[Cryptococcal menimgitis with severe hypoproteinemia].
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Biomedical subjects
Publications and source records attributed to Y Ueda.
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Oxygen dissociation curves of partially CO-saturated human whole blood drawn freshly or preserved more than 3 wk were studied. With increasing CO-hemoglobin concentrations, oxygen affinity of the blood increased and the Hill coefficient, n, fell and gradually approached unity. The changes induced by CO-hemoglobin showed practically no difference in the presence or absence of 2,3-diphosphoglycerate. The Bohr coefficient, deltalog P50/deltapH, was determined as a function of oxygen saturation for various concentrations of CO-hemoglobin. The coefficient remained essentially unchanged in the presence of CO-hemoglobin. In the presence of less than 50% CO-hemoglobin, a good agreement was observed between the observed oxygen dissociation curves and the curves calculated according to Roughton and Darling (Am. J. Physiol. 141: 17-31, 1944). Based on these results, physiological implications of carboxyhemoglobinemia are discussed quantitatively in comparison with methemoglobinemia.
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Gentamicin (GM) was intramuscularly injected to 29 patients with various infections in the doses of 40-60 mg twice a day. The maximum dose was 1,800 mg. Satisfactory clinical results were obtained in the treatment of not only urinary tract infections but also respiratory tract infections, bile duct infections and others. This clinical results would coincide with the fact that almost all organisms isolated had a high sensitivity to GM. No significant abnormal findings was observed in this clinical study. This clinical result indicates that GM is a useful drug in the treatment of various infections.
UNLABELLED: Gentamicin (GM) was studied for on its antibacterial activity, absorption, and excretion, effect on the kidney and clinical effects. The results obtained are as follows: 1. Antibacterial activity: The susceptibility of E. coli, Klebsiella, Proteus mirabilis to GM was almost the same between the periods of 1964 to 1966 and 1972 to 1974: No tendency of increase of resistance by year was noted. However, against Pseudomonas aeruginosa, strains showing sensitivity to a concentration of more than 25 mcg/ml were isolated in 12.7%, in the latter period (1972-1974), as compared with the former period (1964-1966), which was 0%. 2. Blood levels: The peak level of GM in blood was obtained at 30 minutes after intramuscular injection to a healthy human. The peak level was 7.6 mcg/ml with 40 mg dose, 8.7 mcg/ml with 60 mg and 10.6 mcg/ml with 80 mg, showing a dose-responding curve. The half-life of GM absorption was 1.1 hours with 40 mg dose, 1.3 hours with 60 mg and 1.6 hours with 80 mg, showing also a dose related tendency. 3. Urinary levels: The peak level of GM in urine, about 200 mcg/ml, was noted in 0-2 hours after intramuscular injection of GM to a healthy human. The urinary recovery was about 44% in 6 hours. 4. Effect on the kidney: The effects of GM on the kidney was studied in rats administering 20 mg/kg once a day for 21 days consecutively. The results obtained are a slight increase (20 mg/dl) in BUN and a slight decrease (2,600 mosm/kg H2O) in urinary osmotic pressure; and urea lysozyme showed tendency to increase from the third day, the same as with kanamycin. Meanwhile, in the histopathological findings of the kidney tissue, the vacuolar degeneration and flattening of renal tubules were noted. Similar findings were obtained with kanamycin in a similar type of experiment. These results indicate that nephrotoxicity of GM is considered to be approximately the same as that of kanamycin. 5. CLINICAL RESULTS: GM was injected into 22 patients with various infectious diseases (respiratory tract infections 7, liver abscess 1, urinary tract infections 14). Excellent efficacy was noted in 7 patients, good in 13 and no effect in 2. The effective rate was 90.9%. No serious side effect was noted in this clinical trial.
The effects of rapid round trips against time displacement on circadian rhythms was investigated. The study was carried out on three occasions using one volunteer healthy physician on east-west trips (Tokyo-San Francisco-Tokyo) of short and prolonged stays. The control study was performed on a north-south trip (Tokyo-Sydney-Tokyo) which had practically no time displacement. The circadian rhythms of urinary 17-OHCS, 17-KS, and noradrenaline excretions and plasma cortisol in short-stay trips were disrupted and not synchronized; however, the recovery was rapid with the circadian rhythms returning to normal within 1 to 2 d. On the other hand, the circadian rhythms of these variables in the control study were not disrupted. These results suggest that a short, overnight stay during the trip minimizes the ill effects due to time displacement.
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Wild-type cells of Saccharomyces cerevisiae cultivated in low-Pi medium actively accumulate inorganic phosphate (Pi), while the same cells cultivated in high-Pi medium do not. A recessive constitutive mutant (phoT), for repressible acid phosphatase (EC 3.1.3.2) synthesis, is described. It shows severely reduced potency of Pi uptake, while the recessive constitutive mutants, phoR and phoU, in the same system show wild-type potency as.
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Two new classes of mutants containing recessive constitutive mutations, phoT and phoU, that affect the repressible acid phosphatase (EC 3.1.3.2) in Saccharomyces cerevisiae were isolated along with many previously known phoR mutants. These loci segregated independently from each other, from the phoS gene, and from another regulatory gene, phoD, that exerts positive control for acid phosphatase synthesis. The phoR and phoU mutations showed the same genetic behavior in the double mutants, which also contained the phoS or phoD mutation. In contrast, the phoT mutation could not suppress the phoS mutation, which caused a loss of enzyme activity. Many mutant alleles of phoR and phoU were found to be temperature sensitive (ts), whereas those of phoT were not. These ts mutants were constitutive at 35 C but severely repressible at 25 C. These facts strongly suggest that both the phoR and phoU genes are cooperatively concerned with the production of the repressor, whereas the phoT gene might be involved in another mechanism distinct from that in which phoR and phoU are involved. No single mutation of phoR, phoT, or phoU result in an enzyme level comparable to that of fully derepressed enzyme activities, and the temperature sensitivity of the ts phoR and ts phoU mutations in such combinations almost disappeared. In addition to these observations, since the ts phoR phoS and ts phoU phoS double mutants showed some enzyme synthesis at 25 C under derepressing conditions, a defect in the ts mutant repressors was strongly suggested, even at 25 C.
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