[Pseudomonas aeruginosa pneumonia].
Explore the source record for details and available documents.
Cefoperazone↗
Biomedical subjects
N Ikeda
Publications and source records attributed to N Ikeda.
[Hyperuricemia and arthralgia during pyrazinamide treatment].
We studied 51 pulmonary tuberculosis patients who were initially treated with pyrazinamide (PZA) at our hospital between April 1996 and December 1997. PZA dosage was less than 1.5 g per day, and the chemotherapy course lasted 2 months. Uric acid levels of higher than 8 mg/dl were observed in 44 patients (86%). Arthralgia was observed in 9 patients. Acute gout was observed in only 1 patient who had hyperuricemia prior to PZA treatment and a predisposition for gout. The other 8 patients with arthralgia had symptoms in the shoulders and knees, but no gouty pain. Arthralgia was not related to serum uric acid level and disappeared after PZA treatment was stopped. We concluded that PZA can be used for up to 2 months without the combined administration of allopurinol or benzbromarone even if hyperuricemia or arthralgia develops.
Antitubercular Agents↗
[Coronary artery bypass grafting for a patient with angina pectoris and ulcerative colitis].
The implementation of coronary artery bypass grafting for angina pectoris with ulcerative colitis has been rarely reported. A 63-year-old man has a past history of acute myocardial infarction in 1984 and ulcerative colitis since 1988. Coronary angiography and cardiac catheterization showed total obstruction of segment 2, 95% stenosis of segment 6, 75% stenosis of segment 7 and total obstruction of segment 12 with LVEF 23%. Coronary artery bypass grafting was performed under IABP support and cardiopulmonary bypass with aprotinin infusion after an inflammatory reaction of ulcerative colitis was adequately suppressed. Ulcerative colitis was controlled by administering 40 mg of predonisolone during perioperative period.
Angina Pectoris↗
[A case of middle ear tuberculosis; PCR of the otorrhea was useful for the diagnosis].
A 26-year-old female was admitted to our hospital with complaints of fever, cough, otorrhea and otalgia and progressive hearing loss of her left ear. Smears of her sputum were positive for acid-fast bacilli. Smears of her otorrhea were negative for acid-fast bacilli but PCR of her otorrhea was positive. Chest X-ray showed infiltrative shadows with the cavity. She was diagnosed as middle ear tuberculosis associated with pulmonary tuberculosis. After anti-tuberculous chemotherapy, fever, cough, otorrhea and pain of her left ear were improved, but her hearing level was not improved. In the case of middle ear tuberculosis, it is necessary to make an early diagnosis and treatment. This is the first reported case in Japan in which PCR of the otorrhea is positive.
Adult↗
The relationship between p21/waf1 expression patterns and cell proliferation during the tumorigenesis of the bronchus.
Each developmental stage in the process towards bronchial squamous cell carcinoma (normal epithelium, squamous metaplasia and early stage squamous cell carcinoma including in situ carcinoma) was examined for p21/waf1 protein expression and cell proliferation using MIB1. P21/waf1 immunoreactivity was classified into four patterns: predominantly cytoplasmic staining, exclusively nuclear staining, both nuclear and cytoplasmic staining and negative. The cases with predominantly cytoplasmic staining showed suppression of cell proliferation. Most cases with either negative or exclusively nuclear staining revealed high cell proliferation. The simultaneous evaluation of p21/waf1 and cell proliferation is valuable for clinical determination of the high risk for malignant transformation.
Blotting, Western↗
[Diagnosis and treatment of nontraumatic dissecting aneurysm in the middle cerebral artery].
Two cases of nontraumatic dissecting aneurysm of the middle cerebral artery (MCA) are reported. A 59-year-old woman presented with subarachnoid hemorrhage, mainly in the right sylvian fissure. On admission, the right carotid angiogram revealed a dissecting aneurysm with a double lumen extending from segment M1 to M2 of the right MCA, and an unruptured saccular aneurysm in the right internal carotid artery. Emergency surgery revealed a discolored protrusion of the arterial wall in the right MCA, which was thought to be the cause of her subarachnoid hemorrhage. The protrusion of the arterial wall was clipped and coated with Bemsheet soaked in Biobond. However, disturbance of consciousness persisted and she died of paralytic ileus two months after the operation. The other patient was a hypertensive 33-year-old woman with right hemiparesis and motor dysphasia. CT scans obtained on the day of admission showed no abnormalities. She was treated conservatively with clinical improvement, but CT scans obtained 3 days after the ictus revealed an infarction deep in the left frontal lobe. A left carotid angiogram was made 4 days after ictus and demonstrated severe stenosis of the proximal segment of the left MCA with poor filling of its superior trunk. Despite improvement of her hemiparesis, CT scans obtained 3 weeks after the ictus showed hemorrhagic infarction in the left frontal lobe. Repeat left carotid angiogram revealed a double lumen in the C1 and M1 portions with improvement of the previous severe stenosis of the M1. The 23 reported cases of DA in the MCA with our cases are reviewed and their neuroradiological and clinical features are discussed.
Adult↗
[Is left ventricular regional wall motion after CABG influenced by cardioplegic protection?].
This clinical study was conducted to determine whether different techniques of cardioplegic protection reflected left ventricular regional wall motion after CABG. A total of 43 patients with more than 90% stenosis of the LAD (seg 6 and/or 7) before CABG, who had patent grafts were allocated to two groups: namely, the crystalloid group, comprised of 23 patients given cold crystalloid cardioplegia and topical ice slush, and the blood group, comprised of 20 patients given tepid blood cardioplegia delivered intermittently antegrade. Each group was divided into two subgroups according to whether the left ventricular regional wall motion showed no change or deterioration after CABG. We also examined the relationship between the grading of the collateral artery before CABG and the postoperative ventricular regional wall motion. The number of patients who showed deterioration after CABG was higher in the crystalloid group than in the blood group (p = 0.008). Moreover, patients in the crystalloid group whose collateral artery had been graded as 0 before CABG tended to show deterioration of left ventricular local wall motion after CABG (p = 0.07). Whereas those patients in the blood group did not. In conclusion, the incidence of deterioration after CABG was higher in the crystalloid group than in the blood group.
Aged↗
[An autopsy case of lung cancer accompanied by pneumoperitoneum].
We report a case of pneumoperitoneum at the end stage of lung cancer. The patient was an 81-year-old man who experienced only mild abdominal pain and fullness. The pneumoperitoneum spontaneously disappeared. Ruptured viscera and peritonitis were not observed at autopsy. We speculated that air had moved from the lung cancer lesion to the mediastinum, and then through the retroperitoneal space into the peritoneal space. When pneumoperitoneum is observed, lung cancer and other intrathoracic diseases should be suspected as causes. Also, it may be necessary to carefully examine the patient for fever, general appearance, abdominal findings, and laboratory findings, including white blood cell count and C-reactive protein level, and on that basis differentiate from ruptured viscus, which requires an emergency laparotomy.
Aged↗
Miscibility of Butanol and Cationic Surfactant in the Adsorbed Film and Micelle.
Mixed adsorbed films and micelles were investigated by measuring surface tension of the aqueous solutions for the following four mixtures: the n-butanol (NBA)-dodecylammonium chloride (DAC), t-butanol (TBA)-DAC, NBA-dodecyltrimethylammonium chloride (DTAC), and TBA-DTAC. Experimental results were analyzed thermodynamically. Phase diagrams of adsorption and micelle formation and that exhibiting the composition relation of micelle and adsorbed film at CMC were compared among the four systems. Excess Gibbs energy in the adsorbed film gH,E and activity coefficient in the micelle fM2+/- were calculated from the phase diagrams to estimate the miscibility of the butanol and cationic surfactant quantitatively. By comparing the results of the pairs of NBA-DAC and TBA-DAC systems with those of the NBA-DTAC and TBA-DTAC systems, it was shown that the substitution of the polar head group from ammonium to trimethylammonium changes the gH,E value from positive to negative and increases fM2+/-. Furthermore, by comparing the results of the pairs of NBA-DAC and NBA-DTAC systems with those of the TBA-DAC and TBA-DTAC systems, it was shown that the bulky hydrophobic group weakens the molecular interaction between the butanol and the cationic surfactant in the adsorbed film. Copyright 1998 Academic Press.
Journal Article↗
Nonideal Mixing of Decyl Methyl Sulfoxide and Decyldimethylphosphine Oxide in Adsorbed Films and Micelles.
The surface tension of aqueous solution of decyl methyl sulfoxide (DeMS) and decyldimethylphosphine oxide (DePO) mixture was measured as a function of the total concentration of the surfactants and the composition in the surfactants. The compositions of the adsobed film and micelle were evaluated by applying thermodynamic equations to the surface tension and the phase diagrams of adsorption and micelle formation were drawn. The DeMS and DePO mixture showed a negative deviation from the ideal mixing in adsorbed film and a positive deviation in micelles. The activity coefficients of surfactant in the adsorbed film and micelle were calculated from the phase diagrams and the nonideality of mixing in the adsorbed film and micelle was clarified in terms of the excess thermodynamic quantities of adsorption and micelle formation. Judging from the negative values of the excess Gibbs free energy and area of adsorption and a positive one of the excess Gibbs free energy of micelle formation, it was concluded that the difference in head group between DeMS and DePO molecules causes a favorable packing in the adsorbed film and an unfavorable one in the micelle. Copyright 1998 Academic Press.
Journal Article↗
Transmembrane 4 superfamily as a prognostic factor in pancreatic cancer.
Several members of the transmembrane 4 superfamily (TM4SF) have been reported to be related to tumor progression and metastasis. The aims of our study were to clarify the relationship between TM4SF and pancreatic cancer and to determine the prognostic significance of TM4SF in human pancreatic cancer. The mRNA levels for MRP-1/CD9, KAI1/CD82 and ME491/CD63, which belong to the TM4SF gene family, were evaluated in 40 resectable pancreatic adenocarcinomas using reverse transcriptase-PCR. MRP-1/CD9 gene expression was associated with lymph node status, and with pathological status. Moreover, MRP-1/CD9 expression was inversely associated with histo-pathological grading. KAI1/CD82 gene expression was inversely associated with tumor status. ME491/CD63 gene expression, however, was conserved in all pancreatic cancers. The overall survival rate for the 22 patients whose tumors had decreased MRP-1/CD9 gene expression was strikingly lower than that for the 18 patients with MRP-1/CD9-positive tumors. The overall survival rate of the 15 patients who were KAI1/CD82-positive was significantly higher than that of the 25 patients with decreased KAI1/CD82 gene expression. In a multivariate analysis using the Cox proportional hazards model, MRP-1/CD9 and KAI1/CD82 status was found to be the most significant.
Adenocarcinoma↗
Sensitive determination of methomyl in blood using gas chromatography-mass spectrometry as its oxime tert.-butyldimethylsilyl derivative.
A sensitive, selective and reliable method was developed to determine methomyl ¿methyl-N-[(methylcarbamoyl)oxy]-thioacetimidate¿, a carbamate insecticide in human blood, using gas chromatography-mass spectrometry. Dimethylglyoxime served as an internal standard (I.S.). Methomyl in the blood was converted to its oxime form by sodium hydroxide. The solution made acidic with hydrochloric acid was poured into a column packed with Extrelut. Methomyloxime and I.S. were eluted from the column with a mixture of dichloromethane-ethyl acetate-chloroform (65:25:10), transformed to tert.-butyldimethylsilyl derivatives, and analyzed by gas chromatography-mass spectrometry in the electron impact mode. The calibration curves were linear in the concentration range from 1 ng/g to 100 ng/g and 100 ng/g to at least 5000 ng/g. The lower limit of detection was 0.5 ng/g. The absolute recoveries were 72-93% and within-day coefficients of variation were 3.1-5.6% at blood concentrations of 10 and 1000 ng/g. Two practical forensic applications are described.
Acetamides↗
Structure Effect on Miscibility of Butanol and Dodecyltrimethylammonium Chloride in Adsorbed Film.
Miscibility of components in the adsorbed film for the n-butanol (NBA)-dodecyltrimethylammonium chloride (DTAC) and tert-butyl alcohol (TBA)-DTAC mixtures were investigated by measuring surface tension of the aqueous solutions. The experimental results were analyzed thermodynamically. Diagrams of the excess Gibbs energy in the adsorbed film gH,E vs the composition in the adsorbed film XH 2 were obtained from the phase diagrams of adsorption. The gH,E values of the NBA-DTAC system are more negative than those of the TBA-DTAC system. It is concluded that the molecular interaction between NBA and DTAC is stronger than that between TBA and DTAC. With respect to the mean molar area in the adsorbed film A vs XH 2 curve at a fixed surface tension gamma, the criterion of ideal mixing is demonstrated to be a straight line connecting the pure values. The A vs XH 2 curves are convex downward in both systems and the deviation from the straight line is attributed to the dependence of gH,E on gamma. Copyright 1998 Academic Press.
Journal Article↗
Pattern of recurrence after resection for intraductal papillary mucinous tumors of the pancreas.
The objective of this study was to clarify the patterns of recurrence and prognosis after resection of intraductal papillary mucinous tumors (IPMTs). Fourteen patients with IPMT were reviewed histologically; intraductal papillary adenocarcinoma was present in 12 cases and intraductal papillary adenoma in 2. Six patients were alive with no evidence of disease. Two patients died from other causes. Six patients had recurrences. The median survival time was 46 months. In the six recurrent cases, the median postoperative disease-free interval was 38 months. Four patients died of recurrence, and the median survival time after recurrence was 6 months. The major site of recurrence was the remnant pancreas. The other sites were the liver in two cases, peritoneum in two, and local in one. These results suggest the multicentric or metachronous oncogenesis of IPMT. Because of the low frequency of lymph node metastases, an operation to preserve pancreatic function may be recommended, especially for localized tumors such as the branch type. It is important to avoid an incomplete resection using intraoperative pancreatoscopy and ultrasonography. Long-term follow-up after surgery is necessary even for a curative resection. We should perform total pancreatectomy for recurrences without distant metastases.
Aged↗
Identification of beverages and beverage stains by GC/MS using aroma components as indicators.
A method to identify brown coloured beverages or beverage stains for criminological purposes was devised using aroma components as indicators. The examined beverages comprised three brands each of beer, coffee, cola and black tea, two brands of oolong tea, and four brands of green tea. Aroma components in each sample were efficiently concentrated with a porous polymer beads column (Porapak Q) and were analyzed by gas chromatography/mass spectrometry (GC/MS) using n-octyl alcohol as the internal standard. Specific aroma components were found in each beverage and beverage stain, for example cis-terpin hydrate in cola, and thus identification of beverages or beverage stains became feasible through the detection of these specific components. The present method was applied efficiently to two practical criminological cases.
Beer↗
A new evaluation of pancreatic function after pancreatoduodenectomy using secretin magnetic resonance cholangiopancreatography.
BACKGROUND: The remnant pancreatic function after pancreatoduodenectomy influences greatly postoperative quality of life. However, it has been difficult to evaluate the exocrine remnant pancreatic function postoperatively. The aim of this study was to assess the usefulness of secretin-stimulated magnetic resonance cholangiopancreatography (secretin MRCP) in evaluating the remnant pancreatic function and ascertaining the anastomotic patency after pancreatoduodenectomy. METHODS: Thirty-four patients who underwent pancreatoduodenectomy were evaluated with secretin MRCP. The results of MRCP were determined by the amount of exocrine pancreatic secretion, and were graded as follows: grade I (poor secretion), grade II (moderate secretion), and grade III (good secretion). RESULTS: Secretin MRCP could visualize the pancreatic secretion dynamically. MRCP grades were grade I in 11 patients, grade II in 12, and grade III in 11. There was a significant correlation between MRCP grade and glucose tolerance. We confirmed visually the patency of the anastomotic site in 24 patients (71%). MRCP grades correlated significantly with clinical symptoms. CONCLUSION: Our results demonstrated secretin MRCP was feasible for evaluating the remnant pancreatic function after pancreatoduodenectomy.
Adult↗
Development of auxiliary partial orthotopic liver transplantation model in the rat.
Explore the source record for details and available documents.
Animals↗
Long-term normalization of diabetes by xenotransplantation of newly developed encapsulated pancreatic islets.
Explore the source record for details and available documents.
Animals↗