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Biomedical subjects

Kenji Kobayashi

Publications and source records attributed to Kenji Kobayashi.

At least 37 records · Page 2Linked to original sources
PubMed2005

Influence of visually induced self-motion on postural stability.

CONCLUSION: Our results indicate that the illusion of self-motion is a significant factor leading to spatial disorientation. OBJECTIVE: Under normal circumstances, self-motion is perceived in response to motion of the head and body. However, under certain conditions, such as virtual reality environments, visually induced self-motion can be perceived even though the subject is not actually moving, a phenomenon known as "vection". The aim of this study was to examine the possible influence of illusory self-rotation (circular vection) on postural adjustments. MATERIAL AND METHODS: The subjects were 10 young females with no history of ocular or vestibular disease. Video-motion analysis was applied to measure postural movements during vertical optokinetic stimulation. RESULTS: For most subjects, movement of the visual surroundings induced head and body displacements in the same direction as that of the visual stimulus, regardless of the onset of self-motion perception. However, there was a significant increase in postural instability after the subjects began to perceive false self-motion in the opposite direction to that of the visual stimulus.

Adult↗
PubMed2005

Head and body sway in response to vertical visual stimulation.

CONCLUSIONS: Postural responses differed according to the stimulus direction, i.e. vertical visual stimulation induced head rather than trunk displacements. Accordingly, it could be that center of foot pressure (COP) responses tended to underestimate the postural sway during visual stimulation. OBJECTIVES: To investigate head and body sway in response to vertical visual surround motion, and to examine the correlation between the displacements of head and body segments derived from video-motion analysis and COP measurements. MATERIAL AND METHODS: Postural sway was assessed in 10 young female subjects by video-motion analysis of four different head and body segments, and by use of force-plate posturography. Head and body sway in the pitch plane was induced by rotating a random pattern of dots about the subject's inter-aural axis at a constant acceleration of 1 degree/s(2) or a constant velocity of 60 degrees/s in darkness. RESULTS: Generally, head displacement was greater than that of other body parts during vertical optokinetic stimulation (OKS). In most subjects, maximum head displacements were induced in the same direction as the visual motion. Downward OKS induced a forward head and body sway. The COP trajectory correlated well with the displacements of each head and body segment during downward OKS. In contrast, postural responses to upward OKS were complicated in terms of their time course. The correlation coefficient between each head and body segment and the COP varied among individuals for upward OKS.

Adult↗
PubMed2005

Ci-Rga, a gene encoding an MtN3/saliva family transmembrane protein, is essential for tissue differentiation during embryogenesis of the ascidian Ciona intestinalis.

A novel gene (Ci-Rga) essential for tissue differentiation during embryogenesis of the ascidian Ciona intestinalis is reported here. This gene was identified through functional screening of Ciona genes required for development by translational inhibition experiments with morpholino antisense oligonucleotides. The deduced protein of Ci-Rga contains two copies of a domain with unknown function called the MtN3/saliva domain. Phylogenetic analysis showed that Ci-Rga belongs to the MtN3/saliva family of genes conserved among metazoans and plants, and is an ortholog of mouse Rga (Recombination-activating gene 1 gene activation). During Ciona embryogenesis, both maternal and zygotic transcripts of Ci-Rga were expressed. Translational inhibition of Ci-Rga with specific morpholino resulted in abnormal embryos in which the cleavage pattern became atypical and expression of marker genes for each of the six major tissues, namely the endoderm, muscle, mesenchyme, notochord, neural tissue, and epidermis, was lost or suppressed at the tailbud stage. Although differentiation of all the six major tissues was affected by Ci-Rga knock-down, the degree of abnormalities and the timing of appearance of abnormalities were different among tissues. Expression analysis of developmentally important genes involved in the fate specification, such as Ci-Bra, Ci-Twist-like1a, Ci-Otx, Ci-Fgf9/16/20, Ci-Lhx3, Ci-FoxD, and Ci-Tbx6b, showed that an initial step of the fate specification of notochord, mesenchyme, and neural tissue, but not of endoderm or muscle, is impaired in the knock-down embryo. These results showed that Ci-Rga is a multifunctional gene essential for tissue differentiation during embryogenesis, and is primarily required for the fate specification of notochord, mesenchyme, and neural tissue, and provide some insights into the function of this little-known group of genes.

Amino Acid Sequence↗
PubMed2005

Prognostic value of a qualitative test for heart-type fatty acid-binding protein in patients with acute coronary syndrome.

Heart-type fatty acid-binding protein (h-FABP) is a novel diagnostic marker for myocardial infarction, but its prognostic value has not been established in patients with acute coronary syndrome (ACS). We sought to determine the value of qualitative analysis of h-FABP for predicting 30-day adverse events in patients with ACS. A retrospective observational study was conducted on patients at a community hospital, and 130 patients admitted through the emergency room (ER) for ACS were identified among 12,077 patients who presented to the ER between January and June 2003. Of these 130 patients, 90 (mean age, 66.8 years, 67 males) who had ACS were eligible for this study. Qualitative tests for serum h-FABP and troponin T (cTnT) were performed on presentation. Follow-up information on adverse events within 30 days after admission, defined as cardiac death or recurrent ACS, was obtained from the medical records. The qualitative tests for h-FABP and troponin T were positive in 62.2% and 36.7%, respectively. The cumulative adverse event rate at 30 days was 14.8% in the h-FABP-positive group and 3.2% in the negative group. The adjusted relative risk of a positive h-FABP test for adverse events was 44.98 (95% CI: 1.48 to 1,364.88). A positive h-FABP test was an independent predictor of adverse events within 30 days in these patients.

Aged↗
PubMed2005

Eosinophilic pleurisy induced by dantrolene.

A 70-year-old male developed eosinophilic pleurisy fifteen years after dantrolene sodium had been started for his spastic paraplegia due to spinocerebellar degeneration. Drug lymphocyte stimulation test (DLST) for dantrolene was positive. After discontinuance of dantrolene, pleural effusion gradually decreased and inflammatory reaction improved. During two-year observation, we have found no relapse of pleurisy without special medication. We present this case and compare this case with other 10 reported cases.

Aged↗
PubMed2004

Complete selection of a self-assembling homo- or hetero-cavitand cage via metal coordination based on ligand tuning.

Selective formation of a homo- or hetero-cavitand cage via metal-coordination, by using tetra(4-pyridyl)-cavitand (1), tetrakis(4-pyridylethynyl)-cavitand (2), or tetrakis(4-cyanophenyl)-cavitand (3) as deep cavitand ligands and Pd(dppp)(OTf)2 (4) as a connector, has been investigated by 1H NMR and CSI-MS. When the cavitand and 4 were mixed in CDCl3 in a 2:4 molar ratio, 1 gave a complicated mixture, whereas 2 or 3 formed a homo-cavitand cage {2(2).4[Pd(dppp)]}8+.8(TfO-) (5) or {2(3).4[Pd(dppp)]}8+.8(TfO-) (6), respectively, as a single species. In a 1:1:4 mixture of 2, 3, and 4, homo-cavitand cages 5 and 6 were observed in a 1:1 ratio. In marked contrast, a mixture of 1, 3, and 4 in a 1:1:4 ratio was exclusively self-assembled into a hetero-cavitand cage {1.3.4[Pd(dppp)]}8+.8(TfO-) (7). The selectivity for the self-assembly of the homo- or hetero-cavitand cage via metal coordination would arise from a combination of factors such as coordination ability and steric demand of cavitand ligands.

Journal Article↗
PubMed2004

Comparison of the effects of calcitriol and maxacalcitol on secondary hyperparathyroidism in patients on chronic haemodialysis: a randomized prospective multicentre trial.

BACKGROUND: To identify differences between the effects of calcitriol and the calcitriol analogue, maxacalcitol, on parathyroid hormone (PTH) and bone metabolisms, we conducted a randomized prospective multicentre study on patients on chronic haemodialysis. METHODS: We randomly assigned 91 patients with secondary hyperparathyroidism [intact PTH (iPTH) > or =150 pg/ml] to have either calcitriol (47 patients) or maxacalcitol (44 patients) therapy, for 12 months after a 1 month control period. Serum electrolytes, bone alkaline phosphatase (bAP), iPTH, total PTH and PTH(1-84) (whole PTH) levels were measured periodically. The first end point was a serum iPTH of <150 pg/ml, the second was the iPTH levels obtained. RESULTS: Treatment was discontinued for various reasons in nine patients in each group, but no serious side effects were observed in either group. The numbers of cases reaching the first end point were not significantly different between the two groups. Serum calcium concentration was significantly higher in the maxacalcitol than the calcitriol group during early treatment, but not at the end of treatment. Throughout the treatment period there were no significant differences between the two groups in serum iPTH, inorganic phosphate, the product of the serum calcium and inorganic phosphorus concentrations, bAP, or the ratio of whole PTH to total PTH minus whole PTH. Nor were the changes in these parameters significantly different between the two groups comparing the patients with moderate to severe hyperparathyroidism (basal iPTH > or =500 pg/ml). CONCLUSION: Calcitriol and maxacalcitol are equally effective on PTH and bone metabolism.

Alkaline Phosphatase↗
PubMed2004

Synthesis and self-association, absorption, and fluorescence properties of differentially functionalized hexakis(p-substituted-phenylethynyl)benzenes.

The dual Sonogashira coupling reactions of 1,3,5-tribromo-2,4,6-triiodobenzene with p-X-phenylacetylene followed by another p-Y-phenylacetylene (X, Y = OSiMe(2)Bu-t or CO(2)Et) produced a series of differentially functionalized hexakis(p-substituted-phenylethynyl)benzenes with D(3)(h)() symmetry (3h: 1,3,5-X-2,4,6-Y) and C(2)(v)() symmetry (3g,i: 1,2,3,5-X-4,6-Y; 3f,j: 1-X-2,3,4,5,6-Y). In a similar manner, 1,3,5-tris(p-X-phenylethynyl)-2,4,6-tris(p-Y-phenylethynyl)benzenes and 1,2,3,5-tetrakis(p-X-phenylethynyl)-4,6-bis(p-Y-phenylethynyl)benzenes (3l: X = OSiMe(2)Bu-t, Y = NO(2); 3m,n: X = N(n-octyl)(2), Y = NO(2); 3o,p: X = N(n-octyl)(2), Y = CH(OCH(2)CH(2)O); 3q,r: X = N(n-octyl)(2), Y = CHO; 3s,t: X = N(n-octyl)(2), Y = CH=C(CN)(2)) were prepared. Compounds 3 with electron-withdrawing groups self-aggregated by a pi-pi stacking interaction and solvophobic effect. In the absorption and fluorescence spectra of 3, lambda(max)(abs) and lambda(max)(em) showed red shifts as the donor-acceptor dipole at the end functional groups of the para position was increased. In the absorption spectra, lambda(max)(abs) showed red shifts upon increasing the number of combination of electron-donating and -withdrawing groups on the diagonal line in a molecule, whereas lambda(max)(em) in the fluorescence spectra exhibited red shifts upon decreasing the molecular symmetry.

Journal Article↗
PubMed2004

Granular cell tumor of the breast preoperatively diagnosed by fine-needle aspiration cytology: report of a case.

Granular cell tumors (GCTs) have a characteristic cytological appearance, and fine-needle aspiration cytology (FNAC) has been suggested to be the diagnostic modality of choice. However, the differential diagnosis has not yet been well described. We herein describe a rare case of GCT of the breast and discuss the differential diagnosis. A 53-year-old woman presented to our hospital with a left breast mass. In clinical and radiological examinations, the mass was suspected to be malignant. Cytologically, the tumor was composed of cohesive groups of cells with a syncytial appearance, and the cells contained abundant, finely eosinophilic cytoplasmic granules and small round-to-slightly-oval nuclei, thus suggesting the presence of benign GCT. The results of immunohistochemical staining supported the proposed deviation from Schwann cells. This case emphasizes the fact that GCTs are a rare but important possibility in the differential diagnosis of breast tumors, and that FNAC may provide clinically useful information on the management of such lesions.

Biopsy, Needle↗
PubMed2004

Synovial cyst formation resulting from nonabsorbable meniscal repair devices for meniscal repair.

Several arthroscopic meniscal repair techniques and devices have been developed during the past decade. The Mitek Meniscal Repair System (Mitek, Ethicon, Norderstedt, Germany) is one of these devices. We report a case of synovial cyst formation after medial meniscus repair with a nonabsorbable Mitek Meniscal Repair System. The cyst in the right knee developed 5 months after the meniscus repair. After excision of the synovial cysts and removal of these devices, the mass and pain of the knee were relieved. To our knowledge, this is the first report of synovial cyst formation resulting from this device.

Adolescent↗
PubMed2004

Pulse wave velocity as an indicator of arteriosclerosis in hemodialysis patients.

Studies were performed to examine whether pulse wave velocity (PWV) is a useful indicator of arteriosclerosis in hemodialysis (HD) patients. In total, 72 patients were enrolled. Annual changes in PWV were compared to clinical parameters and therapeutic maneuvers. PWV increased in diabetic patients faster than non-diabetics (35 +/- 10 cm/s/month versus 10 +/- 4 cm/s/month, P < 0.05). Changes in PWV showed strong correlations to triglyceride level exposed during observation period (r = 0.50, P < 0.05) and HD duration (r = 0.46, P < 0.05). In addition, we found that PWV of some patients decreased (regressors), while the others increased (non-regressors). Regressors more frequently received combined treatment with angiotensin blockade and lipid-lowering drugs or vitamin E-coated dialyzers than non-regressors (P < 0.05). Our data demonstrate that PWV is useful as a marker of arteriosclerosis in HD patients. Furthermore, the present results suggest that combined treatment with both angiotensin inhibition and lipid-lowering drugs or vitamin E-coated membrane would slow the progression of arteriosclerosis in HD patients.

Antioxidants↗
PubMed2004

Regional differences in the healing potential of the meniscus-an organ culture model to eliminate the influence of microvasculature and the synovium.

Meniscal healing is well known to be region-specific, and this is thought to be mainly due to its specific vascularity. The purpose of this study was to assess regional differences in the intrinsic healing potential of the meniscus, using an organ culture model to eliminate the influence of microvasculature and the synovium. A full-thickness circular defect, 1.5 mm in diameter, was created in the inner avascular zone in meniscal explants from rabbits. As a control, a column of 1.5 mm in diameter was removed then replanted in the area where it had been obtained (Group C). In the experimental group, a 1.5 mm-diameter meniscal graft obtained from the peripheral zone of the same specimen was implanted in the damaged area (Group T). These meniscal explants were cultured for 2, 4 or 6 weeks, and the relationship between the recipient tissue and the graft was examined using both gross and histological semiquantitative scoring. The 6-week gross-examination showed that the openings were more apparent in Group C, and the score of Group T was significantly higher than that of Group C (P=0.0152). Histologically, the healing responses after both 4 and 6 weeks of incubation were significantly better in Group T than in Group C (P=0.0237, 0.0281). These results using organ culture demonstrate that intrinsic healing potential differs even without the influence of vascular supply and the synovium, indicating that the superior healing potential in the peripheral zone may contribute to the good meniscal healing in this location.

Animals↗
PubMed2004

Anterior cruciate ligament graft impingement against the posterior cruciate ligament: diagnosis using MRI plus three-dimensional reconstruction software.

OBJECTIVE: The purpose of this study was to evaluate anterior cruciate ligament (ACL) impingement against the posterior cruciate ligament (PCL) with the knee in an extended position, which arthroscopy cannot detect. MATERIALS AND METHODS: Ten normal knees and 30 ACL-reconstructed knees were assessed using MR imaging. The three-dimensional reconstruction of the ACL, PCL, femur and tibia were carried out using commercially available three-dimensional reconstruction software. Anterior cruciate ligament impingement against the PCL was graded into three categories: Grade 1, some space between the ligaments; Grade 2, no space between the ligaments, and the reconstructed ACL ran straight; and Grade 3, the reconstructed ACL did not run straight. The angle of the reconstructed ACL against the tibial plateau was also measured. RESULTS: All normal knees were classified as Grade 1. The 30 reconstructed knees were classified as follows: Grade 1, 12 cases; Grade 2, 7 cases; and Grade 3, 11 cases. The mean angle of the Grade 3 reconstructed ACL knees was significantly more vertical against the tibia as compared with the Grade 1 knees (P<.05). The postoperative KT-2000 side-to-side difference of the Grade 3 knees (2.8+/-4.5 mm) was larger than that of the Grade 1 knees (0.2+/-1.7 mm) and Grade 2 knees (-0.6+/-2.2 mm), but no statistically significant difference could be detected between the three groups in the postoperative KT-2000 data. CONCLUSION: This method is useful to evaluate ACL impingement against PCL, which cannot be detected by conventional arthroscopy during the operation. The surgeon should pay careful attention to the coronal angle of the reconstructed ACL.

Adolescent↗
PubMed2004

Role of a critical pathway for door-to-CT-completion interval in the management of acute ischemic stroke patients in the emergency room.

OBJECTIVE: Door-to-CT-completion interval (DCI) for acute ischemic stroke patients is one of the clinical indicators of quality assurance in an emergency room (ER). The aim was to clarify whether the critical pathway improves the DCI for acute stroke patients in the ER. METHODS: The pathway describes each step in patient evaluation in sequence from the patient's arrival in the ER until the brain CT is completed. Whether to use the pathway when evaluating individual patients is left to the discretion of the physician. After excluding 8 cases with insufficient data, 52 cases diagnosed with acute stroke (29 males, 69.9 +/- 12.4 y/o) in the ER between January and February 2003 were retrospectively identified. A logistic regression analysis was used to assess the impact of application of the pathway on achievement of an acceptable DCI (<25 min). RESULTS: The pathway was applied in 21.2% of the cases included in the study, and the median DCI was reduced from 48 minutes to 22 minutes as a result (P=0.02). Comparing them with the DCI, the probability values for ambulance use, consciousness disturbance, history of stroke, and application of the pathway in univariate analyses were less than 0.10. These variables were entered into the logistic analysis, which that indicated application of the pathway was the strongest variable related to acceptable DCI (OR: 10.92, 95% CI: 1.22 to 97.96). CONCLUSION: Application of the pathway was associated with an improvement of the DCI. Use of the pathway will improve the quality of the process of care in the ER.

Acute Disease↗
PubMed2003

Morpholino-based gene knockdown screen of novel genes with developmental function in Ciona intestinalis.

In the present study, we conducted an extensive analysis to identify novel genes with developmental function among Ciona intestinalis genes discovered by cDNA projects. Translation of a total of 200 genes expressed during embryogenesis was suppressed by using specific morpholino antisense oligonucleotides. Suppression of the translation of any of 40 genes (one-fifth of the genes tested) was thereby shown to cause specific embryonic defects. Most of these genes have counterpart(s) in mouse and human, suggesting that the present approach will be useful for identifying candidate genes essential for the development of vertebrates. Suppression of translation of 14 of these 40 genes resulted in the 'disorganized body plan' phenotype characterized by gross morphological abnormalities caused by early defects in embryogenesis. These genes encode zinc-finger, transmembrane or Pbx homeodomain proteins. The morphological features of larvae of this phenotypic class varied according to the gene suppressed, suggesting that a distinct developmental event such as tissue specification or cell cycle progression was affected in each type of larva. Suppression of the remaining 26 genes resulted in the 'abnormal tail' phenotype. Some of these genes encode proteins with known functional structures such as Zn-finger and HLH motifs. Twelve genes among them are especially interesting, because their suppression produced defects in the nervous system, as demonstrated by the loss of the sensory pigment cells or palps of the adhesive organ in the knockdown larvae. These results suggest that screening for developmental genes by the reverse genetic approach in Ciona intestinalis embryos is effective for identifying novel genes with developmental functions required for the development of chordates.

Animals↗
PubMed2003

Guest-induced assembly of tetracarboxyl-cavitand and tetra(3-pyridyl)-cavitand into a heterodimeric capsule via hydrogen bonds and CH-halogen and/or CH-pi interaction: control of the orientation of the encapsulated guest.

The guest- or solvent-induced assembly of a tetracarboxyl-cavitand 1 and a tetra(3-pyridyl)-cavitand 2 into a heterodimeric capsule 1.2 in a rim-to-rim fashion via four intermolecular CO(2)H.N hydrogen bonds has been investigated both in solution and in the solid state. In the (1)H NMR study, a 1:1 mixture of1a and 2a (R = (CH(2))(6)CH(3)) in CDCl(3) gave a mixture of various complicated aggregates, whereas this mixture in CDCl(2)CDCl(2) or p-xylene-d(10) exclusively produced the heterodimeric capsule 1a.2a. It was found that an appropriate 1,4-disubstituted-benzene is a suitable guest for inducing the exclusive formation of 1a.2a in CDCl(3). The ability of a guest to induce the formation of guest-encapsulating heterodimeric capsule, guest@(1a.2a), increased in the order p-ethyltoluene < 1-ethyl-4-methoxybenzene < or = 1-ethyl-4-iodobenzene < or = 1,4-dibromobenzene < 1-iodo-4-methoxybenzene < or= 1,4-dimethoxybenzene < or = 1,4-diiodobenzene. The (1)H NMR study revealed that a CH-halogen interaction between the inner protons of the methylene-bridge rims (-O-H(out)CH(in)-O-) of the 1a and 2a units and the halogen atoms of 1,4-dihalobenzenes and a CH-pi interaction between the methoxy protons of 1,4-dimethoxybenzene and the aromatic cavities of the 1a and 2a units play important roles in the formation of 1,4-dihalobenzene@(1a.2a) and 1,4-dimethoxybenzene@(1a.2a), respectively. A preliminary single-crystal X-ray diffraction analysis of guest@(1b.2b) (R = (CH(2))(2)Ph; guest = 1-iodo-4-methoxybenzene or p-xylene) confirmed that the guest encapsulated in 1b.2b is oriented with the long axis of the guest along the long axis of 1b.2b and that the iodo and the methoxy groups of the encapsulated 1-iodo-4-methoxybenzene are specifically oriented with respect to the cavities of the 2b and 1b units, respectively.

Journal Article↗
PubMed2003

Maternal macho-1 is an intrinsic factor that makes cell response to the same FGF signal differ between mesenchyme and notochord induction in ascidian embryos.

An extracellular signaling molecule acts on several types of cells, evoking characteristic and different responses depending on intrinsic factors in the signal-receiving cells. In ascidian embryos, notochord and mesenchyme are induced in the anterior and posterior margins, respectively, of the vegetal hemisphere by the same FGF signal emanating from endoderm precursors. The difference in the responsiveness depends on the inheritance of the posterior-vegetal egg cytoplasm. We show that macho-1, first identified as a localized muscle determinant, is also required for mesenchyme induction, and that it plays a role in making the cell response differ between notochord and mesenchyme induction. A zygotic event involving snail expression downstream of maternal macho-1 mediates the suppression of notochord induction in mesenchyme precursors.

Animals↗