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Biomedical subjects

Y Yanagisawa

Publications and source records attributed to Y Yanagisawa.

At least 19 recordsLinked to original sources

Carbon monoxide and nitrogen dioxide exposures in indoor ice skating rinks.

Exposures to carbon monoxide (CO) and nitrogen dioxide (NO2) were determined in seven enclosed ice skating rinks and an outdoor rink. The uptake of CO was also determined by the difference in alveolar CO concentration of the non-smoking hockey players before and after games. Carbon monoxide concentrations in enclosed rinks ranged from 4 to 117 ppm and NO2 concentrations from 342 to 2729 ppb for 2 h hockey games. The CO uptakes were linearly related to the ambient CO concentrations. Alveolar CO of the hockey players increased on average by 0.53 ppm per 1 ppm CO exposure over 2 h. Considering the CO and NO2 levels currently measured in enclosed ice skating rinks, indoor air quality guidelines or standards should be established. It is recommended that 1 h maximum allowable limits of 20 ppm CO and 250 ppb NO2 be established.

Absorption

Determinations of personal carbon monoxide exposure and blood carboxyhemoglobin levels in Korea.

Determinant factors for personal carbon monoxide (CO) exposures were sought in Korea, where CO poisoning has been a major public health problem due to coal briquette (Yeontan) combustion for space heating and cooking. Personal 24-hr CO exposures of 15 housewives were measured by CO passive samplers on 2 days of the week (Wednesday and Sunday). Blood samples were taken to measure carboxyhemoglobin (COHb) just after the exposure sampling. Average CO exposure and COHb level were 5.6 ppm and 2.4%, respectively. Personal CO exposures as well as COHb levels were significantly increased by the use of Yeontan, especially on a weekday. Carboxyhemoglobin levels were closely related to the time between blood collection and replacement of Yeontan: the closer the blood collection was to replace Yeontan, the higher the COHb levels were. Assuming a background COHb of 1.34%, COHb increased on average by 1.8% with a 24-hr personal CO exposure of 10 ppm. The relationship between CO exposure and COHb level was provided by simultaneous direct measurements in real environment, although a measurement of COHb at the end of exposure could not represent previous 24-hr exposure thoroughly.

Adult

[Identification of group C Streptococcus with Helix pomatia lectin in use for blood grouping].

The lectin anti-AHP (Helix lectin) obtained from the albumen gland of an edible snail, Helix pomatia, was used for the identification of group C streptococci. All 1,045 strains of group C streptococci (S. equisimilis, S. zooepidemicus, and S. dysgalactiae) were agglutinated with the Helix lectin, but none of the 12,264 strains of group A, 1,346 strains of group G, 330 strains of group B, and 121 strains of other streptococcal groups was not. A few strains of S. equisimilis which belongs to group C have on the cell surface specific T antigen of group A streptococci, but it did not affect the agglutination with Helix lectin. Some strains of S. milleri carrying or not carrying group G specific carbohydrate and S. sanguis with group H antigen were agglutinated with the Helix lectin (Anti-AHP). This suggests that terminal N-acetyl-D-galactsamine of the cell-wall carbohydrate of these bacteria reacts with the Helix lectin (Anti-AHP). Therefore, the Helix lectin is a very useful tool for identification of group C streptococci.

Agglutination Tests

[The effect of temocapril, an angiotensin-converting enzyme inhibitor with preferential biliary excretion, on experimental diabetic nephropathy].

Tempocapril is a novel angiotensin-converting enzyme (ACE) inhibitor which is preferentially eliminated via the biliary tract. To examine whether it has a protective effect in diabetic nephropathy like conventional ACE inhibitors which are eliminated via the kidney, a study was performed in streptozotocin-induced diabetic rats for 8 months. Male Wistar rats were divided into 4 groups (control rats, diabetic rats treated with temocapril at the doses of 5 mg/l or 15 mg/l of drinking water, and untreated diabetic rats). There was no significant difference in the blood glucose levels of the 3 diabetic groups. Administration of temocapril at both doses of 5 mg/l and 15 mg/l significantly reduced the blood pressure as well as the urinary excretion of albumin and N-acetyl-beta-D-glucosaminidase. However, significant suppression of glomerular basement membrane hypertrophy was only induced by treatment with temocapril at the dose of 15 mg/l. Elevated glomerular filtration rate and filtration fraction in diabetic rats were decreased by tempocapril at the dose of 15 mg/l, but not significantly. These results indicate that tempocapril has a protective effect on diabetic nephropathy like conventional ACE inhibitors.

Angiotensin-Converting Enzyme Inhibitors

A passive ozone sampler based on a reaction with iodide.

A new passive sampler for ozone and its simple analytical system have been developed. Because it is small and sensitive, the sampler can be used for determining personal exposures to ozone and oxidants and for multilocation measurements. The sampler consists of an electrode, a spacer, and several layers of membrane filters and Teflon meshes. The electrode is a carbon paper disk coated with nylon-6 polymer and potassium iodide. The membrane filters are used to remove interferences. A sampling rate of ozone is controlled by the spacer and Teflon meshes. Iodine is liberated by an oxidation reaction of potassium iodide with ozone. The iodine is stabilized by forming a charge transfer complex with nylon-6 and is accumulated in the nylon-6 layer. The amount of iodine, which is proportional to the level of ozone exposure, is quantified by constant current coulometry. The discharge time of a galvanic battery is measured using the electrode as a positive electrode and a zinc plate as a counter electrode. A time-weighted average concentration of ozone is derived from the discharge time after exposing the electrode to ozone. The effects of various environmental conditions on the sampler's performance were investigated. The results indicated that the sampler showed a linear response to ozone exposure up to 1,450 parts per billion for every hour of use (ppb.hour). The minimum detectable exposure was about 400 ppb.hour. The effects of surface wind velocity, temperature, and humidity were small. However, a relative humidity below 20% resulted in an underestimation of the ozone concentration. Because the electrode requires no pretreatment and the analytical method is very simple, this method is suitable for large-scale studies of personal exposures to ozone and oxidants using multilocation measurements.

Environmental Monitoring

Paraoccupational exposures to lead and tin carried by electric-cable splicers.

To test the hypothesis that electric-cable splicers contaminate their homes with lead and tin, nine splicers were matched with nine of their neighbors. House dust samples were collected in two areas within each home: a laundry room/dirty clothes area, and a composite sample from other areas in the house. Samples were analyzed by energy dispersive X-ray fluorescence for lead and tin (tin is a tracer to the occupational source of lead). The difference in the geometric mean lead concentrations in the laundry areas between the splicers' and neighbors' homes (1021 ppm and 390 ppm) was statistically significant (p < 0.025). The difference in concentrations from the other areas of the house (585 ppm and 329 ppm) was also significant (p < 0.05). Tin concentrations in house dust were very different between the two groups (p < 0.0005), suggesting that electric-cable splicers were contaminating their homes with lead and tin from work. Recommendations are included to prevent paraoccupational lead exposures by eliminating the pathways into the home. Another recommendation suggests that blood-lead levels be screened in children under the age of seven who live with electric-cable splicers.

Dust

Protective effect of vitamin E supplementation on increased thermal stability of collagen in diabetic rats.

Products similar to non-enzymatic glycation end products are known to arise from the interactions between proteins and lipid peroxides in vitro. In this study, we assessed the effect of vitamin E, which possibly modifies lipid peroxide, on advanced glycation end products or similar products in vivo by measuring the fluorescence and thermal rupture time of tail tendon collagen in streptozotocin-induced diabetic rats. The diabetic rats and non-diabetic rats were fed a vitamin E supplemented diet, and a control diet starting 3 days after the streptozotocin injection. After the 4-week treatment, the serum lipid peroxide levels expressed as thiobarbituric acid reactants in the diabetic rats on control diet (15.9 +/- 2.6 mumol/l[SEM]) were significantly (p less than 0.05) higher than in the non-diabetic rats (7.9 +/- 1.3 mumol/l on control diet and 3.3 +/- 0.4 mumol/l on supplemented diet), but the levels in the diabetic rats on supplemented diet (7.9 +/- 2.3 mumol/l) were reduced to the normal levels. No significant differences were found in serum glucose and glycated haemoglobin levels within the diabetic rats on control and supplemented diets. Both the fluorescence and thermal rupture time of collagen were significantly (p less than 0.05) increased in the diabetic rats on both diets compared with those in the corresponding non-diabetic rats. Although there was no significant difference in the collagen-linked fluorescence within the diabetic rats on control and supplemented diets, the thermal rupture time was significantly (p less than 0.01) shortened with supplemented diet (10.8 +/- 0.7 min on supplemented diet vs 15.0 +/- 0.7 min on control diet).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

No significant effect of vitamin E deficiency or supplementation on collagen-linked fluorescence in skin of diabetic rats.

It is speculated that oxidative stress in vivo may have some influence on advanced, nonenzymatic, glycosylation end products. However, this has not been demonstrated yet. We assessed changes in collagen-linked fluorescence in the skin of nondiabetic and streptozotocin-induced diabetic rats fed three different diets for 4 weeks that could modify oxidative stress: vitamin E-deficient (D), vitamin E-supplemented (S), and control (C). The serum lipid peroxide level expressed as thiobarbituric acid (TBA) activity in diabetic rats on the S diet (9.6 +/- 1.0 [SE] nmol/L/mL) was significantly (P less than .01) lower than that in rats on the D diet (111.4 +/- 22.4), and similar to that in nondiabetic rats on the C diet (12.4 +/- 2.2). The collagen-linked fluorescence level was significantly (P less than .01) higher in diabetic rats than in nondiabetic rats, which corresponded to the serum glucose and glycosylated hemoglobin levels. However, there were no significant differences in the fluorescence levels among three groups classified by three different diets in both nondiabetic and diabetic rats (21.7 +/- 1.7 arbitrary U/mg collagen for D, 22.3 +/- 2.0 for C, and 22.8 +/- 2.5 for S in nondiabetic rats v 41.2 +/- 4.1 for D, 40.1 +/- 4.7 for C, and 39.3 +/- 3.5 for S in diabetic rats), despite significant changes in serum lipid peroxide levels. Consequently, there were no significant changes found in collagen-linked fluorescence levels in diabetic rats wherein oxidative stress was modified by vitamin E deficiency and supplementation.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Possible participation of a prostaglandin E1 analogue in the aggravation of diabetic nephropathy.

A relation between the progression of diabetic nephropathy and glomerular hyperfiltration has been speculated. We describe two cases of non-insulin-dependent diabetic males aged 55 and 59 years in whom diabetic nephropathy was aggravated during the administration of limaprost, a a prostaglandin E1 analogue with a vasodilatory action. We also observed a short-term effect of limaprost on renal hemodynamics in three cases with diabetic nephropathy. In case 1, one year after limaprost administration the serum albumin level fell from 3.6 to 2.6 g/dl and the serum creatinine level rose from 1.0 to 1.6 mg/dl. In case 2, 9 months after limaprost administration the serum albumin level fell from 3.6 to 2.9 g/dl and the serum creatinine level rose from 1.8 to 2.3 mg/dl. In the latter stages of limaprost administration, the downslopes of reciprocal serum creatinine against time appeared to be augmented in the two cases. After the 3-day administration of limaprost, the peripheral and renal blood flows, and the glomerular filtration rate (GFR) were observed to rise, but the filtration fraction (FF) and urinary protein output were elevated. Keeping in mind the pre-existing renal damage, the increases in GFR and FF suggested acceleration of compensatory glomerular hyperfiltration in less damaged surviving glomeruli. The sustained acceleration of hyperfiltration with long-term administration of limaprost as an exogenous vasodilatory prostaglandin was assumed to eventuate in the aggravation of diabetic nephropathy. Attention should be paid to drugs which increase GFR in patients with established diabetic nephropathy.

Alprostadil

Beneficial effect of dibutyryl cyclic AMP (DBcAMP) on ischemic acute renal failure in the rat.

To determine the effect of dibutyryl cyclic AMP (DBcAMP) on ischemic acute renal failure (IARF), that disorder was induced in male Wistar rats. After the animals were anesthetized with sodium pentobarbital (50 mg/kg, i.p.), the right kidney was removed and the left renal pedicle was clamped for 60 min. DBcAMP (5 mg/kg, i.p.) was given each 30 min before and after the renal pedicle clamping in half the dose each. Twenty-four hours after surgery, the levels of serum creatinine, BUN, serum potassium, and FENa% were significantly less elevated; and the total urine volume was significantly less decreased for 24 h in the group of IARF given DBcAMP than in the group of IARF alone. The elevation in Ca2+ content of the renal cortex was also significantly lower in the group of IARF given DBcAMP than in the group of IARF alone. These data indicate that DBcAMP can produce a beneficial effect on experimentally induced IARF. Since the intracellular accumulation of Ca2+ has been reported to be a potentially harmful factor in the development of IARF, it is suggested that the effect of DBcAMP on IARF can be in part due to an inhibition of the intracellular accumulation of Ca2+ in the kidney.

Acute Kidney Injury

A prospective study of tardive dyskinesia in Japan.

A large-scale, prospective study of tardive dyskinesia (TD) was performed in 11 psychiatric facilities in Japan. A total of 1595 psychiatric patients were enrolled in this study in 1987. The progress of these patients, with the exception of 490 dropouts, has now been followed up to 1988. The prevalence of TD at study entry was 7.6%, the annual incidence rate was 3.7% and the annual remission rate was 28.7%. Newly developed TD patients tended to be older, to have undergone more psychosurgery, and to have had lower neuroleptic doses than the patients who had not developed TD, whereas no specific variable could be detected as a factor associated with remission of TD. The results suggest that the incidence of TD is lower in Japan than that in Europe and North America.

Antipsychotic Agents

Elevation of serum CA 19-9 in parallel with HbA1c in a diabetic female with the Lewis(a+b-) blood group.

We report a 66-yr-old diabetic female with her serum CA 19-9 levels elevated in parallel with her hemoglobin A1c (HbA1c) levels. She was initially suspected of having pancreatic cancer, but this was later proved to be false. Her serum CA 19-9 levels varied between 58 and 235 U/ml over a 3-yr period, and correlated significantly (r = 0.68, P less than 0.01) with her HbA1c levels (7.2-13.3%). She belonged to the Lewis (a+b-) blood group. Serum CA 19-9 levels were also assessed in 73 diabetic patients (36 males and 37 females) in relation to sex and Lewis blood group. The mean level of serum CA 19-9 was higher in females than in males in each Lewis blood group, and it was the highest in patients with Le(a+b-) and the lowest in Le(a-b-). Patients with a higher level of HbA1c showed a higher level of serum CA 19-9 in Le(a+b-), but patients with Le(a-b-) showed a low level of serum CA 19-9 irrespective of HbA1c level. Patients with Le(a-b+) appeared to intermediate between the patients with Le(a+b-) Le(a-b-). Thus, the elevation of serum CA 19-9 level due to hyperglycemia was indicated to be affected by sex as well as Lewis blood group. The biosynthesis of CA 19-9 seemed to be accelerated in hyperglycemic diabetic patients, especially in females. Consequently, it was considered that the present case was a diabetic female with the Le(a + b -) blood group, which led to showing a relatively high level of serum CA 19-9 correlated with HbA1c level.

Aged

Contribution of hyperglycemia and renal damage to urinary C-peptide clearance in non-insulin-dependent diabetic patients.

The variation of urinary C-peptide clearance in relation to hyperglycemia and renal damage was evaluated in 57 patients with non-insulin-dependent diabetes mellitus (NIDDM) with and without overt proteinuria, 14 nondiabetic patients with renal disease (RD) and 18 healthy control subjects. Urinary C-peptide clearance expressed as the ratio of urinary C-peptide to creatinine clearance (CCP/CCR) in the fasting state did not differ in control subjects and RD patients, and was higher equally in NIDDM patients with and without proteinuria. In NIDDM patients without overt proteinuria, urinary levels of C-peptide, beta 2-microglobulin (B2M), N-acetyl-beta-D-glucosaminidase (NAG) and albumin as well as CCP/CCR ratio all decreased significantly with short-term glycemic control (P less than 0.05). Despite a wide range of CCP/CCR ratio (0.07-0.73), a weak but significant correlation (r = 0.56, P less than 0.005) was found between fasting serum and urinary C-peptide levels in NIDDM patients. These results suggest that urinary C-peptide may easily be affected by hyperglycemia per se rather than renal damage, while urinary B2M, NAG and albumin may be affected by both hyperglycemia and renal damage. When the urinary C-peptide level is interpreted, the influence of hyperglycemia on it must be taken into consideration.

Acetylglucosaminidase

The validation of a passive sampler for indoor and outdoor concentrations of volatile organic compounds.

Volatile organics compounds (VOCs) are ubiquitous in the air we breathe. The use of passive samplers to measure these concentrations can be an effective technique. When exposed for long durations, a passive sampler may be a good tool for investigating chronic exposures to chemicals in the environment. A passive sampler that was designed for occupational exposures can be used as such a tool. Laboratory validation under as many conditions as possible needs to be accomplished so as to characterize the sampler with known parameters. This paper describes the methods and results of an investigation into the validity of using a passive monitor to sample VOCs for a three-week period. Two concentration levels, two relative humidities, and five VOCs were studied. Results indicate that the samplers work best under conditions of high concentration with low relative humidity and low concentration with high relative humidity. For the passive sampler, excluding chloroform, percent deviations from the predicted values varied between -41 and +22 percent; while the values between the passive and the active samplers varied between -27 and +24 percent. Benzene, heptane, and perchloroethylene were sampled with equal precision and accuracy.

Air Pollutants

An analytical method to determine Henry's law constant for selected volatile organic compounds at concentrations and temperatures corresponding to tap water use.

Henry's law constants (H) are needed to model human exposure to Volatile Organic Compounds (VOCs) in indoor air resulting from the use of tap water. This paper presents an experimental method to determine Hs for several common tap water pollutants at concentrations and temperatures used in household water. For 5 VOCs Henry's law constants were obtained simultaneously over the 25 degrees C to 45 degrees C temperature range, providing data on H beyond the currently available data (up to 35 degrees C). Henry's law constants were obtained as the ratio of equilibrium concentrations of VOCs in air and water, using simultaneous sampling from sealed bottles kept at constant temperatures. Air and water samples were concentrated by a purge-and-trap method, thermally desorbed from a Tenax trap, and analyzed with a gas chromatograph with an electron capture detector (GC-ECD). Experimental results agreed well with available literature data.

Chemical Phenomena

Personal and indoor/outdoor nitrogen dioxide exposure assessments of 23 homes in Taiwan.

Indoor and outdoor nitrogen dioxide (NO2) concentrations of 23 homes from two areas in Taiwan, the city of Taipei and a rural village in central Taiwan, were measured concurrently from December 1987 to January 1988. NO2 measurements were carried out by Palmes tube for one week and filter badges for two days. In Taipei, the mean NO2 concentrations outdoors, in the kitchens, in the livingrooms, and in the bedrooms were 40.1 ppb, 34.4 ppb, 32.1 ppb, and 29.7 ppb for one week, and were 25.7 ppb, 25.6 ppb, 22.6 ppb, and 20.5 ppb for two days. In the village of central Taiwan, the corresponding concentrations were 23.5 ppb, 24.5 ppb, 20.4 ppb, and 17.5 ppb for one week, and 20.3 ppb, 24.7 ppb, 18.8 ppb, and 15.4 ppb for two days. The NO2 concentrations of all microenvironments in Taipei were significantly higher than those in the village of central Taiwan. The outdoor NO2 concentrations were significantly higher than the indoor NO2 concentrations in Taipei. The NO2 measurements in the kitchens were higher than all other measurements indoors and outdoors in the village of central Taiwan. The houses which used natural gas as cooking fuel had slightly higher indoor NO2 concentrations than the houses which used LPG as cooking fuel in Taipei city. Cement houses had slightly higher indoor NO2 concentrations than brick houses. The mean of housewives' exposures was 30.8 ppb in Taipei and 19.9 ppb in the village of central Taiwan. The explanation power of the housewife's exposure to NO2 was 72% by the time weighted-average model and 70% by the simple linear regression model.

Air Pollutants