Placement of the Dumon stent using a flexible bronchofiberscope via tracheostomy

In this paper, we report on a new technique of Dumon stent placement using a flexible bronchofiberscope. This procedure was used to insert Dumon stents in two bronchial obstruction and two bronchofistula cases. The stenting technique described here can be used through either a tracheostoma or the oral cavity; it presents a very straightforward and safe procedure that does not require the use of a rigid bronchoscope.     

A bag carrier for continuous intravenous hyperalimentation

We designed a new bag-carrier device system for continuous intravenous hyperalimentation. The patient carries it on his shoulder and can both walk up and down stairs and go out. The use of this device is simple and easy, and was found to increase the patient's opportunity to engage in physical activity.     

Tumor necrosis factor-alpha regulates in vivo expression of the rat UCP family differentially

A family of uncoupling proteins (UCPs), free fatty acid anion transporters, plays a crucial role in energy homeostatic thermoregulation. Tumor necrosis factor-alpha (TNF-alpha), a member of the cytokine family, is well known as an endogenous pyrogen. To evaluate the interaction of TNF-alpha with UCPs in thermogenesis, effects of TNF-alpha on rat UCP gene expression were examined in intrascapular brown adipose tissue (BAT), epididymal white adipose tissue (WAT) and soleus muscle (Muscle). Administration of TNF-alpha elevated rectal temperature by 0.7 degree C as well as serum leptin which peaked at 6 h, compared with saline controls. BAT UCP1 mRNA expression was increased by 1.2-fold at 6 h after the TNF-alpha treatment and decreased by 0.8-fold at 16 h after the treatment. In contrast to UCP1 expression in BAT, UCP2 mRNA expressions in BAT, WAT, and Muscle was increased to reach maximum levels of 1.3-, 1.6- and 1.8-fold, respectively, at 16 h after the treatment. UCP3 mRNA in Muscle, but not in BAT or WAT, was exclusively up-regulated by 1.7-fold at 16 h after the treatment. These results indicate that TNF-alpha up-regulates UCP gene expression differentially and tissue dependently, and add novel insights into thermogenesis under conditions of malignancy and inflammation.     

Possible involvement of interleukin-1 in cyclooxygenase-2 induction after spinal cord injury in rats

A standardized compression injury of rat spinal cord brought about a time-dependent biphasic production of thromboxane A2 (detected as thromboxane B2) and prostaglandin I2 (detected as 6-ketoprostaglandin F1alpha). Thromboxane B2 was predominant during the first 1 h, whereas the 6-ketoprostaglandin F1alpha level exceeded that of thromboxane B2 at 8 h postinjury. As examined by inhibitor experiments and northern blotting, cyclooxygenase-1 was responsible for the first phase, and cyclooxygenase-2 was involved in the second phase. On compression injury the levels of interleukin-1alpha and -1beta detected as mRNA and protein increased and peaked at 2-4 h. Injection of exogenous interleukin-1alpha into the spinal cord resulted in an increase of cyclooxygenase-2 mRNA content and a predominant production of 6-ketoprostaglandin F1alpha resembling the second phase of eicosanoid production. Concomitantly, extravascular migration of polymorphonuclear leukocytes was enhanced after the interleukin-1alpha injection. These cells together with vascular endothelial cells and glial cells were stained positively with an anti-cyclooxygenase-2 antibody. The results suggest that the immediate eicosanoid synthesis after spinal cord injury was due to the constitutive cyclooxygenase-1 and the delayed synthesis of eicosanoids was attributable to the induction of cyclooxygenase-2 mediated by interleukin-1alpha.     

Porous structure and rheological properties of hydrogels of highly water-absorptive cellulose graft copolymers

The porous structures of the highly swollen hydrogels of cellulose—acrylamide graft copolymers were studied by the solute exclusion technique. For these hydrogels, the cumulative volume of pores up to 560 Å in pore width was between 450 and 850 mL/g, and was between 20 and 30% of the total pore volume. With an increasing in the amount of crosslinker added in the grafting procedure, the cumulative pore volume up to 560 Å decreased. Furthermore, larger pores shrunk preferentially. In the range of concentration from 0.003 to 0.3%, the viscosity of the hydrogels increased remarkably with an increase in concentration. The concentration dependence of the viscosity showed a transition at about 0.03%, which corresponded to the reciprocal of the water retention values for each copolymer. At concentrations over 3%, fluidity of the hydrogels was lost and the water swollen copolymers became viscoelastic. This dynamic viscoelasticity remained essentially unchanged in the temperature range of 20 to 80°C. The dynamic viscoelasticity was dependent on the concentration, but the concentration dependence was smaller than that of the viscosity. The larger the amount of the crosslinker added, the larger the value of dynamic modulus became.     

Effects of electrical stimulation or local anesthesia of the rabbit's hypothalamus on the acute phase response

The effects of electrical stimulation of the rostral hypothalamic region on the acute phase response (APR) were examined in rabbits. As indicators of APR, we measured changes in the plasma concentrations of iron, zinc, copper, and fibrinogen and changes in the red and white blood cell counts. Electrical stimulation of the rostral hypothalamic region near the preoptic and anterior hypothalamic region did not induce any aspect of the APR. However, stimulation near the anteroventral portion of the third ventricle (AV3V) induced responses that were, in part, opposite to those observed in the APR: an increase in the plasma concentration of zinc and a decrease in the circulating leukocyte count. Microinjections of procaine into the brain regions near the AV3V did not induce any changes in the plasma levels of trace metals and fibrinogen but increased the circulating leukocyte count. These results suggest that nonspecific stimulation or inhibition of the rostral hypothalamic region does not induce APR.     

Activation of wood surface by corona treatment to improve adhesive bonding

Oxidative activation of resinous wood surfaces by a corona treatment to improve adhesive bonding was studied. It was found that the wettability of the veneers, including hardwoods, softwoods, and tropical woods increased with an increase in the degree of treatment, and the gluability increased rapidly after the initial mild treatment. To elucidate the nature of any chemical change occurring on the wood surface, the dyeing examination of the wood and its components with Schiff's reagent was made, and the results showed a higher dyeing ability for corona-treated samples compared to untreated ones, indicating that aldehyde groups increased by the corona treatment. The treatment affected the alcohol-benzene extractives, and oxidized them to produce aldehyde groups. Especially, the neutral fraction in the extractives was significantly affected. On the other hand, negligible chemical effects of the treatment on the surface modification of the wood's main components were seen. Both the untreated and corona-treated samples adsorbed basic dye to the same extent of coloration. Thus, no measurable carboxyl groups increased on the surface of the samples. It seems that an increase in the wettability of corona-treated wood veneers resulted mainly from the oxidation of the high hydrophobic surface layer of neutral fraction substances in the extractives, and from the reduction in their hydrophobicity. © 1993 John Wiley & Sons, Inc.     

Burns in a suicide attempt related to psychiatric side effects of interferon

Tardive dystonia is one of the most serious adverse events of typical neuroleptic treatments. They differ from tardive dyskinesia by their clinical and evolutive features. The occurrence of tardive dystonia due to new antipsychotics remained unknown. For the first time in the literature, we report a case of typical tardive dystonia occurring in a young male schizophrenic patient treated for 8 months with risperidone. No remission was observed despite several therapeutics including botulinic toxin.     

Reduced contractility and histological changes in the gallbladder due to portal hypertension in a hamster cirrhosis model

BACKGROUND/AIMS: Little is known about the relationship of portal venous pressure to contractility and histological changes in the gallbladder. In this study, we investigated the relationship between portal hypertension and contractility and histological changes in the gallbladder in a hamster cirrhosis model. METHODS: Liver cirrhosis was induced in the hamsters (n = 20) by thioacetamide (TAA). Portal venous pressure was directly measured using a pressure-measuring instrument. The contractility of the gallbladder was appraised by the diameter before and after caerulein treatment. Gallbladder wall thickness and vessel areas in tissues were evaluated in relation to the portal venous pressure. RESULTS: The portal venous pressure, gallbladder wall thickness with submucosal edema and area of vessels in the gallbladder wall in the cirrhosis group were significantly increased compared with those in the control group (n = 20, receiving saline instead of TAA). The gallbladder contraction rate in the cirrhosis group was significantly decreased compared with that in the control group. In the cirrhosis group, there were positive correlations between the portal venous pressure and the gallbladder contraction rate, gallbladder wall thickness, and area of vessels. CONCLUSIONS: In the gallbladders of experimental cirrhotic hamsters, portal hypertension caused dilatation of the vessels as well as submucosal edema, and was an important factor in the increased thickness and reduced contractility of the gallbladder wall.