JaLCDOI 10.18926/AMO/32207
フルテキストURL fulltext.pdf
著者 Okada, Soji| Ichiki, Ken| Sato, Kimiaki| Tanakuchi, So| Ishii, Keita| Hamada, Hiroshi| Ota, Zensuke|
抄録 <p>We studied the pathways of complement activation associated with the islet cell surface antibody (ICSA) obtained from sera of 7 patients (age less than 15 years) with insulin dependent diabetes mellitus (IDDM). The target cells were 51CR labelled rat islet cells and the complement source was human AB serum. Complement-dependent antibody mediated cytotoxicity (CAMC activity) was obtained using the percentage of cytotoxicity. CAMC activity of untreated sera was significantly inhibited by treating with EGTA or EDTA (p less than 0.001). The CAMC activity of EDTA-treated sera was significantly lower than that of EGTA-treated sera (p less than 0.001). In the inactivated human AB serum, it was lower than that of EGTA-treated sera (p less than 0.05), but not different from that of EDTA-treated sera. These results show that the complement activation associated with ICSA in patients occurred not only via the classical pathway but also via the alternative pathway.</p>
キーワード complement activation islet surface antibody insulin-dependent diabetes mellitus complement-dependent antibody medeated cytotoxicity classical pathway alternative pathway
Amo Type Article
発行日 1991-06
出版物タイトル Acta Medica Okayama
45巻
3号
出版者 Okayama University Medical School
開始ページ 185
終了ページ 186
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 1909828
Web of Sience KeyUT A1991FV15000009
JaLCDOI 10.18926/AMO/32670
フルテキストURL fulltext.pdf
著者 Okada, Soji| Tanokuchi, So| Ichiki, Ken| Ishii, Keita| Hamada, Hiroshi| Ota, Zensuke|
抄録 <p>To evaluate urinary albumin index (UAI), the relationship between albumin excretion rate (AER) in the urine stored for 24 h and UAI in the urine collected arbitrarily on the morning of the same day was studied in 123 inpatients. The patients were admitted to our hospital from September 1, 1988 to August 31, 1989, consisting of 67 non-insulin dependent diabetics (Group 1), 40 patients with collagen disease (Group 2), and 16 patients with primary renal disease (Group 3). The relationship between log(e) AER and log(e)UAI was plotted on a graph. Pearson's rank correlation coefficients of Groups 1-3, Group 1, Group 2, and Group 3 were as follows: r = 0.725, r = 0.691, r = 0.855, and r = 0.611, respectively. The formula obtained by using Pearson's rank correlation coefficients to estimate log(e)AER from log(e)UAI in 123 cases of Groups 1-3, 67 cases of Group 1, 40 cases of Group 2, and 16 cases of Group 3 were: log(e)AER/log(e)UAI = 0.815, log(e)AER/log(e)UAI = 0.860, log(e)AER/log(e)UAI = 0.830, log(e)AER/log(e) = 0.722, respectively. In the present study, log(e)UAI was found to correlate well with log(e)AER. As AER is generally accepted to be the most reliable index to know the stage of albuminuria, UAI is considered to be clinically useful.</p>
キーワード albumin excretion rate urinary albumin index morning urine non-insulin dependent diabetes diabetic nephropathy
Amo Type Article
発行日 1992-06
出版物タイトル Acta Medica Okayama
46巻
3号
出版者 Okayama University Medical School
開始ページ 165
終了ページ 168
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 1502920
Web of Sience KeyUT A1992JB50400003
JaLCDOI 10.18926/AMO/31573
フルテキストURL fulltext.pdf
著者 Okada, Soji| Miyai, Yooichiro| Masaki, Yoshitugu| Ichiki, Ken| Tanokuchi, So| Ishii, Keita| Hamada, Hiroshi| Ota, Zensuke|
抄録 <p>The aim of this study is to obtain data for improving a training program for patients with diabetes mellitus. One hundred eighty-seven patients with non-insulin dependent diabetes mellitus were tested with 20 questions about their knowledge for self-management of diabetes mellitus. Then to draw out factors in their personal backgrounds relating to their correct answers, multiple regression analyses were conducted. As a result, four factors showed significant differences in the following order: Educational careers &#62; ages &#62; duration of disease &#62; socioeconomic strata. The results of the present study have shown for the first time, that these four factors closely concern patients to acquire the necessary knowledge for their self-management of the disease. In addition, this study has raised some fundamental problems regarding the training program for patients: how education should be given to patients.</p>
キーワード knowledge neccessary for self-management of diabetes factors involved in the knowledge educational career age factors duration of diabetes socioeconomic strata
Amo Type Article
発行日 1993-04
出版物タイトル Acta Medica Okayama
47巻
2号
出版者 Okayama University Medical School
開始ページ 91
終了ページ 94
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 8506755
Web of Sience KeyUT A1993LA45200004