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1.
Eur J Clin Microbiol Infect Dis ; 37(1): 91-98, 2018 Jan.
Article in English | MEDLINE | ID: mdl-28920166

ABSTRACT

Chronic pulmonary aspergillosis (CPA) is associated with mortality in patients with Mycobacterium avium complex lung disease (MAC-LD). An Aspergillus-positive respiratory specimen often reflects colonization, and thus the clinical significance of Aspergillus isolation in MAC-LD patients is not well understood. The objective of this study was to investigate the clinical characteristics and outcomes of MAC-LD patients in whom Aspergillus was isolated from respiratory specimens. We performed a retrospective review of the medical records of 329 MAC-LD patients. We compared the characteristics and mortality rates between patients with Aspergillus isolation and those without. All Aspergillus species detected from respiratory specimens within the follow-up period were reviewed. Aspergillus was detected in 40 (12.2%) of the 329 patients. There were no significant differences in the clinical characteristics and mortality rates between patients with and without Aspergillus isolation. Among the 40 patients with Aspergillus isolation, 9 (22.5%) developed CPA. CPA was most often caused by A. fumigatus. In the 40 Aspergillus-positive patients, patients with A. fumigatus isolation had a significantly higher mortality rate than those without (P < 0.001). The multivariate Cox proportional hazards model showed older age (P = 0.050), presence of respiratory comorbidities (P = 0.008), hypoalbuminemia (P < 0.001), and isolation of A. fumigatus (P = 0.005) to be prognostic factors for mortality in MAC-LD patients. There was no significant difference in the mortality rates between patients with Aspergillus isolation and those without. However, isolation of A. fumigatus may be associated with poor prognosis in MAC-LD patients.


Subject(s)
Aspergillus fumigatus/isolation & purification , Lung Diseases/microbiology , Mycobacterium avium Complex/isolation & purification , Mycobacterium avium-intracellulare Infection/mortality , Pulmonary Aspergillosis/mortality , Aged , Female , Humans , Hypoalbuminemia/complications , Male , Mycobacterium avium-intracellulare Infection/complications , Prognosis , Proportional Hazards Models , Pulmonary Aspergillosis/complications , Retrospective Studies
2.
J Vet Pharmacol Ther ; 39(3): 287-91, 2016 Jun.
Article in English | MEDLINE | ID: mdl-26411748

ABSTRACT

The purpose of this study was to investigate the pharmacokinetic characteristics of amoxicillin (AMX) trihydrate in male Asian elephants, Elephas maximus, following intramuscular administration at two dosages of 5.5 and 11 mg/kg body weight (b.w.). Blood samples were collected from 0.5 up to 72 h. The concentration of AMX in elephant plasma was measured using liquid chromatography electrospray ionization mass spectrometry. AMX was measurable up to 24 h after administration at two dosages. Peak plasma concentration (Cmax ) was 1.20 ± 0.39 µg/mL after i.m. administration at a dosage of 5.5 mg/kg b.w., whereas it was 3.40 ± 0.63 µg/mL at a dosage of 11 mg/kg b.w. A noncompartment model was developed to describe the disposition of AMX in Asian elephants. Based on the preliminary findings found in this research, the dosage of 5.5 and 11 mg/kg b.w. produced drug plasma concentrations higher than 0.25 mg/mL for 24 h after i.m. administration. Thereafter, i.m. administration with AMX at a dosage of 5.5 mg/kg b.w. appeared a more suitable dose than 11 mg/kg b.w. However, more studies are needed to determine AMX clinical effectiveness in elephants.


Subject(s)
Amoxicillin/pharmacokinetics , Anti-Bacterial Agents/pharmacokinetics , Elephants/blood , Amoxicillin/administration & dosage , Amoxicillin/blood , Animals , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/blood , Cross-Over Studies , Injections, Intramuscular/veterinary , Male
3.
J Vet Pharmacol Ther ; 39(1): 90-4, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26012473

ABSTRACT

To evaluate the toxicokinetics and persistence of residues of melamine (MEL) in ducks, MEL was administered intravenously (i.v.) or orally (p.o.) to ducks at a dosage of 5.5 mg/kg body weight. The concentration of MEL in the plasma and various tissues was detected using HPLC equipped with an ultraviolet detector. The plasma concentration of MEL in ducks was determined up to 12 h after both i.v. and p.o. administrations. The average value of elimination half-life (t1/2ß) of MEL was 2.16 ± 0.37 and 2.01 ± 0.56 h after i.v. and p.o. administration, respectively. The absolute p.o. bioavailability was 90.79%. MEL was measurable in the liver and kidney after p.o. administration with maximum levels of 15.80 ± 1.81 and 15.49 ± 2.12 µg/g at 6 h, respectively. The results suggest that most of the administered MEL is efficiently absorbed from the gastro intestinal tract, and it has the ability to distribute into various tissues of the duck.


Subject(s)
Drug Residues , Ducks/metabolism , Triazines/pharmacokinetics , Animals , Area Under Curve , Ducks/blood , Half-Life , Male , Tissue Distribution , Triazines/toxicity
5.
Eur J Clin Microbiol Infect Dis ; 34(9): 1839-47, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26059041

ABSTRACT

The aim of this study was to investigate the influence of bacterial coinfection on patients with pneumococcal pneumonia. We retrospectively analyzed the incidence, clinical features, microbial distributions, and outcomes of patients with bacterial coinfection in a cohort of 433 hospitalized patients with pneumococcal pneumonia. Eighty-five patients (19.6 %) were diagnosed with bacterial coinfection; the most frequent pathogens were Haemophilus influenzae (25 patients, 33.3 %), methicillin-susceptible Staphylococcus aureus (MSSA) (15 patients, 20.0 %), and Moraxella catarrhalis (13 patients, 17.3 %). The CURB-65 score and pneumonia severity index (PSI) were significantly higher in patients with bacterial coinfection (both P < 0.001). In addition, the proportion of patients with bacterial coinfection who met the Infectious Disease Society of America (IDSA)/American Thoracic Society (ATS) severe pneumonia criteria was significantly higher (P < 0.001). Multivariate logistic regression analysis identified three risk factors for bacterial coinfection in patients with pneumococcal pneumonia: alcoholism (odds ratio [OR], 5.12; 95 % confidence interval (95 % CI), 1.60-16.4; P = 0.006), hospitalization for 2 days or more within 90 days preceding admission (OR, 2.02; 95 % CI, 1.03-3.98; P = 0.041), and residence in a nursing home or extended care facility (OR, 3.22; 95 % CI, 1.48-6.97; P = 0.003). Multivariate analysis for 30-day mortality showed that bacterial coinfection was a significant adverse prognostic factor (OR, 2.50; 95 % CI, 1.13-5.53; P = 0.023), independent of IDSA/ATS severe pneumonia, PSI, or healthcare-associated pneumonia. In conclusion, bacterial coinfection may have an adverse impact on severity and outcomes of pneumococcal pneumonia.


Subject(s)
Coinfection/mortality , Haemophilus Infections/epidemiology , Moraxellaceae Infections/epidemiology , Pneumonia, Pneumococcal/epidemiology , Severity of Illness Index , Staphylococcal Infections/epidemiology , Aged , Aged, 80 and over , Coinfection/drug therapy , Community-Acquired Infections/microbiology , Cross Infection/microbiology , Female , Haemophilus Infections/complications , Haemophilus Infections/drug therapy , Haemophilus influenzae/drug effects , Humans , Male , Moraxella catarrhalis/drug effects , Moraxellaceae Infections/complications , Moraxellaceae Infections/drug therapy , Pneumonia, Pneumococcal/complications , Pneumonia, Pneumococcal/drug therapy , Retrospective Studies , Staphylococcal Infections/complications , Staphylococcal Infections/drug therapy , Staphylococcus aureus/drug effects , Streptococcus pneumoniae/drug effects , Treatment Outcome
6.
J Vet Pharmacol Ther ; 38(1): 101-4, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25066628

ABSTRACT

The objective of this study was to investigate the toxicokinetic characteristics of melamine in broilers due to the limited information available for livestock. Melamine was then administered to broiler chickens at an intravenous (i.v.) or oral (p.o.) dosage of 5.5 mg/kg of body weight, and plasma samples were collected up to 48 h. The concentration of melamine in each plasma sample was analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Melamine was measurable up to 24 h after i.v. and p.o. administration. A one-compartment model was developed to describe the toxicokinetics of melamine in broilers. Following i.v. administration, the values for the elimination half-life (t(1/2ß)), the volume of distribution (Vd ), and the clearance (CL) were 4.42 ± 1.02 h, 00.52 ± 0.18 L/kg, and 0.08 ± 0.01 L/h/kg, respectively. The absolute oral bioavailability (F) was 95.63 ± 3.54%. The results suggest that most of the administered melamine is favorably absorbed from the alimentary tract and rapidly cleared by the kidneys in broiler chickens.


Subject(s)
Chickens/blood , Triazines/pharmacokinetics , Administration, Oral , Animals , Area Under Curve , Biological Availability , Half-Life , Triazines/administration & dosage , Triazines/blood , Triazines/toxicity
7.
Phys Rev Lett ; 113(9): 096403, 2014 Aug 29.
Article in English | MEDLINE | ID: mdl-25215998

ABSTRACT

Ultrafast photoinduced transitions of a one-dimensional Mott insulator into two distinct electronic phases, metal and charge-density-wave (CDW) state, were achieved in a bromine-bridged Pd-chain compound [Pd(en)2Br](C5-Y)2H2O (en=ethylenediamine and C5-Y=dialkylsulfosuccinate), by selecting the photon energy of a femtosecond excitation pulse. For the resonant excitation of the Mott-gap transition, excitonic states are generated and converted to one-dimensional CDW domains. For the higher-energy excitation, free electron and hole carriers are produced, giving rise to a transition of the Mott insulator to a metal. Such selectivity in photoconversions by the choice of initial photoexcited states opens a new possibility for the developments of advanced optical switching and memory functions.

8.
Epidemiol Infect ; 142(11): 2237-47, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25078437

ABSTRACT

Consumption of seafood contaminated with Vibrio parahaemolyticus causes foodborne infections, which are on the rise owing to increased consumption of raw seafood in Asia, Europe, North America, and other regions. V. parahaemolyticus infections have been common in Japan since the 1960s. Following an epidemic in 1997, the Japanese Ministry of Health, Labour, and Welfare instituted regulations for seafood in 1999, which appear to be reducing V. parahaemolyticus infections. In this review, we describe the scientific findings for these regulations. Analyses of the V. parahaemolyticus serotypes and isolate characteristics in samples from infected patients and contaminated seafood are discussed. In addition, based on the results of a survey, we show that new food safety regulations have led to improvements in food hygiene at many seafood retail shops, food service facilities, and restaurants. This example from Japan could be of immense help to control foodborne infections in other countries.


Subject(s)
Food Contamination/legislation & jurisprudence , Food Safety , Vibrio Infections/prevention & control , Vibrio parahaemolyticus/pathogenicity , Female , Food Contamination/prevention & control , Humans , Japan , Male , Seafood/adverse effects , Seafood/analysis , Vibrio Infections/epidemiology
9.
Eur J Gynaecol Oncol ; 33(4): 353-7, 2012.
Article in English | MEDLINE | ID: mdl-23091889

ABSTRACT

OBJECTIVE: Radical hysterectomy (RH) is a standard treatment for locally advanced non-squamous cell carcinoma (N-SCC) of the uterine cervix, but there have been no reports on whether neoadjuvant chemotherapy (NAC) followed by radical hysterectomy could improve the outcome of patients with this disease. MATERIALS AND METHODS: This multicenter retrospective study enrolled 77 patients with Stage IB2 to IIB N-SCC of the uterine cervix. Of these, 27 patients were treated with NAC prior to radical hysterectomy (NAC group) and 50 with RH alone (RH group). The two-year recurrence-free survival (RFS) rate, progression-free survival (PFS), and overall survival (OS) were compared between the two groups. Clinical parameters such as clinical stage, histological type, and postoperative treatment were also examined between the groups. RESULTS: While the two-year RFS rates were 81.5% and 70.0% in NAC and RH groups, respectively (p = 0.27) and the median PFS was 51 months and 35 months in NAC and RH groups, respectively (p = 0.35), the median OS was 58 months and 48 months in NAC and RH groups, respectively, which was significant (p = 0.0014). The median OS of patients with mucinous adenocarcinoma in NAC group was significantly higher than that in RH group: 58 months versus 37 months (p = 0.03). CONCLUSION: NAC prior to RH may offer the prognostic advantage of patients with locally advanced N-SCC of the uterine cervix, especially mucinous adenocarcinoma.


Subject(s)
Hysterectomy , Uterine Cervical Neoplasms/therapy , Adult , Aged , Chemotherapy, Adjuvant , Disease-Free Survival , Female , Humans , Middle Aged , Neoadjuvant Therapy , Retrospective Studies , Uterine Cervical Neoplasms/mortality
10.
J Exp Med ; 169(5): 1853-8, 1989 May 01.
Article in English | MEDLINE | ID: mdl-2469771

ABSTRACT

We have analyzed expression patterns of 7 lymphokine mRNAs by Northern blot analyses in 19 different human T cell clones derived from patients with adult T cell leukemia. However, we were not able to reveal particular combinations of lymphokine production that allowed classification of human T cells. Especially, four clonally related leukemic lines that were established independently from the same patient with adult T cell leukemia expressed different combinations of lymphokine mRNAs, indicating that the expression of various lymphokines is not fixed but rather variable even among progenies of a single T cell clone.


Subject(s)
Gene Expression Regulation , Interleukins/genetics , Leukemia, T-Cell/metabolism , T-Lymphocytes/metabolism , Clone Cells , DNA Probes , Human T-lymphotropic virus 1 , Humans , Interleukin-2/genetics , Interleukin-4 , Interleukins/biosynthesis , Nucleic Acid Hybridization , Poly A/analysis , RNA/analysis , RNA, Messenger/genetics , Tumor Cells, Cultured
11.
J Exp Med ; 175(1): 71-9, 1992 Jan 01.
Article in English | MEDLINE | ID: mdl-1730928

ABSTRACT

We made double transgenic mice bearing immunoglobulin heavy and light chain genes encoding an autoantibody against the mouse erythrocyte by the cross of C57BL/6 mice carrying the transgene for each chain of the immunoglobulin. Although no obvious disorders were found in the single-chain transgenic mice, severely anemic symptoms were found in some of the double transgenic mice, in which most B cells express, at least on their surface, the autoantibody reactive to self-antigens on the erythrocyte. Individual double-transgenic mice showed a wide variation of phenotypes between severe anemia and no symptoms. Both deletion and anergy of autoreactive B cells were seen in each individual mouse, but their relative contribution to self-tolerance was variable and not directly related to the severity of anemia or the amount of the autoantibody produced. This transgenic system provides a good autoimmune disease model for exploring its onset mechanism, and means of its treatment and prevention.


Subject(s)
Anemia, Hemolytic/genetics , Autoantibodies/genetics , Autoimmune Diseases/genetics , B-Lymphocytes/immunology , Genes, Immunoglobulin , Immunoglobulin Heavy Chains/genetics , Immunoglobulin Light Chains/genetics , Anemia, Hemolytic/immunology , Animals , Antibodies, Monoclonal , Antibody Formation , Autoimmune Diseases/immunology , Bone Marrow/immunology , Crosses, Genetic , Enzyme-Linked Immunosorbent Assay , Erythrocytes/immunology , Female , Flow Cytometry , Fluorescent Antibody Technique , Immunoglobulin G/analysis , Immunoglobulin G/genetics , Lymph Nodes/immunology , Male , Mice , Mice, Inbred C57BL , Mice, Transgenic , Spleen/immunology
12.
J Exp Med ; 154(5): 1500-16, 1981 Nov 01.
Article in English | MEDLINE | ID: mdl-6975349

ABSTRACT

B lymphocyte-enriched cell populations cultured with mitogens in initial suspension cultures formed colonies in soft agar when the same mitogenic agent was present in the lower layer of a two-layer soft agar system. Colony formation depended upon the presence of T cells in the initial culture, and was optimal after an initial 72-h culture with phytohemagglutinin (PHA; 12.5 microliters/ml), pokeweed mitogen (PWM; 2.5 micrograms/ml), or protein A (10 micrograms/ml). The colonies could be picked from the agar and propagated by feeding every 3 d with medium supplemented with a growth factor-containing tissue culture supernate. The growth factor-containing supernate was prepared by stimulating pools of human peripheral blood mononuclear cells for 72 h with PHA or PWM. The lines propagated in this manner were membrane Ig+, lacked sheep erythrocyte rosette-forming ability, and did not ingest latex. They lacked the Epstein-Barr nuclear antigen (EBNA) and had 46 chromosomes. Such lines have been propagated for over 1 yr. One line (BL1) was subjected to limiting dilution cloning and a line, BL1.1, was prepared that contained 96% lambda-bearing cells and no kappa-bearing cells. This line was also EBNA negative. This procedure can thus be used to prepare and clone long-term lines of nontransformed human B lymphocytes.


Subject(s)
B-Lymphocytes/cytology , Lymphocyte Activation , B-Lymphocytes/immunology , Cell Line , Cells, Cultured , Clone Cells/cytology , Clone Cells/immunology , Growth Substances/pharmacology , Humans , Phytohemagglutinins/pharmacology , Pokeweed Mitogens/pharmacology , Receptors, Antigen, B-Cell , Staphylococcal Protein A/pharmacology , T-Lymphocytes/cytology , Time Factors
13.
Ann Rheum Dis ; 69(1): 70-81, 2010 Jan.
Article in English | MEDLINE | ID: mdl-19174392

ABSTRACT

OBJECTIVES: To assess whether smoking is a risk factor for developing rheumatoid arthritis (RA). DESIGN: Meta-analysis. DATA SOURCES: were observational studies that examined the association between smoking history and the risk of developing RA identified through Medline and EMBASE (from 1966 to December 2006), relevant books and a reference search. Two authors independently extracted the following: authors' names, publication year, sample size, participant characteristics, odds ratios (OR) or relative risks, adjustment factors, study design and area where the study was conducted. Data syntheses were based upon random effects model. Summarised syntheses effects were expressed by OR. RESULTS: Sixteen studies were selected from among 433 articles. For men, summary OR for ever, current and past smokers were 1.89 (95% CI 1.56 to 2.28), 1.87 (1.49 to 2.34) and 1.76 (1.33 to 2.31), respectively. For rheumatoid factor-positive (RF+) RA, summary OR for ever, current and past smokers were 3.02 (2.35 to 3.88), 3.91 (2.78 to 5.50) and 2.46 (1.74 to 3.47), respectively. Summary OR for 20 or more pack-years of smoking was 2.31 (1.55 to 3.41). For women, summary OR for ever, current and past smokers were 1.27 (1.12 to 1.44), 1.31 (1.12 to 1.54) and 1.22 (1.06 to 1.40), respectively. For RF+ RA, summary OR for ever, current and past smokers were 1.34 (0.99 to 1.80), 1.29 (0.94 to 1.77) and 1.21 (0.83 to 1.77). Summary OR for 20 or more pack-years of smoking was 1.75 (1.52 to 2.02). CONCLUSION: Smoking is a risk factor for RA, especially RF+ RA men and heavy smokers.


Subject(s)
Arthritis, Rheumatoid/etiology , Smoking/adverse effects , Adult , Arthritis, Rheumatoid/blood , Arthritis, Rheumatoid/epidemiology , Female , Humans , Male , Middle Aged , Publication Bias , Research Design , Rheumatoid Factor/blood , Risk Factors , Sex Factors , Smoking/epidemiology
14.
Physiol Res ; 59(4): 619-623, 2010.
Article in English | MEDLINE | ID: mdl-19929144

ABSTRACT

The purpose of the present study was to investigate whether peripheral brain-derived neurotrophic factor (BDNF) treatment induced metabolic adaptations in mouse skeletal muscle. BDNF (20 mg/kg/day) was injected subcutaneously for successive 14 days. BDNF treatment significantly reduced the total food intake and inhibited the weight gain in comparison to the control group. The glucose transporter 4 (GLUT4) protein expression in the gastrocnemius muscle was significantly increased by BDNF treatment in comparison to the control and pair-fed groups. Neither the oxidative nor the glycolytic enzyme activities in the gastrocnemius muscle changed after the BDNF treatment. These results suggest that the peripheral BDNF treatment promotes the skeletal muscle GLUT4 protein expression as well as hypophagia.


Subject(s)
Brain-Derived Neurotrophic Factor/administration & dosage , Glucose Transporter Type 4/metabolism , Muscle, Skeletal/drug effects , Animals , Eating/drug effects , Female , Injections, Subcutaneous , Mice , Mice, Inbred ICR , Muscle, Skeletal/enzymology , Muscle, Skeletal/metabolism , Time Factors , Up-Regulation , Weight Gain/drug effects
15.
J Food Prot ; 73(6): 1077-84, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20537263

ABSTRACT

To identify a rapid method for extracting a large amount of DNA from fungi associated with food hygiene, extraction methods were compared using fungal pellets formed rapidly in liquid media. Combinations of physical and chemical methods or commercial kits were evaluated with 3 species of yeast, 10 species of ascomycetous molds, and 4 species of zygomycetous molds. Bead grinding was the physical method, followed by chemical methods involving sodium dodecyl sulfate (SDS), cetyl trimethyl ammonium bromide (CTAB), and benzyl chloride and two commercial kits. Quantity was calculated by UV absorbance at 260 nm, quality was determined by the ratio of UV absorbance at 260 and 280 nm, and gene amplifications and electrophoresis profiles of whole genomes were analyzed. Bead grinding with the SDS method was the most effective for DNA extraction for yeasts and ascomycetous molds, and bead grinding with the CTAB method was most effective with zygomycetous molds. For both groups of molds, bead grinding with the CTAB method was the best approach for DNA extraction. Because this combination also is relatively effective for yeasts, it can be used to extract a large amount of DNA from a wide range of fungi. The DNA extraction methods are useful for developing gene indexes to identify fungi with molecular techniques, such as DNA fingerprinting.


Subject(s)
Colony Count, Microbial/methods , DNA, Fungal/isolation & purification , Food Microbiology , Fungi/isolation & purification , Yeasts/isolation & purification , Consumer Product Safety , DNA, Fungal/analysis , Food Contamination/analysis , Fungi/genetics , Gene Amplification , Humans , Time Factors , Yeasts/genetics
16.
J Vet Pharmacol Ther ; 32(3): 229-34, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19646086

ABSTRACT

Fates and residue depletion of enrofloxacin (ER) and its metabolite ciprofloxacin (CP) were examined in giant freshwater prawns, Macrobrachium rosenbergii, following either single oral (p.o.) administration of ER at a dosage of 10 mg/kg body weight (b.w.) or medicated-feed treatment at the feeding concentration of 5 g/kg of feed for five consecutive days. The concentrations of ER and CP in prawn muscle tissues were measured simultaneously using high-performance liquid chromatography (HPLC) equipped with a fluorescence detector. Muscle tissue concentrations of ER and CP were below the detection limit (LOD, 0.015 microg/g for ER; 0.025 microg/g for CP) after 360 and 42 h, following single p.o. administration respectively. Peak muscle concentration (C(max)) of ER was 1.98 +/- 0.22 microg/g whereas CP was measurable at concentrations close to the detection limit of the analytical method after p.o. administration at a single dosage of 10 mg/kg b.w. The concentration of ER in prawn muscle tissue with respect to time was analyzed with a non-compartmental pharmacokinetic model. The elimination half-life and area under the curve of ER were 39.33 +/- 7.27 h and 168.7 +/- 28.7 microg x h/g after p.o. administration at a single dose of 10 mg/kg x b.w. respectively. In medicated-feed treated group, ER was detectable in prawn muscle tissue 11 days postdosing at the dose of 5 g/kg of feed for five consecutive days, which is the value corresponding to the maximum residue limit (MRL) of ER in animal products. The maximum concentrations of ER and CP were 2.77 +/- 0.91 and 0.06 +/- 0.006 microg/g during medicated-feed treatment and postdosing respectively. The values of elimination half-life and absorption half-life of ER after single p.o. administration at a dosage of 10 mg/kg b.w. corresponded well with the values determined from medicated-feed treated group, showing 41.01 +/- 6.62 and 11.36 +/- 3.15 h respectively in M. rosenbergii. Based on data derived from this study, to avoid the ER residue in prawn muscle, it should take at least 11 days postcessation of medicated feed containing ER at the dose concentration of 5 g/kg of feed twice a day at a rate of 1% of total body weight for five consecutive days to wash out the drug from the muscle of M. rosenbergii.


Subject(s)
Anti-Infective Agents/pharmacokinetics , Drug Residues/pharmacokinetics , Fluoroquinolones/pharmacokinetics , Palaemonidae/metabolism , Administration, Oral , Animal Feed , Animals , Anti-Infective Agents/administration & dosage , Chromatography, High Pressure Liquid/veterinary , Ciprofloxacin/administration & dosage , Ciprofloxacin/pharmacokinetics , Enrofloxacin , Fluoroquinolones/administration & dosage , Fresh Water , Muscles/metabolism , Thailand
17.
J Nutr Health Aging ; 23(9): 856-861, 2019.
Article in English | MEDLINE | ID: mdl-31641736

ABSTRACT

OBJECTIVE: To examine the association between physical frailty and risk of needing long-term care, and compare the predictive value and clinical usefulness of a simple frailty scale (FRAIL) with that of the original Cardiovascular Health Study (CHS) criteria. DESIGN AND SETTING: A 6-year prospective cohort study of community-dwelling older adults in a west Japanese suburban town. PARTICIPANTS: 1,554 older adults aged 65 years and over who were initially free of long-term care needs at baseline. MEASUREMENTS: Physical frailty was defined by the CHS criteria and the FRAIL scale. The onset of needing long-term care was ascertained using national records of certification of long-term care needs. Cox proportional hazard models were used to estimate the association between physical frailty and risk of needing long-term care. Decision curve analysis was performed to compare the clinical usefulness of the two physical frailty criteria. RESULTS: During a median follow-up of 5.8 years, 244 were ascertained as needing long-term care. Baseline physical frailty was significantly associated with elevated risk of needing long-term care, with a multivariable-adjusted hazard ratio (HR) of 2.00 (95% confidence interval [CI], 1.32-3.02) for being frail and 1.50 (95% CI, 1.10-2.03) for being pre-frail as defined by the CHS criteria, compared with being robust (p for trend = 0.001). Similar results were found for physical frailty defined by the FRAIL scale, with a multivariable-adjusted HR (95% CIs) of 2.11 (1.25-3.56) for being frail and 1.73 (1.28-2.35) for being pre-frail vs. being robust (p for trend < 0.001). The two physical frailty criteria had similar net benefits in identifying individuals at high risk for needing long-term care. CONCLUSIONS: Physical frailty is significantly associated with an increased risk of needing long-term care in community-dwelling older adults in Japan. Compared with the original CHS criteria, the simple FRAIL scale has comparable predictive value and clinical usefulness for identifying individuals at risk for needing long-term care.


Subject(s)
Frail Elderly/statistics & numerical data , Frailty/physiopathology , Long-Term Care/statistics & numerical data , Aged , Aged, 80 and over , Female , Geriatric Assessment/methods , Humans , Independent Living , Japan , Male , Proportional Hazards Models , Prospective Studies
18.
Rheumatology (Oxford) ; 47(9): 1373-8, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18577548

ABSTRACT

OBJECTIVE: To survey and elucidate the clinical characteristics of CMV infection in rheumatic disease patients. METHODS: A detailed questionnaire survey on CMV infection was carried out against rheumatic disease patients hospitalized in member hospitals, and the obtained clinical and/or laboratory data were analysed. RESULTS: Out of 7377 patients, 151 were diagnosed as having CMV infection. The underlying diseases ranged broadly, but SLE, microscopic polyangiitis, and dermatomyositis were the most common. Four were diagnosed histopathologically, and the others via positive CMV antigenaemia. In addition to oral corticosteroid for all but one patient, 81 were treated with pulsed methylprednisolone (MPSL), 64 with cyclophosphamide (CYC) and 36 with other immunosuppressants. Forty-four had a fatal outcome, for which presence of clinical symptoms, other infectious complications, lymphopenia, an older age (>59.3 yrs) and the use of pulsed MPSL were significant risk factors (P < 0.05) by univariate analysis. Multivariate analysis retained the first three (P < 0.05). The CMV antigenaemia count was significantly higher for the symptomatic than asymptomatic [10.1 (0.0-2998.0) vs 4.0 (1.3-1144.4)/10(5) PMNs, respectively, P < 0.05; threshold count: 5.6/10(5) PMNs]. No treatment benefit by anti-viral agent was observed as for survival. CONCLUSION: CMV infection was mostly diagnosed by antigenaemia, and occurred among patients under strong immunosuppressive therapy using pulsed MPSL and/or immunosuppressants. Lymphopenia, presence of symptoms and other infections are significant risk factors for a poor outcome and pulsed MPSL and an older age may predict it. Patients were prone to be symptomatic with anti-genaemia count over 5.6/10(5) PMNs.


Subject(s)
Cytomegalovirus Infections/complications , Opportunistic Infections/complications , Rheumatic Diseases/complications , Adolescent , Adult , Aged , Aged, 80 and over , Antigens, Viral/blood , Child , Cyclophosphamide/administration & dosage , Cytomegalovirus/immunology , Cytomegalovirus/isolation & purification , Cytomegalovirus Infections/diagnosis , Cytomegalovirus Infections/epidemiology , Drug Administration Schedule , Female , Glucocorticoids/administration & dosage , Hospitalization , Humans , Immunosuppressive Agents/administration & dosage , Japan/epidemiology , Male , Methylprednisolone/administration & dosage , Middle Aged , Opportunistic Infections/diagnosis , Opportunistic Infections/epidemiology , Prognosis , Retrospective Studies , Rheumatic Diseases/drug therapy , Rheumatic Diseases/epidemiology , Risk Factors
19.
Poult Sci ; 87(8): 1510-5, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18648042

ABSTRACT

In order to investigate the comparative fates and dispositions of fusarenon-X (FX) in broilers and ducks, FX was administered i.v. or orally (p.o.) to broilers and ducks. The FX and its metabolite (nivalenol, NIV) were determined in plasma and excreta using gas chromatography-mass spectrometry. The plasma concentrations of FX were determined up to 180 and 120 min in broilers and ducks, respectively, after i.v. and p.o. administration. The NIV was eliminated more slowly than its parent compound. The FX disposition fit an open 2-compartment pharmacokinetic model in broilers and ducks. The elimination half-life (t(1/2beta)) of FX was longer in ducks than in broilers. The elimination rate constant (kel) was higher in broilers than in ducks, whereas the oral bioavailability of FX was higher in ducks than in broilers. The gas chromatography-mass spectrometry profile in plasma showed that a large proportion of FX was recovered as NIV after administration of FX in both broilers and ducks. In vitro incubation of liver microsomal and cytosolic fractions with FX demonstrated that the liver and kidney are capable of the FX-to-NIV conversion. Thus, this study demonstrated that FX is absorbed more efficiently in ducks than in broilers, whereas it is eliminated more slowly in ducks than in broiler chickens. Consequently, the toxicity would have more serious consequences in ducks rather than broilers.


Subject(s)
Chickens/metabolism , Ducks/metabolism , Trichothecenes/pharmacokinetics , Animals , Area Under Curve , Biological Availability , Chickens/blood , Ducks/blood , Feces/chemistry , Female , Half-Life , Male , Trichothecenes/blood , Trichothecenes/toxicity
20.
J Vet Pharmacol Ther ; 31(6): 517-22, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19000273

ABSTRACT

The giant river shrimp (Macrobrachium rosenbergii), a native species of Thailand, is either exported for commercial purposes or supplied to meet the local requirements in Thailand. Limited pharmacokinetic information of the major antibiotic, oxytetracycline (OTC), is available for this freshwater shrimp. The purpose of the present study was to investigate the muscle tissue kinetics of OTC in M. rosenbergii following either intramuscular (i.m.) or oral (p.o.) administration at two dosages of 11 and 22 mg/kg body weight (b.w.). The concentration of OTC in shrimp tissues was measured using high-performance liquid chromatography (HPLC) equipped with a fluorescence detector. Muscle tissue concentrations were below the detection limit (LOD, 0.1 microg/g) after 96 and 120 h, following i.m. and p.o. administration, respectively. Peak muscle concentrations (C(max)) were 3.47 and 1.73 microg/g after i.m. and p.o. administration at a single dose of 11 mg/kg b.w. whereas they were 6.03 and 2.51 microg/g at a single dose of 22 mg/kg b.w., respectively. A noncompartment model was developed to describe the pharmacokinetics of OTC in the giant freshwater shrimp. The terminal half-lives of OTC were 28.68 and 28.09 h after i.m. and p.o. administration at a single dose of 11 mg/kg b.w., but 29.95 and 27.03 h at a single dose of 22 mg/kg b.w., respectively. The relative bioavailability was 82.32 and 64.67% following i.m. and p.o. administration, respectively. Based on the pharmacokinetic data, i.m. and p.o. administration with OTC at a dose of 11 mg/kg b.w. would be appropriate for use in giant freshwater shrimp farming. To avoid the OTC residue in shrimp muscle, it should take at least seven half-lives (8 days) to wash out the drug from the muscle of M. rosenbergii.


Subject(s)
Anti-Bacterial Agents/pharmacokinetics , Muscles/metabolism , Oxytetracycline/pharmacokinetics , Administration, Oral , Animals , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/analysis , Area Under Curve , Biological Availability , Chromatography, High Pressure Liquid , Dose-Response Relationship, Drug , Half-Life , Injections, Intramuscular , Metabolic Clearance Rate , Oxytetracycline/administration & dosage , Oxytetracycline/analysis , Palaemonidae
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