Standard Protocol for Exchange of Health-checkup Data Based on SGML: The Health-checkup Data Markup Language (HDML)

Objectives: To develop a health/medical data interchange model for efficient electronic exchange of data among health-checkup facilities.

Results: A Health-checkup Data Markup Language (HDML) was developed on the basis of the Standard Generalized Markup Language (SGML), and a feasibility study carried out, involving data exchange between two health checkup facilities. The structure of HDML is described.

Results: The transfer of numerical lab data, summary findings and health status assessment was successful.

Conclusions: HDML is an improvement to laboratory data exchange. Further work has to address the exchange of qualitative and textual data.

Ontogenetic diet shift of age-0 year Pacific bluefin tuna Thunnus orientalis

Stomach contents of 437 age-0 year Pacific bluefin tuna Thunnus orientalis (20·3-59·4 cm fork length, L(F)) caught in the Tsushima Current and the Kuroshio regions around Japan were examined to investigate their ontogenetic diet shift. Prey compositions were diverse and different between regions. Although the seasonal growth patterns were different between regions, ontogenetic diet shifts shared a common pattern. In the Tsushima Current region (Sea of Japan), small T. orientalis (20-25 cm L(F)) preyed upon small squid (juvenile Enoploteuthis chunii), and larger ones (25-35 cm L(F)) gradually shifted their diet to mesopelagic fish (Maurolicus japonicus). In the Kuroshio region (Pacific Ocean), small T. orientalis (20-25 cm L(F)) preyed upon small zooplankton (mostly crustacean larvae), and larger ones (25-40 cm L(F)) shifted to epipelagic fishes (Etrumeus teres, Sardinops melanostictus and Engraulis japonicus). The observed data suggest that T. orientalis switch to a diet more based on fish prey items, which have more body mass and greater swimming ability than small squid and zooplankton, after they reach a L(F) of 25 cm.

Standard protocol for exchange of health-checkup data based on SGML: the Health-checkup Data Markup Language (HDML)

OBJECTIVES

To develop a health/medical data interchange model for efficient electronic exchange of data among health-checkup facilities.

RESULTS

A Health-checkup Data Markup Language (HDML) was developed on the basis of the Standard Generalized Markup Language (SGML), and a feasibility study carried out, involving data exchange between two health checkup facilities. The structure of HDML is described.

RESULTS

The transfer of numerical lab data, summary findings and health status assessment was successful.

CONCLUSIONS

HDML is an improvement to laboratory data exchange. Further work has to address the exchange of qualitative and textual data.

Clinical, electrophysiological, and serological overlap between Miller Fisher syndrome and acute sensory ataxic neuropathy

We report a patient with severe sensory ataxia, areflexia, and ophthalmoplegia with preservation of limb muscle strength. Electrophysiological examinations revealed peripheral sensory nerve involvement. A serological examination showed the elevation of IgG antibodies to various b-series gangliosides as well as GT1a. These indicated that this case is an overlap between acute sensory ataxic neuropathy and Miller Fisher syndrome. Autoantibody is implicated as potential pathogenic agents in some cases of acute sensory ataxic neuropathy.

Organochlorine and butyltin residues in deep-sea organisms collected from the western North Pacific, off-Tohoku, Japan

Organochlorine (OCs) and butyltin (BTs) residues were determined in deep-sea organisms collected from the western North Pacific, off-Tohoku, Japan. Among OCs, concentrations of polychlorinated biphenyls (PCBs) and DDTs (DDTs and its metabolites) were the highest in deep-sea organisms (maximum concentrations of 6,700 and 13,000 ng/g lipid wt, respectively). Chlordane compounds (CHLs) were the next most abundant OCs, and hexachlorocyclohexanes (HCHs) and hexachlorobenzene (HCB) were the lowest. BTs were also detected at maximum concentrations of 570 ng/g wet wt. Concentrations of PCBs, CHLs and BTs in deep-sea organisms collected from the western North Pacific, off-Tohoku, were generally lower than those in deep-sea and shallow water organisms from Japanese coastal waters. On the other hand, considerable variations in the concentrations of OCs were found among deep-sea organisms analyzed. Several carnivorous fishes such as snubnosed eel, lanternshark and grenadiers accumulated some OCs such as PCBs, DDTs and CHLs at high concentrations of up to a few microg/g levels. In addition, the residue pattern of OCs and BTs in fishes showed a specific trend according to the sampling depth; higher concentrations of PCBs, DDTs and CHLs and lower concentrations of HCHs, HCB and BTs were found in fishes collected from greater depth (approximately 1,000 m) compared to those from shallower waters. This trend is consistent with the results of our earlier study on mesopelagic myctophid fishes. Results of this study suggest vertical transport of hydrophobic OCs such as PCBs, DDTs and CHLs and its accumulation in benthic deep-sea organisms.

[An autopsy case of pure autonomic failure with pathological features of Parkinson's disease]

Pure autonomic failure (PAF) is an uncommon disorder, characterized by autonomic failure without other neurological deficits. We report here an autopsy case of pure autonomic failure with pathological features of Parkinson's disease. At age 79, the patient developed slowly progressive severe orthostatic hypotension, followed by decreased sweating and constipation. On admission, his blood pressure dropped after standing (from 133/97 to 71/22 mmHg) without tachycardia. Neurological examination revealed neither parkinsonism, nor cerebellar symptoms. Supine plasma norepinephrine levels were low and intravenous norepinephrine administration showed denervation hypersensitivity. He was diagnosed as having PAF and treated by amezinium, midodrine, L-threodops, and fludrocortisone with elastic stockings but without any effects. He died of pneumonia about 2 years after the onset of the disease. Postmortem study revealed Lewy bodies in the nucleus basalis of Meynert, substantia nigra. Edinger-Westphal nucleus, locus ceruleus, and dorsal vagal nucleus. Neuronal loss was found in above-mentioned sites, except for Edinger-Westphal nucleus and intermediolateral nucleus. This is a rare and important report on a patient with PAF who satisfied the strict clinical criteria on PAF reported in 1996, and showed neuropathological findings, consistent with Parkinson's disease.

Pyrithiamine resistance gene (ptrA) of Aspergillus oryzae: cloning, characterization and application as a dominant selectable marker for transformation

A pyrithiamine (PT) resistance gene (ptrA) was cloned from a genomic DNA library prepared from a PT resistant mutant of Aspergillus oryzae. It conferred high resistance to PT on an A. oryzae industrial strain as well as A. nidulans. Nucleotide sequence analysis showed that the ptrA gene contained one intron (58-bp) and encodes 327 amino acid (aa) residues. Additionally, the deduced aa sequence has 72% and 63% identity to Fusarium solani sti35 encoding a stress-inducible protein and Saccharomyces cerevisiae THI4 encoding an enzyme involved in thiamine biosynthesis, respectively, indicating that ptrA is a mutated allele of a gene belonging to the THI4 family. The mutation point was identified in the conserved motif in 5'-flanking region of these three THI4 homologous genes (ptrA, sti35, and THI4). The introduction of the ptrA gene allowed an A. oryzae industrial strain to grow on the minimum medium containing PT (0.1 mg/l) on which an untransformed strain did not grow. This result indicates that the ptrA is applicable as a dominant selectable marker for transformation of A. oryzae.

A study of the subgingival microflora of HIV-seropositive and CD4 cell depleted children with hemophilia

The cultivable subgingival bacterial flora from three HIV-seropositive and CD4 cell depleted children with hemophilia were examined in this study. The numbers of CD4 cells of the subjected children ranged from 4.9 to 16.3 per mm3 blood. Streptococcus species, including, beta-hemolytic streptococcus identified as Streptococcus mutans and Streptococcus sanguis, were predominant in the subgingival plaque samples. Actinomyces species were also frequently found. Gram-negative rods other than Capnocytophaga species were not common in these samples. It is possible that the subgingival microbial flora are influenced by the CD4 cell decrease with HIV infection.

[Morphometric studies on the cortex and medulla of frontally sectioned kidneys in the Japanese adult]

The cortex and medulla areas, sectioned frontally, of 50 kidneys from 25 dissecting cadavers were measured to determine the correlation between differences in sex, laterality, and age. The average parenchyma (cortex + medulla) area was 33.45 +/- 9.16 cm2 and was larger in men than women; there was no significant laterality, but the parenchyma area was negatively correlated with age. The average cortex area was 20.39 +/- 5.80 cm2 and was also larger in men than women; laterality was not significant, and the cortex area was negatively correlated with age. The average medulla area was 13.05 +/- 4.40 cm2, and no significant difference in sex or laterality was found. The medulla area was negatively correlated with age. Additionally, the average number of renal pyramids (medulla) was 6.24 +/- 1.45 on these sections. Difference in the average areas of cortex and medulla was significant. The medulla was exceptionally larger in two cases (4%). The ratio between the average area of the cortex and medulla (C/M ratio) was 1.67 +/- 0.56. No sex difference or laterality was found, nor was there a correlation between the C/M ratio and age or kidney size. The sectioned area of cortex was approximately 1.5 to 2 times larger than medulla. These results suggest that senile atrophy may occur at the same rate in the renal cortex as in the medulla.

[Five cases of the double renal pelvis and ureter]

Five cases of the double renal pelvis and ureter were encountered among 340 cadavers for dissection practice. Number of minor calices and their surface area in these kidneys were calculated, and causal relationship to abnormal organogenesis was discussed. These 5 cases were formal exclusively in consist of males; 4 right sides and 1 left side, 2 complete duplications and 3 partial duplications. The 5 cases were divided into 2 groups by the number and surface area of minor calices in upper and lower pelvises as follows: 1) The number and surface area of minor calices in the upper pelvis and the lower pelvis were respectively equivalent to the mean value of those in one normal kidney (case 1). 2) The sum of the number and surface area of minor calices in the upper and those in the lower pelvises were equivalent to the mean value of those in one normal kidney (case 2-5). These cases give useful criteria for classification of the double renal pelvis and ureter.

New instrument for monitoring hemoglobin oxygenation

A new compact high-performance instrument for monitoring the oxygenation state of the human newborn are developed. First we applied this instrument to the rat head, and next to the human arm. We could confirm that the volume of Oxy-Hb, Deoxy-Hb and total blood volume were well monitored by using our instrument. Now we started to apply this technique to the human newborn. Furthermore, we started the experiments of the near-infrared tomography for the small animals on the basis of this technique.

A novel enzyme producing isoprimeverose from oligoxyloglucans of Aspergillus oryzae

An enzyme producing isoprimeverose from xyloglucan fragment oligosaccharides has been purified to the electrophoretically pure state from a commercial enzyme preparation of Aspergillus oryzae (Sanzyme 1000). The purified enzyme showed approximately 1,280-fold increase of the specific activity over the original preparation. The purified enzyme was shown to be an oligomeric protein consisting of two subunits, each of which had a molecular weight of 115,000. The enzyme showed the highest activity at pH 5.0 and 60 degrees C, and was stable in the pH range from 5 to 7 and at up to 50 degrees C. The isoelectric point of this enzyme was pH 3.9. The purified enzyme was highly specific for xyloglucan fragment oligosaccharides and split off isoprimeverose units from the non-reducing end of the backbone of the substrate.

Mass spectrometry of medicines. Quantitative determination by direct probe inlet system mass chromatography

A fundamental study was performed to establish a method of quantitative analysis using mass chromatography by the direct inlet system. The samples were aspirin, phenacetin and caffeine, which are often used as cold medicines, and barbital, allobarbital, phenobarbital and phenytoin which are difficult to analyse by gas chromatography in their intact states. N-acetylsulfamine and ethyl p-aminobenzoate were used as internal standards. Direct inlet mass chromatography was performed by an on-line system of the Shimadzu LKB-9000 and the GC-MSPAC 300. The ratio of the cumulative ions of certain peaks of sample and the internal standard was studied. It was found that, whether the sample is a pure reagent or a mixture, the ratio of cumulative ions of a peak specific to the sample and of a selected peak of the internal standard is proportional to the sample size, the error being less than +/- 3.5% for aspirin, phenacetin and caffeine, and less than +/- 2.7% for barbital, allobarbital and phenobarbital. The same relationship was observed for the phenobarbital and phenytoin mixed in rat plasma, the error being less than +/- 2.0%. It can be concluded that this method is applicable to the quantiative determination of medicines in urine, body fluids and other biological samples.