検索結果 5751 件
JaLCDOI | 10.18926/15314 |
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タイトル(別表記) | 気管支肺胞洗浄液中に一過性の好中球増多をきたしたアトピー型喘息 |
フルテキストURL | 064_052_059.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 御船 尚志| 光延 文裕| 梶本 和宏| 杉本 啓介| 横田 聡| 平松 順一| 瓦屋 正志| 中桐 善康| 多田 慎也| 木村 郁郎| |
抄録 | Clinical course of one asthma patient (64 years old, female), who had an increased proportion of neutrophils in bronchoalveolar lavage (BAL) fluid, was observed in relation to the proportion of BAL cells and ventilatory function. The patient had large asthma attacks two times during her clinical course for 15 months observed. 1. An increased proportion of BAL neutrophils and suppression of ventilatory function were found after her first large asthma attacks. The increased proportion of BAL neutrophils continued for more than 5 months. A reduction in the proportion of BAL neutrophils was found 3 months after her second large asthma attack, accompanied by improvement of clinical symptoms and ventilatory function. The numbers of total cells and neutrophils in BAL fluid were also reduced. Transient increase in number of BAL lymphocytes was found 13 months after the first large attack when the number of BAL neutrophils was markedly decreased. The number of BAL eosinophils did not change during her clinical course. |
キーワード | Bronchial asthma (気管支喘息) transient BAL neutrophilia(一過性BAL液中好中球増多) ventilatory function (換気機能) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1993-06 |
巻 | 64巻 |
開始ページ | 52 |
終了ページ | 59 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307805 |
JaLCDOI | 10.18926/15312 |
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タイトル(別表記) | 老年者気管支喘息における気道炎症細胞.喘息重症度と関連した気道細胞反応の特徴 |
フルテキストURL | 064_083_088.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 御船 尚志| 光延 文裕| 梶本 和宏| 杉本 啓介| 横田 聡| 平松 順一| 中桐 善康| 原田 英雄| 木村 郁郎| |
抄録 | Cellular composition of bronchoalveolar lavage (BAL) fluid was examined in 11 elderly asthmatics over the age of 70, and the results were compared with those of 11 younger asthmatics under the age of 50. In the subjects with mild asthma, the proportion of BAL cells in the elderly subjects was 86.2% macrophages, 11.0% lymphocytes, 1.9% neutrophils, 0.9% eosinophils and 0.08% basophilic cells. The proportion of neutrophils and eosinophils in the BAL fluid was slightly higher in younger subjects with mild asthma compared with that in elderly subjects, although no significant difference was found between the two groups. In subjects with severe asthma, the proportions of lymphocytes, neutrophils, eosinophils and basophilic cells were more increased in both younger and older patients compared to those with mild asthma, and a significant increase in the number of BAL eosinophils was found in younger subjects with severe asthma compared to those with mild asthma (p < 0.05). However, no significant difference was present in the proportion of BAL cells between younger and older patients with severe asthma. The results reveal that BAL cells are more increased in subjects with suvere asthma than in those with mild asthma in both younger and older subjects, and show the possibility that this increase is more predominant in neutrophils in older subjects and in eosinophils in younger subjects. |
キーワード | Neutrophils (好中球) Eosinophils (好酸球) Bronchoalveolar lavage (気管支肺胞洗浄) asthma severity (喘息重症度) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1993-06 |
巻 | 64巻 |
開始ページ | 83 |
終了ページ | 88 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307736 |
JaLCDOI | 10.18926/15311 |
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タイトル(別表記) | 抗原および Ca ionophore A23187 刺激時におけるアトピー型気管支喘息末梢血好塩基球の運動能 |
フルテキストURL | 064_043_051.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 御船 尚志| 光延 文裕| 越智 浩二| 原田 英雄| 中川 二郎| 宗田 良| 高橋 清| 木村 郁郎| |
抄録 | We examined histamine release and morphological changes in basophilic granulocytes from atopic subjects, in response to stimulation with antigen and Ca ionophore A23187. 1. Histamine release and a reduction in the rumber of basophils were more rapid and greater in extent at an early stage of antigen stimulation compared with Ca ionophore A23187 stimulation. 2. Morphological changes in basophils, represented by increased motility, in terms of an increased ratio of short to long axis diameter (L/S ratio), as well as the increased frequency of basophils with localized granules and those with pseudopods, were more often observed antigen stimulation than with Ca ionophore A23187 stimulation. In contrast, morphogical changes in which basophils appeared swollen, showing an increased mean cell diameter and an increased frequency of cells with 5 vacuoles or more were more predominant with Ca ionophore A23187 than with antigen stimulation. The results obtained here show that bridging of IgE receptors is essential to activate basophils and induce increased motility in these cells. |
キーワード | histamine release (ヒスタミン遊離) increased basophil motility (好塩基球の運動能の亢進) bridging of IgE receptors (LgE 受容体) antigen (抗原) Ca ionophore A23187 |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1993-06 |
巻 | 64巻 |
開始ページ | 43 |
終了ページ | 51 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307677 |
JaLCDOI | 10.18926/15306 |
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タイトル(別表記) | 気管支喘息における気道内への好中球の出現とその意義 換気機能と関連して |
フルテキストURL | 063_025_029.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 岡崎 守宏| 御舩 尚志| 光延 文裕| 谷水 将邦| 本家 尚子| 草浦 康浩| 木村 郁郎| |
抄録 | Ventilatory function was compared between two age-matched asthma groups : group A (study group) consists of 8 patients with bronchial asthma with marked neutrophilia (20% or more) in the BAL fluid and group B (control group) of 8 patients with neutrophils (less than 5% of total BAL cells). The values of six ventilatory parameters were lower in group A than in group B, and a significant difference was found in FEV(1.0%), % MMF, % V(50) and % V(25) between groups A and B. Of these parameters, the value of % V(25) was markedly decreased in group A compared with group B. The results show that ventilatory dysfunction in airways, especially in small airways, is closely correlated to increased number of neutrophils in BAL fluid. |
キーワード | ventilatory function (換気機能) neutrophils in BAL fluid (好中球, BAL) small airways (細気管支) bronchial asthma (気管支喘息) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1992-06 |
巻 | 63巻 |
開始ページ | 25 |
終了ページ | 29 |
ISSN | 0913-3771 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307993 |
JaLCDOI | 10.18926/15305 |
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タイトル(別表記) | 気管支喘息における気道炎症反応の臨床的意義。慢性閉塞性細気管支炎との比較検討 |
フルテキストURL | 064_024_030.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 御船 尚志| 光延 文裕| 梶本 和宏| 杉本 啓介| 横田 聡| 平松 順一| 瓦屋 正志| 越智 浩二| 原田 英雄| 多田 慎也| 木村 郁郎| |
抄録 | Clinical significanoce of airway inflammation was assessed in 28 patients with bronchial asthma, and the results were compared with those in 9 patients with chronic obstructive bronchiolitis (COB). 1. Total cell number in bronchoalveolar lavage(BAL) fluid was markedly increased in patients with COB (51.0×10(6)), which was significantly greater than that in those with bronchial asthma (9.6×10(6) ). 2. The proportion of BAL macrophages was significantly higher in patients with bronchial asthma than in those with COB. However, the, absolute number of BAL macrophages was not significantly different between them. 3. The proportion of BAL lymphocytes was higher in patients with bronchial asthma than in those with COB, but this difference was not signifcant. In contrast, the absolute number of BAL lymphocytes was significantly greater in patients with COB than in those with bronchial asthma. 4. The proportion and the number of BAL neutrophils were markedly increased in patients with COB compared to those with bronchial asthma. 5. The proportion and the number of BAL eosinophils were higher in patients with bronchial asthma than in those with COB, although these defferences were not significant. The results suggest that airway inflammation in bronchial asthma is not so intensive as that in COB. |
キーワード | airway inflammation (気道炎症反応) bronchial asthma (気管支喘息) chronic obstructive bronchiolitis (慢性閉塞性細気管支炎) lymphocytes (リンパ球) neutrophils (好中球) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1993-06 |
巻 | 64巻 |
開始ページ | 24 |
終了ページ | 30 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307730 |
JaLCDOI | 10.18926/15303 |
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タイトル(別表記) | 気管支喘息におけるActivated Tリンパ球について,喘息発作との関連 |
フルテキストURL | 064_011_016.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 御船 尚志| 光延 文裕| 梶本 和宏| 杉本 啓介| 横田 聡| 平松 順一| 瓦屋 正志| 原田 英雄| 多田 慎也| 木村 郁郎| |
抄録 | The number of CD4(+) T-Iymphocytes, CD4/CD8 ratio, and the number of IL2R(+) T-Iymphocytes (CD25) were examined in 14 patients with bronchial asthma, and the results were compared in three different asthma stages : symptom-free stage, wheeze stage, and attack stage. 1. The proportion of blood CD4(+) T-lymphocytes was more decreased in patients with asthma attacks than in those without symptoms. The CD4/CD8 ratio was also more decreased in patients with attacks than in those without symptoms. However, these differences were not significant. 2. The proportion of blood activated T cells (IL2R(+) cells, CD25) was significantly increased in patients with attacks than in those without symptoms. The proportion of activated T cells in 5 asthma patients was 2.9±0.8% in symptom-free stage and 6.6±1.1% in attack stage(p<0.001). These findings show that numbers of activated T-lymphocytes in peripheral blood were increased during asthma attacks, and this increase suggests the participation of activated T cells in the pathogenesis of asthma. |
キーワード | CD4(+) T cells (CD4(+)リンパ球) CD4/CD8 ratio (CD4/CD8比) IL2R(+) T cells (IL2R(+)Tリンパ球) bronchial asthma (気管支喘息) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1993-06 |
巻 | 64巻 |
開始ページ | 11 |
終了ページ | 16 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307394 |
JaLCDOI | 10.18926/15289 |
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タイトル(別表記) | 変形性膝関節炎患者膝関節液中の細胞外マトリックス成分と可溶性VCAM-1 |
フルテキストURL | 007_2_099_103.pdf |
著者 | 唐下 博子| 一村 光子| 崎山 順子| 岡本 基| 中田 安成| 遠藤 浩| |
抄録 | It is generally accepted that the number of patients with osteoarthritis (OA) of the knee must increase in the future because of the increase of the aged. The pathogenic mechanisms of OA haven't been elucidated yet, but it is supposed that mediate pannus may cause the factors for irreversible cartilage damage in the inflammatory process. Therefore it is very important to find and predict OA at the early stage. Now there were many indices to determine joint damage with OA, for example, cytokines including IL, TNF, TGF, matrix metalloproteinase (MMPs), tissue inhibitor of metalloproteinase (TIMPs), proteoglycan (PG), hyaluronate (HA), super oxide, adhesion molecules including, ICAM-1, VCAM-1 and PECAM. In this study, we measured that the soluble VCAM-1 (sVCAM-1), soluble collagen (sCOLL), heparansulfate proteoglycan (HSPG), uronic acis and CRP in synovial fluids (SF) with OA. A positive correlation between the level of sVCAM-1 and sCOLL (ρ = 0.652) was noted. However there was no factor showing a correlation with CRP. It was suggested that the levels of sVCAM-1 and sCOLL in the synovia fluid were active inflammation indices of knee damage, as the different aspects from CRP. The level of HSPG also showed a unique trend because HSPG on the cell surface was quickly digested endocytosis, so that it was not suitable for the inflammatory index in synovial fluid with OA. |
キーワード | 変形性膝関節炎 (Osteoarthritis) 細胞外マトリックス (Extracellular matrix) 可溶性VCAM-1 (Soluble VCAM-1) 可溶性コラーゲン (Soluble Collagen) 可溶性ヘパラン硫酸プロテオグリカン (Soluble HSPG) |
出版物タイトル | 岡山大学医療技術短期大学部紀要 |
発行日 | 1997-01-31 |
巻 | 7巻 |
号 | 2号 |
開始ページ | 99 |
終了ページ | 103 |
ISSN | 0917-4494 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307341 |
JaLCDOI | 10.18926/15275 |
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タイトル(別表記) | Cutaneous sarcoidosis : Clinical features and management |
フルテキストURL | 009_1_049_057.pdf |
著者 | 中田 安成| 片岡 幹男| 平松 順一| 岡崎 和徳| 原田 実根| |
抄録 | 1976年から1996年に岡山大学第2内科を受診したサルコイドーシス255例のうち,65例(71病変)の皮膚サルコイドーシス(皮膚サ症)について,臨床経過,臨床検査成績,胸部病変との関連,予後について検討した。皮膚サ症患者の年齢は18歳から77歳で中央値は51歳であった。女性例が42例(65%)と多 く,特に50歳代女性に43%と最も高率であった。皮膚病型では結節型33例,皮下型16例,び慢浸潤型3例,局面型6例,結節性紅斑様皮疹3例,苔癬様型1例,瘢痕浸潤9例であった。皮膚サ症では非皮膚サ症に比して気管支肺胞洗浄液中リンパ球の低率が見られたが,その他の臨床成績に差は認められなかった。皮膚病型別に検討すると,局面型,び慢浸潤型では気管支肺胞洗浄液中リンパ球CD4/CD8比は高く,3年後の皮膚および肺病変の残存率は高かった。一方皮下型ではCD4/CD8比は低く皮膚,肺病変の残存率も低かった。 |
キーワード | サルコイドーシス (sarcoidosis) 皮膚 (skin) 臨床経過 (clinical-features) 予後 (prognosis) |
出版物タイトル | 岡山大学医療技術短期大学部紀要 |
発行日 | 1998-09-30 |
巻 | 9巻 |
号 | 1号 |
開始ページ | 49 |
終了ページ | 57 |
ISSN | 0917-4494 |
言語 | 日本語 |
論文のバージョン | publisher |
NAID | 120002307751 |
JaLCDOI | 10.18926/15251 |
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タイトル(別表記) | Relative biological effectiveness (RBE) and potential leathal damage repair (PLDR) of heavy-ion beam |
フルテキストURL | 009_2_075_081.pdf |
著者 | 川崎 祥二| 澁谷 光一| 浅海 淳一| 小松 めぐみ| 黒田 昌宏| 平木 祥夫| 古澤 佳也| |
抄録 | 150KV X線,中性子線及び炭素(LET13, 20, 50, 90, 140, 150, 153, 200keV/μm)を照射したマウスNIH3T3細胞の生存率曲線のLD(10)から(60)Coγ線に対する生物学的効果比(RBE)を求めた。RBEは150KV X線では1.26,中性子線では2.44,炭素線(LET13, 20, 50, 90, 140, 150, 153, 200keV/μm)ではそれぞれ1.41, 1.47, 2.22, 2.61, 1.61, 2.05, 1.57であった。LETとRBEの関係では100keV/μm付近にピークを認めた。150KVX線のLETは13keV/μm,中性子線のLETは70keVμmに相当した。(60)Co γ線の潜在性致死損傷からの回復(PLDR)は大きかった。炭素線(13keV/μm)照射でもPLDRが観察されるがLETが大きくなるとPLDRは減少したが,LET90keV/μmの炭素線でもPLDRが認められた。照射時の細胞状態の検討では増殖期の細胞の感受性は定常期細胞に比し僅かに高かった。 |
キーワード | PLDR RBE Heavy-lon Radiation NIH3T3 Cells |
出版物タイトル | 岡山大学医療技術短期大学部紀要 |
発行日 | 1999-02-26 |
巻 | 9巻 |
号 | 2号 |
開始ページ | 75 |
終了ページ | 81 |
ISSN | 0917-4494 |
言語 | 日本語 |
論文のバージョン | publisher |
NAID | 120002307590 |
著者 | 宗政 充| |
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発行日 | 2009-03-25 |
出版物タイトル | |
資料タイプ | 学位論文 |
JaLCDOI | 10.18926/15237 |
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タイトル(別表記) | Recent medical studies on radon therapy in Europe |
フルテキストURL | 012_1_007_013.pdf |
著者 | 山岡 聖典| 御舩 尚志| |
抄録 | 本総説は,本邦で実施している三朝ラドン温泉の適応症に関する機構解明に資するために調査した欧州におけるラドン療法の医学的研究に関する最近の動向の概要についてまとめたものである。すなわち,ラドンを用いた温泉や坑道での療法の適応症には,脊椎の非細菌性炎症(べヒテレフ病),慢性多発性関節炎,気管支喘息などが含まれる。臨床医学的研究として,以前,客観的方法で検討されたものはほとんどなかったが,最近,無作為化二重盲検臨床試験などにより,ラドン療法がベヒテレフ病,慢性多発性関節炎などの患者の痛みを緩和させる効能があることが実証されつつある。また,基礎医学的研究として,抗酸化機能や免疫機能などの指標に着目した動物実験により,ラドン療法の機構を解明する上で合理的根拠が得られつつあることもわかった。さらに,これらの知見と本邦での研究動向を踏まえ,今後,期待されるラドン療法の機構解明を行うための研究課題を提案した。 |
キーワード | ラドン療法 (radon therapy) 適応症 (indication) 活性酸素 (active oxygen) 二重盲検試験 (prospective randomized double-blind study) バードガスタイン (Badgastein) |
出版物タイトル | 岡山大学医学部保健学科紀要 |
発行日 | 2001-12-25 |
巻 | 12巻 |
号 | 1号 |
開始ページ | 7 |
終了ページ | 13 |
ISSN | 1345-0948 |
言語 | 日本語 |
論文のバージョン | publisher |
NAID | 120002307417 |
JaLCDOI | 10.18926/15229 |
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タイトル(別表記) | 加温後のtsAF8細胞の細胞周期 |
フルテキストURL | 012_2_101_106.pdf |
著者 | 澁谷 光一| 川崎 祥二| 黒田 昌宏| 浅海 淳一| 加藤 博和| 平木 祥夫| |
抄録 | Thermotolerance in tsAF8 cells develops during incubation at 34℃ after heating at 45℃, while it is suppressed by the following incubation at a non-permissive temperature of 39.7℃ after the same heating. The incubation temperature after heating may affect the cell cycle and consequently thermotolerance. In the present study, a relationship between the thermotolerance and the cell cycle of tsAF8 was investigated. The cell cycle fractions and DNA synthesis were measured by flow cytometry using double staining with propidium iodide and bromodeoxyuridine. When the tsAF8 cells were heated at 45℃ for 20 min, and thereafter incubated at 34℃, bromodeoxyuridine uptake in the S phase cells (DNA synthesis) was recovered to 65.1% 6 h after the heating, and the cells showed gradual accumulation in the G(2)/M phase. When the cells were incubated at 39.7℃ after heating at 45℃ for 20 min, then showed inhibition of thermotolerance development, the DNA synthesis was recovered to 15.1% temporarily 6 h after the heating, but it became 0% after 12 h, and the cells did not remarkably accumulate in any phases of the cell cycle. This inhibition of DNA synthesis at 39.7℃ was considered to be the result of cell survival decreasing by a step-down heating. However, the relationship between the thermotolerance and the cell cycle was not found out in tsAF8 cells, because the cells did not accumulate in any phases of the cell cycle under the inhibitory condition of thermotolerance. |
キーワード | thermotolerance (温熱耐性) hyperthermia (ハイパーサーミア) tsAF8 cell cycle (細胞周期) |
出版物タイトル | 岡山大学医学部保健学科紀要 |
発行日 | 2002-03-20 |
巻 | 12巻 |
号 | 2号 |
開始ページ | 101 |
終了ページ | 106 |
ISSN | 1345-0948 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307264 |
JaLCDOI | 10.18926/15173 |
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タイトル(別表記) | Study on the method to quantify viable bacterial cellson the surface of endotracheal suction catheters |
フルテキストURL | 016_2_079_083.pdf |
著者 | 犬飼 昌子| 野村 佳代| 渡邉 久美| 千田 好子| 光畑 律子| 狩山 玲子| |
抄録 | 気管内吸引カテーテルに付着した一般細菌の生菌数測定方法について,超音波法およびチューブミキサーによ攪拌法を用いて検討した。まず,人工的に緑膿菌を付着させた気管内吸引カテーテルを超音波処理することにより生菌数を測定した。その結果,処理時間が1分を経過すると生菌数は減少をはじめ経時的に減少傾向を示した。一方,攪拌法では0.5分の処理をピーク値としてその後の減少傾向は認められなかった。次に,在宅療養患者に使用したカテーテルをチューブミキサーで0.5分攪拌後,生菌数の測定を行った。また,同じカテーテルを用いて走査型電子顕微鏡による観察を行った結果,画面上の細菌数の印象と生菌数の測定結果に矛盾はなかった。これらのことから気管内吸引カテーテルに付着した一般細菌の生菌数測定方法として,生理食塩水に入れたカテーテルをチューブミキサーで攪拌する方法が有用であると考えられた。 |
キーワード | 気管内吸引カテーテル (Endotracheal suction catheter) 付着菌の解離 (removal of attached bacteria) 生菌数測定方法 (viable cell counts) 細菌学的評価 (microbiological evaluation) 形態学的評価 (morphological evaluation) |
出版物タイトル | 岡山大学医学部保健学科紀要 |
発行日 | 2006-03-31 |
巻 | 16巻 |
号 | 2号 |
開始ページ | 79 |
終了ページ | 83 |
ISSN | 1345-0948 |
言語 | 日本語 |
論文のバージョン | publisher |
NAID | 120002307930 |
JaLCDOI | 10.18926/15168 |
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タイトル(別表記) | Electrical Cell-substrate Impedance Sensing (ECIS)法を用いた培養細胞の微細挙動の定量的評価法 - 細胞-細胞間隙と細胞-電極間隙の評価 - |
フルテキストURL | 017_1_009_015.pdf |
著者 | 合田 典子| 山本 尚武| 中村 隆夫| 楠原 俊昌| 丸山 敏則| |
抄録 | We have proposed a mathematical model for the micro-dynamics for cultured cells measured with ECIS system for the detection of nanometer-order dynamics of cells cultured on a small gold electrode and could separately evaluate cell-to-cell distance (A) and cell-to-substrate distance (h). For wide applications of this method, we constructed mathematical models which express cell-to-electrode impedances for some kinds of confluent conditions. Based on this mathematical model, we defined new parameters S(A) and S(h) in order to evaluate cell-to-cell distance and cell-to-substrate distance. As the application, we investigated the effect of X-irradiation to bovine aortic endothelial cell (BAEC). We analyzed the micro-dynamics of cells from the impedance of BAEC before and after X-irradiation. It was proved that the stimulation of 100 Gy X-irradiation to the BAEC resulted in the large scale of increase in the cell-to-cell distances (A), and the slight increase in the cell-to-substrate distances (h) accompany with continuous fluctuations. |
キーワード | ECIS method (ECIS法) bio-electrical impedance (生体インピーダンス) cultured cell modeling (細胞培養) micromotion of cultured cells (細胞微細挙動) X-irradiation (放射線被曝) |
出版物タイトル | 岡山大学医学部保健学科紀要 |
発行日 | 2007-03-15 |
巻 | 17巻 |
号 | 1号 |
開始ページ | 9 |
終了ページ | 15 |
ISSN | 1345-0948 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307368 |
JaLCDOI | 10.18926/15152 |
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タイトル(別表記) | ステロイド依存性重症難治性喘息における気道反応の特徴 |
フルテキストURL | 065_040_047.pdf |
著者 | 御船 尚志| 貴谷 光| 光延 文裕| 梶本 和宏| 横田 聡| 高田 一郎| 谷崎 勝朗| 越智 浩二| 原田 英雄| 多田 慎也| 原田 実根| |
抄録 | Characteristics of airway response in steroid-dependent intractable asthma (SDIA) were examined in 86 asthma patients (43 with SDIA and 43 with non-SDIA) divided into three age groups: 20-39, 40-59 and 60+ years, by observing cellular composition of bronchoalveolar lavage (BAL) fluid and ventilatory function. 1. The level of serum cortisol was significantly lower in patients with SDIA than in those with non-SDIA in all age groups. 2. The proportion of lymphocytes in BAL fluid was significantly decreased in patients with SDIA compared to results in non-SDIA patients in the age between 40-59, and over 60+ years, While BAL neutrophils were significantly increased in SDIA patients compared to results in non-SDIA patients in the age group over 60 years. 3. Of ventilatory parameters, the values of % FVC, FEV(1.0%), % MMF and % V(25) were significantly lower in SDIA patients over the age of 60 compared with non-SDIA subjects of the same age group. These results show that in SDIA patients the proportion of BAL lymphocytes decreases and the proportion of BAL neutrophils increases with aging, and that ventilatory function in SDIA patients also decreases with aging compared to non-SDIA patients. |
キーワード | bronchial asthma (気管支喘息) bronchoalveolar cells (気管支肺胞洗浄液中の細胞) ventilatory function (換気機能) glucocorticoids (グルココーチコイド) serum cortiosol levels (血清コーチゾール値) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1994-09 |
巻 | 65巻 |
開始ページ | 40 |
終了ページ | 47 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307402 |
JaLCDOI | 10.18926/15148 |
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タイトル(別表記) | 気管支喘息における末梢血白血球および気管支肺胞洗浄液中の細胞からのヒスタミンおよびロイコトリエンC(4),B(4)遊離と気道過敏性 |
フルテキストURL | 065_009_016.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 御舩 尚志| 光延 文裕| 梶本 和宏| 横田 聡| 高田 一郎| 越智 浩二| 原田 英雄| 多田 慎也| 原田 実根| |
抄録 | The proportions of cells in bronchoalveolar lavage (BAL) fluid, the release of histamine, leukotrienes C(4) and B(4) from leucocytes and BAL cells, and bronchial reactivity to methacholine were examined in 40 patients with asthma in relation to patient age. 1. The proportions of lymphocytes and neutrophils in BAL fluid were higher in older patients over age 60 than in younger patients between 20 and 49. The proportions of eosinophils and basophilic cells in BAL fluid were higher in younger patients than in older patients, and the difference in the proportion of BAL basophilic cells was significant between the two groups (p<0.05). 2. The release of histamine from BAL cells was significantly higher in younger patients than in older patients (p<0.001). The release of LTC(4) from BAL cells was higher in older patients compared to younger patients. 3. Bronchial reactivity to methacholine was higher in younger patients than in older patients. The number of patients reactive to low concentration of methacholine (390μg/mℓ or less) was larger in younger patients (12/16 ; 75.0%) than in older patients (5/14 ; 35.7%). These results suggest that bronchial hyperresponsiveness changes with aging, accompanied by changes in the release of chemical mediators from BAL cells and in the proportion of BAL cells. |
キーワード | BAL cells (BAL細胞) histamine (ヒスタミン) leukotrienes (ロイコトリエン) bronchial hyperresponsiveness (気道過敏性) asthma (気管支喘息) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1994-09 |
巻 | 65巻 |
開始ページ | 9 |
終了ページ | 16 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307646 |
JaLCDOI | 10.18926/15147 |
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タイトル(別表記) | 気管支喘息における複合温泉療法と気道炎症反応 |
フルテキストURL | 065_001_008.pdf |
著者 | 谷崎 勝朗| 貴谷 光| 御舩 尚志| 光延 文裕| 梶本 和宏| 横田 聡| 高田 一郎| 越智 浩二| 原田 英雄| 多田 慎也| 原田 実根| |
抄録 | Efficacy of complex spa therapy was studied in 55 patients with bronchial asthma. Complex spa therapy was effective in 47 (85.5%) of the 55 patients with bronchial asthma : marked efficacy was observed in 15 (27.3%), moderate in 32 (58.2%), slight in 6 (10.9%) and no efficacy in 2 patients (3.6%). Improvement of clinical symptoms and findings by complex spa therapy was more clearly observed in patients with an increased proportion of BAL lymphocytes, neutrophils and eosinophils. These findings suggest that complex spa therapy more affects cell infiltration in the airways than bronchoconstriction induced by chemical mediators. Improvement of ventilatory function represented by FEV1.0% value was higher in patients with a low proportion of BAL neutrophils, suggesting that patients with increased number of BAL neutrophils require longer complex spa therapy than those without BAL neutrophilia. |
キーワード | complex spa therapy (複合温泉療法) airway inflammation (気道炎症反応) bronchial asthma (気管支喘息) |
出版物タイトル | 岡大三朝分院研究報告 |
発行日 | 1994-09 |
巻 | 65巻 |
開始ページ | 1 |
終了ページ | 8 |
ISSN | 0918-7839 |
言語 | 英語 |
論文のバージョン | publisher |
NAID | 120002307726 |
著者 | 和氣 秀徳| |
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発行日 | 2009-08-03 |
出版物タイトル | 岡山医学会雑誌 |
巻 | 121巻 |
号 | 2号 |
資料タイプ | 学術雑誌論文 |
著者 | 千堂 年昭| |
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発行日 | 2009-08-03 |
出版物タイトル | 岡山医学会雑誌 |
巻 | 121巻 |
号 | 2号 |
資料タイプ | 学術雑誌論文 |
著者 | 野宮 理恵| 岡野 光博| 藤原 田鶴子| 西﨑 和則| |
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発行日 | 2009-08-03 |
出版物タイトル | 岡山医学会雑誌 |
巻 | 121巻 |
号 | 2号 |
資料タイプ | 学術雑誌論文 |