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1.
Sci Rep ; 14(1): 5848, 2024 03 11.
Artículo en Inglés | MEDLINE | ID: mdl-38462654

RESUMEN

Belt electrode-skeletal muscle electrical stimulation (B-SES) involves the use of belt-shaped electrodes to contract multiple muscle groups simultaneously. Twitch contractions have been demonstrated to protect against denervation-induced muscle atrophy in rats, possibly through mitochondrial biosynthesis. This study examined whether inducing tetanus contractions with B-SES suppresses muscle atrophy and identified the underlying molecular mechanisms. We evaluated the effects of acute (60 Hz, 5 min) and chronic (60 Hz, 5 min, every alternate day for one week) B-SES on the tibialis anterior (TA) and gastrocnemius (GAS) muscles in Sprague-Dawley rats using belt electrodes attached to both ankle joints. After acute stimulation, a significant decrease in the glycogen content was observed in the left and right TA and GAS, suggesting that B-SES causes simultaneous contractions in multiple muscle groups. B-SES enhanced p70S6K phosphorylation, an indicator of the mechanistic target of rapamycin complex 1 activity. During chronic stimulations, rats were divided into control (CONT), denervation-induced atrophy (DEN), and DEN + electrically stimulated with B-SES (DEN + ES) groups. After seven days of treatment, the wet weight (n = 8-11 for each group) and muscle fiber cross-sectional area (CSA, n = 6 for each group) of the TA and GAS muscles were reduced in the DEN and DEN + ES groups compared with that in the CON group. The DEN + ES group showed significantly higher muscle weight and CSA than those in the DEN group. Although RNA-seq and pathway analysis suggested that mitochondrial biogenesis is a critical event in this phenomenon, mitochondrial content showed no difference. In contrast, ribosomal RNA 28S and 18S (n = 6) levels in the DEN + ES group were higher than those in the DEN group, even though RNA-seq showed that the ribosome biogenesis pathway was reduced by electrical stimulation. The mRNA levels of the muscle proteolytic molecules atrogin-1 and MuRF1 were significantly higher in DEN than those in CONT. However, they were more suppressed in DEN + ES than those in DEN. In conclusion, tetanic electrical stimulation of both ankles using belt electrodes effectively reduced denervation-induced atrophy in multiple muscle groups. Furthermore, ribosomal biosynthesis plays a vital role in this phenomenon.


Asunto(s)
Tétanos , Ratas , Animales , Ratas Sprague-Dawley , Músculo Esquelético/metabolismo , Atrofia Muscular/etiología , Atrofia Muscular/prevención & control , Estimulación Eléctrica , Desnervación , Electrodos
2.
Sci Rep ; 12(1): 21275, 2022 12 08.
Artículo en Inglés | MEDLINE | ID: mdl-36481829

RESUMEN

Belt electrode skeletal muscle electrical stimulation (B-SES) can simultaneously contract multiple muscle groups. Although the beneficial effects of B-SES in clinical situations have been elucidated, its molecular mechanism remains unknown. In this study, we developed a novel rodent B-SES ankle stimulation system to test whether low-frequency stimulation prevents denervation-induced muscle atrophy. Electrical stimulations (7‒8 Hz, 30 min) with ankle belt electrodes were applied to Sprague-Dawley rats daily for one week. All animals were assigned to the control (CONT), denervation-induced atrophy (DEN), and DEN + electrical stimulation (ES) groups. The tibialis anterior (TA) and gastrocnemius (GAS) muscles were used to examine the effect of ES treatment. After seven daily sessions of continuous stimulation, muscle wet weight (n = 8-11), and muscle fiber cross-sectional area (CSA, n = 4-6) of TA and GAS muscles were lower in DEN and DEN + ES than in CON. However, it was significantly higher in DEN than DEN + ES, showing that ES partially prevented muscle atrophy. PGC-1α, COX-IV, and citrate synthase activities (n = 6) were significantly higher in DEN + ES than in DEN. The mRNA levels of muscle proteolytic molecules, Atrogin-1 and Murf1, were significantly higher in DEN than in CONT, while B-SES significantly suppressed their expression (p < 0.05). In conclusion, low-frequency electrical stimulation of the bilateral ankles using belt electrodes (but not the pad electrodes) is effective in preventing denervation-induced atrophy in multiple muscles, which has not been observed with pad electrodes. Maintaining the mitochondrial quantity and enzyme activity by low-frequency electrical stimulation is key to suppressing muscle protein degradation.


Asunto(s)
Músculo Esquelético , Animales , Ratas , Estimulación Eléctrica , Atrofia Muscular/prevención & control , Ratas Sprague-Dawley
3.
Ecol Evol ; 12(9): e9246, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36091344

RESUMEN

Robust estimates of demographic parameters are critical for effective wildlife conservation and management but are difficult to obtain for elusive species. We estimated the breeding and adult population sizes, as well as the minimum population size, in a high-density brown bear population on the Shiretoko Peninsula, in Hokkaido, Japan, using DNA-based pedigree reconstruction. A total of 1288 individuals, collected in and around the Shiretoko Peninsula between 1998 and 2020, were genotyped at 21 microsatellite loci. Among them, 499 individuals were identified by intensive genetic sampling conducted in two consecutive years (2019 and 2020) mainly by noninvasive methods (e.g., hair and fecal DNA). Among them, both parents were assigned for 330 bears, and either maternity or paternity was assigned to 47 and 76 individuals, respectively. The subsequent pedigree reconstruction indicated a range of breeding and adult (≥4 years old) population sizes: 128-173 for female breeders and 66-91 male breeders, and 155-200 for female adults and 84-109 male adults. The minimum population size was estimated to be 449 (252 females and 197 males) in 2019. Long-term continuous genetic sampling prior to a short-term intensive survey would enable parentage to be identified in a population with a high probability, thus enabling reliable estimates of breeding population size for elusive species.

4.
J Vet Med Sci ; 84(8): 1146-1156, 2022 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-35811130

RESUMEN

Mammals exhibit several types of diel activity pattern, including nocturnal, diurnal, crepuscular, and cathemeral. These patterns vary inter- and intra-specifically and are affected by environmental factors, individual status, and interactions with other individuals or species. Determining the factors that shape diel activity patterns is challenging but essential for understanding the behavioral ecology of animal species, and for wildlife conservation and management. Using camera-trap surveys, we investigated the species distributions and activity patterns of terrestrial mammals on the Shiretoko Peninsula, Hokkaido, Japan, with particular focus on brown bears and sika deer. From June to October 2019, a total of 7,530 observations were recorded by 65 camera-traps for eight species, including two alien species. The diel activity pattern of brown bears was diurnal/crepuscular, similar to that of bears in North America, but different from European populations. Bear observations were more frequent during the autumnal hyperphagia period, and adult females and sub-adults were more diurnal than adult males. In addition, bears inside the protected area were more diurnal than those outside it. These findings suggest that appetite motivation, competitive interactions between conspecifics, and human activities potentially affect bear activity patterns. Similar to other sika deer populations and other deer species, the diel activity patterns of sika deer were crepuscular. Deer showed less variation in activity patterns among months and sex-age classes, while adult males were observed more frequently during the autumn copulation period, suggesting that reproductive motivation affects their activity patterns.


Asunto(s)
Ciervos , Ursidae , Animales , Animales Salvajes , Femenino , Humanos , Japón , Estaciones del Año
5.
Biology (Basel) ; 11(2)2022 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-35205168

RESUMEN

Identifying appropriate indicator species for the impact of deer on forest vegetation is crucial for forest management in deer habitats and is required to be sensitive to temporal and spatial variations in deer density. Dryopteris crassirhizoma was selected as a new indicator to evaluate the response to these variations. We examined the population-level characteristics, morphological characteristics at the individual level, and grazing intensity of D. crassirhizoma at temporally different deer density sites in Hokkaido, Japan. The response of D. crassirhizoma to spatial variation in deer density was also examined within and between two regions in Hokkaido, Japan. Although the population-level characteristics and morphological characteristics did not significantly respond to short-term decreases in deer density, grazing intensity significantly decreased with decreasing deer density. The grazing intensity was also positively related to the spatial variation of deer density within both regions, but the estimated coefficient of the grazing intensity differed between regions. We concluded that D. crassirhizoma can be a useful indicator species of the impact of deer on forest vegetation. The grazing intensity of the indicator species was sensitive to temporal and spatial variations in deer density within the region.

6.
Glob Pediatr Health ; 8: 2333794X211001245, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33786341

RESUMEN

Objective. The perception of emotion and behavior is different between adolescents and their parents. Parent-adolescent agreement on emotional and behavioral problems has not been well researched. The aim of this study was to explore and compare how well the information from themselves matches with the judgments by their parents in terms of emotional and behavioral problems. Methods. The cross-sectional study was conducted using the self-report and parent-report Strengths and Difficulties Questionnaire (SDQ). A total of 1254 Japanese school adolescents aged 12 to 18 and their parents were assessed almost the same time. The results were analyzed using the paired t-test and 2-way analysis of variance for the discrepancies of parent-adolescent agreements in each age and gender groups. Results. Adolescents obtained higher total difficulty and all subscales scores of SDQ than their parents. The effect of grade on the self/parent discrepancy scores were significantly observed on the conduct problems (P < .001), hyperactivity (P = .009), and prosocial behavior (P < .001). The effect of gender was shown significantly on the emotional problems (P < .001), conduct problems (P < .001), and peer problems (P = .002). Conclusion. Adolescents reported more problems than their parents did. For comprehensive evaluation of adolescents' mental health, it is necessary to draw information from both the adolescents themselves and their parents, and pay attention to the gap between adolescents and their parents' perception.

7.
Sci Rep ; 7(1): 12970, 2017 10 11.
Artículo en Inglés | MEDLINE | ID: mdl-29021607

RESUMEN

The role of cell membrane dynamics in cell migration is unclear. To examine whether total cell surface area changes are required for cell migration, Dictyostelium cells were flattened by agar-overlay. Scanning electron microscopy demonstrated that flattened migrating cells have no membrane reservoirs such as projections and membrane folds. Similarly, optical sectioning fluorescence microscopy showed that the cell surface area does not change during migration. Interestingly, staining of the cell membrane with a fluorescent lipid analogue demonstrated that the turnover rate of cell membrane is closely related to the cell migration velocity. Next, to clarify the mechanism of cell membrane circulation, local photobleaching was separately performed on the dorsal and ventral cell membranes of rapidly moving cells. The bleached zones on both sides moved rearward relative to the cell. Thus, the cell membrane moves in a fountain-like fashion, accompanied by a high membrane turnover rate and actively contributing to cell migration.


Asunto(s)
Membrana Celular/fisiología , Movimiento Celular , Dictyostelium/citología , Reología , Membrana Celular/ultraestructura , Citoesqueleto/metabolismo , Difusión , Lípidos/química , Modelos Biológicos
8.
Nihon Hoshasen Gijutsu Gakkai Zasshi ; 72(11): 1161-1168, 2016.
Artículo en Japonés | MEDLINE | ID: mdl-27867177

RESUMEN

This study investigated the image quality using controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA) to shorten the imaging time in dynamic abdominal examinations. Comparisons with the conventional generalized autocalibrating partially parallel acquisitions (GRAPPA) method were made by changing the sampling shift in CAIPIRINHA using a 3.0 T MRI. The measurements included the visual evaluation of five stages, the signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) in phantom experiments. The visual evaluation (five stages) and SNR were determined using a nickel sulfate bottle phantom attached to the MRI device. Each evaluation was performed on the middle slice of the 3D image. The SNR was compared with the mean region of interest value calculated from five locations within the phantom. The CNR was determined using custommade phantoms that mimic the T1 and T2 values of the liver and spleen. In the results, at reduction factor (Rf) = 6 and 8, the SNR per unit imaging time was reduced with GRAPPA, while there was no decrease in SNR and CNR with CAIPIRINHA. By performing imaging using an appropriate sampling shift, it is possible to acquire an equivalent GRAPPA in a short period of time using CAIPIRINHA.


Asunto(s)
Abdomen/diagnóstico por imagen , Imagenología Tridimensional , Imagen por Resonancia Magnética , Artefactos , Humanos , Fantasmas de Imagen
9.
Psychiatry Clin Neurosci ; 68(7): 542-50, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24447342

RESUMEN

AIM: Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age- and sex-related differences of these problems in ASD. METHODS: The study subjects were 173 patients with ASD (age: 4-16 years) and 173 age- and sex-matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups. RESULTS: The Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age-related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age. CONCLUSION: Emotional and behavioral problems are common in children with ASD and showed age- and sex-related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention.


Asunto(s)
Trastornos de la Conducta Infantil/psicología , Trastornos Generalizados del Desarrollo Infantil/psicología , Emociones , Calidad de Vida , Adolescente , Factores de Edad , Niño , Trastornos de la Conducta Infantil/complicaciones , Trastornos Generalizados del Desarrollo Infantil/complicaciones , Preescolar , Femenino , Humanos , Masculino , Factores Sexuales
10.
J Gastroenterol Hepatol ; 23(11): 1683-8, 2008 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18752557

RESUMEN

BACKGROUND AND AIM: No reports on the relative risk of development of colorectal cancer (CRC) in Japanese patients with Crohn's disease (CD) have been published. The present study aimed to investigate the relative risk and the clinical features of CRC complicating CD among patients managed at Fukuoka University Chikushi Hospital, Fukuoka, Japan (a tertiary referral center for inflammatory bowel diseases). METHODS: The clinical backgrounds were analyzed of 512 patients with CD who have been treated by our department during the last 20-year period (1985-2005) (total 6212.6 person years at risk). The standardized incidence ratio (SIR) refers to the relative risk of CRC in the subjects as compared with that in a sex- and age-matched healthy population. RESULTS: There were six cases with CRC. The SIR was significantly higher (3.2-fold higher; 95% confidence interval, 1.2-6.9 P < 0.05) in the CD group than in the healthy population. The significant risk factors identified were female sex, mixed small and large bowel type, observation period over 20 years, onset of CD at less than 25 years of age, presence of anal disease, and positive history of surgery. The prognosis for the six cases with CRC was very poor (five cases died within 1.5 years). CONCLUSION: The risk of CRC in longstanding CD in Japan was similar to that in Western countries. The necessity of surveillance in the management of CD would also need to be discussed in the near future, especially in CD patients with anal lesions or fistulae, and are particularly important in patients with a 20-year or more history of CD.


Asunto(s)
Pueblo Asiatico , Neoplasias Colorrectales/etiología , Enfermedad de Crohn/complicaciones , Adolescente , Adulto , Edad de Inicio , Pueblo Asiatico/estadística & datos numéricos , Estudios de Casos y Controles , Niño , Neoplasias Colorrectales/etnología , Neoplasias Colorrectales/mortalidad , Neoplasias Colorrectales/patología , Enfermedad de Crohn/etnología , Enfermedad de Crohn/mortalidad , Enfermedad de Crohn/patología , Enfermedad de Crohn/cirugía , Procedimientos Quirúrgicos del Sistema Digestivo/efectos adversos , Femenino , Humanos , Incidencia , Japón/epidemiología , Masculino , Persona de Mediana Edad , Pronóstico , Fístula Rectal/complicaciones , Estándares de Referencia , Medición de Riesgo , Factores de Riesgo , Factores Sexuales , Factores de Tiempo , Adulto Joven
11.
Dev Neuropsychol ; 31(2): 181-91, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17488215

RESUMEN

Thirteen young adults (ages 21-25) and nine children (ages 7-11) were tested on a visual go/no-go task comparing response times (RTs), error rates, and amplitude and latency changes of error-related negativity (ERN). All experimental conditions were identical for both age groups. Results are consistent with the previous flanker task research showing an increase in ERN amplitude as children age. However, the present results indicate that the peak amplitude of ERN for 9-11 year old children is larger than that of 7-8 year old children, with no difference overall between young adults and children. ERN responses elicited by the flanker task continue to develop until late adolescence. Comparative results suggest that the visual go/no-go task may be more sensitive cognitive measure than the flanker task of mistakes made by children. Differences in time pressure to respond, complexity of the task, and feedback are discussed as possible explanations of differences in the two paradigms.


Asunto(s)
Envejecimiento/fisiología , Atención/fisiología , Conducta de Elección/fisiología , Tiempo de Reacción/fisiología , Adulto , Niño , Variación Contingente Negativa/fisiología , Electroencefalografía/métodos , Potenciales Evocados Visuales/fisiología , Femenino , Humanos , Masculino , Pruebas Neuropsicológicas , Reconocimiento Visual de Modelos/fisiología , Estimulación Luminosa/métodos , Desempeño Psicomotor
12.
No To Hattatsu ; 39(1): 19-24, 2007 Jan.
Artículo en Japonés | MEDLINE | ID: mdl-17228814

RESUMEN

Previous studies have revealed that mothers of children with attention-deficit/hyperactivity disorder (AD/HD) have an authoritarian parenting style. However, the psychological process of developing an authoritarian parenting style has yet to be clearly defined. To clarify this psychological process, the present study examined the hypothesis that the characteristic behaviors of children with AD/HD initially increase the mothers' parenting stress, which influences their parenting style. Thirty-six mothers of children with AD/HD (children's mean age: 8.1 years) and the same number of controls (children's mean age: 8.4 years) participated in the present study. The mothers' parenting stress was assessed using the Japanese Parenting Stress Index. Parenting styles were assessed using the TK-style scale for evaluating the relationships between parents and children. The results indicated that the mothers of children with AD/HD had significantly higher scores than controls for all parenting stress items and negative parenting style variables (dissatisfaction, reproach, strictness, interference, inconsistency and disagreement of 10 attitudes). Stepwise multiple regression analysis revealed that the characteristic behaviors of children with AD/HD were associated with the degree of attachment in mothers, which was related to the strict and reproachful parenting style in the AD/HD group. These results suggest that mothers of children with AD/HD are likely to have a strict and reproachful parenting style as a result of a lack of attachment with the child.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/psicología , Conducta Infantil , Crianza del Niño , Madres/psicología , Responsabilidad Parental , Estrés Psicológico , Adulto , Niño , Femenino , Humanos , Masculino , Relaciones Madre-Hijo
13.
Dev Neuropsychol ; 28(3): 871-83, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16266253

RESUMEN

This research assessed the effect of an observer upon error-related negativity (ERN) in 20 children (ages 7-11): 9 worked alone and 11 worked under the observation of a friend of theirs (alone/audience groups). Erroneous motor responses were recorded to Go and No-Go visual stimuli (triangles in different orientations) at three brain sites (Fz, Cz, and Pz). Results for children were consistent with past adult studies in showing a significantly larger ERN only to erroneous responses in both the alone and the audience groups. Children in the audience group produced larger ERNs than those in the alone group. Furthermore, older children (ages 9-11) produced larger ERNs than younger children (ages 7-8) in both groups. These findings were discussed in the context of an action monitoring system that regulates responses, detects errors, and entrains affective responses associated with correct and incorrect responses.


Asunto(s)
Desempeño Psicomotor , Tiempo de Reacción , Encéfalo/fisiología , Niño , Electroencefalografía , Humanos , Desempeño Psicomotor/fisiología , Tiempo de Reacción/fisiología , Percepción Visual/fisiología
14.
No To Hattatsu ; 36(6): 467-72, 2004 Nov.
Artículo en Japonés | MEDLINE | ID: mdl-15560389

RESUMEN

The notion that difficulty in behavioral inhibition is the essential impairment of attention-deficit/hyperactivity disorder (AD/HD) has been prevailing. In this study, we assessed impulsive behaviors with regard to emotion, rule, and inattentiveness, by developing an impulsiveness scale and applying it for 103 parents of a boy with AD/HD. Exploratory factor analysis (EFA) of 18 items identified four primary factors: labeled emotion expression, social rule, rule in conversation, and inattentiveness. A covariance structural analysis was performed to extract response bias from latent constructs, and the fitness of the model was examined. In the finally adopted model on impulsive behaviors, the four factors extracted in EFA was explained by two independent second-order latent variables: labeled general impulsivity and cognitive impairment. Cognitive impairment significantly influenced on inattentiveness only, while general impulsivity on all the four factors. Furthermore, the scores of primary four factors were compared between two groups of a normal class group (n = 20) and three AD/HD subtypes:combined type (n = 37), predominantly hyperactive-impulsive type (n = 14), and predominantly inattentive type (n = 18). The results suggest differences in impulsive behaviors among the AD/HD subtypes.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/psicología , Conducta Impulsiva , Padres/psicología , Encuestas y Cuestionarios , Adolescente , Trastorno por Déficit de Atención con Hiperactividad/clasificación , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Niño , Trastornos del Conocimiento/fisiopatología , Emociones , Análisis Factorial , Humanos , Masculino , Modelos Psicológicos , Relaciones Padres-Hijo
15.
J Vet Med Sci ; 66(12): 1535-42, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15644604

RESUMEN

We investigated fetal development and the estimation of fetal age of 127 Hokkaido sika deer fetuses, categorizing them into three groups according to the nutritional condition of populations. The order and time of the appearance of ossification centers were clarified, and fetal age was determined based on bone length and the appearance of ossification centers. Then we observed the differences in fetal growth among three populations, and discussed the effect of poor nutrition on the fetal growth. The results suggest that fetal diaphysial length of the femur was affected very little by nutritional conditions, whereas conception dates were delayed and fetal weight was restricted as the nutritional condition became poorer. Although it is impossible to know the exact accurate fetal age in wild populations, it was possible to create a standard to estimate fetal age more precisely by the method described in this study. Both the bone length and the appearance of ossification centers are reliable indices to estimate fetal age precisely in measurements available from fetuses of unknown age, and can be applied to estimate the fetal age of other populations of sika deer, whereas estimation of fetal age based on weight is prone to great errors.


Asunto(s)
Determinación de la Edad por el Esqueleto , Huesos/embriología , Ciervos/embriología , Feto/embriología , Edad Gestacional , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Pesos y Medidas Corporales , Huesos/diagnóstico por imagen , Feto/diagnóstico por imagen , Japón , Estándares de Referencia
16.
Dis Colon Rectum ; 46(10 Suppl): S15-21, 2003 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-14530654

RESUMEN

PURPOSE: There are no reports based on long-term observation on mortality caused by Crohn's disease in Japan because of the small number of patients recorded throughout the 1970s. Because Crohn's disease patients in Japan are exempt from medical expenses, Crohn's disease is treated mainly with nutritional therapy and less frequently with corticosteroids. This study sought to estimate mortality and cause of death by Crohn's disease in Japan in the referred population. METHODS: Consecutive patients with Crohn's disease from 1967 to 1997 were identified in the Kyushu and Fukuoka University Study Group's nine affiliated hospitals and were followed up for 8.4 +/- 5.6 years. RESULTS: Death occurred in 6 of 544 patients. Cumulative survival rates for patients with Crohn's disease were 99.7 percent at 5 years, 99.3 percent at 10 years, and 96.8 percent at 15 years; there was no significant difference between genders or the age-matched expected survival rate of the Japanese population (P = 0.61, 0.84, 0.56). The overall standardized mortality rate was 1.43 (95 percent confidence interval, 0.53-3.12). The standardized mortality rate in newly diagnosed patients who were treated mainly with nutritional therapy was 0.75 (95 percent confidence interval, 0.02-4.18), and 1.69 in referred patients (95 percent confidence interval, 0.55-3.93). The standardized mortality rate by causes of death was high (64.4; 95 percent confidence interval, 7.72-232.5) in rectal cancer. In 150 patients who had been followed up for more than ten years, only 40 percent were administered corticosteroids. CONCLUSION: The standardized mortality rate of patients with Crohn's disease in the Kyushu and Fukuoka University Study Group's nine hospitals (the reference unit) was similar to reported rates of cohort studies. The standardized mortality rate of newly diagnosed patients was better than that of referred patients. The better vital prognosis of newly diagnosed patients might be attributable to the influence of frequent nutritional therapy and to lesser steroid use.


Asunto(s)
Causas de Muerte , Enfermedad de Crohn/mortalidad , Adolescente , Adulto , Distribución por Edad , Edad de Inicio , Intervalos de Confianza , Enfermedad de Crohn/complicaciones , Enfermedad de Crohn/terapia , Femenino , Estudios de Seguimiento , Glucocorticoides/uso terapéutico , Humanos , Japón/epidemiología , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Distribución por Sexo , Análisis de Supervivencia , Tasa de Supervivencia
17.
Neuroreport ; 13(18): 2453-7, 2002 Dec 20.
Artículo en Inglés | MEDLINE | ID: mdl-12499848

RESUMEN

Attention-deficit hyperactivity disorder (ADHD) has been considered a mental illness in which the frontal lobe is dysfunctional. The orbitofrontal cortex (OFC) controls emotional and motivational behaviors which are impaired in ADHD. Patients with OFC damage have shown impaired performance in reversal and extinction tasks in a simple go/no-go paradigm. We assigned ADHD subjects the two tasks to examine a hypothesized dysfunction of OFC. ADHD subjects indeed showed a performance deficit in the tasks, supporting OFC dysfunction in ADHD. Furthermore, a discriminat analysis using the task performance variables correctly classified 89.7% of the participants among ADHD patients and normal controls.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Trastorno por Déficit de Atención con Hiperactividad/fisiopatología , Corteza Prefrontal/fisiopatología , Adolescente , Niño , Extinción Psicológica , Humanos , Masculino , Pruebas Neuropsicológicas , Aprendizaje Inverso
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