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Biomedical subjects

H Niimi

Publications and source records attributed to H Niimi.

At least 199 records · Page 11Linked to original sources
PubMed1985

[Clinical experience of latamoxef in the field of neurosurgery on the penetration into the cerebrospinal fluid in the patients with postoperative meningitis].

Latamoxef (LMOX) at a dose of 2 g was intravenously administered to 12 cases with postoperative meningitis and the concentrations in serum and cerebrospinal fluid (CSF) were examined up to 2 hours and the results obtained were as follows; The average serum and CSF concentrations of LMOX were 125.0 micrograms/ml, 4.33 micrograms/ml at 0.5 hour, 80.7 micrograms/ml, 4.64 micrograms/ml at 1 hour and 45.8 micrograms/ml, 3.82 micrograms/ml at 2 hours, respectively. The clinical responses of LMOX against postoperative meningitis were revealed excellent in 4 cases and good in 8 cases. No side effects were observed. LMOX was thought to be effective agent in the treatment of the postoperative meningitis.

Adult↗
PubMed1984

The thyroid reserve in children with chronic lymphocytic thyroiditis revealed by the thyrotropin-releasing hormone and thyroid-stimulating hormone tests.

Serum thyroid hormone and TSH concentrations were measured before and after the administration of TRH (10 micrograms/kg body weight) and bovine TSH (10 IU) in 14 children with chronic lymphocytic thyroiditis. The TRH test showed that the responsiveness of TSH was positively correlated with the basal TSH (P less than 0.001) and inversely with the increase in serum thyroid hormones, for delta T3 (P less than 0.05) and for delta T4 (P less than 0.001). Overall, the patients had significantly lower mean values for basal T4, but not for T3. The TSH test revealed that the delta T3 was positively correlated with delta T4 (P less than 0.05). delta T3 after TSH administration was positively correlated with it after TRH (P less than 0.05). The patients were divided into three groups on the basis of their peak TSH values after TRH administration. In Group 1 (peak value below 40 microU/ml; N = 5); T3 increased significantly after TRH and TSH administrations (P less than 0.05 and P less than 0.025, respectively). In addition, delta T4 was significant after TSH administration. In Group 2 (peak TSH above 40 and less than 100 microU/ml; N = 6); only delta T3 after TRH was significant (P less than 0.05). In Group 3 (peak TSH above 100 microU/ml; N = 3); the response of thyroid hormones was blunted. Thus, the thyroid hormone responses to endogenous TSH coincided with that to exogenous TSH, and the exaggerated TSH response to TRH indicates decreased thyroid reserve.

Adolescent↗
PubMed1984

Hemorheological approach to oxygen transport between blood and tissue.

A mathematical model is developed to elucidate micro-hemorheological factors of the oxygen transport between blood and tissue. A two-fluids model is introduced for capillary blood flow, including the non-equilibrium and relative motion between red blood cell (RBC) and plasma. A capillary-tissue unit is devised to describe the oxygen supply to tissue from a couple of capillaries with symmetric antiparallel input and output. Non-equilibrium flows are examined numerically on the basis of the model for various geometrical and dynamical parameters such capillary hematocrit, RBC velocity and flux. It is found that both RBC flux and capillary hematocrit have important influences on the oxygen transfer to tissue. Especially under low capillary hematocrit flow, the lowest oxygen pressure within tissue may appear at the maximal diffusional distance from the capillary between arterial and venous side.

Animals↗
PubMed1984

Structure of blood flow through a curved vessel with an aneurysm.

A fine structure of blood flow through a curved vessel with an aneurysm was studied in in vitro experiments in relation to rheological factors of arterial diseases such as arteriosclerosis or thrombosis. On the basis of the in vivo data related to cerebral circulation, red blood cell suspension was flowed through curved vessel models with an asymmetrical aneurysm. Flow visualization was made with a microscope 16 mm cinecamera-TV monitor system, and the velocity profile was measured using the laser Doppler velocimeter. Vortices induced in aneurysm influenced flow structure and velocity at the presence of the secondary flow due to the vessel curvature. This suggests strongly that blood flow in curved arteries with an aneurysm must be understood under the influence of the secondary flow.

Blood Flow Velocity↗
PubMed1984

Numerical approach to the motion of a red blood cell in Couette flow.

The motion of a red blood cell in a plane Couette flow is studied theoretically, introducing a two-dimensional microcapsule model for the cell. It is assumed that the microcapsule is deformed into an elliptical shape with a constant area and that its membrane moves like a tank-tread around the interior. The flow fields both inside and outside the microcapsule are analyzed using the finite element method in the Stokes equations and the obtained viscous forces on the membrane are used to determine its deformation and tank-treading motion. It is shown that a decrease in viscosity ratio of internal to external fluids causes the microcapsule to be more elongated, with its inclination angle increasing, whereas the microcapsule becomes more elongated at a smaller inclination angle with a longer tank-treading period as the elastic compliance of the membrane or the shear rate of the Couette flow increases. The force acting on the wall is also examined in relation to the abnormal viscosity of blood.

Blood Flow Velocity↗
PubMed1983

Significant fluctuation of thyroid function in children with chronic lymphocytic thyroiditis.

In order to investigate the degree of pituitary reserve of TSH secretion and the fluctuation of thyroid function in children with chronic lymphocytic thyroiditis, TSH response to TRH was examined in 42 patients, and the thyroid function was carefully followed up in two patients retrospectively and in four prospectively. Increased basal TSH levels were revealed in seven patients (16.8%), and an exaggerated response of TSH to TRH loading in 15 (35.8%). We retrospectively observed spontaneous recovery of thyroid function in two cases. In one of them, two episodes of a transient decrease in thyroid function over a period of several years were noted. Prospectively, low normal T4, elevated TSH and normal T3 were detected in two cases at the first visit. Thereafter, TSH levels decreased to the normal range and the exaggerated response of TSH to TRH became normal. In two other cases, typical transient hypothyroidism occurred during the observation period. These fluctuations lasted for only a few months, and concomitant changes in the size of the thyroid gland were observed. No signs or symptoms suggesting viral infection were noted during the study period. Nor were changes in titers of thyroid auto-antibodies detected. These results show that the secretion of TSH is exaggerated and the thyroid function is decreased in adolescents with chronic lymphocytic thyroiditis, but the thyroid function may fluctuate from euthyroid to hypothyroid within a short period. The causes of these changes, especially of the transient hypothyroidism remain to be classified.

Adolescent↗
PubMed1983

Hemorheological factors of oxygen transfer in capillary tissue unit.

The supply of oxygen to tissue from capillaries may be influenced by hemorheological factors. A hemorheological model is developed for elucidating which factors play a major role in the oxygen transport to tissue. For a capillary tissue unit, a modified cylindrical model of Krogh is used. For blood, two fluids model of red blood cells (RBCs) and plasma is used where hemoglobin release effect is included. Non-equilibrium flows as well as equilibrium flows are examined for various parameters (total flow Q or RBC velocity Vr, discharge hematocrit Hd and capillary hematocrit Hc). In equilibrium flow, Hd and Q determine the oxygen transport. In non-equilibrium flow, Hc also becomes important. Especially, hemoglobin release effect becomes significant in low Hc flow, which affects the area of lethal region in tissue.

Capillaries↗
PubMed1983

Effect of high osmotic media on blood viscosity and red blood cell deformability.

Effects of high osmotic media on the shape and deformability of RBC were examined for determining increasing factors of blood viscosity. Dog blood and Urographin (a hypertonic contrast medium) were used; the plasma osmolality was changed by Urografin suspended in blood. The viscosity was measured for normal RBC and glutaraldehyde-treated RBC suspensions with a cell volume concentration. The RBC deformability was evaluated from the difference in viscosity between the two suspensions. It was shown that normal RBC suspension increased the viscosity with increase in osmolality at high shear rate; hardened RBC suspension decreased the viscosity with increase in osmolality. It was concluded that the RBC deformability decreased with increasing osmolality.

Animals↗
PubMed1982

Blood rheology near a stagnation point.

Blood rheology at a stagnation point is studied in views of microhemorheology. Special emphasis is put on the effect of both non-Newtonian and unhomogeneous properties of blood on the fine structure of blood flow impinging on the wall. It is shown that "non-flow" region exists just at the stagnation point due to the non-Newtonian viscosity when its yield stress is large enough, compared with the viscous stress far from the wall. When the yield stress becomes negligibly small, RBC and plasma behave individually near the stagnation point; RBC is deviated from the plasma streamline and impinges on the wall. Finally, a microhemorheological factor of legional metabolic disorder is discussed on basis of the fine structure near a stagnation point.

Blood Circulation↗
PubMed1982

Reduction of adriamycin toxicity by ascorbate in mice and guinea pigs.

The effect of ascorbate in reducing Adriamycin toxicity has been examined in mice and guinea pigs. Ascorbate had no effect on the antitumor activity of Adriamycin in mice inoculated with leukemia L1210, but it significantly prolonged the life of mice and guinea pigs treated with Adriamycin. Adriamycin elevated lipid peroxide levels in serum and liver, and ascorbate prevented the elevation. The significant prevention of Adriamycin-induced cardiomyopathy by ascorbate was proved by means of electron microscopy. The earliest alterations of dilation of the sarcoplasmic reticulum and transverse tubular system and the appearance of a large number of cytoplasmic fat droplets, which were seen in cardiac tissue from guinea pigs receiving Adriamycin, were apparently reduced in animals that were treated with ascorbate.

Animals↗