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2.
Phys Chem Chem Phys ; 16(22): 10485-90, 2014 Jun 14.
Article in English | MEDLINE | ID: mdl-24736859

ABSTRACT

Photo-induced molecular motion in a liquid crystal polymer film including azobenzene was studied by the heterodyne transient grating method. The film was confined in a liquid crystal cell, where it is a photomobile film under free-standing conditions. By observation of the refractive index change induced by a laser pulse, contraction of the film was observed on the order of several hundreds of nanoseconds, and the subsequent reorientation and molecular rotation dynamics were observed from a few microseconds to a hundred milliseconds. Finally, the cis isomer of azobenzene was thermally returned back to the trans isomer in about ten seconds because the film could not be bent in the liquid crystal cell. Since the contraction, reorientation and molecular rotation took place before the cis to trans back-transformation, these processes correspond to the preliminary molecular motion preceding the macroscopic bending of the film.

3.
Analyst ; 139(8): 1953-9, 2014 Apr 21.
Article in English | MEDLINE | ID: mdl-24579089

ABSTRACT

Two analytical methods for the evaluation of photocatalytic oxidation and reduction abilities were developed using a photocatalytic microreactor; one is product analysis and the other is reaction rate analysis. Two simple organic conversion reactions were selected for the oxidation and reduction. Since the reactions were one-to-one conversions from the reactant species to the product species, the product analysis was simply performed using gas chromatography, and the reactions were monitored in situ in the photocatalytic microreactor using the UV absorption spectra. The partial oxidation and reduction abilities for each functional group can be judged from the yield and selectivity, and the corresponding reaction rate, while the total oxidation ability can be judged from the conversion. We demonstrated the application of these methods for several kinds of visible light photocatalysts.

4.
Phys Chem Chem Phys ; 16(12): 5774-8, 2014 Mar 28.
Article in English | MEDLINE | ID: mdl-24535437

ABSTRACT

The charge dynamics in the double-layered quantum dot sensitized solar cell (QDSSC) was studied to clarify the reason why the cell performance was much improved by a double-layer coating, by using the heterodyne transient grating (HD-TG) and transient absorption methods, based on a previous study for a conventional QDSSC (N. Maeda et al., Phys. Chem. Chem. Phys., 2013, 15, 11006.) In the double-layered QDSSC, the layer order of CdS and CdSe affected the cell performance. When CdS is in between TiO2 and CdSe, the conversion efficiency was enhanced by 70%, while it was lowered by 50% in the opposite order. From the information on charge dynamics, it was found that electrons were efficiently injected to TiO2 by appropriate band alignment of CdS and CdSe, while only a part of the electrons were transferred to the TiO2 when the layer order was opposite. Furthermore, the reverse electron transfer does not matter for the conversion efficiency, because the process increased even for the appropriate layer order.

5.
Bone Marrow Transplant ; 44(2): 105-11, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19151794

ABSTRACT

Some studies have shown that intensive glucose control (IGC) improves outcome in the intensive care unit setting. However, it is the benefit of IGC in hematopoietic SCT (HSCT) that is not well defined. Between June 2006 and May 2007, IGC was maintained prospectively after allogeneic HSCT and clinical outcomes were compared with a cohort matched for conditioning regimen, source of stem cells, age and relation to donor. A stratified Cox regression model was used. There were no significant differences in baseline clinical characteristics. The median age was 43.5 years in both groups. The primary diagnosis was a hematologic malignancy. Patients in the IGC group had a lower glucose level (least-square mean, 116.4 vs 146.8 mg per 100 ml, P<0.001) compared to the standard glucose control group. The incidences of documented infections and bacteremia were significantly lower in the IGC group (14 vs 46%, P=0.004, 9 vs 39%, P=0.002, respectively). IGC tended to reduce the incidence of renal dysfunction (19 vs 37%, P=0.36) and the elevation of C-reactive protein (18 vs 38%, P=0.13). This study suggests that IGC has may have a beneficial effect after HSCT. IGC should be evaluated further in a large prospective, randomized study.


Subject(s)
Blood Glucose/analysis , Graft vs Host Disease/therapy , Hematopoietic Stem Cell Transplantation , Adolescent , Adult , Aged , Case-Control Studies , Cohort Studies , Female , Humans , Living Donors , Male , Middle Aged , Retrospective Studies , Transplantation, Homologous , Treatment Outcome
6.
Water Sci Technol ; 50(1): 19-25, 2004.
Article in English | MEDLINE | ID: mdl-15318481

ABSTRACT

Effective wastewater treatment is critical to public health and well-being. This is especially true in developing countries, where disinfection of wastewater is frequently inadequate. People who live in these areas may benefit from wastewater disinfection using ozone. This study evaluated the ability of a new electrochemical process of ozone generation, which produced ozone continuously at high pressure and concentration by the electrolysis of water, to disinfect tap water and secondarily treated wastewater. Inactivation of Klebsiella terrigena, Escherichia coli, MS2 bacteriophage and poliovirus 1 was evaluated first in reverse osmosis (RO) treated water. Inactivation of K. terrigena (6-log), E. coli (6-log), MS2 (6-log) and poliovirus 1 (>3-log) was observed after 1 min of ozonation in a 1 L batch reactor. Experiments were then performed to assess the microbiological impact of disinfection using ozone on secondarily treated municipal wastewater. The effect of ozonation on wastewater was determined for total and faecal coliforms, bacteriophages and heterotrophic plate count (HPC) bacteria. Electrochemical ozone generators provided an effective, rapid and low-cost method of wastewater disinfection. Based on the results of this research, electrochemically generated ozone would be well suited to remote, small-scale, disinfection operations and may provide a feasible means of wastewater disinfection in developing countries.


Subject(s)
Developing Countries , Disinfection/methods , Oxidants, Photochemical/chemistry , Ozone/chemistry , Waste Disposal, Fluid/methods , Water Purification/methods , Electrochemistry , Escherichia coli/pathogenicity , Klebsiella/pathogenicity , Levivirus/pathogenicity , Poliovirus/pathogenicity
7.
Int J Paediatr Dent ; 12(2): 101-8, 2002 Mar.
Article in English | MEDLINE | ID: mdl-11966888

ABSTRACT

OBJECTIVES: The aim of this study was to examine the simultaneous interrelationships between parents' oral health behaviour and the oral health status of their school children. SAMPLE AND METHODS: Subjects comprised 296 pairs of parents (mother or father) and their children at an elementary school in Hiroshima. The child's dental examination was performed using the World Health Organization (WHO) caries diagnostic criteria for decayed teeth (DT) and filled teeth (FT). The Oral Rating Index for Children (ORI-C) was used for the child's gingival health examination. Hiroshima University Dental Behavioural Inventory (HU-DBI) was used for the assessment of the parents' oral health behaviour. A parent-child behavioural model was tested by the linear structural relations (LISREL) programme. RESULTS: There was a significant correlation between DT and ORI-C (r = - 0.168; P < 0.01). Correlation was found between ORI-C and oral health behaviour in children (OHB-C) (r = 0.182; P < 0.01). OHB-C was significantly associated with the HU-DBI (r = 0.251; P < 0.001). The hypothesized model after some revisions was found to be consistent with the data (chi(2) = 1.3, d.f. = 6, P = 0.97; Goodness of Fit Index = 0.999). Parents' oral health behaviour affected their children's oral health behaviour (P < 0.001). Children's oral health behaviour affected their DT through its effect on gingival health level. Parents' oral health behaviour also had a significant direct effect on their children's DT (P < 0.05). Children's grade affected both DT and their oral health behaviour. CONCLUSIONS: Parents' oral health behaviour could influence their children's gingival health and dental caries directly and/or indirectly through its effect on children's oral health behaviour.


Subject(s)
Dental Caries/psychology , Gingivitis/psychology , Health Behavior , Parent-Child Relations , Adult , Analysis of Variance , Chi-Square Distribution , Child , DMF Index , Female , Humans , Male , Models, Psychological , Oral Hygiene/psychology , Oral Hygiene/statistics & numerical data
8.
No To Shinkei ; 53(8): 763-8, 2001 Aug.
Article in Japanese | MEDLINE | ID: mdl-11577420

ABSTRACT

An 80-year-old male without abnormal past medical history presented with coma, general seizures, and fever subsequent to abnormal behavior. The pressure of the cerebrospinal fluid(CSF) elevated(13.5-20.5 cm H2O), and CSF examination revealed pleocytosis with predominant mononuclear cells(80-879/mm3) and elevated protein level(32-130 mg/dl). DNAs of herpes simplex virus(HSV) type 1 and 2 in CSF were not confirmed by polymerase chain reaction method in the acute phase. The HSV(type 1) antibody(HSV-1 Ab) ratio of serum to CSF(= [serum HSV-1 Ab]/[CSF HSV-1 Ab]) was 0.98 and HSV-1 Ab index(= [CSF HSV-1 Ab]/[serum HSV-1 Ab] divided by [CSF albumin]/[serum albumin]) was 62.4. Initial fluid attenuated inversion recovery(FLAIR) (TR/TE/TI = 6,882/110/1,700 msec) axial magnetic resonance(MR) imaging showed hyperintensity in the subfrontal area, inferomedial portions of the temporal lobes, cingulate gyri, and insular cortices bilaterally. Meningoencephalitis caused by HSV-1 was diagnosed based on the values of HSV-1 Ab ratio of serum to CSF(less than 20), of HSV-1 Ab index(larger than 1.91), and the findings of MR imaging. Diffuse white matter lesions manifesting hyperintensity on FLAIR imaging in the bilateral frontal and temporal lobes close to the affected cortices developed approximately six weeks after the onset despite administration of antiviral agent and steroid. The lesion extensively involved the white matter of the bilateral frontal and temporal lobes finally. The initial value of myelin basic protein(MBP) in CSF was 0.9 ng/ml (normal value: less than 4 ng/ml). Subsequent measurement of MBP in CSF about two, six weeks, two, three, and six months after the onset showed a marked increase of 233.9 ng/ml followed by a gradual decrease of 25.4 ng/ml, 18.4 ng/ml, 7.4 ng/ml and 4.3 ng/ml, respectively. Therefore, demyelination of the lesion in the cerebral white matter was suggested by the chronological change in FLAIR imaging and MBP in CSF.


Subject(s)
Cerebral Cortex/pathology , Encephalitis, Herpes Simplex/pathology , Aged , Aged, 80 and over , Demyelinating Diseases/etiology , Demyelinating Diseases/pathology , Humans , Male , Myelin Basic Protein/cerebrospinal fluid , Simplexvirus
9.
Am J Ophthalmol ; 132(4): 572-5, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11589884

ABSTRACT

PURPOSE: To report the ocular and genetic findings of a Japanese family with Axenfeld-Rieger syndrome associated with a novel Pro79Thr mutation in the FKHL7 gene. METHODS: Observational case series. Genomic DNA of patients from a family with Axenfeld-Rieger syndrome was extracted from leukocytes, and exons of the FKHL7 gene were amplified by polymerase chain reaction for direct sequencing. RESULTS: Molecular genetic analysis disclosed that one Japanese family with Axenfeld-Rieger syndrome had a heterozygous C to A transversion in the first nucleotide at codon 79, designated Pro79Thr mutation in the FKHL7 gene. CONCLUSION: Considering this novel Pro79Thr mutation together with previously reported findings, it is indicated that the clinical features of Axenfeld-Rieger syndrome may depend on the portion of the FKHL7 gene affected by the mutation, although more case reports are needed to clarify genotype-phenotype correlations of the FKHL7 gene.


Subject(s)
Anterior Eye Segment/abnormalities , DNA-Binding Proteins/genetics , Eye Abnormalities/genetics , Glaucoma/genetics , Mutation , Transcription Factors/genetics , Adult , Alleles , Child, Preschool , DNA Mutational Analysis , Eye Abnormalities/ethnology , Female , Forkhead Transcription Factors , Glaucoma/congenital , Glaucoma/ethnology , Humans , Infant , Japan , Male , Pedigree , Polymerase Chain Reaction , Sequence Analysis, DNA , Syndrome
10.
Neurol Med Chir (Tokyo) ; 41(4): 196-200, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11381678

ABSTRACT

An 80-year-old male with a history of hypertension presented with chronic subdural hematoma manifesting as progressive consciousness disturbance and left hemiparesis. T1-weighted and fluid attenuation inversion recovery (FLAIR) magnetic resonance imaging showed a fresh hematoma in the right subdural space with a midline shift of 15 mm. FLAIR and diffusion-weighted imaging showed a hyperintense area in the right paraventricular white matter compressed by the hematoma. Apparent diffusion coefficients (ADCs) corresponding to the hyperintense area in the central area of the affected cerebral hemisphere on FLAIR images were measured before and one month after the operation. The motion probing gradient was applied in the right-left direction to the body axis. Since the central area in the cerebrum includes nerve fibers perpendicular to the direction of the gradient, the measured ADC appeared to be anisotropic. Preoperative ADC in the right paraventricular white matter was anisotropic and greater than in age-matched normal subjects, so the edema was identified as the vasogenic type. The edema in the right paraventricular white matter resolved promptly with improvement of the midline shift and normalization of the ADC.


Subject(s)
Brain Edema/etiology , Brain/pathology , Hematoma, Subdural, Chronic/diagnosis , Aged , Aged, 80 and over , Brain/surgery , Brain Edema/pathology , Brain Injuries/surgery , Confusion/etiology , Diagnosis, Differential , Hematoma, Subdural, Chronic/complications , Hematoma, Subdural, Chronic/pathology , Hematoma, Subdural, Chronic/surgery , Humans , Magnetic Resonance Imaging/methods , Male , Paresis/etiology , Treatment Outcome
11.
J Med Chem ; 44(8): 1297-304, 2001 Apr 12.
Article in English | MEDLINE | ID: mdl-11312928

ABSTRACT

Potent human chymase inhibitors with high enzymatic selectivity and satisfactory metabolic stability were obtained by replacing the Val-Pro (P3-P2) dipeptide portion of the previously described inhibitor 1 with a nonpeptidic pyrimidinone skeleton. The potency of the novel compounds was further enhanced by the introduction of carbamoyl-substituted difluoromethylene ketone moieties. The most potent chymase inhibitor of the newly created series was 2u (Y-40018), which had a K(i) of 2.62 nM. Compound 2u possessed high selectivity for human chymase since it lacked significant activity toward other representative human proteolytic enzymes. Moreover its strict specificity for human chymase suggested that 2u strongly inhibited human and canine chymases but not rat and mouse ones. Pharmacokinetic studies in rats and dogs indicated that 2u was absorbed rapidly after oral administration and had satisfactory bioavailability in these experimental animal species (rat, 17%; dog, 32%). In conclusion, 2u is a novel, potent, and orally active chymase inhibitor which would prove very useful in revealing the precise roles of the latter in various pathophysiological processes.


Subject(s)
Ketones/chemical synthesis , Protease Inhibitors/chemical synthesis , Pyrimidinones/chemical synthesis , Serine Endopeptidases/metabolism , Animals , Biological Availability , Chymases , Dogs , Humans , Hydrolysis , Ketones/chemistry , Ketones/pharmacokinetics , Male , Protease Inhibitors/chemistry , Protease Inhibitors/pharmacokinetics , Pyrimidinones/chemistry , Pyrimidinones/pharmacokinetics , Rats , Rats, Sprague-Dawley , Serine Endopeptidases/chemistry , Structure-Activity Relationship
12.
J Med Chem ; 44(8): 1286-96, 2001 Apr 12.
Article in English | MEDLINE | ID: mdl-11312927

ABSTRACT

We designed nonpeptidic chymase inhibitors based on the structure of a peptidic compound (1) and demonstrated that the combination of a pyrimidinone skeleton as a P3-P2 scaffold and heterocycles as P1 carbonyl-activating groups can function as a nonpeptidic chymase inhibitor. In particular, introduction of heterobicycles such as benzoxazole resulted in more potent chymase-inhibitory activity. Detailed structure-activity relationship studies on the benzoxazole moiety and substituents at the 2-position of the pyrimidinone ring revealed that 2r (Y-40079) had the most potent chymase-inhibitory activity (K(i) = 4.85 nM). This compound was also effective toward chymases of nonhuman origin and showed good selectivity for chymases over other proteases. Pharmacokinetic studies in rats indicated that 2r was absorbed slowly after oral administration and showed satisfactory bioavailability (BA) (T(max) = 6.0 +/- 2.3 h, BA = 19.3 +/- 6.6%, t(1/2) = 35.7 +/- 13.3 h). In conclusion, 2r is a novel, potent, and orally active chymase inhibitor which would be a useful tool in elucidating the pathophysiological roles of chymase.


Subject(s)
Benzoxazoles/chemical synthesis , Protease Inhibitors/chemical synthesis , Pyrimidinones/chemical synthesis , Serine Endopeptidases/metabolism , Animals , Benzoxazoles/chemistry , Benzoxazoles/pharmacokinetics , Biological Availability , Chymases , Humans , Hydrolysis , In Vitro Techniques , Liver/metabolism , Male , Protease Inhibitors/chemistry , Protease Inhibitors/pharmacokinetics , Pyrimidinones/chemistry , Pyrimidinones/pharmacokinetics , Rats , Rats, Sprague-Dawley , Serine Endopeptidases/chemistry , Structure-Activity Relationship
13.
Bioorg Med Chem ; 9(2): 301-15, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11249123

ABSTRACT

Chymase possesses a wide variety of actions, including promotion of angiotensin II production and histamine release from mast cells. However, due to a lack of effective inhibitors featuring both high inhibitory activity and high metabolic stability, the pathophysiological role of chymase has not been fully elucidated. We designed non-peptidic inhibitors based on the predicted binding mode of the peptidic chymase inhibitor Val-Pro-Phe-CF3 and demonstrated that the Val-Pro unit is replaceable with a (5-amino-6-oxo-2-phenyl-1,6-dihydro-1-pyrimidinyl)acetyl moiety. Structure-activity relationship studies revealed that phenyl substitution at the 2-position of the pyrimidinone ring is indispensable for high activity. The most potent compound 1h (Ki = 0.0506 microM) is superior in potency to the parent peptidic inhibitor Val-Pro-Phe-CF3 and has good selectivity for chymase over other proteases. The related analogue 1e was orally absorbed and maintained high plasma levels for at least 2h. These results suggest that the derivatives reported here could be developed as agents for treatment of chymase-induced disease.


Subject(s)
Serine Endopeptidases/metabolism , Serine Proteinase Inhibitors/chemical synthesis , Animals , Biological Availability , Cattle , Chymases , Combinatorial Chemistry Techniques , Humans , Ketones/chemical synthesis , Ketones/chemistry , Ketones/pharmacokinetics , Kinetics , Pyrimidines/chemical synthesis , Pyrimidines/chemistry , Pyrimidines/pharmacokinetics , Rats , Serine Proteinase Inhibitors/chemistry , Serine Proteinase Inhibitors/pharmacokinetics , Structure-Activity Relationship
14.
Biosci Biotechnol Biochem ; 65(1): 194-7, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11272829

ABSTRACT

The polymethoxyflavonoid (PMF), nobiletin (NOB), specifically occurs in citrus fruits, and is currently believed to be a promising anti-inflammatory and antitumor promoting agent. In the present study, we investigated the in vitro absorption and metabolism of NOB and compared them with those of the polyhydroxyflavonoid (PHF), luteolin (LT). NOB preferentially accumulated in a differentiated Caco-2 cell monolayer, which is a model for small intestinal epithelial cells, while LT did not. Treatment of NOB with a rat liver S-9 mixture led to the formation of 3'-demethyl-NOB, while that of LT did not. We thus suggest that PMFs including NOB have properties distinct from those of general flavonoids for absorption and metabolism in vitro.


Subject(s)
Anticarcinogenic Agents/metabolism , Citrus/chemistry , Flavones , Flavonoids/metabolism , Animals , Caco-2 Cells , Flavonoids/chemistry , Flavonoids/pharmacokinetics , Humans , Intestinal Absorption , Intestinal Mucosa/metabolism , Liver/metabolism , Luteolin , Molecular Structure , Rats
15.
No To Shinkei ; 53(1): 79-83, 2001 Jan.
Article in Japanese | MEDLINE | ID: mdl-11211737

ABSTRACT

A 47-year-old man with a history of thrombophlebitis of his left leg for several years presented with a mild left hemiparesis and ipsilateral hypesthesia. Magnetic resonance imaging showed subacute thrombosis of the superior sagittal sinus and a cortical vein of the right cerebral hemisphere. A linear hyperintense area was found in the white matter of the right postcentral gyrus on T 2- and diffusion weighted axial imagings on the 7 days after the onset. The patient was treated conservatively, and his clinical course was uneventful. His neurological dysfunctions recovered within approximately three weeks after the onset. The white matter lesion in the right postcentral gyrus also disappeared one month later. The apparent diffusion coefficients (ADCs) in the white matter of the pre- and postcentral gyrus were measured bilaterally on the ADC mapping imaging. In the subacute stage, the ADC values in the white matter of the right pre- and postcentral gyrus were 0.50 x 10(-3) mm2/sec and 0.91 x 10(-3) mm2/sec, respectively. The %ADC indicating the ratio of ADC value of the lesion to that of the contralateral brain tissue was calculated. The %ADCs in the white matter of the pre- and postcentral gyrus were 64.9% and 124.5% respectively. In the chronic stage, the ADC values in the white matter of the right pre- and postcentral gyrus were 0.96 x 10(-3) mm2/sec and 0.99 x 10(-3) mm2/sec, and the %ADCs improved to 106.7% and 106.5% respectively. The lesions in the white matter of the right pre- and postcentral gyrus were reversible. The former was thought to be mainly ascribed to cellular edema and the latter was vasogenic edema. The present case showed when %ADC of the ischemic lesion in cerebral venous thrombosis was higher than 60%-70%, conservative therapy alone is sufficient effective for the improvement of neurological deficits.


Subject(s)
Cerebral Veins/pathology , Intracranial Thrombosis/diagnosis , Diffusion , Echo-Planar Imaging , Humans , Magnetic Resonance Imaging , Male , Middle Aged
16.
J Vet Med Sci ; 63(1): 31-5, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11217059

ABSTRACT

Spermatogenesis and acrosomal formation in the greater Japanese shrew mole, Urotrichus talpoides, were studied by light microscopy. On the basis of acrosomal changes, morphology of spermatid head, nuclear shape, appearance of meiotic figures, location of spermatid and period of spermiation, the cycle of the seminiferous epithelium was classified into 12 stages, and developing spermatids could be divided into 15 steps. The mean relative frequencies of stages from I to XII were 10.9, 8.7, 9.8, 7.3, 8.5, 10.3, 12.5, 8.7, 5.8, 5.4, 5.1 and 7.1%, respectively. Similar to the case in the musk shrew, the spermatid nucleus of the greater Japanese shrew mole remained in the middle region of the seminiferous epithelium and only the acrosome extended towards the basement membrane. The elongation of the acrosome, however, was not prominent. The proacrosomal vesicle first appeared in stage II and then one large and round granule was seen in stage III. The acrosomal vesicle became flattened on the surface of the nucleus in stage IV. Spreading of the acrosomic system has been recognized from stage VII. In stage VII, spermiation occurred. In stage IX, the spermatid nucleus began to elongate. Elongation and condensation of the nucleus were clearly observed in stage X. In stage XII, pachytene spermatocytes divided into diplotene spermatocytes. In stage XII, meiotic figures and secondary spermatocytes were observed.


Subject(s)
Moles/physiology , Seminiferous Tubules/cytology , Seminiferous Tubules/physiology , Spermatogenesis , Spermatozoa/physiology , Acrosome/ultrastructure , Animals , Cell Nucleus/ultrastructure , Epithelial Cells/cytology , Epithelial Cells/physiology , Male , Species Specificity , Spermatids/cytology , Spermatids/physiology , Spermatozoa/cytology
17.
Neurol Med Chir (Tokyo) ; 41(1): 25-8, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11218636

ABSTRACT

A 67-year-old female with a history of hypertension and cerebral infarction presented with subarachnoid hemorrhage (SAH) (Hunt and Kosnik grade 4). Brain computed tomography (CT) revealed a clot dominantly on the right (Fisher's classification Group 4). Cerebral angiography showed funnel-shaped widenings at the origins of the bilateral posterior communicating arteries. The maximum diameter of the widening was greater than 3 mm, so this widening was called an enlarged infundibular widening. Angiography showed a small bulge protruding posterolaterally from the wall of the right enlarged infundibular widening, and the right posterior communicating artery arose from the apex of the enlarged infundibular widening. Based on the findings of the brain CT and cerebral angiography, the diagnosis was SAH due to rupture of the right enlarged infundibular widening. Approximately 12 hours after the onset, the clot was evacuated through the right pterional approach. Bleeding from the small bulge of the right enlarged infundibular widening occurred intraoperatively, so a right-angled ring clip was applied parallel to the right internal carotid artery to obliterate the rupture point. Postoperatively, she was discharged without neurological deficit, and follow-up CT showed no other new infarction. We recommend clipping rather than wrapping or coating for similar cases of ruptured enlarged infundibular widening.


Subject(s)
Aneurysm, Ruptured/surgery , Intracranial Aneurysm/surgery , Posterior Cerebral Artery/surgery , Aged , Aneurysm, Ruptured/diagnostic imaging , Carotid Artery, Internal/diagnostic imaging , Cerebral Angiography , Female , Humans , Intracranial Aneurysm/diagnostic imaging , Posterior Cerebral Artery/diagnostic imaging , Subarachnoid Hemorrhage/diagnostic imaging , Subarachnoid Hemorrhage/surgery , Tomography, X-Ray Computed
18.
Biosci Biotechnol Biochem ; 65(12): 2630-7, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11826957

ABSTRACT

Synthesis of the southern C1'-C11' and eastern C8-C18 fragments of pamamycin-607, an aerial mycelium-inducing substance of Streptomyces alboniger, was achieved. The southern fragment was synthesized by using the Evans aldol reaction and cis-selective iodoetherification as the key steps in a 9.6% overall yield (7 steps). The eastern fragment was constructed via the Julia coupling reaction and cis-selective iodoetherification in a 3.0% overall yield (8 steps from the known epoxide).


Subject(s)
Furans/chemistry , Mycelium/drug effects , Streptomyces/chemistry , Magnetic Resonance Spectroscopy , Molecular Structure , Spectrometry, Mass, Fast Atom Bombardment
19.
Neurol Med Chir (Tokyo) ; 41(10): 517-21, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11760390

ABSTRACT

A 61-year-old female with a past history of gastric cancer presented with altered mental status, a few seizures, and low-grade fever. Lumbar puncture revealed elevated cerebrospinal fluid (CSF) pressure, lymphocytic pleocytosis, elevated protein level, remarkably decreased glucose level, and presence of cryptococcal antigen. Cryptococcus neoformans was identified by India ink staining and culture of CSF. The patient was given antifungal agents intravenously and intrathecally. CSF findings improved and C. neoformans could not be detected in CSF one month after the onset. Cerebral sulcal hyperintensity was identified in the bilateral frontal and parietal lobes on fluid-attenuated inversion recovery (FLAIR) magnetic resonance (MR) imaging one month after the onset, but no leptomeningeal enhancement was detected in the affected sulci on T1-weighted MR imaging. The sulcal hyperintensity on FLAIR imaging developed in the bilateral temporal and occipital lobes 2 months after the onset. CSF findings obtained by lumbar puncture were within the normal range except for pressure. However, neurological deterioration and reconfirmation of C. neoformans in CSF indicated recurrent cryptococcal inflammation. The sulcal hyperintensity on FLAIR imaging may indicate a high CSF protein concentration in the subarachnoid space. Such cerebral sulcal hyperintensity is an unusual MR imaging finding of cryptococcal meningoencephalitis, and may be an early sign of procrastinating process or recurrent inflammation even if the findings of CSF obtained by lumbar puncture are normal.


Subject(s)
Meningitis, Cryptococcal/pathology , Diagnosis, Differential , Fatal Outcome , Female , Humans , Magnetic Resonance Imaging , Middle Aged
20.
J Oral Sci ; 42(3): 151-5, 2000 Sep.
Article in English | MEDLINE | ID: mdl-11111326

ABSTRACT

The purpose of this study was to investigate the relationship between gingival health and dental caries in elementary school children in Japan. The subjects were 474 children aged 7 to 12 years who attended dental check-ups at an elementary school. The Oral Rating Index for Children, which consists of five categories (+2, +1, 0, -1, -2), was used to rate the findings of the gingival health examination. The dental examination was performed using the WHO caries diagnostic criteria for DMFT. Children were divided into three groups: a healthier group (H-group) made up of those scoring +2 (excellent) or +1 (good), an equivocal group (E-group) made up of those scoring 0, and a gingival less-healthy group (L-group) made up of those scoring -2 (very poor) or -1 (poor). Overall percentages for the H-group, E-group and L-group were 48.3%, 21.5% and 30.2%, respectively. The number in the L-group increased with increasing age. The mean scores of the DT and DMFT in the H-group were significantly lower than those in the L-group (p < 0.01 and p < 0.05, respectively). The results suggest that oral hygiene instruction should be given to children in order to motivate self-care, not only to avoid dental caries but also to prevent gingivitis.


Subject(s)
Dental Caries/classification , Gingival Diseases/classification , Age Factors , Child , DMF Index , Dental Caries/prevention & control , Dental Restoration, Permanent , Female , Gingival Diseases/prevention & control , Gingivitis/classification , Gingivitis/prevention & control , Health Education, Dental , Humans , Male , Motivation , Observer Variation , Oral Health , Oral Hygiene , Patient Education as Topic , Periodontal Index , Self Care , Statistics, Nonparametric
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