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Biomedical subjects

H Kono

Publications and source records attributed to H Kono.

At least 163 records · Page 9Linked to original sources

Etiology of QT prolongation and T wave changes in chronic alcoholism.

Etiology of QT prolongation and T wave high voltage was studied in 90 chronic alcoholics in relation to history of alcoholism, blood chemical values, heart rate and QRS voltage with a technic of multiple regression analysis. Incidences of QT prolongation (22%), T wave high voltage in lead V2 (9%), hypopotassemia (23%), hypocalcemia (26%) and hypomagnesemia (28%) were high, despite these examinations were done after relatively long abstention period (35 days on average). Sinus tachycardia (19%) and QRS high voltage (SV1 + RV5 exceeding 4 mV, 41%) were also frequent. Unexpectedly, QT interval did not correlate to serum electrolytes, including calcium. Major factors associated with QT prolongation were sinus tachycardia, longer abstention period and larger amount of daily alcohol consumption. Although the reason of each association was not quite clear, alcoholic myocardial damage may be a cause of QT prolongation. Voltage of T wave in lead V2 was sensitive to serum potassium level, but the observed tendency of hypopotassemia acted to the direction against high voltage of T wave. The sole factor positively associated with high voltage of TV2 was high QRS voltage, which may be a manifestation of left ventricular hypertrophy.

Adult↗

[Serum gonadotropin concentrations in preterm infants and sex difference (author's transl)].

We measured FSH and LH concentrations in 130 cord sera and 217 peripheral sera obtained from infants of 28-42 weeks in gestation, aged 5-75 days after birth, by radioimmunoassay. Cord FSH and LH levels were 3.9-13.6 mIU/ml and 43.3-88.5 mIU/ml respectively, and decreased with advancing gestation. Although FSH levels in 28-31 weeks were higher in female than in male, another sex difference was not found. Postnatal FSH levels in male preterm infants decreased within 10 day, thereafter continued low levels (3.7-5.6 mIU/ml). However, in male term infants and female infants, FSH levels increased with peak levels between 11-30 days after birth, and then decreased gradually. The elevation of FSH levels in female was more remarked and prolonged in preterm infants than in term infants. Postnatal LH levels in both male and female decreased rapidly after birth, and then had similar pattern of FSH levels. Serum gonadotropin levels during the neonatal period were higher in female than in male, except for LH in term infants (male greater than female).

Female↗

[Sex differences in correlation coefficient among the cord serum levels of LH-hCG, beta-hCG, FSH, estradiol cortisol and testosterone (author's transl)].

Lutenizing hormone (LH-hCG), follicle stimulating hormone (FSH), beta-human chorionic gonadotropin (beta-hCG), estradiol, cortisol and testosterone were determined and correlated with each hormones in 62 cord sera (32 male and 35 female infants). Mean (+/- S.E.)male cord sera cortisol concentrations (36.2 +/- 3.9 ug/dl) were significantly (p less than 0.05) higher than that of female (24.1 +/- 3.7 ug/dl). Another hormones were not found significant sex difference. Regression analysis showed significant positive correlations between LH-hCG (r = 0.525, p less than 0.001) or beta-hCG (r = 0.461, p less than 0.005) levels and FSH levels in all cord sera (N = 67). In male cord sera, there were significant positive correlations between LH-hCG (r = 0.493, p less than 0.01) or beta-hCG (r = 0.485, p less than 0.01) levels and testosterone levels. There was a significant positive correlation (p less than 0.01) between estradiol levels and testosterone levels in female cord sera. These data suggest (1) the sex difference of cortisol levels which indicate the response for the stress during labor and delivery, (2) there was a significant sex difference in the maturation of the feed back mechanism in pituitary-gonadal axis.

Chorionic Gonadotropin↗

[Head injury in children--with special reference to CT findings (author's transl)].

Findings of computerized tomography (CT) in 183 cases of head injury in children were investigated with special reference to CT findings of mild head injury. As was expected, CT findings of mild head injury fell within the normal range, in almost all cases. However, abnormal findings were noticed in 4 out of 34 cases (12%) in acute stage and 7 out of 76 cases (9%) in chronic stage. They were 3 cases of localized low density area in acute stage and 6 cases of mild cerebral atrophy in chronic stage, etc. There were some cases of mild head injury in which CT findings were normal while EEG examination revealed abnormality. Also in some cases, x-ray study demonstrated linear skull fracture which CT failed to show. These conventional techniques could be still remained as useful adjunct aid in diagnosis of head injury. CT findings of cases of cerebral contusion in their acute stage were divided as follows; normal, low density, small ventricle and ventricular and/or cisternal hemorrhage, frequency of incidence being 38, 17, 22, 11% respectively. These findings were invariably converted to cerebral atrophy from 10 days to 2 months after the impacts. In the cases with intracranial hematoma revealed by CT, only 32% of them showed clinical signs of Araki's type IV in their acute stage and 63% of them showed no neurological defects, that is Araki's type I & II. A case of extreme diffuse cerebral atrophy which followed acute subdural hematoma caused by tear of bridging veins without cortical contusion was presented.

Adolescent↗

[The role and secretion of prolactin in the human fetus and neonate (author's transl)].

Prolactin (PRL), growth hormone (GH), and estradiol-17 beta (E2-17 beta) levels were measured by radioimmunoassay in umbilical venous serum from 118 full term normal infants and 11 anencephalic infants. In anencephalic infants, the concentration of GH:2.4 +/- 1.6 ng/ml (mean +/- SD, n = 11) and E2-17 beta:2.3 +/- 1.4 ng/ml (n = 6) were significantly lower than those in normal infants (GH: 16.5 +/- 9.0 ng/nl n = 65; E2-17 beta:12.4 +/- 8.0 ng/ml, n = 108). There was no significant difference of PRL levels between normal infants (324 +/- 118 ng/ml, n = 118) and anencephalic infants (253 +/- 86 ng/ml, n = 10). There was significant positive correlations between PRL and E2-17 beta levels in normal infants (p less than 0.01), and was significant negative correlation between PRL levels and birth weight (p less than 0.01). These results suggested that PRL secretion is affected by estrogens during fetal period and fetal PRL has some effects for the regulation of fetal growth as somatogenic hormone.

Anencephaly↗

Effects of synthetic LH-RH and TRH on pituitary function in anencephalic infants.

The pituitary endocrine function in 4 anencephalic infants was studied by measuring the concentrations of growth hormone, prolactin, thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH) and luteinizing hormone (LH) in umbilical venous serum. There was no significant difference in hormone levels between the anencephalic and normal infants. The response of FSH and LH was negative after administration of 10 micrograms of luteinizing hormone-releasing hormone. The TSH levels after administration of 50 micrograms of TRH elevated about 4- to 6-fold over pre-administration levels. These results indicate that the hypothalamo-pituitary axis of the human fetus initiates its function from mid-pregnancy; TSH may have an autoregulating system of the pituitary itself.

Anencephaly↗

Interrelated changes in gamma-glutamyltransferase activity and HDL-cholesterol level in the sera of patients with alcoholic liver injury.

The levels of HDL-cholesterol and gamma-glutamyltransferase in the sera of 17 patients with alcoholic liver injury were followed after abstinence and compared with those of 11 patients with acute non-alcoholic hepatitis. The activity of gamma-glutamyltransferase decreased in all cases irrespective of the type of liver injuries. The level of HDL-cholesterol also decreased in 11 of 17 cases with alcoholic liver injury. The other alcoholics, in whom HDL-cholesterol level increased or showed no definite change after withdrawal of alcohol, had severe and advanced liver injuries. In non-alcoholic hepatitis, the HDL-cholesterol level increased as normal liver functions were restored except for one case with cholestatic features. It was concluded that alcohol intake can increase HDL-cholesterol level even in the presence of a concomitantly induced hepatic lesion.

Acute Disease↗

Effect of acute and chronic ethanol administration on the content of coenzymes linked to energy transfer in the liver of rats fed standard or low-protein diet.

1) In rats fed a standard diet or a protein restricted diet the effect of acute and chronic ethanol administration on liver content of adenine nucleotides was studied. In the long-term experiments the total liver content of NAD and NADP was additionally determined. 2) a single oral ethanol load does not significantly influence the total adenine nucleotide content. Liver AMP content increases immediately following ethanol ingestion about 2-fold and remains elevated for 12 hours. ATP content and ATP/ADP ratio are significantly reduced within 30 minutes after ethanol administration. Both return to initial values after 2 hours adn decrease again thereafter. 3) The increase in the AMP content is dose dependent, i.e. it is more pronounced after small doses of ethanol and is not observed when blood ethanol concentrations are very high. The elevation of the AMP levels during ethanol oxidation is interpreted as a consequence of increased ATP consumption and of inhibition of citric acid cycle. 4) In animals fed nearly protein-free diet, total adenine nucleotide content and ATP content are distinctly reduced. An increase in AMP concentration is not observed in these rats where ethanol oxidation is markedly inhibited. 5) Chronic ethanol application does neither in rats kept on a standard diet nor in those fed a protein restricted regimen affect the liver content of total adenine nucleotides or ATP. Similarly the total content of NAD and NADP shows no major changes. 6) It is concluded that the relatively small alterations in total liver adenine nucleotide content and in the different adenine nucleotide fractions are not important for ethanol-induced fat accumulation or other disturbances in the liver.

Adenosine Diphosphate↗

Activities of hepatic enzymes related to ethanol oxidation and effects of ethanol on hepatic metabolites in rats with chronic liver injury.

To study the effects of ethanol on liver chronically injured by CCl4, activities of hepatic enzymes related to ethanol oxidation, influences of ethanol on hepatic metabolites, and blood ethanol disappearance were observed. (1) Activities of alcohol dehydrogenase, low- and high-Km aldehyde dehydrogenase, microsomal ethanol-oxidizing system and drug-metabolizing enzyme were remarkably decreased in the injured liver. (2) Increases in lactate/pyruvate and beta-hydroxybutyrate/acetacetate ratios were shown in control liver 2 h after ethanol ingestion. Similar but less pronounced effects of ethanol on the 'redox state' were also seen in rats with chronic liver injury. (3) Delay in ethanol disappearance was not observed until 12 h after ethanol ingestion. The ethanol-induced changes in the redox state in the injured liver were similar to those in controls. Higher ethanol concentrations in blood from rats with chronic liver injury could be related to potentiate the injured liver.

Animals↗