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TADASHI IMAI MASATOSHI KONDO KENICHI ISOBE SUSUMU ITOH SHOJU ONISHI 《Pediatrics international》1996,38(4):343-347
The effect of insulin induced hypoglycemia on cerebral energy metabolism was examined in four newborn piglets. Cerebral energy metabolism was assessed using in vivo 31P-nuclear magnetic resonance spectroscopy. It was demonstrated that the normal level of phosphocreatine/inorganic phosphate (PCr/Pi), an indicator of phosphorylation potential, was maintained at a blood glucose level of 40 mg/dL or above, whereas when blood glucose was reduced to less than 40 mg/dL, PCr/Pi rapidly decreased in parallel with this. Below the critical blood glucose level of 40 mg/dL, a positive correlation (y = 0.02x + 0.632; r = 0.668; P < 0.001) existed between blood glucose and PCr/Pi. In the present investigation, a reduction of blood glucose level to 20 mg/dL or lower resulted in a PCr/Pi of less than 1, indicating a state of cerebral energy failure. The intracellular pH (pHi) was 7.08 ± 0.05 at the onset and 7.15 ± 0.07 in the hypoglycemic state, indicating no significant difference between the two groups. The present study has clarified that cerebral energy failure occurs when the blood glucose level is about 20 mg/dL or lower. The critical point of blood glucose exists to maintain brain energy metabolism. 相似文献
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TSUTOMU TAKEYA YOSHITERU OHNO HIDEKI MATSUBARA KOHICHI YASUDA SUSUMU WATANABE RISHUN SHINZATO YOSHIHARU TANAKA SATOKO NODA 《Clinical otolaryngology》1979,4(3):197-205
In order to investigate the physiological changes produced by the treatment of acrophobic patients body movement and Microvibration were measured before and after treatment. Eighteen acrophobic patients were assigned at random to 1 of the 2 groups: a treatment group (n= 8) and a non-treatment group (n= 10). The control group consisted of 16 healthy volunteers. Body movement area while viewing a slide of a high place or imagining a high place in the treatment group decreased significantly after treatment. Body movement of the control group showed almost no changes, and that of the non-treatment group was situated between the above-mentioned 2 groups. Simple body movements of the acrophobic patients without any stimulation of height were bigger than those of the control subjects. MV pattern of the treatment group had a tendency to improve under psychotherapy. Acrophobic patients had more abnormal MV patterns than the normal subjects. 相似文献
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An ECG Index of P‐Wave Force Predicts the Recurrence of Atrial Fibrillation after Pulmonary Vein Isolation 下载免费PDF全文
YASUNORI KANZAKI M.D. YASUYA INDEN M.D. Ph.D. MONAMI ANDO M.D. YOSUKE KAMIKUBO M.D. TADAHIRO ITO M.D. YOSHIAKI MIZUTANI M.D. HIROYUKI KATO M.D. AYA FUJII M.D. SATOSHI YANAGISAWA M.D. MAKOTO HIRAI M.D. Ph.D. TOYOAKI MUROHARA M.D. Ph.D. 《Pacing and clinical electrophysiology : PACE》2016,39(11):1191-1197
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TAKUMI YAMADA TETSUO HAYASHI SHIGEYOSHI KAMATA RENA OHNO SUSUMU HORIUCHI 《International journal of urology》2005,12(9):806-809
AIM: We have developed a new method requiring no manipulations of the retropubic passages, and carried out a retrospective study to assess the effectiveness, safety and early results of this new procedure in the treatment of female stress urinary incontinence. METHODS: From January 2001 to September 2003, 29 patients underwent our new surgery for the treatment of SUI. A 3 x 2 cm vertical rectangle was harvested from the rectus fascia. A convex horizontal incision was made over the mid urethra and bladder neck. The retropubic space was entered to the urethropelvic ligament spreading toward the junctions between urethropelvic ligament and tendinous arc. One suture was made at the point lateral to the bladder neck. Another suture was made behind the pubic bone. These two sutures were sutured again and tied with the short side end of the harvested fascia. The same procedure was performed on the other side. RESULTS: Of 29 patients, 26 (89.7%) were cured of stress urinary incontinence and 3 were improved. None of the patients had difficulty in voiding after the operation. Maximum flow rates were almost the same before and after surgery. None of the patients had any adverse events. CONCLUSION: This procedure, which requires no manipulations of the retropubic passages, is safe and effective for the treatment of stress urinary incontinence. 相似文献
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YUHEI KAYUKAWA MD SUSUMU KOGAWA MD FUMIMOTO TADANO MD MAKOTO IMAI MD TOSHIJI HAYAKAWA MD TATSURO OHTA MD TAKEO NAKAGAWA MD HIROTO SHIBAYAMA MD 《Psychiatry and clinical neurosciences》1998,52(2):190-192
Abstract As a part of an epidemiologic survey of dementia in a community of aged persons, correlation between sleep complaints and physical illness and senility were studied. A total of 3302 randomly sampled aged individuals (aged 65 yean) were studied using a questionnaire. In this sample the prevalence of poor sleep and habitual snoring did not increase with age. The prevalence of excessive daytime sleepiness showed an increase with age. Male predominance of habitual snoring and female predominance of poor sleep were observed. Female predominance of excessive daytime sleepiness was noted among the aged 70 and over. Age-related excessive daytime sleepiness was significantly correlated with senility. 相似文献
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TOSHIHIRO OHYA SUSUMU OHWADA YOSHIYUKI KAWASHIMA YOSHIFUMI TANAHASHI TORU TAKAHASHI HIDEAKI ICHIKAWA NAOKI TOMIZAWA YASUO MORISHITA 《Journal of gastroenterology and hepatology》1998,13(8):781-785
This study was designed to elucidate the efficacy of University of Wisconsin (UW) solution for preventing liver injury, when used as a hypothermic perfusate infused into the systemic circulation during extended hepatectomy with hepatic inflow occlusion. Adult mongrel dogs (9.5–17.5 kg, n= 14) were subjected to 75% hepatectomy under 60 min hepatic inflow occlusion. The animals were divided into two groups. The UW group (n= 7) underwent hypothermic perfusion using 4°C UW solution (core temperature of the liver: 12.3±0.2°C). The control group designated as the Ringer's lactate (LR) group (n= 7) underwent hypothermic perfusion using 4°C LR solution. The perfusate was introduced into the systemic circulation via the hepatic vein. Blood from the hepatic vein was sampled, and alanine amino-transferase, purine nucleoside phosphorylase activities and the ammonia concentration were measured. The 7 day survival rate was higher in the UW group than in the LR group. The parameters of liver function were less significantly altered in the UW group than in the LR group. The plasma ammonia concentration was significantly (P<0.05) lower 6h after reperfusion in the UW group than in the LR group. A small volume of hypothermic perfusion of the liver using UW solution was safe if it returned to systemic circulation. Hypothermic perfusion of the liver using UW solution may be effective for preventing hepatic tissue injury during extended hepatectomy with hepatic vascular occlusion. 相似文献
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M. KAWANO T. KOSHIKAWA T. KANZAKI N. MORISAKI Y. SAITO S. YOSHIDA 《European journal of clinical investigation》1993,23(2):84-90
Abstract. The mechanism of diabetic macroangio-pathy was studied from the view point of phenotypic change of aortic smooth muscle cells (SMC). The growth rates of cultured SMC of diabetic rats or rabbits were higher than those of non-diabetic animals (controls). This difference of the growth responses was observed specifically with platelet-derived growth factor (PDGF). Of the three PDGF dimers, PDGF-AB heterodimer (PDGF-AB) and PDGF-BB homodimer (PDGF-BB) stimulated growth of diabetic SMC more than that of control SMC but PDGF-A A homodimer (PDGF-AA) did not. The binding of '25 1-PDGF to the diabetic SMC was greater than that to control SMC. This was due to increase in the number of cell surface receptors for PDGF. On in vitro culture, SMC from diabetic rats expressed more PDGF β -receptor mRNA than SMC from non-diabetic rats. Moreover, in vivo , the aortic media of diabetic rabbits expressed PDGF β -receptor mRNA, but that from non-diabetic rabbits did not. Thus diabetic SMC over-react on PDGF stimulation through over-expression of the PDGF P-receptor gene. The significance of this fact in development of diabetic macroangiopathy is discussed. 相似文献
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