Search PubMed⌕ Search

Biomedical subjects

T Hata

Publications and source records attributed to T Hata.

At least 487 records · Page 27Linked to original sources

Three-dimensional mapping of local cerebral perfusion in alcoholic encephalopathy with and without Wernicke-Korsakoff syndrome.

Seventeen severe chronic alcoholic patients with and without Wernicke-Korsakoff syndrome (WKS) were examined prospectively after being treated by withdrawal from alcohol. The WKS patients also received thiamine supplements. Three-dimensional measurements of local cerebral blood flow (LCBF) and local partition coefficients (L lambda) were made utilizing xenon contrast computed tomography (Xe CT-CBF). Results were displayed as color-coded brain maps before and after treatment and these were correlated with neurological and cognitive examinations. Before treatment chronic alcoholics without WKS (n = 10) showed diffuse reductions of LCBF values throughout all gray matter including hypothalamus, vicinity of nucleus basalis of Meynert, thalamus, and basal ganglia. Similar, but more severe, reductions were seen in patients with WKS (n = 7), however, white matter perfusion was also reduced. In WKS, most prominent reductions of LCBF were also seen in hypothalamus and basal forebrain nuclei but thalamus, basal ganglia, and limbic systems were severely reduced. After treatment, both groups with alcoholic encephalopathy showed marked clinical improvement and cerebral perfusion was restored toward normal. Chronic alcohol abuse, in the absence of thiamine deficiency, reduces CBF by direct neurotoxic effects. If thiamine deficiency is also present, more severe and localized hemodynamic reductions are superimposed.

Adult↗

Catecholamine levels in the brain of SART (repeated cold)-stressed rats.

1 The catecholamine levels in the brains of SART (specific alternation of rhythm in temperature)-stressed (repeated cold-stressed) rats with vagotonic-type dysautonomia, were examined by high performance liquid chromatography with electrochemical detection techniques. 2 The cerebral cortex, hypothalamus and hippocampus of the SART-stressed rats had increased levels of noradrenaline. All brain areas examined showed increased levels of dopamine. 3 These increased catecholamine levels were still maintained by day 10 of SART stress. 4 Among brain areas examined, the hypothalamus showed most rapid change. 5 Cold-stressed rats showed increased noradrenaline levels only in the basal ganglia and dopamine levels in the hippocampus. 6 Rats suffering from restraint and water immersion stress showed decreased noradrenaline levels and increased dopamine levels. 7 These results suggest that SART-stressed animals are in a disease state differing from that of other so-called stressed animals, and changes in the hypothalamus give rise to the various symptoms in SART-stressed animals.

Animals↗

Ultrasonographic assessment of fetal adrenal gland and placenta: correlation with estrogen in maternal urine.

Forty-eight ultrasonographic examinations done to assess growth of the fetal adrenal gland and placental aging were performed on 17 normal fetuses and 7 fetuses with intrauterine growth retardation (IUGR). Gestational age ranged from 30 to 40 weeks. High correlations of the area of fetal adrenal gland (FAGA) with gestational age were noted in the normal fetuses (r = 0.96, p less than 0.001) and IUGR (r = 0.93, p less than 0.001), respectively. FAGA correlated well with the level of estrogens in the maternal urine (r = 0.65, p less than 0.001). When the value of FAGA was 300 mm2 and over, the level of estrogens in the maternal urine was 20 mg/day and over, and all were normal fetuses. In cases of grade I and II placentas, the mean values of FAGA in normal fetuses were larger than those in IUGR, respectively (p less than 0.001). In the case of IUGR with placental infarction and hematoma associated with severe toxemia of pregnancy, the FAGA was significantly small.

Adrenal Glands↗

Ultrasonographic measurement of the human fetal liver in utero.

A total of 232 measurements of the size of the human fetal liver were made from 19 weeks gestation through to term. The size of the liver increased linearly with the advance in pregnancy. Statistical analyses showed a highly significant correlation between liver circumference and area and gestational week or fetal abdominal circumference (r = 0.89, r = 0.90, r = 0.90, r = 0.85).

Abdomen↗

Ultrasonographic identification of the human fetal gallbladder in utero.

Ultrasonographic studies of the human fetal gallbladder were performed in utero on 149 fetuses ranging from 20 to 39 weeks of gestation. The gallbladder could be identified in 37.5% (20-23 weeks) to 64.7% (24-27 weeks) after 20 weeks of gestation. The normal sonographic characteristics of the fetal gallbladder were described and the area of fetal gallbladder, the length and the width were measured, respectively. The ultrasonographic identification of the fetal gallbladder is a first step in antenatal detection of congenital anomalies affecting the gallbladder.

Female↗

Ultrasonographic in utero identification and measurement of the normal fetal spleen.

Sixty-nine ultrasonographic examinations were performed to identify and measure the fetal spleen in utero on 49 women with regular menstrual cycles, at 18-41 weeks of gestation. The length (FS-L), width (FS-W), area (FS-A), and sectional area (length X width; FS-LW) of the fetal spleen correlated well with the gestational age. A very high correlation of FS-LW with FS-A was noted (r = 0.98; p less than 0.001). Ultrasonographic identification and measurement of the fetal spleen in utero is thus a useful indicator of fetal spleen growth and should facilitate detection of in utero splenomegaly, asplenia and other abnormalities.

Female↗

Electrocorticogram in rats loaded with SART stress (repeated cold stress).

The electrocorticogram (ECoG) in a SART (specific alternation of rhythm in temperature)-stressed (repeatedly cold-stressed) rat, which is regarded as an experimental model for clinical vagotonic-type dysautonomia, was investigated in the present study by the power spectral technique. 1) Analysis of ECoG in SART-stressed rats during the resting-arousal state indicated a decrease in total power and a decrease in relative power in the delta band, and also an increase in relative power in the theta, alpha and beta bands. 2) In the slow-wave sleeping state, the ECoG of SART-stressed rats indicated a marked increase in total power, an increase in the delta band and decreases in theta, alpha and beta bands. 3) Electric stimulation of the posterior-hypothalamic area evoked alterations of ECoG similar to those caused by SART stress. ECoG response to electric stimulation in SART-stressed rats was less than that in unstressed rats. 4) Lesioning of the posterior-hypothalamic areas prevented SART stress-induced ECoG alterations. SART-stressed rats thus appear to be at a higher consciousness level on awakening but to sleep more soundly. They seem to exhibit greater fluctuation in brain activity than normal rats. There is also the possibility that the posterior-hypothalamic area is responsible to some degree for ECoG alterations in SART-stressed rats.

Animals↗

Ultrasonic evaluation of trophoblastic disease and the response to chemotherapy.

Ultrasound is an established method of confirming the presence of a hydatidiform mole in utero. However, in agreement with other investigations, we have often noted that the appearance of this entity is less specific than originally reported. To elucidate this, the ultrasonic patterns of 26 patients with trophoblastic disease and 27 with other entities were reviewed. Since there is a paucity of literature with regard to the response of choriocarcinoma to chemotherapy, determined by ultrasound, we simultaneously studied the relationship between findings of the ultrasonograms and the levels of hCG-beta-subunit in sera. We noted variable ultrasonic features in trophoblastic disease, and the sonograms of the choriocarcinoma have occasionally been confused with those of hydatidiform mole. If special attention is directed to the thickness of the placenta-like echoes as well as the sonolucent areas within it, the diagnosis of partial hydatidiform mole may be feasible. We also noted a rough correlation between ultrasonic appearances and the hCG-beta-subunit value, determined during chemotherapy for choriocarcinoma.

Chorionic Gonadotropin↗

[Fundamental study of piperacillin sodium in term and premature neonates].

Piperacillin sodium (PIPC) is a semisynthetic penicillin displaying high antibacterial activities against Gram-positive and Gram-negative bacteria including Pseudomonas sp., Proteus sp., etc. It acts bactericidally and is stable against beta-lactamases. The usefulness of PIPC in the treatment of infections in mature and premature neonates was investigated and the following results were obtained. The pharmacokinetics (half-life, distribution volume, total body clearance) of PIPC after 50 mg/kg intravenous drip infusion in 10 cases of neonates were examined. Relationship between T1/2 and hours after birth was clearly determined. Adverse effects and abnormality in laboratory test values were not observed. It is considered from the above results that PIPC may be an useful antibacterial agent for the treatment of infections in neonates.

Acute Disease↗

Narcolepsy following cerebral hypoxic ischemia.

A 51-year-old man with non-HLA-DR2 histocompatibility developed classic signs and symptoms of the narcoleptic tetrad soon after recovering from an episode of cardiopulmonary insufficiency, which occurred during induction of surgical anesthesia. Symptoms included excessive daytime sleepiness, hypnagogic hallucinations, sleep paralysis, and cataplexy. The diagnosis was confirmed by repeated polysomnographic examinations in the sleep laboratory. Cerebral hemodynamic changes during the onset of sleep showed remarkable increases of cerebral blood flow during the onset of rapid-eye-movement sleep similar to those reported previously in patients with narcolepsy. Magnetic resonance imaging showed focal regions of abnormal spin-echo signals in the ventral pons.

Anesthesia, Intravenous↗

Hutchinson-Gilford progeria syndrome in a 45-year-old man.

A 45-year-old man with typical Hutchinson-Gilford progeria syndrome is described. The patient had the characteristic physical findings of this syndrome, such as short stature, "horse-riding" stance, coxa valga, alopecia, micrognathia, craniofacial disproportion, and prominent eyes. He had refractory congestive heart failure due to arteriosclerotic heart disease and hypertension, and he also had arteriosclerosis obliterans. Some immunologic and endocrinologic abnormalities commonly seen in the elderly were present in this patient. On the basis of a review of the literature, this is the first patient with this syndrome who had survived into the fourth decade.

Arteriosclerosis Obliterans↗

A case of single umbilical artery with various fetal anomalies: correlations between prenatal ultrasonographic diagnosis and autopsy.

We report a case of a single umbilical artery with various fetal anomalies, and a comparative study between prenatal ultrasonographic diagnosis and autopsy was done. The prenatal ultrasonographic diagnosis included, atrial septal defect (ASD), ventricular septal defect (VSD), mitral atresia or stenosis and a single great vessel. At autopsy, ASD, VSD, mitral atresia, overriding aorta and pulmonary atresia were evident. In case of other anomalies, the findings in the prenatal diagnosis and at autopsy were encephalocele, adrenal hypoplasia and a single umbilical artery. The ultrasonic detection of these anomalies is discussed and the limitations of this diagnostic method are given attention.

Abnormalities, Multiple↗