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Biomedical subjects

M Munaka

Publications and source records attributed to M Munaka.

36 records · Page 2Linked to original sources
PubMed1990

Application of log-linear model in inference on karyotypic evolution in chronic myelocytic leukemia.

Relationships among additional chromosome abnormalities in chronic myelocytic leukemia (CML) with translocation 9;22 [Philadelphia chromosome (Ph1)-positive CML] were analyzed by log-linear models on 709 karyotypes reported in the literature. Additional abnormalities, such as the gain of chromosome 8 (+8), gain of Philadelphia chromosome (+Ph1), isochromosome of the long arm (q) of chromosome 17 [i(17q)], and the gain of chromosome 19 (+19), were frequently observed. A four-way 2 x 2 x 2 x 2 contingency table was considered with respect to the appearance of these four abnormalities, then the hierarchical log-linear models having at least four main effects were fitted to the observed contingency table. Akaike's information criteria of the models reflected the fitness of the model very well. Parameter estimates of the interaction terms indicated that the combinations of two abnormalities, '+8 and +19', '+Ph1 and +19', and '+8 and i(17q)' were positively associated, while '+Ph1 and i(17q)', and '+19 and i(17q)' were negatively associated. Based on the results of the data analysis, an inference was made on the route of karyotypic evolution in Ph1-positive CML; it statistically supports the hypothesis presented by Heim and Mitelman.

Aneuploidy↗
PubMed1989

Intolerable pulse-synchronous tinnitus caused by occlusion of the contralateral common carotid artery. A successful treatment by aorto-carotid bypass surgery.

A case with severe pulsatile tinnitus of the left side caused by occlusion of the right common carotid artery was reported. Tinnitus in this case was supposed to be due to the rich blood flow of the external carotid systems developed as collateral routes resulting from the occlusion of the right common carotid artery. It subsided with the establishment of a bypass using a vein graft between the ascending aorta and the residual patent portion of the right common carotid artery.

Aorta↗
PubMed1989

Study of stomach cancer in atomic bomb survivors. Report 1. Histological findings and prognosis.

For the purpose of studying the histological findings and prognosis of stomach cancer in atomic bomb survivors, a histological diagnosis of 600 cases of stomach cancer observed between 1964 and 1986 in three medical institutions in Hiroshima City was made by a single pathologist and, furthermore, analysis of 231 cases thereof was performed using the DS86 dose estimated by the Radiation Effects Research Foundation. 1) By histological type of stomach cancer, the frequency of poorly differentiated adenocarcinoma (poorly differentiated adenocarcinoma and signet ring cell carcinoma) was significantly higher in the 1 rad or more group (average stomach organ dose of 30.6 rad) than in the 0 rad group. 2) As for stromal type, the frequency of scirrhous type was significantly higher in the 1 rad or more group, but no difference in infiltrative behavior could be demonstrated. 3) Early cancer tended to be observed at a low rate in the 1 rad or more group. 4) As for average survival time, of the early cancers only well differentiated adenocarcinoma showed a significantly lower survival time in the 1 rad or more group when compared to the 0 rad group.

Adenocarcinoma↗
PubMed1989

Acute and late effects of A-bomb radiation studied in a group of young girls with a defined condition at the time of bombing.

Ninety girl students have been identified, who were 14-15 years old when exposed to the atomic bomb while at the Central Telephone Office in Hiroshima located at a distance of 550 meters from the hypocenter. The mortality rate of the students exposed on the second floor of the building was estimated to be 50.9% and those exposed on the first floor (ground level) 33.3%. Doses to the students exposed on the second floor were estimated from cytogenetic evidence to be around 6 Gy in the T65 Dose system or appear to be 4 Gy in the DS86 system. These data indicate that LD50 is around 4 Gy in these young females. Among 28 students who were confirmed to be alive in 1965 and followed to the end of 1988, six students had breast cancer, mostly of invasive ductal type carcinoma. The incidence of breast cancer in the adolescent group was very high, the relative risk being 23.1 with 95% confidence limits of 12.9 to 42.2.

Adolescent↗
PubMed1989

New mathematical modelling of blood lactate kinetics during ramp mode exercise in man.

The lactate (LA) kinetics of the whole body in exercise was described using the two-compartment model in consideration of the underlying physiological mechanism, and LA kinetics during the ramp mode exercise was analyzed. The estimated pattern of the glycolytic energy supply showed the progressive increase concurrently with the onset of ramp mode exercise and this pattern was just like a ramp phenomenon. Based on this result, it is proposed that blood LA kinetics during ramp exercise should be described mathematically as a continuous model, called "2nd-order model."

Exercise↗
PubMed1989

A computer program for analysis of chromosome abnormalities.

A computer program was made for the statistical analysis of a large number of abnormal karyotypes and for studies on the relationship between chromosomal abnormalities and clinical features of diseases. The program is based on the disintegration of abnormal karyotypes and the identification of types of abnormalities, chromosome numbers, and breakpoints on chromosomes. The frequencies of abnormalities could be tabulated in a given population according to type, chromosome number, and breakpoints.

Chromosome Aberrations↗
PubMed1989

Mortality statistics of major causes of death among atomic bomb survivors in Hiroshima Prefecture from 1968 to 1982.

A comparative study was made on mortality during a 15-year period from 1968 to 1982 between atomic bomb survivors resident in Hiroshima Prefecture and non-exposed controls. The mortality rate for all causes of death was lower in atomic bomb survivors than in the non-exposed, but the rate was higher among those directly exposed within about 1 km than in the non-exposed. The mortality rate for malignant neoplasms was higher in atomic bomb survivors than in the non-exposed, but that for cerebrovascular disease and heart disease was lower. In examining the rate for malignant neoplasms by site, the sites showing a high mortality rate among atomic bomb survivors were almost identical to the results of the Life Span Study. For these sites, the shorter the exposure distance the higher was the mortality rate. The rate for malignant neoplasms of the uterus and stomach, and leukemia was unnaturally high among early entrants whose period after issuance of atomic bomb survivor's health handbook was short. In observing the atomic bomb survivors by the level of family destruction due to the bombing as a socio-economic factor, a tendency was observed for the mortality rate for malignant neoplasms, diseases of blood and blood-forming organs, and peptic ulcer, to be higher among survivors with severe family destruction.

Cause of Death↗
PubMed1988

Comparison of objective methods for determining ventilatory threshold.

This study was undertaken to compare and re-examine the relation of lactate threshold (LT) and ventilatory threshold (VT), using six objective determination methods proposed previously. Twenty-one young male subjects performed a cycle exercise test in which the work rate was increased by 150 kg.m every 2 min up to his limit of volitional fatigue. Through each test, gas exchange parameter measurements were made every 1 min (every 30 s at nearly maximal level), and the venous blood samples were taken from a warmed ear lobe at each work rate for determining blood lactate concentration. LT and its variance were determined by the intersecting straight lines regression. LT ranged from 0.72 to 1.40 l/min in terms of VO2, and the mean value of S.D. for each LT was about 0.1 l/min. Each objective method for determining VT used in this study was based on the simple modelling of the criterion for visual detection of VT, that is the non-linear increase in VE or the systematic increase in VE/VO2. When the relationship between LT and VT was examined, VT by the objective methods based on determining minimum value of VE/VO2 showed relatively high consistency with LT. Of 16-20 individuals out of all 21 subjects, there were VT within LT +/- 0.2 in VO2. It is concluded that VE/VO2 is a more sensitive index for detecting VT than VE in the gas exchange parameters, and the objective VT determination method based on minimum value of VE/VO2 could facilitate estimation of LT within an error of +/- 0.2 l/min VO2 in most normal individuals.

Adult↗
PubMed1987

[Discriminant analysis of bone marrow suppression of methyl 6-[3-(2-chloroethyl)-3-nitrosoureido]-6-deoxy-alpha-D-glucopyranoside (MCNU)].

Twenty-five patients with primary or metastatic brain tumor were treated with two administrations of MCNU, 67-125 mg/m2 i.v., at 1-293 day intervals. Thrombocytopenia of less than 10 X 10(4)/mm8 occurred in 9 cases (36.0%) and leukocytopenia of less than 3 X 10(3)/mm3 in 11 cases (44.0%). The factors influencing these two kinds of bone marrow suppression were investigated using discriminant analysis (SPSS software package). The most influential factor for thrombocytopenia was the dose of MCNU and that for leukocytopenia was the interval between the two administrations. These results show that patients should be able to receive this drug without suffering bone marrow suppression if care is taken with regard to their condition with the time interval between doses.

Adolescent↗
PubMed1985

The age distribution of human adult cancer and an initiation-manifestation model for carcinogenesis.

The many studies of cancer made in recent years have revealed that the preclinical period of cancer--the period from carcinogenic transformation of a cell to growth of an overt tumor when the diagnosis of "cancer" is made--is longer and has a larger variance than considered formerly. Based on these results, the existing multistage theory of carcinogenesis has been reviewed and modified in this paper. In the newly obtained model, which is designated "initiation-manifestation model," it is assumed that carcinogenesis is a combination of two different processes, i.e., carcinogenic transformation of one cell and the subsequent manifestation of cancer. Further, we assumed that the lengths of these two periods are stochastic variables having gamma distributions, and that they are mutually independent. Applying this model, the actual morbidity of various types of human adult cancer was analyzed.

Adult↗
PubMed1983

Analysis and rearrangement of human karyotypes by computer.

A system useful for the collection and analysis of a large number of abnormal karyotypes and for studies on the relationship between cytogenetic abnormalities and clinical features of diseases is reported. The program is based on the disintegration and rearrangement of abnormal karyotypes recorded according to the 1978 International System for Human Cytogenetic Nomenclature (ISCN).

Chromosome Aberrations↗