Biomedical subjects

Toshiaki Furukawa

Publications and source records attributed to Toshiaki Furukawa.

5 recordsLinked to original sources

PubMed2003

Coping behavior in depressed patients: a longitudinal study.

The relationship of coping behavior to outcome in depressed patients was examined. Subjects (n=105) with major depressive disorder (n=85), depressive disorder not otherwise specified (n=7) or major depressive disorder with axis I comorbidity (n=13) were followed for 6 months. Their coping behavior (i.e. rumination, active distraction, cognitive distraction and dangerous activities) was defined using the Comprehensive Assessment List for Affective Disorders. Based on their Hamilton Rating Scale for Depression (HRSD) scores at 6 months, the patients were categorized as having had a good or a poor outcome. Severity of depression and coping behavior were similar among the three diagnostic groups. At baseline assessment, coping behavior was not correlated with either HRSD score or age. However, males were significantly more likely to be engaged in dangerous activity as a coping behavior than females. Patients with a good outcome at 6 months were significantly more likely to use rumination as a coping behavior while patients with a poor outcome were significantly more likely to use dangerous activity. Multiple regression analysis confirmed this finding, indicating that rumination and dangerous activity were significant predictors of outcome at 6 months. Rumination might be associated with good outcomes in depressed patients while dangerous activity might be associated with poor outcomes.

Adaptation, Psychological↗

PubMed2003

[Critical appraisal of evidence on diagnostic tests].

The article explains the use of stratum-specific likelihood ratios(SSLRs) and the use of a checklist for critically appraising articles on diagnostic tests. The author recommends the use of SSLRs over sensitivity/specificity when evaluating the test characteristics of a given test, because the former retains as much information as possible of the test. Critical appraisal of a diagnostic test forms a part of the practice of evidence-based medicine(EBM). The particular importance of paying attention to work-up bias and spectrum bias when evaluating a diagnostic test is emphasized. It is hoped that future studies in laboratory medicine will follow these guidelines.

Clinical Laboratory Techniques↗

PubMed2002

An acidic fibroblast growth factor-like factor secreted into the brain cell culture medium upregulates apoE synthesis, HDL secretion and cholesterol metabolism in rat astrocytes.

Production and release of apolipoprotein (apo) E and cholesterol were highly upregulated in the astrocytes prepared by 1-week secondary culture after 1-month primary culture of rat fetal brain cells (M/W cells) in comparison to the cells prepared by a conventional method of 1-week primary and 1-week secondary culture (W/W cells). Both cell preparations were mostly composed of astrocytes with small population of other glial cells, except that type-2 astrocyte-like cells accounted for 5-15% of M/W cells indicating more activated and/or matured status. The conditioned medium of the 1-month primary culture stimulated W/W cells to increase the release of apoE and cholesterol into the medium. The treatment of W/W cells by acidic fibroblast growth factor (aFGF) similarly upregulated biosyntheses and release of apoE and cholesterol. The effect of the conditioned medium was completely inhibited by pretreatment with an anti-aFGF antibody. The increase of the aFGF message was demonstrated in the brain cells after 1-month primary culture. The findings suggested that an aFGF-like trophic factor upregulates biosynthesis and secretion of apoE-high density lipoprotein (HDL) in astrocytes probably by autocrine stimulation in this culture system. Since this cytokine is highly expressed in the development or post-injury period of the brain, it putatively activates intercellular cholesterol transport to support construction or recovery of the brain.

Animals↗

PubMed2002

F wave duration in mild S1 radiculopathy: comparison between the affected and unaffected sides.

OBJECTIVES: The aim of this study was to investigate the F wave duration (Fdur) of the tibial nerve in mild S1 radiculopathy. We evaluated the difference in this parameter between the affected and unaffected sides, and discussed the clinical significance of this difference. METHODS: Bilateral tibial F waves were obtained from 46 normal subjects (control group) and 27 patients with L5/S1 intervertebral disc herniation (patient group). Minimum latency of F wave (Fmin) and Fdur were analyzed. RESULTS: Fmin and Fmin corrected by the subject's height (Fmin/H) were both significantly longer on the affected side than on the unaffected side and in the normal group, but the incidence of abnormality was very low for both parameters. Even patient showing normal Fmin or Fmin/H sometimes exhibited Fdur values prolonged beyond the reference range. Judgment of abnormal Fdur based on the difference between the two sides was the most sensitive method for detecting the root injury. No patients showed decreased Fdur. There was no significant difference between the two groups in the amplitude of compound muscle action potential of the abductor hallucis. CONCLUSIONS: Our study suggested that evaluation of the difference in Fdur between the two sides was a valuable means of decreasing false-negative results in F wave study in mild S1 radiculopathy cases.

Action Potentials↗

PubMed2002

Concordance between self- and observer-ratings on Kasahara's Inventory for the Melancholic Type Personality.

The concordance between self- and observer-ratings was investigated for items on Kasahara's Inventory for the Melancholic Type Personality (KIMTP). Subjects consisted of 44 patients diagnosed with an ICD-10 diagnostic criteria for research (DCR) depressive episode (F32) or recurrent depressive disorder (F33) unipolar affective disorder, and 44 observers. Thirty-one of the 44 patients were diagnosed with endogenous depression. The observers consisted of five parents, eight children, thre siblings, 25 spouses, and three partners. Concordance was tested with Student's paired t-test and one-way analysis of variance intraclass correlation coefficient (ANOVA ICC). There was no statistical difference between the mean total self-rating score and the mean total observer-rating score in the endogenous depression group, but the mean total self-rating score was significantly higher than the mean total observer-rating score in the non-endogenous depression group. When the self and observer tests in this non-endogenous depression group were compared on an item-by-item basis, most items tended to receive higher scores from the self-raters than from the observer-raters. The ICC had good concordance for mean total self- and observer-ratings in the endogenous depression group but not the non-endogenous depression group. On an item-by-item basis, concordance was high between self- and observer-raters for more items in the endogenous depression group than in the non-endogenous depression group. There were some important differences between self- and observer-ratings for certain items in the non-endogenous depression group. Patients in this group tended to give higher scores to items representing Typus melancholicus in relation to scores given by observers.

Adult↗