[A case of laryngeal leiomyoma (vascular leiomyoma) (author's transl)].
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Biomedical subjects
Publications and source records attributed to T Ushijima.
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The conditions for isolation and cultivation of Propionibacterium acnes and related propionibacteria were studied in detail. Triton X-100 added to the diluent inhibited the growth of propionibacteria in concentrations of 0.05 to 0.1%. However, such was not the case with Tween 80; rather, growth of the bacteria was further enhanced by this agent. Consequently, Tween 80 was considered to be a suitable surfactant for addition to the diluent for isolation of propionibacteria. A new medium for isolating propionibacteria from human skin was developed. Comparative studies with colonies of P. acnes, Propionibacterium granulosum, and Staphylococcus epidermidis showed morphological differences among the colonies; thus, the medium was very useful for differentiating and identifying species of the microbes. The new medium was used for studies on the distribution of propionibacteria on the foreheads of 30 Japanese volunteers. Among 447 strains of P. acnes and 86 strains of P. granulosum isolated from the volunteers, all strains of the former were positive for indole, nitrate, milk, and gelatin hydrolysis, whereas all strains of the latter were negative for all of the tests.
Adult domestic rabbits were found to harbor anaerobic coryneform bacteria and possess serum agglutinins against these bacteria. The isolates from rabbit skin were characterized by morphology, anaerobiosis, catalase test, and gas chromatographic analysis of volatile acid products. Preliminary findings on the effect of anaerobic coryneforms on the regression of Shope papillomas have suggested that the life of such bacteria as normal flora enhances the regression.
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Biochemical and serological characteristics of 128 strains of Propionibacterium acnes isolated from the facial skin of healthy Japanese volunteers were compared with the three standard strains of the American Type Culture Collection, ATCC 6919, 11827, and 11828. Accordingly, the isolated strains of P. acnes were classified into five biotypes (B1 to B5) on the basis of fermentation tests of ribose, erythritol, and sorbitol. Two serotypes were distinguished by the agglutination test. P. acnes belonging to serotype I had galactose as a cell wall sugar, whereas those of serotype II lacked galactose. The strains of serotype I were distributed among all five biotypes (B1 to B5); however, those of serotype II consisted only of one biotype (B2). A term "sero-biotype" was introduced to differentiate and carefully classify the isolates. The predominant sero-biotypes differed with the individual and region of the facial skin. In general, strains of sero-biotype IB1, IB3, IB4, and IIB2 were more frequently isolated than those of sero-biotype IB2 and IB5. Thus, for routine assay work, serotyping of P. acnes as based on erythritol and sorbitol fermentation is both practical and applicable.
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By means of pellet tracking techniques using an X-ray microbeam system, observations of the articulatory movements of various types of dysarthric subjects were conducted. In selected cases, electromyography (EMG) was also performed. The data were specifically examined for range, velocity, and consistency (reproducibility) of the movements of the articulators, as well as the pattern of coordination of the different articulators involved. It was found in the case of ataxic dysarthria of cerebellar origin, for example, that the dynamic patterns were best represented as a difficulty in the initiation of purposeful movements and an inconsistency of articulatory movements, particularly in the repetitive production of a monosyllable. On EMG, breakdown of the rhythmical patterns in the articulatory muscles was quite obvious in the repetition of a monosyllable. In the case of amyotrophic lateral sclerosis (ALS), decrease in the range and velocity of movements was noted. This resulted from reduced neuromuscular units (NMU) activities manifested in clinical EMG. Analysis of the dynamic aspects of the dysarthrias is a promising approach for elucidating the nature of central problems of speech production and for a differential diagnosis of various types of dysarthrias.
Laryngeal muscle activity during fluent and stuttered utterances was investigated via electromyography. Analysis revealed that stuttering was accompanied by high levels of laryngeal muscle activity and disruption of normal reciprocity between abductor and adductor muscle groups. Results are interpreted as demonstrating the existence of a laryngeal component in stuttering and showing a strong correlation between abnormal laryngeal muscle activity and moments of stuttering.
The aim of the present study was to investigate the laryngeal adjustments for voiced versus voiceless distinction in Japanese consonant production by means of laryngeal electromyography (EMG) and fiberoptic observation. Multichannel EMG recordings were taken of a Japanese subject and the data were computer-processed to obtain the averaged activity patterns of the five intrinsic laryngeal muscles with special reference to the voicing distinction in consonant production in various phonetic environments. It was found that there were apparent reciprocal patterns in the posterior cricoarytenoid (PCA) and the interarytenoid (INT) in terms of significant negative correlation, and active control of PCA for voicelessness was demonstrated. The patterns of the thyroarytenoid and the lateral cricoarytenoid were different from that of INT even though these two muscles are usually classified as the members of the adductor group, and their activity levels were apparently influenced by the phonetic environment. A possible contribution of the cricothyroid (CT) to the voicing distinction was also pointed out but further investigations on acoustic parameters seem to be mandatory in more critical interpretation of CT activity in speech.
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