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Biomedical subjects

M Murase

Publications and source records attributed to M Murase.

At least 199 records · Page 11Linked to original sources

[Clinical studies of cefminox in the pediatric field].

The in vitro antibacterial activity of cefminox (CMNX, MT-141) was nearly equal to that of CTX, LMOX, CMZ and CPZ against the 4 species of clinically isolated strains. CMNX was applied to a total of 17 patients including 11 cases of bronchitis, 4 cases of pneumonia and 2 cases of urinary tract infection. The results showed an efficacy rate of 94% (16/17). In the 4 patients from whom the isolation of pathogenic organisms was possible, the bacteriological response to CMNX was appreciable the efficacy rate being 80% (4/5). No side effect of the drug was observed.

Anti-Bacterial Agents↗

[Evaluation of the atrial contribution to ventricular filling in patients with DDD pacemakers].

To evaluate the usefulness of physiologic cardiac pacing, the trasmitral flow velocity was recorded using the pulsed Doppler method combined with 2-D echocardiography in 14 patients in whom a DDD pacemaker was implanted. DDD pacemakers were programmed to atrioventricular (AV) sequential pacing with AV intervals of 50, 100, 150, 200 and 250 msec, and VVI pacing modes at a heart rate of 70 bpm. The time-velocity integral (TVI) of the left ventricular (LV) inflow curve was obtained by digitizing the outline of the tracings and expressed in the percentage of that of AV sequential pacing with AV interval of 150 msec (the percent LV filling volume). The percent LV filling volume was 75% for 50 msec, 89% for 100 msec, 96% for 200 msec and 90% for 250 msec of an AV interval in AV sequential pacing. It was significantly smaller at AV intervals of 50, 100 and 250 msec than at an AV interval of 150 msec. It was significantly smaller (68%) in VVI pacing than at AV intervals of 100, 150, 200 and 250 msec in AV sequential pacing. The left atrial (LA) contribution to LV filling was assessed in terms of the fraction of TVI during LA contraction to that during total LV filling at the optimal AV interval (A/Fmax). The optimal AV interval was defined as the interval at which the maximum LV filling volume was achieved in individual patients. The A/Fmax showed a positive correlation with the percent increase of LV inflow volume, with conversion from VVI to AV sequential pacing with the optimal AV interval. It also showed a positive correlation with age. These results suggested that the LV inflow volume was greater in AV sequential pacing with the optimal AV interval than in VVI pacing, especially in patients with a large A/Fmax. In conclusion, pulsed Doppler echocardiography could be a useful, non-invasive technique to determine the indications for implanting a DDD pacemaker and the optimal AV interval in patients in whom DDD pacemakers are implanted.

Adult↗

[Clinical studies on aspoxicillin in the pediatric field].

Studies on efficacy and safety of aspoxicillin (ASPC) were carried out to 14 cases of pediatric infections, and the following results were obtained. Clinical efficacy of ASPC to 10 respiratory infections, 1 urinary tract infection and 1 otitis media was excellent in 6 cases (50%) and good in 6 cases (50%). The efficacy rate was 100%. Bacteriological effect of ASPC to 6 cases which detected the causative organisms (S. aureus, E. faecalis, H. influenzae and P. mirabilis) was eliminate in 3 cases (50%) and replace in 3 cases (50%). The bacterial eliminated rate was 100%. Side effects of ASPC to 14 administered cases were observed in 2 cases, that were urticaria in 1 case and elevation of GOT in 1 case. From the above results, it was concluded that ASPC was the useful and secure antibiotic drug for treatment of infections in pediatric field.

Amoxicillin↗

[Clinical study on aztreonam in pediatrics].

Efficacy and safety of aztreonam (AZT) for 31 cases of infections of children were studied with the following results. Clinical efficacy of AZT for 22 respiratory tract infections, 5 urinary tract infections and 2 gastrointestinal infections was "excellent" for 19 cases (65.5%), "good" for 9 cases (31.0%) and "poor" for 1 case (3.4%) with an overall effective rate of 96.6%. Microbiological effect of AZT for 19 isolated strains (15 cases) was 100% in disappearance of the Gram-negative bacteria and 89.5% on the whole. With regard to side effect of AZT in 31 cases, there was a slight elevation of GPT in 1 case and eosinophilia in 2 cases. It was considered from the above results that AZT is a useful and safe antibiotic for infections of children.

Age Factors↗

[Studies on the method of susceptibility test of Campylobacter jejuni to fosfomycin].

Conditions for the susceptibility test of Campylobacter jejuni to fosfomycin (FOM) were studied and it was concluded that the following procedure is most appropriate for routine tests. The test organisms were subcultured in 0.5 ml of heart infusion broth (Difco) in test tubes for a microplanter (Sakuma Seisakusho) and incubated in a GasPak jar with a CampyPak and catalyst (BBL) at 37 degrees C for 44--48 hours. The cultures were then diluted 100-fold in the same broth and inoculated with a microplanter on test plates. The test plates were nutrient agar (Difco) supplemented with 0.2% MgCl2 and 5% defibrinated horse blood. The plates were then incubated under the condition as described above and the growth of the cells was examined. It should be noted that drying of plates for more than 1 hour caused significant loss of viability of the cells.

Anti-Bacterial Agents↗

[Clinical study of diffusion of cefotiam into myocardial tissue].

In 11 patients undergoing open-heart operation, 1 g of cefotiam (CTM) was administered intravenously by bolus technique at the start of operation. Samples of serum were obtained at 30, 60 and 90 minutes following administration. Samples of right atrial appendage tissue and serum were obtained simultaneously at the time of heart cannulation. Antibiotic concentrations of all samples were determined by agar well method using P. mirabilis ATCC21100 as the test organism. The results were as follows: Serum levels of CTM after 30, 60 and 90 minutes were 53.1 +/- 17.6 micrograms/ml (Mean +/- S.D., n = 10), 26.1 +/- 10.4 micrograms/ml (n = 11) and 13.5 +/- 5.5 micrograms/ml (n = 7) respectively. Myocardial tissue levels of CTM after 60 and 90 minutes were 9.4 +/- 4.7 micrograms/g (n = 4) and 4.8 +/- 2.7 micrograms/g (n = 7) respectively. The concentration ratios of the myocardial tissue to serum were 0.36 +/- 0.10 (n = 4) after 60 minutes and 0.35 +/- 0.09 (n = 7) after 90 minutes. CTM can transmigrate from blood to myocardial tissue easily as compared with other cephalosporins. Therefore, CTM, a new broad spectrum cephalosporin, can be considered as one of the highly useful antibiotics for the prevention and treatment of infections following cardiac operation.

Adolescent↗

[Clinical studies of T-1982 (cefbuperazone) in the field of pediatrics].

T-1982 (cefbuperazone), a new cephamycin antibiotic, was clinically and bacteriologically studied in 25 children with bacterial infections. The following results were obtained. 1. The antibacterial activity of T-1982 was determined against clinically isolated bacteria. T-1982 demonstrated excellent activity against Gram-negative bacilli, the MICs being less than 0.39 microgram/ml against E. coli and K. oxytoca, less than 1.56 microgram/ml against H. influenzae. 2. Clinical response was excellent or good in all 24 cases evaluated. The efficacy rate was 100%. 3. As for side effects associated with T-1982, slight and transient elevation of GOT, GPT and eosinophil, slight decrease of platelet and eruption were observed. From these results, T-1982 is considered to be a useful antibiotic for treating bacterial infections in children.

Anti-Bacterial Agents↗