Heart rate elevation precedes the development of metabolic syndrome in Japanese men: a prospective study.

This observational study of Japanese men without metabolic syndrome (MetS) (age: 41+/-8 years) was conducted to clarify whether or not heart rate elevation precedes the development of full-blown MetS. MetS was defined based on two modifications of the criteria of the Japanese Expert Committee on the Diagnosis and Classification of Metabolic Syndrome. Premetabolic syndrome subjects were defined as those having one component of MetS with increased body mass index (BMI). Among the subjects without MetS (n=1,859 when the BMI criterion was >or=25 and n=2,020 when the BMI criterion was >or=27.5), the incidence of progression to full-blown MetS by the time of the second examination at the end of the 3-year study period was higher in the subjects with premetabolic syndrome than in those without it. The receiver-operator characteristic curve analysis and binary logistic regression analysis revealed that the odds ratio (OR) of a heart rate >or=69 beats/min at the first examination for progression to full-blown MetS by the time of the second examination was significant in subjects with premetabolic syndrome (BMI>or=25: OR=3.64 [1.22-10.88]; BMI>or=27.5: OR=3.67 [1.28-10.55]; p<0.05). Thus, heart rate elevation appears to precede the development of full-blown MetS in subjects with premetabolic syndrome. Heart rate seems to be a simple and useful marker for predicting the progression to full-blown MetS of middle-aged Japanese men with premetabolic syndrome.     

High-dose methylprednisolone therapy for nephrotic syndrome in Henoch-Schoenlein nephritis

Twelve patients with nephrotic syndrome (NS) in Henoch-Schoenlein (HS) nephritis were treated with a high dose of intravenous methylprednisolone (MP) on each of nine alternate days followed by oral prednisolone for 4 to 6 months. Renal biopsy was performed on 10 of the 12 patients. The glomerular change in 5 patients, which was accompanied by crescents and/or sclerosis, with NS and acute nephritic syndrome (ANS) at onset, was more severe than that of the other 5 patients with NS and hematuria at onset. The renal insufficiency or hypertension in these 5 patients with NS and ANS improved within 2 weeks on this MP therapy. After a mean follow-up period of 40.5 months, all patients except 2 revealed normal physical findings and renal function as well as urinary findings. Repeated biopsies in the 2 patients with NS and ANS at onset demonstrated an improved renal pathology in comparison with their initial biopsies. No severe side effects related to high-dose intravenous MP followed by oral prednisolone therapy were encountered in any of the patients. Our results suggest that high-dose intravenous MP therapy can lead to a favorable outcome in patients with NS in HS nephritis.     

Lethal anemia caused by interferon-beta produced in mouse embryos carrying undigested DNA

The livers of DNase II-deficient mouse embryos contain many macrophages carrying undigested DNA, and the embryos die in utero. Here we report that erythroid precursor cells underwent apoptosis in the livers of DNase II-deficient embryos and that in the liver, interferon-beta mRNA was expressed by the resident macrophages. When the DNase II-deficient mice were crossed with mice deficient in type I interferon receptor, the resultant 'double-mutant' mice were born healthy. The double-mutant embryos expressed interferon-beta mRNA, but the expression of a subset of the interferon-responsive genes dysregulated in DNase II-deficient embryos was restored to normal. These results indicate that the inability to degrade DNA derived from erythroid precursors results in interferon-beta production that induces expression of a specific set of interferon-responsive genes associated with embryonic lethality in DNase II-deficient mice.     

Breast parenchymal activity on scintimammography: Comparison between bone-seeking agents and99mTc-sestamibi

The aim of this study was to evaluate breast parenchymal activity on scintimammography with bone-seeking agents and 99mTc-MIBI. Scintimammography was performed with bone-seeking agents in 61 patients and with 99mTc-MIBI in 33 patients. Activity in the breast parenchyma contralateral to the suspected lesion was visually assessed by two independent observers. Increased breast parenchymal activity was shown in 19 of 61 patients examined with bone-seeking agents, while it was demonstrated in only two of 33 patients examined with 99mTc-MIBI. Breast parenchymal activity of bone-seeking agents was higher in patients aged 50 years or younger than in those older than 50. Increased parenchymal activity of bone-seeking agents may disturb visualization of primary breast cancer especially in relatively young patients. Low parenchymal activity is suggested to be a favorable characteristic of 99mTc-MIBI as a scintimammographic agent.     

Effect of SiO2 amount on heterogeneous base catalysis of SiO2@Mg–Al layered double hydroxide

The effects of SiO₂ amount on the base catalysis of highly active finely crystallized Mg–Al type layered double hydroxides prepared by the co-precipitation method with coexistence of SiO₂ spheres, denoted as SiO₂@LDHs, were investigated. With the Si/(Mg + Al) atomic ratios of 0–0.50, the highest activity for the Knoevenagel condensation was observed in the case of Si/(Mg + Al) = 0.17, as the reaction rate of 171.1 mmol g(cat)⁻¹ h⁻¹. The base activity increased concomitantly with decreasing LDH crystallite size up to Si/(Mg + Al) atomic ratio of 0.17. However, above the Si/(Mg + Al) atomic ratio of 0.17, the reaction rate and TOF_base were decreased although the total base amount was increased. Results of TEM-EDS and ²⁹Si CP-MAS NMR suggest that the co-existing SiO₂ causes advantages for dispersion and reduction of the LDH crystallite to improve the base catalysis of SiO₂@Mg–Al LDH, whereas the excess SiO₂ species unfortunately poisons the highly active sites on the finely crystallized LDH crystals above a Si/(Mg + Al) atomic ratio of 0.17. According to these results, we inferred that the amount of spherical SiO₂ seeds in the co-precipitation method is an important factor to increase the base catalysis of SiO₂@LDHs; i.e. the control of Si/(Mg + Al) atomic ratio is necessary to avoid the poisoning of highly active base sites on the LDH crystal.

The effects of SiO₂ amount on the base catalysis of highly active finely crystallized Mg–Al LDH(s) prepared by the co-precipitation method with coexistence of SiO₂ sphere seeds were investigated by XRD, ICP, ²⁹Si NMR, TEM-EDS and other techniques.     

Revised generative concern scale and generative behavior checklist (GCS-R, GBC-R): scale reconstruction, reliability, and validity

The generative concern scale (GCS) and the generative behavior checklist (GBC) based on the multifaceted model of generativity (McAdams & de St. Aubin, 1992) were reconstructed based on item analysis in preliminary research. The reconstructed scales were administered to 996 adults. Factor analysis of GCS-R and GBC-R data revealed the following three factors which showed high internal consistency: offering, maintaining, and creativity. Significant positive correlations between the GCS-R and the GBC-R implied that generative concern may lead to generative behavior. The GCS-R and GBC-R showed significant positive correlations with the Erikson Psychosocial Stage Inventory (Nakanishi & Sakata, 1993) and the Inventory of Psychosocial Balance (Domino & Affonso, 1990), which supports concurrent validity. Adults with higher scores on the GCS-R were more extroverted, open-minded to experiences, and the less depressive based on scores on the Big Five Scale (Wada, 1996) and the Beck Depression Inventory (Hayashi & Takimoto, 1991). These results indicate convergent and predictive validity.     

An elderly non-Hodgkin lymphoma patient with a massive tumor of the heart

We report on an elderly patient with a malignant lymphoma forming a huge mass in the heart. An 82-year-old woman became aware of general fatigue and a cough in August 1999. Her right supraclavicular, bilateral axillary, and right inguinal lymph nodes were swollen. A hypodermical mass in the right frontal chest was detected. Her left axillary lymph node was biopsied. She was diagnosed as having non-Hodgkin lymphoma, diffuse large cell type, B-cell type. Computed tomography scans showed a markedly thickened right ventricular wall of the heart, swollen lymph nodes of the mediastinum, bilateral pleural effusions, and a tumor in the spleen. Lymphoma cells were found in the pleural effusion, and the lymphoma was diagnosed as clinical stage IV. Hypofunction of the heart, ejection fraction (EF) 49%, was demonstrated with transthoracic echocardiography. EF increased to 70% after 3 courses of chemotherapy with CHOP regimen. All lesions disappeared after 6 courses of chemotherapy were completed. After consolidative radiotherapy with a total dose of 37 Gy to the mediastinum and heart, bilateral pleural effusions, elevation of the patient's lactate dehydrogenase level and soluble IL-2 receptor value were recognized, which suggested relapse of the lymphoma, although histopathological confirmation could not be realized.     

Anorectal function after high sacrectomy with bilateral resection of S2–S5 nerves

A 19-year-old man underwent resection at the S1-S2 interspace with sacrifice of bilateral sacral nerves below S2 for a sacral tumor. The postoperative anorectal function was evaluated periodically for one year using manometry and subjective findings. The rectoanal inhibitory reflex was intact, whereas a disturbance of anorectal sensation, a loss of anal squeeze pressure, a decrease of anal canal resting pressure, urinary incontinence, and impotency were apparent. These findings suggest that sacrifice of bilateral sacral nerves below S2 leads to a feeble anal canal basal tone with the rectoanal inhibitory reflex, and that a significant impairment of anorectal function is inevitable.