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Koh J, Sumita R, Takasaki M, Kosaka Y. Anaphylactoid reactions due to pancuronium. J Anesth 1987; 1:99-101. [PMID: 15237313 DOI: 10.1007/s0054070010099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/1986] [Accepted: 11/28/1986] [Indexed: 10/26/2022]
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227
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Kosaka Y, Kajitani H, Ohoka T, Doi K, Nishio Y, Sakura S, Hatano M, Saitoh Y, Sumita R, Koh J. [Spinal anesthesia with 0.5% isobaric bupivacaine]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1987; 36:237-42. [PMID: 3586320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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228
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Asano M, Oh-oka T, Kosaka Y. [Relation between epidural pressure and cerebrospinal fluid pressure in dogs]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1987; 36:89-93. [PMID: 3560430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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229
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Asano M, Kosaka Y. [Changes of epidural pressure and cerebrospinal fluid pressure during abdominal surgery]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1986; 35:1694-700. [PMID: 3820559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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230
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Takasaki M, Hatano M, Saitoh Y, Nishio Y, Kawasaki H, Kosaka Y. [Continuous epidural infusion of bupivacaine in postoperative pain relief]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1986; 35:1550-5. [PMID: 3806946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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231
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Takasaki M, Hatano M, Nakamura Y, Kosaka Y. [Evaluation of ephedrine, dopamine and dobutamine for circulatory depression associated with thoracic epidural analgesia in geriatric patients]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1986; 35:1212-8. [PMID: 3783914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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232
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Takasaki M, Kosaka Y. Nasobronchial intubation with a double-lumen tube. Intensive Care Med 1985; 11:329. [PMID: 4086712 DOI: 10.1007/bf00273549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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233
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Kakiuchi S, Tagawa S, Tameda Y, Kosaka Y. [Pharmacokinetics of cefoperazone in liver diseases]. THE JAPANESE JOURNAL OF ANTIBIOTICS 1985; 38:2026-32. [PMID: 4078997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
To obtain useful informations for determining the optimal dosage of drugs in patients with impaired liver function, pharmacokinetics of cefoperazone (CPZ) was studied in healthy adults (normal control group) and 35 patients with liver disease (liver disease group). CPZ is a new third generation cephalosporin which is mainly excreted into the bile and has serum half-life of about 2 hours. After a rapid intravenous injection of CPZ, peripheral blood and urine samples were obtained at the time according to the protocol of this study. Serum and urine concentrations of CPZ were determined by the bioassay method using Micrococcus luteus ATCC 9341 as the test strain. From the concentrations of CPZ in serum and urine, pharmacokinetic parameters were calculated by means of a "two-compartment open model". After an administration of CPZ, the serum concentration declined more slowly in the liver disease group as compared to the normal control group. At 1 hour after intravenous injection of CPZ, the difference of the serum level was already observed between these 2 groups. The half-life of elimination (T 1/2) was 2 to 4 times longer in the liver disease group. The elimination rate constant (K10) and total clearance (Clt) of CPZ were much lower in the liver disease group than in the control group except for hepatocellular carcinoma. On the other hand, urinary excretion rate (Ur) was lower in the normal control group than in the liver disease group. There was a close correlation between disappearance rate of indocyanine green (KICG) and parameters such as T1/2, K10, Clt and Cler with coefficients of -0.642, 0.723, 0.690 and 0.682, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)
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Takasaki M, Kawasaki H, Kosaka Y. Effect of selective PEEP on pulmonary blood flow following unilateral hydrochloric acid aspiration in the dog. Acta Anaesthesiol Scand 1985; 29:400-4. [PMID: 3893013 DOI: 10.1111/j.1399-6576.1985.tb02223.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
We investigated the effect of unilateral or bilateral positive end-expiratory pressure (PEEP) on pulmonary perfusion in 12 dogs with a hydrochloric acid aspiration injury of the left lung. The lungs were ventilated separately and PEEP was applied to the left lung at 10 cmH2O (1.0 kPa) in six and at 15 cmH2O (1.5 kPa) in six others. Measurements of the right and left pulmonary arterial blood flows (QR and QL) and venous admixture were made before, during and after PEEP. After this study, 5 and 10 cmH2O (0.5 and 1.0 kPa) PEEP were applied to both lungs in six dogs and measurements were repeated. Following the application of PEEP to the left lung, a significant decrease in QL and increase in QR were observed. However, the application of PEEP to both lungs was followed by significant decreases in both QL and QR. The cardiac output decreased slightly during unilateral PEEP and markedly during bilateral PEEP. The venous admixture decreased significantly during PEEP in all the groups. These findings indicate that selective PEEP causes a transfer of pulmonary blood flow from the injured lung to the normal lung, improving ventilation-perfusion inequality, and improves gas exchange without impeding oxygen delivery.
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235
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Kosaka Y, Nishio Y, Matsui K, Shiihara K, Asano M, Kawasaki H, Shimizu Y, Takasaki M, Tanaka A. [Hemodynamic and respiratory effects of epidural analgesia for gastrectomy in geriatric patients]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1985; 34:100-7. [PMID: 3999373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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236
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Takasaki M, Kohno M, Shiihara K, Kosaka Y, Katagiri Y, Saeki T. [A clinical evaluation of 0.75 percent bupivacaine in extradural block]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1985; 34:82-7. [PMID: 3999381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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237
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Ichida F, Yoshikawa A, Yachi A, Goto Y, Furuta S, Hattori N, Kakumu S, Kosaka Y, Takino T, Nagashima H. Treatment of HBeAg-positive chronic hepatitis with a streptococcal preparation (OK-432). J Int Med Res 1985; 13:59-67. [PMID: 3979658 DOI: 10.1177/030006058501300109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Forty-two patients with hepatitis Be antigen (HBeAg)-positive chronic hepatitis were treated by intramuscular injections with OK-432, an immunopotentiator possessing interferon-inducing activity. They were monitored with serial measurements of virological parameters to evaluate therapeutic effectiveness, and compared with a group of seventy-five untreated patients (natural course group). In the group receiving OK-432 therapy, twenty-seven patients (64.3% of the forty-two patients) became negative for HBeAg in an average observation period of 20.1 months. Of these, fourteen patients (33.3% of the forty-two patients) underwent seroconversion from HBeAg to anti-HBe antibody (anti-HBe). In the natural course group, twenty-three patients (30.7% of the seventy-five patients) lost HBeAg reactivity in a mean follow-up period of 32.3 months, and thirteen patients (17.3% of the seventy-five patients) became seroconverted. Thus, the drug group showed significantly higher percentages of patients with disappearance of HBeAg and seroconversion, notwithstanding the shorter duration of the follow-up. Young males and females, females generally, or patients with high serum GPT levels were more likely to respond to the therapy. The serum GPT level tended to stabilize more in patients receiving OK-432.
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Kosaka Y, Akizuki M, Yoshida S, Mimori T, Homma M. Large cystic lesions of the upper lobes of the lungs in two patients with CHEST syndrome. ARTHRITIS AND RHEUMATISM 1984; 27:935-8. [PMID: 6466397 DOI: 10.1002/art.1780270814] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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239
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Kosaka Y, Sato T. [Practice of midwife outpatient care]. JOSANPU ZASSHI = THE JAPANESE JOURNAL FOR MIDWIFE 1983; 37:542-8. [PMID: 6555278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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240
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Iizuka Y, Sugiyama T, Fuzita T, Takanashi T, Suzuki T, Kosaka Y, Murakami J, Shindo T, Amaki I. [Sigmoid colon cancer during the course of a patient with multiple myeloma (IgG Kappa)]. [RINSHO KETSUEKI] THE JAPANESE JOURNAL OF CLINICAL HEMATOLOGY 1983; 24:559-63. [PMID: 6411948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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241
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Takasaki M, Matsui K, Kawasaki H, Kosaka Y. [Systemic accumulation of mepivacaine during continuous extradural analgesia]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1983; 32:298-302. [PMID: 6864993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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242
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Takasaki M, Kawasaki H, Kawamoto M, Matsui K, Kosaka Y. [A case of differential lung ventilation with PEEP]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1983; 32:236-40. [PMID: 6343661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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243
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Moriwaki K, Kosaka Y, Takasaki M, Taira Y. [Reversal of neuroleptanesthesia-induced postoperative somnolence and respiratory depression]. MASUI. THE JAPANESE JOURNAL OF ANESTHESIOLOGY 1982; 31:1238-44. [PMID: 7166780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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244
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Ichida F, Shibasaki K, Takino T, Suzuki H, Fujisawa K, Inoue K, Hirayama C, Kaito I, Hirasawa T, Kameda H, Inoue J, Satoh G, Kosaka Y, Yamamoto S, Nagashima H, Tsuji T, Ohta Y, Okada J. Therapeutic effects of tiopronin on chronic hepatitis: a double-blind clinical study. J Int Med Res 1982; 10:325-32. [PMID: 6128281 DOI: 10.1177/030006058201000503] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
The efficacy of tiopronin (2-mercaptopropionyl glycine) 600 mg daily in the treatment of chronic active or chronic persistent hepatitis has been assessed in a double-blind controlled clinical trial of 12 weeks involving 165 Japanese patients with histologically proven disease. Treatment with the drug was associated with a significant improvement in abnormalities of serum transaminase and gamma glutamyl transpeptidase, with reversion towards baseline values on stopping the drug. Improvement was independent of the histological classification of the disease, or HBsAg status. The drug was well tolerated with few side-effects. The results of this short-term study indicate that tiopronin may be of value in the treatment of chronic hepatitis.
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Hirayama C, Ichida F, Takahashi Y, Koizumi T, Sato S, Kosaka Y, Wakui K, Shimada Y, Yoshiba A, Hattori N, Ooya T, Takino T, Takeda H. A controlled clinical trial of nicotinohydroxamic acid and neomycin in advanced chronic liver disease. Digestion 1982; 25:115-23. [PMID: 6217100 DOI: 10.1159/000198819] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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246
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Kakiuchi S, Tagawa S, Watanabe K, Kosaka Y, Takezawa H. [Serum and urinary level of sodium piperacillin in patients with liver disease (author's transl)]. THE JAPANESE JOURNAL OF ANTIBIOTICS 1982; 35:212-21. [PMID: 6461777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Serum and urinary levels of PIPC (sodium piperacillin) in patients with liver disease were investigated. Serum and urinary levels of PIPC are affected by the degree of liver disease which is estimated most exactly by KICG, and it is available for determination of dose and administration interval. When PIPC was administered intravenously at a dose of 2 g, serum level in patients with liver disease was showed high and prolonged. Therefore this is convenient for PIPC of which biological half life is comparatively short. In patients with serious liver cirrhosis, PIPC is probably cumulated by continuous administration and in this case, dose and administration interval will be needed to regulate.
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Kosaka Y, Tameda Y, Okuda Y, Takase K, Sawa H, Takezawa H. A study on the relationship between the prognosis of chronic active hepatitis and the HBV associated antigen/antibody systems. GASTROENTEROLOGIA JAPONICA 1981; 16:592-9. [PMID: 7333448 DOI: 10.1007/bf02813794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
The relationship between the prognosis of the disease based on liver histology and HB virus (HBV) associated antigen/antibody systems was investigated in twenty seven patients with chronic active hepatitis (CAH). These patients were followed up over extended periods with mean duration of 44.3 months. On initial liver biopsy five of twelve patients with CAH with spotty or focal necrosis were HBs antigen (HBsAg) positive, as were also five of six patients with sublobular necrosis and six of nine patients with lobular disorganization. Most of the HBsAg negative patients were anti-HBs or anti-HBc positive: HBV associated antigen or antibody was completely undetectable in only three of the twenty seven patients. There was no difference in the frequency of progression to liver cirrhosis (LC) between the sixteen HBsAg positive and the eleven HBsAg negative patients with CAH. On the other hand, progression to LC occurred in only one of seven HBe antigen (HBeAg) negative patients, compared to four of nine HBeAg positive patients, who were HbsAg positive. There were four patients who were HBeAg positive initially but then became HBeAg negative in the course of observation. LC developed in two of these four patients. These results suggest that in HBsAg positive patients with CAH the presence or absence of HBeAg and the variation in its level can provide useful indicators of the prognosis of the disease.
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Kosaka Y, Akeda S, Kondo I, Okuda Y, Hagiwara M, Fujita K. [Experimental induction of Mallory bodies in mice by griseofulvin treatment (author's transl)]. NIHON SHOKAKIBYO GAKKAI ZASSHI = THE JAPANESE JOURNAL OF GASTRO-ENTEROLOGY 1981; 78:1962-8. [PMID: 6276593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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249
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Kosaka Y, Hagiwara M, Akeda S, Tameda Y, Tsujita E, Okuda Y, Shiomi Y, Takase K, Hashizume M, Kitajima T, Kobayashi M, Kuniyoshi M. [Porphyria cutanea tarda: with special reference to ultrastructural findings of the liver (author's transl)]. NIHON SHOKAKIBYO GAKKAI ZASSHI = THE JAPANESE JOURNAL OF GASTRO-ENTEROLOGY 1981; 78:1635-43. [PMID: 7321261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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250
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Kosaka Y, Tameda Y, Nishimura A, Fujimoto M. [Effects of immunopotentiator on six patients with HBeAg positive chronic hepatitis (author's transl)]. NIHON SHOKAKIBYO GAKKAI ZASSHI = THE JAPANESE JOURNAL OF GASTRO-ENTEROLOGY 1981; 78:1675. [PMID: 7321268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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