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Biomedical subjects

T Noro

Publications and source records attributed to T Noro.

At least 37 records · Page 2Linked to original sources
PubMed1997

[Parkinsonism and postoperative complications in the elderly].

The risk factors for postoperative morbidity and mortality in elderly patients with Parkinsonism after gastrointestinal surgery were evaluated by univariate and multivariate analyses in comparison to those of patients with cerebrovascular disease and to those of patients with no comorbid condition. Data were obtained on 36 patients with Parkinsonism (PK), 77 with cerebrovascular disease (CVD) and 120 with no comorbid condition (ND). All data were adjusted for age, sex and operative procedure. The postoperative morbidity rate was highest in the PK group (77.8%), followed by the CVD group (70.1%), and both differed significantly from the rate of the ND group (32.5%). Gastrointestinal and pulmonary complications and delirium were the major postoperative complications, and were significantly more common in the PK group than in the ND group. Patients in the PK group had the longest postoperative hospital stay, followed by those in the CVD and ND groups; the differences were significant between the PK and ND groups and between CVD and ND groups. The PK group had the highest operative and hospital mortality rates, and they differed significantly from the ND group. Hayashi's second method of quantification was used to assess the risk factors for postoperative death. The highest partial correlation coefficient was that found for postoperative pulmonary complication. We conclude that we should pay close attention to postoperative respiratory management, particularly in elderly patients with Parkinsonism, to prevent pulmonary complications and reduce postoperative mortality.

Aged↗
PubMed1995

Steroidal glycosides from Cynanchum caudatum.

The aerial part of Cynanchum caudatum afforded 10 new pregnane glycosides which had sarcostin or deacylmetaplexigenin as the aglycone moiety. The structures of these compounds were elucidated by spectroscopic methods and from chemical evidence.

Carbohydrate Sequence↗
PubMed1995

Aberrant progenitors common to megakaryocytic and myeloid cells in a Down's infant with transient abnormal myelopoiesis.

Phenotypic characteristics of blasts were studied in a Down's infant with transient abnormal myelopoiesis (TAM). Two major subpopulations were identified: (1) CD33+CD42b+ cells with platelet peroxidase activity, the commitment of which to megakaryocytic lineage was supported by an increased expression of GATA-1 mRNA; (2) CD33+CD34+CD7+CD4+ cells with immature ultrastructure, which could be either immature megakaryocytic or myeloid cells with aberrant differentiation. Mixed colonies containing megakaryocytes and monocyte/macrophages in the peripheral blood suggested the presence of progenitors common to these subpopulations. These results may indicate that subpopulations of blasts with phenotypic diversity could be derived from aberrant common progenitors to megakaryocytic and myeloid lineages in this patient.

Blotting, Northern↗
PubMed1995

Steroidal glycosides from roots of Cynanchum caudatum M. II.

The roots of Cynanchum caudatum M. (Asclepiadaceae) afforded eleven new pregnane glycosides which had cynanchogenin, caudatin, 12-O-benzoyllineolon and 12-O-benzoyldeacylmetaplexigenin as the aglycone moiety and 2,6-dideoxy-3-O-methylhexopyranoses as component sugars. The structures of these compounds were elucidated by spectroscopic methods and from chemical evidence.

Carbohydrate Sequence↗
PubMed1995

[A report of leiomyosarcoma of the esophagus].

Leiomyosarcoma of the esophagus is an uncommon disease of which only 97 cases including the present case have been reported in Japan. We report a case of the tumor which showed multiple hematogenous metastases after surgery. A 73-year-old male was admitted complaining of dysphagia and vomiting. Esophagography and endoscopy revealed a large protruding lesion in the lower esophagus. CT scanning revealed threefold-sized extramural mass. Boring biopsies failed to yield evidence of malignancy. However, we performed surgical treatment because of the uncommon size for a benign tumor. The excised tumor was 11 x 9 x 5 cm in size and was diagnosed histologically as leiomyosarcoma of the esophagus without any nodular involvement. Metastatic tumor in the right rib was found 14 months after the operation. Radiotherapy failed to decrease tumor size but eliminated pain. Bone metastases appeared successively and the patient died 3 years and 4 months after operation. Chemotherapy had no effect. Autopsy revealed metastases to the ribs, vertebrae, sternum, pelvic kidneys and diaphragm, but no local recurrence. There is a great need for the development of effective anti-cancer drugs for leiomyosarcomas, particularly in cases with extensive metastasis, such as presented here.

Adult↗
PubMed1995

[Gastric cancer in the elderly].

Gastric cancer in the elderly was evaluated with regard to age-related pathomorphological changes. Resected gastric cancer was studied with regard to location, stage, morphology and histology in male young old (65-74 years old) which were 25 cases and 31 lesions, respectively male middle old (75-84 years old); 104 cases and 120 lesions, male very old (85 years-); 96 cases and 110 lesions, female young old; 22 cases and 31 lesions, female middle old; 91 cases and 106 lesions, female very old; 51 cases and 55 lesions. Multiple gastric cancers were more frequent in female older group. In early cancer the frequency of elevated type increased significantly and that of depressed type decreased in very old group. In advanced cancer Borrmann I type was not so common in very old group. Histologically the frequency of signet ring cell cancer decreased and of tubular adenocarcinoma and of papillary adenocarcinoma increased significantly in female very old group. Hepatic metastasis increased significantly in male very old group. Lymph node metastasis and peritoneal metastasis did not show any change in age-related frequency.

Age Factors↗
PubMed1995

[Risk factors of operative death and prognosis following operations for esophageal cancer in the elderly].

Risk factors of operative death and prognosis in the elderly following operations for esophageal cancer were evaluated by multivariate analyses. Data were obtained from 45 operations over a 14-year period in patients of a mean age of 72.6 +/- 6.3 years. Using a multiple logistic model analysis, it was determined that the significant risk factor of death within 50 postoperative days was postoperative pulmonary complication. No other factors were significant as risk factors with regard to survival. Cox's proportional hazards model analysis was used to assess the prognostic factors of long-term survival following operations. Independent predictors were the stage of cancer and age. We conclude that two points are essential to improve the survival rate of elderly patients with esophageal cancer; first, postoperative special attention in order to prevent pulmonary complications and secondly, performing operations at as early a stage of cancer as possible.

Aged↗
PubMed1994

Steroidal glycosides and cardenolide glycosides from Asclepias fruticosa.

Asclepias fruticosa afforded, in addition to five known pregnane glycosides and 11 known cardenolide glycosides, four new pregnane glycosides and eleven new cardenolide glycosides. Structures of these compounds were elucidated by spectroscopic methods and from chemical evidence.

Carbohydrate Sequence↗
PubMed1994

Orthodontic forces exerted by activators with varying construction bite heights.

The present study was conducted to investigate the nature of forces induced with activators by measuring strains, electromyogram (EMG) and electroencephalogram (EEG) during a 2-hour sleep period. Fifteen adolescent patients with Class II and Class III malocclusions, (30 subjects) were used. Four types of activators were made for each patient with construction bites taken at incisal edge clearances of 2, 4, 6, and 8 mm vertically. The magnitude of forces generated by passive tension of soft tissues increased significantly (p < 0.01) from approximately 80 to 160 gf in the Class II group and from approximately 130 to 200 gf in the Class III group with varying construction bite heights from 2 to 8 mm. Higher construction bites also significantly changed (p < 0.01) the direction of forces by passive tension from vertical to posterior and from vertical to anterior in relation to the reference plane in the Class II and Class III groups, respectively. Duration of forces generated by passive tension was most significantly longer than that of active contraction of the jaw closing muscles, irrespective of the construction bite heights. It is concluded that passive tension, derived from viscoelasticity of soft tissues, plays a more important role in inducing changes that phasic stretch reflex during jaw orthopedic therapy with activators.

Activator Appliances↗
PubMed1994

Steroidal glycosides from Asclepias fruticosa L.

Five novel steroidal glycosides 2-6 were isolated from the whole plant of Asclepias fruticosa L. (Asclepiadaceae). The structures of these steroidal glycosides were determined on the basis of spectral and chemical evidence. All of these glycosides contain 2,6-dideoxyhexopyranoses as component sugars and their structures were elucidated as polyoxypregnane-type glycosides, which have lineolon as the aglycone moiety.

Carbohydrate Sequence↗
PubMed1994

[Changes in surgical treatment of peptic ulcer in the elderly by H2-blockers].

It has common knowledge that the advent of H2-blockers has radically changed the treatment of peptic ulcer. We reviewed 26,667 endoscopic examinations, 5,800 consecutive autopsies and 134 consecutive patients operated for peptic ulcer over an 18-year period to evaluate the effects of H2-blockers on the treatment of peptic ulcer in the elderly (> or = 60 years of age). The number of operations for peptic ulcer in the elderly markedly declined after H2-blocker therapy was introduced. This is mainly due to decreased operative indications for gastric bleeding as a result of conservative treatment. However, the incidence of perforating ulcers has hardly changed even after the introduction of H2-blockers. More than 90% of these cases were non-diagnosed or non-treated ulcers and 50% of them were NSAID- or steroid-treated, which is characteristic in the elderly. We conclude that patients to be treated by anti-inflammatory drugs should be screened by endoscopy, and should be given anti-ulcer drugs prophylactically if necessary.

Aged↗