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K Nishimura

Publications and source records attributed to K Nishimura.

At least 811 records · Page 45Linked to original sources
PubMed1989

[Response characteristics of fast-adapting units innervating cat oral mucosa to ramp-shaped pressure and triangular vibratory stimuli].

In this study, responses of fast-adapting sensory units to ramp-shaped pressure and triangular vibratory stimuli were recorded in the molar lingual gingiva and the alveolar mucosa isolated from the cat mandible via the air-gap method. The receptors of the fast-adapting units were classified into five types by a morphological study and the response characteristics of the individual sensory unit were investigated by electrophysiological methods. 1. Fast-adapting units of cat oral mucosa were found to have had five types of encapsulated endings (Type I-V) via a microscopical study. Among the 1,609 endings observed, the occurrence frequency of the individual receptor type was as follows: Type I 64.1%, Type II 9.5%, Type III 13.9%, Type IV 1.2% and Type V 11.3%. Although Type V a-d receptors had not been observed in the cat oral mucosa, their presence was demonstrated in whole thickness preparation stained with methylene blue. 2. The impulse frequency-displacement velocity curves (long-long coordinated) of 32 fast-adapting units (20 animals) showed four different patterns. 9.3% of the fast-adapting units showed a proportional relationship over all ranges of displacement velocity in the impulse frequency-displacement velocity relation. 25.0% showed a proportional relationship in an initial narrow range of displacement velocity and attained a steady state in the higher range. In 21.9% of these units, the impulse frequency remained steady over all the ranges. In the remaining 43.8%, the impulse frequency remained steady in singular range over all displacement velocities tested, however their response times decreased when the displacement velocity was increased. 3. The fast-adapting units were divided into two groups by response mode: a unit group with a Type I receptor and the other with Type II-V receptors (represented by a Type III receptor). The slopes were measured from their relations (log-log coordinates) in threshold amplitude vs. displacement caused by single triangular stimulus. The slope for the Type I group was -0.796 +/- 0.099 (mean +/- S. D.) (Range: -0.593(-)-1.017, n = 22). The slope for the other group was -0.658 +/- 0.024 (Range: -0.607(-)-0.758, n = 6). The slope of the former was larger than that of the latter. 4. The threshold-frequency curves (tuning curve; semilog coordinates) for the Type I group and the other group were analyzed. Both tuning curves of these sensory units revealed no plateaus between the lower-frequency limits and the upper-frequency limits.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1989

[Transesophageal Doppler echocardiography in the diagnosis of dissecting aortic aneurysm].

Transesophageal Doppler echocardiography (TEDE) was performed in three patients with proven or suspected DeBakey type I and type III aortic dissection. Case 1: A 66-year-old woman, with DeBakey type I aortic dissection. Clear images of a widened dissected aorta and an intimal flap were obtained in both the ascending and descending aorta, including the aortic arch. The site of an entry into the false lumen was identified by the defect of the intimal flap and the pulsatile entry flow through it. The reentry into the true lumen was also identified near the orifice of the celiac trunk. In this case, the observation was performed using this technique during the operation; i.e., replacement of the ascending aorta with an artificial graft. Case 2: A 77-year-old man, DeBakey type III aortic dissection. The study was performed after surgery which consisted of replacement of the descending aorta with an artificial graft. TEDE provided clear images of the artificial graft, the aorta, and their boundaries. The remaining intimal flap was clearly confirmed. Case 3: An 80-year-old man, DeBakey type III aortic dissection. In this case, though abdominal echography suggested aortic dissection, angiography and X-ray CT failed to facilitate the diagnosis. Only TEDE confirmed the diagnosis. The abnormal flow via the entry directing toward the false lumen was clearly demonstrated on the color Doppler images. We therefore conclude that TEDE is a useful and reliable means of diagnosing dissecting aortic aneurysm.

Aged↗
PubMed1989

[A case report of thyroid papillary cancer that manifested leukocytosis and hypercalcemia after radiotherapy in bone metastasis].

Bone metastasis from a thyroid papillary cancer of a 59-year-old woman had been successfully treated with radiotherapy (6,000 rad) and iodine-131 (120 mCi). One year later, the patient developed leukocytosis (maximum 143,000/mm3) and hypercalcemia (16.0 mg/dl). A colony stimulating factor (CSF) was detectable in her plasma, and nude mice that had been given metastatic tissues similarly developed leukocytosis and hypercalcemia. Leukocytosis and hypercalcemia seemed to have been caused by the CSF produced in the bone metastasized tissues of this thyroid cancer.

Bone Neoplasms↗
PubMed1989

[A case of ileal leiomyosarcoma, difficult to differentiate from retrovesical tumor: report of a case].

A case of ileal leiomyosarcoma which was preoperatively diagnosed as a retrovesical tumor in a 41-year-old male patient was reported. He consulted our department with a complaint of tenesmus ani. CT, MRI and ultrasonography showed a mass in the retrovesical space which was palpable superior to the prostate in anal digital examination. Intraoperatively, the tumor was found to originate from the ileum, 250 cm from the ileocecal joint (Bauhin's valve). It is difficult to make diagnosis of leiomyosarcomas of small intestine preoperatively. Thirty-eight cases of leiomyosarcoma of small intestine reported in the recent 5 years in Japan are reviewed and discussed.

Adult↗
PubMed1989

Gingival fibroblasts and tissues attachment to curetted cementum surface in periodontally involved teeth.

We examined whether or not gingival fibroblasts attach to curetted cementum surface in periodontally involved teeth. For in vitro experiment, superficial cementum in periodontally involved human teeth was curetted and cut into 3 X 3 mm fragments, put into a plastic plate and mixed with fibroblasts for 1 to 3 days. Numerous fibroblasts attached to the curetted cementum surfaces, while only a few fibroblasts could attach to the diseased cementum. For in vivo experiment, experimental periodontitis was induced in monkeys by leaving a resin plate in artificially created marginal bone crest for 3 months. In the flap surgery, only superficial cementum was curetted. Two- and 4-month biopsy specimens disclosed that the regenerated gingival tissues attached well to the curetted cementum surface. Both in vivo and in vitro results indicated subjacent cementum in periodontally involved teeth could be a suitable surface for fibrous attachment.

Animals↗
PubMed1989

In vitro interaction between gingival fibroblasts and various root surfaces.

The objective of the present in vitro study was to examine the effect of various root surface treatments on the initial attachment of gingival fibroblasts. Cultured fibroblasts were well spread and attached to demineralized dentin with citric acid, superficially curetted cementum, and root surface with periodontal ligament, while those on the planed dentin showed a poorly spread appearance. The first three root surfaces exhibited rough and irregular surface appearances with a well-developed filopodia and the latter root surface exhibited a smooth appearance, suggesting the texture of the root surface is closely associated with cell attachment. Interiorized collagen fibrils and numerous cytoplasmic vesicles were seen along the cell membrane of fibroblasts facing the root surfaces of the planed dentin, demineralized dentin, and superficially curetted cementum. Thus even the artificially exposed tooth surface with citric acid may be subjected to further alteration by fibroblasts.

Animals↗
PubMed1989

[CT pathologic correlative study of bronchiolitis obliterans organizing pneumonia].

Though bronchiolitis obliterans organizing pneumonia (BOOP) was proposed as a new infiltrative lung disease in 1985, we think it has two radiologic problems. First, in spite of interstitial pneumonia, about half of chest radiographs of BOOP has been reported to show alveolar opacities. Second, because radiologic features of both some cases of BOOP and of usual interstitial pneumonia (UIP) show reticular shadows on chest radiographs, it is sometimes difficult to differentiate between two diseases. We correlated CT images with open lung biopsy specimens and evaluated CT's ability to differentiate BOOP from UIP. CT findings of all cases of BOOP were: (1) markedly increased dense infiltrates of various sizes which demarcated sharply from normal lung field. Air bronchogram was always present. (2) less dense images were seen which also stood out against the normal lung field. The former corresponded to air space consolidation formed by organized exudates and inflammatory cells within alveolar ducts and alveoli, while the latter indicated luminal and mural alveolitis. Both findings were sharply delineated from each other probably because of intervening interlobular septa. Conglomerated small cystic shadows and air bronchography within areas of intense lung density were seen in CT images of most of 28 patients with UIP. Those findings proved to correspond to macroscopic or microscopic honey combing which were not seen in our cases of BOOP. These radiologic and pathologic features of UIP were different.

Adult↗
PubMed1989

[Magnetic resonance imaging of a case of bladder leiomyoma].

The complementary use of magnetic resonance imaging (MRI) in the evaluation of bladder-base leiomyoma is reported. The MRI, as compared to computed tomography (CT), gave the characteristics of myoma resembling uterine myoma, submucosal location, the site of origin and relationship to bladder wall. The MRI appearance of homogenous and medium intensity on T1 weighted image, and of low intensity on T2 weighted image, of submucosal solid mass was suggestive of a leiomyoma.

Adult↗
PubMed1989

[CT pathologic correlative study of diffuse panbronchiolitis].

We studied CT-pathologic correlations of diffuse panbronchiolitis. The CT images of five DPB patients were compared with inflated lung specimens taken from three open lung biopsy, one lobectomy and one autopsy. The specimens were observed using a stereomicroscope, contact radiographs and histological section. All cases were diagnosed histologically by the presence of unit lesion of panbronchiolitis. The CT findings of DPB were: 1. diffuse small rounded and linear opacities, 2. dilation of small bronchi and bronchioles, 3. bronchial wall thickening. Because small rounded opacities on the CT images were usually separated from the pleura and PV shadows (the edge of secondary lobules) as a constant distance (2 to 3 mm), they were distributed in centrilobular regions. They corresponded to the collection of foamy histiocytes and lymphoid cells, where the unit lesion of panbronchiolitis were included. Although peripheral airways could never be seen in normal CT images, small linear opacities or enlarged peripheral vascular opacities just continuous with small rounded opacities corresponded to bronchioles dilated with intrabronchial secretion. In addition, peripheral airways were sometime seen to be dilated in CT images. Cylindrical airway dilation was more prominent in the peripheral portion of airways in both CT images and lung specimens. Thickening of bronchial wall observed in CT of a case could not be confirmed in lung specimen, in which probably intrabronchial secretion might contribute to bronchial wall thickening. From the viewpoint of diagnosis, the problem is that small nodular shadows are too large to show respiratory bronchiolitis itself. Moreover, because bronchiectasis is often found in the cases of DPB, the relationship between DPB and other causes of bronchiectasis should be evaluated.

Adult↗
PubMed1989

[BALF cell findings in patients with BOOP, particularly in comparison with UIP].

It is possible to differentiate to some degree to bronchiolitis obliterans organizing pneumonia (BOOP) of unknown etiology from idiopathic usual interstitial pneumonia (UIP) on the basis of clinical symptoms, chest X-ray findings, pulmonary function test and blood gas findings, but in certain patients it can be difficult. Cell findings in bronchoalveolar lavage fluids (BALF) were compared between 8 patients with BOOP and 28 patients with UIP, both diagnosed histologically by open lung biopsy. Findings characteristic of BOOP included (1) an increase in the percentage of lymphocytes, (2) an increase in the percentage of eosinophils, and (3) a decrease in the OKT4+/OKT8+ ratio. These findings provide useful information in making a clinical diagnosis of BOOP and in evaluating proper steroid treatment in patients who unable to undergo open lung biopsy.

Adult↗
PubMed1989

[Indiana continent urinary reservoir: report of 15 cases].

Over the last several years, internal reservoir type urinary diversions have become popular. We have already performed Kock continent ileal reservoir for urinary diversion in more than 80 patients. The experience with the Kock pouch prompted us to try a new form of continent urinary reservoir originally reported by Indiana University group. The Indiana pouch is a composite structure using ileum and cecum. The antireflux mechanism is provided with tunneled ureteral implantation along the tenia of the cecum. Plication of the terminal ileal segment along with the ileocecal valve maintains urinary continence. The tubular configuration of the cecum is completely disrupted with either an ileal patch or Heineke-Mikulicz re-configuration to construct a low pressure reservoir. Between October, 1987 and September, 1988, we performed Indiana continent urinary diversion in 15 cases: 13 males and 2 females, from 47 to 73 years old (mean age 61.3 years), 14 bladder cancer patients and 1 bladder sarcoma patient. The initial 8 patients underwent Heineke-Mikulicz type operation and the subsequent 7 patients ileal patch-type operation. Median followup has been 7 months. There were no major early complications but one postoperative death with blood transfusion related graft versus host disease (GVHD). The late complication occurred in 2 patients: 1 stenosis of the pouch due to insufficient detubularization of the cecum and 1 pyelonephritis required no admission. Serum electrolytes and vitamin B12 remained normal in all patients. Patients perform self-catheterization every 3-5 hours during the day and 0-2 times at night for volumes ranging up to 800 ml. With regard to volume capacity and pressure characteristics, the ileal patch type reservoir seemed to be superior to the Heineke-Mikulicz type pouch as a receptacle for urine. Over-all, 12 of 14 patients (86 per cent) have acceptable continence. The remaining 2 patients have significant daytime leakage requiring pads or a cutaneous bag. Followup examination with excretory urography showed no upper tract obstruction and X-rays of the pouch showed no reflux. Indiana pouch is a relatively simple continent urinary reservoir, since the steps of this technique already are familiar to urologists. It may be an alternative form of continent urinary diversion.

Aged↗
PubMed1989

[Two cases of adrenal cysts--the meaning of imaging in diagnosing adrenal cysts].

Two cases of adrenal cysts are reported. The first case is of a left adrenal cyst in a 19-year-old woman and was incidentally discovered by computed tomography (CT). Its margin was clear, its contents was homogeneous and its signal indicated water contents on magnetic resonance imaging (MRI). It was punctured and is now followed up by CT. The second case is of a left adrenal cyst in a 62-year-old woman, which also happened to be discovered by CT. Its contents was heterogeneous by MRI. It was removed and proved to be a lymphangiomatous cyst. The conclusion is that MRI will be useful in the differential diagnosis of adrenal cysts.

Adrenal Gland Diseases↗
PubMed1989

[Chronic subdural hematoma occurring in patients with senile dementia: report of 4 cases].

Four cases are presented of male patients over 63 years of age. Preceding head injuries relating to chronic subdural hematoma (CSH) were noted in 2 patients. Suspected clinical signs of CSH were disturbance of consciousness and mono- or hemiparesis. Surgery, a burr-hole technique for external drainage, was performed in 2 patients, and nonsurgical treatment by intravenous administration of glycerol was carried out in the remaining 2 patients. After the treatment, 3 patients returned to the previous demented state, and one who had been treated nonsurgically died of pneumonia. Disappearance or marked reduction of the hematoma was demonstrated by follow-up CT scans in all patients. The signs induced by CSH in a patient with senile dementia may be misunderstood as an aggravation of senile dementia. Nonsurgical treatment with osmotic perfusions for CSH may be considered as a treatment of first choice in a patient with advanced senile dementia, unless he shows advanced mass effect of the hematoma on CT.

Aged↗
PubMed1989

[Experience with MAGPI (meatal advancement and glans plasty incorporated), modified MAGPI and Mathieu's technique of hypospadias repair as the last stage operation].

Over a 1-year period, 6 patients with retracted urethral meatus after two-stage hypospadias repair, underwent MAGPI and modified MAGPI technique. Only those cases with subcoronal lesions and without residual chordee were included in this series. Excellent cosmetic and functional results were achieved in all cases without any complication, furthermore, the operative technique is very simple. These are recommended as the operative procedures of choice for the retracted urethral meatus after hypospadias repair.

Adolescent↗