Involvement of Acetobacter orientalis in the production of lactobionic acid in Caucasian yogurt ("Caspian Sea yogurt") in Japan.

Lactobionic acid was first found in a Caucasian fermented milk product popularly known as "Caspian Sea yogurt" in Japan. The presence of lactobionic acid in the fermented milk was indicated by the results of both high-performance anion-exchange chromatographic analysis with pulsed amperometric detection and mass spectrometric analysis. Thereafter, the acid was purified from the yogurt and analyzed by nuclear magnetic resonance. A substantial amount of lactobionic acid was found to be accumulated in the upper layer of the yogurt, especially within 10 mm from the surface. A total of 45 mg of lactobionic acid per 100 g of the upper yogurt layer was collected after 4 d of fermentation. The annual intake of lactobionic acid in individuals consuming 100 g of the yogurt every day would be 0.5 to 1.0 g. A lactose-oxidizing bacterium was isolated from the fermented milk and was identified as Acetobacter orientalis. Washed A. orientalis cells oxidized monosaccharides such as d-glucose at considerable rates, although their activities for substrates such as lactose, maltose, and cellobiose were much lower. When A. orientalis cells were cultivated in cow's milk, they exhibited lactose-oxidizing activity, suggesting that this bacterium was the main organism involved in the production of lactobionic acid in the yogurt.

Endotracheal/endobronchial metastases : clinicopathologic study with special reference to developmental modes.

BACKGROUND: Endotracheal/endobronchial metastases (EEMs) from nonpulmonary neoplasms are rare. However, their definition and developmental modes have not yet been fully elucidated. METHODS: EEMs were defined as documented nonpulmonary neoplasms metastatic to the subsegmental or more proximal central bronchus, in a bronchoscopically visible range. The clinical and pathologic features of 16 cases were reviewed, with special emphasis on the developmental modes based on five criteria: location in the tracheobronchial tree, number of lesions, laterality of lesions, depth of lesions, and relationship with the associated bronchus. RESULTS: The developmental modes were proposed on the basis of the above five criteria as follows: type I, direct metastasis to the bronchus; type II, bronchial invasion by a parenchymal lesion; type III, bronchial invasion by mediastinal or hilar lymph node metastasis; and type IV, peripheral lesions extended along the proximal bronchus. Primary tumors included colorectal in six patients, breast in three patients, uterus in two patients, osteosarcoma of the bone in two patients, and maxillary, larynx, and parotid carcinoma in one patient each, respectively. The mean recurrence interval was 65.3 months. The developmental modes were as follows: type I, five patients; type II, one patient; type III, four patients; and type IV, nine patients. Three patients underwent surgical resection. One patient has remained well for 5 years after operation. Median and mean survival times were 9 months and 15.5 months, respectively. CONCLUSION: The mean recurrence interval was long at 65.3 months, but the mean survival time was short at 15.5 months. Type I accounted for only 5 of 16 patients. Type II was found in only one patient. It is thought that this type is a rare form. Type IV affected nine patients. Treatment plans must be individualized, because in some cases, long-term survival can be expected.

IgG subclass distributions of anti-horse serum antibodies and natural venom-antibodies produced in response to antivenom injection or snake bite in humans.

The Japanese Mamushi (Agkistrodon halys blomhoffi, BOIE) is the most common snake in Japan. Bite victims treated with antivenom (horse serum) can produce antibodies against the horse serum and the snake venom. We studied distributions of the IgG subclasses of both these antibodies produced in response to antivenom injection and snake bite. We found that IgG1 and IgG4 of each antibody in the victims' serum were present for a long period of time.

Investigation on parametric analysis of dynamic EMG signals by a muscle-structured simulation model.

In the analysis of electromyographic (EMG) signals during dynamic movement, we have proposed an estimation algorithm for the time-varying parameters of an autoregressive model. The parameters correspond to less biased time-varying reflection coefficients. We determined the less biased estimation using a locally quasi-stationary model and named these parameters "k parameters." We estimated k parameters up to the fifth order for the surface EMG signals of a masseter muscle during rapid open-close movement of the lower jaw, a ballistic contraction, and fatigue. According to the results, the time courses of the k parameters displayed remarkable properties. In order to study the behavior of k parameters physiologically, we produced a muscle-structured simulation model based on anatomical and physiological data. The simulation results suggested that the behavior of the third parameter is related to the number of active motor units (MU's) at the shallow layer of a muscle. The detailed recruitment mechanism in terms of the MU's types has not yet been solved. Although further study is required, the parametric analysis using k parameters offers a new perspective for evaluation of muscle dynamics during several movements.

A muscle fatigue index based on the relationship between preceding background activity and myotatic reflex response (MRR).

A new index of muscular fatigue was developed using the myotatic reflex response (MRR). The MRR of masseter muscles is evoked by periodical mechanical chin tapping during clenching. The MRR waveform is composed of somewhat synchronized action potentials of muscle fibers. We estimate the change of the MRR waveform due to fatigue using the instantaneous frequency pattern (IFP) with the Hilbert transform. As a result, the features of IFP were different from the monotonic changes that have been observed by the conventional fatigue indices. That is, a plateau IFP was observed ahead of considerable fatigue, whereas the IFP showed a monopeak pattern during other phase of an exercise. Also, the relationship between the preceding background mean power frequency and the instantaneous frequency around the first part of the MRR waveform was nonlinear during the whole process of fatigue. These features may allow us to estimate the degree of fatigue at each time instant. Although the details have not yet been solved, by using the computer simulations one of them seemed to be the alteration of the dominant frequency components. The dominant frequency components may be related to the active muscle fiber types.

Multivariate analysis of muscular fatigue during bicycle ergometer exercise.

The purpose of this study is to estimate the endurance threshold in terms of muscular fatigue during bicycle ergometer exercise. The problems to be solved are induced by dynamic movement and the physiological variation of muscle activity: that is, the progression and impairment of muscle activity occur simultaneously. First of all, we used multichannel recordings of myoelectric (ME) signals to reduce the effect by the movement of a bipolar surface electrode relative to the innervation zones. Second, since even the different types of ME parameters contain redundant information on muscular fatigue, we used the principal component analysis (PCA) to represent the meaningful information by small dimensions. Moreover, we proposed a total evaluation pattern to discriminate muscular fatigue from progression of muscle force at a glance. The total evaluation pattern shows the proportion of first principal component, the components of the first eigenvector, and the correlation coefficients as a function of the work load. The assessment using the total evaluation pattern divided eight subjects into three groups, whereas these subjects were not identified by a specific ME parameter.

AR modeling of myoelectric interference signals during a ramp contraction.

We investigated the time-varying behaviour of the autoregressive (AR) parameters in a myoelectric (ME) signal detected during a linear force increasing contraction. The AR parameters of interest were the reflection coefficients, the AR model spectrum, and the prediction errors. We used well-conditioned ME signals for which the complete time record of the motor units firings was available. In addition, the influence of the recruitment of a new motor unit, the conduction velocity of action potentials, and additive broad-band noise were investigated using simulated ME signals. The simulated ME signals were constructed from a selected group of the available motor unit action potential trains. The results revealed that, as the contraction progressed, the AR parameters displayed a time-varying behavior which coincided with the recruitment of newly recruited motor units whose spectrum of the waveform differed from that of the rest of the ME signal. This property of the AR parameters was obscured by the presence of broad-band noise and low-amplitude motor unit action potentials, both of which are more pronounced during low-level force contractions.

A muscular fatigue index based on the relationships between superimposed M wave and preceding background activity.

A practical muscle fatigue index is studied in this paper using the correlation between the instantaneous frequencies (IF's) of the superimposed M wave and the mean power frequency (MPF) of the preceding background activity. A superimposed M wave is an M wave elicited during a sustained contraction and was recently introduced for studying muscle fatigue. We investigated the details of the distribution of a feature vector (mpf, if) in two-dimensional space. Our experimental results showed that MPF and IF's were closely correlated during the first phase of a short-term high-level sustained voluntary contraction and then became uncorrelated or sometimes showed negative correlation as muscular fatigue progressed. Combining the correlation coefficients and conventional myoelectric (ME) parameters, such as the MPF and the average rectified value of ME signals, we propose a fuzzy rule based muscular fatigue index that can be used for managing the inevitable variability among individual subjects collected as a group. Introducing fuzzy inference seemed effective, but further studies including detailed investigation of the level of voluntary effort, the muscle fiber type composition, and metabolic by-products will be needed to customize the membership functions and fuzzy rules more appropriately in each practical field.

Pedoscope studies on neonatal activity and center of gravity after delivery.

Seventeen normal term infants delivered at the Jikei University School of Medicine were placed daily on a pedoscope in the supine and prone position after birth, and the movement of the gravity center and changes in the activities of the extremities were assessed. The results indicated that both the activity of the extremities and the movement of the gravity center were sluggish after birth, that both increased to reach peaks within 1 to 3 days, and that then temporary decreases occurred before they increased again. The probable reason for the temporary decrease in activity may be habituation or a decrement in the infant, and it is also presumed that the increase in activity after the transitory decrease reflects natural development.

Bacteria invading periapical cementum.

The aim of this study was to determine whether microorganisms invade periapical cementum of human teeth from the adjacent periapical lesions. We therefore attempted to isolate microorganisms from periapical cementum through the adoption of standard anaerobic procedures for obligate anaerobes. Samples of cementum were taken from 10 amputated tooth roots at the time of apicoectomy. From two of these samples, bacteria were recovered after anaerobic incubation, but no bacteria were recovered after aerobic incubation of the same samples. Of a total of eight isolates from the cementum, seven were obligate anaerobes and one was aerotolerant. The obligate anaerobes isolated were assigned to the genera Prevotella, Peptostreptococcus, Eubacterium, and Fusobacterium. The aerotolerant anaerobe was Campylobacter. From this, we conclude that bacteria can successfully invade cementum via periapical periodontal tissue, and that such bacteria may play a significant role in chronic periapical pathosis.

Multivariate analysis of multichannel surface myoelectric signals to determine muscular fatigue.

Multivariate analysis would be effective in finding the functional change from several variables obtained from multivariate biological signals. We applied this idea to the discrimination of sustained fatiguing contraction from negative ramp contraction. The time-series of eigenvalues were obtained from multidimensional biological variables by the Karhunen-Loève expansion. The results showed that, the first and second eigenvalues came close to each other during fatiguing contraction, whereas only the first eigenvalue was dominant during negative ramp contraction. Moreover, the factor loadings showed considerable difference between fatiguing contraction and negative ramp contraction. As a result, the muscular-fatigue-related functional change could be represented clearly by the time-series of proportions and factor loadings.

Band-suppressed restoration of X-ray images blurred by body movement.

The restoration of X-ray images that have been blurred due to body movement are discussed. The observation system for these images is described using a mathematical model, and several restoration filters composed of a series of such models are proposed. These filters restore band-suppressed approximations of the original images. In addition, redundancy is introduced into these restoration filters in order to suppress additive noise. These filters are expanded to be applicable not only to parallel translations, but also to rotations by coordinate transformation. The proposed methods are applied to blurred X-ray images of a bone model of the elbow joint. The parameters of the restoration filter are estimated using a marker attached to the subject as a reference signal.

Pleomorphic adenoma of the trachea: a case report.

Pleomorphic adenoma is the most common form of major salivary gland tumors,but it is exceedingly rare in the trachea. We present a case of pleomorphic adenoma of the trachea in an 80-years-old man. Chest three-dimensional CT demonstrated a bosselated mass with a lobulated surface arising from the membranous portion of the upper trachea. Transbronchoscopic biopsy from the mass showed a biphasic histologic appearance produced by a mixture of glandular structure and hyaline-like stroma. The pathological diagnosis was pleomorphic adenoma.

Development of muscle fatigue assessed by using superposition of evoked and volitional myoelectric potentials.

We studied muscle fatigue development using evoked myoelectrical potentials superimposed on volitional ones. The instantaneous frequency of superim posed M-waves and mean power frequencies of volitional electromyography (EMG) declined during sustained contraction, indicating that fatigue progressed. We divided fatigue into 3 phases, with 20 frames in each fatigue phase, corresponding to one-third of the total sample. The instantaneous frequency of superimposed M-waves and mean power frequencies of volitional EMG were correlated during early intensive isometric voluntary contractions and became increasingly uncorrelated as contraction proceeded. The coefficient between the mean power frequency and instantaneous frequency correlation was also greater at the first peak than at the second peak of the superimposed M-wave, indicating that the motor unit action potential was distorted. Distortion in the motor unit action potential shape depends on elongation of the depolarization zone of muscle fiber, because the superimposed M-wave is a peripheral indicator elicited by electrical stimulation. These results suggest that muscle fatigue develops based on the reduction of the conduction velocity of muscle fiber and on the elongation of the depolarization zone of muscle fiber.

Feasibility study on a perceived fatigue prediction dependent power control for an electrically assisted bicycle.

Several types of electric motor assists have been developed, as a result, it is important to control muscular fatigue on-site in terms of health promotion and motor rehabilitation. Predicting the perceived fatigue by several biosignal-related variables with the multiple regression model and polynomial approximation, we try to propose a self control design for the electrically assisted bicycle (EAB). We also determine the meaningful muscles during pedaling by muscle synergies in relation to the motion maturity. In field experiments, prediction of ongoing perceived physical fatigue could have the potential of suitable control of EAB.

In vivo time-resolved DOT measurement and image reconstruction of human forearm under exercises.

In vivo measurement of time-resolved diffuse optical tomography (TR-DOT) were performed for human forearms under the exercises. The DOT images of oxygenation state were reconstructed, and the activities of the inner muscles were assessed.

Magnetic resonance imaging-guided navigation with a thermoplastic shell for breast-conserving surgery.

BACKGROUND: The aim of this study was to evaluate the accuracy of a magnetic resonance imaging (MRI) marking technique with a drape-type thermoplastic shell for planning breast-conserving surgery (BCS). METHODS: A prospective review was performed on 35 consecutive patients who underwent MRI in the supine position and used the specified MRI marking technique. Eleven cases underwent pre-operative chemotherapy and 24 cases did not. After immobilizing the breast mound with a drape-type thermoplastic shell, patients underwent MRI, and the location of the lesion was marked on the shell. Resection lines were dyed blue by indigo carmine, which was pushed through the pores of the shell. Specimens obtained during BCS were sliced into 5-mm contiguous sections, and the margin was assessed for each specimen. Cancer foci less than 5 mm from the margin were classified as positive. RESULTS: Of 35 patients, 33 were included in the analysis; 2 were excluded due to a lack of effect of pre-operative chemotherapy. Of these 33 patients, 25 (75.8%) had negative margins and 7 (21.2%) had positive margins. CONCLUSIONS: Our MRI marking technique may be useful for evaluating the extent of tumors that were determined by MRI alone. Long-term outcomes of this technique should be evaluated further.