Acta Medica Okayama 8巻 2号

The cause of the death due to the atomic-bomb radiation is yet unknown definitely and the same can be said of shock brought about by the atomic-bomb. It cannot be said with certainity that infection of pathogenic bacteria concerns in the mortality, for even minor injuries did not often escape bacterial invasion from any part of the whole body. In this case the progress was same to a symptom of agranulocytosis, namely collapse, chill, fever, red throat or ulcerative stomatitis and from the reason of the heavily infected tonsils, although cultures were not made, there are reasons to consider it as agranulocytosis angina. The interpretation of the histologic changes observed in this patient, is rendered difficult not only by the factor of infection, but by the possible influence of one damaged organ upon another. From the histological changes there were the destruction of the epithelium of the gastro-intestinal organs, the atrophy of the testis and the necrosis of the tonsils, but the most noteworthy was the changes in the bone-marrow. The hyperplasia of the reticulum cells, the disappearance of the hematopoetic foci, and the great quantity of mitotic figures in the myeloid cells observecl in this case are found in many of the atomic-bomb victims died approximately one month after the exposure. This is a case of the death caused by aplastic anemia with infective complication or in orther words symptomatic agranulocytosis caused by the atomic-bomb radiation with sepsis.

1. When hemolysed blood is administered orally to rabbits, in cases of healthy and those with blocked reticulo-endothelial systems, a transient increase in the verdohemoglobin (M. Engel) is seen in circulating blood, while in that of rabbits with impaired parenchymal liver cells, no such increase occurs. 2. On irrigation of hemolysed blood through rabbit livers, in healthy rabbits production of indirect bilirubin may be demonstrated while in that with blockage of the reticulo-endothelial system or with impaired liver parenchymal cells, this may not be seen. Moreover, in this case of blockade of the reticulo-endothelial system. production of verdohemoglobin may be demonstrated. while none whatsoever may be demonstrated in cases of impaired liver parenchmal. On the other hand on irrigation of verdohemoglobin and biliverdin solutions, in healthy and in impaired liver parenchymal cell cases, production of bilirubin may be observed while absolutely none was detected in cases of blocked reticulo-endothelial systems, 3. Concluding from the results stated above and those of clinical experiments stated elsewhere, the following process is assumed: when blood is imposed on the organism it is primarily phagocytosed by the reticulo-endothelial system, next dissolved to verdohemoglobin {M. Engel) in the parenchymal cells of the liver, and then dissolved into globin, iron, and biliverdin in the reticulo-endothelial system, of which biliverdin is further reduced to bilirubin. A portion of this remains in the circulating blood as indirect bilirubin, while the majority of it is esterized in the parenchymal cells of the liver, and proceeds to the bile ducts as direct bilirubin.

While I was on duty with the Naval Institute of Tropical Hygiene at Macassar, Celebes, during World War Ⅱ, I had the opportunity to examine various wild and domestic animals for parasites, these animals being taken mainly from Celebes. Since the parasitic worms of this island had not yet been worked out at any length, an opportunity for collecting in this part of the world yielded much interesting material. I collected a fairly large amount of material from monkeys, buffaloes, birds, lizards, snakes and fishes, the latter being examined very carefully from the stand-point of prevention of parasitic infections transmitted from fish to man. Domestic fowl and small wild birds were also examined for intestinal parasites during my study on avian malaria carried out at the institute. Unfortunately I managed to bring back to Japan by air only a part of the collection before the termination of the war. The greater part of the collection shipped to me subsequently by air mail suffered serious damage in transit, and for this reason description and illustrations are based almost exclusively on mounted slides.

1. The proteolytic action of papayotin is activated by X-ray irradiation with 60 r and 1000 r, and inhibited with 200 r and 400 r. 2. The influences of X-rays upon papayotin are direct and remain unchanged for definite periods of time. 3. The proteolytic action of papayotin show wavy phenomena which correspond to the time and dose of the X-ray irradiation. 4. The proteolytic action of papayotin is considered to be inhibited by the decomposition products (polypeptides) of substrate only in the presence of some other factors.

1. In the bile of rabbits, the metabolisms of biliverdin and bilirubin are in a solucible state, and which have a ratio of 2: 1 in normal animals. 2. In the production of biliverdin, the liver, especially the parenchyma of the liver has a very important role, while that of the reticulo-endothelial system is rather minor. However, in the case of glucose administration, the reduction of bilirubin from biliverdin is performed in the reticulo-endothelial system, thus conferring an important part of this system. 3. The production of bilirubin is performed primarily extrahepatically, and the participation of the extrahepatical reticuloendothelial system is of a conservative nature, thus denying us any willingness to agree to the theory of bilirubin production in the reticulo-endothelial system. 4. On administration of hemolysed blood, bile pigments in bile demonstrate a remarkable increase, while as compared when injected into the auricle veins in cases of administration through the portal vein a decline in the functions of the liver reticulo-endothelial system is seen, causing a decrease in biliverdin amount. In the former modus of administration, an occasional stimulation of the liver reticulo- endothelial system is seen, causing reduction of biliverdin to bilirubin. 5. Concluding from these facts, biliverdin in rabbit bile occupies the role of an intermediate product in the production and metabolism of bilirubin.