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Biomedical subjects

S Miyasaka

Publications and source records attributed to S Miyasaka.

At least 19 recordsLinked to original sources

[Prognosis of endogenous fungal endophthalmitis and utility of Ishibashi's classification].

PURPOSE: Prognostic evaluations of eyes with endogenous fungal endophthalmitis were made according to the classification proposed by Ishibashi. PATIENTS AND METHODS: We surveyed endogenous fungal endophthalmitis cases at four Nihon University Hospitals and 20 branch hospitals. Sixty eyes of 34 patients were classified into five stages according to Ishibashi's proposal, and therapeutic methods and visual prognosis in each stage were then evaluated. RESULTS: Systemic antifungal drugs were efficacious in 82% of stage II and 69% of stage IIIa cases. Even among stage III b cases, antifungal drugs were efficacious in 42%. Among the unresponsive cases, only half had been given the maximum dosage of antifungal drugs. Half of the eyes in which vitrectomy was performed at stage III b achieved a postoperative visual acuity of 0.5 or better and none had a visual acuity of less than 0.03. CONCLUSION: Based on the above results, we concluded that systemic antifungal drugs should be administered at the maximum dosage in stage II and III a cases. If these eyes progress to stage III b despite the maximum dosage, vitrectomy is indicated. For stage III b eyes, the maximum dosage should be administered first. If the maximum dosage is not efficacious, vitrectomy should be carried out before progression to stage IV.

Adolescent↗

Critical behavior of metal-insulator transition in La1-(x)Sr(x)VO3.

Critical behavior of the metal-insulator transition (MIT) coupled with spin/orbital correlations has been investigated for single crystals of La1-(x)Sr(x)VO3. In the paramagnetic (PM) metal phase (x > 0.260), the precursor to the MIT manifests itself as an enhancement of carrier effective mass. In the antiferromagnetic (AF) metal phase (0.178 < or = x < or = 0.260), the carrier density decreases and the correlation of the orbital seems to evolve towards the MIT (x = 0.178). In the AF insulating phase (x < 0.178), the distinct first-order structural phase transition occurs with the decrease of temperature, perhaps concomitantly with the orbital ordering.

Journal Article↗

A Case of Proliferative Sarcoid Retinopathy with Sarcoid Nodules in Tissue Obtained During Vitrectomy.

Background: In previous studies, intraocular proliferative tissues obtained from proliferative sarcoid retinopathy cases during vitrectomy have been examined histopathologically. However, there is no report of identification of sarcoid nodules in examined tissues. We performed vitrectomy for a case of proliferative sarcoid retinopathy with extensive proliferative changes. Histopathologically, sarcoid nodules were identified in the fibrovascular membranes.Case: A 25-year-old man was treated for sarcoid uveitis in the right eye by his local ophthalmologist. Lens aspiration was performed for complicated cataract. He was referred to our hospital with vitreous opacity and traction retinal detachment which occurred after the surgery.Findings: The vitreous opacity was so severe that details of the fundus were not visible. Traction retinal detachment was suspected from findings of B-mode echography. Vitrectomy was performed, and total retinal detachment due to contraction of the fibrovascular membrane around the optic disc and posterior pole was observed. Sarcoid nodules were identified histopathologically in fibrovascular membranes obtained during vitrectomy.Conclusion: In proliferative sarcoid retinopathy cases, sarcoid lesions may be one of the causes of fibrovascular membrane formation.

Journal Article↗

Computer-assisted facial image identification system using a 3-D physiognomic range finder.

This system consists of a 3-D physiognomic range finder and a computer-assisted facial image superimposition unit. The 3-D range finder is composed of a detector for measuring facial surface and its control computer. The detector has two sinusoidal grating projection devices and two CCD cameras. The computer-assisted facial image superimposition unit consists of a host computer including a proprietary software, a flat surface color display and a color image scanner for inputting 2-D facial images of a criminal. The 3-D facial shape and texture of a suspect is obtained by using the range finder. To make the comparison between the 3-D facial image and the 2-D facial image, the 3-D facial image is first reproduced on a display of the host computer from a MO disk and then the 2-D facial image is taken with the color image scanner and reproduced on the display. The 3-D facial image is exactly adjusted to match the orientation and size of the 2-D facial image under the fine framework mode, and then the fine framework mode of 3-D facial image is converted to the fine texture image. The shape and positional relationships of facial components between the 3-D and 2-D facial images are examined by the fade-out or wipe image mode. The distance between the selected two points and angle among the selected three points on the 3-D and 2-D facial images are automatically measured for the assessment of anthropometrical data between both images. For evaluating the fit between the anthropometrical points on the 3-D and 2-D facial images, the reciprocal point-to-point difference between both images is compared.

Anthropometry↗

The role of root border cells in plant defense.

The survival of a plant depends upon the capacity of root tips to sense and move towards water and other nutrients in the soil. Perhaps because of the root tip's vital role in plant health, it is ensheathed by large populations of detached somatic cells - root 'border' cells - which have the ability to engineer the chemical and physical properties of the external environment. Of particular significance, is the production by border cells of specific chemicals that can dramatically alter the behavior of populations of soilborne microflora. Molecular approaches are being used to identify and manipulate the expression of plant genes that control the production and the specialized properties of border cells in transgenic plants. Such plants can be used to test the hypothesis that these unusual cells act as a phalanx of biological 'goalies', which neutralize dangers to newly generated root tissue as the root tip makes its way through soil.

Plant Root Cap↗

[A case of proliferative sarcoid retinopathy with sarcoid nodules in tissue obtained during vitrectomy].

BACKGROUND: In previous studies, intraocular proliferative tissues obtained from proliferative sarcoid retinopathy cases during vitrectomy have been examined histopathologically. However, there is no report of identification of sarcoid nodules in examined tissues. We performed vitrectomy for a case of proliferative sarcoid retinopathy with extensive proliferative changes. Histopathologically, sarcoid nodules were identified in the fibrovascular membranes. CASE: A 25-year-old man was treated for sarcoid uveitis in the right eye by his local ophthalmologist. Lens aspiration was performed for complicated cataract. He was referred to our hospital with vitreous opacity and traction retinal detachment which occurred after the surgery. FINDINGS: The vitreous opacity was so severe that details of the fundus were not visible. Traction retinal detachment was suspected from findings of B-mode echography. Vitrectomy was performed, and total retinal detachment due to contraction of the fibrovascular membrane around the optic disc and posterior pole was observed. Sarcoid nodules were identified histopathologically in fibrovascular membranes obtained during vitrectomy. CONCLUSION: In proliferative sarcoid retinopathy cases, sarcoid lesions may be one of the causes of fibrovascular membrane formation.

Adult↗

Permanent cardiac pacing following surgery for acquired valvular disease.

Between January 1980 and January 1998, implantation of a permanent pacemaker (PP) was performed in 22 patients (6.7%) following 327 acquired valvular surgeries. The indications for implantation of a PP were bradycardia with atrial fibrillation in 12 cases, sick sinus syndrome in 7 cases and complete atrioventricular block in 3 cases. These patients received an implantation after surgery for mitral valvular disease in 14 cases, aortic valvular disease in 3 cases and combined valvular disease in 5 cases. These cases were also concomitant with a tricuspid valve annuloplasty in 6 cases for secondary regurgitation and with a maze procedure in 4 cases. For the purpose of this study, these patients were compared to patients who did not require implantation of a PP after surgery. Univariate analysis showed the significant factors to be female gender (p = 0. 041), preoperative atrial fibrillation (p = 0.013), redo cardiac surgery (p < 0.0001), and the use of blood cardioplegia (p = 0.003). There were no differences in valvular disease, age at the last valvular operation, addition of tricuspid valve annuloplasty, extracorporeal circulation times, or aortic cross-clamp times between those patients with and those without PP. Among these factors, logistic regression analysis showed female gender, redo surgery and the use of blood cardioplegia to be more significant predictors for the requirement of PP after acquired valvular disease operation. Maze procedure was not a significant predictor for the requirement of PP after surgery.

Adult↗

Computer-assisted skull identification system using video superimposition.

This system consists of two main units, namely a video superimposition system and a computer-assisted skull identification system. The video superimposition system is comprised of the following five parts: a skull-positioning box having a monochrome CCD camera, a photo-stand having a color CCD camera, a video image mixing device, a TV monitor and a videotape recorder. The computer-assisted skull identification system is composed of a host computer including our original application software, a film recorder and a color printer. After the determination of the orientation and size of the skull to those of the facial photograph using the video superimposition system, the skull and facial photograph images are digitized and stored within the computer, and then both digitized images are superimposed on the monitor. For the assessment of anatomical consistency between the digitized skull and face, the distance between the landmarks and the thickness of soft tissue of the anthropometrical points are semi-automatically measured on the monitor. The wipe images facilitates the comparison of positional relationships between the digitized skull and face. The software includes the polynomial functions and Fourier harmonic analysis for evaluating the match of the outline such as the forehead and mandibular line in both the digitized images.

Adult↗

Saikosaponin homologues from Verbascum spp. The structures of mulleinsaponins I-VII.

From the aerial parts of Verbascum (V.) sinaiticum, V. thapsiforme, V. fruticulosum and Celsia roripifolia, seven new saikosaponin homologues, called mulleinsaponins I-VII, having 13,28-epoxy-olean-11-ene skelton were isolated together with eight known saikosaponin homologues, 3-O-beta-D-fucopyranosyl saikogenin F, saikosaponin a, desrhamnosylverbascosaponin, songarosaponins C, D, mimengoside A and buddlejasaponins I, IV. The structures of mulleinsaponins I-VII were characterized as 3-O-beta-D-glucopyronosyl-(1-->3)-beta-D-fucopyranosyl-6-deoxy- saikogenin F, 3-O-alpha-L-rhamnopyranosyl-(1-->4)-beta-D-glucopyranosyl-(1-->3)-beta-D - fucopyranosyl-16-deoxysaikogenin F, 3-O-alpha-L-rhamnopyranosyl-(1-->4)-beta-D-glucopyranosyl-(1-->3)-beta-D - fucopyranosyl-saikogenin F, 3-O-alpha-L-rhamnopyranosyl- (1-->4)-beta-D-glucopyranosyl-(1-->3)-[beta-D-glucopyranosyl-(1-->2)]-be ta -D-fucopyranosyl-21 beta-hydroxysaikogenin F, 3-O-alpha-L-rhamnopyranosyl-(1-->4)-beta-D-glucopyranosyl-(1-->3)-[beta- D- glucopyranosyl-(1-->2)]-beta-D-fucopyranosyl-21 beta-acetoxysaikogenin F, 3-O-alpha-L-rhamnopyranosyl-(1-->4)-beta-D- glucopyranosyl-(1-->3)-[beta-D-glucopyranosyl-(1-->2)]-beta-D- fucopyranosyl-16 beta-acetoxysaikogenin F and 3-O-alpha-L-rhamnopyranosyl-(1-->4)-beta-D-glucopyranosyl- (1-->3)-[beta-D-glucopyranosyl-(1-->2)]-beta-D-fucopyranosylsaikogeni n F 16-O-beta-D-glucopyranoside, respectively, from chemical and spectroscopic evidence.

Carbohydrate Sequence↗

[Serum levels of soluble tumor necrosis factor receptors as markers for disease progression of human immunodeficiency virus infection].

We studied whether the serum levels of soluble tumor necrosis factor receptor(sTNFR) type I or II correlate with clinical progression of human immunodeficiency virus type 1(HIV-1) infection. Serum levels of sTNFR type I and II were measured by an enzyme-linked immunosorbent assay in sixty five patients with HIV-1 infected hemophiliacs and 10 healthy controls. In a longitudinal study, we assessed whether the decline of CD4+ lymphocyte counts were associated with increased serum concentrations of sTNFRs. Elevated serum concentrations of sTNFRs were found among the HIV-1 infected patients and higher in patients with advanced clinical stage. We noticed there were two distinct patient groups in change of CD4+ lymphocyte count when twenty-eight patients were followed retrospectively for a median period of 65 months. 14 patients represented stable CD4+ lymphocyte counts, but another 14 patients had more than 40% decrease of CD4+ lymphocyte counts over the course of this study. Serum sTNFR type II levels were 3.49 +/- 0.71 to 3.11 +/- 0.31 ng/ml in the former group, and 4.88 +/- 0.91 to 4.26 +/- 0.71 ng/ml in the latter group during the study. Significantly higher levels of sTNFR type II were already revealed at early time in the latter group. There was, however, no significant difference in the level of sTNFR type I between the two. These results suggest that serum levels of sTNFR type II provided useful information as a predictor of disease progression related to the decline of CD4+ lymphocyte counts.

Adult↗

Histopathological effects of illudin S, a toxic substance of poisonous mushroom, in rat.

1. Rats were dosed orally with illudin S, a toxic substance derived from the poisonous mushroom Lampteromyces japonicus. The digestive tract showed severe damage, whereas the liver, kidney and lung did not show any significant changes. 2. The effects observed became more pronounced with increasing illudin S dose (5, 10 or 20 mg kg-1 body weight). 3. Severe inflammation and oedema were observed in the stomach and moderate changes in the proximal part of the small intestine. 4. Histopathological examination revealed haemorrhagic erosions and marked inflammatory oedema in the gastric mucosa.

Animals↗

Evaluation of anatomical consistency in craniofacial superimposition images.

Using 52 skulls in forensic cases, the anatomical consistency of cranio-facial superimposition images was investigated for evaluating the validity in personal identification by the superimposition method. In 35 out of 52 cases the unknown skull was positively identified as the missing person by matching of the outline and anatomical relation in skull and face images taken from frontal, oblique and lateral directions. The unknown skull in two cases was exclusive of the presumed person since the outline of the skull was not anatomically consistent with that of the face. In the remaining 15 cases, the skull in question was examined using only a frontal face photograph of the missing person and matched with it because of the lack of other photographs taken from different angles, giving a probable identification. From our practical examination, it is stated that the outline from the trichion to the gnathion in the lateral or oblique view is the preferable portion for personal identification, and the cranio-facial super-imposition method is reliable for individualization when two or more facial photographs taken from different angles are used in the examination.

Face↗

The computer-aided facial reconstruction system.

A computer imaging system was introduced into the facial reconstruction process. The system, which consists of the image processing unit for skull morphometry and the image editing unit for compositing facial components on the skull images, was an original construction. The image processor generates the framework for building a face onto the digitized skull image. For reconstructing a facial image on the framework, several possible data sets of facial components suitable for the skull morphology are selected from the database by operating our original application software. The most suitable cutout samples of facial components are pasted up over the framework in accordance with the anatomical criteria. The database of facial components consists of 24 contours, 18 eyes, 9 eyebrows, 27 noses, 9 lips and 16 hairstyles. After provisional reconstruction, the facial image is retouched by correcting skin colors and shades with an 'electronic painting device'. The resulting image is a great improvement on images made by the conventional clay and drawing method, both in the operational aspect and in the flexibility of creating multiple versions. The present system facilitates a rather objective and rapid approach and allows us easily to generate a range of possible faces. The computer-aided facial reconstruction will lead to an increase in chances of positive identification in practical cases.

Adult↗

Factor VIII inhibitor developed in a 60-year-old patient with mild hemophilia A after surgery for colon cancer.

Most factor VIII inhibitors are developed at an early age and in patients with severe type of hemophilia A. We report a case of newly developed factor VIII inhibitor in a 60-year-old patient with mild hemophilia A who had been treated with several kinds of factor VIII concentrates. The patient was treated with a total of 103,580 units of recombinant factor VIII concentrate by continuous and bolus infusions for the open surgery of sigmoid colon cancer. On the 95th postoperative day, the patient had right low limb muscle bleeding and was infused with 1,000 units of recombinant factor VIII concentrate for three days. Subsequently, the level of factor VIII inhibitor in the patient's plasma was 2 Bethesda units (BU)/ml. Since then numerous subcutaneous hemorrhages developed, but an adequate hemostatic effect was not obtained even with the administration of a high dose of recombinant factor VIII concentrate. The patient was switched to bypass therapy using human plasma-derived factor VIIa concentrate, which showed a favorable hemostatic effect.

Adenocarcinoma↗

Histological estimation of age at death using microradiographs of humeral compact bone.

The purpose of this study is to develop an age estimating method for skeletal remains using microradiographs of compact bone. Compact bones of the humerus were collected from 40 Japanese males ranging from 23 to 80 years of age. Microradiographs taken from cross-sections were histomorphometrically examined by using an image analyzer. Histological parameters used in this study included 10 items, that is, osteon number, double-zoned osteon number, type II osteon number, low-density osteon number, osteon fragment number, resorption space number, total and average osteon area, and total and average Haversian canal area. The osteon fragment number showed the highest correlation coefficient with advancing age (r = 0.786). The measurement data obtained from 10 histological parameters were subjected to multiple regression analysis for producing multiple regression equations for age estimation. In practice, 8 histological parameters were selected for the equation and its multiple correlation coefficient and standard error of estimate were 0.903 and 6.1, respectively.

Adult↗

[A case of metastatic lung tumor from acinic cell tumor of the parotid gland].

A 59-year-old man with metastatic lung tumor from acinic cell tumor of the parotid gland was reported. Five years after resection of the parotid tumor, the abnormal shadow on chest X-ray film was detected in the mass screening. The tumor was located in S10c of the right lung, and resected by partial lung resection. As pathological findings showed the same histology between the parotid gland and the lung, we diagnosed the metastatic lung tumor from acinic cell tumor of the parotid gland. Acinic cell tumor shall be slowly growing and occasionally developing the pulmonary metastasis. So, we have to carefully follow the patient in long-term periods.

Carcinoma, Acinar Cell↗