Neonatal alloimmune thrombocytopenia involving HPA-5b (Bra): A rare Japanese Case

Neonatal alloimmune thrombocytopenia (NAIT) is caused by platelet antigen incompatibility between the mother and fetus. The frequency of NAIT varies among ethnic groups. In Caucasians, HPA-5b (Br^a) is the antigen that is second most frequently implicated. In Japan, NAIT due to anti-HPA-5b antibody is quite rare. The present case is the second case of Br^a-NAIT in Japanese and the first case serologically confirmed by monoclonal antibody-specific immobilization of platelet antigens.     

Chronic Toxicity Carcinogenicity Studies of Triethanolamine in B6C3F1 Mice

The chronic toxicity and carcinogenic potential of triethanolaminewas examined in B6C3F1 mice. Triethanolamine, dissolved in distilledwater at levels of 0 (control), 1, and 2%, was given to groupsof 50 males and 50 females ad libitum in drinking water for82 weeks. Neoplasms developed in all groups, including the controlgroup, but no dose-related increase of the incidence of anytumor was observed in treated groups of both sexes. There wereno adverse effects as regards survival of the mice, organ weights,and specific incidence of neoplasms in the treated, comparedto the control group. This chronic toxicity test provides noevidence of carcinogenic potential of triethanolamine in B6C3F1mice.     

Usefulness of contrast-enhanced ultrasound for the diagnosis of recurrent renal cell carcinoma in contralateral kidney

We studied contrast-enhanced ultrasound (CEU) for recurrence of renal cell carcinoma (RCC) at the contralateral kidney during postoperative follow up of localized renal cell carcinoma. CEU successfully detected all recurring cases, despite the fact that 5/6 cases were observed using conventional ultrasound; the remaining one case was not detected using conventional ultrasound. CEU using Levovisto successfully revealed renal tumors as RCC. Lesions were diagnosed as cystic renal tumors by Bosniac classification, and pathological findings demonstrated RCC, in accordance with the prior tumor.     

Direct drug transport from the rat nasal cavity to the cerebrospinal fluid: the relation to the dissociation of the drug

Abstract— We aimed to clarify the relationship between drug dissociation (sulphisomidine) and its direct transport from the nasal cavity to the cerebrospinal fluid (CSF). Rat nasal cavities were perfused in a single pass system with buffers (pH 5·5, 6·5, 7·4, 8·7 and 9·4). Plasma and CSF were collected and the concentration of sulphisomidine was measured. Nasal clearance increased with the increase in the un-ionized fraction of the drug. The ratio of the drug concentration in CSF to that in the nasal perfusion fluid (the index of the degree of the drug transport from the nasal cavity to CSF), was changed in accordance with the un-ionized fraction of drug. These results show that both the nasal absorption and the drug transport conform to the pH partition theory.     

Catheter Ablation of Ventricular Tachycardia in Patients with Right Ventricular Dysplasia: Identification of Target Sites by Entrainment Mapping Techniques

Objective: To identify target sites for radiofrequency ablation of ventricular tachycardia (VT) by entrainment mapping techniques in patients with arrhythmogenic right ventricular dysplasia. Methods: Entrainment mapping and radiofrequency ablation of eight VTs was performed in seven patients. Radiofrequency ablation was applied at 31 reentry circuits sites that were classified based on findings during entrainment. Results: By entrainment criteria the 31 sites were classified as: exit sites (n = 12), proximal sites (n = 6), and outer loop sites (n = 13). Radiofrequency current application terminated VT at 7 of 31 sites: 2 of 12 exit sites (17%), 4 of 6 proximal sites (67%), and 1 of 13 outer loop sites (8%). Conclusion: Radiofrequency ablation terminated VTs most often at sites proximal to the exit as opposed to outer loop sites and exit sites (P = 0.05). The critical isthmus for ablation of VT in right ventricular dysplasia often may be distant to the exit.     

RADIAL COMPONENT OF CENTRAL MYELIN IN NORMAL AND QUAKING MICE

Radial component of myelin sheaths was investigated in C57BL and quaking mice. In immature myelinated fibres of C57BL mice, more than one group of radial component were observed in the several regions of myelin sheaths while in mature fibres, one group of radial component was localized between the internal mesaxon and outer tongue process which were situated within 90° of each other. In thinly myelinated fibres of adult quaking mice, numerous groups of radial component were found at random distance and directions but they were always closely related to the cytoplasmic islands of oligodendroglia. Even in quaking mice, small well myelinated fibres showed normal mature pattern of radial component. Possible functional significance of radial component was briefly discussed.     

Two Cases of Hepatectomy for Leiomyosarcoma Metastasized to the Liver

The literature reports five major hepatic resections for metastaticleiomyo-sarcomas. Two cases of jejunal leiomyosarcoma metastasizedto the liver are now reported. In the first case a successfulright hepatic trisegmentectomy was performed, 2 yr after removalof the primary lesion. In the second case a right hepatic bisegmentectomywas performed one month after resection of the primary tumor.The patient survived 21 months.