[Case of arteritis syndrome with angina pectoris caused by obstructive communication between coronary artery and pulmonary artery].
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Biomedical subjects
Publications and source records attributed to Y Oku.
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1. The behaviour of medullary respiratory neurons was studied during fictive coughing and swallowing evoked by electrical stimulation of the superior laryngeal nerve (SLN) in decerebrate, paralysed and artificially ventilated cats. Fictive coughing, swallowing and respiration were monitored by recording activities of the phrenic, hypoglossal and abdominal nerves. 2. Extracellular recordings were made from respiratory neurons in the ventral respiratory group (VRG) and in the Bötzinger complex (BOT). The neuronal types analysed included decrementing inspiratory neurons (I-DEC), augmenting expiratory neurons (E-AUG) and decrementing expiratory neurons (E-DEC) from the BOT area, and augmenting inspiratory neurons (I-AUG) and augmenting expiratory neurons (E-AUG) from the VRG area. 3. During fictive coughing, all the inspiratory and expiratory neurons were active during the inspiratory and expiratory phases of coughing, respectively. The firing of both I-DEC and I-AUG neurons was increased and prolonged in association with the augmented inspiratory activity of the phrenic nerve. The activity of E-AUG neurons of the VRG did not parallel the abdominal nerve activity, suggesting the existence of additional neurons which participate in the generation of abdominal nerve activity during fictive coughing. 4. During fictive swallowing, half of I-DEC neurons fired transiently at the onset of hypoglossal bursts associated with swallowing; the firing was suppressed during the rest of the hypoglossal bursts. Other I-DEC neurons were silent during hypoglossal bursts. Some I-AUG neurons fired during the initial half of hypoglossal bursts, and others were silent. The brief phrenic activity accompanying the swallowing might have originated from this activity in I-AUG neurons. The discharges of all E-AUG neurons (BOT and VRG) and the majority of E-DEC BOT neurons were suppressed during swallowing. 5. We conclude that these five types of respiratory neurons of the BOT and VRG are involved in the generation of the spatiotemporally organized activity of coughing and swallowing, and that at least a part of the neuronal network for respiration is shared by networks for these non-respiratory activities.
BACKGROUND: Recent advances in treatment have improved the prognosis for medulloblastoma. Although postoperative radiation of the central nervous system (CNS) is widely practiced, late radiation sequelae, especially in long-term survivors, pose a constant risk. METHODS: To assess the long-term effects of CNS radiation, a monozygotic twin girl with medulloblastoma was compared with her normal twin. Treatment included total removal of the mass, postoperative chemotherapy, and CNS radiation with 47.8 Gy directed to the posterior fossa, 30.2 Gy to the cerebral hemispheres, and 20 Gy to the whole spine. RESULTS: Not only the radiated patient's spine but also the unradiated upper and lower limbs were shorter than the control subject's. The patient's thyroid hormone level was within normal range; however, thyroid-stimulating hormone was higher than normal. The patient's intellectual ability deteriorated, and cognitive dysfunction has not improved as of 6 years after treatment. CONCLUSIONS: Treatment systems that do not cause late sequelae affecting physical and intellectual development should be pursued.
The time course of intestinal infection of golden hamsters (Mesocricetus auratus) with Taenia crassiceps was monitored every 2 days up to day 26 postinfection (p.i.). The isolate used was originally obtained from Clethrionomys rutilus on St. Lawrence Island, Bering Sea (USA), and shows a high level of enteral establishment without parenteral infection. Following oral administration of various numbers (3, 15, 30, or 60) of metacestodes, proportional numbers of cestodes attached their scolices to the mucosa of the middle (one-third) segment of the small intestine. Except for animals given 3 metacestodes, dislocation of cestodes to the posterior parts of the intestine was noted on days 10-14 p.i. and began faster in animals that had received larger numbers of metacestodes. Concurrent with dislocation or elimination of cestodes, there existed distinct increases in intestinal eosinophil peroxidase and myeloperoxidase activities. The number of mast cells in the lamina propria peaked on day 16 p.i., and specific serum IgG began to increase within 1 week p.i. The level of all these changes was dose-dependent. In prednisolone-treated animals that received 60 metacestodes, dislocation of cestodes was not evident, and mucosal inflammatory changes were suppressed to a considerable extent. The findings of this study are discussed as a model for the study of canine taeniasis.
1. We have characterized alpha 1-adrenoceptor in the conduction systems of the rat heart by quantitative autoradiography. 2. Consecutive 20 micron thick sections from a single rat heart containing the sinoatrial (SA) node and atrioventricular (AV) node were incubated with increasing concentrations of [3H]-prazosin with or without 10 microM phentolamine. After exposure to 3H-Ultrofilm, optical densities corresponding to the SA node and AV node were determined by computerized densitometry after comparison with 3H standards. 3. The SA node and AV node were stained heavily for cholinesterase and they contained a higher concentration of alpha 1-adrenoceptors than the adjacent myocardium without a significant change in the affinity. 4. These results support the hypothesis that alpha 1-adrenoceptors may play an important role not only in inotropism but also in chronotropism of rat hearts.
Animal reservoirs for Trypanosoma cruzi infection were investigated in 5 communities in the Department of San Pedro, currently one of Paraguay's most highly endemic areas. A total of 112 domestic animals (37 cattle, 2 horses, 1 ass, 20 pigs, 44 dogs and 8 cats) and 4 wild animals (1 white-eared opossum, 2 yellow armadillos and 1 common long-nosed armadillo) were examined for blood. Although no trypomastigotes were found by 2 direct observation methods, the microhaematocrit and Giemsa stained thick and thin smears methods, several forms of trypanosoma flagellates morphologically identical to T. cruzi were detected in the liver infusion tryptose (LIT) medium from a single sample taken from a yellow armadillo, Euphractus sexicintus. When serum samples of all the animals were examined for antibody to T. cruzi by direct agglutination (DA) test, 3 cattle, 2 pigs, 16 dogs and 3 cats had positive titers (1:32 or greater), but no wild animals showed positive reactions. T. cruzi was not found by culture nor microscopic examination of samples from any of the seropositive animals. However, domestic animals such as cattle, pigs, dogs and cats which were found to be seropositive in this study, possibly act as an animal reservoir in this endemic area as well as armadillos in which T. cruzi was observed.
Taenia taeniaeformis were isolated from Norway rats captured at Sapporo (SRN isolate) and Kuala Lumpur, Malaysia (KRN) and from Bedford's gray red-backed voles at Toubetsu (TCR) and Abuta (ACR). SRN, KRN and TCR isolates showed similar degree of infectivity to various rodents in which cysticerci with hooks were obtained in laboratory rats, white tuberous lesions in mice and no cysts or lesions in Mongolian gerbils and voles. Contrary to this, inoculation with ACR isolate eggs resulted in strobilocerci formation in the liver of voles, but no cysts were observed in rats, mice or gerbils. This host specificity of ACR isolate to voles suggests that it might be a new species of Taenia.
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Developmental and morphological characteristics of 3 isolates of Taenia taeniaeformis isolated from Clethrionomys rufocanus bedfordiae in Abuta (70 km southwest of Sapporo), Japan (isolate ACR), and from Rattus norvegicus in Sapporo, Japan (isolate SRN) and Kuala Lumpur, Malaysia (isolate KRN) were compared. Eggs of 3 isolates were administered to several species of rodents. Isolate ACR infected C. rufocanus bedfordiae, Apodemus speciosus, and Apodemus argenteus, but not rats or mice, whereas isolate SRN and isolate KRN were infective to rats, mice, A. speciosus, and A. argenteus, but not to C. rufocanus bedfordiae. The increase in cyst size of isolate ACR continued during the experimental period, whereas that of the other 2 isolates had ceased growing after 30 days postinfection. However, significant differences were observed in the length of the small rostellar hooks, number and distribution of testes, and the length of the cirrus sac between isolate ACR and the other 2 isolates. Thus it is suggested that isolate ACR is a distinct strain or even a new species.
Extracellular recordings were made from a type of relay neurons of the superior laryngeal nerve (SLN) afferents in the vicinity of the retrofacial nucleus (RFN) in either pentobarbitone-anesthetized or unanesthetized and decerebrate cats, which were paralyzed and artificially ventilated. A total of 26 neurons that could be activated both orthodromically by electrical stimulation of the SLN and antidromically by stimulation of the brainstem were analyzed. All 26 neurons were activated from the ipsilateral SLN and 13 were activated from the contralateral SLN with mean latencies of 7.7 ms and 11.4 ms, respectively. The majority of these neurons were located in the parvocellular reticular formation dorsomedial to the RFN and to the rostral part of the nucleus ambiguus (AMB). Antidromic stimulation of the medulla showed that 22 of the 26 neurons projected to the hypoglossal nucleus (HYP) and 19 neurons tested projected to the AMB. Of these, 15 neurons projected to both the HYP and AMB and two projected to the lateral reticular nucleus as well. Seventeen neurons were tested for their behavior during fictive swallowing which was elicited by continual electrical stimulation of the SLN and monitored by the activity of the hypoglossal nerve. Twelve neurons showed brief (100-200 ms) burst firing at the onset of swallowing; the firing of the other 5 neurons were suppressed during swallowing. Both the swallowing-active and swallowing-inactive neurons projected to the HYP and AMB. Thus, the SLN relay neurons in the vicinity of the RFN might participate in the early stage of SLN-induced swallowing by integrating inputs from SLN afferents.
The location and axonal projection of early-onset decrementing expiratory (eE-DEC) neurons were studied in Nembutal-anesthetized, paralyzed, and artificially ventilated cats. The eE-DEC neurons started firing around the peak of phrenic activity and attained maximum firing at the transition from inspiration to expiration. The eE-DEC neurons were distributed in the dorsomedial border of the dense assembly of respiratory neurons of the ventral respiratory group and the Bötzinger complex. Antidromic microstimulation showed that the eE-DEC neurons projected mainly to the ipsilateral reticular formation medial and dorsal to the nucleus ambiguus at the level of the obex but rarely to the medullary respiration-related areas. Participation of these eE-DEC neurons in the inspiratory off-switch may not be possible.
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In AKR/J mice inoculated intraperitoneally with protoscoleces of Echinococcus multilocularis, the oral administration of alpha-difluoromethylornithine (DFMO) in drinking water had no obvious effect on the development of hydatid cysts. The DFMO treatment also caused no apparent depletion of three major polyamines (putrescine, spermidine, and spermine) in the cysts, although a slight reduction in the putrescine level was detected. The failure of DFMO treatment to reduce the growth of cysts in mice may result from the absence of ornithine decarboxylase in the parasite.
The roles of IgE in protective immunity and eosinophilia in Angiostrongylus costaricensis infection were examined by comparing IgE-deficient SJA/9 mice and IgE-producing SJL/J mice. In primary infection, mean total IgE levels increased to a maximum of 390 ng/ml, which was more than 10 times greater than the 29 ng/ml measured preinfection in SJL/J mice but less than the 10 ng/ml found in SJA/9 mice throughout the experiment. Immune defense as determined by recovery of adult worms and eosinophilia were similar in SJL/J and SJA/9 mice. Protective immunity was induced by infection with A. costaricensis followed by treatment with levamisole for 4-6 days postinfection. After the challenge infection, the numbers of adult worms and eosinophils in SJA/9 mice were not significantly different from those in SJL/J mice. Anti-A. costaricensis IgE antibody was not detected in either strain of mice during the experiment. These results indicate that A. costaricensis infection induced the production of IgE not specific for parasite antigens in IgE-producing mice. Potentiated nonspecific IgE played no significant role in immune defense and eosinophilia.
Following the oral administration of metacestodes of two isolates of Taenia crassiceps, the enteral establishment and survival of the strobilar stage were examined in golden hamsters (Mesocricetus auratus), Mongolian gerbils (Meriones unguiculatus) and laboratory mice. The origin of the isolates was Microtus montebelli caught in Japan in 1985 or Clethrionomys rutilus captured on St. Lawrence Island, Bering Sea, in 1988 (abbreviated as JPN and SLI isolates), respectively. The enteral establishment of the SLI isolate was distinctly higher than that of the JPN isolate in golden hamsters and mice, whereas the difference was marginal in Mongolian gerbils. All initially-established parasites survived to become gravid adults in prednisolone-treated golden hamsters and Mongolian gerbils; the average recovery of cestodes of the SLI and JPN isolates were 55.8%-76.7% vs 11.7%-35.0% in the former and 28.0%-52.7% vs 25.8%-32.2% in the latter. The distinctly higher level of enteral establishment of the SLI isolate in golden hamsters makes available a model for quantitative studies on parasite-host relationships in experimental taeniasis.
To determine the effect of borderline hypertension on left ventricular diastolic performance, 16 patients with borderline hypertension who did not have left ventricular hypertrophy and 16 age-sex-matched patients with normotension of similar age and body mass index were investigated. Pulsed Doppler echocardiography was used to record left ventricular filling signals at rest and immediately after supine ergometer exercise. All subjects had normal left ventricular structure and systolic function. At rest the borderline hypertension group in comparison with the normotension group had a depressed peak velocity of early filling (E) (44 +/- 7 vs 54 +/- 10 cm/sec; p < 0.01), no enhanced peak velocity of late filling (A) (52 +/- 8 vs 50 +/- 11 cm/sec; not significant), and a reduced E/A ratio (0.9 +/- 0.2 vs 1.1 +/- 0.3; p < 0.05). Atrial filling time and preejection period were similar in the two groups. The effect of exercise on left ventricular filling velocity in patients with borderline hypertensive resembled that in those with normotension. Percentage changes in E (+14% +/- 12% vs +14% +/- 13%) and A (+13% +/- 8% vs 11% +/- 12%) were equivalent, suggesting a preserved diastolic reserve for exercise in the borderline hypertension group. In conclusion, borderline hypertension appears to be predictive of early filling impairment, and a late filling compensative mechanism is not yet apparent. These findings in borderline hypertension without apparent cardiac damage call for clinical attention to prevent further deterioration in cardiac function.
Protriptyline (PRT) has been shown to preferentially stimulate upper airway inspiratory motorneurons relative to phrenic activity in hyperoxic hypercapnia in the decerebrate cat via a carotid body-independent mechanism. Since previous studies indicated that carotid body stimulation results in preferential activation of upper airway respiratory muscles during both hypercapnia and hypoxemia, we hypothesized that if PRT preferentially stimulated upper airway motorneurons, the mechanism of action might involve the carotid body. We investigated the effect of PRT on carotid body function by comparing the electrical activity of the hypoglossal (HYP) with that of the phrenic (PHR) nerve in carotid sinus nerve intact (CSNI) and CSN-sectioned (CSNX) anesthetized rats, before and after PRT (0.5 mg/kg i.v.), during 100% O2, 15% O2 (N2 balance), and 4% CO2 (O2 balance) administration. The moving time average (MTA) peak inspiratory electroneurogram activities of both the HYP and PHR nerves increased an equivalent amount after PRT injection during hyperoxia, in both CSNI and CSNX rats. During hypoxia, the HYP activity increased significantly more than the PHR activity only in CSNI rats after PRT injection. During hyperoxic hypercapnia, HYP MTAs increased a similar amount in the CSNI and CSNX rats. We conclude that the HYP and PHR respiratory motorneuron pool responses to PRT depend on the blood gas status at the time of drug administration.
Dissolved carbon dioxide was deemed not to be an important factor in the activation of Taenia taeniaeformis oncospheres. Rabbit bile was found to provide the most appropriate whole bile for in vitro activation of oncospheres.