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Biomedical subjects

A Naitoh

Publications and source records attributed to A Naitoh.

14 recordsLinked to original sources

Heterotopic autotransplantation of the distal pancreas segment after total pancreatectomy for cancer of the head of the pancreas.

Autotransplantation of the distal pancreas segment with pancreaticojejunostomy was performed in four patients with cancer of the head of the pancreas to preserve endocrine pancreatic function after extended total pancreatectomy. All patients had tumor involvement of both the celiac axis and the portal vein. The pancreatic graft was determined to be cancer-free by frozen section histologic and pancreatic juice cytologic examinations. The distal pancreas segment was autotransplanted to the iliac vessels heterotopically and placed in the extraperitoneal pocket to avoid untoward effects of any local recurrence or pancreatic leakage. This procedure, in the form of reconstruction, might be called modified subtotal pancreatoduodenectomy. Postoperatively, all patients remained normoglycemic without exogenous insulin administration, and their quality of life was considered satisfactory.

Aged

[Antitumor responses after reinfusion of autologous plasma perfused over immobilized protein A: a study in patients at advanced stages of cancer].

Four patients at advanced stages of cancer (Pts.#1 and #4; breast adenocarcinoma, Pt.#2; rectal adenocarcinoma, and Pt.#3; adenocarcinoma possibly originated in the pancreas) received reinfusions of plasma perfused over protein A columns (IMURé Corporation; Seattle, Wa., U.S.A.). The treatment schedule was essentially the same as was reported by "the Protein A Clinical Trial Group" (Messerschmidt, G. L., et al.). Twice a week, patients received 230-250 ml of protein A-treated plasma. No other anticancer modality was employed. Pt.#1 received only one treatment due to increased general malaise. Pts.#2 and #4 completed 12 and Pt.#3 received 13 plasma-therapies. General malaise on the day after plasma return was a common untoward effect, which usually disappeared spontaneously in 48 hours. Pt.#2 experienced chills during the first two plasma returns. Pt.#3 complained dyspnea at the 6th treatment. Otherwise, no serious adverse effect was observed. No remarkable changes were obvious in the profile of daily blood chemistry. Tumor ulcerated to the chest wall in Pt.#1 appeared to be dried and, in parts, to be edematous or have reduced the size 16 hours after the first plasma therapy, while no changes were obvious in the skin adjacent to the tumor. In Pts.#2 and #4, there appeared to be tumors were isolated at palpation. Ascites was reduced in Pt.#3. Increases in tumor markers were retarded in Pts.#2 (CEA) and #4 (CA15-3). CA19-9 in Pts.#3 and #4 did not increase during the perfusion therapy. Histology of tumor obtained from Pt.#4 six weeks after completion of the protocol revealed disruption of the tumor structure, necrosis of the tumor cells and increased deposit of fibrous materials. No objective reduction in the tumor sizes was achieved in any of the patients, and the overall result was "PD". It appeared to be full of suggestions, however, that the autologous plasma in such amounts of 230 ml or 3,000 ml did, after extra-corporeal manipulation, cause some changes in the tumor as were revealed by macroscopic and microscopic observations.

Adult

Primary structure of a base non-specific and adenylic acid preferential ribonuclease from Aspergillus saitoi.

The complete primary structure of a base non-specific and adenylic acid preferential RNase (RNase M) from Aspergillus saitoi was determined. The sequence was determined by analysis of the peptides generated by digestion of heat-denatured RNase M with lysylendopeptidase, and the peptides generated from RCM RNase M by digestion with staphylococcal V8 protease or chemical cleavage with BrCN. It consisted of 238 amino acid residues and carbohydrate moiety attached to the 74th asparagine residue. The molecular weight of the protein moiety deduced from the sequence was 26,596. The locations of 10 half cystine residues are almost superimposable on those of RNase Rh from Rhizopus niveus and RNase T2 from Aspergillus oryzae which have similar base specificity. The homology between RNase M and RNase Rh and RNase T2 amounted to 97 and 160 amino acid residues, respectively. The amino acid sequences conserved in the three RNases are concentrated around the three histidine residues, which are supposed to form part of the active sites of these RNases.

Adenosine Monophosphate

[A trial of mini-splint therapy for internal derangement of TMJ--application for cases without reduction by manipulation technique].

The mini-splint was applied to 21 patients with internal derangement of the temporomandibular joint (TMJ) who had failed in treatment by the manipulation technique. This appliance was constructed of two splints, which were built on the bilateral upper first bicuspids (teeth number 14 & 24, FDI) by methyl-meta-acrylate. As a result, the mean of the maximum interincisal distance was improved from 25.0 mm before to 41.0 mm after splint therapy. Among 21 patients, 18 patients were improved in interincisal opening, 12 patients were free from TMJ pain, and 3 patients were relieved from joint noise. Our studies indicate that this technique is useful as one of the treatment methods of TMJ internal derangement.

Humans

[Therapeutic embolization of infantile hemangioendothelioma of the liver].

A distinct syndrome in infantile hemangioendothelioma consist of high-output congestive heart failure, hepatomegaly and cutaneous hemangiomas. Early therapy aimed at reduction of the shunt is essential if life is to be saved once cardiac failure becomes manifest. We report a case of infantile hemangioendothelioma with massive A-V and P-V shunt successfully treated by transcatheter embolization.

Age Factors

[Multidisciplinary treatment of cancer of the pancreas].

During the past 18 and a half years, 285 patients with cancer of the pancreas have been treated in our hospital. By means of en-bloc resection of the lesion with the portal vein and/or hepatic artery, the resectable rate of cancer of the head of the pancreas was improved to 53% (1979-1983) from 22% (1966-1978). Postoperative deaths within 30 days after pancreatectomy were 9.8%. The five years survival rate in those with Stage I and II was 28.7%, but that with Stage III and IV was 15.2%. Intraoperative and/or external radiation therapy was adopted on 16 patients, in some of whom hyperthermia was further combined. As a result, remarkable effects on performance status were obtained. Intra-arterial infusion chemotherapy using a transfemorally implanted catheter was performed on ten patients with unresectable lesions, the median survival of whom was however, only four and a half months.

Adult

[An appraisal of the surgical management of stage I and II cancers of the pancreas].

During the period between 1966 and 1984, 65 patients with duct cell cancer of the head of the pancreas underwent pancreatectomy. Among the 15 cases with tumors less than 2 cm in size, 27% were in stage I, 53% in stage II and 20% in stages III and IV, suggesting that small pancreatic cancer is not compatible with early cancer. Prognosis of cancer of the pancreas was mainly dominated by the stage of the cancer and radicality of the operation. The 5-year survival rate in patients with curative resection in stages I and II was 60%, and prognosis was particularly satisfactory in cases with no, So, Rpo and Vo. In cases of tubular adenocarcinoma of the pancreas, the prognosis was also influenced by the lymphatic, venous, perineural and connective tissue infiltrations. These results substantiate the concept that extended radical pancreatectomy is an indispensable procedure for cancer of the pancreas even in stages I and II.

Humans

Removal of beta-2-microglobulin by diffusion alone is feasible using highly permeable dialysis membranes.

Techniques of filtration with high flux dialysis membranes are capable of easily removing beta-2-microglobulin (beta-2-M) (MW: 11,800) from renal failure patients. However, hemodialysis is preferred as a method of removing beta-2-M in terms of cost and operation. The present study elucidates the permeability characteristics for beta-2-M of newly developed cellulosic and synthetic polymer membranes for hemodialysis to determine the diffusive clearance for beta-2-M. The authors did dialysis experiments with 3H-labeled water and 125I-labeled beta-2-M to obtain the solute permeability of cellulosic and synthetic polymer membranes. Radioactivity of a single hollow fiber after dialysis experiments for predetermined periods was measured in a gamma counter. Through analysis of radioactivity data, they obtained solute permeability data, from which diffusive clearance for beta-2-M was calculated. With wet cellulose triacetate membranes, values for inside diameter, wall thickness, and water content were 205 +/- 10 microns (N = 100), 12.4 +/- 1.5 microns (N = 200), and 78 vol%, respectively. The cellulose triacetate membranes had a solute permeability for beta-2-M of (4.12 +/- 1.83) x 10(-5) cm/sec (N = 25) and a pure water permeability of 60 ml/m2/hr/mmHg. Diffusive clearance for beta-2-M was calculated to be 39 ml/min at a plasma flow rate of 160 ml/min and a dialysate flow rate of 500 ml/min. The diffuse clearance of capillary dialyzers composed of regenerated cellulose and synthetic polymer membranes ranged from 23 to 19 ml/min.(ABSTRACT TRUNCATED AT 250 WORDS)

Acrylic Resins