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Biomedical subjects

A Ogata

Publications and source records attributed to A Ogata.

At least 145 records · Page 8Linked to original sources
PubMed1991

Relationship between serum selenium concentration and atherogenic index in Japanese adults.

In mass health screening of the inhabitants of a coastal district in Fukui Prefecture, venous blood samples were collected from 304 men (aged 22-87 years) and 223 women (aged 23-84 years). We examined whether serum selenium concentration was related to atherogenic index [= (total serum cholesterol--high-density-lipoprotein cholesterol)/high-density-lipoprotein cholesterol] by multiple regression analysis with age, body mass index, and smoking and drinking habits as independent variables. Atherogenic index was a significant increasing factor of serum selenium concentration in the entire male subjects and the female subjects aged above 60 years.

Adult↗
PubMed1991

[Hyponatremia during transurethral resection of the prostate].

In a retrospective study of 222 patients who underwent transurethral resection of the prostate under spinal anesthesia, plasma sodium levels during the operation were examined. The weight of prostate resected, the volume of irrigating fluid used and the duration of the operative procedure influenced the changes in plasma sodium levels. But, these changes were not statistically significant. The rise in central venous pressure values was associated with the absorption of irrigating fluid as evidenced by a drop in plasma sodium. The central venous pressure was monitored in 77 patients. There was a statistically significant correlation between the degree of hyponatremia and the rise in central venous pressure (P less than 0.001). The rise in central venous pressure reflected a change in the patient's cardiovascular status and it was, therefore, possible to treat the hyponatremia quickly and effectively. Central venous pressure monitoring is helpful in determining hyponatremia before it becomes clinically manifest.

Aged↗
PubMed1991

[Epidemiological factors affecting place of terminal care and of death in the elderly].

To clarify the factors associated with the location where terminal care and death occurs in the elderly, we conducted interviews of family members who had cared for elderly persons who died from cerebral infarction in Fukui City, Sabae City, and Oono City in 1985. Subjects selected had conscious levels that were clear or Level 1 on the Japan Coma Scale at the onset of disease and whose debilitation had exceeded six months. We evaluated the characteristics of three groups, Group 1 comprising 21 subjects who had died in a hospital after both institutional and home care, Group 2 being 30 people who had died at home after a similar course of treatment as Group 1, and Group 3 being 18 subjects who had died at home after non-institutional care. In Group 1, elderly spouses of the subjects performed a larger part of the care than in the other groups. Caregivers who were members of the same household as the subjects had higher rates of having jobs other than housekeeping and of receiving medical treatment for some disease in Group 1 than in the other groups. Subjects in Group 2 received relatively more care in their own households and obtained greater amount of medical service assistance. Subjects in Group 3 experienced the least amount of disturbance in daily living activities, the shortest period of debilitation, and had the most household members able to take care of them.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1990

Elevated levels of interleukin-6 in serum and cerebrospinal fluid of HTLV-I-associated myelopathy/tropical spastic paraparesis.

A significant elevation of interleukin-6 (IL-6) level was observed both in serum (mean 0.455 +/- 0.251) and in cerebrospinal fluid (CSF) (mean 0.043 +/- 0.016) obtained from 13 patients with HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) when compared to that of either asymptomatic carriers (mean 0.181 +/- 0.074 and 0.021 +/- 0.015, respectively) or controls (mean 0.208 +/- 0.119 and 0.021 +/- 0.015, respectively). The differences were statistically significant between HAM/TSP and asymptomatic carrier for serum (P less than 0.05) or CSF (P less than 0.01). The correlation indexes between serum IL-6 and anti-HTLV-I antibody titers in serum and CSF were 0.61 (P less than 0.06) and 0.67 (P less than 0.05), respectively. Both the cell count and protein level in CSF correlated with CSF IL-6 activity at 0.68 (P less than 0.01) and 0.56 (P less than 0.05), respectively. The results demonstrate that IL-6 may contribute to the production of anti-HTLV-I antibody, and signs of slight inflammation are present in the central nervous system in HAM/TSP.

Aged↗
PubMed1990

[Cumulative incidence rate of divorces for birth cohort estimated by the life-table method].

The trend of divorces has been usually evaluated by the divorce rate. However, it is difficult to make detailed analyses of the trend of or relevant factors concerning divorces by the divorce rate, because the denominator of this index is not a population at risk of divorces. The application of the life-table method to calculation of cumulative incidence rate of divorces for a birth cohort based on vital statistics data was introduced and its problems were discussed. This method was able to give a precise incidence rate of divorces and made it possible to examine the relationship of marital durations, generation of cohorts or age at marriage to the incidence of divorces. The results obtained were as follows: 1. The cumulative incidence rate of divorces increased and the marital duration-specific incidence rate of divorces decreased with continuation of marriages. 2. The cumulative incidence rate of divorces was higher in younger birth cohorts than in older cohorts. 3. The cumulative incidence rate of divorces was the lowest in the cohort married when the husband was 23 to 32 years of age than in the cohorts with other ages at marriage in all the birth cohorts examined.

Age Factors↗
PubMed1990

[Rate of incidence of divorce in birth cohorts classified by age difference between married couples].

We examined the situation concerning divorce in Japan from the view-point of age difference between married couples using vital statistics from the year 1952 to 1985. Annual and cumulative divorce rates were introduced as rate of incidence of divorce. We studied these indices by age difference between couples in birth cohorts of husbands. Our conclusions were as follows: 1) The cumulative divorce rate was lower in early birth cohorts than in late birth cohorts. 2) The cumulative divorce rate for young adult couples (aged 20-30) was higher than that for middle-aged couples (aged more than 30) in every cohort. 3) The cumulative divorce rate was lowest when husbands were 1 to 4 years older than wives. This tendency was quite similar in different ages and cohorts. 4) The same conclusions were reached when the annual divorce rate was substituted for the cumulative divorce rate.

Adult↗
PubMed1990

Clinicopathological study of multiple gliomas--report of three cases.

Three cases of multiple gliomas with postmortem findings including a rare case of multicentric glioma are presented. A 59-year-old female was hospitalized with decreased mental activity and gait disturbance. Computed tomographic (CT) scans and magnetic resonance (MR) images showed two independent mass lesions in the left frontal and the right temporal lobes, shown by postmortem to have no communication. Histologically, they were a gemistocytic astrocytoma and an anaplastic astrocytoma, respectively. Therefore, multicentric glioma was diagnosed. A 66-year-old male was admitted with slow mentation and gait disturbance. CT scans and MR images demonstrated two mass lesions; one overriding the bilateral frontal lobes through the corpus callosum and the other in the left temporal lobe. Postmortem examination showed that both lesions were glioblastoma and the left temporal tumor was accompanied by subarachnoid dissemination. A 29-year-old male was hospitalized with gustatory hallucination and convulsions of the right upper extremity. CT scans revealed two mass lesions in the right frontal and the left temporal lobes. MR images demonstrated communication between the two lesions through the corpus callosum. The left temporal tumor developed into the occipital lobe and another new lesion appeared in the right temporal lobe despite chemotherapy and irradiation. Postmortem examination revealed communication between the three masses through the corpus callosum. Histologically, all three tumors were glioblastoma. Multicentric gliomas have been reported at various incidences from 2.3 to 9.1%. However, multicentric gliomas with multiple tumors of different histologies are very rare and only 16 cases have been reported. MR imaging is more valuable than CT scanning to detect communication between two or more lesions.

Aged↗
PubMed1990

Vibration-induced white finger and auditory susceptibility to noise exposure.

It is well known that there are wide individual variations in the susceptibility of human hearing to noise exposure. The hearing of male forest workers were examined with vibration-induced white finger (VWF) as an indicator of noise susceptibility of hearing. The results were as follows: 1. Hearing losses at 4 and 8 kHz in subjects with VWF were greater than those of unaffected men in a matched pair case-control study allowing for confounding due to differences of age and noise exposure. 2. The hearing loss at 4 kHz on the ipsilateral side of the hand with VWF was greater than the loss on the contralateral side in subjects with VWF in one hand. 3. The hearing loss at 4 kHz in subjects with VWF progressed more rapidly during a five-year follow-up period than the loss in men with no history of VWF. These results indicate that the hearing of subjects with VWF was more vulnerable to noise than the hearing of subjects without VWF. It was suggested that a pathological change causing VWF, such as enhanced vasoconstriction due to elevated sympathetic nervous tone, could also cause this additional auditory vulnerability to noise exposure.

Adult↗
PubMed1990

[Comparison of effects of intravenous versus intramuscular famotidine on pH and volume of gastric juice].

Famotidine, an H2-antagonist, is frequently used for prevention of acid aspiration in surgical patients. Intravenous as well as intramuscular administration of famotidine has proved effective to reduce gastric acid secretion during anesthesia. However, the onset and duration of action of famotidine following intravenous administration has not been extensively investigated. In the present study on 89 patients undergoing elective surgery, the effects of famotidine 20 mg administered intravenously 5-30 min before endotracheal intubation on pH and volume of gastric contents aspirated 0, 1, 2, and 4 hrs after tracheal intubation and immediately after extubation through nasogastric tube were compared with the effects of the drug administered intramuscularly one hour before endotracheal intubation. Famotidine administered intramuscularly 5-14 min before endotracheal intubation produced inadequate suppression of gastric secretion after tracheal intubation. In contrast, intravenous famotidine given 15-30 min before tracheal intubation, as well as the intramuscular administration of famotidine as premedication, effectively decreased gastric fluid volume and increased gastric pH. Suppression of gastric secretion by intravenous and intramuscular famotidine continued for over 4 hours. Intravenous famotidine has a rapid onset and a long duration of depressant action on gastric secretion, thus reducing the risk of aspiration pneumonitis during and after general anesthesia.

Adult↗
PubMed1990

[Dependency of Japanese encephalitis virus neurotropism on neuronal immaturity of rat cerebral cortex].

It is generally accepted that, the younger an animal is, the more susceptible it is to Japanese encephalitis virus (JEV) infection. A time-kinetic study of JEV antigen in the developing rat brain after infection disclosed that in the motor cortex, neurons were diffusely infected with JEV until the age of 5 days. However, on exposure from the 6th to 7th day, only the neurons of the upper layers were infected; those of the deeper layers remained uninfected. On the 8th day, the infection was limited to the superficial neurons, and from the 9th day onward, no neurons were infected. Since neuronal maturation in the motor cortex begins in the deeper layers and extends to the upper layers, it seems that JEV targets immature neurons. Fifteen-day-old rats, which were resistant to JEV infection, received intracerebral transplants of neurons taken from 19th-day embryos. When these animals were infected with JEV at 3 days after transplantation, viral antigen was detected only in the transplanted neurons; the host neurons were negative. However, when animals were infected with JEV at 9 days after transplantation, neither host neurons nor donor neurons became infected. This showed that JEV attacked embryonal neurons only early after transplantation into young-adult brains. JEV infectivity limited to the immature neurons was also confirmed by in vitro explant culture experiments. It can be concluded from these experiments that the susceptibility to JEV infection in the rat brain is closely associated with neuronal immaturity.

Animals↗
PubMed1990

[An autopsy case of primary intracranial malignant lymphoma showing extracranial disseminations].

An autopsy case of malignant lymphoma of the central nervous system which showed extracranial disseminations was presented. A 50-year-old man developed mental and physical slowness over one year prior to admission followed by dementia and consciousness disturbance without general physical symptoms. Physical examination on admission showed no lymph node enlargement, hepatomegaly, splenomegaly, or abdominal mass. Neurological examination revealed mild dementia, left positive Babinski and Chaddock reflexes, and bilateral positive frontal lobe signs. CT scan revealed low density areas with contrast enhancement in the white matter of the bilateral parietal lobes adjacent to the trigon of lateral ventricles. Without any therapy, the low density area in the left cerebral hemisphere on CT scan disappeared and the low density area in the right cerebral hemisphere became unenhanced. Any other lesions except brain were found despite of the extensive systemic examinations including scintigrams, echograms, gastrointestinal examinations, body CT scan, aspiration of bone marrow, and lymphography. Primary intracranial malignant lymphoma was suspected and treated with steroid without any response. Subsequent radiation therapy made a transient improvement. But a few months later, the brain lesions gradually worsened, followed by general physical deterioration with diarrhea, pleural fluids, and ascites. Cytologic study of cerebrospinal fluid revealed neoplastic lymphocytes with atypical nuclei containing conspicuous nucleoli and mitosis, which were identified as B cell type malignant lymphoma by analysis using monoclonal antibody. The patient died of cardiac failure about two years after the initial symptom.(ABSTRACT TRUNCATED AT 250 WORDS)

Antibodies, Monoclonal↗
PubMed1989

Hearing of forest workers with vibration-induced white finger: a five-year follow-up.

To examine the association between vibration-induced white finger (VWF) and hearing loss, 108 male forest workers who regularly used vibrating tools were followed up for five years. Case-control pairs matched for initial age and hearing level and exposure time to noise during the study period were selected from men with and without VWF. The hearing levels significantly worsened during the follow-up period at 2, 4 and 8 kHz in the affected cases but only at 8 kHz in the controls. Since threshold shift at 4 kHz, which is a typical effect of noise exposure, was significant only in the affected cases, it is suggested that the hearing of people with VWF was more vulnerable to noise. A pathological change causing VWF might also increase the susceptibility of hearing to noise damage.

Aging↗
PubMed1989

Malignant melanotic neuroectodermal tumor arising from the pineal body.

A case of a melanotic neuroectodermal tumor arising from pineal region of a 4-year-old girl is presented. The tumor had spread diffusely to the meninges, consistent with malignant behavior. Histologically, the tumor consisted primarily of epithelial elements arranged in tubules, cords and nests separated by fibrous vascular tissue in addition to a small neuroblastomatous focus. Melanin pigment was frequently observed in the epithelial tumor cells, and melanin-laden macrophages were also often observed. No teratoid elements were found. Immunohistochemically, tumor cells were positive for neuron-specific enolase but were nonreactive for S-100 protein, epithelial membrane antigen, glial fibrillary acidic protein, vimentin, alpha-fetoprotein and human chorionic gonadotrophin. Ultrastructurally, the epithelial nature of the tumor cells could be easily demonstrated. In addition, melanosomes in various stages in maturation were observed, indicating melanogenesis of the tumor. On the basis of the tumor location and the histological similarities previously observed for the fetal pineal body, it is very likely that this melanotic epithelial tumor could have originated from the fetal pineal gland.

Brain Neoplasms↗
PubMed1989

Glutathione and cysteine enhance and diethylmaleate reduces thiabendazole teratogenicity in mice.

The effects of cysteine (CYS), glutathione (GSH) and diethylmaleate (DM) on the teratogenicity of thiabendazole (TBZ) were investigated. On day 9 of gestation mice were given ip a dose of 0, 50 or 100 mg CYS/kg body weight, or 0, 400 or 800 mg GSH/kg, or 0, 0.05, 0.10, 0.15 or 0.60 DM/kg. One hr later they were dosed orally with 0, 250, 500 or 1000 mg TBZ/kg. All foetuses were removed from the uterus on day 18 of gestation, and were examined for external and skeletal anomalies. The number of malformed foetuses was increased in mice pretreated with CYS or GSH and was decreased in those pretreated with DM, in comparison with numbers in the corresponding group treated with TBZ alone GSH pretreatment enlarged the area under the curve (AUC) of TBZ and 5-hydroxyTBZ, a representative metabolite, in foetal tissue. DM pretreatment reduced the AUC of TBZ and 5-hydroxyTBZ.

Abnormalities, Drug-Induced↗