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Biomedical subjects

M Tosaka

Publications and source records attributed to M Tosaka.

53 records · Page 3Linked to original sources
PubMed1986

[A double blind comparative study on the efficacy of S6472, cefaclor and amoxicillin, in the treatment of bacterial pneumonia].

The S6472 is a 4:6 mixture of 2 types of granules of cefaclor (CCL) coated with different films; one type of granules is soluble at low pH's and absorbed in the stomach while the other type is soluble at high pH's and absorbed in the intestine. The difference in absorption sites makes it possible to maintain blood concentrations of the drug at clinically efficient levels for a longer period of time compared with ordinary CCL. The efficacy, safety and usefulness of S6472 in the treatment of bacterial pneumonia was compared with those of ordinary CCL and of amoxicillin (AMPC) by the blind method. The patients entered in this trial were those who had bacterial pneumonia or lung abscess and were 16 years or above of age. The S6472 was given orally for 14 days at a daily dose of 1,500 mg (750 mg each after breakfast and supper), CCL was given at a daily dose of 1,500 mg (500 mg each after every meal), and AMPC at 2,000 mg (500 mg each after every meal and at the bedtime). To make the study blind, placeboes were matched with the test drug so that patients in every treatment group took 4 doses per day. Out of a total of 195 patients thus treated, 179 patients (55 in S6472 group, 62 in CCL group and 62 in AMPC group) were adopted for the evaluation by committee members while 185 patients (58 in S6472 group, 63 in CCL group and 64 in AMPC group) by controllers. When clinical results of the 3 treatment groups were compared, no statistically significant differences were observed in efficacy rates (cure rates), incidences of side effects nor abnormal findings of laboratory tests. From these results of this trial, it is concluded that oral administration of 750 mg of S6472 twice a day (1,500 mg per day) is as effective and useful as that of 500 mg of ordinary CCL 3 times a day (1,500 mg per day) or 500 mg of AMPC 4 times a day (2,000 mg per day) in the treatment of bacterial pneumonia or lung abscess.

Adolescent↗
PubMed1985

A case with bronchogenic cyst diagnosed by reconstruction CT prior to surgery which showed cardiac abnormalities.

A case report of a patient with bronchogenic cyst who presented with cardiogenic symptoms was described. The precise diagnosis was finally made after completing various diagnostic procedures which included reconstruction computed tomography. The patient, a 30-year-old man, was admitted to our hospital because of palpitation, chest pain and fever of three weeks duration. An electrocardiogram (ECG) revealed evidence suggestive of left atrial overloading and frequent atrial premature beats. A chest roentgenogram showed an abnormal shadow behind the right upper portion of the heart and a cross-sectional echocardiogram revealed abnormal echoes with ill-defined margins in the left atrium. Computed tomography (CT) revealed the presence of the left atrial tumor but left atriography suggested that it was extracardiac and compressing the left atrium. Reconstruction CT was therefore performed and the cyst was diagnosed as being in a subcarinal position. A mobile calcified mass was also demonstrated by the CT. An operation was performed and a cyst, 6 X 3 cm, was removed almost completely and a histopathological diagnosis of bronchogenic cyst was made. In this particular case, ECG abnormalities which suggest atrial damage and the diagnostic usefulness of reconstruction CT are stressed.

Adult↗
PubMed1984

Observations on the timing of operative intervention for aortic regurgitation.

We examined the application and timing of valve replacement in 105 cases of aortic regurgitation, from the aspect of etiology, clinical findings and prognosis. The mortality for patients after aortic valve replacement was 12.9%. This was lower than that for the patients not operated up on, which was 35.0%. The mortality after valve replacement for patients having acute aortic regurgitation due to active endocarditis was as high as 80%, which showed the limitations of medical and surgical therapy. In cases of chronic aortic regurgitation, if valve replacement is performed within 3 years of the appearance of heart failure symptoms, the mortality is 0. Even after three years, valve replacement is applicable if there are no ventricular premature contractions. CTR 65%, %FS 21%, R/Th 2.9 and EF 38% were considered to be the critical factors for postoperative prognosis.

Adult↗
PubMedDate not supplied

Structural studies on polymer whiskers by transmission electron microscopy: I. Morphological and high-resolution observations.

The structures of poly(p-hydroxybenzoic acid) (PHBA) whisker crystals and crystalline fine fibrils of copolymer prepared from p-hydroxybenzoic acid (HBA) and 2-hydroxy-6-naphthoic acid (HNA), namely poly(HBA/HNA) (monomer molar ratio: 97/3), were investigated by transmission electron microscopy (TEM). As for a PHBA whisker, microfibril-like bright regions were recognized in the 210 dark-field image. In the high-resolution TEM image of another PHBA whisker, however, lattice fringes were continuous through the whisker, showing that the whisker is highly crystalline and almost perfect. On the other hand, in the high-resolution images of poly(HBA/HNA) fine fibrils, granular crystallites (20-40 nm in lateral dimension) were observed. The lattice fringes in the crystallites were not successfully indexed with the orthorhombic unit cells of the homopolymer crystal, suggesting the coexistence of another different structure as a minor component.

Crystallization↗
PubMedDate not supplied

Correlative interpretation of staphylococcal resistance to penicillinase-resistant penicillins by ceftizoxime disk susceptibility test using Showa disks.

The Showa disk susceptibility test (Showa Yakuhin Kako Company, Japan) was evaluated to discriminate between the strains of Staphylococcus aureus resistant to penicillinase-resistant penicillins (PRPs) and those susceptible. When we tested 129 PRP-resistant and 112 susceptible strains, many PRP-resistant strains were interpreted to be false susceptible to methicillin and oxacillin, especially when incubated at 37 degrees C. Growth at 30 degrees C and when NaCl was added to the medium improved the test reliability for detection of PRP resistance. Ceftizoxime disk (30 micrograms) susceptibility test results highly correlated with reference PRP resistance when incubated at 35 degrees C. All the PRP-resistant strains produced no zone of inhibition, whereas all of the PRP-susceptible strains were categorized as susceptible to ceftizoxime (greater than or equal to 22 mm, less than or equal to 3.13 micrograms/ml), for example, 100% correlation. It was concluded that the Showa ceftizoxime disk, in replacement of PRPs, will provide a reliable, alternative method to predict PRP resistance in S. aureus pending reevaluation of the Show PRP disk tests.

Ceftizoxime↗
PubMedDate not supplied

Dysplastic ganglioneurocytoma with increased glucose metabolism: a heterotopia with unique histopathology.

A 1 year and 7 month old boy was incidentally found to have an intracranial mass lesion at the frontal base. The mass was 45 x 54 x 47 mm in size, contained a calcification, a few small cysts, and extended downward to the sphenoid sinus and upper pharynx. The signal intensity of the lesion on magnetic resonance imaging was iso-high on T1-weighted images, and slightly high on T2-weighted images, and it did not enhance with gadolinium injection. Although there was no obvious mass effect, 18F-fluorode-oxyglucose positron-emission tomography demonstrated increased uptake, and a surgical resection was performed suspecting a neoplastic lesion. Histologically, the lesion consisted of small to large anomalous neurons and glial cells but lacked normal cortical architecture. Cellularity was high in some portion with MIB-1 labeling index of 2%, but there was no cellular atypia suggestive of neoplasm. Therefore, this lesion was considered to be a dysplasia that does not fit into the previously described entity. We suggest this lesion would be better described as dysplastic ganglioneurocytoma.

Ganglioneuroma↗
PubMedDate not supplied

Total parenteral nutrition supplemented with L-alanyl-L-glutamine and gut structure and protein metabolism in septic rats.

The effects of administering total parenteral nutrition (TPN) supplemented with the dipeptide of L-alanyl-L-glutamine (Ala-Gln) on gut structure, barrier function, and protein metabolism were investigated in septic rats. Sepsis was induced by the continuous intraperitoneal administration of endotoxin via a miniosmotic pump. Twenty-three rats were divided into two groups and fed parenterally for 5 days. The Ala-Gln group (n = 11) received a conventional TPN solution supplemented with 2% Ala-Gln, whereas the control group (n = 12) received conventional TPN solution alone. One rat in each group died of endotoxemia. The groups showed similar nitrogen balance, urinary excretion of 3-methylhistidine, and plasma concentration of endotoxin in the portal vein. The groups showed similar incidence of bacterial translocation from the gut to the mesenteric lymph nodes. The intestinal mucosal weight and villous height were significantly greater in the Ala-Gln group than in the control group. Pathological derangement of the mucosal structure was more marked in the control group than in the Ala-Gln group. These results suggest that TPN supplemented with Ala-Gln preserves the gut structure without decreasing the nitrogen balance under septic conditions.

Animals↗