Tuberculosis Suspect in the Companies in Semarang District Indonesia; Case-Control Study

In Semarang district, the population at the companies were 83120 workers. The number of smear positive cases in 2011 were 258 and 3898 suspected tuberculosis. Case-control study was conducted to analyze the risk of TB suspect infection among workers in the factory. We recruited 194 suspects and 197 controls who visited the factory clinic. The most common symptom was coughing with sputum (63 %) and then followed by malaise, chest pain, sweating at night, weight loss, dyspnea, anorexia, cough more than 2 weeks, sub febris and hemoptoe. Around 47 % both of the suspects and controls don't know received Bacillus Calmette-guérin (BCG) or not. The multivariate analysis showed the dominant factors that influence the occurrence of TB suspect, “education”, “income”, “ashamed of having TB”, “TB treatment is very costly”, and “share dish”.distribution of health education booklet to teachers and parents

Polymorphisms of human vascular endothelial growth factor gene in high-altitude pulmonary oedema susceptible subjects

The definitive version is available at www.blackwell-synergy.comArticleRESPIROLOGY. 14(1):46-52 (2009)journal articl

Optimal Initial Dose of Orally Administered Once-daily Extended-release Tacrolimus Following Intravenous Tacrolimus Therapy After Liver Transplantation

Introduction. Once-daily extended-release tacrolimus (Tac-OD) is expected to reduce non-adherence in recipients after liver transplantation (LT). The aim of this study was to determine the optimal initial dose of orally administered Tac-OD after intravenous tacrolimus (Tac-IV) therapy after LT. Patients and Methods. This prospective study included 10 adult recipients who had undergone LT at our institute. The recipients were prescribed tacrolimus by continuous intravenous administration with a steroid as initial immunosuppression therapy. Tacrolimus was converted from intravenous administration to once-daily oral intake when gastrointestinal function returned. We evaluated tacrolimus concentrations in blood 9 times a day and area under the blood concentration time curve (AUC) during conversion. The optimal initial dose of Tac-OD was determined based on simple regression analysis between the oral dose of Tac-OD and the total dose of Tac-IV during a 24-hour period. Results. The AUC before and after conversion showed no differences. We found that the optimal initial dose of Tac-OD was 8 times the dose of Tac-IV. There was a relationship between the AUC and the trough level. No recipients experienced acute rejection or adverse effects such as renal failure, neurotoxicity, or cardiac failure during conversion. Conclusions. We successfully converted continuous Tac-IV to oral intake of Tac-OD by adjusting the dose using trough levels without acute rejection or adverse effects. The AUC of Tac-OD correlated with the trough level. The optimal initial dose ratio of Tac-OD after Tac-IV was 8:1.ArticleTRANSPLANTATION PROCEEDINGS. 46(3):794-796 (2014)journal articl

Layer-specific morphological and molecular differences in neocortical astrocytes and their dependence on neuronal layers

Non-pial neocortical astrocytes have historically been thought to comprise largely a nondiverse population of protoplasmic astrocytes. Here we show that astrocytes of the mouse somatosensory cortex manifest layer-specific morphological and molecular differences. Two- and three-dimensional observations revealed that astrocytes in the different layers possess distinct morphologies as reflected by differences in cell orientation, territorial volume, and arborization. The extent of ensheathment of synaptic clefts by astrocytes in layer II/III was greater than that by those in layer VI. Moreover, differences in gene expression were observed between upper-layer and deep-layer astrocytes. Importantly, layer-specific differences in astrocyte properties were abrogated in reeler and Dab1 conditional knockout mice, in which neuronal layers are disturbed, suggesting that neuronal layers are a prerequisite for the observed morphological and molecular differences of neocortical astrocytes. This study thus demonstrates the existence of layer-specific interactions between neurons and astrocytes, which may underlie their layer-specific functions

Lack of association of Toll-like receptor 9 gene polymorphism with Behcet's disease in Japanese patients

The definitive version is available at www.blackwell-synergy.com.ArticleTISSUE ANTIGENS. 70(1-5) 423-426 (2007)journal articl

Possible relationship between Helicobacter pylori infection and cap polyposis of the colon

The definitive version is available at www.blackwell-synergy.com.ArticleHELICOBACTER. 9(6): 651-656 (2004)journal articl

Genetic analysis of the HLA region of Japanese patients with type 1 autoimmune hepatitis

ArticleJOURNAL OF HEPATOLOGY. 42(4): 578-584 (2005)journal articl

Successful cessation of transmitting healthcare-associated infections due to Burkholderia cepacia complex in a neonatal intensive care unit in a Japanese children's hospital

<p>Abstract</p> <p>Background</p> <p><it>Burkholderia cepacia </it>strains have been known to possess the capability to cause serious infections especially in neonatal intensive care units (NICUs), and their multi-drug resistances become a severe threat in hospital settings. The aim of this investigation was to evaluate the <it>B. cepacia </it>complex infections in the NICU in Nagano Children's Hospital, Azumino 399-8288, Japan, and to report the intervention leading to the successful cessation of the outbreak.</p> <p>Methodology</p> <p>The incidence of isolation and antimicrobial susceptibilities of nosocomial <it>Burkholderia cepacia </it>complex strains during a four-year period were retrospectively examined by clinical microbiological records, and by pulsed-field gel electrophoresis analyses along with the bacteriological verification of disinfectant device itself and procedures for its maintenance routinely used in the NICU.</p> <p>Results</p> <p>During the period surveyed between 2007 and 2009, only an isolate per respective year of <it>B. cepacia </it>complex was recovered from each neonate in the NICU. However, in 2010, the successive 6 <it>B. cepacia </it>complex isolates were recovered from different hospitalized neonates. Among them, an isolate was originated from peripheral blood of a neonate, apparently giving rise to systemic infection. In addition, the hospitalized neonate with bacteremia due to <it>B. cepacia </it>complex also exhibited positive cultures from repeated catheterized urine samples together with tracheal aspirate secretions. However other 5 isolates were considered as the transients or contaminants having little to do with infections. Moreover, the 5 isolates between July and October in 2010 revealed completely the same electrophoresis patterns by means of pulsed-field gel electrophoresis analyses, strongly indicating that they were infected through the same medical practices, or by transmission of the same contaminant.</p> <p>Conclusions</p> <p>A small outbreak due to <it>B. cepacia </it>complex was brought about in the NICU in 2010, which appeared to be associated with the same genomovar of <it>B. cepacia </it>complex. The source or the rout of infection was unknown in spite of the repeated epidemiological investigation. It is noteworthy that no outbreak due to <it>B. cepacia </it>complex was noted in the NICU after extensive surveillance intervention.</p

Association of Autoimmune Pancreatitis With Cytotoxic T-lymphocyte Antigen 4 Gene Polymorphisms in Japanese Patients

ArticleAMERICAN JOURNAL OF GASTROENTEROLOGY. 103(3):588-594 (2008)journal articl