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Biomedical subjects

M Furuse

Publications and source records attributed to M Furuse.

At least 235 records · Page 13Linked to original sources

[Hemodilutional therapy in raised intracranial pressure; observations in a case of cerebral infarction associated with polycythemia vera].

A 36-year-old man presented with sudden onset of hemorrhagic cerebral infarction in association with polycythemia vera. On admission this patient manifested semicomatous state and left hemiplegia which were gradually progressed. X ray CT demonstrated a severe hemorrhagic infarction in right MCA territory accompanying marked shift of midline structures. Cerebral angiograms represented occlusion of right MCA showing floating emboli in the internal carotid. Hematocrit value was found to be high as 61.2 per cent. Elevated ICP levels were noted by means of epidural pressure monitoring. Deterioration of patient status was considered to be based on impairment of cerebral circulation due to hemostasis by elevated blood viscosity. In addition to administration of mannitol solution, intermittent exsanguinations, 1000 ml in total amount, were performed and hematocrit levels were corrected by hemodilution. Consciousness level was remarkably improved in accordance with reduction of ICP, which well corresponded to values of hematocrit. Level of ICP and tissue perfusion are convinced to be strongly affected by hemorheological factor in the state of raised ICP.

Adult↗

[Time course of NMR images and T1 values associated with hypertensive intracerebral hematoma].

The present study describes time courses in tissue T1 values, as well as in NMR imagings, associated with hypertensive intracerebral hematoma (ICH). Non-operative 21 cases of ICH were examined by FONAR QED 80-alpha NMR system, which possessed dual modes of image display and focal T1 measurement (static magnetic field: 433 gauss). As the first step of examination SSFP images are displayed and then, at the regions of interest, absolute values of T1 are measured by field focusing technique. The extent of ICH was revealed as high density zone in NMR imaging, occasionally represented much wider extent of high density area than the finding on X-ray CT. Prolonged T1 values were obtained from such high density zone. This wide-spread high density area was regarded to reflect the spread of perifocal brain edema. T1 value of the hematoma itself was rather shortened in its initial phase within 2 weeks, thereafter followed by prolongation in the time lapse. This seemed to reflect the alterations in the properties of hematoma such as clot formation in earlier phase and resolution in later phase. On the contrary, T1 in the brain tissue surrounded to hematoma was apparently prolonged in the early phase within 2 weeks, representing the maximal values of 312 msec around 2 to 4 weeks after the onset, and then gradually normalized in the period over 1 month. This alteration in tissue T1 likely represents the processes of edema formation and its regression in perifocal zone. T1 values measured in perifocal region might be available for the evaluation of edema state in association with cerebrovascular accident.

Adult↗

Effect of the gut microflora on chick growth and utilisation of protein and energy at different concentrations of dietary protein.

The effect of the gut flora on chick growth and protein and energy utilisation at a marginal dietary energy level (calculated metabolisable energy value 11.7 MJ/kg) was determined with diets containing 227 or 293 g protein/kg. Germ-free (GF) and conventional (CV) chicks were reared for 10 d on the diets, and excreta were collected during the last 4 d. The chicks were killed and carcases and droppings were analysed for N and fat. The GF chicks grew significantly faster than the CV controls on both diets. The growth of CV chicks given the high protein diet was similar to that of GF chicks given the adequate protein diet. Protein and energy utilisation were significantly less for CV than for GF chicks on both diets. It was concluded that the energy requirement of CV chicks was greater than that of their GF counterparts, and that their poorer growth was due to utilisation of some dietary protein as an energy source.

Animals↗

Influence of energy intake on growth and utilisation of dietary protein and energy in germ-free and conventional chicks.

The effect of metabolisable energy (ME) intake on the growth and utilisation of dietary protein and energy in germ-free (GF) and conventional (CV) chicks was investigated in two experiments. In experiment 1 a high energy diet (HED, 14.8 kJ ME/g) and a marginally-adequate energy diet (AED, 11.7 kJ ME/g) were fed to the GF and CV chicks at 240 g/2 birds/10 d. In experiment 2 a diet with 13.7 kJ ME/g was fed at 118 g (low level, LL) or 128 g (high level, HL)/bird/10 d. Body weight gain, protein retention and protein retention rate were similar in GF and CV chicks on both AED and HED in the first experiment, but in the second were higher in GF than in CV chicks. The increased ME intake of the CV chicks in experiment 2 may be too small to compensate for the increased requirement. ME intake was significantly higher in the CV chicks than in the GF chicks, whereas energy retention was similar in both groups.

Animal Feed↗

[Evaluations of regional cerebral blood flow (rCBF) by 133Xenon i.v. method in patients with occlusions of bilateral internal carotid arteries].

The studies of changes in regional blood flow (rCBF) have been reported on different clinical courses in the five cases (mean 57.4 y.o.) showing bilateral occlusion or stenosis of internal carotid arteries. Values of rCBF using Fg (fast component in gray matter) were closely correlated with their clinical courses. The three patients (2 males and 1 female) showed bilateral focal decreased patterns of rCBF and their uneventful clinical courses except for mild attacks of transient cerebral ischemia. However, the rest two male patients showed bilateral decreased pattern of rCBF and moderate hemiparesis including attacks of loss of consciousness. The one died suddenly because of the thalamic hemorrhage and the other died also suddenly from the unknown etiology. Such differences between the classification of clinical course and hemodynamics evaluated by rCBF was discriminated more clearly by Fg (fast component in gray matter) than by F mean (mean rCBF). The authors concluded that the evaluation by Fg may be valuable to estimate prognosis of patients with bilateral occlusion of internal carotid artery. There are two patterns of decreased rCBF in our study. The patients with bilateral diffuse decreased patterns of rCBF should be followed up more carefully because of the sudden death from cerebral hemorrhage.

Aged↗

Protein and energy utilization in germ-free and conventional chicks given diets containing different levels of dietary protein.

The present study was done to clarify the relationship between the amount of dietary protein given to, and the gut microflora of, the host. Day-old chicks were given diets containing three concentrations of dietary protein (50, 200 and 400 g/kg) for 14 d. Body-weight gain, food consumption, body consumption, and protein and energy utilization were measured. There was no difference in body-weight gain and food consumption between germ-free (GF) and conventional (CV) chicks, but food conversion efficiency (g body-weight gained/g food consumed) was significantly higher in GF than in CV chicks. Little difference was found in protein retention (g protein retained/14 d), but protein retention rate (g protein retained/g protein consumed) tended to be higher in GF chicks, particularly those given the diet with the lowest protein. The presence of micro-organisms improved metabolizable energy (ME) values of the diets, but not all of the digested energy in CV chicks was utilized for growth. Therefore there was little difference in energy retention (kJ energy retained/14 d) between environments, although energy retention rate (kJ energy retained/kJ ME consumed) was significantly lower in CV chicks. The amount of body fat in GF chicks was higher than that in CV chicks, especially in those fed on the low-protein diet. It is suggested that although the gut microflora may have beneficial effects on the digestion of dietary energy components, they may have detrimental effects on utilization of ME by their hosts, because chicks harbouring a gut microflora seem to have higher energy requirements for maintenance.

Animal Nutritional Physiological Phenomena↗

Effect of the gut microflora on the size and weight of organs of chicks fed diets of different protein content.

Germ-free (GF) and conventional (CV) chicks were reared for 14 d on diets containing 50 (LD), 200 (AD) and 400 (HD) g protein/kg. Food and water were provided ad libitum. The size and weight of the proventriculus, gizzard, duodenum, jejunum, ileum, caeca, colon, liver, pancreas, heart, spleen, adrenal glands and kidneys were measured, and liver composition was examined. The absolute and relative (weight/kg body-weight) weights of the intestine of CV chicks fed AD and HD diets were greater than those of GF chicks. The LD diet did not affect the absolute and relative weights of the duodenum and jejunum. The absolute weight, relative weight and fat content of the liver of GF chicks given LD diet were greater than those of their CV counterparts. The size and weight of some organs are affected by the diet (dietary protein content)-microflora-host interaction.

Analysis of Variance↗

Cerebral angiographic changes on serial examination of a patient with migraine.

Curious cerebral angiographic changes are described in a 27-year-old female migraine patient. During the period of observation of this patient, both the intracranial carotid artery and the vertebrobasilar artery systems presented unusual and fascinating cerebral arteriographic pictures. In an attack of migraine, angiography showed that all the intracranial secondary and tertiary branches of the carotid arterial system were dilated without showing any changes in the extracranial arteries and when the migraine attack had subsided, all branches of the carotid arteries as well as the vertebrobasilar arteries demonstrated abnormal segmental narrowings or vasospasm. These sequential angiographic changes have not been hitherto reported in migraine.

Adult↗

Effect of internal jugular vein ligation on resorption of cerebrospinal fluid.

The influence of jugular vein ligation on CSF resorption was examined experimentally by means of a manometric ventricular infusion test in dogs. Capacity of CSF absorption was decreased in a stepwise manner according to whether unilateral or bilateral ligation of jugular veins was performed. Interestingly, in addition to rises in ICP, dural sinus pressure was predominantly elevated after bilateral jugular ligation, often exceeding the ICP level. The CSF malresorption observed was considered to be closely related to the lowered pressure gradients between ICP and intracranial sinus pressure.

Animals↗

The development of intracranial aneurysms associated with pulseless disease.

Two cases of pulseless disease associated with intracranial aneurysms, one located at the tip of the basilar artery and the other at the left internal carotid-posterior communicating artery junction which developed with episodes of subarachnoid hemorrhage due to their rupture, are presented. Whether the aneurysms and pulseless disease occurred independently or whether the aneurysms developed secondarily from the altered hemodynamic flow produced by pulseless disease is unknown; however, it is certain that abnormal intracranial hemodynamic forces play a role in the development of aneurysms.

Adult↗