start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=719 end-page=726 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Removal of immunosuppressive substances from cancer patient serum U. Removal of immunosuppressive substances from cancer patient serum by microporous glass bead adsorbent kn-title=癌患者血清中の免疫抑制物質の除去に関する研究 第2編 多孔性ガラスビーズ吸着体血漿灌流による免疫抑制物質の除去についての実験的検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Immunosuppressive substances with molecular weights higher than globulin can be effectively removed by means of double filtration plasmapheresis (DFPP). This paper describes the result of an experiment on the ability of microporous glass bead adsorbent (GBA) to remove immunosuppressive substances with molecular weights lower than albumin, which cannot be removed by DFPP. Sixteen kinds of GBA were tested, each having a different surface charge and pore size. The immunosuppressive activity of serum was measured by means of lymphocyte blastogenesis to phytohemagglutinin. The serum treated with GBA of 100 A in pore size and having a surface coated with-NH(2) showed the highest reduction of the immunosuppressive effect. The decrease in the immunosuppressive effect was observed after an incubation time of as little as 5 minutes and at a serum-absorbent ratio of 20. Regarding the adsorption of immunosuppressive acidic protein, a 43% decrease in the concentration was seen from the initial level of 931ng/ml after incubation in vitro. This adsorbability of the GBA was also observed in an extracorporeal perfusion test. It was revealed that removal of immunosuppressive substances in the low molecular weight fraction is feasible by the use of the GBA. It is supposed that removal of immunosuppressive substances would be more effectively performed by simultaneous use of GBA and DFPP. en-copyright= kn-copyright= en-aut-name=MiyazakiMasashi en-aut-sei=Miyazaki en-aut-mei=Masashi kn-aut-name=宮崎雅史 kn-aut-sei=宮崎 kn-aut-mei=雅史 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一外科学教室 en-keyword=癌免疫療法 kn-keyword=癌免疫療法 en-keyword=免疫抑制物質 kn-keyword=免疫抑制物質 en-keyword=多孔性ガラスビーズ吸着体 kn-keyword=多孔性ガラスビーズ吸着体 en-keyword=血漿灌流 kn-keyword=血漿灌流 en-keyword=二重濾過血漿分離交換法 kn-keyword=二重濾過血漿分離交換法 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=709 end-page=718 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Removal of immunosuppressive substances from cancer patient serum I. Selective removal of immunosuppressive substances from cancer patient serum by double filtration plasmapheresis kn-title=癌患者血清中の免疫抑制物質の除去に関する研究 第1編 二重濾過血漿分離交換法による免疫抑制物質の除去についての実験的臨床的検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The effect of double filtration plasmapheresis (DFPP) on the removal of immunosuppressive substances present in the sera of patients with advanced cancers was examined. The inhibition assay of normal lymphocyte blastogenesis to phytohemagglutinin (PHA) revealed that the serum containing immunosuppressive substances could be separated from patient blood by the first filter and the substances could be concentrated in the residual fluid by the second filter in DFPP. To selectively remove the substances and to elevate the recovery of protein, a 3A-10 second filter was selected according to the elimination index. DFPP using 3A-10 was performed in 22 patients with advanced cancers. The suppressive effects of patient sera on PHA blastogenesis and on a mixed lymphocyte reaction between normal and patient lymphocytes were remarkably reduced after DFPP. Immunosuppressive substances with larger molecular weights than globulin were effectively removed by DFPP. The PPD skin-test as an index of cellular immunity in vivo improved in 62% (8/13), and performance states according to the Karnofsky's classification showed improvement in 50% (11/22) of the patients. These results suggest that the immune activity of cancer patients can recover after removal of immunosuppressive substances by means of DFPP without using a large amount of substitutional fluid. en-copyright= kn-copyright= en-aut-name=MiyazakiMasashi en-aut-sei=Miyazaki en-aut-mei=Masashi kn-aut-name=宮崎雅史 kn-aut-sei=宮崎 kn-aut-mei=雅史 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一外科学教室 en-keyword=癌免疫療法 kn-keyword=癌免疫療法 en-keyword=膜型血漿分離器 kn-keyword=膜型血漿分離器 en-keyword=二重濾過血漿分離交換法 kn-keyword=二重濾過血漿分離交換法 en-keyword=免疫抑制物質 kn-keyword=免疫抑制物質 en-keyword=リンパ球幼若化反応 kn-keyword=リンパ球幼若化反応 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=697 end-page=708 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Immunocytochemical detection and characterization of surface T-antigen on SV 40-transformed human cells kn-title=SV40変換ヒト細胞表面T抗原の光顕および電顕酵素抗体法による検出とその存在様式 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Surface T-antigen of simian virus 40-transformed human fetal brain (SV 40-HFB) cells was analysed by the indirect peroxidase-labeled antibody method at light and electron microscopic levels. SV 40-tumor-bearing hamster serum was used as anti-T serum. The specificity of the antiserum against T-antigen was confirmed by Western-blot analysis in SV 40-HFB whole cell extract. Under the light microscope, T-antigen was observed in the nuclei, except for the nucleoli, of acetone-fixed monolayer cells, but not on the cell surface. Unfixed monolayer and suspension cells did not give staining on the cell surface. When these cells were fixed with 4% paraformaldehyde (PFA) and the reaction was performed in cell suspension or monolayer, positive staining was observed on the cell surface, but not in the nuclei. Under the electron microscope, nuclear T-antigen was distributed in the nucleoplasm, especially in the area of euchromatin, on frozen-sections of PFA-fixed cells. The PFA-fixed supension cells gave specific immunoreactive products on the entire plasma membrane. These results indicate that surface T-antigen of SV 40-transformed cells may exist on the entire plasma membane as a cryptic form, suggesting a mechanism of escape from the immune response by the SV 40-tumor-bearing host. en-copyright= kn-copyright= en-aut-name=ArakakiYusei en-aut-sei=Arakaki en-aut-mei=Yusei kn-aut-name=新垣有正 kn-aut-sei=新垣 kn-aut-mei=有正 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部癌源研究施設生化学部門 en-keyword=SV40変換細胞 kn-keyword=SV40変換細胞 en-keyword=表面T抗原 kn-keyword=表面T抗原 en-keyword=光顕酵素抗体法 kn-keyword=光顕酵素抗体法 en-keyword=電顕酵素抗体法 kn-keyword=電顕酵素抗体法 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=687 end-page=695 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Radiation Therapy of Angioblastoma (Nakagawa) of the Skin kn-title=血管芽細胞腫(中川)の放射線治療 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Percent depth dose curves of Lineac electron beam and Dermopan soft X-ray, which are used for radiation therapy of surface tumors, were studied in 2 patients with angioblastoma (Nakagawa) who had been followed up for a long time after radiation therapy. The results are discussed with a review of the literature. Lineac electron beam therapy at low doses that do not cause remote complications appeared to be useful in the treatment of surface tumors selected after careful consideration of the indications. en-copyright= kn-copyright= en-aut-name=HirakiYoshio en-aut-sei=Hiraki en-aut-mei=Yoshio kn-aut-name=平木祥夫 kn-aut-sei=平木 kn-aut-mei=祥夫 aut-affil-num=1 ORCID= en-aut-name=MorimotoSetsuo en-aut-sei=Morimoto en-aut-mei=Setsuo kn-aut-name=森本節夫 kn-aut-sei=森本 kn-aut-mei=節夫 aut-affil-num=2 ORCID= en-aut-name=SatohNobuo en-aut-sei=Satoh en-aut-mei=Nobuo kn-aut-name=佐藤伸夫 kn-aut-sei=佐藤 kn-aut-mei=伸夫 aut-affil-num=3 ORCID= en-aut-name=YamamotoYoshio en-aut-sei=Yamamoto en-aut-mei=Yoshio kn-aut-name=山本淑雄 kn-aut-sei=山本 kn-aut-mei=淑雄 aut-affil-num=4 ORCID= en-aut-name=ShirakamiToshiaki en-aut-sei=Shirakami en-aut-mei=Toshiaki kn-aut-name=白神敏明 kn-aut-sei=白神 kn-aut-mei=敏明 aut-affil-num=5 ORCID= en-aut-name=JojaIkuo en-aut-sei=Joja en-aut-mei=Ikuo kn-aut-name=上者郁夫 kn-aut-sei=上者 kn-aut-mei=郁夫 aut-affil-num=6 ORCID= en-aut-name=KimotoShin en-aut-sei=Kimoto en-aut-mei=Shin kn-aut-name=木本真 kn-aut-sei=木本 kn-aut-mei=真 aut-affil-num=7 ORCID= en-aut-name=HashimotoKeiji en-aut-sei=Hashimoto en-aut-mei=Keiji kn-aut-name=橋本啓二 kn-aut-sei=橋本 kn-aut-mei=啓二 aut-affil-num=8 ORCID= en-aut-name=AonoKaname en-aut-sei=Aono en-aut-mei=Kaname kn-aut-name=青野要 kn-aut-sei=青野 kn-aut-mei=要 aut-affil-num=9 ORCID= en-aut-name=NakagiriYoshitada en-aut-sei=Nakagiri en-aut-mei=Yoshitada kn-aut-name=中桐義忠 kn-aut-sei=中桐 kn-aut-mei=義忠 aut-affil-num=10 ORCID= en-aut-name=ArakawaKenzo en-aut-sei=Arakawa en-aut-mei=Kenzo kn-aut-name=荒川謙三 kn-aut-sei=荒川 kn-aut-mei=謙三 aut-affil-num=11 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=2 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=3 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=4 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=5 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=6 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=7 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=8 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=9 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=10 en-affil= kn-affil=岡山大学医学部附属病院中央放射線部 affil-num=11 en-affil= kn-affil=岡山大学医学部皮膚科学教室 en-keyword=血管芽細胞腫(中川) kn-keyword=血管芽細胞腫(中川) en-keyword=放射線治療 kn-keyword=放射線治療 en-keyword=電子線治療 kn-keyword=電子線治療 en-keyword=Dermopan 軟 X線治療 kn-keyword=Dermopan 軟 X線治療 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=669 end-page=685 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on ethanol formation and its mechanism in corpses and stored biological samples kn-title=死体および保存臓器におけるアルコール産生とその機序に関する研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The purpose of the present study was to investigate experimentally the formation of ethanol in corpses and stored biological samples important in medicolegal examination, and to study the mechanism of ethanol formation. In the tissues and bodily fluids of corpses, ethanol, n-propanol, iso-propanol, acetaldehyde, acetone and others may be formed to various degrees according to the postmortem conditions. The criteria of post-mortem ethanol formation are 20℃ and 24 hours of post-mortem time, and a significant amount of ethanol can be formed at higher temperatures and longer times. The presence of n-propanol in samples may be useful for ascertaining post-mortem ethanol formation. The amount of ethanol formed post-mortemly may be presumed to be under 20 times of the amount of n-propanol simultaneously detected. Post-mortem ethanol formation is not increased by ante-mortem ethanol intake. Ethanol may be produced in biological samples including cadaveric blood. Fresh aseptic blood is not conducive to ethanol formation within five days. The formation of n-propanol due to yeast in the stomach of corpses is lower than that due to bacteria in other organs and bodily fluids. The addition of antibiotics, which suppress the bacterial growth in the samples, and the addition of chemical inhibitors of ADH and ALDH contained in bacteria comletely blocked ethanol formation. It may be considered that ADH and ALDH in the bacteria in corpses produce ethanol from carbohydrates such as glucose and pyruvic acid through the reverse pathway of ethanol metabolism in living subjects. en-copyright= kn-copyright= en-aut-name=NagashimaHiroshi en-aut-sei=Nagashima en-aut-mei=Hiroshi kn-aut-name=長島洋 kn-aut-sei=長島 kn-aut-mei=洋 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部法医学教室 en-keyword=post-mortem ethanol kn-keyword=post-mortem ethanol en-keyword=mechanism of ethanol formation kn-keyword=mechanism of ethanol formation en-keyword=ethanol and organ storage kn-keyword=ethanol and organ storage en-keyword=死体アルコール kn-keyword=死体アルコール END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=657 end-page=667 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860630 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on treatment of malignant lymphoma Part 2. Importance of bone marrow biopsy in the treatment of malignant lymphoma kn-title=悪性リンパ腫の治療に関する研究 第2編 悪性リンパ腫治療における骨髄生検の意義 en-subtitle= kn-subtitle= en-abstract= kn-abstract=One hundred and thirty-one patients with malignant lymphoma, including 84 patients without prior therapy, underwent Jamshidi needle bone marrow biopsy and bone marrow aspiration simultaneously. At the time of diagnosis, 20 (28%) of 71 patients with non-Hodgkin's lymphoma had bone marrow involvement, and the incidence of bone marrow involvement was higher in the diffuse medium-sized cell subtype than in the diffuse large cell subtype (42% vs. 13%, p<0.05). Thirty-one patients with non-Hodgkin's lymphoma had stage W disease at the time of diagnosis. Among these, 20 (65%) had the disease in bone marrow which was the most frequent site of stage W disease. Furthermore, 1 (13%) of 8 patients with stage I, 3 (19%) of 16 patients with stage U and 5 (20%) of 25 patients with stage V had a change of stage as a result of positive bone marrow examination. Non-Hodgkin's lymphoma patients with bone marrow involvement poorly responded to chemotherapy and had short survival time as compared to those without bone marrow involvement. During the course of therapy, 23 patients were found to have bone marrow involvement, and in 2 of these patients, bone marrow involvement was the only evidence of the disease. Comparison of bone marrow biopsy and simultaneously performed bone marrow aspiration showed that the biopsy more often gave a positive result than did the aspiration (84% vs. 42%). These results indicate that Jamshidi needle bone marrow biopsy is useful for accurate staging, planning therapy and evaluation of prognosis at the time of diagnosis as well as detecting the extralymphatic spread or relapse after the course of therapy in patients with malignant lymphoma. en-copyright= kn-copyright= en-aut-name=HayashiKyoichi en-aut-sei=Hayashi en-aut-mei=Kyoichi kn-aut-name=林恭一 kn-aut-sei=林 kn-aut-mei=恭一 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学第2内科 en-keyword=悪性リンパ腫 kn-keyword=悪性リンパ腫 en-keyword=骨髄生検 kn-keyword=骨髄生検 en-keyword=病期診断 kn-keyword=病期診断 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=645 end-page=655 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on treatment of malignant lymphoma Part 1. Combination of adriamycin, vincristine, ifosfamide and prednisolone (AVIP) for malignant lymphomas refractory to conventional chemotherapy kn-title=悪性リンパ腫の治療に関する研究 第1編 化学療法不応例および再発例に対するadriamycin, vincristine, ifosfamideおよびprednisolone併用(AVIP)療法 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Fifty-seven patients with advanced malignant lymphoma, who had failed to achieve complete remission or relapsed after conventional combination chemotherapy, were treated with a combination of adriamycin, vincristine, ifosfamide and prednisolone (AVIP). Twenty-five patients were given relatively low doses of adriamycin (0.5mg/kg), vincristine (0.025mg/kg), and ifosfamide (25mg/kg) at 7-day intervals (Regimen I), and the remaining 32 patients were given relatively high doses of these drugs (1.2mg/kg of adriamycin, 50mg/kg of ifosfamide and 0.03mg/kg of vincristine) at 21-day intervals (Regimen U). Among 8 patients with Hodgkin's disease, 7 (88%) achieved objective remission including 4 (50%) complete remissions, and 3 complete respondors remain disease free in a follow-up from 44 months to 89 months. The overall median survival was more than 50 months, ranging from 12 months to more than 90 months. Among 49 patients with non-Hodgkin's lymphoma, 32 (65%) achieved objective remission including 15 (31%) complete remissions. The median duration of complete remission was 8 months, and 3 complete respondors remain disease free at 13, 36 and 90 months, respectively. The overall median survival was 8 months, ranging from 2 months to more than 91 months. The diffuse large cell type was the most frequent in non-Hodgkin's lymphoma. Among 27 patients with this histologic type, 17(63%) had objective remission including 7 (26%) complete remissions. The median duration of complete remission and the median survival were 11 months and 8 months, respectively. There were no significant differences in the therapeutic results of Regimen I and Regimen U, although the latter showed a slightly higher response rate and longer duration of complete remission in non-Hodgkin's lymphoma. Reversible bone marrow toxicity was the major toxic reaction, but both regimens were well tolerated. These results indicate that a combination of AVIP is useful for treatment of malignant lymphomas refractory to conventional chemotherapy. en-copyright= kn-copyright= en-aut-name=HayashiKyoichi en-aut-sei=Hayashi en-aut-mei=Kyoichi kn-aut-name=林恭一 kn-aut-sei=林 kn-aut-mei=恭一 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学第2内科 en-keyword=悪性リンパ腫 kn-keyword=悪性リンパ腫 en-keyword=多剤併用療法 kn-keyword=多剤併用療法 en-keyword=前治療不応例 kn-keyword=前治療不応例 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=635 end-page=644 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on galactosyl transferase activity of gastric mucosa in rats Part 2. Studies on the etiology of acute gastric mucosal lesions in the rat with brain injury kn-title=ラット胃粘膜ガラクトース転移酵素活性の研究 第2編 脳障害ラットにおける急性胃病変発生の成因について en-subtitle= kn-subtitle= en-abstract= kn-abstract=In order to clarify the etiology of acute gastric mucosal lesions, we studied gastric mucosal UDP-galactosyl transferase (UDP-Gal-T) activity as a marker of the biosynthesis of gastric mucous in rats with brain injury induced by injection of α-cyanoacrylate. Twenty-four hours after the injection, 82% of the rats showed gastric mucosal redness or erosion, and output of acid and pepsin of these rats was lower than in the control rats. Serial analysis of UDP-Gal-T activity revealed that the enzyme activity of the rats with brain injury became lower 24 hours after the injection than in the control rats. Simultaneous injection of atropine sulfate inhibited the decrease in UDP-Gal-T activity. However, the decrease in the enzyme activity was not induced by restraint and water immersion of rats which is also known to induce acute gastric mucosal lesions. These results suggest that in the rat with brain injury the reduction of gastric mucous production plays an important role in the pathogenesis of the acute gastric lesion. en-copyright= kn-copyright= en-aut-name=NagaharaAkimasa en-aut-sei=Nagahara en-aut-mei=Akimasa kn-aut-name=永原章正 kn-aut-sei=永原 kn-aut-mei=章正 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一内科教室 en-keyword=脳障害ラット kn-keyword=脳障害ラット en-keyword=水浸拘束ラット kn-keyword=水浸拘束ラット en-keyword=α-cyanoacrylate kn-keyword=α-cyanoacrylate en-keyword=UDP-galactosyl transferase kn-keyword=UDP-galactosyl transferase END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=627 end-page=633 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860630 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on galactosyl transferase activity of gastric mucous in rats Part 1 Studies on an assay method and changes in gastric mucosal UDP-galactosyl transferase activity during fasting kn-title=ラット胃粘膜ガラクトース転移酵素活性の研究 第1編 測定法と絶食負荷について en-subtitle= kn-subtitle= en-abstract= kn-abstract=A method to measure the activity of an enzyme catalyzing sugar chains which are abundant in O-glycosidic linkage was studied using UDP-galactosyl transferase (UDP-Gal-T) found in the gastric mucosa of rat and asialo-bovine-submaxillar-mucin (ASBSM) as a substrate. The optimum pH for the measurement was 7.5, Mn(++) was required, and about twice as much Triton X-100 was needed as when asialo-agalacto-fetuin (ASGF) was used as the substrate. The activity of UDP-Gal-T was measured simultaneously in a group of rats receiving food and a group fasted for 24 hours, using ASGF and ASBSM as substrates. With ASGF no significant difference was seen in either the glandular corpus or the pylorus, while with ASBSM, the activity decreased significantly (p<0.05) in the glandular corpus, though no significant difference was seen in the pylorus. en-copyright= kn-copyright= en-aut-name=NagaharaAkimasa en-aut-sei=Nagahara en-aut-mei=Akimasa kn-aut-name=永原章正 kn-aut-sei=永原 kn-aut-mei=章正 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一内科教室 en-keyword=UDP-galactosyl transferase kn-keyword=UDP-galactosyl transferase en-keyword=asialo-agalacto-fetuin kn-keyword=asialo-agalacto-fetuin en-keyword=asialo-bovine-submaxillar-mucin kn-keyword=asialo-bovine-submaxillar-mucin END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=613 end-page=625 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Relationship between Body Surface Isopotential Map of Myocardial Infarction and Coronary Arteriographic Findings kn-title=心筋梗塞の体表面心臓電位図に関する研究 ―QRS departure mapと左室,冠動脈造影所見との対比― en-subtitle= kn-subtitle= en-abstract= kn-abstract=Whether or not a significant interrelation exists between patterns of the body surface isopotential map and sites of coronary obstruction and left ventricular asynergy in old myocardial infarctions was investigated. The QRS departure map (Dmap) was defined as the area of which the potentials were lower than the mean-2 SD of normal controls. A Dmap developed on the upper area above the 5th intercostal space between the vertical lines of lead V 2 and lead V 3 in the anterior myocardial infarction, and on the lower parts of the right anterior chest and the left back in the inferior myocardial infarction. The asynergy of seg. 1 manifested by left ventriculograms corresponded to the Dmap of the upper points of the left anterior axillar line, and seg. 2 corresponded to the upper area above the 5th intercostal space between leads V 2 and V 3. The Dmaps were observed in the area of two intercostal spaces lower than usual V 2 and V 3 points between leads V 2 and V 3, and in the lower point of the left posterior axillar line corresponded to asynergy of seg. 3 and seg. 4, respectively. Asynergy of seg. 5 was represented in the leads of the lower part of the right anterior chest and the back. In patients with left anterior descending coronary artery (LAD) lesions which involved the 1 st diagonal branch, the Dmap shifted significantly to the left and upper area in comparison with the Dmap of patients with a LAD obstruction distal to the branch. Patients with a LAD lesion involving the 1 st diagonal branch showed a Dmap in the area at one costal space higher between the vertical lines of leads V 1 and V 2 than patients with an intact diagonal branch. The Dmap could separate the inferior infarction due to right coronary artery (RCA) obstructions from the infarction due to left circumflex coronary artery (LCX) lesions: a RCA lesion showed a Dmap on the lower part of the right anterior chest, and a LCX lesion showed a Dmap on the lower part of the left back. These data suggested that the Dmap is of use in locating myocardial and coronary artery lesions in old myocardial infarctions. en-copyright= kn-copyright= en-aut-name=NishiharaMasanobu en-aut-sei=Nishihara en-aut-mei=Masanobu kn-aut-name=西原正信 kn-aut-sei=西原 kn-aut-mei=正信 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一内科教室 en-keyword=体表面心臓電位図 kn-keyword=体表面心臓電位図 en-keyword=心筋梗塞 kn-keyword=心筋梗塞 en-keyword=Departure map kn-keyword=Departure map en-keyword=冠動脈造影 kn-keyword=冠動脈造影 en-keyword=左室造影 kn-keyword=左室造影 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=607 end-page=612 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Effect of pH changes on action of non-depolarizing muscle relaxants kn-title=非脱分極性筋弛緩薬の作用に及ぼす酸-塩基平衡の影響 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The effect of pH changes on neuromuscular (NM) transmission, both in the presence and in the absence of muscle relaxants (MR), was investigated using phrenic nervehemidiaphragm preparations of rats. The first finding of this study indicated that the primary site of action of pH changes in the absence of MR is muscle itself and not the NM junction. The second finding was that the effect of pH changes on the potency of d-Tc and vecuronium was very different from that of metocurine, pancuronium or alcuronium. The action of d-Tc and vecuronium was potentiated in acidosis and antagonized in alkalosis. In contrast, that of metocurine, pancuronium or alcuronium was antagonized in acidosis and potentiated in alkalosis. The above finding suggests that a difference exists between mono- and bisquaternary MR with regard to the response to pH changes. en-copyright= kn-copyright= en-aut-name=OnoKazumi en-aut-sei=Ono en-aut-mei=Kazumi kn-aut-name=小野和身 kn-aut-sei=小野 kn-aut-mei=和身 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部麻酔・蘇生学教室 en-keyword=非脱分極性筋弛緩薬 kn-keyword=非脱分極性筋弛緩薬 en-keyword=pH kn-keyword=pH en-keyword=筋弛緩作用 kn-keyword=筋弛緩作用 END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=595 end-page=605 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Experimental study of cervical tracheal reconstruction -Use of autologous trachea implanted in muscle- kn-title=頸部気管再建の実験的研究 ―筋肉内埋込み自家気管を用いて― en-subtitle= kn-subtitle= en-abstract= kn-abstract=In order to preserve the circulation of the transplanted trachea, the autologous trachea was implanted first into the sternomastoid muscle and then transplanted with the pedicle in a study using mongrel dogs. After implantation into the muscle for three weeks, the inner surface of the trachea was covered with ciliated epithelia, and regeneration of chondrocytes was observed. This proved that the circulation to the transplanted trachea was reestablished. At the time of implantation into the muscle, an appropriately sized EPTFE ringed graft was inserted into the trachea. This maneuver prevented deformation and stenosis of the trachea before and after the pedicle transplantation. After the pedicle transplantation, long-term survivors were obtained without seeing any stenosis, and the inner surface was covered with ciliated epithelia. Pedicle transplantation of the trachea, which was implanted into the cervical muscle, proved to be a good method to preserve the circulation to the transplanted trachea. en-copyright= kn-copyright= en-aut-name=YamamotoShinya en-aut-sei=Yamamoto en-aut-mei=Shinya kn-aut-name=山本眞也 kn-aut-sei=山本 kn-aut-mei=眞也 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第二外科学教室 en-keyword=気管再建 kn-keyword=気管再建 en-keyword=筋肉内埋込み自家気管 kn-keyword=筋肉内埋込み自家気管 en-keyword=有茎的移植 kn-keyword=有茎的移植 en-keyword=EPTFE ringed graft kn-keyword=EPTFE ringed graft END start-ver=1.4 cd-journal=joma no-vol=98 cd-vols= no-issue=7-8 article-no= start-page=587 end-page=597 dt-received= dt-revised= dt-accepted= dt-pub-year=1986 dt-pub=19860830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The effect of chlorinated monoaromatic hydrocarbons on biological membranes(Comparison of the effect of chlorobenzenes and chlorophenols on biomembranes) kn-title=塩化ベンゼンの生体膜に対する作用 第W報 分離正常ラット肝ミトコンドリアにおける塩化ベンゼン及び塩化フェノールの作用の比較 en-subtitle= kn-subtitle= en-abstract= kn-abstract=A comparative study on the effect of chlorobenzenes and chlorophenols on mitochondrial membranes was conducted. An increase in chlorine residue from both chlorobenzenes and chlorophenols caused a decrease in respiratory control index (RCI). Chlorophenols acted on biomembranes at a lower concentration than chlorobenzenes. The compounds decreased RCI by increasing state 4 respiration and decreasing state 3 respiration. As the number of chlorine atoms on chlorobenzenes increased, state 3 respiration decreased, causing a decrease in RCI. As the number of chlorine atoms on chlorophenols increased, state 4 respiration increased, causing a decreased in RCI. The amount of potassium released from mitochondrial membranes increased with time after addition of dichlorobenzene and dichlorophenol. A logarithmic increase in potassium release vs. time was observed with dichlorobenzene, and a liner increase in potassium release was observed with dichlorophenol. en-copyright= kn-copyright= en-aut-name=MoriTakaaki en-aut-sei=Mori en-aut-mei=Takaaki kn-aut-name=森孝昭 kn-aut-sei=森 kn-aut-mei=孝昭 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部公衆衛生 en-keyword=ミトコンドリア kn-keyword=ミトコンドリア en-keyword=酸化的リン酸化反応 kn-keyword=酸化的リン酸化反応 en-keyword=塩化ベンゼン類 kn-keyword=塩化ベンゼン類 en-keyword=塩化フェノール類 kn-keyword=塩化フェノール類 en-keyword=K(+)遊出作用 kn-keyword=K(+)遊出作用 END