Search PubMed⌕ Search

Biomedical subjects

H Oka

Publications and source records attributed to H Oka.

At least 325 records · Page 18Linked to original sources
PubMed1989

A multi-centre double-blind controlled trial of glucagon and insulin therapy for severe acute hepatitis.

A cooperative study was conducted to determine the efficacy of one week of treatment with infusion of 1 mg glucagon and 10 units insulin twice daily in severe acute hepatitis. Ninty-eight patients with either prothrombin time less than 60% or thrombotest or hepaplastin test less than 50% of normal were randomly assigned to hormone or placebo treatment. SGOT and SGPT values dropped after treatment with a gradual decrease or increase in total serum bilirubin or cholesterol levels similarly in both groups receiving hormone or placebo. Deranged prothrombin time improved more rapidly in the hormone group than in the placebo group. Glucagon and insulin infusion may stimulate recovery of the liver from injury.

Acute Disease↗
PubMed1989

Perifusion of isolated rat pancreatic acini: carbamylcholine-induced biphasic amylase release.

To solve many problems in other in-vitro methods such as perfusion and static incubation, perifusion of isolated rat pancreatic acini was established. Continuous stimulation by carbamylcholine induced a biphasic secretory response, a sharp initial phase and a slow-varying second phase. The junction of these two phases occurred at almost the same time (in about 7 min of stimulation) at any concentration of carbamylcholine. The slow-rising former part of a second phase indicated that a biphasic pattern is produced by overlapping of two kinds of real phases and the beginning of a real second phase occurs at the time of the junction. The concentration dependence of amylase release showed a bell-shaped pattern and the maximal amylase release at an optimal concentration (10(-6)M) was 5.43 +/- 0.24% total/30 min. The sustained latter part of a second phase showed a slow decline at optimal or less concentrations but a plateau at supraoptimal concentrations.

Amylases↗
PubMed1989

Additive stimulation of hepatic putrescine production by glucagon and insulin after partial hepatectomy in rats.

When rats received glucagon or insulin every 2 h after partial hepatectomy (Hx), hepatic putrescine content was increased above control levels at 6 and 12 h, respectively. When the two hormones were combined, the increased levels were additive. Hepatic ornithine decarboxylase activity was above control levels at 12 h after insulin treatment. Hepatic spermidine N1-acetyltransferase activity was enhanced at 6 h only when glucagon was dosed. Putrescine administration from 0 to 4 h or from 6 to 10 h increased hepatic DNA synthesis to similar levels 22 h after Hx. These results suggest that glucagon and insulin additively stimulate hepatic putrescine production after Hx. This may explain the cooperative stimulation of liver regeneration by both hormones.

Acetyltransferases↗
PubMed1989

Treatment of chronic liver injury in mice by oral administration of xiao-chai-hu-tang.

Oral administration of Xiao-Chai-Hu-Tang, the extract of a mixture of seven herbs, attenuated the hepatic fibrosis developed in mice after repeated doses of carbon tetrachloride. Its pre-administration reduced the derangement of liver function tests seen after a single dose of carbon tetrachloride as well as that seen after d-galactosamine intoxication. Xiao-Chai-Hu-Tang may be effective in the treatment of chronic liver injury through hepatocytoprotection.

Alanine Transaminase↗
PubMed1989

Correlation between arterial blood pressure and oxygenation in tetralogy of Fallot.

To examine the relationship between arterial blood pressure and oxygenation in patients undergoing complete surgical correction of tetralogy of Fallot, a retrospective study of 16 patients was first performed, looking at the correlation between mean arterial blood pressure (MAP) and arterial oxygen tension (PaO2). The correlation between phenylephrine-induced changes in MAP (delta MAP) and those in PaO2 (delta PaO2) was investigated prospectively in seven patients. In the retrospective study, there was a significant correlation between MAP and PaO2 (n = 66; r = 0.55; P less than 0.01), and most data points with a PaO2 less than 50 mm Hg were associated with a MAP less than 60 mm Hg. In the seven patients who received phenylephrine, 10 micrograms/kg, a significant correlation was found between delta MAP and delta PaO2 (n = 10; r = 0.95; P less than 0.01). These results suggest that in tetralogy of Fallot arterial blood pressure is a determinant of arterial oxygenation, and that the risk of serious hypoxia is significant when MAP is less than 60 mm Hg.

Anesthesia, Inhalation↗
PubMed1989

Cerebral uric acid, xanthine, and hypoxanthine after ischemia: the effect of allopurinol.

The existence of uric acid in mammalian brain was recently reported, but it has not yet become a consensus. The mammalian brain has been thought to lack xanthine oxidase, which catalyzes hypoxanthine to xanthine and xanthine to uric acid as the last steps of ATP degradation in other tissue. Using high-performance liquid chromatography, we performed assays for hypoxanthine, xanthine, and uric acid in rat brain after cerebral ischemia. It was confirmed that all three substances showed significant augmentation in the removed brains and that the chronological order of those increases corresponded to the order in the metabolic pathway. Allopurinol, a specific inhibitor of xanthine oxidase, significantly suppressed the increases in uric acid and xanthine, and a compensatory accumulation of hypoxanthine was observed. From these results, it was concluded that uric acid does exist in the brain, increases after ischemia, and is possibly the end product of purine degradation in the brain. Furthermore, it is suggested that xanthine oxidase exists in the brain and catalyzes the reaction from hypoxanthine to xanthine and then to uric acid. These reactions catalyzed by xanthine oxidase are considered to be a source of free radicals and may play important roles in the pathogenesis of cerebral ischemic injury.

Allopurinol↗
PubMed1989

The significance of low serum pepsinogen levels to detect stomach cancer associated with extensive chronic gastritis in Japanese subjects.

Serum pepsinogen levels were measured in 137 stomach cancer patients and compared with those of 288 normal cancer-free subjects. The serum pepsinogen levels of stomach cancer patients, especially pepsinogen I and the pepsinogen I/pepsinogen II ratio were significantly lower than those of normal controls and correlated well with the extent of chronic gastritis associated with the cancerous stomach. These results were in good accordance with the results of previous studies indicating that the cancer derived from the stomach where chronic gastritis/intestinal metaplasia is extensive. The high sensitivity and specificity of this non-invasive serum test to detect chronic gastritis suggested the possibility of its application to the mass screening of stomach cancer.

Adenocarcinoma↗
PubMed1989

Biological properties of angiotensin-converting enzyme inhibitor derived from tuna muscle.

A novel inhibitor of angiotensin-converting enzyme (ACE) derived from tuna muscle, Pro-Thr-His-Ile-Lys-Trp-Gly-Asp (tuna AI), was chemically synthesized, and its biological properties were investigated. Synthetic tuna AI was found to be chemically and biologically indistinguishable from the native one. Tuna AI inhibited rabbit lung ACE non-competitively with Ki values of 1.7 and 5.7 microM with substrates, hippuryl-L-histidyl-L-leucine and angiotensin I, respectively. This peptide (5.3 microM) also doubled the effect of bradykinin in the contraction of isolated guinea pig ileum. The peptide did not show zinc chelating activity and carboxypeptidase A inhibitory activity. Thus, tuna AI was found to be a unique ACE inhibitory peptide with non-competitive manner, differing from many naturally occurring peptide ACE-inhibitors.

Amino Acid Sequence↗
PubMed1989

Enhancement of heparin-binding ability of fibronectin by S-carboxamide-methylation.

Human plasma fibronectin (FN) was reduced and carboxamidemethylated, and its binding ability to several matrices was analyzed in vitro. The binding of S-carboxamidemethyl (Cam)-FN to heparin-Sepharose was not influenced by either 4 M urea, 0.5 M NaCl or 0.5% heparin, but was disrupted by the coexistence of urea and NaCl or heparin. S-Cam-FN, compared with intact FN, obviously had a more potent ability to bind heparin, while it had little or no binding ability to gelatin, fibrin and thrombin-stimulated platelets. A conformational change of S-Cam-FN by heparin-binding has been proposed as a possible mechanism from the result of circular dichroic spectrum measurement.

Binding Sites↗
PubMed1989

[Influence of thermal cycling on the adhesive strength of adhesive resin cement].

The purpose of this study was to examine the influences of thermal cycling on the adhesive strength of the adhesive resin cements. Four kinds of adhesive resin cements, which belonged to the commercial composite resin inlay products, were used for the study. They were CR Inlay Cement, Duo Cement, Dual Cement and P-30 diluted with Enamel Bond. The shear adhesive strengths to tooth substance and composite resin inlay were measured. Adhesive strength to etched enamel : CR Inlay Cement showed the highest values of 274 kg/cm2 after immersion in water at 37 degrees C for 24 hours and 230 kg/cm2 after 300 thermal cycles at 4 degrees C for 3 min and at 60 degrees C for 3 min. Adhesive strength to etched dentin : P-30 diluted with Enamel Bond showed the highest values of 64 kg/cm2 after 24-hour immersion in water, and 63 kg/cm2 after 300 thermal cycles. Adhesive strength to composite resin inlay : CR Inlay Cement showed the highest values of 310 kg/cm2 after 24-hour immersion in water, 306 kg/cm2 after 300 thermal cycles, and 297 kg/cm2 after 1000 thermal cycles. Adhesive resin cements other than CR Inlay Cement, showed a decrease in adhesive strengths to tooth substance and composite resin inlay after thermal cycling. Especially, Dual Cement and Duo Cement showed considerable decreases.

Adhesiveness↗
PubMed1989

[Randomized controlled study on adjuvant immunochemotherapy with PSK in curatively resected colorectal cancer. The Cooperative Study Group of Surgical Adjuvant Immunochemotherapy for Cancer of Colon and Rectum].

To evaluate of adjuvant immunochemotherapy with PSK in curatively resected colorectal cancer, randomized controlled study by 35 institutions in Kanagawa prefecture was conducted. From March 1985 till February 1987, 462 patients were assigned one of two different regimens. 448 patients (97.0%) of them satisfied the eligibility criteria. Control group received mitomycin C intravenously on the day and the day after the operations respectively followed by 5-FU orally over for 6 months. PSK group received in addition to mitomycin C and 5-FU as in control group, PSK orally for over 3 years. By February 1989, follow up studies of the patients after their operations had been carried out for two years to four years. The disease free curve and the survival curve of PSK group were higher than those of control group, differences between the two groups were statistically significant (Disease free curve: P = 0.0096, survival curve: p = 0.0391). From these results, adjuvant immunochemotherapy with PSK was considered beneficial for curatively resected colorectal cancer.

Adjuvants, Immunologic↗
PubMed1989

[The clinical examination for posttransfusion hepatitis].

We studied viral hepatitis, type A, type B, type D and type non A non B. Type A hepatitis was diagnosed by the serological examination for IgM type anti-HA and total anti-HA. Several cases were negative for IgM type anti-HA within 2 weeks after the onset of type A hepatitis. Type B hepatitis was diagnosed by RIA for serum HBs antigen. Several cases of type B hepatitis were negative for serum HBs antigen but positive for IgM type anti-HBc, or hepatocytes were positive for HBs antigen. These cases had high titer of total anti-HBc. Type D hepatitis was diagnosed by RIA for anti-delta in serum and by PAP stain for delta antigen in hepatocytes. All cases of type D hepatitis were positive for anti-delta in their serum and positive for delta antigen in their hepatocytes, they were positive for HBs antigen. Incidence of HDV infection was 0.7% in HBV carrier. The incidence of non A non B hepatitis was 27.6% in 105 recipients and the incidence of its progression to the chronicity was 20.0%.

Adult↗
PubMed1989

[Controlled prospective trial to evaluate Syosakiko-to in preventing hepatocellular carcinoma in patients with cirrhosis of the liver].

A controlled prospective study was conducted to evaluate the potential of Syo-saiko-to (Xiao-Chai-Hu-Tang) for the prevention of hepatocellular carcinoma (HCC). Pairs of patients were matched for age, sex, presence of HBs antigen and the scores of the severity of liver dysfunction from 260 cirrhotic subjects. We randomly assigned each patient to receive either a conventional medicine (control group), or 7.5 g/day of Syo-saiko-to (trial group). The patients were monitored during 34 months of treatment, and the incidence of HCC in the two groups were compared. Seventeen patients were found to have HCC in the control group, and nine were found to have HCC in the trial group. The incidence of HCC was significantly lower in the trial group. The results of this study suggested that Syo-saiko-to may prevent or delay the emergence of latent HCC in patients with cirrhosis of the liver.

Adult↗
PubMed1989

[Postoperative intracranial pressure in severe cases with hypertensive intracerebral hematoma].

The relationship between the postoperative ICP and the size of hematoma on CT scan and the time of operation was studied to evaluate their influence on the therapeutic results in the severe cases with hypertensive intracerebral hematoma. Twenty one patients of putaminal hemorrhage with severe neurological deficit (semicoma) were studied. ICP was monitored continuously by the Subdural balloon method after craniotomy to remove the hematoma. The relationship between the postoperative ICP level (High ICP: above 40 mmHg, Moderate ICP: 40-20 mmHg, Low ICP: below 20 mmHg), the size of hematoma estimated from CTscan (Large: more than 80 ml, Medium: less than 80 ml), the time from onset to removing hematoma and the therapeutic results were evaluated. The outcome six months after onset was determined according to the Glasgow Outcome Scale. Of 6 cases with Medium hematoma operated on within 8 hours, Low ICP was found in 5 cases (83%) and Moderate ICP was in one case (17%). Of 6 cases with Medium hematoma operated on after 8 hours, High and Moderate ICP were found in 3 cases (50%), respectively. In the cases with Large hematoma, Low ICP was not observed, but High ICP was found in 4 of 7 cases operated on within 8 hours (57.1%) and the other three indicated Moderate ICP (42.9%). High ICP was found in two cases with Large hematoma operated on after 8 hours (100%). The outcome of High ICP cases was severe disability in 4 cases, vegetative state in one and dead in 4, and that of Moderate ICP cases was moderate disability in 3 cases and severe disability in 4.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1989

[Clinical course and prognosis of primary biliary cirrhosis--multivariant analysis on cases of national survey].

In order to predict prognosis and clinical course of BPC, theory quantification was applied and the discriminated rate was calculated concerning the cases of PBC national survey in Japan. We examined the prediction of three and five year's survival about all cases, the prediction of appearance of symptoms about asymptomatic PBC and that of jaundice about asymptomatic PBC and symptomatic PBC alone with pruritus. The useful items for the prediction of prognosis were serum bilirubin, albumin and the presence of esophageal varices at first medical examination. Fairly good discriminated rate was obtained on the prediction of three and five year's survival. However poor results were obtained concerning the prediction of appearance of symptoms. In conclusion we can predict the prognosis of PBC based on clinical features.

Aged↗
PubMed1989

[A case of myocardial infarction with ventricular tachycardia, which had discrepancy of defect size between 123I-MIBG and 201TlCl myocardial imaging].

123I-MIBG and 201TaCl myocardial imaging were carried out in 69 years-old man who had anterior myocardial infarction with ventricular tachycardia. In planar and SPECT imaging, the defect size of 123I-MIBG was larger compared to that of 201TlCl. The zone of fractionated activity was corresponded with the defect of 123I-MIBG. Thus, the denervated but viable myocardium could be detected by 123I-MIBG and 201TlCl myocardial imaging. 123I-MIBG may give a useful clinical information, since denervation may play a role in causing ventricular arrhythmia after myocardial infarction.

3-Iodobenzylguanidine↗
PubMed1989

[Aorto-coronary bypass grafting in a patient with neutrocytopenia].

A 71-year-old woman with neutrocytopenia (690/mm3) was treated with prednisolone before coronary surgery. After the normalized hemogram with increased leukocyte counts, aorto-coronary bypass grafting with saphenous vein was performed for left main trunk disease. Her convalescence was quite stable without any infectious or adrenal problems. It was meaningful to treat neutrocytopenia with steroids in order to predict the hematological reaction to stress before the operation.

Aged↗