Biomedical subjects
Publications and source records attributed to N Takeuchi.
Honokiol (1), a constituent of Magnoliae cortex, and related synthetic biphenyls inhibited the platelet aggregation induced by a few aggregating agents. In particular, compounds 3, 5, and 10 had an inhibitory effect on platelet activating factor (PAF), which provides a new class of PAF inhibitor.
Effects of serotonin (5-HT) on plasma glucose and serum insulin levels were studied in mice. In normal mice, 5-HT induced a dose-dependent hypoglycemia and an increase in serum insulin levels. 5-HT significantly inhibited glucose-induced hyperglycemia and increased glucose-stimulated insulin release. However, in streptozotocin-induced diabetic mice, 5-HT changed neither the glucose nor insulin levels. These results strongly suggest that 5-HT-induced hypoglycemia is brought on by increasing serum insulin levels.
Fifty-two patients with obstructive diseases of the upper urinary tract were treated by percutaneous endoscopic surgery between May, 1986 and July, 1989. Fifty-nine procedures consisting of endopyelotomy (24 procedures), endopyeloureterotomy (29) and balloon dilation under direct vision (6) were performed in 54 units of the urinary drainage system. Causative diseases were congenital in 24 units, scar due to calculi in 17, scar due to previous surgery in 11 and tuberculous ureteritis in 2. The postoperative follow-up periods ranged from 3-41 months, mean +/- S.D.; 12.2 +/- 7.3 months. Of the 59 procedures, 49 (83.1%) achieved improvement but 10 could not on the postoperative excretory pyelogram and/or TcDTPA renogram. Three procedures (5.5%) required blood transfusion. Retroperitoneal leakage of the perfusate was observed in 3 procedures (5.0%). No other severe complications were observed. These results indicate that this procedure may be used for the reconstructive surgery in obstructive diseases of the upper urinary tract such as the ureteropelvic junction and the proximal 1/3 ureter.
One hundred and forty-four patients primarily receiving kidneys from cadaver donors between Jan., 1978 and Oct., 1989, were reviewed. The patients' ages ranged 14-53 with a mean +/- S.D. of 34.7 +/- 8.0 years old. There were 100 males and 44 females. Twenty kidneys were harvested from heart-beating donors and 124 from non-heart-beating donors. In harvest from non-heart-beating donors, we performed in situ cooling through a double balloon catheter placed in the aorta to minimize prolonged warm ischemia. The number of matched HLA A, B antigens was (mean +/- S.D.) 1.7 +/- 0.8 antigens and for HLA DR antigens, it was 1.2 +/- 0.5. One hundred and nineteen of the 144 recipients have had a history of blood transfusion preoperatively. The patients were treated with four different immunosuppressive protocols; regimen I consisting of horse antilymphocyte globulin (ALG), regimen II of large-dose (14 mg/kg/day) of cyclosporin (CsA) and steroid, regimen IIIa of low-dose (4 mg/kg/day) of CsA, steroid and a short course of ALG (500 mg/day) and regimen IIIb of low-dose (6 mg/kg/day) of CsA, steroid and a short course of ALG (1000 mg/day). Fifteen patients received regimen I therapy from Jan., 1978 to Nov., 1982, 49 received regimen II from Nov., 1982 to Dec., 1986, 23 received regimen IIIa from Jan., 1987 to Dec., 1987 and 57 received regimen IIIb from Jan., 1988 to Oct., 1989.(ABSTRACT TRUNCATED AT 250 WORDS)
The long term results of 28 HLA 1-haploidentical donor kidney transplant recipients receiving preoperative lymphocyte deletion through thoracic duct drainage and low dose of steroid and azathioprine immunosuppressive treatment were presented. The number of removed lymphocytes was 129.9 +/- 38.1 x 10(9) (mean +/- SD) and the duration of thoracic duct drainage pretreatment was 35 +/- 4 days. Graft survival was 96% at 3 months through 2 years, 89% at 3 years and 84% at 5 years. Patient survival was 100% at 3 months through 2 years and 96% at 3 years through 5 years. Fifteen acute rejection crises were observed in 13 patients within the first 3 months postoperatively. There was no irreversible rejection in the first 3 months. Four chronic rejections were observed in 4 patients. Life-threatening infectious disease was observed in 5 patients, diabetes mellitus in 2 and cataract in 4. These results indicated that the reduction of the dose of steroid in post transplant period might have beneficial effects on the long term graft survival of HLA 1-haploidentical kidney transplant patients receiving TDD pretreatment and the conventional immunosuppressive treatment.
The results of 20 HLA 1-haploidentical donor kidney transplant patients treated with preoperative lymphocyte deletion through thoracic duct drainage and low dose of cyclosporine and steroid immunosuppressive therapy, were presented. The number of removed lymphocytes was 114 +/- 36 X 10(9) (mean +/- SD) and the duration of thoracic duct drainage was 35 +/- 7 days. Graft survival was 100% at 3-9 months and 89% at 1-2 years after transplantation. Patient survival was 100% at 3-9 months and 89% at 1-2 years. A patient died from lung cancer (adenocarcinoma) in the 9th posttransplant month. Acute rejection was not seen in 20 patients during the first 3 months. Life-threatening infectious disease was never seen either. Diabetes mellitus was observed in 1 patient. No other complications were observed. These results indicated that thoracic duct drainage and low dose cyclosporine and steroid postoperative immunosuppressive treatment might yield complete success in HLA 1-haploidentical kidney transplant patients.
In June 1988, the new type of the lithotripter MPL 9000 (Dornier), which was the first interdisciplinary lithotripter for treatment of urinary and biliary calculi, was installed at the Shakai Hoken Chukyo Hospital. MPL 9000 has some features which enable one to treat with low range of shock wave energy and without anesthesia due to the enlarged aperture of the ellipsoid (210 mm), and locate the stone by computerized two ultrasound probes (coaxial, lateral). Unlike HM-3, the water bath is not used: shock wave is shot through the water cushion. From June to November 1988, 35 patients suffering from 64 urinary calculi were treated. The majority represented caliceal (75%) and pelvic (17%) stones, whereas 5 calculi were treated in the upper and lower ureter. Twenty-four patients were treated in one session and 11 patients needed additional sessions. The given number of shock waves was between 1337 and 3050 per one session and averaged 2403 with low generator voltage (15-18 kv). Twenty sessions (42%) were given without any medication and other 28 sessions (58%) were under analgesia (Pentazocine, i.v.) for the pain complained during the treatment. The rate of successful disintegration (less than 5 mm) was 88%. After the 1-month followup, 47.1% were free of stone, and 62.1% were free after the 3-month. Four patients had arrhythmia and one patient was with a subcapsular renal hematoma. We have concluded that this lithotripter is useful to treat upper and lower urinary tract calculi, in particular radiolucent ones in high risk patients because it is applicable without anesthesia.
To investigate the role of microhematuria for the diagnosis of bladder tumor, the retrospective study of 156 patients with bladder tumor was done. Among the 156 cases, asymptomatic microhematuria was observed in 15 cases (9.6%) as an initial sign of the disease. According to the process to the final diagnosis, these 15 cases were classified into 4 groups; the Group 1 comprised 4 patients who consulted the urologist just after health examination; the Group 2 comprised 6 patients who consulted the urologist by the introduction of the general practitioner; the Group 3 comprised 2 patients who disregarded the sign and consulted the urologist after the appearance of symptoms; the Group 4 comprised 3 patients whose general practitioner overlooked the sign and who consulted the urologist after the appearance of the symptoms. The mean duration between the initial sign and the final diagnosis of each group was 2, 2, 8 and 62 months, respectively. Three of the 5 patients (60%) in groups 3 and 4 were treated by total cystectomy, while only 2 of the 10 patients (20%) in groups 1 and 2 totally cystectomized. High grade tumor was observed more frequently in groups 3 and 4 than in groups 1 and 2. Since the negative rate of urinary cytologic examinations of these 15 cases was 33.3%, cystoscopic examination was necessary for screening of bladder tumor.
We describe the isolation of inhibitors of mammalian DNA topoisomerase I, named topostins, from a culture broth of Flexibacter topostinus sp. nov. and some properties of the inhibitors. Topostins A1, A2 and B were isolated by differential solubility in solvents, adsorption chromatography on silica gel and gel filtration on a Sephadex LH-20 column. Topostins A1, A2 and B had specific activities of 4,700, 16,000 and 22,000 U/mg, respectively. The most active metabolite topostin B comprised two components with MW of 567 and 553 in an equimolar ratio.
A hemodialysis patient suffering from testicular tumor is reported. The patient was a 43-year-old man who had been receiving hemodialysis for 1 year. The patient consulted our hospital complaining of left testicular swelling and mild pain. Because of hen-egg-size enlargement and irregular surface of the left testis, high orchiectomy was performed under the diagnosis of testicular neoplasm. The diagnosis made after the microscopic examination was seminoma with a portion suspected as choriocarcinoma. No metastasis was revealed by computer tomography and chest X-ray photography. Considering that the patient was on dialysis and clinical diagnosis was stage 1, we did not perform radiation therapy nor lymph node dissection and the patient has been under careful observation.
The present study investigated the influence of surface treatments of composite materials using 6% hydrofluoric acid or 2% acidulated phosphate fluoride, the influence of the application of a bonding agent to the surface, and the influence of incremental curing of composite materials on the shear bonding strength between composite materials and resin cements. These results were studied statistically by analyzing variances in three-way classification and by their contributory ratios. The effects of hydrofluoric acids or acidulated phosphate fluorides on the treated surfaces of composite materials, and also the interfaces between composite materials and resin cements were further examined by mean of scanning electron microscopy (SEM). Unlike the controls, surfaces of all specimens treated with hydrofluoric acid or fluoride revealed micro-porous surfaces, but the effect of the surface treatment on the bonding strength was not equal for all the composite materials tested. The application of a bonding agent influenced some composite material, but the incremental curing of composite materials had no influence on bonding with resin cements.
The recording accuracy of Sirognathograph (Siemens, West Germany) was conducted by means of an experimental apparatus. Diagrams of mandibular border movements in three dimensional directions were performed. The results showed the distortion was not recognized within 5 mm of primary condition in a subject, but slightly between 5 mm and 10 mm. In a distance of more than 15 mm, a considerable distortion was increased until at the maximum opening position.
The various methods were introduced in the daily prosthodontic field evaluating occlusal contacts for diagnosis and analysis. Maness in 1987 developed the T-Scan system, which is considered as a new computerized device capable to interpret occlusal contacts information quantitatively. The system is composed of a sensor, sensor frame, handle, cable and system unit. Record and analysis mode made possible the occlusal contacts in three ways, such as the balance plot, the time display and comparison screen. However, accuracy and reproducibility of occlusal marking through this system is still uncertain. Therefore, this preliminary study was conducted on four specific points loaded on a sensor by application of the weight of 0.1 kg through 10 kg. The following results were obtained 1. There exists certain non-sensible areas caused by its constructional feature. 2. The most sensible area can be measured from 0.1 Kg to 2.1 Kg, and therefore, this device is more suitable for recording within lower loadings. 3. Although the system has a certain disadvantage of reproducibility, this contributes to attain diagnosis and treatment of occlusal contacts for a quantitative evaluation.
Recently, porcelain veneer restoratives have been introduced to the general practice, and their clinical performances have been confirmed through many longterm clinical investigations. It is expected that porcelain veneer restorations will perform successfully in esthetic, conservative and abhesive dentistry. It is an well known fact that the micro-mechanical bonding strength at the porcelain-resin interface which is achieved through the application of hydrofluoric acid to the porcelain surface is quite a strong bonding mechanism. However, there are very few studies reporting on the acid treatment of porcelain surfaces. The authors have been studying the influence of hydrofluoric acid on porcelain surfaces, and in our previous report we reported, the degrees of corroded porcelain treated with different concentrations of hydrofluoric acid for different durations of application. In the present study, shear bonding strength was measured between resin cements and porcelain surfaces treated with different concentrations (4, 6, 8%) of hydrofluoric acid and for different durations (1 to 24 min.), and the appropriate treatment of porcelain surfaces with regard to the bonding strength was determined. The results obtained were as follows. 1. As the treating time increased with any concentration (4, 6, 8%) of hydrofluoric acid, corrosion of the porcelain surface became more intense. Hardly any evidence of corrosion was observed on any porcelain surface treated for one minute, so it seems that the treatment of porcelain surfaces using 4 to 8% hydrofluoric acids should be continued for over three minutes. 2. Observation of the surface profile by SEM showed no significant differences between the surfaces treated for 3, 6, 12 and 24 minutes. 3. It was not clear as to how the differences of hydrofluoric acid concentrations (4, 6, 8%) plus the differences in the kinds of porcelain (Super Porcelain AAA, NORITAKE Co. Ltd., VMK 68, Vita Zahnfabrik Gmbh & Co., Cosmotech Porcelain, G-C Co. Ltd.) had affected the differences in the amount of corrosion. 4. Regarding to the shear bonding strength at the porcelain-resin cement interface, in comparison with control specimens which were only sandblasted, about all two to three times higher bonding strength were obtained in specimens treated with any concentration (4, 6, 8%) of hydrofluoric acids and for any duration between 3 to 24 minutes. Specimens treated for one minute were an exception.
In a previous report, observations were made on the apporopriate concentrations of hydrofluoric acid and durations of application in treating porcelain surfaces to improve the bonding strength at the porcelain-resin interface. Particular concentrations and durations were found, such as 4%, 6 min. for Supper Porcelain AAA, 8%, 6 min. for VMK 68, and 6%, 3 min. for Cosmotech Porcelain, and it was clearly shown that hydrofluoric acid treatment was the most effective treatment for porcelain-resin micro-mechanical bonding. However, because of its strong corrosive action, the use of hydrofluoric acid is very dangerous, and it must be handled with extreme care even in the laboratory. Accordingly, there is a need to find a safer and more effective way of treating porcelain surfaces, particularly in the field of interoral repairs to fractured porcelain restoratives by means of porcelain-resin micro-mechanical bonding. In the present study, 2% acidulated phosphate fluoride (APF), which corrodes the surface of porcelain restoratives, PorceLock (PL), which is a 2.5% buffered hydrofluoric acid made by DenMat Co. and a 6% hydrofluoric acid (HF) preparations were applied to the surface of porcelain specimens and the resulting effects on treated porcelain surfaces were examined by means of SEM observations and shear bonding strength tests. The following results were obtained: 1. In comparison with control specimens which were not treated with any acids or fluoride, a much higher bonding strength at the porcelain-resin interface was obtained in the specimens treated with 2% APF, PL and 6% HF. 2. Regarding to SEM observations, both of the specimens treated 6% HF or PL showed extremely micro-porous surfaces.2+ surfaces of the
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A case of alobar type of holoprosencephaly, a severe impairment of the development of central nervous system, is presented. This is a case report of 2-month-old boy who had a peculiar physiognomy with a microcephalus and an undeveloped forehead. Echoencephalography showed a defect of almost all cerebellum and a singular ventricle accompanied with severe hydrocephalus. However, his brain stem and cerebellum could be confirmed. His electroencephalogram showed complete flat waves and failed to respond to visual evoked potential test (VEP) and auditory brain stem response test (ABR). Any chromosomal abnormalities were not found.
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