Satoru Miyaishi

Okayama University, Okayama, Okayama, Japan

Are you Satoru Miyaishi?

Claim your profile

Publications (54)62.91 Total impact

  • Tomoyo Takata · Yukie Yamasaki · Takashi Kitao · Satoru Miyaishi
    [Show abstract] [Hide abstract]
    ABSTRACT: In forensic diagnosis, postmortem blood glucose is known to be susceptible to change after death. However, the 1,5-anhydroglucitol (1,5-AG) concentrations in plasma and cerebrospinal fluid (CSF) reflect the mean blood glucose level for a short period of time. In this study, we compared the postmortem 1,5-AG concentrations in vitreous humor and CSF in 47 subjects to evaluate the utility of this concentration in the vitreous humor for forensic diagnosis. The postmortem 1,5-AG concentrations in vitreous humor (mean±SD: 20.2 ± 8.7 μg/mL) and CSF (16.8 ± 8.7 μg/mL) did not differ significantly and showed a strong correlation (r(2) = 0.87, p < 0.01). These results suggest that the vitreous humor 1,5-AG concentration provides useful information on the antemortem blood glucose level, in addition to the HbA1c value and the CSF 1,5-AG concentration.
    No preview · Article · Sep 2015 · Journal of Forensic Sciences
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background Few research has examined the actual conditions of fatal neglect in Japan. The aims of this study are to disclose the presence of persistent neglect experiences among child fatalities using Medico-legal documents, and to describe characteristics of socio-familial background and biological data.Methods The current study analyzed the documents of all postmortem external examinations and autopsies less than 2 years old performed in one prefecture in Japan from 2006 to 2011. After examining 59 autopsy cases using modified Maltreatment Classification System (MMCS), we defined sixchildrenwho experienced persistent neglect as study samples.ResultsThree children were found in unsanitary room and one was left alone inside a car. In two cases, age of mother at delivery was younger than 21 years old. Three victims had 1-year older sibling in the family. As history of use in health services, three mothers did not visit enough prenatal care, and two cases refused to receive neonatal home visiting. From biological data, the average weights of six children in Z score was -2.22 after adjusted to average weight at each month age. Three children showed acute or chronic undernutritional status. Three victims had thymic involution considered as due to chronic child maltreatment.Conclusions The collaboration with perspectives of public health and legal medicine revealed backgrounds and biological impact through experiences of persistent neglect. The system of evaluating child death multidisciplinary is needed to identify preventable factors to intervene living neglected children appropriately.
    No preview · Article · Nov 2014 · Pediatrics International
  • Tomoyo Takata · Takashi Kitao · Satoru Miyaishi
    [Show abstract] [Hide abstract]
    ABSTRACT: Many chemical-based methods have been examined for determination of the post-mortem interval (PMI) using body fluid. However, creatine, a non-protein nitrogen, has hardly been investigated over the last 20 years, even though the possibility of using it for PMI determination has been reported. The aim of the present study was to assess if creatine in vitreous humour and cerebrospinal fluid (CSF) correlates with PMI. Fifty-one subjects underwent vitreous humour and 56 subjects underwent CSF creatine measurement, respectively. The results showed that the creatine concentration increased linearly in the CSF and vitreous humour until about 50 and 90 hours after death, respectively. In particular, the creatine concentration in CSF (Pearson correlation = 0.79, p p Keywords: cerebrospinal fluid; creatine; post-mortem interval; vitreous humour Document Type: Research Article DOI: http://dx.doi.org/10.1080/00450618.2013.824027 Affiliations: 1: Ehime Prefectural University of Health Sciences, Department of Medical Technology, Faculty of Health Science, 543 Takoda, Tobe-cho, Iyo-gun, Ehime, 791-2101, Japan. 2: Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Legal Medicine, 2-5-1, Shikata-cho, Kita-ku, Okayama-shi, Okayama, 700-8558, Japan. Publication date: April 3, 2014 $(document).ready(function() { var shortdescription = $(".originaldescription").text().replace(/\\&/g, '&').replace(/\\, '<').replace(/\\>/g, '>').replace(/\\t/g, ' ').replace(/\\n/g, ''); if (shortdescription.length > 350){ shortdescription = "" + shortdescription.substring(0,250) + "... more"; } $(".descriptionitem").prepend(shortdescription); $(".shortdescription a").click(function() { $(".shortdescription").hide(); $(".originaldescription").slideDown(); return false; }); }); Related content In this: publication By this: publisher By this author: Takata, Tomoyo ; Kitao, Takashi ; Miyaishi, Satoru GA_googleFillSlot("Horizontal_banner_bottom");
    No preview · Article · Apr 2014 · Australian Journal of Forensic Sciences
  • Fumio Moriya · Kei Yoshitome · Satoru Miyaishi

    No preview · Article · Jan 2014 · Forensic Toxicology
  • Source
    Tomoko Ito · Nanako Tamiya · Hideto Takahashi · Kentaro Yamazaki · Hideki Yamamoto · Shoji Sakano · Masayo Kashiwagi · Satoru Miyaishi

    Preview · Dataset · Sep 2012
  • Source

    Preview · Dataset · Sep 2012
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To clarify the factors affecting 'postmortem interval until finding' (PMI-f) among elderly unexpected death cases. Cross-sectional study. All area of Yamagata prefecture in Japan. Entering subjects were 5675 elderly cases with age of ≥65 years selected from all 9002 cases of unexpected death from 2002 to 2007 in Yamagata prefecture between 2002 and 2007. Our final study subjects consisted of 3387 cases sampled with several criteria to assess the factors to prolong PMI-f. The outcome was the postmortem interval until finding (PMI-f) as the time from death until finding the body which we defined in this study. 'Living alone' showed the highest adjusted HR (3.73, 95% CI 3.37 to 4.13), also 'unnatural death' (1.50, 1.28 to 1.75), 'found at own home' (1.37, 1.22 to 1.55) and 'younger subjects' (0.99, 0.98 to 0.99). In the model including interactions with the household situation, we found 'male subjects living alone' and 'female subjects living with family' tended to be found later. PMI-f is an effective outcome for quantitative analyses of risk of bodies left. To prevent the elderly dead bodies left for long time, it is necessary to keep regular home-based contact with elderly individuals living alone.
    Full-text · Article · Sep 2012 · BMJ Open
  • Source
    Miki Itani · Yuji Yamamoto · Yusuke Doi · Satoru Miyaishi
    [Show abstract] [Hide abstract]
    ABSTRACT: Postmortem degradation of DNA was quantitatively estimated. Brain, liver, kidney and muscle samples were obtained from sacrificed rats left at 20℃ or 4℃. The quantity of DNA was measured by real-time PCR using a primer set for a sequence in the Rsrc 1 gene. When the quantity of amplified DNA using 10ng Human Genomic DNA was defined as 100 RFU, the quantities in the brain, liver, kidney and skeletal muscle (each 2μg of dry weight) on the day of sacrifice were 253±11, 338±22, 556±14 and 531±12 Relative Fluorescence Units (RFU), respectively (mean±S.E., n=5). The quantity of amplified DNA decreased to below 10 RFU in 1-3 weeks in the liver, kidney and skeletal muscle at 20℃, while that in the brain was more than 10 RFU for six weeks, demonstrating the usefulness of the brain as a sample for DNA analysis of decaying corpses. It was suggested that quantifying the amplified DNA in the brain at 20℃ and in the liver at 4℃ as well as the ratio of the quantity of amplified DNA in the liver to the brain at 4℃ might be useful for diagnosing time of death. This study provides the first quantitative analysis of the postmortem progress of DNA degradation in the corpse.
    Full-text · Article · Oct 2011 · Acta medica Okayama
  • Masanobu Miura · Toru Naka · Satoru Miyaishi
    [Show abstract] [Hide abstract]
    ABSTRACT: Postmortem changes in myoglobin concentrations in blood and organs were investigated using an enzyme immunoassay by animal experiments in combination with immunohistochemical staining of human cases. Blood myoglobin concentrations were found to increase drastically within a very short time after death. Those in striated muscle, however, did not change by day 14 postmortem. Myoglobin content in the liver and kidney increased slightly by day 5 postmortem, and more obviously by day 7 or later. However, almost no change was observed by day 5 in the kidney when the renal artery and vein had been ligated just after death. In the thyroid gland and the lung, the myoglobin content markedly increased by day 7 postmortem, with the logarithmical values rising nearly linearly as the time after death passed. In the thyroid gland, concentrations reached the level of the striated muscle. The mechanisms of postmortem myoglobin increase in organs are thought to be direct diffusion from the striated muscle and/or distribution through the blood. To estimate the postmortem interval, the determination of myoglobin content in the thyroid gland or the lung appears to be useful.
    No preview · Article · Aug 2011 · Acta medica Okayama
  • Tomoko Ito · Nanako Tamiya · Satoru Miyaishi

    No preview · Article · Aug 2011 · [Nippon kōshū eisei zasshi] Japanese journal of public health
  • Toshio Morikawa · Yuji Yamamoto · Satoru Miyaishi
    [Show abstract] [Hide abstract]
    ABSTRACT: We have developed a new method for sex determination based on simultaneous detection of the SRY (sex-determining region Y), STS (steroid sulfatase) and amelogenin (AMELX and AMELY) gene regions and their homologous sequences. The sex of 246 blood samples was correctly determined by this method. An AMELY-deleted male sample, which would have been erroneously considered female based solely on analysis of the amelogenin locus, was successfully identified as male by the present method. The detection limit of this method was 63 pg of genomic DNA, and the male DNA component could be detected from mixed samples having a male:female ratio as low as 1:10. This method was useful for degraded DNA and possessed the human specificity. Practical application to 35 autopsy cases is described.
    No preview · Article · Apr 2011 · Acta medica Okayama
  • [Show abstract] [Hide abstract]
    ABSTRACT: Methamphetamine (MAP) and stress both cause a variety of cardiovascular problems. Stress also increases stimulant drug-seeking or drug-taking behavior by both humans and animals. In addition to the physiological effects on circulation, metabolism, and excretion, stress affects subject's responses to stimulant drugs such as MAP. However, the mechanisms underlying the drug-stress interactions remain unknown. In the present study, we assessed the effects of stress on myocardial responses to MAP in mice. Mice were injected with MAP (30mg/kg) immediately before exposure to water-restraint stress (WRS), which has often been used as a stressor in animal experiments. The combination of MAP with WRS produced a significant increase (p<0.01) in the leakage of proteins specific to myocardial damage and the levels of cytokines IL-6, TNF-α, and IL-10. The histological findings indicated the possibility that a combination of MAP with WRS induced cardiac myocytolysis. We also examined the expression of heat shock proteins (Hsps), which have cardioprotective effects. Administration of MAP alone significantly stimulated the RNA expressions of Hsp32, 60, 70, and 90 and the protein Hsp70 in cardiac muscles, whereas the expressions due to WRS or MAP plus WRS were not increased. These results reveal the fact that exposure to WRS depresses the induction of Hsps, in particular Hsp70, due to MAP injection, following to enhance MAP-induced myocardial damage. We believe that interactions between MAP and severe stress, including environmental temperature, affect the induction of Hsps, following to susceptibility of hosts to cardiotoxicity due to the stimulant drug.
    No preview · Article · Mar 2011 · Chemico-biological interactions
  • Source
    Kei Yoshitome · Hideo Ishizu · Satoru Miyaishi
    [Show abstract] [Hide abstract]
    ABSTRACT: Postmortem acidification of blood and the contribution of this phenomenon to increased flecainide concentrations in cardiac blood were evaluated in rabbits. Flecainide was administered intravenously, antemortem peripheral blood was collected 15 min after administration, then rabbits were sacrificed. Blood and organs were collected immediately or 24 h after death, or immediately or 24 h after performance of cardiac massage. Postmortem left/right cardiac blood and organs showed lower pH than antemortem blood, and flecainide concentrations in all postmortem blood samples were higher than those in antemortem blood. Increased flecainide concentrations in cardiac blood were enhanced by postmortem cardiac massage and postmortem interval. In perfusion experiments using rabbit lung and heart, even if the flecainide concentration in inflow was kept constant, outflow concentrations were 2- to 3-fold higher than in inflow when inflow pH changed from 7.4 to 5.5. In contrast, flecainide concentration in outflow decreased immediately and then remained low when pH of perfusate changed from 5.5 to 7.4. These results demonstrate that flecainide accumulates in the lungs before death, and this accumulated flecainide releases into blood following postmortem acidification of blood/organs.
    Preview · Article · Jan 2010 · Journal of analytical toxicology
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The annual number of suicides in Japan increased sharply in 1998, and since that time it has consistently exceeded 30,000 per year. In this study, we analyze a database of personal and background characteristics of 824 cases (605 men, 219 women) who completed suicide in Okayama Prefecture in 2002 and 2003. The data were obtained with cooperation from the police. Using the methodologies in a previous European study as a model, we classified the suicide methods into 8 categories. To examine the generational and regional differences in the choice of methods, we stratified the sample into 4 age groups (< or =24, 25 approximately 44, 45 approximately 64, and > or =65) and 2 regional groups (Okayama/Kurashiki vs. other areas). Our results on gender differences in 7 of the suicide methods were mostly similar to the European data. However, our data showed a remarkably higher proportionate male-to-female mortality ratio for poisoning by other substances (ICD-10, X65-X69 codes) (1.83, 1.15-2.92). In terms of generational differences in the choice of suicide methods, the Mantel-Haenszel test of homogeneity was significant for most of the categories in our study, suggesting an impact of age on how people commit suicide. There were no remarkable regional differences in our sample. An epidemic curve for suicides via carbon monoxide poisoning using charcoal briquets revealed a trend of time clustering not observed in the other 6 means. The database constructed and used in this study contains richer information than conventional death statistics and is expected to provide helpful knowledge and insights for future epidemiological studies.
    Full-text · Article · Aug 2009 · Acta medica Okayama
  • S Miyaishi · F Moriya · Y Yamamoto · H Ishizu
    [Show abstract] [Hide abstract]
    ABSTRACT: Autopsy findings in a 22-year-old man who received a gunshot wound to the head and died at the scene are presented. Massive white-grey emboli were found in the pulmonary arteries, and these were identified as cerebral cortical or glial tissue by histological examination. It was thought that the momentary severe increase of intracranial pressure and simultaneous rupture of the superior sagittal sinus due to the kinetic energy of the bullet had caused the lacerated cerebral tissue to enter the blood stream.
    No preview · Article · Jul 2009 · Brain Injury
  • Source
    Kei Yoshitome · Satoru Miyaishi · Yuji Yamamoto · Hideo Ishizu
    [Show abstract] [Hide abstract]
    ABSTRACT: We encountered a case of fatal congestive heart failure that occurred under the influence of flecainide. In this case, an extreme postmortem increase in the flecainide level was identified in cardiac blood. The patient had been administered 400 mg/day of flecainide for seven days before death. Antemortem plasma obtained 13 h before death showed a flecainide concentration of 2.5 mg/L and a pH of 7.4. In comparison, centrifuged supernatants of postmortem right and left cardiac blood contained flecainide concentrations of 13.8 and 44.2 mg/L, respectively, with pH of 5.5 in both samples. This increase in blood flecainide concentration was attributed to postmortem redistribution, as about 18 h had passed between the last intake of flecainide and death.
    Preview · Article · Jul 2008 · Journal of analytical toxicology
  • [Show abstract] [Hide abstract]
    ABSTRACT: The hypothalamic-pituitary-adrenocortical (HPA) system in drug abusers may be affected due to disorders of the hypothalamic dopaminergic system. The present study investigated alterations in the adenohypophysis of middle-aged drug abusers (40-60 years of age), using clusterin-containing mixed cell-follicles as the indicator, in which clusterin (apolipoprotein J) is a multifunctional glycoprotein related to neurodegeneration. The paraffin-embedded adenohypophyses of methamphetamine and psychotropic drug abusers (n = 76) were compared with those of non-abusers (n = 82). The number of follicles was larger in drug abusers independent of the immediate cause of death, although the size was not significantly different. When cell types forming the follicles were immunohistochemically examined, drug abusers showed an increase of prolactin (PRL) cells and gonadotroph cells and a reciprocal decrease of growth hormone cells, suggesting hypofunction of dopaminergic neurons in the hypothalamus, while there was no change in the adrenocorticotropic hormone and thyroid-stimulating hormone cells. These increases of the clusterin-containing follicles and PRL cells in the follicles may be related to the dysfunction of dopaminergic neurons in the hypothalamus of chronic drug abusers and may be useful for investigating drug abuse in forensic casework.
    No preview · Article · Oct 2007 · Deutsche Zeitschrift für die Gesamte Gerichtliche Medizin
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The authors designed a questionnaire to investigate the differences in German and Japanese general practitioners? (GP) awareness of suicide and attitudes toward patients with suicidal ideation in their respective societies. The purpose of this study was to obtain insights leading to a better means of suicide prevention in primary care in Japan. The background for conducting the study was declining suicides in the past 20 years and the lower suicide rate in Germany compared with the present situation in Japan, where the number of suicides has in recent years continued to exceed 30,000, resulting in a suicide rate approximately 2 times higher than that in Germany. The questionnaire was randomly mailed to GPs in Okayama-Prefecture (western Japan) and Hamburg-State (northern Germany) and was collected in the same way. The patterns of answers were compared between the 2 countries, and the differences were statistically analyzed. Japanese GPs seem to have a lower will to prevent suicide in daily practice compared to German GPs and a great lack of knowledge about treatment of suicidal patients. These observations suggest that improving GPs? interest in the problem of suicide and providing training programs for the treatment of patients with suicidal intentions might be a means of achieving better suicide prevention in Japan.
    Preview · Article · Jul 2006 · Acta medica Okayama
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The authors encountered a case of hydrochloric acid (HCl) poisoning, thought to be caused by oral ingestion of concentrated HCl. Coagulation of the surface of the tongue and the mucosa of the pharynx, esophagus, and stomach were observed at forensic autopsy. An overabundance of Cl- was found in the gastric contents, corresponding to 8.19 mL of concentrated HCl. This was suggested to be a lethal oral dose of concentrated HCl, and the cause of death was determined to be HCl poisoning. Measuring the pH and concentrations of various ions in body fluids and contents of the alimentary tract enabled postmortem diffusion of HCl to be determined.
    Preview · Article · Jun 2006 · Journal of analytical toxicology
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: We have improved on conventional methods for HLA-DRB1 genotyping and devised a new method that is simple, cost-effective, and adequately applicable to routine forensic practice. This method consists of group-specific polymerase chain reaction (PCR) of the exon 2 region of the HLA-DRB1 gene and simultaneous detection of single nucleotide polymorphisms (SNPs) at multiple sites using multiplex primer extension reactions. With this method, we successfully detected HLA-DRB1 genotypes from the following materials: the peripheral blood of 142 donors, 6 aged saliva stains of known DRB1 genotype stored for 5-10 years at room temperature, 10 aged bloodstains of unknown DRB1 genotype stored for 29 years at room temperature, and minimal bloodstains and saliva stains from 3 donors of known DRB1 genotypes. Furthermore, we were able to type DRB1 alleles of the minor component in mixed samples at a proportion of 1/1,000 or 1/10,000. In a criminal case, DRB1 alleles detected from mixed bloodstains on a sword found at the scene enabled us to explain the case. This method is expected to be useful for forensic medicine.
    Preview · Article · Nov 2005 · Acta medica Okayama

Publication Stats

441 Citations
62.91 Total Impact Points

Institutions

  • 1997-2014
    • Okayama University
      • Department of Legal Medicine
      Okayama, Okayama, Japan
  • 1996-1998
    • University of Hamburg
      • Department of Legal Medicine
      Hamburg, Hamburg, Germany