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Biomedical subjects

H Sugimoto

Publications and source records attributed to H Sugimoto.

At least 325 records · Page 18Linked to original sources
PubMed1988

Regional blood flow in resting and stimulated sciatic nerve of diabetic rats.

The role of ischemia in the pathogenesis of diabetic peripheral neuropathy remains uncertain. We used the distribution of [14C]butanol to measure resting regional sciatic nerve blood flow in normal, anesthetized rats and in rats with acute experimental diabetes from streptozotocin administration. Regional flows in hind limb biceps femoris muscle and skin were simultaneously measured. In additional diabetic rats, these blood flows were compared in both limbs after proximal electrical stimulation of one sciatic trunk (10 shocks/s) for 15 min. One month after streptozotocin administration, 8 of 11 test rats were hyperglycemic. Resting nerve blood flow in the hyperglycemic rats--5.6 +/- 3.07 ml.min-1.100 g-1--was significantly less than that in the controls (9.4 +/- 3.9 ml.min-1.100 g-1, P = 0.002). Muscle blood flow was normal and skin blood flow decreased in these rats. Calculated tissue vascular resistances were elevated in all three tissues. Stimulation of one sciatic trunk in five other diabetic rats resulted in a stimulated nerve blood flow of 15.7 +/- 7.7 ml.min-1.100 g-1, and nerve blood flow in the resting control limb was 7.7 +/- 4.3 ml.min-1.100 g-1 (P = 0.009). Muscle blood flow increased approximately fourfold on the stimulated side but skin blood flow did not increase. Resting sciatic nerve blood flow is modestly decreased in acute streptozotocin-induced diabetes, but the neural blood vessels are still responsive to the increase in nerve metabolic activity associated with nerve stimulation.

Animals↗
PubMed1988

Tracheobronchial rupture caused by blunt chest trauma: acute respiratory management.

The clinical management of 12 patients with major intrathoracic tracheobronchial rupture (complete, 3; incomplete, 9) due to blunt trauma has been reviewed and compared with that of two groups of patients with chest injuries not involving the tracheobronchial tree, 17 patients with multiple rib fractures and 17 with chest injuries requiring thoracotomy for control of pneumothorax and hemothorax. The effect of injury on ventilatory function was significantly greater in the patients with tracheobronchial injury in whom an elevated PCO2 at the time of admission was associated with a poor prognosis. Conventional ventilatory management with endotracheal intubation and positive pressure ventilation causing increased air leakage produced further deterioration of pulmonary function in four of the patients with tracheobronchial disruption. The use of a double-lumen endobronchial tube in two patients with tracheobronchial rupture facilitated ventilatory support and subsequent operative management.

Adolescent↗
PubMed1988

Prevalence of HTLV-1 antibodies in hemodialysis patients in Japan.

The southwestern region of Japan is known as a very high endemic area of human T-cell lymphotropic virus type 1 (HTLV-1), the etiologic agent for adult T-cell leukemia (ATL) and probable causative agent for tropical spastic paraparesis and its Japanese version, HTLV-1-associated myelopathy (HAM). Hemodialysis (HD) patients seem to be at high risk for HTLV-1 infection even in other regions of Japan because they sometimes receive multiple blood transfusions. We examined antibody against ATL-associated antigen (ATLA-Ab) in 1,132 HD patients, including 1,066 patients in nonendemic areas (Chubu and Tokyo) and 66 in a highly endemic area (Okinawa). The HD patients in Okinawa showed the highest prevalence, 21.2% (14/66), while those in the Chubu area showed the lowest, 1.1% (10/846), and those in the Tokyo area an intermediate value, 2.7% (6/220). The prevalence of HD patients in each area was significantly higher than that of local blood donors, reflecting an increased prevalence roughly corresponding to the respective endemic rate. The average prevalence of ATLA-Ab among the HD patients was 2.7% (30/1,132), which was similar to that of HBs antigen (3.2%). In the nonendemic areas, 15 of 16 patients with ATLA-Ab had a history of blood transfusions, showing a significant correlation to the presence of ATLA-Ab (P less than 0.01), although four had family histories related to the endemic area. The relative risk of the presence of ATLA-Ab for HD patients with a history of blood transfusions was calculated as 10.3. In the endemic area of Okinawa, the relationship to blood transfusion was not so close, probably masked by the high background prevalence.

Adult↗
PubMed1988

Early diagnosis of invasive candidiasis and rapid evaluation of antifungal therapy by combined use of conventional chromogenic limulus test and a newly developed endotoxin specific assay.

Since beta-1,3-glucan is a common component of fungal cell wall, its detection might be useful in diagnosing invasive candidiasis. Not only endotoxin but beta-1,3-glucan activates proclotting enzyme contained in a conventional chromogenic limulus test (CCLT). Endotoxin activates this enzyme through factor C, while the beta-1,3-glucan activates through factor G. Since endotoxin specific test (EST) contains factor C, endotoxin would be quantified. By subtracting EST value from CCLT value, beta-1,3-glucan would be quantified. We named this value Fungal Index (FI), and examined if it actually reflects the candidal infection. Ninety-two patients were tested for CCLT and EST prospectively. FI increased significantly in candidal infection (p less than 0.05) but remained low in GNR infection. Moreover, FI increased proportionally to the severity of candidal infection. Elevated FI decreased when antifungal therapy was successful. Thus FI was a useful index not only in the diagnosis of invasive candidiasis but also in the evaluation of antifungal therapy.

Antifungal Agents↗
PubMed1988

[Traumatic subclavian steal syndrome. Report of a case].

Traumatic obstruction of the subclavian artery without major hemorrhage is rare. Only eleven cases have been disclosed retrograde flows from the ipsilateral vertebral artery into the distal segment of subclavian artery in the world. One case of the traumatic subclavian occlusion is presented in this paper. A 63-year-old man was struck on his chest by heavy machinery. On admission he was alert and had no neurological deficits. His blood pressure was 140/80 mmHg in his right arm but was not palpable in his left radial artery. Aortogram showed incomplete obstruction of the left subclavian artery 2 cm beyond its origin. On the second admission day it was occluded and the distal flow was supplied from the left vertebral artery in a retrograde fashion. Without operative vascular reconstruction he has never experienced ischemic symptoms for a year.

Humans↗
PubMed1988

[Efficacy of transcatheter embolization for massive bleeding from pelvic fracture].

To investigate the effectiveness of percutaneous transcatheter embolization (PET) for massive bleeding from pelvic fracture, 89 patients treated in a recent 5-year period when PET was adopted (group II) were analyzed and compared with former 177 patients (group I). The results obtained were as follows: 1) Although there was no difference between the groups on overall mortality within 24 hours, the rate of hemorrhagic death directly caused by pelvic fractures and the incidence of complications in group II were significantly less than in group I. 2) PET directly improved vital sign and decreased transfusion. 3) Bleeding sites near greater ischiatic notches on angiogram were frequently seen without detectable fractures of posterior pelvic ring on plain X-ray films. 4) Any side effects were not associated with PET. These results confirm that PET can identify bleeding sites, control hemorrhage and improve mortality and morbidity of severe pelvic fracture.

Adult↗
PubMed1987

Long-term continuous spinal anesthesia in severe tetanus with autonomic disturbance.

The mortality rate from tetanus is still high if the disease is accompanied by signs of autonomic nervous system dysfunction. We treated a 75-year-old woman with tetanus and autonomic dysfunction with continuous high spinal anesthesia for 23 days. She recovered. Spinal anesthesia may be a useful adjunct for the treatment of severe tetanus.

Aged↗
PubMed1987

Elevated regional sciatic nerve blood flow in hypothermic anesthetized rats.

The effect of corporal hypothermia on regional blood flow in peripheral nerve is unknown. We compared blood flow in resting sciatic nerves of anesthetized, normothermic rats with that of rats whose rectal temperatures had been acutely lowered to 28 to 30 degrees C. Peripheral nerve regional blood flow in normothermic rats in which one hind limb was cooled was also measured, as were simultaneous flow changes in biceps femoris muscle and thigh skin. Flows were quantitated by the fractional distribution of [14C]butanol. Hypothermia was associated with increased peripheral nerve blood flow and a simultaneous decrease in muscle and skin blood flow. Nerve vascular resistance was not consistently altered in hypothermia, but muscle and skin vascular resistances were elevated. Topical cooling of one limb did not affect the tissue blood flows in either limb. The regulation of resting nerve blood flow in hypothermic rats differs appreciably from that in biceps femoris muscle and skin. Nerve blood flow did not increase with local cooling in normothermic rats. Central, neurally mediated mechanisms may be responsible for the increased regional nerve blood flow in hypothermic rats.

Animals↗
PubMed1987

Ferric chloride-catalyzed activation of hydrogen peroxide for the demethylation of N,N-dimethylaniline, the epoxidation of olefins, and the oxidative cleavage of vicinal diols in acetonitrile: a reaction mimic for cytochrome P-450.

In dry acetonitrile, anhydrous Fe(III)Cl3 catalyzes the demethylation of N,N-dimethylaniline, the epoxidation of olefins, and the oxidative cleavage of 1-phenyl-1,2-ethanediol (and other 1,2-diols) by hydrogen peroxide. For each class of substrate the products closely parallel those that result from their enzymatic oxidation by cytochrome P-450. Because of the close congruence of products, the catalytic nature of the Fe(III)Cl3/H2O2 reaction mimic, and the similarity of the dipolar aprotic solvent (acetonitrile) to the proteinaceous lipid matrix of the biomembrane, the form of the reactive intermediate may be the same in each case. A mechanism is proposed in which an initial Lewis acid-base interaction of Fe(III)Cl3 with H2O2 generates a highly electrophilic Fe(III)-oxene species as the reactive intermediate. This is in contrast to the prevailing view that cytochrome P-450 acts as a redox catalyst to generate an Fe(V)-oxo species or an Fe(IV)-oxo cation radical as the reactive intermediate.

Acetonitriles↗