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Biomedical subjects

K Doi

Publications and source records attributed to K Doi.

979 records · Page 55Linked to original sources

Localization and fine structure of calcitonin gene-related peptide (CGRP)-like immunoreactive nerve fibres in the organ of Corti of guinea pigs by immunohistochemistry.

The localization and fine structure of calcitonin gene-related peptide (CGRP)-like immunoreactive (CGRPI) fibres in the guinea pig cochlea were examined using immunohistochemistry. Numerous CGRPI fibres were located in the inner spiral bundle corresponding to the lateral system of the olivocochlear bundle. Immunoelectron microscopic analysis demonstrated that the CGRPI fibres belonged to the efferent terminals and some of them made synaptic contacts with peripheral neurites of the auditory nerve. These findings suggested that the olivocochlear CGRP neuron system influenced the neural activity of the auditory nerve, which conveys auditory information from the cochlea to the central nervous system.

Animals↗

Psychiatry of diencephalon damages. A case report.

The diencephalon syndrome due to head injury in a 60-year-old woman is reported. The dicenphalon syndrome of the patient offered a variety of productive psychic and somatopsychic symptoms without reduction of intelligence; these included optic and acoustic hallucinations, delusions, cenesthesic hallucinations, disturbances of body schema and distinct functional disorders of the vegetative system. Autopsy findings of the brain were obtained in the 1.5 years up to her death. The problems of diencephalon syndrome related with suspected organic bases of schizophrenia and rhythmicity of diencephalogenic impulse reduction are discussed.

Accidents, Traffic↗

Cytologic detection of small pancreaticoduodenal and biliary cancers in the early developmental stage.

Employing pancreozymin-secretin stimulation and percutaneous transhepatic cholangiographic aspiration, cytologic examination for pancreaticoduodenal and biliary tract cancers was carried out in 763 patients, with 47 of 61 cancers cytologically detected (79%). The cancers detected included seven minute or small cancers less than 1.0 cm in maximum diameter, all of which were successfully surgically extirpated. The results indicate that diagnostic cytology contributed to the detection of cancers in these anatomic sites at an early developmental stage.

Adult↗

Vascular endothelial growth factor enhances vascularization in microporous small caliber polyurethane grafts.

Neoarterial regeneration in an implanted small caliber vascular prosthesis is complexly controlled by many structural and biologic factors, such as cytokines. The authors designed an artificial graft, which was prepared as follows. Segmented polyurethane tubular film (inner diameter, 1.5 mm; wall thickness, 100 microns; length, 20 mm), in which micropores (pore size, 100 microns) were fabricated by an excimer laser ablation technique, were coated with a mixed solution of photoreactive gelatin and heparin with or without cytokines (vascular endothelial growth factor [VEGF]: 5 or 50 micrograms/ml, basic fibroblast growth factor [bFGF]: 1 microgram/ml). These coated grafts were irradiated by ultraviolet light, and were implanted in aortas of rats for 4 weeks; the VEGF (5 micrograms/ml) group, n = 6; the bFGF group, n = 6; the VEGF (5 micrograms/ml)/bFGF group, n = 11; the VEGF (50 micrograms/ml)/bFGF group, n = 5; and the control group, n = 9. Control grafts were treated without cytokines. Endothelial coverage was greater for the cytokine immobilized groups (approximately equal to 50-60%) than for the control group (approximately equal to 30%). At the midportion of the triple VEGF immobilized group, many capillaries were seen in the neoarterial intima, and in the micropores, although such capillaries were rarely observed in the bFGF and control groups. Thus, impregnation of VEGF in the gelatinous layer of grafts enhanced transanastomotic tissue ingrowth and transmural capillary ingrowth.

Animals↗

A new double lumen balloon catheter for retrograde cerebral perfusion via jugular vein cannulation.

A new catheter for retrograde cerebral perfusion (RCP) was developed that can be used to deliver blood directly into the internal jugular vein (IJV) beyond the venous valves at the jugular-subclavian junction and prevent blood from draining into the lower half of the body. This catheter can be inserted into the IJV via a standard puncture technique by use of a 14 Fr sheath. The catheter shaft has two channels for balloon inflation and blood perfusion, respectively. A balloon for occlusion of drainage veins (superior vena cava and azygos vein) is installed at the catheter tip. Side holes, through which oxygenated cold blood is delivered into the IJV, are located 95 mm from the catheter tip. In a mock circulatory study, the pressure at the perfusion line (16-118 mmHg) increased with the increasing flow rate (0-400 ml/min). In clinical application, under circulatory arrest with profound hypothermia, inflation of the balloon effectively reduced blood drainage into the lower half of the body and, consequently, RCP was successfully performed (flow rate, 300-350 ml/min; pressure at the IJV, 15 mmHg). Because all of these procedures were controlled from outside the operative field, RCP by use of this catheter could be useful in distal arch replacement via left lateral thoracotomy.

Animals↗