Contact dermatitis from carboxyvinyl polymer.
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Adult↗
Biomedical subjects
T Hamada
Publications and source records attributed to T Hamada.
Dimensional changes of relined denture bases with heat-cured, microwave-activated, autopolymerizing, and visible light-cured resins. A laboratory study.
The dimensional changes of relined denture bases were evaluated in a laboratory study. Heat-cured resin, two autopolymerizing resins, microwave-activated resin and a new visible light-cured resin were used as relining materials in this study. The gaps between the metal die and the relined denture bases were measured immediately after the relining procedure and subsequently on the first day, first week, fourth week, and eight week. The relined denture bases were stored in distilled water at 37 degrees C between measurements. It was shown that dimensional changes in relined denture bases were influenced by the relining materials and procedures, and that heat-cured resin proved to have the smallest dimensional change as well as the greatest dimensional stability in comparison with the other relining materials and procedures.
Acrylic Resins↗
Molecular epidemiology of Staphylococcus spp. contamination in the ward environment: study on mecA and femA genes in methicillin-resistant strains.
Staphylococcus spp. were isolated from the ward environment and antibiotic susceptibility tests were performed. Twenty-nine strains out of 274 isolates were S. aureus, and 41.4% of the S. aureus strains were methicillin resistant (MRSA). All 12 strains of MRSA were also resistant to oxacillin, ceftizoxime, ampicillin and clindamycin. Among the coagulase-negative staphylococci (CNS), methicillin-resistant (MR) strains of S. epidermidis, S. capitis, S. warneri, S. haemolyticus, S. hominis, S. auricularis, S. saprophyticus and S. cohnii were isolated. Eight of the 10 S. Haemolyticus strains were methicillin resistant. The femA gene was detected in S. aureus (MSSA and MRSA), but not in CNS by polymerase chain reaction (PCR) analysis and Southern blot analysis. The mecA gene was found in all the MRSA and MR-S. epidermidis strains tested, and one of the two MR-S. hominis strains, but not in MSSA, MS-S. epidermidis, MS-S. hominis, or MS-S. haemolyticus. DNA from one strain of MR-S. hominis and 2 strains of MR-S. haemolyticus was not amplified by PCR using the mecA gene primer, or hybridized by Southern blotting. The ambiguity that mecA was detected in some MR-CNS strains, but not in others is discussed.
Base Sequence↗
Spinocerebellar ataxia 1 (SCA1) in the Japanese in Hokkaido may derive from a single common ancestry.
Spinocerebellar ataxia 1 (SCA1) is caused by expansion of an unstable CAG triplet repeat located on the short arm of chromosome 6. Precise mapping has shown a positional relationship to closely linked markers in the order of D6S109-D6S274-D6S288-SCA1-AM10GA-D6S89+ ++-EDN1 from centromere to telomere. The haplotype which cosegregated with the disease was determined in 12 Japanese pedigrees with SCA1. Although the alleles of the SCA1 haplotype varied from pedigree to pedigree, depending on the distance from the SCA1 locus, the affected and presymptomatic subjects carried the same alleles at D6S288 and D6S274. All the families with SCA1 had migrated from either Miyagi or Yamagata Prefectures, neighbouring areas in the Tohoku District, the northern part of Honshu which is the main island of Japan. It seems highly likely that SCA1 in the Japanese, at least those residing in Hokkaido, derives from a single common ancestry.
Chromosome Mapping↗
Erdheim-Chester disease and slowly progressive cerebellar dysfunction.
A 59 year old woman developed pronounced thirst, increased water intake, and increased urinary output followed by slowly progressive cerebellar symptoms. Brain MRI showed abnormal hyperintensity on T2 weighted studies in the region of both dentate nuclei without atrophy of the cerebellum or the brainstem. A 99mTC diphosphonate bone scan showed bone lesions in the distal parts of both femurs as well as distal and proximal parts of both tibias. The diagnosis of Erdheim-Chester disease was made by bone biopsy. This is the first case of Erdheim-Chester disease presenting as a slowly progressive cerebellar syndrome and diabetes insipidus, and also showing high signal lesions in deep cerebellar nuclei on MRI. Skeletal surveys are indicated for patients with otherwise unexplained slowly progressive cerebellar symptoms.
Bone Diseases↗
Subcorneal pustular dermatosis in a patient with hyperthyroidism.
A case of subcorneal pustular dermatosis (SPD) is reported in a 48-year-old man with a 2-year history of hyperthyroidism (Graves' disease). SPD has been reported in association with IgA monoclonal gammopathy, but to our knowledge it has not been associated with hyperthyroidism. The coexistence of hyperthyroidism and SPD suggests that immunologic factors may play a role in the pathogenesis of SPD.
Biopsy↗
A case of one eye with gelatinous drop-like corneal dystrophy and the other eye with band-shaped spheroidal corneal degeneration.
The first case of gelatinous drop-like corneal dystrophy in one eye and band-shaped spheroidal corneal degeneration in the other eye was reported. She was a member of Japanese family with gelatinous drop-like corneal dystrophy. A close association between gelatinous drop-like corneal dystrophy and band-shaped spheroidal corneal degeneration was suggested.
Adult↗
The effects of cross-linking agents on some properties of HEMA-based resins.
The use of 2-hydroxyethyl methacrylate (HEMA)-based polymer as a biocompatible material has been well-established. HEMA-based resins containing cross-linking agents have several potential clinical applications. It is hypothesized that the incorporation of cross-linking agent will improve the mechanical properties of HEMA-based polymers while reducing water absorption and solubility. The purpose of the work reported here was to test this hypothesis and to determine the most effective cross-linking agent. A relationship among flexural strength, modulus, water absorption and solubility, and concentration of cross-linking agent was demonstrated. Strength and modulus tend to increase as the cross-linking agent concentration is increased, up to about 50%, after which the values level out or begin to fall. Water absorption drops with increasing cross-linking agent over the whole range of concentrations. Solubility tends to show a small decrease initially (up to 40%), followed by a noticeable increase as cross-linking agent concentration is increased. The trends were similar for all cross-linking agents, although there were differences in the absolute values in all properties depending upon the type of cross-linking agent used.
Absorption↗
The prozone phenomenon in secondary syphilis.
We describe a 37-year-old woman with secondary syphilis, in whom the prozone phenomenon (false-negative test in undiluted specimens) occurred. The patient had been maintained on cyclosporine and prednisolone after renal transplantation. B-cell dysfunction induced by continuous immunosuppression may lead to higher non-treponemal serological titers. Non-treponemal testing should be repeated using serum dilutions to prevent missing the diagnosis of syphilis.
Adult↗
Fixed drug eruption due to cimetidine.
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Cimetidine↗
Blood flow velocity waveforms of the fetal middle cerebral artery in pregnancies complicated by diabetes mellitus.
Fetal blood flow velocity waveforms of the middle cerebral artery were measured by pulsed Doppler ultrasound in 43 pregnant women with diabetes mellitus (33 class B, 3 class C, 6 class D and 1 class R). The recordings were performed between 24 and 38 weeks of gestation. A total of 122 recordings were analyzed prior to establishing the resistance index (RI = peak systolic velocity minus diastolic velocity/peak systolic velocity). The mean maternal serum glucose was 124.3 mg/dl (range: 72.7 to 281.5 mg/dl), the mean hemoglobin A1c was 6.03% (range: 3.3 to 11.0%) and the mean fructosamine level was 255.97 mumol/L (range: 205 to 397 mumol/L). The resistance index did not differ between the fetuses of the diabetic mothers in our study population. Additionally, no significant correlation was noted between RI values and serum glucose levels (r = 0.03), hemoglobin A1c levels (r = 0.13) or fructosamine levels (r = 0.04) during the period of 26 to 34 gestational weeks. These data indicate that the RI within the fetal cerebral artery is unaffected by the maternal glycemic control when mean serum glucose levels are below 280 mg/dl.
Blood Flow Velocity↗
Evaluation of hemodynamic changes and intrauterine conversion of fetal supraventricular tachycardia.
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Blood Flow Velocity↗
[Studies on the crude drugs used for the folk medicine described in "mimi-bukuro"].
"Mimi-bukuro" is a book written by Moriyasu Negishi in the Edo period. M. Negishi (1737-1815) was a magistrate in the town of Edo. He was very much interested in listening and recording many kinds of stories, which were told by the various kinds of people, such as public officers, samurais, merchants, doctors, etc. Among the stories of this book, some stories were found concerning folk medicine, medicinal substance and charms. In this report, I studied the medicines which were used in these stories. The medicines originated from zoological, botanical and mineral substances. As the results of my studies, there were zoological, botanical and mineral medicines were 13, 36 and 4 species, respectively. The examples of such medicines were as follows. Zoological samples: Felis catus, Gallus gallus domesticus, Anguilla japonica and Rapana venosa. Botanical samples: Artemisia princeps, Nicotiana tabacum, Panax ginseng, Terminaria chebula and Piper nigrum.
History, 18th Century↗
[Combination therapy with arbekacin and fosfomycin against postoperative severe mixed-pneumonia of MRSA in primary lung cancer patients].
We experienced successful treatment of postoperative severe pneumonia of Methicillin-resistant Staphylococcus aureus (MRSA) with combination therapy of Arbekacin (ABK) and Fosfomycin (FOM) in three lung cancer patients. Case 1 was a advanced age of seventy-nine man who had had right upper lobectomy. Case 2 was a 61-year-old man who had had left lower lobectomy and extended bilateral mediastinal lymph-node dissection through the median sternotomy. And case 3 was a 59-year-old man who had suffered from pulmonary embolism after right pneumonectomy and partial resection of left atrium and superior vena cava. All cases were immuno-compromised patients and super-infected with Gram-negative rods, and Pseudomonas aeruginosa in case 1 and case 3. Clinical symptoms were improved after the start of administration of ABK and FOM inspite of ineffectiveness of prior treatment with other antibiotics. We added staggered chemotherapy of Sulbactam/Cefoperazone (SBT/CPZ) and Ceftazidime (CAZ) for case 1 and case 3 respectively. Thus, the combination therapy of ABK and FOM might be useful for severe pneumonia of MRSA in the immunocompromised patients, and the combined staggered chemotherapy of beta-lactum agents and above would be the first choice in the treatment for the case involving Pseudomonas aeruginosa.
Aged↗
[A case of systemic arterial supply to the normal left basal segments with anomalous return of the left inferior pulmonary vein].
A 38-year-old man was admitted to Yatsushiro General Hospital because of an abnormal shadow on chest X-ray film. Chest X-ray film showed a tumorous shadow in the left posterior basal segment (S10). Chest CT scan showed that this shadow was consisted of torutuous vessels and was connected to the descending thoracic aorta. Angiographic examinations showed that there was no normal left basal trunk of the pulmonary artery, and revealed an anomalous arterial supply to the basal segments from the descending thoracic aorta, with an anomalous left inferior pulmonary vein. The left bronchial tree appeared normal during fibroptic bronchoscopy (confirmed by post-operative bronchography). From these findings, we determined that this patient had an systemic arterial supply to the normal basal segments. Furthermore, this patient had an anomalous left inferior pulmonary vein, which took a peculiar route to the left atrium. The left lower lobe and the anomalous systemic artery were resected. In the resected specimen, the bronchi of the left lower lobe had a normal structure and showed a normal pattern of distribution. This anomalous systemic artery had an elastic component.
Adult↗
Myxoid and globular degeneration of nerves in the shoulder joint.
Characteristic degeneration of the nerves in shoulder joints was recognized in 26 of 35 capsules (74.3%) from 20 cadavers. No left or right or gender differences were found. Histologic features of the nerves were (1) thickening of the perineurium, (2) myxoid degeneration in the endoneurium, and (3) hyaline globular structures with a whorled, oligocellular appearance regarded as Renaut bodies. The results of histochemical and electron microscopic studies showed prominent degenerated collagen fibers in the globular areas. These features resembled those found in the fusiform swelling in the axillary nerve branch to the teres minor muscle, believed to be caused by chronic nerve compression. Sixty percent of the degenerated nerves occurred in the anteroinferior and posteroinferior portions of the capsule, an area that is considered to be innervated by the axillary nerve. No correlation between age and severity of these degenerative nerve changes was noted. Compression of the axillary nerve and inferior joint capsule caused by repetitive shoulder movement such as forward flexion, abduction, and external rotation of the humerus might result in this form of nerve degeneration found histologically over a lifetime without necessarily causing clinical symptoms.
Adolescent↗
[A case of diffuse malignant mesothelioma diagnosed by thoracoscopic biopsy].
We report a case of diffuse malignant mesothelioma discovered by thoracoscopic examination undertaken while formulating a preoperative diagnosis. A 61-year-old male complained of coughing and sputum production, and was admitted because his chest roentgenogram indicated an abnormal shadow. Chest CT scanning demonstrated right pleural effusion and multiple nodules sited on the diaphragm. Because aspiration biopsy of such nodules was difficult, we performed a thoracoscopic examination. The thoracoscopic findings demonstrated bloody pleural effusion in the right thoracic cavity and multiple nodules on the diaphragm, parietal and pulmonary pleura. They were white and 0.5 to 2 cm in size. By excisional biopsy, these were diagnosed as epithelial-type diffuse malignant mesothelioma. We therefore performed panpleuropneumonectomy. Even though we completely resected the canal of thoracoscope and drainage tube, microscopic findings showed invasion of mesothelioma cells into this thoracoscopic canal. Although we suggest that, in preoperative diagnosis of pleural tumor, thoracoscopy is efficient to perform a pathological examination and confirm the extension of tumor, in the actual operation, we believe that the thoracoscopic canal should be resected.
Biopsy↗