1.High Density Barium Dosage and its Effect on Excretion. A Survey.
Koichi YOSHIZAKI ; Hiroyuki NOSE ; Yuji SUZUKI ; Norio KONDO ; Junichi MAEDA ; Osamu HORII ; Satoko III ; Shirou MAKIMURA ; Tsuguo TERAI ; Hiroshi AZUMA
Journal of the Japanese Association of Rural Medicine 1999;48(4):630-637
Before the introduction of high density barium for contrast studies of the upper gastrointestinal tract, we conducted a survey concerning the adverse reactions to a swallow of barium and barium concentration.
The incidence of side effects rose as the density of barium increased but the effects were transient. There were no cases requiring medical treatment.
Furthermore, the constipation group and the normal group were examined separately.
The ratio of adverse reactions was high in the constipation group even when the barium density was low. In this group stool hardening and delayed excertion were also noticed.
The constancy of barium stool excretion was basically normal, and the barium density had little effect.
The effects of a laxative on the excretion consistency were investigated. The administration of a laxative did not always have a positive affect on excretion. The timing of the administration of the laxative and the amount of water intake should be examined in the future.
We also investigated how the patients feel when they are swallowing barium. We found that whether feel uncomfortable or not depended on the properties of barium rather than its density.
From these results it appears that appropriate guidance is necessary about the use of high density barium, in order to supress the occurrence of side effects, especially in the constipation group.
2.Progress in research on function and mechanism of cardiac vascular system of taurine.
Hao-ming HUA ; Takashi ITO ; Zhi-gang QIU ; Junichi AZUMA
China Journal of Chinese Materia Medica 2005;30(9):653-658
The function for cardiac vascular system of taurine is extensive, and the mechanism is complicated. Taurine protects the cells from the cell injury caused by ischemia etc. Through repressing apoptosis, prevents endothelial dysfunction caused by hyperglycemia, hypercholesterolemia, smoking and homocysteine; suppresses the proliferation and calcification in vascular smooth muscle cells, promotes metabolization and excretion of cholesterol in the animal models of hyperlipemia, and confers the resistance to an oxidant, hypochlorous acid, produced by neutrophil on cells, and taurine chrolamine to inhibit activation of NF-kappaB, which might be associated with anti-atherosclerotic effect. Taurine mainly acts inside the cell. However, taurine transport system becomes aberrant in pathological myocardial and vascular tissue. In addition, taurine improves cardiovascular function in fructose-induced hypertension and an iron-overload murine animal models.
Animals
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Antioxidants
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pharmacology
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Apoptosis
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drug effects
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Cell Proliferation
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drug effects
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Humans
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Lipid Metabolism
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drug effects
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Materia Medica
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pharmacology
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Muscle, Smooth, Vascular
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cytology
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Myocytes, Cardiac
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pathology
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Taurine
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pharmacology
3.A Case of Prosthetic Infective Endocarditis with Acute Myocardial Infarction due to Septic Embolism
Shogo OYAMA ; Takeshi OSAKI ; Azuma TABAYASHI ; Tomoyuki IWASE ; Kazuya KUMAGAI ; Junichi KOIZUMI ; Takeshi KAMADA ; Junichi TSUBOI ; Hajime KIN
Japanese Journal of Cardiovascular Surgery 2019;48(1):56-59
The patient was a 68-year-old man. In January 2017, he underwent aortic valve replacement (Carpentier-Edwards Perimount Magna, 25 mm, Edwards Lifescience Corporation, Irvine, USA) for aortic stenosis and coronary bypass surgery with two saphenous vein grafts (SVG-#7 and SVG-4PD) for asymptomatic myocardial ischemia. He was treated as an outpatient by a local physician for at least a week during November 2017, with a principal complaint of mild fever, but no other significant symptoms. Transthoracic echocardiography suggested prosthetic valve endocarditis, so he was referred to the author's hospital. The day after admission, he had symptoms of thoracic discomfort, and emergency cardiac catheter examination showed a lesion thought to be due to a thrombus in the left main coronary trunk ; so, thrombus aspiration was carried out. However, no improvement in blood flow was achieved, so balloon angioplasty was carried out, with the aim of improving blood flow in the left circumflex artery, where coronary artery bypass grafting had not been performed. Improvement in blood flow was achieved, and a culture was carried out using the aspirated thrombus. Streptococcus pasteurianus was detected in the culture.