys (SMAs) are attracting considerable attention as core materials for medical guidewires because of their excellent flexibility and shape retention. However, since Nitinol guidewires possess low rigidity, the pushability and torquability of the guidewires are insufficient. On the other hand, although guidewires made of stainless steel have high pushability, plastic deformation occurs easily. We have developed a new class of superelastic guidewires with functionally graded properties from the tip to the end by using new SMA core materials such as Cu-Al-Mn-based or Ni-free Ti-Mo-Sn SMAs. The tip portion of the guidewire shows excellent superelasticity (SE), while the body portion possesses high rigidity. These functionally graded characteristics can be realized by microstructural control. These guidewires with functionally graded properties show excellent pushability and torquability and are considerably easier to handle than conventional guidewires with Nitinol or stainless steel cores. Moreover, a metallic catheter using a Ni-free Ti-based SMA with high biocompatibility is introduced.

Alloys↗

True carcinosarcoma of the esophagus.

Most esophageal carcinosarcomas are diagnosed as so-called carcinosarcoma, in which individual elements may be derived from a single common ancestor cell, and there have been a few reports describing true carcinosarcoma originating from two individual stem cells. We describe a case of esophageal carcinosarcoma exhibiting neoplastic osteoid formation. Immunoreactivity for vimentin and p53 was limited to only the sarcomatous component and was absent in the carcinomatous component. Furthermore, a point mutation in exon 7 of the p53 gene was observed only in the sarcomatous component. Both sarcoma and carcinoma cells distinctively metastasized to different lymph nodes. These observations led us to diagnose the esophageal tumor as a true carcinosarcoma.

Carcinosarcoma↗

Metamagnetic quantum criticality revealed by 17O-NMR in the itinerant metamagnet Sr3Ru2O7.

We have investigated the spin dynamics using 17O-NMR in the bilayered perovskite Sr3Ru2O7, which sits close to a metamagnetic quantum critical point. The nuclear spin-lattice relaxation rate divided by temperature 1/T1T is enhanced on approaching the metamagnetic critical field of approximately 7.9 T, and at the critical field 1/T1T continues to increase and does not show Fermi-liquid behavior down to 0.3 K. The temperature dependence of T1T in this region suggests the critical temperature Theta to be approximately 0 K, which is strong evidence that the spin dynamics possesses a quantum critical character. Comparison between uniform susceptibility and 1/T1T reveals that antiferromagnetic fluctuations instead of two-dimensional ferromagnetic fluctuations dominate the spin fluctuation spectrum at the critical field, which is unexpected for itinerant metamagnetism.

Journal Article↗

Measurement of the 101Ru-Knight shift of superconducting Sr2RuO4 in a parallel magnetic field.

101Ru-Knight shift (101K) in the spin-triplet superconductor Sr2RuO4 was measured under magnetic fields parallel to the c axis (perpendicular to the RuO2 plane), which is the promising superconducting (SC) d-vector direction in a zero field. We succeeded in measuring K(c) in the field range from 200 to 1200 Oe and at temperatures down to 80 mK, using nuclear-quadrupole-resonance spectra. We found that (101)K(c) is invariant with respect to the field and temperature on passing through H(c2) and T(c) above 200 Oe. This indicates that the spin susceptibility along the c axis does not change in the SC state, at least, in the field greater than 200 Oe. The results imply that the SC d vector is in the RuO2 plane when the magnetic field is applied to the c axis.

Journal Article↗

Lactobacillus reuteri in bovine milk fermented decreases the oral carriage of mutans streptococci.

The effect of Lactobacillus reuteri against one of the major cariogenic organism, Streptococcus mutans, was studied. Yogurt products containing L.reuteri showed a significant growth inhibitory effect against S. mutans, whilst yoghurts with lactobaccilli other than L. reuteri did not show such inhibition. Further, double-blind, placebo-controlled trial demonstrated that consuming yogurt with L. reuteri significantly reduced the oral carriage of mutans streptococci, compared with the placebo yogurt.

Animals↗

Novel phase separation and spin dynamics of lightly doped La2-xSr2CuO4 probed by La-nuclear quadrupole resonance.

We report novel magnetic properties in the slightly hole-doped Mott-insulator La(2-x)SrxCuO4 via the La-nuclear quadrupole resonance (NQR) measurements. At x=0.018, the antiferromagnetic (AFM) La-NQR spectrum affected by internal fields comes out as the temperature decreases below T(N) approximately 150 K, whereas the nonmagnetic one persists to be observed down to a temperature T(f) approximately 20 K at which the nuclear-relaxation rate has a pronounced peak. This demonstrates that the phase separation of nonmagnetic and AFM phases occurs between T(f) and T(N). The novel phase separation is suggested as due to the partial destruction of the AFM phase caused by mobile holes via the formation of an extended spin-singlet state between Cu-derived spins and hole spins.

Journal Article↗

Multiple first-order metamagnetic transitions and quantum oscillations in ultrapure Sr3Ru2O7.

We present measurements on ultraclean single crystals of the bilayered ruthenate metal Sr3Ru2O7, which has a magnetic-field-tuned quantum critical point. Quantum oscillations of differing frequencies can be seen in the resistivity both below and above its metamagnetic transition. This frequency shift corresponds to a small change in the Fermi surface volume that is qualitatively consistent with the small moment change in the magnetization across the metamagnetic transition. Very near the metamagnetic field, unusual behavior is seen. There is a strong enhancement of the resistivity in a narrow field window, with a minimum in the resistivity as a function of temperature below 1 K that becomes more pronounced as the disorder level decreases. The region of anomalous behavior is bounded at low temperatures by two first-order phase transitions. The implications of the results are discussed.

Journal Article↗

Argyrophilic dark neurons represent various states of neuronal damage in brain insults: some come to die and others survive.

Argyrophilic dark neurons (DNs) reflect the early histopathological state of neurons following various brain insults. We examined the fate of DNs, about to either die or recover, following two types (heavy and light damage) of brain insult. Wistar rats were injected ibotenic acid unilaterally into the hippocampal CA1 region (ibotenic acid [IA] injection) or were forced to swim (SWIM). Argyrophil III (DNs)-, activated caspase-3 immuno-, TUNEL- and hematoxylin-eosin (H-E)-staining and ultrastructural examinations were then performed. One to three hours after IA injection, typical DNs (argyrophilic both in somata and dendrites) with corkscrew-like dendrites were densely packed in the pyramidal cell layer of hippocampal CA1 around the injection site. After 12-24 h, DNs were argyrophilic only in the somata and proximal dendrites but absent in distal dendrites in the CA1 region. However, at this time typical DNs were found in remote areas. At 3 h, caspase-3 activation was detected at the injection site, which increased to a peak level after 12 h. Three to 7 days after injection, TUNEL positive cells were detected in the CA1 pyramidal cell layer. Immediately following SWIM, "brown" rather than "dark" neurons were detected in the various areas and most frequently in the CA1 pyramidal cell layer. No typical DNs were detected over the first 3 days. Some activation of caspase-3 was detected in a few CA3 pyramidal cells but no TUNEL-positive cells were detected. Ultrastructural examination revealed a diffuse distribution of aggregated silver particles in the dendrites and cytoplasm of pyramidal cells at the sites of IA injection. After SWIM, silver particles were detected mainly on mitochondria of affected cells. These data suggest that DNs provide a measure of neuronal damage: typically dark neurons with broad damage to the cytoskeleton of dendrites would die, while non-typical brown neurons, that may have a disturbance in mitochondria, predominantly survive.

Animals↗

Size distribution and genetic structure in relation to clonal growth within a population of Magnolia tomentosa Thunb. (Magnoliaceae).

To establish a baseline for conservation of a threatened clonal tree, Magnolia tomentosa, we investigated size distribution and genetic structure within a population, using six microsatellite markers. Within the study site, 1044 living ramets (stems) were distinguished into 175 genets (individuals). The mean number of ramets per genet was 5.97, and 76% of all genets had multiple ramets. Genets, which apparently produced new ramets through sprouting and layering, were generally composed of several large ramets and many small ramets. Spatial autocorrelation analysis of microsatellite alleles revealed positive autocorrelation over short distances for both ramets and genets. The Moran's I-value of ramets in the shortest distance class was 3.8 times larger than that of genets, reflecting the effect of clonal growth. To analyse the size-class differences in genetic structure, the 175 genets were separated into two size classes, small and large. The correlogram for the small genets exhibited positive spatial autocorrelation in the shortest distance class, but this was not the case for the correlogram for the large genets, indicating that genetic structure is weakened or lost through self-thinning as the genets grow. The FIS value over all loci for the small genets was positive and deviated significantly from zero, while the corresponding value for the large genets was close to zero. The excess homozygotes in the small genets may be the result of genetic substructuring and/or inbreeding, and the reduction in homozygote frequency from the small to large genets may be because of loss of genetic structure and/or inbreeding depression.

Alleles↗

Post-challenge hyperglycaemia is an independent risk factor for arterial stiffness in Japanese men.

AIMS: Arterial stiffness is an independent predictor of cardiovascular disease, but the impact of post-challenge hyperglycaemia on arterial stiffness is unknown. To investigate the association between arterial stiffness and post-challenge hyperglycaemia, we measured the second derivative of photoplethysmogram as an indicator of arterial stiffness. METHODS: This study was done in 159 asymptomatic Japanese men aged 50.7 +/- 13.0 years. All subjects underwent a 75-g oral glucose tolerance test and measurement of the second derivative of photoplethysmogram. RESULTS: According to the World Health Organization criteria (1998), 110 subjects had normal glucose tolerance, 10 had impaired fasting glucose, 30 had impaired glucose tolerance, and nine had diabetes. The b/a ratio (an index of arterial stiffness) showed a significant relationship with age (r = 0.58, P < 0.0001), height (r = -0.33, P < 0.0001), 2-h post-challenge glucose (r = 0.32, P < 0.0001), systolic blood pressure (r = 0.22, P = 0.006), and diastolic blood pressure (r = 0.21, P = 0.009). After adjustment for age and height, there were significant correlations between the b/a ratio and diastolic blood pressure (r = 0.18, P = 0.02), fasting glucose (r = 0.16, P = 0.049), and 2-h post-challenge glucose (r = 0.21, P = 0.009). Stepwise multiple regression analysis showed that only age (beta= 0.006, SE = 0.0007, P < 0.001) and 2-h post-challenge glucose (beta = 0.0005, SE = 0.0002, P < 0.05) contributed significantly to the b/a ratio (adjusted R(2) = 0.38). CONCLUSIONS: These results indicate that post-challenge hyperglycaemia is an independent risk factor for arterial stiffness.

Age Factors↗

[Kinking of skeletonized internal thoracic artery graft].

A 66-year-old woman underwent coronary artery bypass grafting (CABG). Postoperative angiography on postoperative day (POD) 11 revealed that right internal thoracic artery (RITA) anastomosed to left anterior descending artery (LAD) had a kinking. The angiography performed 30 months after operation revealed no specific changes in the kinking of RITA and in the left ventricular function. Another case was a 74-year-old man with chronic renal failure under hemodialysis. He underwent CABG with left internal thoracic artery (LITA) to LAD. Post-operatively he had chest pain during hemodialysis. On POD 10, angiography revealed that LITA had a kinking with moderate stenosis and normal left ventricular function. The angiography performed 10 months after operation revealed no specific changes in the kinking of LITA. However, left ventriculography revealed akinesis in the antero-apical region. It suggested that the viability was lost due to the graft kinking of LITA and steal phenomenon on hemodialysis.

Aged↗

Discovery of temperature-dependent phenomena of muon-catalyzed fusion in solid deuterium and tritium mixtures.

A systematic experimental study on muon-catalyzed fusion was conducted using a series of solid deuterium and tritium mixtures. A variety of conditions were investigated, i.e., tritium concentrations from 20% to 70%, and temperatures from 5 to 16 K. With decreasing temperature, we observed an unexpected decrease in the muon cycling rate (lambda(c)) and an increase in the muon loss probability (W). The origins of these observed changes were interpreted by the temperature-dependence in the dt mu formation process for lambda(c) and that in the muon reactivation process after muon-to-alpha sticking for W.

Journal Article↗