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Biomedical subjects

K Uematsu

Publications and source records attributed to K Uematsu.

At least 73 records · Page 4Linked to original sources
PubMed1993

GABA- and glycine-immunoreactive neurons in the spinal cord of the carp, Cyprinus carpio.

gamma-Aminobutyric acid (GABA) and glycine are the two main inhibitory transmitter amino acids in the central nervous system of vertebrates. The distribution of cells containing GABA and glycine in the carp spinal cord was examined by using specific antisera raised against the two amino acids conjugated to bovine serum albumin. The immunoreaction on serial paraffin sections was visualized by a streptavidin-biotin method. Both antisera gave highly specific labelings of cells. At least three types of GABA-immunoreactive cells were found. They were small cells in the dorsal grey matter, various sized cells in the central and ventral grey, and some ependymal cells contacting the central canal. In addition, very small cells and neuropil structures in the dorsal horn were strongly immunoreactive to the GABA serum. Certain cells in the ventral horn have moderate numbers of labelled synaptic boutons on the perikarya, but very few GABA-labelled terminals were found on putative motoneurons. The immunoreactive ependymal cells appeared to have a ventrolaterally directed axon. The glycine antiserum labelled small and intermediate cells in the dorsal grey, large, elongated cells in the median region, and varying sized cells in the ventral grey. The numbers and density of immunoreactive cells and neuropil structures in the ventral horn were fewer and lower than in GABA-stained sections. The median large cells had a thick ventrolateral process. The ventral intermediate cells were often found near putative motoneurons. Labelled synaptic boutons were present on most ventral cells including putative motoneurons and interneurons. Abundant distribution of cells immunoreactive to both antisera suggest important roles of both GABA and glycine as neurotransmitters for controlling swimming movements in teleosts.

Animals↗
PubMed1993

Primary hepatic carcinoid tumor.

A case of primary carcinoid tumor arising in the liver of a 69 year old woman with no endocrine symptoms is reported. Histopathologically, the tumor was diagnosed initially as a hepatocellular carcinoma in the biopsy specimen, and was shown subsequently to be a carcinoid tumor, demonstrating diffuse positive staining with Grimelius method. Mucin stained with periodic acid-Schiff (PAS), alcian-blue, and mucicarmine, and was shown partially in the glandular structures. Immunohistochemically, most of the tumor cells stained positively for chromogranin-A, epithelial membrane antigen (EMA) and neuron specific enolase (NSE). Ultrastructural examination revealed electron-dense core granules, measuring 40-120 nm in diameter in some of the tumor cells. Intensive and careful searches pre- and post-operatively revealed no other primary source of tumor other than the liver. The patient was reported well with no symptoms 3 1/2 years after the operation. This case is considered to be a primary hepatic carcinoid tumor. The recent literature is reviewed, and the possible histogenesis of hepatic carcinoid tumor is discussed.

Aged↗
PubMed1993

[Detection and identification of mycobacterial DNA with sputa and AIDS samples by nested-polymerase chain reaction (nested-PCR)].

We have demonstrated the nested-polymerase chain reaction (nested-PCR) assay detected from 14 mycobacterial species. We have further demonstrated the species specific restriction sites within amplified dnaJ gene, which allowed us to differentiate the mycobacterial DNA by combination of the PCR with the restriction fragment length polymorphism (PCR-RFLP). Nested-PCR-RFLP was used to detect and identified mycobacterial DNA in the sputa samples and HIV related samples. The target DNA was a 196-base pair segment of dnaJ gene. Of 68 sputum samples tested, 7 were smear positive for acid-fast bacilli and culture. The 7 samples were also identified with Mycobacterium tuberculosis by PCR-RFLP. We tested 69 HIV related samples (19 frozen samples, 22 paraffin embedded samples and 28 lymphocyte from HIV infected people). Of 38 samples were positive for nested-PCR, 8 M. tuberculosis complex, 7 M. avium, 8 M. intracellulare, and 16 others were detected by PCR-RFLP. The PCR method is useful for the rapid diagnosis of mycobacterial infection.

AIDS-Related Opportunistic Infections↗
PubMed1993

[An early phase II trial combining cisplatin and carboplatin in advanced non-small cell lung cancer].

We conducted an early phase II trial in advanced non-small cell lung cancer (NSCLC) to evaluate response efficacy of a combination of Cisplatin (CDDP) and Carboplatin (CBDCA). The twenty-six patients in the study had had no previous treatment. They received a sequential administration of 300 mg/m2 CBDCA and 80 mg/m2 CDDP with approximately 3,500 ml of hydration on day 1 every 4 weeks. All patients were evaluable for response and toxicity. Ten (38.5%) of all assessable patients achieved a partial response (95% confidence interval, 19.8-57.2%). Response rates for patients with stage III A, III B and IV- disease were 40.0 (2/5), 70.0 (7/10) and 9.1% (1/11), respectively. Response rates for patients with squamous cell carcinoma, adenocarcinoma and large cell carcinoma were 35.7 (5/14), 45.5 (5/11) and 0.0% (0/1), respectively. The median survival time (MST) of all patients was 11 months. The MST for patients with stage III disease was 14 months; for those with stage IV disease it was 7 months. The MST for responding patients was 15 months and for not responding patients 5 months. Major toxicities were hematologic and gastrointestinal, and the dose-limiting factor was thrombocytopenia. This combination chemotherapy was effective against NSCLC with tolerable toxicities. Further trials are warranted to determine the efficacy of the combination chemotherapy.

Adult↗
PubMed1992

[Two-dimensional time-of-flight MR angiography of mediastinum and pulmonary hilar vessels: initial clinical experiences].

Two-dimensional time-of-flight magnetic resonance angiography (2D TOF MRA) of mediastinal and pulmonary hilar vessels was performed in 10 patients, seven men and three women with a mean age (range) of 65.7 (48-88) years. The rate of visualization of the vessels and the diagnostic ability of 2D TOF MRA were assessed in comparison with contrast-enhanced CT. A radiofrequency-spoiled gradient echo sequence (SPGR) was used during repeated breath-holding (8-27 seconds) in coronal (8 patients) and axial (2 patients) imaging planes on a 1.5 Tesla superconducting scanner under the following conditions: repetition time/echo time/flip angle/excitation: 25-33/7-8 ms/45 degrees/1, field-of-view: 30 x 30 cm, slice thickness: 2.5 mm, 32 slices, 256 (frequency) x 192 (phase) matrix, with gradient moment nulling technique. Visualization sufficient to enable diagnosis of the vascular lesion was obtained in 95 (52%) vessels, mere visualization in 63 (35%), and non-visualization in 24 (13%) of the 182 evaluable vessels. The rates of good visualization of pulmonary hilar vessels (26/86, 30%) and veins (26/48, 54%) were significantly lower than that of arteries (43/48, 90%, p < 0.05). The sensitivity and specificity of 2D TOF MRA were 77% (10/13) and 100% (83/83), respectively, in 96 evaluable vessels of nine patients. 2D TOF MRA of mediastium and pulmonary hili is clinically feasible, and may be useful because of its high specificity.

Aged↗
PubMed1992

Do the tumor cells of hepatocellular carcinomas dislodge into the portal venous stream during hepatic resection?

BACKGROUND: The current study was undertaken to investigate whether or not tumor cells are dislodged into the portal venous stream during hepatic resection for hepatocellular carcinomas. METHODS: A catheter was placed using echo guidance into the portal branch through the mesenteric vein in 31 patients. Cytologic examinations were done on multiple blood samples at various operative stages. RESULTS: Tumor cells were recovered in 7 of 31 patients in whom the tumor sizes were more than 5 cm and portal invasions were found microscopically and/or macroscopically. By contrast, the remaining 24 tumors were less than 5 cm in size and showed negative portal invasions. Recovery of the tumor cells was found, not during the earlier operative stage of mobilization or rotation of the hepatic lobe, but during the later stages of hilar dissection or hepatic parenchymal dissection. CONCLUSIONS: The portal pedicles should be divided before hepatic dissection in segmentectomy and lobectomy to lessen the chance of dissemination of intravasated tumor cells.

Adult↗
PubMed1992

[Detection of mycobacteria by DNA amplification].

Polymerase Chain Reaction (PCR) was used to detect and to identify Mycobacterium species. In this study, 13 out of 14 Mycobacterium species were detected by using six pairs of oligonucleotide primers. The PCR product was detected by non-isotopic southern blot hybridization even when as little as 10 fg of purified M. tuberculosis DNA was used. And 8 mycobacterial species were identified by PCR-Restriction Fragment Length Polymorphism (RFLP) using two kinds of endonuclease.

Base Sequence↗
PubMed1992

Renal microangiography and correlated histopathological observation of cows with nephropathy.

Seven Holstein-Friesian cows showing chronic nephropathy were studied by renal microangiography and its correlated histopathology. In cases of pyelonephritis associated with severe pathological lesions such as thickening of arterial walls, narrowing of the arterial and arteriolar lumen, and interstitial inflammation and abscess formation, patchy loss of the peritubular capillary plexus from the cortex to the medulla was clearly demonstrated by microangiography. Interlobular arteries were tortuous and attenuated or truncated. Opacification in the vasa rectae and interstitial capillaries was increased. Extensive non-perfused regions could be detected in the cortex. In cases of mild interstitial nephritis and moderate pyelonephritis, microangiography showed focal changes in the renal vasculature. Microangiography is thus shown to clearly demonstrate changes in the renal vasculature corresponding to the severity of the histopathological lesions.

Angiography↗
PubMed1992

Effects of hypoxia on renal function in carp, Cyprinus carpio.

1. Changes in urine and blood properties and heart rate (HR) of carp were investigated during and following hypoxia. 2. When carp were exposed to hypoxic conditions, urine flow in some carp increased immediately. However, it decreased gradually with time. Osmotic pressure and Na+, Cl-, Ca2+ and Mg2+ levels in urine increased in contrast to urine flow. K+, P, ammonium, and lactic acid levels in urine increased gradually. 3. When carp lost their balance, blood pH and plasma K+ were lower, and RBC, Ht, Hb, Mg2+, P, ammonium, lactic acid, and glucose in plasma were higher than those of the control. 4. As water-dissolved oxygen level was restored, urine flow increased immediately and soon decreased to the control rate. Other urine properties showed higher values than the initial levels and decreased with time. No significant change was found in urinary protein. 5. The relationship between HR and urine flow is discussed.

Animals↗
PubMed1991

Physiological response of the fish, Cyprinus carpio, to formalin exposure--I. Effects of formalin on urine flow, heart rate, respiration.

1. Carp were exposed to 280 ppm formalin. Haematocrit and plasma glucose and lactic acid increased. In moribund fish, blood pH was remarkably lower and plasma protein increased. 2. When exposed to formalin, heart rate (HR) and respiration increased briefly, and then decreased. 3. Some fish increased urine flow (UF) immediately and maintained higher values for a while, followed by gradual decrease, and others decreased UF consistently. UF stopped at 30 min or longer prior to fish death. Urine osmotic pressure was higher at the 1st to 2nd hour and immediately before UF stopped. 4. The relationship between UF, HR and respiration was also discussed.

Animals↗
PubMed1991

Subglottic plasma cell granuloma: report of a case.

A case of subglottic and tracheal plasma cell granuloma masquerading as tumor invasion by thyroid malignancy was successfully treated using CO2 laser. A 55-year-old woman with a history of inspiratory stridor of almost 10 months duration was admitted to our clinic, and examinations revealed a mass in the subglottic space and trachea obstructing the airway. CT scan findings was suggestive of tumor invasion from a thyroid gland malignancy, however, histopathological examination of a biopsy specimen showed it to be plasma cell granuloma. Cases of plasma cell granuloma of the larynx and trachea are reviewed and discussed.

Female↗
PubMed1991

Primary nasopharyngeal paraganglioma: a case report.

We report a 49-year-old man with a paraganglioma involving the nasopharynx, which according to the literature is the fourth case in Japan and the twentieth in the world. The initial histopathologic findings of the biopsy specimen from the nasopharyngeal tumor suspected a carcinoid tumor. However, the final histopathologic diagnosis from the surgically resected specimen was paraganglioma, determined by electron microscopy and using several stains, such as Grimelius and Neuron-specific enolase (NSE) stains. We wish to add this case of "primary" nasopharyngeal paraganglioma to the literature, and to report the pathologic findings and clinical course of this unusual case.

Endoscopy↗
PubMed1991

[A case of malakoplakia of the kidney and urinary bladder].

A case of malakoplakia which co-existed in the kidney and the urinary bladder is reported. The patient was a 51-year-old female who had been suffering from asymptomatic macroscopic hematuria. Cystoscopic examination revealed multiple yellow-red nodules in the posterior and lateral wall of the bladder. Transurethral punch biopsy of the mucosa was performed and histopathological examination of the specimens revealed the diagnosis of malakoplakia. The laboratory data at admission were within normal limits except for slightly accelerated erythrocyte sedimentation rate. The culture of urine was negative. The cytology of urine was interpreted as Papanicolaou class I. Intravenous pyelography demonstrated filling defect of the left upper renal calyx, which was confirmed by retrograde pyelography. Computerized tomography showed dilatation of the left upper calyx. An exploratory operation disclosed that the upper calyceal neck was obstructed by several small nodular lesion, which were very similar to the lesions in the bladder. Because intraoperative pathological diagnosis of the frozen section was malakoplakia, partial nephrectomy was performed. Histopathological examination of the kidney and the bladder showed typical Michaelis-Gutmann bodies in the granulomatous lesions. Follow-up examinations 4 months after operation revealed some residual lesions in the bladder which were treated with bethanechol, but no recurrence in the kidney.

Bethanechol↗
PubMed1991

[Studies on the dynamics of Salmonella organisms in raw sewage treatment plants].

The dynamics of Salmonella organisms in raw sewage treatment plants was studied over a period from July 1987 to August 1989. An experiment where Salmonella ser. Havana NAr was introduced into raw sewage was also performed over 2 days during this period. The results are as follows. 1) A number of strains of Salmonella could be isolated usually from samples drawn from raw sewage influent and up to the activated sludge stage of sewage processing. 2) After Salmonella ser. Havana NAr was introduced into raw sewage, the number of the organisms decreased in the activated sludge process to 1/1000 and the organisms were not found in the treatment plants after about forty days. 3) These results suggest that Salmonellas are adsorbed to activated sludge or other sludges, and are not discharged into rivers from this treatment plant. 4) The possibility of being able to determine the strain of Salmonella in regional epidemics by serovars of Salmonella detected in raw sewage treatment plants was suggested.

Humans↗
PubMed1991

Application of renal microangiography to normal and diseased kidneys of cattle and mice.

Use of microangiography is now essential for the study of microcirculation in various organs. Renal microangiographic studies have been reported in rats, rabbits, dogs, human beings, and mice. However, we could not find any report on use of the technique in cattle, despite high incidence of renal disease in that species. The perfusion technique used in mice was improved over that of our previous report, and was applied to normal and diseased bovine kidneys. For the microangiographic technique, composition of the contrast medium, pressure of the injection, duration of perfusion, and washing of kidneys with heparinized saline solution before perfusion are important. In cattle, 1- to 2-mm-thick sections of the kidneys were generally necessary to observe renal vasculature: arcuate and interlobular arteries, afferent arterioles, and glomerular capillaries. In normal bovine kidneys, the angiographic and microangiographic findings were easily recognized as normal, compared with those of normal mice. In affected bovine kidneys, which histologically represented glomerulonephritis and pyelonephritis, angiography and microangiography revealed corresponding findings.

Angiography↗
PubMed1991

[A case of hypereosinophilic syndrome associated with pulmonary infarction and hepatic vein obstruction (Budd-Chiari syndrome)].

A 21-year-old man was admitted in March 1987 with low grade fever and chest pain. Eosinophilia had been pointed out and PIE syndrome was diagnosed in another hospital a month before admission. Steroid therapy had been started. On the first admission, the chest roentgenogram showed bilateral pleural effusion and a nodular shadow in the left lower lung field. Open lung biopsy was performed and a diagnosis of pulmonary infarction was made. Eosinophilia, low grade fever and chest pain were improved by steroid therapy. He was discharged in April 1987. He was readmitted in September 1987 because of fever, back pain and abdominal distension. On the second admission, eosinophilia (4,510/mm3) was pointed out. The case was diagnosed as hepatic vein obstruction by hepatic vein angiography, liver biopsy and ultrasonic examination. He had transient remission on corticosteroid and anti-coagulant therapy. This case was considered as a rare case of hypereosinophilic syndrome associated with pulmonary infarction and Budd-Chiari syndrome.

Adult↗
PubMed1990

[Serovars, drug susceptibility and conjugative R plasmids of Salmonella isolated from patients with sporadic cases of diarrhea in Yamanashi Prefecture (1985-1989)].

A total of 391 strains of salmonella isolated from patients with sporadic cases of diarrhea during the period from April 1985 to June 1989 in Yamanashi Prefecture, were tested for their serovars, drug susceptibility and conjugative transmissible R plasmids. The results can be summarized as follows: 1) The isolates were serologically classified into 35 different serovars. The predominant serovars were S. Typhimurium (24.8%), S. Litchfield (9.2%), S. Oranienburg (9.0%), S. Enteritidis (7.9%) and S. Hadar (6.1%). 2) Serovars of S. Hadar, S. Brandenburg, S. Chester, S. Chailey, S. Oslo and S. Inchpark were isolated from human sources for the first time in Yamanashi Prefecture. 3) Monthly frequency of isolates were August (17.3 strains), September (11.3 strains) and May (10.6 strains). 4) The predominant ages of isolates were 2 years of age (17.1%), 1 years of age (15.1%), 3 years of age (11.2%), under 1 years of age (10.7%) and 4 years of age (9.8%). 5) The rate of isolates from male were higher than female. (Male: 57.5%, Female: 42.5%). 6) The frequency of resistant isolates was 45.8% in the period. The most predominant resistance pattern was SA.SM.TC.CP.KM.ABPC resistance (11.2%). Conjugative transmissible R plasmids appeared in 41.3% of the resistant strains. 7) The number of resistant strains of S. Typhimurium was 57 out of 97 strains (58.8%).

Adolescent↗