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Biomedical subjects

K Tasaka

Publications and source records attributed to K Tasaka.

At least 289 records · Page 16Linked to original sources

General pathology of Kawasaki disease. On the morphological alterations corresponding to the clinical manifestations.

Systemic pathological alterations were studied in thirty-seven autopsied patients with Kawasaki disease. Systemic vasculitis was the most characteristic pathological finding and was present in all the patients. In addition to the vasculitis, there was a high incidence of inflammatory lesions in various organs and tissues: in the heart, endocarditis, myocarditis, and pericarditis; in the digestive system, stomatitis, sialoduct-adenitis, catarrhal enteritis, hepatitis, cholangitis, pancreatitis, and pancreas ductitis; in the respiratory system, bronchitis and segmental interstitial pneumonia; in the urinary system, focal interstitial nephritis, cystitis, and prostatitis; in the nervous system, aseptic leptomeningitis, choriomeningitis, gangliontis, and neuritis; in the hematopoietic system, lymphadenitis, splenitis, and thymitis. Dermatitis, panniculitis or myositis were also observed in some patients. Therefore, Kawasaki disease is a systemic inflammatory disease which mainly affects the cardiovascular system. These systemic inflammatory lesions are considered to correspond to the variegated clinical manifestaitions. The relationship between Kawasaki disease and infantile polyarteritis nodosa (IPN) were discussed, based on the clinicopathological characteristics.

Child↗

Characteristics of intraluminal pressure sensing balloons of different materials.

The physical properties of the balloons made of some polymeric substances were studied. The polyurethanes provided high frequency characteristics but air-leaking disqualified except ECD-651 which was most satisfactory: low permeability and ease of fabrication. Saran was proper but troublesome in making the balloon. Polypropylene and polyethylene, available in film, required heat sealing, which resulted in deformity and low frequency characteristics.

Intestines↗

Circulating immune complexes in the serum of diabetes mellitus in childhood by a modified 125I-C1q binding test.

The 125I-C1q binding test for the detection of soluble immune complexes in native unheated human serum was applied to the study of sera from 52 patients with diabetes mellitus in childhood. This radiolabeled C1q binding test is more sensitive and reproducible among the various methods proposed for the detection of immune complexes. The 125I-C1q binding activity in 52 sera from diabetes mellitus in childhood was 9.47 +/- 0.36% compared to 6.94 +/- 0.74% in normal controls. 125I-C1q binding values in diabetes mellitus in childhood were significantly higher than normal controls. Slight high values were seen in 3 patients with positive anti-DNA-antibodies in diabetes mellitus in childhood. 125I-C1q binding was not significantly increased in patients with positive antithyroid antibodies and insulin antibodies. There was no significant correlation between the duration of diabetes and 125I-C1q binding activity.

Adolescent↗

Characteristics of pressure sensing balloons made of various polymeric materials.

A variety of polymeric materials (polyurethane, polypropylene, polyethylene and polyvinylidine copolymer) have been evaluated for suitability in making of air-filled balloon to detect intraluminal pressure. The polyurethanes, in particular ECD, proved to be most suitable because of the ease of fabrication, low permeability to air and high frequency characteristics. Polyvinylidine copolymer was adequate but suffered from difficulties in fabrication. Polypropylene and polyethylene, available in film, were troublesome in making balloon and displayed low frequency characteristics.

Animals↗

Anti-allergic properties of a new histamine antagonist, 4-(p-chlorobenzyl)-2- [N-methyl-perhydroazepinyl-(4)]-1-(2H)-phthalazinone hydrochloride (azelastine).

Anti-allergic properties of 4-(p-chlorobenzyl)-2 [N-methyl-perhydroazepinyl-(4)]-1-(2H)-phthalazinone hydrochloride (azelastine, A-5610) were investigated focusing the most attention on its decongestive effect. Intravenous injection of azelastine into anesthetized dogs with doses more than 0.1 mg/kg prevented the changes in nasal impedance provoked by histamine sprayed into the nasal cavity. When azelastine was given orally, the minimum effective dose to abolish the impedance reduction due to histamine was 2 mg/kg, in the case of cleamastine the same dose was required. Histamine release from the rat mesentery pieces by the condensation product of N-methyl-homoanisylamine formaldehyde (compound 48/80) (0.005%) was inhibited almost completely by pretreatment with azelastine at the concentrations of 10(-4) to 10(-3) g/ml, and in those concentrations azelastine alone released histamine scarcely. When 5 mg/kg of azelastine was given i.v. to rabbits, the characteristic changes in EEG -- a high-voltage low-frequency pattern -- persisted more than 1 h, but not the least inhibition in arousal response was noted. With the dose of 0.5 mg/kg, diphenhydramine impaired arousal response and slow waves with high amplitude dominantly appeared in EEG.

Administration, Oral↗

Studies on rickettsia-like body in Kawasaki disease. Attempts of the isolation and characterization.

Rickettsia-like bodies were reportedly found in biopsies of the skin and lymph nodes from half the number of patients with Kawasaki's disease. In our present work, these microbodies were isolated from the peripheral whole blood of a patient with Kawasaki's disease (MLNS) through passage of guinea pigs and yolk sac culture. However, the isolated strains disappeared spontaneously during their stores at -80 degrees C for two weeks.

Animals↗

Function of phagocytosis and intracellular killing of peripheral neutrophils in Kawasaki disease.

NBT (Nitroblue Tetrazolium) test was performed in 17 patients with Kawasaki disease to examine the function of phagocytosis and intra-cellular killing of neutrophils. The value was high compared to other pediatric patients. Activation with Proteus OX-2 antigen before NBF test showed a significant higher level than other proteus antigens, which correspond in serum level. With previous electronmicroscopic observation of rickettsia-like body in biopsy specimen, these findings suggest the existence of an agent in Kawasaki disease which shares antigenicity with Proteus OX-2.

Antigens, Bacterial↗

Effects of n-decylamine and toluidine blue on the electric capacitance of isolated rat mast cells.

The electric capacitance of isolated rat mast cells and its change under the influence of either n-decylamine or toluidine blue was investigated. Since the electric circuit employed in the detection unit is the one merely sensitive for the capacitance changes, output signals pertain to the capacitance of the tested cell alone. N-decylamine released histamine without accompanying degranulation; and it caused a marked swelling of mast cells and a striking decrease of capacitance, although electric capacitance is usually proportional to the size of the cell. Morphological changes induced by toluidine blue are seemingly correlated with the changes in capacitance. At the concentrations (25-50 microgram/ml) in which the mast cell became enlarged, electric capacitances exceeded the control value. However, at the concentrations higher than 100 microgram/ml in which the cell became shrunken, the capacitance values were less than control value. Pretreatment with DNP (0.1 mM) or oxyphenbutazone (0.05-0.2 mM) was of little effect in inhibiting the histamine release, morphological alterations and capacitance changes due to n-decylamine, but pretreatment with either prevented all of those changes produced by toluidine blue. The mechanism of the capacitance changes in mast cells induced under influence of those compounds is discussed.

Amines↗

An experimental study on endoscopic papillotomy in monkeys.

Endoscopic papillotomy would appear to have distinct advantages in non-operative treatment of common bile duct stones. To investigate the effects of this procedure on the papilla and adjacent organs, diathermy papillotomy was performed at laparotomy in three monkeys. White-cell count and levels of liver function parameters temporarily increased during the follow-up period of twelve months, suggesting that diathermy papillotomy might have brought about some pathological changes in the hepatobiliary system of monkeys, whereas no definite evidence of cholestasis or pancreatitis were noticed, and an excellent condition of papillotomy orifice and adjacent ogans was revealed at autopsy about 1 year after diathermy papillotomy.

Ampulla of Vater↗

Intraluminal pressure of the small intestine of the unanesthetized dog.

Intraluminal pressure recordings have been performed in 14 unanesthetized dogs via a Mann-Bollman fistula by means of an air-filled balloon catheter system and a water-filled catheter system. The dynamic response is adequate for studying intraluminal pressures of the small intestine. Resting pressures in the proximal, middle and distal jejunum averaged approximately 6 mm Hg above atmosphere and no appreciable differences were noted between the different areas. The contraction time of simple, monophasic waves was fairly constant (approximately 1.0 s in duration) and usually unrelated to amplitude of the wave. Propulsion of intraluminal contents occurred in the absence of complex (type III) waves. A pressure wave in a proximal segment of jejunum was temporally related to a wave occurring 5 cm distally. The mean intervals between the proximal and distal contractions were: 0.42 s in the proximal jejunum; 0.74 s in the middle jejunum; 1.56 s in the distal jejunum; 2.79 s in the ileum. These time lags have a log normal distribution. The length of the physiologic segment in the jejunum of the dog varied from 1.0-8.0 cm and was usually 2-4 cm.

Animals↗

Effects of diphenhydramine, naphazoline and m-amino-alpha(1-aminoethyl)benzyl alcohol dihydrochloride on the nasal mucosa determined by impedance method: a simple method for evaluation of nasal decongestant.

A simple, new method was devised for evaluating nasal decongestants. In anesthetized dogs, two needle electrodes were inserted bilaterally into the superficial mucosa of the nasal wings. An impedance plethysmorgraphy provided with a DC output was used to measure impedance between the two electrodes. When 1% histamine solution was sprayed into a nostril focusing on the inside mucosa of a nasal wing, impedance decreased markedly and thereafter recovered to a control level within 1-1.5 h. Comparable responses were obtained when the same solution was sprayed into the opposite nostril. The drugs to be tested were administered intravenously or topically between these two histamine application. Intravenous administrations of diphenhydramine (0.5 mg/kg) and m-amino-alpha)1-aminoethyl) benzyl alcohol dihydrochloride (0.1 mg/kg) inhibited the histamine effect completely. Pretreatment with naphazoline administered topically also inhibited impedance changes cause by histamine application. Local appliations of acetycholine (10%) and bradykinin (0.1%) did not change nasal impedance significantly in any instances.

Acetylcholine↗