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Biomedical subjects

T Inouye

Publications and source records attributed to T Inouye.

At least 55 records · Page 3Linked to original sources
PubMed1992

AIDS-like disproportion of minor T-cell subsets in Japanese patients with Wegener's granulomatosis.

Fifteen Japanese patients with Wegener's granulomatosis (WG) were evaluated according to their lymphocyte subset abnormalities. Two colour immunofluorescent flow cytometry was used to distinguish the lymphocyte subset alterations. WG group showed a decrease in the percentage of CD4+ cells and the increase of CD8+ cells. Within the NK cell family, the functionally unidentified CD8+57+ cells were markedly elevated. The disproportion of the lymphocyte subsets (CD4+ decreases CD8+57+ increases) were similar to those of Acquired Immunodeficiency Syndrome (AIDS) and AIDS relating complexes (ARC). To assess silent infection of Human immunodeficiency virus (HIV), the polymerase chain reaction (PCR) was done for all patients to selectively amplify specific HIV proviral DNA sequences in peripheral blood mononuclear cells, HIV-1 proviral DNA was not found in any patients but these changes of WG might suggest a possible adaptive response to unknown viral infection.

AIDS-Related Complex↗
PubMed1992

Is injectable collagen truly safe?

Most patients have no response to injectable collagen or silicone, but some cases may have positive or 'undersea' (= clinically negative but immunologically positive) response to collagen. From the results of the Macrophage migration inhibition test, the relative immunogenicity was augmented most when we used implants with the following combination. The first immunization was collagen and the second one was collagen with silicone. The augmented antigenicity might be enough to cause an allergic reaction to the patients who had no response to each implant alone.

Adjuvants, Immunologic↗
PubMed1992

Spindle activity in the waking EEG in older adults.

Sleep spindles are an EEG sign of light sleep under physiological conditions. We reported the simultaneous occurrence of sleep spindles and alpha activity in the waking EEG in 12 patients with a mean age of 59.0 years. Most of the patients were diagnosed as cerebrovascular disorders such as cerebral arteriosclerosis, transient ischemic attack and vascular dementia. The mean alpha frequency in the presence of WSA significantly decreased by 1.5 Hz. The frequency and spatial distribution of waking spindle activity were similar to those of sleep spindles. In our cases, at least the two factors of cerebrovascular involvement and older adults were considered to be primarily responsible for the intrusion of sleep spindles into wakefulness (presumably a state close to very light drowsiness) due possibly to the instability of sleep-waking cycle regulation.

Adolescent↗
PubMed1992

[Inner ear decompression sickness following a scuba dive].

Inner ear decompression sickness (IEDCS) is one form of Type II decompression sickness. Most cases of IEDCS have been associated with saturation dives, so there are very few reports of occurrence following shallow scuba dives. We present here the case of a diver who suffered from IEDCS following a shallow scuba dive (30m), and was successfully treated by the protocol outlined in U.S. Navy treatment table 6. This case suggests that there is the possibility of occurrence of IEDCS, even following a shallow scuba dive, if proper decompression procedures are not adhered to. In addition, detailed analysis of diving profiles should be used to distinguish the inner ear dysfunction seen in some divers from inner ear barotrauma which may be attributable to IEDCS.

Adult↗
PubMed1992

Reduced CD4-CD8 T cell ratios in patients with Wegener's granulomatosis.

All of the patients with Wegener's granulomatosis (WG), whom we studied, exhibited abnormalities in lymphocyte subsets. We used two-color immunofluorescence flow cytometry to examine the lymphocyte subset alterations. WG group showed a decrease in the percentage of CD4+ cells and an increase of CD8+ cells. Within the NK cell family, functionally unidentified CD8+57+ cells were markedly increased in number. The disproportion of these lymphocyte subsets (CD4+ decreases, CD8+57+ increases) was similar to that seen in Acquired Immunodeficiency Syndrome (AIDS) and AIDS related complex (ARC).

Adult↗
PubMed1992

[Laryngeal closure--a simple method and a reversible method for phonation preservation].

Patients with dysphagia due to a disorder in swallowing phase II are candidates for laryngeal closure operation. The operation prevents bolus drainage into the larynx and therefore permits oral feeding. Operative methods in general should be simple and reliable, and furthermore, with regards to this laryngeal closure procedure, they should preferably be reversible to maintain phonatory function, in the event that patients improve swallowing function later on. A laryngeal closure operation which satisfies both conditions has not been previously reported. We present two laryngeal closure operations. One is relatively simple and reliable but irreversible in terms of phonatory function. The other procedure requires more effort but is reversible and therefore allows for preservation of phonatory function. We performed one of these operations on two cases each and obtained good results. 1. Laryngeal closure at the vocal cords. (simple method) The frontal neck skin is incised vertically. The thyroid cartilage perichondrium is incised in the midline and retracted widely on both sides. Then the anterior thyroid lamina is removed at the crico-arytenoid joint. A control hole is opened into the laryngeal lumen by an incision made from the cricoarytenoid membrane to the anterior commissure. The larynx is cut horizontally from the anterior to posterior commissure between the upper and lower lips of the vocal cords. Finally the vocal cords are sutured at the top and bottom of the cut stump. 2. Closure at the false vocal cords. (reversible method for phonation preservation) After the vertical incision has been made, the laryngeal lumen is opened by laryngofissure.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1991

Quantification of EEG irregularity by use of the entropy of the power spectrum.

A new method for quantifying irregularity of EEGs is proposed in this study. The entropy, an information measure, determines the uniformity of proportion distribution. The peakedness or flatness of the distribution of the EEG power spectrum, representing EEG rhythmicity, can be measured by the entropy, because the power spectrum consists of proportions of power at each frequency. The irregularity of the EEG was measured by the entropy of the power spectrum, called an irregularity index (II). The II was obtained from the power spectrum at F3, F4, C3, C4, P3, P4, O1 and O2 during rest and mental arithmetic in 10 normal subjects. Relative band powers of delta, theta, alpha and beta bands and alpha peak frequency were also obtained. EEGs during rest were significantly more irregular anteriorly than in the occipital areas. Alpha activity was also more irregular in the anterior region. A greater degree of EEG desynchronization during mental arithmetic was found over the left hemisphere and the right occipital area. The II was more sensitive to such desynchronization than alpha band power and alpha peak frequency. The differences in spectral structures between rest and mental arithmetic conditions, mainly over the left hemisphere, were also confirmed by the Kullback-Leibler information.

Adolescent↗
PubMed1991

Amelanotic melanoma metastatic to the epiglottis.

Metastasis of melanoma in the head and neck region is often reported but the report of amelanotic melanoma metastatic to the epiglottis is an extremely rare entity. This paper describes a patients previously treated for cutaneous amelanotic melanoma who developed metastatic tumour involving his epiglottis. This legion was successfully excised by a intra-oral approach combined with KTP/532 laser surgery. The paper also describes the diagnostic evaluation, management, operative technique and DNA analysis of this rare case.

Adult↗
PubMed1990

Analysis of rapidly changing EEGs before generalized spike and wave complexes.

Ten epileptic patients who had absence and tonic-clonic seizures were examined. They showed almost generalized 2-5 Hz spike and wave complexes (SWCs) with maxima at the frontal or central locations. Their EEGs were recorded from F3, F4, C3, C4, P3, P4, O1 and O2. One 15 sec EEG epoch, which included the background activity followed by SWCs, was divided into 20 segments. On the basis of Akaike's information criterion obtained from an AR model fitted to each segment by the least squares method, a distance measure between segments was obtained. The 20 segments were classified according to the distance measure with the combined use of both cluster analysis and multidimensional scaling. The power spectrum was also obtained for each segment. There were 2-6 clusters at some locations, always including the largest amplitude locations of the SWCs (the frontal or central locations). The clusters could be grouped into 3 major types, each forming a period: (1) one large cluster distant from the SWCs (the period of background activity); (2) small clusters just before the SWCs (the period just before the SWCs); (3) small clusters during the SWCs (the period of the SWCs). The period just before the SWCs, which occurred earliest at the largest amplitude location, may be a transition state of the background activity to the SWCs. A few segments remote from the SWCs belonged to the small cluster just before or during the SWCs in some patients, thus suggesting that an EEG event similar to EEG changes just before or during the SWCs occurred. The EEG event buried within the background can be considered as a poorly developed epileptiform discharge. A gradual increase or decrease in alpha frequency before the SWCs was found in most patients; this suggests that changes in the level of vigilance occur before SWCs.

Adolescent↗
PubMed1990

Colonial variation and fimbriation of Actinobacillus actinomycetemcomitans.

Three colonial variants of Actinobacillus actinomycetemcomitans, which formed transparent rough (TR)-, transparent smooth (TS)-, and opaque smooth (OS)-surfaced colonies, were described in relation to their fimbriation. TR- and TS-cells were adhesive to agar and glass surfaces but not the OS-cells. The examination by electron microscopy revealed that TR-cells were highly fimbriated but not TS- and OS-cells. Thus, TS-cells seemed to be an intermediate type. The fimbriae were isolated from TR-cells by suspending in 0.15 M ethanolamine-HCl buffer (pH 10.5) and purified by dissolving non-fimbrial components in 0.5% deoxycholate and 0.7% n-octyl-beta-D-glucopyranoside. The relative molecular mass of the fimbrial subunit protein was 54,000.

Actinobacillus↗
PubMed1990

[Neuro-otological examination in patients with unilateral cerebral lesion--fixation suppression].

Fixation suppression of caloric nystagmus was examined in 33 cases with unilateral cerebral vascular lesion. Only Lesion included the unilateral internal capsule was certified by CT scan in all of the subjects. The rate of fixation suppression (FS%): FS% = (1 - F/D) x 100 was calculated by the mean slow-phase velocity (F) of caloric nystagmus during fixation and the maximum slow-phase velocity (D) during eyes open in darkness. The normal FS% of nystagmus to both sides was observed in 12 cases, the reduction of FS% of nystagmus to the ipsilateral side of the lesion was observed in 11 cases, that of nystagmus to the contralateral side in one, and that of nystagmus to the bilateral side in eight. In 30 out of 32 cases which were able to measure the slow-phase velocity (SPV) of caloric nystagmus, FS% of nystagmus to the ipsilateral side of the lesion was lower than that to the contralateral side, and there was statistically a significant difference between them (p less than 0.05). Furthermore, the difference between the SPV of nystagmus to the ipsilateral side of the lesion and that to contralateral side was examined during fixation and during eyes open in darkness separately. The SPV of nystagmus to the ipsilateral side of the lesion was significantly (p less than 0.01) higher than that to the contralateral side during fixation. There was no significant difference between them during eyes open in darkness. In 15 cases, however, tonic eye deviation over 20 degrees to the slow-phase side was only observed during nystagmus to the ipsilateral side.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1989

Micronucleus test with procarbazine hydrochloride administered by intraperitoneal injection and oral gavage.

The difference in effect of route of administration of procarbazine hydrochloride (PCZ) in the mouse was investigated in the micronucleus test. PCZ was administered by intraperitoneal injection (i.p.) and oral administration (p.o.) to 2 strains of male mice (MS/Ae and CD-1). On the basis of a small-scale acute toxicity test and a pilot micronucleus test, bone marrow preparations were prepared 24 h after the administration by the i.p. and p.o. routes of 50-400 mg/kg and 200-1600 mg/kg, respectively. The maximum incidence of polychromatic erythrocytes with micronuclei (MNPCEs) was somewhat higher after p.o. treatment in MS/Ae mice and the same with both routes in CD-1 mice. Thus, the clastogenicity of PCZ in mouse bone marrow was revealed by both routes.

Administration, Oral↗
PubMed1989

Image reconstruction algorithm for single-photon-emission computed tomography with uniform attenuation.

A new method is presented for obtaining an analytical solution to the image-reconstruction problem in single-photon-emission computed tomography. The rigorous solution is introduced by applying an analytical continuation process to the two-dimensional Fourier transform of the image, which is derived from the one-dimensional Fourier transforms of projection functions. The calculations can be carried out in a short computation time without involving unstable procedures. Numerical simulations were made to demonstrate the effectiveness of the proposed method.

Algorithms↗
PubMed1989

A placebo-controlled dose-response study of enprofylline in the maintenance therapy of asthma.

We assessed the efficacy and side effects of oral enprofylline in the maintenance therapy of 206 asthmatics 19 to 71 yr of age. After a 1-wk placebo run-in, patients were randomized to receive in double-blind fashion one of three doses of slow-release enprofylline tablets (150 mg, 300 mg, or 450 mg twice daily) or matching placebo for 4 wk. At baseline, mean (SD) peak expiratory flow rate (PEFR) was 62 (19)% of predicted normal values. The mean increase in morning PEFR 12 h after dosing was: for 450 mg, 14(17)%; for 300 mg, 8(23)%; for 150 mg, 2(11)%, for placebo 0(10)%. The increases over baseline for 450 mg and 300 mg compared with 150 mg and placebo were statistically significant. The mean asthma symptoms score (scale zero to 3) exhibited a dose-related reduction. Significantly less beta 2-receptor agonist inhalations were used in the 450-mg group than in the placebo group. There was a statistically significant increase in headache and nausea with the doses 450 mg and 300 mg given twice daily during the first treatment week compared with 150 mg and placebo. Subsequent to the first week, there were no differences between the active treatments and placebo with respect to the incidence of these and other side effects. We conclude that oral enprofylline, in a dosage of 300 to 450 mg twice daily is an effective and well-tolerated drug that may be useful in the maintenance therapy of asthma.

Adult↗
PubMed1989

Alpha-1 adrenergic stimulation of 1,4,5-inositol trisphosphate formation in ventricular myocytes.

We demonstrated previously that alpha-1 adrenergic catecholamines modulate cardiac automaticity in a manner that is dependent upon the function of a pertussis toxin sensitive guanine nucleotide binding protein (G protein). Furthermore, we demonstrated that alpha-1 adrenergic receptor stimulation promotes the accumulation of inositol monophosphate (IP1). In the present study we used high-pressure liquid chromatography to resolve individual inositol phosphate isomers formed in norepinephrine-stimulated cultured rat ventricular myocytes. Norepinephrine stimulated a rapid, transient increase in 1,4,5-inositol trisphosphate (1,4,5-IP3) which was followed by slower, sustained increases in 1,3,4-IP3, inositol bisphosphate (IP2) and IP1. IP1 was composed of two major isomers with retention times characteristic of 1-IP1 and 4-IP1. 4-IP1 was the predominant IP1 isomer formed during stimulation with norepinephrine suggesting that the polyphosphoinositides rather than phosphatidylinositol are the principal targets of norepinephrine-stimulated phospholipase C activity in the heart. This was confirmed in studies performed on myocyte membranes which demonstrated proportionately greater IP2 and IP3 (relative to IP1) accumulation in response to norepinephrine. G protein regulation of alpha-1 adrenergic-dependent inositol phospholipid hydrolysis also was examined. In myocyte membranes, guanosine-5'-0-(3-thiotriphosphate) induced the accumulation of IP2 and IP3 and was required for the stimulatory effect of norepinephrine. This response was not impaired after pretreatment with pertussis toxin. These results indicate that the myocyte alpha-1 adrenergic receptor is coupled to a polyphosphoinositide-specific phospholipase C by a pertussis toxin insensitive G protein and suggest that under certain conditions IP3 may serve an important role in alpha-1 adrenergic modulation of cardiac function.

Animals↗
PubMed1988

Suppression of mitomycin C-induced micronuclei in mouse bone marrow cells by post-treatment with vanillin.

Induction of micronuclei by mitomycin C (MMC) in mouse bone marrow cells was suppressed by post-treatment with vanillin, a component of vanilla essence flavour. Vanillin was given orally to mice 7.5 h after intraperitoneal injection of 2 mg/kg MMC. Post-treatment with vanillin at 500 mg/kg caused about 50% decrease in the frequency of micronucleated polychromatic erythrocytes (MN-PCEs). The effect of vanillin administration on the time-course of formation of MN-PCEs was also investigated. The suppressing effect was not due to a delay in the formation of MN-PCEs by the cytotoxic action of vanillin. Vanillin acts as an anticlastogenic factor in vivo.

Animals↗
PubMed1988

Relationship between MR relaxation time and muscle fiber composition.

The relationship between magnetic resonance (MR) relaxation times and muscle fiber composition was investigated in 16 men, and a high positive correlation was found. Higher proportions of fast-twitch fiber were associated with longer relaxation times, indicating that fast-twitch fiber has a longer relaxation time than slow-twitch fiber. Multiple regression analysis, conducted to investigate the suitability of relaxation time as a model of estimating muscle fiber composition, revealed that T1 and T2 were significantly related to muscle fiber composition. These results indicate that MR relaxation time may be used to estimate muscle fiber composition.

Adult↗