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Biomedical subjects

T Okitsu

Publications and source records attributed to T Okitsu.

At least 73 records · Page 4Linked to original sources
PubMed1985

Forward-backward tracing tympanometry in the diagnosis of middle ear pressure.

Two tympanograms (TG) were routinely recorded on each ear by changing the pressure in the external auditory meatus (EAM), one in the decreasing (forward tracing: TG-F) followed by the other in the increasing direction (backward tracing: TG-B). Both TG were drawn on the same chart and the peak locations were compared. In a normal ear the TG-F peak tended to be formed in the negative pressure area and that of TG-B in the positive area. In a model whose middle ear pressure (MEP) was adjusted to the atmospheric pressure, the TG-F peak always indicated a negative pressure and that of TG-B a positive pressure value. As long as the same model was used, the magnitude of peak shift was identical irrespective of the middle ear pressure. The magnitude of the peak shift was influenced by the speed of EAM pressure change and a linear increase was observed up to the speed of 70 mmH2O/sec, both in a normal ear and a model. These findings seem to suggest that the peak location of a unidirectionally drawn TG can not be regarded as indicating the precise MEP. A valid MEP can better be estimated by averaging the peak pressure of TG-F and TG-B of forward-backward tracing tympanogram. In ears with pathology considerable variation was noted in the magnitude of the peak shift, so that relying solely on unidirectionally drawn TG could have lead to misdiagnosis in some cases. This was especially true with ears having small perforations covered with granulation or fluid.

Acoustic Impedance Tests↗
PubMed1985

Tympanograms of otitis media with effusion: an experimental study.

A sufficient explanation concerning tympanogram (TG) of otitis media with effusion (OME) has not been reported. The purpose of the present study was to investigate the relationship between the types of TG and actual pathological status of the middle ear system by means of experimentally modified middle ear clefts. In the present experiments, human temporal bones, guinea pigs' bullae and plastic models were used. The results were as follows: (1) Water was gradually poured into the middle ear cleft through the Eustachian tube. When the water level rose above the umbo, the height of TG slightly exceeded that of the original TG. Further addition of water produced M-shaped TG, however, flat TG (type B) was not detected until the water-line nearly reached the aditus. A similar phenomenon was observed in the plastic models when the water level reached the aditus-equivalent-site. (2) Tympanometrically measured middle ear pressure (MEP) was almost equivalent to the actual MEP recorded by a manometer when the tympanic membrane was normal. However, this result could not be duplicated in flaccid or adhesive tympanic membrane cases. (3) A clear reduction in the height of TG in guinea pigs' bullae was observed with decreased air volume. In addition, shallow TG was produced by an occlusion of the aditus of the human temporal bones and of the aditus-equivalent-site of the plastic models. It was demonstrated that the TG pattern depends on the fluid volume and location, air volume of mastoid cavity, intratympanic pressure and eardrum condition.(ABSTRACT TRUNCATED AT 250 WORDS)

Acoustic Impedance Tests↗
PubMed1984

Middle components of the auditory evoked response in young children.

The purpose of this study was to ascertain whether the middle components of the auditory evoked response could be obtained consistently from normal young children during sleep. The wave pattern of the response was unstable and was not reproducible in sleeping children. Comparing the detectability of each peak in waking children with that of each peak in sleeping children, there was little difference in the detectabilty of the Po peak between the two test conditions, and the Na peak was only about 10% lower in sleeping subjects than in waking ones. However, a considerable decrease in the detectability of the Pa peak was found during sleep. Later peaks, such as the Nb and Pb peaks, which are usually elicited in waking adults, could scarcely be found in children, either in the sleeping or in the wakeful state. In this study, no clear difference of detectability in each peak could be demonstrated between the two filter conditions. From these results, it is concluded that the middle components of the electroencephalic response in sleep differ from those in the waking state, especially in children. Moreover, it seems that the decrease in the appearance of the response during sleep may be related to the depth of sleep. Po-Na may be the most suitable index for electric response audiometry in young children.

Auditory Threshold↗
PubMed1983

Mutagenic activities of gentisin and isogentisin from Gentianae radix (Gentianaceae).

The mutagenic activities of 2 hydroxyxanthones, gentisin and isogentisin, obtained from the methanol extract of Gentianae radix (Gentianaceae) were investigated. The methanol extract of Gentianae radix, which showed mutagenicity in the Ames test in Salmonella typhimurium strain TA100 with S9 mix, was fractionated by column chromatography on Sephadex LH-20, and the fractions were purified by preparative TLC and column chromatography on polyamide. 2 mutagenic materials thus obtained, S1 and S2, each gave a single band on TLC. Identification of S1 and S2 was accomplished by comparing the analytical (mps, elementary analyses) and spectral (UV, IR, mass, NMR) results for S1 and S2 with literature data for gentisin and isogentisin. At doses below 10 micrograms, S1 (gentisin) and S2 (isogentisin) had similar specific mutagenic activities. At doses of over 10 to 50 micrograms, the mutagenic activities of S2 and S1 were 19.1 and 6.94 revertants per microgram respectively. This much lower activity of S1 than S2 may be a result of its poor solubility owing to the presence of the OMe group at C-3. The combined yield of S1 and S2 was about 76 mg (40 mg as S1 and 36 mg as S2), which accounted for 76% of the content of mutagenic compounds (100 mg) estimated roughly from the total mutagenic activity in the extract of the starting materials (100 g).

Animals↗
PubMed1982

Mutagenicity screening of crude drugs with Bacillus subtilis rec-assay and Salmonella/microsome reversion assay.

This paper describes the screening studies of 104 commercial crude drugs for mutagenicity by the rec-assay with Bacillus subtilis as well as the reversion assay with Ames strains TA98 and TA100 of Salmonella typhimurium. The rec-assays showed that 13 water extracts and 27 methanol extracts of the crude drugs were positive. The Ames assays with or without metabolic activation showed that 24 water extracts and 16 methanol extracts were mutagenic. In total, mutagenic activities were found in 45 samples among the 104 crude drugs tested.

Bacillus subtilis↗
PubMed1981

ABR audiometry in the diagnosis of cerebellopontine angle tumors.

Auditory brain-stem responses (ABR) examination with simultaneous lobe-vertex (L-V) and membrane-vertex cm-v) recording was performed in 34 ears with cerebellopontine angle tumors. The detectability of wave I was better in M-V recording than in L-V recording, whereas L-V recording exhibited better detectability of wave V. ABR waveforms were classified into three groups, and the relations between the waveforms and the size of tumor or the degree of hearing loss were analyzed. Positive finding in ABR were obtained in 25 out of 34 ears in the present study. It was stressed that this dual recording in ABR was extremely useful in the diagnosis of cerebellopontine angle tumors.

Adolescent↗
PubMed1980

Study of a simultaneous lobe-vertex and membrane-vertex recording technique in auditory brainstem response.

The study of a simultaneous lobe-vertex and membrane-vertex recording in auditory brainstem response was performed in normal adults and in patients suffering from brainstem disorders. It was demonstrated that in normal subjects the detectability of waves I and V depends on the site of the recording electrodes and there is no statistical difference between the two recording methods in the latencies of the two waves. We reported 3 typical cases that illustrate the value of this recording method in the detection of the cochlear nerve or the brainstem disorders.

Acoustic Stimulation↗