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Biomedical subjects

H Hidai

Publications and source records attributed to H Hidai.

At least 19 recordsLinked to original sources
PubMed1992

[Is there any correlation between urea kinetics and the clinical outcomes in CAPD patients?].

Urea kinetic modeling was applied to 19 CAPD patients followed in our outpatient clinics. Serum beta 2-microglobulin was also measured as a marker of large molecular weight substances. Clinical conditions of patients were assessed by both doctors and patients. Patient's assessment were done by the questionnaire. Indices of urea kinetics (KT/V, PCR) and biochemical parameters were compared between well-treated and not well-treated patients judging from patient's and doctor's assessment scores. The rate of peritonitis was significantly higher in the latter group. None of the parameters were different between 2 groups except for serum albumin. There was a significant correlation between serum concentration of albumin and doctor's assessment score (gamma = 0.52). In conclusion, urea kinetic parameters is not a good indicator for adequacy of dialysis in our CAPD population. Serum albumin seems to be one of the indices for adequate dialysis. However, clinical symptoms and signs are more valuable than biochemical parameters for the assessment of adequacy of dialysis.

Adult↗
PubMed1990

[Nontraumatic hemorrhage in abdomen and retroperitoneum--CT, sonographic and clinical findings].

Sixteen patients with nontraumatic abdominal or retroperitoneal hemorrhage were examined with ultrasound (n = 16), and CT (n = 14). The lesions of the 10 patients with signs on the onset of hemorrhage were four rectus sheath hematomas, three renal subcapsular and perirenal hematomas, and subcapsular hematoma, pararenal hematoma, perirenal and parenal hematoma, on each. Fall in periphery blood hematocrit values within 24 hours after the onset was observed in only three patients. As the hematocrit value was increased, fluid area of hematoma was replaced by high density on CT and by hypoechoic area on ultrasound. The lesions of the remaining 6 patients were four renal subcapsular hematomas, one hepatic parenchymal and subcapsular hematoma, and one iliopsoas hematoma. CT is superior to ultrasound in evaluation of the nontraumatic hematomas. However, clinicians require to pay more attention to this disorder which occasionally mimick other disorders.

Abdomen↗
PubMed1990

Long-term continuous ambulatory peritoneal dialysis. Mass transfer and nutritional and metabolic stability.

Long-term mass transfer and nutritional and metabolic stability of end-stage renal disease patients maintained on continuous ambulatory peritoneal dialysis (CAPD) continue to be of concern. This study longitudinally monitored 43 Japanese CAPD patients (29 males, 14 females) from three centres within the Tokyo Metropolitan Area for an average period of 15 +/- (SD) 8 months. The mean time for patients on CAPD at study initiation was 18 +/- 15 months. Monitored parameters included urea and creatinine mass transfer coefficients, clearances and blood levels, ultrafiltration, lipid levels, dietary protein intake, and weight. Lipid data were also gathered retrospectively from patient records from the time of CAPD initiation. The results were analyzed using regression growth curve analysis and analysis of variance. Statistically significant linear rises with time were apparent only for the creatinine mass transfer coefficients, although this was not considered clinically significant in terms of changes either in peritoneal creatinine clearances or ultrafiltration. Serum cholesterol levels were found to rise significantly above pre-dialysis levels 11 months after CAPD onset, thereafter returning to levels not significantly above baseline levels. In summary, CAPD provided stable, acceptable treatment over the study period.

Adult↗
PubMed1990

[Ectopic production of human chorionic gonadotropin by poorly differentiated transitional cell carcinoma of the renal pelvis].

Herein we report a case of ectopic production of hCG by poorly differentiated transitional cell tumor of the renal pelvis. The patient was a 55-year-old male who had been diagnosed at another hospital as having giant hydronephrosis and renal stones and was referred to our hospital. The plain abdominal CT showed a low-density mass at the lower pole of the right kidney. His serum hCG level was as high as 120 mIU/ml. Transperitoneal nephrectomy was performed on July 7, 1987. Histopathological examinations showed the presence of squamous metaplasia within a high-grade transitional cell carcinoma, and immunohistochemical studies revealed the presence of chorionic gonadotropin in some giant cells. Two courses of combination chemotherapy with methotrexate, vinblastine, adriamycin and cisplatin (M-VAC regimen) were given to him from the third week after the operation. However, he died of debility with distant metastasis 6 months after the operation. As far as we know, this is the third reported case in Japan.

Antineoplastic Combined Chemotherapy Protocols↗
PubMed1987

Effects of membrane structure on removal of low molecular weight proteins.

Much attention is being devoted to the efficient removal of beta 2-microglobulin from patients on hemodialysis as it may cause amyloidosis. The objective of the present article is to clarify the beta 2-microglobulin removal characteristics of dialysis membranes having varying water contents and pore radii. For membranes of regenerated cellulose, polymethylmethacrylate (PMMA) and ethylenevinyl alcohol (EVA), solute and pure water permeability and water content were determined by the standard methods. Data analysis using a tortuous pore model allows determination of pore radius, surface porosity, and tortuosity, and hence, the sieving coefficient as a function of Stokes radius. Based on the tortuous pore model calculation, little beta 2-microglobulin is removed from patients on hemodialysis by regenerated cellulose and PMMA membranes, but EVA membranes, with a sieving coefficient of 0.5, are capable of removing it. The solute permeability for urea is about 2 orders greater than that for beta 2-microglobulin.

Blood Proteins↗
PubMed1987

Sonography for early diagnosis of enlarged parathyroid glands in patients with secondary hyperparathyroidism.

High-resolution sonography of the neck was performed in 207 patients undergoing renal dialysis to determine the usefulness of sonography in the evaluation of secondary hyperparathyroidism. The sonograms in 62 (30%) of the patients showed enlarged parathyroid glands, with an average of 2.3 glands per patient. Both the number and size of enlarged glands were increased in patients who had been receiving dialysis treatment for more than 6 years. Of the patients who had enlarged parathyroid glands on sonography, only 61% had bone pain, and only 63% had evidence of hyperparathyroidism on bone radiographs. Serum levels of amino-terminal parathormone were within normal limits in 26% of these patients. In 14 patients who underwent total parathyroidectomy, the accuracy of sonography for the detection of enlarged parathyroid glands was 77% (40/52 lesions). Sonography is a valuable technique for the detection of enlarged parathyroid glands in patients with secondary hyperparathyroidism associated with renal dialysis.

Adult↗
PubMed1987

Varying methods of sterilisation, and their effects on the structure and permeability of dialysis membranes.

This study elucidates changes in membrane structure and permeability due to the methods of sterilisation and the conditions under which they are carried out. Tubular dialysis membranes of regenerated cellulose having various values for porosity were sterilised by ethylene oxide gas, autoclave or gamma irradiation under varying conditions. Non-sterilised membranes were included as controls. The solute permeability of the membranes was determined using 14C-urea. The membranes tested showed no difference in clearance of urea or creatinine. Gamma-ray sterilisation under dry conditions greatly reduced the vitamin B12 clearance and hydraulic permeability of membranes with a water content of below 60%. Hydraulic permeability increased with gamma irradiation for membranes sterilised under wet conditions. A reduction in vitamin B12 clearance for membranes with a water content of above 60% resulted after autoclave sterilisation. Pore model calculation reveals that membrane shrinkage resulted from sterilisation both by gamma-rays under dry conditions, and by autoclave. Thus, the structure of dialysis membranes varies with the method of sterilisation and the conditions under which the sterilisation is carried out.

Cellulose↗
PubMed1978

Retrocaval ureter in children. Report of two cases.

2 cases of retrocaval ureter in children diagnosed by the combination of pyelography and cavography are reported. Transection and repositioning of these ureters corrected their abnormality. Retrocaval ureter in children is briefly discussed.

Child↗