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Biomedical subjects

S Isomura

Publications and source records attributed to S Isomura.

At least 73 records · Page 4Linked to original sources

[Rotavirus infections in traveler's diarrhea].

We tried to isolate rotaviruses from travelers with diarrhea arriving at Nagoya International Airport. 1. Ten cases revealed positive for rotavirus out of 334 diarrheal patients tested during a period from 1985 to 1988. 2. Most of the rotavirus positive cases were in their forties or in their fifties. 3. Geographic distribution of the infected area of the cases was not concentrated with specific countries. 4. Diarrhea was the most frequent clinical manifestations of the cases. 5. There was no cluster in seasonal distribution of the cases.

Adolescent↗

Virucidal effect of chlorinated water containing cyanuric acid.

The inhibitory influence of cyanuric acid on the virucidal effect of chlorine was studied. The time required for 99.9% inactivation of ten enteroviruses and two adenoviruses by 0.5 mg/l free available chlorine at pH 7.0 and 25 degrees C was prolonged approximately 4.8-28.8 times by the addition of 30 mg/l cyanuric acid. Comparative inactivation of poliovirus 1 by free available chlorine with or without cyanuric acid revealed the following. The inactivation rate by 1.5 mg/l free available chlorine with 30 mg/l cyanuric acid or by 0.5 mg/l free available chlorine with 1 mg/l cyanuric acid was slower than by 0.5 mg/l free available chlorine alone. Temperature and pH did not affect the inhibitory influence of cyanuric acid on the disinfectant action of chlorine. In the swimming-pool and tap water, cyanuric acid delayed the virucidal effect of chlorine as much as in the 'clean' condition of chlorine-buffered distilled water. The available chlorine value should be increased to 1.5 mg/l when cyanuric acid is used in swimming-pool water.

Adenoviridae↗

Efficacy and safety of acellular pertussis vaccine in Aichi Prefecture, Japan.

A prominent increase of notified cases of pertussis was observed during discontinuation of pertussis immunization in Aichi Prefecture from 1975 to 1979. The patients were principally unimmunized children. After reintroduction of pertussis vaccine the number of cases decreased gradually and the decline has continued after the introduction of acellular pertussis vaccine. A retrospective survey of immunized schoolchildren also showed efficacy of the vaccine. To confirm the efficacy of acellular vaccine a prospective case contact study was conducted. Of 35 unimmunized children 29 developed clinically diagnosed pertussis, and of 52 children who received two or more doses of the vaccine only two developed disease after the household exposure. There were no serious systemic adverse reactions including high fever or encephalopathy. Severe local reaction occurred in 2.65/100,000 recipients of a third and fourth dose of the acellular vaccine.

Child↗

Japanese clinical trials with Takeda acellular pertussis vaccine.

Japanese clinical trials with Takeda acellular pertussis vaccine revealed that infants 3 to 8 months of age reacted sufficiently to the vaccine: anti-PT ant-FHA levels after vaccination were as high as those observed with 2 year old children. No substantial difference in general reactions was noted between infants and 2 year old children. Less local reactions were noted in infants.

Age Factors↗

Clinical studies on efficacy and safety of acellular pertussis vaccine.

We conducted a retrospective survey of immunized school children in order to define the incidence of pertussis in relation to the acceptance rate of acellular pertussis vaccine combined with diphtheria and tetanus toxoid (ACP-DT vaccine). The attack rate of the disease was 0.01-0.02% in children with a history of recommended doses of the vaccine. In unimmunized children, 6.43-6.52% had a history of pertussis. To confirm the efficacy of the vaccine, a prospective household contact study based on clinical findings was conducted. Of 37 unimmunized children, 30 developed clinically diagnosed pertussis, and of 39 fully immunized children only two contracted the disease. Because there was no cluster of pertussis cases, a difference in vaccine efficacy between products seemed unlikely. From 1984 to 1987, there were no cases of high fever, encephalopathy, shock or death attributable to mass immunization with the vaccine. Severe erythema and swelling of the inoculated arm to the wrist were observed in 16 children (3.06/100,000 doses) after the third dose or after the booster dose. The vaccines used for these 16 children were from different manufacturers. All cases recovered completely.

Child↗

Serum polio antibodies in unimmunized preschool children in a rural village in Ghana: before active immunization programme.

The finding of the neutralizing antibodies against poliovirus in unimmunized preschool children confirms the endemicity of the disease in the rural community. The predominant polio antibody types were types 1 and 2. In children under 4 months of age, 82% were seropositive to type 1, 91% to polio type 2 and 55% to polio type 3; evidence of maternal transplacental antibodies. There were fewer seropositives in the age group 4-9 months, 28%, 44% and 12% to the types 1, 2 and 3, respectively. However, the percentages of seropositives to all three types increased for the rest of the age groups, indicating possible contact with the wild poliovirus in early infancy. Community spread of the virus is also supported by the intrafamilial clustering of the seropositives.

Age Factors↗

Interferon-mediated self-limiting growth of respiratory syncytial virus in mouse embryo cells.

The growth of respiratory syncytial (RS) virus in primary mouse embryo (ME) cells was investigated. The virus yields in ME cells were markedly lower if compared with those in HEp-2 cells, which are fully permissive for RS virus, and a remarkable production of interferon (IFN) was found in the early period of infection of the former cells. The virus yields in ME cells were enhanced when antimouse IFN serum was added to the medium. Indirect immunofluorescent staining of infected ME cells showed that the infection spread in the entire monolayer in the presence of antiserum, whereas it was markedly restricted throughout in the absence of the serum. All the major viral polypeptides were synthesized in the absence of the serum. However, their synthesis rates were greatly enhanced if the antiserum was added. These results suggest that the virus growth in ME cells is self-limiting and that this limited growth is due to autointerference by endogenously produced IFN during the course of infection. Further, this type of growth restriction of RS virus appears to be characteristic of cells of mouse origin by comparative studies that used other cells of different origin.

Animals↗

Studies on the adaptation of mumps virus to chick embryo.

About 15 serial passages of wild type mumps virus (Sasazaki strain) in the amnion sac of chick embryo (CE) yielded a CE-adapted strain which was poorly replicative and did not form plaques in Vero cells where the wild strain grew well. In the course of this limited replication of the CE-adapted strain in Vero cells, we have analysed the viral protein and RNA synthesis. It was found that protein synthesis took place very efficiently at least early in infection by 12 h. The subsequent rate of synthesis remained, however, at a low level without showing the progressively increasing synthesis observed with the wild strain. Furthermore, 50S genomic RNA was synthesized early in the limited infection, but the subsequent synthesis was markedly suppressed. In addition, the other virus-specific RNA species could not be detected throughout. Thus the amplified RNA synthesis observed in the permissive CE cells and in the wild strain-infection of Vero cells seemed not to occur in the limited replication. Neither interferon nor DI (defective interfering) RNA was involved in the limited virus growth. When Vero cells were infected with the wild strain 6 to 8 h before inoculation of CE-adapted strain, growth restriction was overcome and the yield of the latter virus was greatly enhanced by a factor more than 10(3). These results suggest that through adaptation to CE, mumps virus may be altered in such a way that there is a restriction, probably at a step (s) involved in amplification of the viral RNA synthesis in Vero cells and that the restriction may be overcome by the simultaneous genome expression of the prototype wild strain.

Animals↗

Growth and diarrhoeal disease surveillance in a rural Ghanaian pre-school child population.

This paper is a report of the first year of follow-up on 250 pre-school children in a village in Ghana. The mean weight for age and the mean height for age at the start of the study, ranged between 81 and 97% and 91 and 101.4% of the median WHO reference standards respectively. Classified according to Waterlow (1973) 59.6% of the children were normal, 27.2% were thin, 8.9% were stunted, 3.4% were wasted and 0.9% were stunted and wasted. The mean velocity of height gain was 26.8 cm/year at birth; 9.6 cm/year at age of six months and thereafter the rate decreased almost linearly to a rate of 5 cm/year at the age of 60 months. The curve for weight velocity had a similar shape to that of the height. The rate was on the average 5 kg/year at birth, and 1.7 kg/year at age of six months. Children over 30 months of age gained approximately, 0.5 kg/year compared to an expected gain of about 2 kg/year. The mean incidence of diarrhoeal diseases was 1.9 episodes per child per year. 34.4% of the cohort did not report on any episode of diarrhoea over the one year period. Highest incidence occurred in children between the ages of 7 and 12 months. Children who were less than 80% of the standard weight for age at the start of the study had significantly more diarrhoeal episodes than the rest. The mean incidence of diarrhoeal diseases per year increased as both height for age and weight for height decreased. It is suggested that primary intervention against diarrhoeal morbidity might be better aimed at improving childhood nutrition.

Body Height↗

[Treatment of hepatocellular carcinoma by alcohol injection into the tumor and irradiation of the tumor].

Small hepatocellular carcinoma has come to be diagnosed by imaging modalities recently progressed. However, in patients with the carcinoma surgery is often contraindicated due to liver dysfunction. From such reason intratumor alcohol injection therapy has been developed and the efficacy has been clearly demonstrated in hepato cellular carcinoma with tumor under 3 cm is diameter. While in radiation therapy has been effective in that with tumor up to 10 cm in diameter. In treatment of hepatocellular carcinoma, it is important to choose a therapeutic method by considering the degrees of cancer progress and liver dysfunction.

Administration, Topical↗

A long-term follow-up study on the efficacy of further attenuated live measles vaccine, Biken CAM vaccine.

Antibody persistence was measured in 39 children in an open community 12-13 years after immunization against measles with further attenuated live vaccine, Biken CAM. Serum samples of the children taken every two or three years after vaccination had higher, lower, or the same HI antibody titers as those in samples taken 6 weeks after vaccination. These differences reflected a decrease in the titer in some children and subclinical natural reinfection in others. However, all the children still retained detectable antibody in 12 or 13 years after vaccination, indicating long-term persistence of immunity after immunization with Biken CAM vaccine. For evaluation of the protective efficacy of the vaccine, matched controls were studied during the same period. Serological examination revealed that 97.5% of the controls were infected with measles and contracted the disease. In contrast, none of the vaccinees developed clinical infection after close contact with measles patients.

Adolescent↗