Search PubMed⌕ Search

Biomedical subjects

T Tsutsui

Publications and source records attributed to T Tsutsui.

At least 235 records · Page 13Linked to original sources
PubMed1990

[Application of fuzzy algorithms for ventilatory control during clinical anesthesia].

A computer program, which calculates the required minute volume using fuzzy set rule incorporating the authors' clinical experiences, was developed to keep a stable PCO2 during anesthesia, and its clinical usefulness was examined on 30 consecutive patients. The program requires the value of end-tidal CO2 concentrations at present, and 5 minutes before, and arterial-end-tidal CO2 tension difference (aEDCO2), and generates the adjustable value of minute volume to maintain the constant PaCO2 (acceptable range; 37 to 33 mmHg). Twenty-three cases were successfully controlled after adopting the calculated minute volume, which closely coincided with our clinical experiences. Seven cases, on the other hand, did not show the anticipated PaCO2 change, because of incidental leakage of endotracheal cuff (2 cases), larger aEDCO2 than the expected value of 4 mmHg (4 cases), or mild pulmonary edema (1 case). It has become clear that in the steady anesthetized patients, the program based on the authors' clinical experiences, which was made possible with the concept of fuzzy set rule, can be used to control the PaCO2 within the strict range during variable anesthetic situations.

Adult↗
PubMed1990

[Preoperative therapeutic embolization for massive hemoptysis from bronchial collaterals in tetralogy of Fallot--a case report successfully treated by total correction].

Hemoptysis from bronchial collateral arteries in cyanotic heart diseases is a troublesome complication. We report a case of Tetralogy of Fallot presented with massive hemoptysis which was successfully treated with transcatheter therapeutic embolization prior to the radical operation. A 28-years old man was admitted to our hospital because of hemoptysis and dyspnea. On the day of admission, he had a massive hemoptysis and became asphyxic. Diagnostic cardiac catheterization performed next day revealed Tetralogy of Fallot. Bronchial arteriogram demonstrated large bronchial collateral arteries with heavy staining around the right lower lobe bronchus. Therapeutic embolization with Gelfoam was performed and the hemostasis was obtained. The radical operation was performed 4 months later. Before cardiopulmonary bypass, the right bronchial artery was ligated. He was weaned from the extracorporeal circulation under the stable circulatory condition, and respirator on the first post operative day without any complications, and he was discharged on the 57th day after the operation. We emphasize the efficacy of therapeutic embolization of the well developed bronchial collateral arteries as a pretreatment of hemoptysis in the cyanotic heart disease.

Adult↗
PubMed1990

[Intramural duodenal hematoma: a case report].

A 55-year-old male patient with acute onset of abdominal pain was examined. He had no apparent history of abdominal trauma or bleeding tendency. MRI showed three layered architecture, so-called "ring sign" distinctive of hematoma. MRI seemed to be very useful in non-invasively diagnosing intramural duodenal hematoma.

Duodenal Diseases↗
PubMed1990

[The effect of DREZ (dorsal root entry zone) lesions on intractable pain in patients with spinal cord injury].

Some patients with spinal cord injury complain of a severe intractable pain. This intractable pain places new hurdles on the road to return to the ordinary daily life in these patients. The effective therapy for the intractable pain has not been established. Dorsal root entry zone (DREZ) lesion was originally reported by Nashold et al to alleviate deafferented pain syndrome. Three male and one female patients with intractable pain following spinal cord injury were treated with DREZ-lesions. One month after operation, all 4 patients obtained good pain relief. However, at a follow-up period till February 1989 (ranging 11 months from 2 years and 6 months), 2 patients had subjective pain relief. When other therapies on intractable pain following spinal cord trauma are not effective, the DREZ-lesion might be considered.

Adult↗
PubMed1989

Residual masses on follow-up computed tomography in patients with mediastinal non-Hodgkin's lymphoma.

During the last 4 years we have treated four patients with extensive mediastinal non-Hodgkin's lymphoma (NHL). None had extrathoracic disease and they were clinically stage I-II. All received intensive combination chemotherapy and radiotherapy resulting in good response. Nevertheless, when treatment was completed, computed tomography (CT) showed a residual mediastinal mass in all four patients, who have remained alive and well for more than 19 to 45 months after completion of therapy and without any supplemental treatment. The residual masses gradually regressed or resolved on follow-up CT, suggesting that they did not contain malignant components.

Adolescent↗
PubMed1989

The effect of intraventricular interferon on subacute sclerosing panencephalitis.

Two patients with subacute sclerosing panencephalitis (SSPE) were treated with intraventricular alpha interferon (IFN-alpha) via an Ommaya reservoir for 20-57 months. The clinical course of the disease was followed for 20-67 months. Clinical improvement was observed after daily intraventricular administration of IFN in one case. There were no serious complications or side effects during interferon therapy except for the fever. Intraventricular administration of IFN appears superior to intrathecal administration for long-term treatment in several respects and is considered to be a potential therapeutic modality for SSPE.

Child↗
PubMed1989

Relationship between the number of sperms and the rate of implantation in bitches inseminated into unilateral uterine horn.

Studies were made on the number of sperms required for fertilization of ova ovulated from the bilateral ovaries in bitches. The experiment was carried out with 44 female beagles, which were divided into four groups of seven to eleven bitches each. The four groups were inseminated with 40 X 10(6) sperms/0.2 ml, 20 X 10(6) sperms/0.1 ml, 10 X 10(6) sperms/0.1 ml, and 3-5 X 10(6) sperms/0.1 ml, respectively. All the bitches were laparotomized at an optimum time for mating and inseminated at the tip of the horn of an unilateral uterus. In the four groups conception took place at a rate of 7/7, 8/8, 10/11, and 2/7, respectively. The number of puppies exceeded the number of ova ovulated on the inseminated side at a rate of 5/7, 6/8, 0/10, and 0/2 in the four groups, respectively. Therefore, it was clarified that when more than 20 X 10(6) sperms/0.1 ml were inseminated in the ipsilateral uterine horn, ova ovulated on the contralateral side were fertilized also. Then a unilateral ovary was ovariectomized in 11 bitches, which were inseminated with 10 X 10(6) sperms/0.1 ml in the ipsilateral uterine horn. As a result, only one bitch became conceptive and gave birth to only one puppy. From these results, it was considered that 10 X 10(6) sperms/0.1 ml may be most adequate for the ova on the side of insemination alone to be fertilized.

Animals↗
PubMed1989

Effects of prostaglandin F2 alpha-analogue administration on luteal function, implantation of embryos and maintenance of pregnancy in bitches.

The present experiment was carried out to clarify the effect of administration of the prostaglandin F2 alpha (PGF2 alpha)-analogue on the luteal function and the maintenance of pregnancy in bitches. Fifty-one bitches received a single inoculation of PGF2 alpha-analogue by intramuscular injection. The effect of this agent was observed by monitoring progesterone (P) levels and the state of the uterus by laparotomy, the occurrence of abortion, and the state of parturition. As a result, when bitches were administered with 100-400 micrograms at the beginning of the luteal phase, the decrease in the P level was temporary. In bitches inoculated with 100-800 micrograms of PGF2 alpha-analogue at the functional luteal stage, the P level began to decrease as early as on the following day after injection. In those treated with 100-200 micrograms of PGF2 alpha-analogue at 10-15 days of pregnancy, pregnancy was maintained in 3 of 5 bitches that had received the treatment at day 10, while in the remaining two, all embryos died after implantation. In those that had received the same treatment at day 15, only 2 of 7 maintained pregnancy. Pregnancy was interrupted in eight bitches treated with doses of 100-200 micrograms at days 25-45. In four bitches treated with doses of 100-200 micrograms at day 55, premature birth was induced after 30-44 hr. In conclusion, regression of the corpus luteum, abortion, and premature birth were induced in bitches treated with 100-200 micrograms at each stage, except the beginning of the luteal phase and of the pregnancy.

Animals↗
PubMed1989

Transport of spermatozoa in the reproductive tract of the bitch: observations through uterine fistula.

Using unilateral uterine fistulas, the time required for spermatozoa to reach the end of the fistula after natural mating, artificial insemination (AI) in a normal standing posture (NP), and AI standing on the head (SH) was investigated in each of three stages of estrus. Conceptivity in these bitches was also investigated. Five experimental bitches were tested during a total of 8 estrous periods. The results are as follows; the time required for spermatozoa to reach the end of the fistula was almost the same in the early and middle stages, i.e., 30 sec to 1 min after natural mating and SH and less than 2 min for half the bitches in NP, although no intrauterine transport could be observed in the other half. In most cases of mating during the late stage no spermatozoa were found after any of the 3 methods of insemination. Five animals became pregnant in these experiments, but the other three failed to conceive. The implantation of fertilized ova occurred also in the fistulated uterine horn in all cases of pregnancy.

Animals↗
PubMed1989

Evidence for transuterine migration of embryos in the domestic cat.

A total of 169 pregnant cats presented for ovariohysterectomy were examined for the number of corpora lutea (CL) and the number of fetuses per uterine horn. The implantation rate and the frequency of occurrence of transuterine migration of embryos were calculated. The average number of CL was 5.6 +/- 1.9 (mean +/- SD; range, 2-11), the average number of fetuses was 4.5 +/- 1.4 (range, 1-8) and the average implantation rate was 84 +/- 20%. Transuterine migration occurred in 69/169 cats (40.8%). In animals with a 100% implantation rate, transuterine migration occurred in 50/84 cats (59.5%). The number of embryos that migrated ranged from 1-3 per animal and embryos moved from the uterine horn ipsilateral to the ovary with the larger number of CL in 66/69 cats (95.7%). As a result of transuterine migration, the difference in the number of fetuses between uterine horns as compared with the difference in the number of CL between ovaries was smaller in 54 casts (78.3%), unchanged in 8 cats (11.6%) and larger in 7 cats (10.1%). These results indicate that cats tend to equalize the number of fetuses between uterine horns by transuterine migration of embryos.

Animals↗
PubMed1989

Induced ovulation in cats using porcine pituitary gland preparation during the non-breeding season.

An attempt was made to induce ovulation in 19 cats during the non-breeding season by the administration of a porcine pituitary gland preparation. The dosage was 2 mg for the first day and then 1 mg for each day until estrus was induced. Studies were made to determine whether fertilization and pregnancy were possible by mating at the time of induced estrus. Estrus was induced in 89.5% (17/19) of the cats, 3-8 days after the first administration. The average number of ovulations induced by mating was 7.3 +/- 1.3 (mean +/- SE) for 16 cats (excluding one cat that failed to ovulate). The uterine horn was flushed 6-8 days after mating in 9 of the 16 ovulated cats to determine the fertilization rate. An average of 3.6 ova were recovered from 8 out of the 9 cats (including one cat from which no ovum was recovered) which gave an average recovery rate of 38.6%. Expanded blastocysts were recovered from 5 cats, while from the other 3 cats, only unfertilized ova were recovered. Pregnancy was confirmed in the other 7 cats 15-20 days after mating. In two of the 7 cats implantation was observed, but abortion occurred at 24 and 27 days of pregnancy. Plasma progesterone concentrations were lower in the estrus-induced and bred cats as compared to these in the controls, with progesterone values approaching base concentrations, approximately by day 20 in 2 cats and by day 30 in 3 cats. It was concluded that estrus could be induced in cats during the non-breeding season by administration of porcine pituitary gland preparation.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1989

Embryo transfer in the cat during the non-breeding season.

Studies were conducted to investigate the possibility of embryo transfer in the cat during the non-breeding season. Estrus was induced in 19/22 (86.4%) cats using a porcine pituitary gland preparation. Uterine horns were flushed in 5 cats 6-8 days after mating with expanded blastocysts being collected from 4 cats. One to nineteen blastocysts per cat were transferred to the uterine horns of 6 recipient cats in which ovulation had been induced with HCG. The time differences between time of ovulation in donor and recipient animals were 0.5 days earlier in the recipient (2 cats), 1 day later in the recipient (3 cats), and no difference (1 cat); conception occurred in all the recipients. The ratio of fetuses to transplanted embryos were 1/1, 1/2, 2/3, 2/6, 4/7, and 2/19, respectively. Fetal death occurred in 2 cats at days 22 and 25 and abortion occurred in 3 cats at days 34, 35 and 39. There was a delay in the expulsion of placentae in the animals that experienced fetal death on days 22 and 25, expulsion occurring on days 36 and 56, respectively. One cat was treated with progesterone and carried 2 fetuses to day 66; pregnancy was terminated by cesarean section. In conclusion, it was demonstrated that embryo transfer can be performed in cats in which estrus and ovulation have been induced with porcine pituitary gland preparation during the non-breeding season. However, luteal activity needs to be supplemented by exogenous progesterone administration to maintain pregnancy.

Animals↗
PubMed1989

[Cytotoxicity of povidone-iodine on cultured mammalian cells].

Cytotoxicity of povidone-iodine on cultured mammalian cells was studied using cultured Chinese hamster lung cells (V 79 cells). Treatment of V 79 cells with povidone-iodine at 100-500 micrograms/ml for 24 to 72 hr induced a growth inhibition of the cells in a dose-dependent manner. Although minimum inhibition of survival of V 79 cells was elicited in cultures treated with povidone-iodine at 100-300 micrograms/ml for 2 to 24 hr, treatment at 500 micrograms/ml for 6 to 24 hr resulted in decrease in cell survival in a treatment time-dependent fasion. Exposure of cells to povidone-iodine at 100-500 micrograms/ml for 2 hr caused inhibition of DNA, RNA or protein synthesis of cells up to 13.9% of untreated cells. These results indicate that cytotoxicity of povidone-iodine occurs in dose- and treatment time-dependent manners and that povidone-iodine induces inhibition of DNA, RNA and protein syntheses of cells, even by the treatment which causes no reduction of cell survival.

Animals↗
PubMed1989

[Cytotoxicity of dental iodine glycerin on cultured mammalian cells].

Cytotoxicity of dental iodine glycerin was studied using cultured Chinese hamster lung cells (V79 cells). Treatment with dental iodine glycerin at 0.33 - 0.1v/v% for 24 to 72 hr elicited a minor inhibition of growth of V79 cells. The cell growth, however, was remarkably inhibited when the cells were treated with dental iodine glycerin at 0.3v/v%. No inhibitory effect on survival of V79 cells was observed in cultures treated with dental iodine glycerin at 0.03 - 0.1v/v% for 2 to 24 hr. Meanwhile, treatment with dental iodine glycerin at 0.3v/v% for 2 hr or more induced 100% inhibition of cell survival. Exposure of cells to dental iodine glycerin at 0.3v.v% for 2 hr caused decrease in DNA, RNA or protein synthesis of the cells up to 54.4% of untreated cells. These results indicate that there is a big difference in cytotoxicity induced by treatment of V79 cells with dental iodine glycerin at concentrations between 0.1v/v% and 0.3v.v%, and that treatment with dental iodine glycerin induced inhibition of DNA, RNA and protein synthesis of the cells and the inhibition occurs even by the treatment which causes no reduction of cell survival.

Animals↗