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Biomedical subjects

T Fukunaga

Publications and source records attributed to T Fukunaga.

At least 109 records · Page 6Linked to original sources

Influence of elastic properties of tendon structures on jump performance in humans.

The purpose of this study was to quantify the elastic properties of tendon structures in vivo and to investigate the influence of the tendon properties on jump performance with and without countermovement. Elongation of the tendon and aponeurosis of vastus lateralis muscle (dL) was directly measured by ultrasonography while subjects (n = 31) performed ramp isometric knee extension up to the voluntary maximum (MVC). The relationship between muscle force and dL was fitted to a linear regression above 50% MVC, the slope of which was defined as stiffness of the tendon structures. Statistical analysis revealed no significant difference between duplicated measurements of stiffness, with an interday reliability of r = 0.88 and a coefficient of variance of 6.1%. Although the stiffness was not significantly related to absolute jump height in either vertical jump, it was inversely correlated with the difference in jump height between the vertical jumps performed with and without countermovement. The results suggested that the stiffness of tendon structures has a favorable effect on stretch-shortening cycle exercise, possibly due to adequate storage and recoil of elastic energy.

Adult↗

Clinical aspects of the "third rhythm" of the temporal lobe.

We studied clinical aspects of the "third rhythm," which was first described by Niedermeyer as alpha-like activity of the temporal lobe. By scalp EEG, temporal alpha-like activity was recorded in 15 (0.30%) of 4929 patients over 20 years of age. The temporal alpha-like activity was observed in 5 patients who had clinical and brain imaging findings indicating the presence of a cerebrovascular disorder. The alpha-like rhythm of these patients was left-sided, and wicket spikes appeared in the same region as the alpha-like rhythms in 4 of the 5 patients. In 8 of the 15, the temporal alpha-like rhythm was recorded over the defective bone or replacement bone after intracranial surgery. The alpha-like rhythm of these patients was similar to breach rhythm in the temporal region. The remaining 2 patients had not undergone intracranial surgery nor did they show symptoms of cerebrovascular disorders. The temporal alpha-like rhythms in one of these 2 might be a physiological third rhythm detected by scalp EEG through congenital bone thinning. Our observation supports the existence of intrinsic activity of the temporal lobe (the third rhythm). The third rhythm can be recorded by routine scalp EEG in some clinical conditions, and it is important to recognize this rhythm when one encounters temporal rhythmic activity independent of alpha rhythm of the occipital lobe.

Adult↗

Acute effect of alcohol on estradiol, estrone, progesterone, prolactin, cortisol, and luteinizing hormone in premenopausal women.

BACKGROUND: Heavy alcohol consumption is associated with menstrual irregularities, including anovulation, luteal-phase dysfunction, recurrent amenorrhea, and early menopause. In addition, moderate to heavy alcohol intake has been found to increase the risk of spontaneous abortions and breast cancer. These adverse effects could at least in part originate from alcohol-mediated changes in hormone levels. METHODS: The acute effect of alcohol on the hormone balance in women using oral contraceptives (OC+) and also in nonusers (OC-), was evaluated in 30 OC- and 31 OC+ subjects, representing the whole period of the menstrual cycle. It was also evaluated in 40 OC- and 47 OC+ subjects during the midcycle phase and in 10 OC+ subjects with unknown cycle phase. RESULTS: We found that among subjects who used oral contraceptives, estradiol levels increased and progesterone levels decreased after intake of alcohol (0.5 g/kg). No dose effect (0.34-1.02 g/kg) on progesterone was observed in a substudy on 10 OC+ subjects. With regard to estrone levels, no effect was observed, although a significant increase was found in the estradiol-to-estrone ratio. Among subjects not using oral contraceptives, progesterone levels decreased after intake of alcohol (0.5 g/kg). No effect was found in estradiol, estrone, or the estradiol-to-estrone ratio during midcycle in this study group. A transient elevating effect of alcohol (0.5 g/kg) on prolactin levels was observed in both study groups. We found that alcohol (0.5 g/kg) had no significant effect on luteinizing hormone (LH) levels among subjects not using oral contraceptives, and observed a decline among subjects using oral contraceptives at midcycle. CONCLUSIONS: We suggest that the estradiol and progesterone effects are related to decreased steroid catabolism, resulting from the alcohol-mediated increase in the hepatic NADH-to-NAD ratio. The transient effect on prolactin levels may reflect acute changes in opioid and dopamine levels in the hypothalamus. The present findings regarding female sex steroids may be of relevance in the association between moderate to heavy alcohol consumption and the development of breast cancer.

Adult↗

[A sudden death case in the bath with peculiar scald].

A 60-year-old man was found dead in the bathtub of his house on the 2nd of February. Erythema with a clear border was observed on the right side of the face, trunk and around the knees, though the left side of the face, the hips and the feet were normal. The water heater was set outside of the bath, and the heated water flowed from the heater to the bath through the upper pipe. In order to determine the mechanism of the peculiar scalding, changes in the water temperature in the bathtub were measured under the same conditions. An hour after turning on the water heater, the surface water temperature of the bath was 73 degrees C. Zonal gradation of the temperature was observed. At the level of the opening for the lower intake pipe, it was 50 degrees C. The border of the scalding was consistent with the water layer above 50 degrees C.

Baths↗

Three Japanese encephalitis cases in Okinawa, Japan, 1991.

Since 1974, no Japanese encephalitis (JE) case had been reported on Okinawa island in either Okinawan people or US servicemen. In 1991, three US marines stationed on Okinawa island developed encephalitis symptoms. Neutralization (N) test and IgM-capture ELISA were carried out on the serial samples of serum and cerebrospinal fluid (CSF) taken from the patients. In each patient N test on both serum and CSF samples gave a significant rise in JE antibody titer in the comparison between the acute and convalescent phases, indicating that all the cases were infected with JE virus. The IgM-capture ELISA also showed a significant rise of antibody titer of the serum and CSF samples in the convalescent phase in patients 2 and 3, while in patient 1 a significant rise in IgM antibody was observed in the serum sample, but not in the CSF sample. None of the patients had been administered JE vaccine. This report underscores the importance of JE vaccination.

Adult↗

Relatively shorter but intensive isotonic exercise in legs prevented the decrease in maximal aerobic power after 20 days of head down tilt bed rest in man.

As a countermeasures for the decrease in maximal oxygen uptake (VO2max) during prolong simulated weightlessness, it has been suggested that intensive isotonic legs exercise was useful. The reason is possibly that a dynamic and intensive resistance exercise training makes to maintain not only the volume of exercising muscles but also cardiac output. For the reason, it has been studied the effects of 3 different exercise training on VO2max during simulated weightlessness.

Bed Rest↗

Effects of long-term bed rest on H-reflex and motor evoked potential in lower leg muscles during standing.

Maximal H-reflex amplitude (Hmax) compared with maximal M-response (Mmax) has been generally used to assess the efficacy of the monosynaptic transmission from Ia afferents to alpha motoneurons in spinal cord. In previous studies, it has been demonstrated that H-reflex in soleus muscle (SOL) is inhibited during free standing due to an increase in presynaptic inhibition of the Ia afferent terminals to SOL motoneurones (Katz et al. 1988, Koceja et al. 1993). Transcranial magnetic stimulation (TMS) of human motor cortex excites the corticospinal system monosynapticaly connecting to spinal alpha motoneurones. However, it is not clear whether or not the motor evoked potentials (MEPs) in SOL and tibialis anterior (TA) muscles induced by TMS are modulated during standing (Ackermann et al. 1991, Lavoie et al. 1995). Considering that postural control functions change with exposure to weightlessness, we supposed that the excitability of SOL and TA spinal motoneurons from Ia afferents and/or corticospinal tracts during free standing would change after long-term bed rest (BR). The aim of this study was to investigate the effect of BR on H-reflex and MEP in SOL and TA during free standing.

Adult↗

NSF is required for the brefeldin A-promoted disassembly of the Golgi apparatus.

N-Ethylmaleimide-sensitive factor (NSF) is required for multiple pathways of vesicle-mediated protein transport. Microinjection of a monoclonal anti-NSF antibody almost completely blocked brefeldin A-promoted Golgi disassembly without affecting the rapid release of beta-COP, a subunit of the Golgi coat proteins (COPI), from the Golgi apparatus. Similar results were obtained using a dominant-negative NSF which is known to compete with endogenous NSF. The present results suggest that an NSF-mediated step is present in the brefeldin A-promoted disassembly of the Golgi apparatus.

Animals↗

Efficacy of tourniquet ischemia for strength training with low resistance.

To investigate the efficacy of ischemia in strength training with low mechanical stress, tourniquet ischemia was utilized in low-resistance training. Five untrained subjects conducted one-legged isometric knee extension training with one leg ischemic (I-leg) and the other non-ischemic (NI-leg). Repeated isometric contractions for 2 s with 3 s relaxation in between were continued for 3 min and conducted 3 days/week for 4 weeks as training. Training resistance was 40% of maximal voluntary contraction (MVC) of respective leg and tourniquet ischemia was applied during I-leg training. MVC in I-leg after 2 weeks (9% gain) and 4 weeks (26% gain) were significantly higher than pre-training value (p < 0.05). A significant increase in maximal rate of torque development in I-leg was observed after 4 weeks (p < 0.05). On the contrary, there was no significant changes in either of the parameters in NI-leg. As a consequence, the differences between legs for both parameters were significant after 2 and 4 weeks (p < 0.05 or p < 0.01). The substantial gain in strength and maximal rate of torque development in I-leg demonstrated the efficacy of tourniquet ischemia during low-resistance training of short duration, and suggested the importance of neuromuscular and/or metabolic activity, other than high mechanical stress, to the adapting responses to strength training.

Adult↗

Body composition and isokinetic strength of professional Sumo wrestlers.

The purpose of this study was to investigate the profiles of body composition and force generation capability in professional Sumo wrestlers. The subjects were 23 professional Sumo wrestlers [mean age 22.0 (SEM 1.2) years] including those ranked in the lower- (Jonokuchi, n=10), middle- (Sandanme, n=8) and higher-division (Makuuchi, n=5), 22 weight-classified athletes [5 judo athletes, 5 wrestlers, and 12 weight lifters, mean age 20.7 (SEM 0.7) years], and 21 untrained men [mean age 20.1 (SEM 0.2) years]. In the Sumo wrestlers, body mass ranged between 77.0 and 150.0 kg, body mass index between 25.9 and 44.5 kg x m(-2), relative fat mass (%FM) between 11.9 and 37.0%, and fat-free mass (FFM) between 59.1 and 107.6 kg. The Sumo wrestlers showed significantly higher %FM and smaller elbow and knee extensor cross-sectional areas (CSA) than the weight-classified athletes who weighed from 90.4 kg to 133.2 kg. Moreover, isokinetic forces in the flexion and extension of elbow and knee joints, respectively, at three constant velocities of 1.05, 3.14 and 5.24 rad x s(-1) were significantly lower in the Sumo wrestlers than in the weight-classified athletes and untrained subjects when expressed per unit of body mass. However, the median value of FFM relative to body height in the higher-division Sumo wrestlers was ranked high in the range of magnitude among those reported previously in the literature for heavyweight athletes. Moreover, the results on the comparisons within the Sumo wrestlers showed that not only FFM but also force generation capability, expressed both as an absolute term and as a value relative to both body mass and muscle CSA, might be factors contributing to the performance of Sumo wrestlers.

Adipose Tissue↗

Morphological and functional differences in the elbow extensor muscle between highly trained male and female athletes.

The purpose of this study was to investigate the difference in the morphological and functional aspects of the triceps brachii muscle between highly trained male and female athletes who were members of the 1996 Japanese Olympic teams in each of three different events: soccer, gymnastics and judo. The thickness (TBmt) and fibre pennation angle (TBpen) of the triceps brachii muscle and force output during elbow extensions were determined using a B-mode ultrasound apparatus and an isokinetic dynamometer, respectively. The TBmt and its value relative to upper arm length (TBmt/l(ua)) were significantly larger in the men than in the women in all the events except judo. In all the subjects, a significant correlation was found between TBmt/l(ua)) and TBpen (r = 0.721, P < 0.05). The existence of the sex difference in TBpen within the same event was in agreement with that observed in TBmt/l(ua) except for the soccer players. The TBpen of the soccer players were similar in both sexes although a significant sex differences was found in TBmt/l(ua). The isokinetic forces measured using the two velocities 60 degrees x s(-1) (F60) and 180 degrees x s(-1) (F180) were significantly correlated to the cross-sectional area (CSA) of the triceps brachii muscle estimated from TBmt (r = 0.702, P < 0.05 for F60, and r = 0.776, P < 0.05 for F180). No significant sex differences were found in either F60/CSA or F180/CSA in any of the events. From these results, it could be assumed, at least in the Olympic athletes tested in this study, that the fibre angulation of the triceps brachii muscle was almost the same in the two sexes if allowance was made for the difference in the muscle size, and the sex difference in force generation capability of the triceps brachii muscle could in the main be attributed to the difference in CSA rather than in the architectural characteristics.

Adult↗

Mechanomyogram from the different heads of the quadriceps muscle during incremental knee extension.

To investigate the time- and frequency-domain responses of mechanomyograms (MMGs) during the progressive fatigue induced by intermittent incremental contractions, a surface MMG was obtained from the three muscle heads of the quadriceps muscle in seven subjects while they performed isometric knee extensions lasting 7.6 min. Isometric intermittent incremental contractions started at 1% of the maximal voluntary contraction (MVC) for 3 s, with a 3-s relaxation period in between each contraction, and the contraction level was increased by 1% of MVC for every contraction (by 10% of MVC per min) up to exhaustion. Separate contractions with sufficient rest periods were also conducted to serve for the MMG characteristics without fatigue. The integrated MMG (iMMG) was linearly related to force in all of the muscles when fatigue was not involved. With regard to the incremental contractions, the relationship exhibited an ascending-descending shape, but the behavior was not the same for the individual muscle heads, especially for the rectus femoris muscle. A steep increase in the median frequency of MMG from around 60% of MVC corresponded to a decrease in iMMG. These results suggest that analysis of MMG in the time- and frequency-domain during an incremental protocol is a useful way of characterizing the motor unit recruitment strategy and fatigue properties of individual muscles.

Adult↗

Immunodeficiency induced by child abuse.

We report the case of a 9-year-old girl who died from sepsis from cellulitis of the neck caused by a right ear injury. The autopsy findings showed severe involution of the thymus and atrophy of lymphoid tissues. The impairment of T- and B-cell functions was demonstrated both histologically and immunohistologically. Thymic involution caused by child abuse might lead to secondary immunodeficiency.

Journal Article↗

Medical baseline data collection on bone and muscle change with space flight.

It has been documented that astronauts suffer from a progressive and continuous negative calcium balance in space flight. The National Space Development Agency of Japan (NASDA) discussed the experimental protocols with the National Aeronautics and Space Agency's (NASA's) Johnson Space Center (JSC) and has started a medical baseline collection on bone and calcium metabolism, and muscle changes with space flight. The subjects were two astronauts, a 42-year-old female and a 32-year-old male, who experienced real space flights. Fractional excretion of calcium (FECa) increased in both subjects just after the space flight. There was a negative calcium balance with urinary calcium leak even after a short flight. We also noticed a decrease (-3.0%) of bone mineral density (BMD) of the lumbar spine (L2-4), a weight bearing bone. These bone changes may be due to a negative calcium balance. However, the BMD of the skull, a nonweight bearing bone, increased after the flight. This indicates that the effect of weightlessness on bone is different in respective bones, depending on the weight loading. Our data of the bone metabolic marker clearly indicate that bone resorption is stimulated, shown by an elevation of urinary pyridinolinks and plasma tartrate-resistant acid phosphate (TRACP) activity. Bone specific alkaline phosphatase, a bone formation marker, was elevated in both subjects, but not intact osteocalcin. Whether this pathophysiological phenomenon is due to an accelerated bone resorption or suppressed bone formation is still obscure. In addition, the physiological cross-sectional area (PCSA) of muscle in the legs greatly decreased (from - 10% to -15%) after the flight, and it took over a month to be recovered in both subjects. However, the muscle volume loss in the legs seemed to be reversible. To examine bone and muscle metabolism with space flight, further investigations and international standardization of experimental protocols are necessary.

Adult↗

Comparison of muscle cross-sectional areas between weight lifters and wrestlers.

The purpose of this study was to investigate the difference in the magnitude of muscular development between Olympic weight lifters and wrestlers through the measurements of fat-free mass (FFM) and limb muscle cross-sectional area (CSA). Subjects were college Olympic weight lifters (N = 34, age = 20.0 +/- 1.3 years, stature = 1.67 +/- 0.07 m, body mass = 70.1 +/- 10.2 kg, X +/- SD) and wrestlers (N = 33,20.3 +/- 1.2 years, 1.69 +/- 0.06 m, 71.0 +/- 1.8 kg) who had identical range of body mass. Body density and the CSAs of reciprocal muscle groups in the forearm, upper arm, lower leg and thigh were measured by underwater weighing and B-mode ultrasound methods, respectively. No significant difference was found in body density between the weight lifters (1.077 +/- 0.007 g x ml(-3)) and wrestlers (1.076 +/- 0.008 g x ml(-3)). Moreover, FFM and the CSA values of all muscle groups tested were similar in the two groups of weight-classified athletes, with an exception that the wrist flexor CSA was significantly larger in wrestlers than in weight lifters, and the knee extensor and thigh (extensors + flexors) CSAs were larger in weight lifters than in wrestlers. The total muscle CSA of every site was significantly correlated to FFM2/3 in the separate groups; r = 0.714 to 0.815 (p < 0.05) in weight lifters and r = 0.769 to 0.919 (p < 0.05) in wrestlers. While the CSA-to-FFM2/3 ratios of the upper arm and wrist flexor muscles were significantly higher in wrestlers than in weight lifters, those of the thigh and knee extensor muscles were higher in weight lifters than in wrestlers. Thus, the present results suggest that an event-related difference exists in the magnitude of limb muscle CSA between competitive weight lifters and wrestlers of similar FFM.

Adult↗

Relationship between muscle fiber pennation and force generation capability in Olympic athletes.

The thickness (TBmt) and fiber pennation angle (TBpen) of triceps brachii as well as isokinetic force developed during elbow extension were measured in Olympic athletes to investigate the relationship between muscle fiber pennation and force generation capability. The subjects were male members of the 1996 Japanese Olympic team who competed in seven different events; 9 wrestlers, 16 soccer players, 11 sprinters, 5 judo athletes, 7 gymnasts, 9 rowers and 18 baseball players. The TBmt and TBpen, measured by a B-mode ultrasound, ranged between 29 mm and 50 mm and between 11 degrees and 30 degrees, respectively, and on average were larger in the judo athletes, wrestlers and gymnasts compared to the other groups. A significant correlation (r=0.580, p < 0.05) was found between TPpen and TBmt per unit of the upper arm length, and so the observed event-related differences in TBpen tended to reflect the differences in TBmt. The isokinetic forces relative to the cross-sectional area (CSA) estimated from TBmt, measured at two constant velocities of 1.05 rad/s (F1.05/CSA) and 3.14 rad/s (F3.14/ CSA), were negatively correlated to the CSA; r=-0.617 (p < 0.05) for F1.05/CSA and r=-0.635 (p < 0.05) for F3.14/CSA. In addition, low but significant negative correlations existed between TBpen and both F1.05/CSA (r=-0.365, p < 0.05) and F3.14/ CSA (r=-0.336, p <0.05). Even when the effect of TBpen was statistically normalized, the F1.05/CSA and F3.14/CSA were still negatively correlated to the CSA, r=-0.530 (p < 0.05) for F1.05/ CSA and r=-0.561 (p < 0.05) for F3.14/CSA. Therefore, at least in the Olympic athletes tested in this study, the magnitude of the pennation angles reflects muscle size, but it does not seem to be a factor that explains extensively the lower F/CSA in athletes with large muscle size.

Adult↗

Body composition and cross-sectional areas of limb lean tissues in Olympic weight lifters.

The cross-sectional area (CSAs) of bone and muscle tissues in the forearm, upper arm, lower leg, and thigh and body composition were determined by B-mode ultrasound and underwater weighing methods, respectively for 56 college Olympic weight lifters and 28 age-matched non-athletes to investigate the magnitude of musculoskeletal development in the strength-trained athletes belonging to the weight-classified sports event. The average value of fat-free mass (FFM) for the weight lifters ranked 12.6 kg above the regression line of FFM on stature for untrained subjects. In the weight lifters, however, the percentage of fat mass to body mass was also highly correlated to body mass index. Bone and muscle CSAs in every site were significantly larger in the weight lifter than in the untrained subjects with relative differences of 22 to 58% and 17 to 56%, respectively. Moreover, as a result of regression analysis for the mixed data from weight lifters and untrained subjects, significant correlation was found between bone and muscle CSAs in every site (r = 0.620 to 0.791, P < 0.05). The differences in lean (bone + muscle) CSA were still significant in all sites except for the lower leg even when the difference in body size was statistically controlled. The comparisons between the weight lifters and untrained subjects on the lean CSA ratios of site to site and muscle CSA ratios of flexors to extensors indicated that the weight lifters had achieved a high relative distribution of lean tissues in the arms and a dominant development in elbow and knee extensors. Thus, the present results suggested that participation in weight lifting exercises for a long period could increase bone CSA as well as muscle CSA, and induce in the participants a noticeable enlargement in given sites and muscle groups responsible for performing the Olympic lifts.

Adipose Tissue↗

Prolonged high intermittent positive-pressure ventilation induces airway remodeling and reactivity in young rats.

We postulated that prolonged exposure to intermittent positive-pressure ventilation (IPPV) with high pressure (HIPPV) alone without hyperoxia promotes the development of airway hyperresponsiveness and remodeling. To test this hypothesis, young rats were ventilated under halothane anesthesia with HIPPV (maximum inspiratory pressure at 32-35 cmH2O in 70% nitrous oxide and 30% O2) for 3.5-4 h daily for 6 days. Control rats were ventilated with low IPPV (maximum inspiratory pressure < 13 cmH2O) during the same time period with the same gas mixture. With the use of tracheal rings isolated from these rats and a setup in tissue baths, contractile responses to carbachol (10(-6) to 10(-2) mM), 5-hydroxytryptamine (5-HT; 10(-9) to 10(-5) mM) and KCl (1-100 mM) were examined isometrically. In tracheal rings from HIPPV rats compared with low-pressure IPPV rats, the concentration tension curves showed a significantly enhanced response to all agonists (P < 0.005). Sensitivity to carbachol, 5-HT, and KCl was also significantly increased (P < 0.05) compared with control rats as evidenced by decreases in EC50. Maximum tension (reactivity) to 5-HT and KCl in the HIPPV group increased significantly (P < 0.05), and there was a trend (P = 0.07) toward increased reactivity to carbachol in this group as well. Histological examinations of tracheal rings demonstrated epithelial squamous metaplasia in the HIPPV group. Morphometric studies demonstrated tracheal smooth muscle thickening (P < 0.05) without changes in the thickness of the mucosa or the lamina propria. When contractile responses were normalized for the smooth muscle cross-sectional area (i.e., stress), reactivity to all contractile agents was reduced, whereas reactivity to 5-HT still demonstrated significant increase (P < 0.005). Sensitivity of tracheal segments to all three agents was not affected by this normalization. These findings suggest that prolonged exposure to HIPPV without hyperoxia and the resultant overdistension of lung tissues (volutrauma) induced airway remodeling and airway hyperreactivity.

Animals↗