Enhancement or Suppression of ACE Inhibitory Activity by a Mixture of Tea and Foods for Specified Health Uses (FOSHU) That Are Marketed as “Support for Normal Blood Pressure”

The ACE inhibitory activities of mixtures of FOSHUs (Healthya, Goma-Mugicha, Lapis Support and Ameal) were examined in order to identify any antihypertensive interactions. Among combinations of Healthya with other samples that contain active peptides, only that with Ameal was found to have no inhibitory activity. Enhanced activity was observed in 2 other mixtures. The activity of a mixture of tea polyphenols and the whey component extracted from an Ameal solution was significantly decreased, thus demonstrating that whey protein lowered the ACE inhibitory activity of Healthya. Although oral administration of tea polyphenols alone significantly decreased SBP in SHR at 2 and 4 hr, combined administration with Ameal failed to decrease SBP at the same time points. In conclusion, the simultaneous intake of tea and FOSHUs that contain active peptides might affect daily self-antihypertensive management via enhancement or suppression of ACE inhibitory activity

Etiology and Treatment Approach for Visual Hallucinations in PD Dementia

Visual hallucinations are a common symptom of Parkinson’s disease dementia. These can cause delusions and violent behaviors that can be significant burdens on patients and caregivers. The cause of visual hallucinations is considered to be the dysregulation of the default mode network due to the presence of Lewy bodies in the cortex and the degeneration of dopaminergic and cholinergic neurons. Dopaminergic agents, especially non-ergoline dopamine agonists, can exacerbate visual hallucinations. Reducing the dosage can ameliorate symptoms in many cases; however, this frequently worsens parkinsonism. In contrast, the administration of cholinesterase inhibitors is effective and rarely worsens motor symptoms. In advanced cases, antipsychotic drugs are required; clinical studies have shown that some drugs are beneficial while the adverse events are acceptable. An optimal treatment protocol should be selected depending on the patient’s condition

Farber's disease (disseminated lipogranulomatosis): the first case reported in Japan.

We report the first case in Japan, i.e., the first case among oriental subject of Farber's disease. This is a rare disorder of lipid metabolism in infancy subsequent to a genetically-determined defect in ceramide degradation. Main features are characterized clinically by hoarseness, joint swelling, subcutaneous nodules and retarded psychomotor development. Lipid analysis and pathological investigation on the material obtained from a subcutaneous nodule confirmed clearly the presence of ceramide and intracytoplasmic inclusion bodies characteristic for Farber's disease. In this case, we experienced also corneal opacity and striking abnormalities in electroencephalogram, which have apparently not been noticed in the 17 cases hitherto reported.</p

ベトナムベンチェ省におけるSVCA活動に参加して

The author participated in a volunteer program from August 2 to August 9,2015, sponsored by the Support of Vietnam Children Association (SVCA), a nongovernmental organization(NGO). The SVCA was established 25 years ago, when Akemi Bando launched support activities in cooperation with her friends in the wake of her visit to Vietnam, where she found children in Vietnam in a very miserable situation, with poor educational opportunities and lacking medical and welfare services. The SVCA\u27s activities, which were started in the Kansai region, have been continued to the present day and have spread nationwide. SVCA-registered members can be found in various parts of Japan. The purpose of this visit was to provide cooperation in staff training at the Disabled Children\u27s Development Support Center, which was just established at the request of the Ben Tre Province. The SVCA\u27s activities during this visit are presented in this paper to give a brief outline of the visit

私のボランティア活動史

I have been involved in some kinds of volunteer activities for about 40 years, from my schooldays to the present. When I was a young teacher, I was occupied with my clinical work all day, and had little time to spend for some volunteer work; however, I had begun to attend the promotion committee of the welfare village built in Kurisawa, when the children I had taught before had already grown up. Around that time, I just began the activities of the Hokkaido Academy of Special Needs Education with some volunteer people, and have been working as a secretary of this academy, the aim of which was early identification and early remedial teaching. I have been involved in both roles for 30 years. After my retirement, I began to work as a volunteer for Sapporo UNESCO, with which I have new connections, and started learning all over again. Here, I will present the various experiences and ideas I have received through the many years of my volunteer activities

Evidence for migration of metamorphosing larvae of Anguilla japonica in the Kuroshio

Two sampling surveys of the R/V Tansei Maru were conducted in the Kuroshio region south of Kyushu Island of Japan and to the south in the western North Pacific, to study the distribution patterns of the larval stages of the Japanese eel Anguilla japonica as they approach their recruitment areas in East Asia. Nine fully-grown premetamorphic leptocephali (49.5-58.3mm TL) were collected during November 1996 to the east of Taiwan. During November and December 2000, nine early stage glass eels (51.3-57.0mm TL, pigmentation stage II-IV) that were still in the late metamorphosis stages were collected in the Kuroshio. These findings suggest that metamorphosing Japanese eel leptocephali that recruit to the northern part of their species range migrate in the Kuroshio. They may detrain from the Kuroshio at the pigmentation stage IV-VA and begin their coastal migration

マウスリンパ組織におけるレプチンレセプターの発現

The mammalian thymus involutes with age. Both the decrease of lymphocyte-accumulated region and the replacement by fat tissue begin at puberty and continue throughout life. In the mouse thymus, though no typical fat cells are found at birth, fat cells appeared at the latest 3 weeks old preceding to the atrophy of cortical and medullary regions. Physiological functions of fat cells proliferated and differentiated in the thymus after birth are unknown. As fat cells appeared in the 3-week-old mouse thymus have shown to express leptin mRNA, we examined whether leptin receptor type b (OBRL) is expressed or not in the thymus and, in comparison, in the secondary lymphoid tissues, spleen, mesenteric lymph node and Peyer' s patch. OBRL mRNA was detected in both thymus and all secondary lymphoid tissues examined by RTPCR method. Furthermore, OBRL mRNA was also detected in the isolated cells with mouse-lymphocyte separation medium from both thymus and spleen free cells washed out in saline from dissected tissues. It is suggested that fat cells differenciated as early as 3 weeks old in the thymus produce leptin and affect other thymus cells, lymphocytes probably, through OBRL. It remains to be clarified whether the leptin-OBRL interaction influences age involution in the thymus

マウス胸腺脂肪化時期の検討

The thymus has an important role in the immune reaction. The lymphocytes localized both in thymic cortex and in medulla, known as T cells, proliferate in an environment of the epithelial reticular cells. T cells educated to react against non-self materials enter the circulation and function in peripheral immunity. Thymus of the mouse has almost developed and grown to its natal size by the 18 days gestation. After the birth thymus grows at a somewhat slower rate until puberty. It subsequently shows a decrease both in size and in weight. That is due to the decrease in the lymphocyte-accumulated region and to the partial replacement by fat tissue. The process is so-called age"involution". Fat cells are classified as connective-tissue cells. They must develop and proliferate in the capsule or in the trabecula of the thymus after birth, because no typical fat cells containing lipid droplets are observed at birth.We examined when fat cells appeared in the thymus after the birth. Fat cells are known to express leptin, so that the appearance of leptin mRNA was detected by the PCR method. The expression of leptin was detected as early as in the thymus of the 3 week-old mouse and increased with the age. It is sugested that fat tissue development begins immediately after the birth and precedes to the age involution in the thymus, although that the cortex and medulla develops until puberty

糖尿病患者の在宅ケア向上をめざしたTCDS育成の試み

The Tokushima City Medical Association has cultivated the talented persons of nursing care profession by both the education of diabetes and the instruction of medical treatments to secure the quality of home care for increasing diabetic patients. They are certified to be the Tokushima City Certified Diabetes Supporter（TCDS）. In Tokushima Prefecture, the rate of aging and the certification rate of care need are ranked high in Japan, and the medical measures should be provided for the aged diabetic patients utilizing team nursing care as well as team medical care, because many of these patients are obliged to receive home medical care owing to the introduction of community-based integrated care systems. Tokushima Prefecture kept the worst of age-adjusted diabetes mortality and also the worst of crude diabetes mortality in recent years. Therefore, the program for the TCDS was arranged by the staffs composed of board certified fellows of the Japan Diabetes Society, certified diabetes physicians of Tokushima, and Tokushima local certified diabetes educators （Tokushima LCDEs）. The program includes the lectures of diabetes and medical treatments, the practical training, and the group work by the World Café system collaborated with the medical staffs across many different fields, using the dramatic skit presented by the medical doctors and the LCDE staffs after narrating the scenario for the blood glucose control of diabetic patients to be treated. The persons who have completed the training course are certified as the TCDS by The Tokushima City Medical Association. The workshop is held twice a year and the certification is renewed every three years without examination. In conclusion, it is suggested that the development of TCDS leads to the improvement of the ability of nursing care staffs to support diabetic treatments and the advancement of the quality of home medical care for the aged diabetic patients