Search

The structure of a neutron-rich ^{25}F nucleus is investigated by a quasifree (p,2p) knockout reaction at 270A MeV in inverse kinematics. The sum of spectroscopic factors of π0d_{5/2} orbital is found to be 1.0±0.3. However, the spectroscopic factor with residual ^{24}O nucleus being in the ground state is found to be only 0.36±0.13, while those in the excited state is 0.65±0.25. The result shows that the ^{24}O core of ^{25}F nucleus significantly differs from a free ^{24}O nucleus, and the core consists of ∼35% ^{24}O_{g.s.}. and ∼65% excited ^{24}O. The result may infer that the addition of the 0d_{5/2} proton considerably changes neutron structure in ^{25}F from that in ^{24}O, which could be a possible mechanism responsible for the oxygen dripline anomaly.

378 Yuta Ogura1, Takeharu Enomoto1, Shinya Mikami1, Hiroyuki Hoshino1, Akiyoshi Noda1, Osamu Saji1, Tsunehisa Matsushita1, Shinya Ishigouoka2, Masaki Yamashita2, Saeko Naruki3, Takashi Fujino3, Tetsu Fukunaga1, Takehito Otsubo1 1Division of Gastroenterological and General Surgery, 2Division of Gastroenterological Internal Medicine, 3Department of Pathology; St. Marianna University School of Medicine, Kawasaki, Japan. A Rare Case of Metastasis of Merkel Cell Carcinoma to the Jejunum JOURNAL OF CASE REPORTS 2016;6(3):378-381

Background:Three-dimensional photonic scanning (3DPS) was recently developed to measuredimensions of a human body surface. Objective:The purpose of this study was to explore the validity of bodyvolume measured by 3DPS for estimating the percent body fat (%fat). Design, setting, participants, andmeasurement:The body volumes were determined by 3DPS in 52 women. The body volume was corrected forresidual lung volume. The %fat was estimated from body density and compared with the corresponding referencevalue determined by the dual-energy x-ray absorptiometry (DXA). Results:No significant difference was foundfor the mean values of %fat obtained by 3DPS (22.2 ± 7.6%) and DXA (23.5 ± 4.9%). The root mean squareerror of %fat between 3DPS and reference technique was 6.0%. For each body segment, there was a significantpositive correlation between 3DPS- and DXA-values, although the corresponding value for the head was slightlylarger in 3DPS than in DXA. Residual lung volume was negatively correlated with the estimated error in %fat.Conclusions:The body volume determined with 3DPS is potentially useful for estimating %fat. A possiblestrategy for enhancing the measurement accuracy of %fat might be to refine the protocol for preparing thesubject’s hair prior to scanning and to improve the accuracy in the measurement of residual lung volume.

A possible critical complication associated with banking bone is human immunodeficiency virus (HIV) infection. Recently, since the report of HIV infection in bone allografts from an HIV-seronegative donor, a more reliable method of sterilization for preserved bone graft has become necessary. Heat treatment of banking bone is one of the simple sterilization methods. This method is especially safe and practical for the prevention of HIV infection.We previously reported a biological study on heat-treated bone graft. In that study, we showed that revascularization and new bone formation of bone graft after heat treatment at 60 degrees C was nearly the same as that of non-heat-treated bone graft, while at 100 degrees C, revascularization and new bone formation showed a significant delay. This time, we examined the change of mechanical strength of heat-treated bone grafts after transplantation in an experiment. To eliminate the problem of antigenicity of grafted bone, we used autografts, not allografts. Two types of heat-treated autografts were employed: heat-treated at 60 degrees C for 30 min and heat-treated at 100 degrees C for 5 min; as a control, fresh autografts were replaced in the left femur of rabbits. A strength test was performed for both the transplanted bone and the untreated intact right femur with time after transplantation. The strength test consisted of a compression test and torsional test, and the strength was compared between transplanted bone and the untreated intact right femur.In the compression test, the grafts heat-treated at 60 degrees C showed a strength ratio before transplantation of 97.3%. The strength ratio decreased to 63.5% at 18 weeks after transplantation. Then the strength ratio increased and recovered to 94.5% at 48 weeks after transplantation. However, the grafts heat-treated at 100 degrees C showed unsatisfactory mechanical strength, at 48 weeks the strength ratio was 60.1%, which was significantly lower compared with controls. In the torsional test, the grafts heat-treated at 60 degrees C showed almost the same strength observed in the compression test. However, the grafts heat-treated at 100 degrees C showed unsatisfactory mechanical strength: at 48 weeks, the strength ratio was 57.3%.Therefore, heat treatment at 60 degrees C is a useful sterilization method, not only in biological but also mechanical terms.

Aim: The purposes of this study were to determine the age-related changes in the tendon-aponeurosis structures and to investigate the effects of lowload resistance training on the tendon-aponeurosis structures in middle-aged and elderly women. Methods: Fifty-one women (55.8 � 13.7 years, range: 21–77 years) volunteered to take part in the present study. Furthermore, 11 middle-aged and elderly women (49.7 � 9.2 years) performed the low-load resistance training, i.e. squat using body weight, for 6 months. The elongation of the tendon and aponeurosis of the vastus lateralis muscle was directly measured by ultrasonography, while the subjects performed ramp isometric knee extension up to the voluntary maximum, followed by a ramp relaxation. The relationship between the estimated muscle force (Fm) and tendon elongation (L) during the ascending phase was fitted to a linear regression, the slope of which was defined as stiffness. The percentage of the area within the Fm-L loop to the area beneath the curve during the ascending phase was calculated as hysteresis. Results: Maximal strain (L/initial tendon length) and stiffness of the tendon-aponeurosis structures decreased significantly with ageing. In contrast, the hysteresis increased significantly with ageing. In addition, low-load resistance training produced no significant change in stiffness and hysteresis, but significantly increased the maximal elongation of tendon-aponeurosis structures from 23.3 � 2.1 mm to 24.8 � 2.2 mm (P ¼ 0.045). Conclusion: These results suggest that increasing age results in a decrease in the elasticity of tendon-aponeurosis structures and an increase in their viscosity. Furthermore, the low-load resistance training made the elasticity of tendon-aponeurosis structures increase.

Isometric unilateral elbow extension training was conducted for 10 weeks (3 times per week) on 12 young adult men to investigate the effects of equivolume exercise programs with different combinations of intensity and duration on the morphological and functional aspects of the triceps brachii muscle. One group of 6 subjects trained by developing maximal voluntary contraction (MVC) for 6 s per set with 12 sets per session (100%G), while the other group of 6 subjects trained at 60% of MVC for 30 s per set with 4 sets per session (60%G). Training significantly increased the muscle volume ( V(m)), fascicle pennation angle of the triceps brachii, and torque output during concentric and eccentric elbow extensions at three constant velocities of 0.52, 1.57, and 3.14 rad.s(-1) as well as under the training condition, with no significant differences in the relative gains between the two programs. However, 100%G showed significantly greater V(m) than 60%G after training, when V(m) before training was normalized. Thus, only 60%G significantly increased the ratio of torque to V(m) developed in the eccentric actions at the three velocities and concentric action at 1.57 rad.s(-1). The present results indicate that isometric training programs of medium resistance/long duration and high resistance/short duration produce different effects on V(m) and dynamic strength relative to V(m), even if the training volume is equalized between the two protocols.

This study compared the effects of static stretching (ST) and repeated muscle contractions (CON) on the viscoelastic properties of tendon structures in vivo. Eight male subjects performed ST (passively flexed to 35 of dorsiflexion) for 5 min and 50 repetitions of isometric maximum voluntary contraction (MVC) for 3 s each with 3 s relaxation. Before and after each task, the elongation of the tendon and aponeurosis of the medial gastrocnemius muscle (MG) was directly measured by ultrasonography, while the subjects performed ramp isometric plantar flexion up to MVC, followed by a ramp relaxation. The relationship between the estimated muscle force (F m ) and tendon elongation (L) during the ascending phase was applied to a linear regression, the slope of which was defined as stiffness of the tendon structures. The percentage of the area within the F m -L loop to the area beneath the curve during the ascending phase was calculated as an index representing hysteresis. The ST protocol significantly decreased the stiffness (-8%) and hysteresis (29%), respectively. In contrast, the CON protocol significantly decreased the stiffness, but not the hysteresis. These results suggested that the stretching and repeated contractions would make the tendon structures more complaint, and further decreased the hysteresis of the tendon structures.

Six men performed a single ankle plantar flexion exercise in the supine position with the maximal effort with counter movement (CM, plantar flexion preceded by dorsiflexion) and without counter movement (NoCM, plantar flexion only) produced by a sliding table that controlled applied load to the ankle (40 % of the maximal voluntary force). The reaction force at the foot and ankle joint angle were measured using a force plate and a goniometer, respectively. From real-time ultrasonography of the gastrocnemius medialis muscle during the movement, the fascicle length was determined. The estimated peak force, average power, and work at the Achilles' tendon during the plantar flexion phase in CM were significantly greater than those in NoCM. In CM, in the dorsiflexion phase, fascicle length initially increased with little electromyographic activity, then remained constant while the whole muscle-tendon unit lengthened, before decreasing in the final plantar flexion phase. In NoCM, fascicle length decreased throughout the movement and the fascicle length at the onset of movement was longer than that of the corresponding phase in CM. It was concluded that during CM muscle fibres optimally work almost isometrically, by leaving the task of storing and releasing elastic energy for enhancing exercise performance to the tendon.

The purpose of this study was to investigate the viscoelastic properties of tendon structures in humans. Elongation of the tendon and aponeurosis of medial gastrocnemius muscle (MG) was directly measured by ultrasonography, while subjects (n=19) performed ramp isometric plantar flexion up to the voluntary maximum, followed by a ramp relaxation. The relationship between tendon elongation (L) and estimated muscle force (Fm) was fitted to a linear regression, the slope of which was defined as compliance of the tendon structures. The hysteresis was calculated as the ratio of the area within the L-Fm loop (elastic energy dissipated) to the area beneath the load portion of the curve (elastic energy input). The resulting L-Fm relationship was non-linear in form, as previously reported on animal and human tendons in vitro. The mean compliance was 4.5+/-1.1. 10-2 mm/N. However, there was a considerable inter-subject variability (2.9 to 7.2. 10-2 mm/N). The Young's modulus, i.e., the slope of the stress-strain curve, was 280 MPa, which tended to be lower than the previously reported values for human tendons. It was also found that the strain of the tendon structures was homogeneously distributed along their length. The mean hysteresis (energy dissipation) was 22.2+/-8.8%. However, again there was a considerable inter-subject variability (9.7 to 37.2%). The present results indicated that the tendon structures of human MG were considerably compliant and their hysteresis was in accordance with previously reported values.

The influence of muscle series elasticity on the relationship between torque and joint angle during dynamic contractions was studied. The torque-angle relationship during the maximal isokinetic knee extension was determined for six male subjects (25-45 years) at 0.52, 1.05, 1.57, 2.09, 2.62, 3.49 rad/s. The knee joint angle at which peak torque was observed showed a systematic shift to more extended positions, i.e., the quadriceps muscle-tendon unit length became shorter as the velocity increased [from 1.01 (0.12) rad (0.52 rad/s) to 0.75 (0.14) rad (3.49 rad/s), mean (SD)]. The corresponding difference in muscle-tendon unit length between 0.52 and 3.49 rad/s, estimated from the angle shift at peak torque and the moment arm length change of the quadriceps muscles, was 9 (4) mm. The relationship between estimated changes in muscle-tendon unit length and muscle force of the vastus lateralis and intermedius (VLI) over the seven velocities (including isometric contraction, 0 rad/s) coincided with the load-elongation properties of the series elastic component of VLI, determined separately in vivo by ultrasonography when the same subjects performed a ramp isometric knee extension. The results suggest that the torque-angle relationship is affected by the interaction between contractile and elastic components, and that peak torque angle shift is attributable to the elongation of tendinous tissues as a function of force applied to them.

We evaluated the stretch reflex activities of the elbow flexor and extensor muscles considering the relationship between the reflex electromyographic (EMG) responses and their corresponding standardized muscle stretch velocities. Specifically, muscular stretch velocity was estimated by using ultrasonograms. Stretch reflex EMG responses were elicited in the biceps brachii, brachioradialis and triceps brachii with a ramp-and-hold rotation at the elbow joint, which consisted of various angular velocities for the extension- or flexion-direction. The whole muscle stretch velocity induced by each ramp-and-hold rotation was calculated on the basis of fibre length changes associated with the elbow joint angle. A linear regression equation was fitted to the relation between the whole muscle stretch velocity and the reflex EMG responses, and the variables from the equation were used to quantify sensitivity of each reflex EMG component. The reflex EMG responses were increased as the ramp-and-hold rotational velocity increased. There were no significant differences in the recorded magnitudes of reflex EMG responses with equivalent joint rotational velocity between the brachioradialis and the triceps brachii medial head. These muscles showed the highest reflex responses in the flexor and extensor muscles, respectively. To the contrary, the reflex EMG response elicited by the standardized muscle stretches was significantly greater in the extensor muscles, indicating a higher reflex sensitivity. This was because of the lower muscle stretch velocity of the triceps brachii with an equivalent elbow joint rotation. The stretch reflex sensitivity in both the elbow flexor and extensor muscles might be regulated so as to make the reflex responses the same when the equivalent joint rotational velocity is applied to these muscles.

The purpose of this study was to investigate the dynamics of human muscle-tendon complex (MTC) during stretch-shortening cycle exercises through in vivo observation. A total of seven male subjects performed dorsi flexion followed by plantar flexion at two different frequencies, 0.3 Hz (slow) and 1.0 Hz (fast), in a toe-standing position. The fascicle length (LF) of the medial gastrocnemius muscle during the movements was determined using a real-time ultrasonography in vivo. The LF at the switching phase from dorsi to plantar flexion was significantly shorter in the fast exercise (54.4 +/- 5.5 mm) than in the slow one (58.2 +/- 5.4 mm), suggesting that the elongation of tendon structures at that time was significantly greater in the former than in the latter. Furthermore, at the initial stage of plantar flexion during the fast movement, the LF hardly changed with a rapid shortening of tendon structures at that time. The observed relation between MTC length and force showed that the behaviour of tendon structures contributed to 20.2 and 42.5% of the total amount of work completed during plantar flexion phase in the slow and fast movements, respectively. Thus, the present results suggest that tendon structures make the dynamics of MTC more efficient during stretch-shortening cycle exercises by changing their lengths.

To determine the shortening velocities of fascicles of the vastus lateralis muscle (VL) during isokinetic knee extension, six male subjects were requested to extend the knee with maximal effort at angular velocities of 30 and 150 degrees /s. By using an ultrasonic apparatus, longitudinal images of the VL were produced every 30 ms during knee extension, and the fascicle length and angle of pennation were obtained from these images. The shortening fascicle length with extension of the knee (from 98 to 13 degrees of knee angle; full extension = 0 degrees ) was greater (43 mm) at 30 degrees /s than at 150 degrees /s (35 mm). Even when the angular velocity remained constant during the isokinetic range of motion, the fascicle velocity was found to change from 39 to 77 mm/s at 150 degrees /s and from 6 to 19 mm/s at 30 degrees /s. The force exerted by a fascicle changed with the length of the fascicle at changing angular velocities. The peak values of fascicle force and velocity were observed at approximately 90 mm of fascicle length. In conclusion, even if the angular velocity of knee extension is kept constant, the shortening velocity of a fascicle is dependent on the force applied to the muscle-tendon complex, and the phenomenon is considered to be caused mainly by the elongation of the elastic element (tendinous tissue).

We studied clinical aspects of the "third rhythm," which was first described by Niedermeyer as alpha-like activity of the temporal lobe. By scalp EEG, temporal alpha-like activity was recorded in 15 (0.30%) of 4929 patients over 20 years of age. The temporal alpha-like activity was observed in 5 patients who had clinical and brain imaging findings indicating the presence of a cerebrovascular disorder. The alpha-like rhythm of these patients was left-sided, and wicket spikes appeared in the same region as the alpha-like rhythms in 4 of the 5 patients. In 8 of the 15, the temporal alpha-like rhythm was recorded over the defective bone or replacement bone after intracranial surgery. The alpha-like rhythm of these patients was similar to breach rhythm in the temporal region. The remaining 2 patients had not undergone intracranial surgery nor did they show symptoms of cerebrovascular disorders. The temporal alpha-like rhythms in one of these 2 might be a physiological third rhythm detected by scalp EEG through congenital bone thinning. Our observation supports the existence of intrinsic activity of the temporal lobe (the third rhythm). The third rhythm can be recorded by routine scalp EEG in some clinical conditions, and it is important to recognize this rhythm when one encounters temporal rhythmic activity independent of alpha rhythm of the occipital lobe.

Parathymic lymph nodes (PTLNs) have been identified in several species, but in humans they have been noted only once before in a study 90 years ago using fetal material. We now report their occurrence in children. Human PTLNs are small but distinctive lymphatic organs located on the surface of the thymus (or sometimes between the upper and lower lobes of the thymus) and covered with the thymic capsule. Histologically, the medullary cords of these lymph nodes were found to be thin, with only small numbers of plasma cells. In addition, they had a well-developed paracortical area rich with high endothelial venules (HEV), but a thin cortex, including only a few undeveloped follicles. Flow cytometric analysis of PTLNs revealed that the ratios of T:B cells (14.6+/-9.3) and of CD4+:CD8+ T cells (4.9+/-1.4) in PTLNs were much higher than in other peripheral lymphoid tissues and in peripheral blood. Because of these characteristics of the human PTLNs, we propose that the human PTLNs might influence the functional differentiation of T cells.

OBJECTIVE: To determine velocity specific isokinetic forces and cross sectional areas of reciprocal muscle groups in Olympic weight lifters. METHODS: The cross sectional area of the flexor or extensor muscles of the elbow or knee joint was determined by a B-mode ultrasonic apparatus in 34 college weight lifters and 31 untrained male subjects matched for age. Maximum voluntary force produced in the flexion and extension of the elbow and knee joints was measured on an isokinetic dynamometer at 60, 180, and 300 degrees/s. RESULTS: The average cross sectional area was 31-65% higher, and the force was 19-62% higher in weight lifters than in the untrained subjects. The ratio of force to cross sectional area was the same in both groups. The weight lifters showed a lower velocity associated decline in force than untrained subjects in the elbow and knee flexors but not in the extensors. CONCLUSIONS: These results indicate that for muscle contractions with velocities between 60 degrees/s and 300 degrees/s the difference in isokinetic force between weight lifters and untrained subjects can be primarily attributed to the difference in the muscle cross sectional area. However, the lower velocity associated decline in force implies that weight lifters may have a higher force per cross sectional area than untrained subjects at velocities above 300 degrees/s.

The purpose of this study was to investigate the difference in the morphological and functional aspects of the triceps brachii muscle between highly trained male and female athletes who were members of the 1996 Japanese Olympic teams in each of three different events: soccer, gymnastics and judo. The thickness (TBmt) and fibre pennation angle (TBpen) of the triceps brachii muscle and force output during elbow extensions were determined using a B-mode ultrasound apparatus and an isokinetic dynamometer, respectively. The TBmt and its value relative to upper arm length (TBmt/l(ua)) were significantly larger in the men than in the women in all the events except judo. In all the subjects, a significant correlation was found between TBmt/l(ua)) and TBpen (r = 0.721, P0.05). The existence of the sex difference in TBpen within the same event was in agreement with that observed in TBmt/l(ua) except for the soccer players. The TBpen of the soccer players were similar in both sexes although a significant sex differences was found in TBmt/l(ua). The isokinetic forces measured using the two velocities 60 degrees x s(-1) (F60) and 180 degrees x s(-1) (F180) were significantly correlated to the cross-sectional area (CSA) of the triceps brachii muscle estimated from TBmt (r = 0.702, P0.05 for F60, and r = 0.776, P0.05 for F180). No significant sex differences were found in either F60/CSA or F180/CSA in any of the events. From these results, it could be assumed, at least in the Olympic athletes tested in this study, that the fibre angulation of the triceps brachii muscle was almost the same in the two sexes if allowance was made for the difference in the muscle size, and the sex difference in force generation capability of the triceps brachii muscle could in the main be attributed to the difference in CSA rather than in the architectural characteristics.

The purpose of this study was to investigate the characteristics of body composition and force generation capacity in college Sumo wrestlers (N=13, age=19.8+/-0.3 yr, stature= 178.5+/-1.6 cm, body mass = 111.2+/-3.8 kg, X+/-SE) in comparison with untrained males (N=18, 20.3+/-0.2 yr, 170.1+/-1.7 cm, 59.2+/-1.4 kg). The Sumo wrestlers had significantly higher average values in relative fat mass (24.8+/-1.0%) and fat-free mass (83.3+/-2.0 kg), estimated by an underwater weighing method, than the untrained subjects (relative fat mass = 12.9+/-0.1 %, fat-free mass = 51.5+/-1.3 kg). Moreover, the Sumo wrestlers had 1.7 to 1.9 times greater cross-sectional areas (CSAs) of elbow flexors and extensors and knee extensors, determined by a B-mode ultrasound technique, compared to those of the untrained subjects. Force values produced during elbow flexion and extension and knee extensions tasks under isokinetic contraction mode at constant velocities of 1.05, 3.14 and 5.24 rad x s(-1) were significantly higher in the Sumo wrestlers than in the untrained subjects. The force value in all test conditions was significantly correlated to the related-muscle CSA, r=0.611-0.910 (p

The isokinetic forces, produced by a single as well as repetitive maximal knee extensions, and cross-sectional area (CSA) of the quadriceps femoris muscles were measured in 36 young adult males aged from 18 to 24 years: strength-trained (weight resistance-trained subjects, WT, N = 8), endurance-trained (middle distance runners, RUN, N = 13), and age-matched untrained subjects (UNT, N = 15). The CSA was measured using a B-mode ultrasound technique at the midpoint of the thigh length. The isokinetic forces at three velocities (1.05, 3.14 and 5.24 rad.s-1) were significantly correlated to CSA in all subjects (r = 0.01-0.849, p < 0.05). The absolute values in force development at three test velocities were significantly higher in WT than in RUN and UNT. While average values of force output per unit CSA were almost the same among the subject groups at test velocities of 3.14 and 5.24 rad.s-1, it was significantly higher in WT than in UNT at 1.05 rad.s-1. The repetitive maximal task consisted of 50 consecutive maximal knee extensions with constant velocity of 3.14 rad.s-1. The mean value of force (MF) of every 5 consecutive and all trials, respectively, was significantly correlated to CSA in all subjects (r = 0.448-0.885, p < 0.05). The average percentage of decline of MF with 50 maximal contractions was significantly lower in RUN (36 +/- 5%, mean +/- SE) than in WT (59 +/- 2%) and UNT (47 +/- 3%), and in UNT than in WT. The average values of MF per unit CSA for RUN became significantly higher than those for WT and UNT on and after the 36th-40th trial. Thus, force output during a single as well as repetitive maximal contractions was significantly correlated to muscle CSA. In terms of force per unit muscle CSA, however, WT and RUN showed specific force-velocity relation and fatiguability during repetitive maximal contractions, respectively, which could be considered as a result of muscle adaptation to their own training regimens.

The force generation capacities during a single as well as repetitive maximal knee extensions were investigated in speed skaters in relation to the cross-sectional area (CSA) of quadriceps femoris muscles. The subjects were 15 male and 12 female speed skaters, and an age-matched untrained group (20 men and 21 women). An isokinetic dynamometer was used to determine force output at three constant velocities of 1.05, 3.14 and 5.24 rad.s-1 and to perform 50 repetitive maximal contractions at 3.14 rad.s-1. The CSA was measured by using a B-mode ultrasound technique at the midpoint of the thigh length. The isokinetic force produced at each test velocity was significantly correlated to CSA in all the subjects (r = 0.867-0.920, P < 0.05). There was no significant difference in force (F) per unit CSA (F.CSA-1) at the three test velocities between the speed skaters and untrained subjects within the same sex. In both the speed skaters and untrained subjects, the women showed significantly lower F.CSA-1 at 3.14 and 5.24 rad.s-1 than the men. The means of force output (F) of every five consecutive and all trials during the repetitive maximal bout were significantly correlated to CSA in all the subjects (r = 0.889-0.934, P < 0.05). Compared to the untrained subjects, the speed skaters showed significantly higher F for every five consecutive contractions even when calculated per unit of CSA (F.CSA-1), and had lower percentage of decline of F during a trial span between the 6th-10th and 41st-45th trials. For the untrained subjects, F.CSA-1 for every five consecutive contractions was significantly lower in the women than in the men. For the speed skaters, the men showed significantly higher F.CSA-1 than the women during a trial span from the 1st-5th trial to the 31st-35th trial, although there was no significant sex difference in the ratio on and after the 36th-40th trial. From these results, it is concluded that the speed skaters show a higher muscle performance in a repetitive maximal contraction task rather than in a single contraction compared to the untrained subjects. In addition, judging from the results for the speed skaters, the women might be less trainable than the men in the F.CSA-1 during a single contraction at a fast velocity as well as repetitive maximal contractions.

This study measured the moment of inertia of the body using the oscillating table method, and saw how it is affected by age and body size. One hundred and seventeen subjects of junior and senior high school boys of ages 13–18 participated in this study. Moment of inertia was measured in two postures of supine (Imx) and recumbent (Imy) positions. Both Imx and Imy account for the range from 5.6 to 14.0 kg m2 and 4.2 to 13.5 kg m2, respectively, and correlate linearly to body height (Ht) and body weight (W). The values of I my I mx becomes 93.6 and 95.2% independent of age and body size. The difference between Imx and Imy might be affected by projection areas on the frontal from the sagittal area of the body. The multiple regression analysis of Ht2 and W with regard to Im was performed to obtain the following multiple regression equations: I mx = 3.44 Ht 2 + 0.144 W − 8.04 (R = 0.973), I my = 3.52 Ht 2 + 0.125 W − 7.78 (R = 0.972), When Imx and Imy were estimated using these equations, the standard deviation of error which calculates the percent differences between the estimated and measured values amounted to ±5% in Imx and Imy. The results suggest that, with Japanese boys, there is a relationship between the postures and body size (height or weight), independent of age.

The influences of age and sex on the cross-sectional area (CSA) and isometric strength of the ankle dorsiflexors and plantarflexors (PF) were investigated in four age groups of 121 boys and 121 girls aged: 7–9, 10–12, 13–15, and 16–18 years. A single anatomical cross-section was determined at 30% of the distance from the articular cleft between the femur and tibiacondyles by using an ultrasonic apparatus. In both sexes, the increase in age was associated with significant increases in the CSA and strength (ST) of these opposing muscle groups. The sex differences became apparent in the 13–15 year group for CSA and in the 16–18 year group for ST but the differences reduced considerably when CSA and ST were expressed per unit of the second power of the lower leg length (CSA·LL −2) and the product of CSA and the lower leg length (ST·CSA −1·LL −1), respectively. However,CSA·LL −2 of both muscles had a tendency to be increased at and over the age of 10–12 years, and was the highest at 16–18 years, andST·CSA −1·LL −1 of PF showed higher values in the older boys than in the younger. Thus, it appeared that, at least in the reciprocal muscle groups of the ankle joint, the sex differences in muscle CSA and ST during growth could be accounted for by differences in LL and muscle mass, respectively. However, other factors must also be involved to explain completely the age differences in these variables.

The cross-sectional areas (CSA) of fat, muscle and bone tissues of the limb as well as maximal voluntary isokinetic strength were measured in untrained men (n = 27) and women (n = 26) aged 18-25 years. Anatomical CSA of the three tissues were determined by ultrasound on the upper arm and thigh. The isokinetic strength of the elbow and knee extensor and flexor muscles were measured by an isokinetic dynamometer (Cybex II) at 1.05 rad.s-1. The women had significantly (P0.001) larger fat CSA and smaller bone and muscle CSA than the men in both the upper arm and thigh. Among tissue CSA, the largest difference between the women and men was found in fat CSA regardless of the measurement sites. The sex differences in bone and muscle CSA were found largely in the upper arm compared to the thigh, even when expressed per unit second power of the limb length. Regression analyses of the data for respective samples for the men and women showed significant correlations (r = 0.411-0.707, P0.05-P0.001) between CSA and strength in all muscle groups except for the elbow extensors of the men (r = 0.328, P0.05) and the elbow flexors of the women (r = 0.388, P0.05). No significant difference between sexes was observed when strength was expressed per unit of muscle CSA (F.CSA-1) for the elbow flexors and extensors. However, the men showed significantly higher F.CSA-1 than the women for the knee flexors and extensors (P0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

The medical examiner system has been steadily abolished in Japan. Instead, medicolegal investigations are entrusted by the police to medical practitioners, who are not permitted to perform autopsies. The necessity for the medical examiner system was assessed through inquest records in Hyogo, one of the three prefectures which still have medical examiner systems. Standardized mortality ratios (SMRs) for accidents and suicides were negatively associated with population density, being high in rural areas with a large proportion of elderly citizens, while the SMR for natural deaths was high in urbanized areas and associated with the proportion of inquests to total resident deaths. The high proportion of inquests, however, did not always mean that inquest records were of good quality. Significant differences in the quality of medicolegal investigations seemed to exist between medical examiners and medical practitioners. That is, in order to certify the cause-of-death, medical examiners performed autopsies in about half of their cases, while only 2% of medical practitioner cases were subjected to autopsies. Medical practitioners, who certified the cause-of-death as "heart failure" without advising an autopsy, were regularly entrusted with inquests. It is likely that the causes-of-death for medicolegal cases may be questionable since more than 85% of all medicolegal deaths were investigated by medical practitioners, which may cause inaccuracy in at least 3-7% of mortality statistics. It is necessary to educate medical practitioners concerning the importance of mortality statistics and ICD and on the validity of autopsies, in order to obtain accurate mortality statistics from medicolegal cases.

The purpose of the present study was to examine the influence of muscle cooling on the passive mechanical properties of the human gastrocnemius muscle (GAS) in vivo. In a thermoneutral (a room temperature of 18-23degC) and a local cooling (placing the right lower leg into cold water with a temperature of 5-8degC for 60 min) conditions, the change in passive plantarflexion force (F), which is produced only by the GAS length change, was taken in five subjects during passive knee extension from 90deg to 0deg with a constant ankle joint angle of 10deg dorsiflexion. To evaluate an elastic component of the passive plantarflexion force of GAS, the subject held full knee extended position for 1 min (i.e. relaxation period). Skin and muscle temperature of GAS were also measured using a core temperature thermistor. The peak value of F (Fve) that was measured at the end of the knee extension phase, the decrease of F (DeltaF) during the relaxation period, and the F at the end of the relaxation period (Fe) were measured in the two conditions. Muscle cooling decreased the skin and muscle temperature by 6.7 plusmn 1.1degC and 8.1 plusmn 2.5degC, respectively. Fve increased by 24% plusmn 22% by muscle cooling. DeltaF in the thermoneutral and local cooling conditions were 11.5 plusmn 4.9 N and 12.5 plusmn 2.9 N, respectively. Fe increased by 28% plusmn 21% by muscle cooling. These results suggested that muscle cooling increased an elastic component of the passive force arisen from GAS and seemed not to affect its viscous component

The effects of the local blood circulation and absolute torque on muscle endurance at different knee-joint angles were determined. The rate of muscle deoxygenation (using near-infrared spectroscopy), and the rate of muscle fatigue (using the slope of integrated electromyography, iEMG) were evaluated concurrently. Nine healthy subjects performed submaximal (50% maximal voluntary contraction. MVC) static knee extension at 50 degrees (extended position, EXT) and 90 degrees (flexed position, FLEX) joint angles until the target torque could no longer be maintained: that time was measured as the endurance time. They exercised with the circulation occluded (OCCL), and without (FREE) to study the possible effects of the local circulation. Although MVC torque was independent of joint angle [mean (SD) FLEX 250.6 (51.7) Nm and EXT 246.5 (46.6) N x m], significantly shorter (P

The question of gender differences regarding blood acetaldehyde levels during ethanol intoxication has not been clarified because of the difficulties in the determination of acetaldehyde levels. Although the blood acetaldehyde levels in men during normal ethanol oxidation are reported to be undetectable, no valid data on female blood acetaldehyde levels have yet been reported. Thus, in the present investigation, 13 young healthy nonalcoholic women, almost all of which took oral contraceptives regularly, were challenged with different doses of ethanol (0.34, 0.68, and 1.02 g/kg) during three different sessions. Venous blood acetaldehyde and ethanol levels were then determined by headspace gas chromatography involving appropriate correction for artefactual acetaldehyde formation during blood treatment and analytical procedures. Corrected blood acetaldehyde levels (mean 2 microM, range 0-6 microM) were observed, predominantly at lower ethanol concentrations. Elevated acetaldehyde levels in women may explain why ethanol is less frequently abused and causes tissue damage more rapidly in women than men.

The clinical feasibility of both dual-isotope single photon emission tomography (SPET) and gated SPET have been described. The present study evaluates the feasibility of combining gated SPET with exercise 201Tl/rest 99mTc-tetrofosmin dual-isotope SPET corrected for scatter. Ninety-one patients with known or suspected coronary artery disease underwent cardiac catheterization and coronary angiography. Twenty-nine of them underwent exercise 201Tl/rest 99mTc-tetrofosmin dual-isotope SPET with a second 201Tl injection 3 h after the initial 201Tl injection (protocol 1). We then segregated a Bull's eye polar map into three coronary artery territories and quantified the relative regional uptake. The remaining 62 patients underwent exercise 201Tl/rest 99mTc-tetrofosmin dual-isotope SPET combined with gated SPET. We visually evaluated exercise and rest images from the three coronary artery territories. Left ventricular (LV) function was assessed globally by means of the LV ejection fraction and regionally by means of visual scoring analysis, compared with left ventriculography (LVG). The correlation between rest 99mTc-tetrofosmin and 201Tl reinjection images in 87 areas of coronary artery territory (r=0.89, P

Human imnmunodeficiency virus (HIV) infection is one of the possible serious complications associated with bone allografts. In order to prevent infection, grafted bone is sterilized by various treatments. Heat treatment has attracted attention as a simple and practical method. We carried out a histological study of the influence of heat treatment on autogenic bone grafts. To eliminate the problem of antigenicity of grafted bone, we used autografts, not allografts. Three types of heat-treated autografts were employed: heat-treated at 60 degrees C for 30 min, at 80 degrees C for 10 min, and at 100 degrees C for 5 min; as a control, fresh autografts were replaced in the rabbits' ilium. One, 2, 4 and 8 weeks after grafting, we performed microangiography and prepared two types of samples: transparent and haematoxylin-eosin (H&E) stained. Then, using an image analyzer, we quantitatively measured revascularization and new bone formation in the grafted bone. The grafts heat-treated at 60 degrees C showed early and good revascularization and new bone formation, from 1 to 8 weeks. The grafts heat-treated at 80 degrees C showed relatively good revascularization and new bone formation. However, the grafts heat-treated at 100 degrees C showed unsatisfactory revascularization and bone formation, less than 40% of control 8 weeks after grafting. Therefore, heat treatment at 60-80 degrees C does not seriously affect revascularization and new bone formation.

The purpose of this study was to investigate the difference in the magnitude of muscular development between Olympic weight lifters and wrestlers through the measurements of fat-free mass (FFM) and limb muscle cross-sectional area (CSA). Subjects were college Olympic weight lifters (N = 34, age = 20.0 +/- 1.3 years, stature = 1.67 +/- 0.07 m, body mass = 70.1 +/- 10.2 kg, X +/- SD) and wrestlers (N = 33,20.3 +/- 1.2 years, 1.69 +/- 0.06 m, 71.0 +/- 1.8 kg) who had identical range of body mass. Body density and the CSAs of reciprocal muscle groups in the forearm, upper arm, lower leg and thigh were measured by underwater weighing and B-mode ultrasound methods, respectively. No significant difference was found in body density between the weight lifters (1.077 +/- 0.007 g x ml(-3)) and wrestlers (1.076 +/- 0.008 g x ml(-3)). Moreover, FFM and the CSA values of all muscle groups tested were similar in the two groups of weight-classified athletes, with an exception that the wrist flexor CSA was significantly larger in wrestlers than in weight lifters, and the knee extensor and thigh (extensors + flexors) CSAs were larger in weight lifters than in wrestlers. The total muscle CSA of every site was significantly correlated to FFM2/3 in the separate groups; r = 0.714 to 0.815 (p < 0.05) in weight lifters and r = 0.769 to 0.919 (p < 0.05) in wrestlers. While the CSA-to-FFM2/3 ratios of the upper arm and wrist flexor muscles were significantly higher in wrestlers than in weight lifters, those of the thigh and knee extensor muscles were higher in weight lifters than in wrestlers. Thus, the present results suggest that an event-related difference exists in the magnitude of limb muscle CSA between competitive weight lifters and wrestlers of similar FFM.

It has been documented that astronauts suffer from a progressive and continuous negative calcium balance in space flight. The National Space Development Agency of Japan (NASDA) discussed the experimental protocols with the National Aeronautics and Space Agency’s (NASA’s) Johnson Space Center (JSC) and has started a medical baseline collection on bone and calcium metabolism, and muscle changes with space flight. The subjects were two astronauts, a 42-year-old female and a 32-year-old male, who experienced real space flights. Fractional excretion of calcium (FECa) increased in both subjects just after the space flight. There was a negative calcium balance with urinary calcium leak even after a short flight. We also noticed a decrease (−3.0%) of bone mineral density (BMD) of the lumbar spine (L2–4), a weight bearing bone. These bone changes may be due to a negative calcium balance. However, the BMD of the skull, a nonweight bearing bone, increased after the flight. This indicates that the effect of weightlessness on bone is different in respective bones, depending on the weight loading. Our data of the bone metabolic marker clearly indicate that bone resorption is stimulated, shown by an elevation of urinary pyridinolinks and plasma tartrate-resistant acid phosphate (TRACP) activity. Bone specific alkaline phosphatase, a bone formation marker, was elevated in both subjects, but not intact osteocalcin. Whether this pathophysiological phenomenon is due to an accelerated bone resorption or suppressed bone formation is still obscure. In addition, the physiological cross-sectional area (PCSA) of muscle in the legs greatly decreased (from −10% to −15%) after the flight, and it took over a month to be recovered in both subjects. However, the muscle volume loss in the legs seemed to be reversible. To examine bone and muscle metabolism with space flight, further investigations and international standardization of experimental protocols are necessary.

The purpose of this study was to investigate the profiles of body composition and force generation capability in professional Sumo wrestlers. The subjects were 23 professional Sumo wrestlers [mean age 22.0 (SEM 1.2) years] including those ranked in the lower- (Jonokuchi, n=10), middle- (Sandanme, n=8) and higher-division (Makuuchi, n=5), 22 weight-classified athletes [5 judo athletes, 5 wrestlers, and 12 weight lifters, mean age 20.7 (SEM 0.7) years], and 21 untrained men [mean age 20.1 (SEM 0.2) years]. In the Sumo wrestlers, body mass ranged between 77.0 and 150.0 kg, body mass index between 25.9 and 44.5 kg x m(-2), relative fat mass (%FM) between 11.9 and 37.0%, and fat-free mass (FFM) between 59.1 and 107.6 kg. The Sumo wrestlers showed significantly higher %FM and smaller elbow and knee extensor cross-sectional areas (CSA) than the weight-classified athletes who weighed from 90.4 kg to 133.2 kg. Moreover, isokinetic forces in the flexion and extension of elbow and knee joints, respectively, at three constant velocities of 1.05, 3.14 and 5.24 rad x s(-1) were significantly lower in the Sumo wrestlers than in the weight-classified athletes and untrained subjects when expressed per unit of body mass. However, the median value of FFM relative to body height in the higher-division Sumo wrestlers was ranked high in the range of magnitude among those reported previously in the literature for heavyweight athletes. Moreover, the results on the comparisons within the Sumo wrestlers showed that not only FFM but also force generation capability, expressed both as an absolute term and as a value relative to both body mass and muscle CSA, might be factors contributing to the performance of Sumo wrestlers.

OBJECTIVE: To examine the effects of aging and physical activity on distribution patterns in subcutaneous and visceral fat. METHODS: Distributions of subcutaneous rat mass at six segments (face and neck, forearm, upper arm, trunk, thigh, and lower leg) were determined by adipose tissue thickness measurements by B mode ultrasonogram and body surface areas. Visceral fat mass was calculated by subtracting subcutaneous fat mass from the total fat mass determined hydrodensitometrically. Measurements were made on young and middle aged, trained and sedentary women (four groups). RESULTS: Per cent body fat was lower in trained than in sedentary individuals, both in the young and the middle aged subjects. The distribution of subcutaneous fat mass differed between sedentary and trained women. Trained young women had a reduced subcutaneous fat mass compared to sedentary young subjects in all segments except face and neck; the disparity between middle aged sedentary and trained women was limited to upper arm and trunk (P < 0.01 each), with no significant difference in face and neck, forearm, and lower limb segments. Differences in visceral fat mass between sedentary and trained subjects were similar for young and middle aged women (young, 2.5 v 3.7 kg; middle aged, 4.0 v 6.5 kg). CONCLUSIONS: Women who exercise regularly appear to accumulate less adipose tissue, especially in upper arm and trunk segments as they get older, with visceral fat mass remaining lower than in sedentary individuals.

Physiological characteristics of japanese female classical ballet dancers were investigated in comparison with sedentary women of similar age (non-dancers). Subjects were 20 professional female ballet dancers with a mean age of 26.5 +/- 4.4 years (mean +/- SD) and 66 sedentary women with a mean age of 23.7 +/- 3.6 years. Dancers had been trained in ballet classes for 20.4 +/- 2.4 years and had no experience of regular exercises except dance training. Body mass and % body fat measured by under-water weighing method were significantly smaller in the dancers than in the non-dancers. For all extremities, percentage of the muscle in total cross-sectional area calculated by ultra sound apparatus was significantly larger and percentage of the adipose tissue in total cross-sectional area was significantly smaller in the dancers. The maximal isometric and isokinetic force of knee flexors and the maximal isometric force of dorsi flexors (MVC force) were significantly larger in the dancers when the values were divided by body mass of each subject. During 50 repetitions of maximal plantar flexion, the isometric force of the dancers was significantly larger in all repetitions except first and second reps, though no significant difference was observed in MVC force during plantar flexion. It was suggested that the significant differences between the dancers and the non-dancers in some physiological variables might be attributed to the characteristics of dance movements/training.

The force generation capacity, during 50 repeated maximal knee extensions with a constant velocity of 3.14 rad.s-1, and cross-sectional area (CSA) of the quadriceps femoris muscles were determined for untrained women (n = 36) and men (n = 27) aged from 18 to 25 years. As force scores in the maximal repetitions, the mean values of force (F) of every 5 consecutive and all trials and the percentage of decline of F (%D) with 50 contractions were calculated. The CSA was measured by using a B-mode ultrasound technique at the midpoint of the thigh length. The F decreased from 303 (SEM 13) N at the 1st-5th trial to 155 (SEM 9) N at the 46th-50th trial for the men, and from 202 (SEM 9) N to 94 (SEM 4) N for the women. The F of every 5 consecutive and all trials were significantly correlated to muscle CSA: for the men r = 0.552-0.872 (P < 0.01) and for the women r = 0.609-0.857 (P < 0.01). The men showed significantly higher F at every 5 consecutive trials than the women even when calculated per unit muscle CSA (F.CSA-1). There were significant correlations between %D and F.CSA-1 at the 1st-5th trial: r = 0.538 (P < 0.01) for the men and r = 0.631 (P < 0.01) for the women, respectively. The average values of %D were almost the same in both sexes: for the men 48 (SEM 3) % and for the women 52 (SEM 2) %, respectively. However, an ANCOVA calculation on %D, using F.CSA-1 at the 1st-5th trial as the covariate, indicated that the women had significantly higher %D than the men. Thus, the force output during the maximal repetitions was significantly correlated to the CSA of quadriceps femoris in both sexes. The force output was lower in the women than in the men even when the difference in the muscle CSA was allowed for. The women had higher %D than the men when force output per unit muscle CSA during the initial 5 repetitions was compared.

To obtain an insight into tendon elasticity during human movement, a real-time ultrasonography was applied to the contracting tibialis anterior muscle. The insertion point of fascicles onto the aponeurosis was clearly visualized, and its position relative to a fixed marker on the skin moved proximally (delta 1) according to the increasing dorsiflexion force (delta F) with a fixed ankle joint. Notably, the delta 1-delta F relationship in the tendon was found to be quadratic in nature (delta F = c delta 1(2); c = 1.48-2.24, r = 0.985-0.992, n = 9) as has been reported in the isolated tendon, although the delta F-delta 1 curves were slightly underestimated in comparison with the stiffness constant estimated from tendon architecture. This underestimation might be caused by changes in the height of the foot arch with the application of force.

The isokinetic forces, during 50 repeated maximal knee extensions with a constant velocity of 3.14 rad · s−1, and muscle cross-sectional area (CSA) of the quadriceps femoris muscles were measured for boys aged 14 years (n = 26) and young adult men (n = 26). As representative scores in the maximal session, the mean values of force ( $$\bar F$$ ) of every five consecutive and all trials were calculated. The CSA was measured by using a B-mode ultrasound technique at the midpoint of the thigh length (l t). The average values of $$\bar F$$ at the 1st–5th contractions were 193 (SEM 12) N for the boys and 303 (SEM 13) N for the young adults. The average decline of $$\bar F$$ with 50 contractions, expressed as a percentage of the value in the 1st–5th trial, was higher in the young adults than in the boys: $$\bar F$$ for the young adults was reduced by 48 (SEM 2.9)%, for the boys by 36 (SEM 3.1)%. The $$\bar F$$ of every five consecutive and all trials were significantly correlated to the product of CSA andl t (CSA ·l t) in separate groups: for the boysr = 0.762–0.894 (P < 0.01), for the young adultsr = 0.598–0.837 (P < 0.01). In a trial range between the 1st–5th and 11th–15th contractions, the young adults showed significantly higher values in the ratio of $$\bar F$$ to CSA ·l t ( $$\bar F$$ · CSA−1 ·l t) than the boys. However, the difference between groups of the ratio on and after the 16th–20th trial and for all trials became insignificant. Thus, at least for 50 maximal repeated knee extensions, the 14-year-old boys were inferior to the young adults in their ability to produce force during the earlier sessions even when the difference in muscle size was allowed for. The inferiority in the boys might be attributed to a lower reliance on glycolysis as pointed out in previous biochemical studies.

The purpose of this study was to investigate the development in muscle cross-sectional area (CSA) and strength capability of the reciprocal muscle groups in the upper arm and thigh. Subjects were 130 boys aged 7 to 18 years; 7-9 yr aged-group (n = 30), 10-12 yr (n = 30), 13-15 yr (n = 35), and 16-18 yr (n = 35). Anatomical CSAs of elbow flexors (EF), elbow extensors (EE), knee flexors (KF) and knee extensors (KE) were determined with a B-mode ultrasound apparatus. Isokinetic strength during elbow or knee extension as well as elbow or knee flexion was measured by using a Cybex II isokinetic dynamometer at the pre-set constant velocity of 60 degrees/s. The effect of age associated with a significant increase in both CSA and strength with a marked increase in 13-15 yr. The elder aged-groups had a significantly higher ratio of strength to muscle CSA than in the lower aged-groups. The effect of age on EF/EE CSA ratio was not significant, but EF/EE strength ratio was the highest in 16-18 yr and the lowest in 7-9 yr. With advancing age, KF/KE CSA ratio had a tendency to increase, but KF/KE strength ratio remained almost unchanged. These results indicate that (1) children in the pre-puberty or the early stage of puberty do not develop strength in proportion to their muscle CSA, and (2) the flexors and extensors in limbs have reciprocally different growth rates in either CSA or strength even in the same region.

The involvement of genetic polymorphism at the alcohol dehydrogenase 2 (ADH2) and aldehyde dehydrogenase 2 (ALDH2) loci in determining blood acetaldehyde levels and the rate of ethanol elimination after ethanol intake was investigated. Sixty-eight healthy subjects ingested 0.4 g of ethanol per kg of body weight over 10 min. Blood acetaldehyde levels scarcely increased in the subjects homozygous for ALDH2*1, regardless of their ADH2 genotypes (ADH2*1/*1, ADH2*1/*2 and ADH2*2/*2). The acetaldehyde levels in the subjects with the ALDH2*1/*2 heterozygote increased to 23.4 microM on average, and no significant differences were observed between the three ADH2 genotype groups. Subjects homozygous for ALDH2*2 showed very high levels of blood acetaldehyde, and the average value was 79.3 microM. The values of Widmark's beta 60 (mg/ml/hr) and ethanol elimination rate (mg/kg/hr) showed significant differences among the three ALDH2 genotypes, and in decreasing order the values were ALDH2*1/*1, ALDH2*1/*2, ALDH2*2/*2. However, no significant differences were seen among the ADH2 genotypes.

The ABO blood group antigens were discovered at the beginning of this century. Although the biochemical and molecular-biochemical nature of the ABH and related antigens is now quite well characterized and it is presumed that they are concerned with oncodevelopmental and/or cell recognition phenomena(1), no clear explanation of the biological significance of these antigens has been proposed. Characterization of cells with regard to their surface and secretory glycoconjugates is important in order to understand the basis of their physiological and interactive behaviour. The taste buds of vertebrates are covered by mucous substances and it has been suggested that the carbohydrate residues of the mucous substances are essential for chemoreceptor processes in the function of taste buds. Therefore, in the present study, we examined the distribution of different types of carbohydrate antigens in the taste buds cells and lingual glands using monoclonal antibodies(MoAb) against blood group antigens and lectins conjugated with horseradish peroxidase(HRP).

Isokinetic strength and cross-sectional area (CSA) of knee extensor muscles were examined in 60 boys and girls, aged 6-9 years, and in 71 young adult men and women to investigate the influences of age and gender on the strength capabilities in relation to muscle size. A single anatomical CSA of quadriceps femoris at the right mid-thigh was measured by using a B-mode ultrasonic apparatus. Isokinetic strength produced at three kinds of constant velocity, 1.05, 3.14, and 5.24 rad.s-1, was significantly correlated to the product of CSA and thigh length (TL) in separate samples by age and gender. In both genders, however, young adults had significantly higher ratios of strength to CSA.TL (ST.CSA-1.TL-1) than children at all measurement velocities. Relative differences in ST.CSA-1.TL-1 between children and young adults became larger with increasing test velocity. Within the same generation, men had significantly higher ST.CSA-1.TL-1 than women at all measurement velocities except for the ratio in children at 1.05 rad.s-1. These results indicate that the ability to produce strength proportional to muscle size is lower in children than in young adults, regardless of gender, and lower in women than in men within the same generation.

Blood group A has been divided into the major subgroups, A1 and A2, since it was first described by von Dungern and Hirszfeld in 19111).

Revascularisation and new bone formation in bone grafts has been extensively studied by histological techniques, but the images obtained are very complex and consequently difficult to evaluate quantitatively. We report similar analyses in experimental bone grafts using newer computerised digital techniques. Fresh autografts and fresh and frozen allografts were used. The histological analogue images from them were input digitally into an image processor. The amount of revascularisation and new bone formation could then be quantified in the different grafts. This system has proved to be a useful method of evaluation which could be applied to the quantitative analysis of other histological images.

Forty-six cases of child abuse/neglect autopsied during the period of 1967 to 1990 were investigated. The weight and histological findings of the thymus were compared with those of control children. In most abused and/or neglected children, the weight of the thymus decreased conspicuously. Involution correlated well to the degree and period of maltreatment. In cases without weight loss of the thymus, i.e. spasmodic abuse by a mentally deranged parent or foster parent, a short history of maltreatment was noted. On the other hand, marked involution was observed in cases of prolonged physical abuse and/or neglect. Microscopically, a decrease in the number and pyknosis of lymphocytes were observed in the involuted thymus. Atrophy of the thymus was more conspicuous in the cortex than in medulla. Immunohistochemically, CD-1a positive cells (immature thymocytes) decreased in cases with thymic involution. This involution appears to be an important index of the degree and duration of child abuse/neglect. Furthermore, thymic involution in the early stage of childhood may also be related to insufficiency of the immune system.

The localization of ABH related antigens in human male reproductive tract was examined using monoclonal antibodies and an avidin biotin complex method. No positive reaction with blood group antibodies on spermatozoa was observed in testis and ductus epididymidis apart from erythrocytes and endothelial cells. The expression of ABH and ABH related antigens in ductuli efferentes testis, ductus epididymidis, seminal vesicle and prostate was complexly coded by a combination of H, Se, Le and X genes. The results obtained in this study indicate that the ABH antigens detected on spermatozoa of seminal stains are coating antigens and not inherent to the cell membrane, and the ABO, H, Se, Le and X genes are subjected to a tissue-dependent differential expression.

Only three medical examiner offices are undertaking inquests on medicolegal deaths and no coroner system exists in Japan. Medical practitioners are also entrusted to hold such inquests. Certificates filed by the medical examiners of Hyogo Prefecture were compared with those filed by medical practitioners. Medical examiners certified deaths as “heart failure” only when no pathological changes were found after an autopsy. Of 2, 622 deaths caused by diseases, 1, 707 were certified as “heart failure” by medical practitioners without performing an autopsy. The term “heart failure” seems likely to be misused for deaths of which causes are unknown. Although the age-adjusted mortality rate for “heart disease” in Japan (98.7 per 100, 000 population) showed a higher rate than that for “cerebrovascular disease” (84.2), it included 53.9 for “heart failure”. The misuse of the term “heart failure” seems to have introduced serious bias into the recent mortality statistics of Japan. This inaccuracy is due to ignorance about the importance of mortality statistics and ICD. Improvement in the reliability of mortality statistics in necessary for disease prevention projects through clinical medicine and public health means.

The correlation among degrees of alcohol intoxication, facial flushing, blood alcohol concentration (BAC) and blood acetaldehyde level was studied in 117 male alcoholic patients who underwent various tests to assess alcohol influence. Blood samples were collected and alcohol and acetaldehyde levels were determined. BACs ranged from 29 to 577 mg/dl in all patients and from 200 to 299 mg/dl in 48 of them. Fifty-one patients could stand erect (mean BAC [+/- SD] = 189 +/- 80 mg/dl), while 48 showed apparently normal reaction to a walking and turning test (mean BAC = 192 +/- 78 mg/dl). Some of the cases having BACs over 300 mg/dl could still stand and walk while others with BACs under 100 mg/dl already showed psychomotor impairment. Facial flushing was recognized in 75% of the subjects. Acetaldehyde concentrations in 27 patients ranged from 24 to 147 micrograms/dl. Appearance of facial flushing was correlated with relatively high concentrations of blood acetaldehyde. Seven out of 10 healthy volunteers given 1.6 to 2.0 g/kg of alcohol as a control could do nothing but sleep after reaching peak BAC (mean = 232 +/- 21 mg/dl). These findings are taken to indicate a great difference in response to alcohol between alcoholics and healthy men. This study is the first to report the occurrence of facial flushing and raised blood acetaldehyde concentration among Japanese alcoholics.