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K Tejima

Publications and source records attributed to K Tejima.

12 recordsLinked to original sources

Entrainment of respiratory rhythm to respiratory oscillations of arterial PCO2 in vagotomized dogs.

The aim of this study was to demonstrate that the medullary respiratory rhythm generator is capable of entraining to respiratory oscillations of arterial PCO2 (CO2 oscillations). We used 10 anesthetized, paralyzed, vagotomized, and mechanically ventilated dogs. First, rate of mechanical ventilation was manually adjusted so that it matched the dog's spontaneous respiratory rate, which established a constant phase relationship between the mechanical ventilation and the burst of phrenic neurogram (initial phase). Then this phase relationship was temporally disturbed by a brief electrical stimulation of the superior laryngeal nerve (SLN). In the control group, the initial phase and the steady-state phase relationship after SLN stimulation were randomly distributed within the phase plane, implying no interaction between the respiratory center and mechanical ventilation. In contrast, when CO2 output from the lung was increased 2.6-fold above the control level by venous CO2 loading, the initial phase and the steady-state phase after SLN stimulation were locked in such a way that the onset of the burst of phrenic neurogram coincided with the peak of CO2 oscillations. This was not demonstrated when the dog was made hyperoxic. We therefore conclude that the respiratory center could entrain to phasic chemical afferent inputs originating from CO2 oscillations, provided they are considerably amplified.

Animals

[Outcome and future of mass screening for uterine cervical cancer].

Recent effort in the field of gynecologic malignancy has been most concentrated on an early diagnosis and early treatment for them, resulting in the brilliant fruits, that is, an apparent decrease in the mortality of patients with uterine cervical cancer. However, from the standpoint of efficacy, several problems still remain in the present mass population screening system for cervical cancer. Each problem should be resolved in the near future, and a further efficient and effective cancer detection system must be contributed. For this purpose, first of all, population screening at the clinical office must be promoted in order to increase the total number of examinees and to strengthen its system. Secondly, the systematic screening preventing the compliance of examinees should be carried out. Thirdly, increased capability of cytologic examination and adequate control for its diagnostic accuracy must be assured, and lastly, precise detection and follow-up system must be provided.

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