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Biomedical subjects

E Okada

Publications and source records attributed to E Okada.

At least 109 records · Page 6Linked to original sources

[Fundamental and clinical studies on T-1982 (cefbuperazone) in the field of obstetrics and gynecology].

Fundamental and clinical studies on T-1982 (cefbuperazone), a new cephamycin antibiotic, were carried out, and the following results were obtained. When T-1982 was administered at a dose of 1 g by intravenous drip infusion for 30 minutes or 1 hour, the concentration in serum showed as high as 23.0 micrograms/ml or 25.0 micrograms/ml even 2 hours after administration. The concentrations in the genital tissues about 5 hours after administration ranged 1.2-45.6 micrograms/g for 30 minutes drip infusion and 0.9-26.8 micrograms/g for 1 hour drip infusion. From these results, T-1982 was supposed to maintain the in vivo concentration to inhibit 80-100% the growth of bacteria such as S. aureus, E. coli, Klebsiella, Proteus, S. marcescens and Gram-negative anaerobic bacteria, B. fragilis which were often isolated clinically in the field of obstetrics and gynecology. When T-1982 was administered at a dose of 1-2 g twice a day to 14 patients with female genital infection; 2 intrauterine infection, 2 pyometra, 7 pelveoperitonitis, 1 adnexitis, 1 adnexal abscess and 1 vaginal cuff abscess, the clinical results were excellent in 9, effective in 4 and poor in 1. The efficacy rate was 92.9%. No side effects nor abnormalities in laboratory findings were observed in any of the 14 cases. These results suggest that T-1982 has efficacy for the treatment of obstetrical and gynecological infections.

Abscess↗

Immunocytochemical study on cholera toxin binding sites by monoclonal anti-cholera toxin antibody in neuronal tissue culture.

An indirect method of immunocytochemistry showed that cholera toxin and its B-subunit served as specific neuronal surface markers in conjunction with monoclonal anti-cholera toxin and FITC labeled anti-mouse Fab. The cell types which get specifically stained in culture were peripheral neurons from dorsal root ganglion cells, superior cervical ganglion cells, and cerebral neurons, all of which were rat tissue, and NGF-treated PC12 cells. Non-neuronal cells, i.e. Schwann cells, fibroblasts and glia cells, were not stained. This method can, therefore, be used to distinguish neurons from non-neuronal cells in neuronal tissue cultures, as in the case of tetanus toxin described in the literature.

Animals↗

[Acute preoperative hemodilution in radical hysterectomy for carcinoma of the uterine cervix (author's transl)].

With an attempt to diminish the post-transfusion hepatitis following radical hysterectomy, the study was made on 27 cases of cervical cancer undergone the operation. Fifty cases with blood transfusion immediately prior to the study was taken as control group. Under general anesthesia, 800 ml of venous blood was drawn from the peripheral vein under simultaneous infusion of 1,000 ml of Saviosol to maintain the circulating blood volume. The blood was returned after hemostatizing procedures. Of the study group, the blood loss, operation time, urinary output during the operation, and drainage amount were 960 g, 157 minutes, 350 ml and 160 ml respectively, while those of control group were 930 g, 164 minutes, 150 ml and 280 ml. The circulation status remained within normal limits, no bleeding tendency was appeared. Blood loss of the study group was estimated 960 g, however the actual blood loss calculated was on l6 719 g. There were no particular complication in the study group, while there was 12% of hepatitis among the control group. The advantages were concluded as 1) Patient was under normovolemic state when the operation started. 2) The blood transfused had normal O2 transport and hemostatic capacity. 3) The management of the patient was not so difficult and no special equipment and technique were needed.

Female↗

Basal lamina deficiency in Schwann cells induced by beta-aminopropionitrile (BAPN) in rat dorsal root ganglion culture.

In cultures of rat dorsal root ganglion (DRG) treated with beta-aminopropionitrile (BAPN), the following abnormalities were observed. Abnormalities in the size and the shape of collagen fibers; longer periodicity of collagen fibers in BAPN (70 +/- 5 nm) than in control (66 +/- 6 nm) (P less than 0.025); lack of basal lamina of both unmyelinated and myelinated Schwann cells; and abundant amorphous materials in the interstitial area between fibroblasts or peripheral cells and Schwann cells associated with neurites. Detachment of the explant from the collagen substratum also occurred and showed dose dependency. In contrast to the alterations of connective tissue, the neurites were well preserved in this experimental regimen.

Aminopropionitrile↗

The use of networks of dissociated rat dorsal root ganglion neurons to induce myelination by oligodencrocytes in culture.

A neuronal culture system has been developed that has the demonstrated ability to induce myelin formation by added oligodendrocytes. Networks of dissociated dorsal root ganglion neurons were prepared by suppressing non-neuronal cells (i.e. fibroblasts and Schwann cells) with a continuous 2 week exposure to 10(-5)M fluorodeoxyuridine in the culture medium. After drug withdrawal, neuroglial cells were introduced in optic nerve implants from 1-2 week-old rats. These added glial cells migrated extensively over the unensheathed neurites and central myelin was formed by 2 weeks after the implant addition.

Animals↗

Abnormalities expressed in long-term cultures of dorsal root ganglia from the dystrophic mouse.

We have compared the development in long-term tissue culture of dorsal root ganglia taken from normal and dystrophic mice. Cultures were prepared from late fetal (15--20 days) or neonatal mice of either the C57BL/6 dy2j/dy2j dystrophic (dy) or C57BL/6J +/+ (control) strain and maintained until fully myelinated (5 weeks or more). Analysis by light and electron microscopy indicated that the substantial ensheathment failure present in certain dy nerve roots in vivo is not expressed in cultures; myelination and Schwann cell numbers are comparable to control cultures. On the other hand, many of the subtle abnormalities more recently described in distal parts of peripheral nerves of dystrophic mice are expressed in the dy cultures. These include: (a) discontinuity in the basal lamina surrounding both myelin-forming and non-myelinating Schwann cells: (b) elongated nodes of Ranvier occurring along otherwise well myelinated nerve fibers; (c) relatively short myelin internodes that are increased in thickness as well as irregularities of internode length along a nerve fiber; (d) Schwann cell nuclei substantially displaced from the central point of myelin internodes; and (e) occasional regions of incomplete ensheathment of unmyelinated nerve fibers. In discussing these observations, we present arguments that the dy nerve lesion may be explained by the presence of an abnormality in the extracellular matrix of the peripheral nerve tissues of the dy mouse.

Animals↗

[Fundamental and clinical studies on cefamandole in the field of obstetrics and gynecology (author's transl)].

1) Tissue concentrations of cefamandole (CMD) one hour after the end of 2 g/30 approximately 60 minutes drip infusion were 7.3 approximately 13.1 microgram/g in uterus, ovary and oviduct. These concentrations were higher than MICs of 70 approximately 100% of causative organisms, including Staphylococcus aureus, Escherichia coli, Klebsiella, Proteus mirabilis, Enterobacter and Citrobacter, isolated from the infections in the field of obstetrics and gynecology. 2) CMD was administered to 14 patients with moderate infections in the field of obstetrics and gynecology at a daily dose of 4 g for 5 approximately 7 days. The overall clinical efficacy obtained was as follows; excellent in 7 cases (50%), good in 3 cases (21%) and poor in 4 cases (29%). 3) Antimicrobial activity of CMD against causative organisms resembled that of CEZ. 4) No adverse effects and abnormal laboratory findings were observed. From the above, we considered that CMD was an effective and safe antibiotic against infections in the field of obstetrics and gynecology.

Adult↗

Abnormalities of the sciatic nerves of dystrophic mice with reference to the large U-axons.

A statistical study using regression analysis was used to evaluate the density of axonal organelles in dystrophic peripheral nerves. The slope of the density of neurotubules (NT) in myelinated (M-) axons was different from that in small unmyelinated (U-) axons. The slope of the density of NT in large U-axons (larger than 1.5 micron in diameter) was similar to that of the M-axons in both the dystrophic and control mice. There was a higher density of NT in the dystrophic M-axons than in the controls in the anterior, posterior and mixed nerves of the sciatic nerve. There was also a higher density of NT in the dystrophic small U-axons than in the controls. There was a higher density of neurofilaments (NF) of M-axons in the dystrophic mice than in the controls. On the contrary, the NF of small U-axons were lower in density in the dystrophic mice. These results were different from our previous reports, which were observed in the distal part, depending on when the groups of U-axons were divided (Okada, Mizuhira and Nakamura 1976a).

Animals↗

Congenital dilatation of intrahepatic bile ducts associated with hepatic fibrosis and medullary sponge kidney--reconstruction and microdissection study.

An autopsy case of a four-year-old female with congenital dilatation of intrahepatic bile ducts with bilateral medullary sponge kidney is presented. The liver and kidney were investigated by reconstruction with serial sections and the kidney was also studied by microdissection. In this case the dilatations of collecting tubules and intra- and extrahepatic bile ducts were observed. We regard these lesions as developmental anomalies since these sites of both organs are excretory ducts derived from the endoderm. The liver cirrhosis observed at autopsy had developed in the course of the disease because the liver architecture was well preserved in the biopsy material. The patient had fatal cholangitis without cholelithiasis.

Bile Ducts, Intrahepatic↗

[Laboratory and clinical studies on cefoxitin in the field of obstetrics and gynecology (author's transl)].

1) Serum concentrations of cefoxitin (CFX) was lower than that of cefazolin (CEZ), but the tissue concentrations of CFX were higher in ovary, oviduct and uterus compared with CEZ. 2) CFX was administered to 15 patients with moderate intrapelvic or urinary tract infections at a dose of 4 g per day for 5 to 7 days. The overall results obtained were as follows; excellent in 6 cases, good in 6 cases. The CFX treatment was effective in all patients, 8 cases, with intrapelvic infections. 3) The majority of organisms detected were E. coli (12 strains), and the antimicrobial activity of CFX against them was superior to those of CEZ and CET. 4) No side effects and abnormal laboratory findings were observed. 5) It is considered that CFX will be a useful drug in the field of obstetrics and gynecology.

Adnexal Diseases↗

Abnormally combined myelinated and unmyelinated nerves in dystrophic mice.

Abnormally combined M- and U-nerves were observed in the peripheral nerves of C57BL dystrophic mice. They were counted in the sciatic nerves of the dystrophic mice 3 times more frequently than in control mice. The myelin disappeared beyond the nodes of Ranvier just as in the dysmyelination of dystrophic mice. Some of the U-axons inside the myelin were enveloped by Schwann cell cytoplasm while others were not. The myelinated U-axons contained cored vesicles, dilated endoplasmic reticulum and degenerate mitochondria. These abnormalities might cause disordered function and be related to the pathophysiology of murine muscular dystrophy.

Animals↗