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Biomedical subjects

T Fukunaga

Publications and source records attributed to T Fukunaga.

At least 289 records · Page 16Linked to original sources
PubMed1989

[Aortoesophageal fistula by swallowed foreign body--a case report and review of the literature].

A case of aortoesophageal fistula is presented. The etiology, symptoms, and diagnosis of aortoesophageal fistula are reviewed. A 22-year-old nurse died just after massive hematemesis. The autopsy finding revealed massive hemorrhage in the gastrointestinal tract and conspicuously pale organs. The fistula between the thoracic descending aorta and esophagus was observed. Microscopically, acute inflammation and blood clots containing bacterial colonies were found around the fistulous tract. Eight days before her death, she felt retrosternal sticking pain just after eating a baked slice of sea bream. She consulted a family doctor, but no foreign body was discovered in the esophagus with radiography and endoscopy. As a dull pain and slight fever did not disappear and continued intermittently, she often consulted the doctor. A small hemorrhage in the left wall of esophagus was noted 2 days before her death with endoscopy. She was hospitalized over the night and the next day she was discharged and get home. After taking a nap, she felt a syncopal attack in the afternoon. A tarry stool was noticed in the evening. The next morning, she died suddenly in exsanguination. The clinical feature of aortoesophageal fistula is uniform and has been described as Chiari's triad, i.e., the chest pain, the symptom-free interval and the signal hemorrhage, and the fatal hemorrhage. The present case showed the typical symptom of aortoesophageal fistula by swallowed foreign body, though fish bone or any foreign body was not discovered with examinations. Approximately 100 cases of aortoesophageal fistula by esophageal foreign body have been reported since 1818. The present case is the second one reported in Japan as caused by foreign body.

Adult↗
PubMed1989

[A homicidal strangulation by ligature, disguised as a suicidal hanging].

A naked 38-year-old woman was found dead, lying beside a bed in a guest room of a hotel. A cotton cord was looped around her neck, with one end tied to a bedpost. Thus it seemed that she had hanged herself in a lying position. Yet, certain suspicious factors gave rise to doubts. The hair and a necklace were intertwined with the cord and a man that had been staying in the same room had fled. On the postmortem examination, marked congestion and many petechial haemorrhages were seen in the face and the upper area of the neck, also in conjunctiva. A light-brown and highly dry ligature mark, about one centimeter in width, was found on the neck. The mark, crossing the front of the neck, was clearly evident from the back to the right side of the neck. The lower borders of the congestion and petechial haemorrhages in the face and neck were located 1 or 2 centimeters above the ligature mark. On the left side of the neck, another pale ligature mark with slight subcutaneous haemorrhages was seen between the dry mark and the lower border of the congested part of the neck. A similar ligature mark also was found on the back of the neck. On internal examination, congestion of the cervical lymph nodes and haemorrhages in the cervical muscles were recognized in the areas of the cutaneous congestion. These findings supported suspicions that the dry ligature mark had been caused by hanging after her death, and that the light ligature mark with slight subcutaneous haemorrhages on the left side and back of the neck had been caused by strangulation, which had brought on the victim's death. Therefore, it was decided that her death had been disguised as a suicidal hanging, after she had been strangled by ligature. A week later, her former husband was arrested and confessed his crime.

Adult↗
PubMed1989

[Unusual calcification in brain suspected to be caused by toxoplasmosis: a report of an autopsy case].

A very rare case of severe calcification in brain is reported. A 49-year-old man was hit and run by a motorcar in acrossing a road on foot, and he died 1 hour later in an emergency hospital. Medico-legal autopsy was done at 5 hours after his death. The cause of death was cerebral contusion caused by a struck on partieto-occipital region. Unusually severe calcification was observed in the right and left cerebral hemispheres, especially basal ganglia, in the border areas between grey and white matters of frontal, parietal and occipital lobes, as well as in the cerebellar nucleus, cortex and medulla. Histological examination showed severe multiple calcification in the brain tissue. Dispersed deposit of pseudocalcium-Ca and edema were observed around the calcifications. Proliferation of glia cells and decrease of nerve cells were also noted. In his past history, he began to speak distinctly and to stagger since 8 years ago. Three years ago, he collided with guardrail while driving his motorcycle, and he was hospitalized. Calcification in the brain was already revealed in the roentogenographic examination. In the laboratory findings, the data of serum calcium, serum phosphorus and Ellsworth-Haward test were normal. The antibody of toxoplasma, however, showed high level more than X 1,024. After he was discharged, dementia, instability of trunk and dysarthria still continued, and he used to across a crowded road unconcernedly. The cause of the calcification might be suspected to be toxoplasmosis, although neither trophozoites, cysts nor oocysts were found in the brain tissue.

Accidents, Traffic↗
PubMed1988

Mouth pressure curve on abrupt interruption of airflow during forced expiration.

The mouth pressure curve after abrupt interruption during forced expiratory maneuver was investigated to evaluate the collapsing state of the airway downstream to the choke point. Immediately after the airflow interruption at the mouth by means of the electromagnetic valve, the mouth pressure suddenly increased (1st phase), followed by a slower rise (2nd phase) within about 100 msec until the pressure reaches the alveolar pressure. The pleural and alveolar pressures remained constant during this process. It was evidenced that, from point of view of mean flow, the airflow flowed at a rate of Vmax through the choke point during the second phase. Thus, it is strongly suggested that the choke point remained at the same point during the 2nd phase. From these results, the 2nd phase of the mouth pressure is expected to represent the specific characteristics for the downstream airway.

Forced Expiratory Flow Rates↗
PubMed1988

Airway pressure-volume curve estimated by flow interruption during forced expiration.

The pressure-volume characteristics of the airway downstream to the choke point was estimated with abrupt interruption of airflow at the mouth during forced expiration. The pressure was measured at the mouth and the volume was given by the maximum flow immediately before interruption multiplied by interruption time. The compliance of the airway downstream to the choke point, i.e., a slope of the pressure-volume curve, was 1.04 ml/cmH2O at 50% FVC, and increased in lower lung volumes, in 7 healthy subjects. Whereas, in a case of tracheo-bronchopathia osteochondroplastica, its value decreased markedly.

Airway Resistance↗
PubMed1988

A new method for measuring the pneumotachometer characteristics using a syringe.

A new method for determining the nonlinear characteristics of pneumotachometers was developed. This method consists of a computer algorithm analyzing unsteady flows generated by a syringe. We removed the possible influence of the frequency characteristics of the measuring system by inserting an acoustic low pass filter in the path of gas flow. Two types of Fleisch pneumotachometers were tested. For a given volume of 3 l, the error of measured volume is 12.5% in uncorrected series and 0.2% in the corrected.

Algorithms↗
PubMed1988

[Study on the progesterone receptor in human chorion and placenta at different stages of gestation].

Characteristics of progesterone receptor (PR) in human chorion and placenta were studied at different stages of gestation. The cytosol was labeled with 3H-R5020 at 0 degree C for 24 hr. The dissociation constant and the concentration of progestin binding site were determined by the dextran-coated charcoal method. The affinity of PR for ATP was evaluated on ATP-Sepharose column chromatography. It had been reported that the ability of PR to bind to ATP paralleled that to chromatin. PR was characterized by an analytical isoelectric focusing. Scatchard analysis demonstrated progestin binding of high affinity (Kd = 13.4 +/- 4.3 nM) (mean +/- SD) and low capacity (Bmax. = 478 +/- 275 fmol/mg protein) (mean +/- SD). And the level of PR in placenta did not change at various stages during gestation. The PR up to 32 weeks of gestation showed high affinity for ATP (activated form) following activation. This affinity, however, decreased significantly (non-activated form) after 33 weeks of gestation. The PR was focused as three peaks at p16.3, 6.0 and 5.3. And the peak at p15.3 was increased in term placenta. These results suggest that the action of progesterone in human placenta might be regulated by the qualitative change rather than by the quantitative change in its cytosolic PR in late pregnancy.

Adenosine Triphosphate↗
PubMed1987

Relationship between lactate threshold during running and relative gastrocnemius area.

This study examined the relationship between the work rate at which blood lactate accumulation begins (lactate threshold) during running and relative gastrocnemius area in four different groups. Twenty nonathletic and 11 athletic boys (age 9-12 yr), 15 female adult runners, and 11 male nonathletic students participated in this study. The muscle composition of the leg and thigh were measured by ultrasound. The lactate threshold was assessed in terms of both the absolute work rate (ml.kg-1.min-1) and relative work rate. The relative cross-sectional area of the gastrocnemius to the plantar flexor (relative gastrocnemius area) was significantly negatively related to the absolute and relative lactate threshold in all groups. These results suggest that the relative gastrocnemius area may play an important role in determining the relative and absolute lactate threshold during running.

Adult↗
PubMed1987

Individual and ethnic differences in ethanol elimination.

The effects of polymorphism of aldehyde dehydrogenase (ALDH) and obesity (body weight/lean body mass) on the rate of ethanol elimination were studied. One hundred and forty subjects of healthy Japanese male volunteers who ingested 0.4 g/kg of ethanol were divided into two groups, i.e., a normal ALDH group with a low Km isozyme of ALDH and a deficient group. They were further divided into three groups in which the obesity increased in the order group A, B, C. Ethanol elimination (ER) and beta were significantly higher in the normal ALDH group than in the deficient group. In the normal ALDH subjects, beta of group C(0.187 mg/ml/hr) was higher than that of group B(0.155 mg/ml/hr). No difference in ER was observed among the three groups of the obesity in each ALDH group. Distribution volume of ethanol, r, estimated by Watson's method (0.65 to 0.89) was more accurate than Widmark's r(0.5 to 1.00). Ethanol elimination rate in the normal ALDH subjects was greater than that in Caucasian reported by other authors. Body weight was correlated well with liver weight in 135 autopsy materials.

Adult↗
PubMed1987

An improved micromethod for infectivity assays and neutralization tests of dengue viruses.

An improved micromethod for infectivity assays and neutralization (N) tests of dengue (DEN) type 1-4 viruses was developed, using 96-well plates and the PAP (peroxidase-antiperoxidase) staining technique. The foci formed on BHK-21 cell monolayers in wells of the plate were readily countable under an ordinary stereomicroscope. This micromethod has the advantages over the micromethod of the Lab-Tek 8 chamber slide system of lower cost, requirement for smaller volumes of test sera and applicability to larger number of serum specimens for N tests of DEN viruses.

Animals↗