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31.
Shunji Suzuki 《The journal of maternal-fetal & neonatal medicine》2006,19(3):193-194
We performed uterine artery Doppler velocimetry in 16 nulliparous and 16 parous women with non-preeclamptic singleton gestations and 16 nulliparous and 16 parous women with dichorionic twin gestations at 17-18 and 26-27 weeks of gestation. In both singleton and twin pregnancies, the average pulsatility index (PI) in nulliparous women was significantly higher than that in parous women at 17-18 weeks of gestation. At 26-27 weeks of gestation, however, there were no significant differences in PI between nulliparous and parous women with either singleton or twin pregnancies. During the early second-trimester of non-preeclamptic singleton and twin pregnancies, parity has a significant effect on uterine artery blood flow. 相似文献
32.
Kazuya Endo Shunji Kohnoe Takeshi Okamura Masaru Haraguchi Eisuke Adachi Yasushi Toh Hideo Baba Yoshihiko Maehara 《Gastric cancer》2005,8(3):173-177
We report a case of adenosquamous carcinoma of the stomach that produced granulocyte-colony stimulating factor (G-CSF). The patient, who had an admission diagnosis of advanced gastric cancer, had marked leukocytosis without evidence of infection. After leukemia and metastatic leukemoid reaction were excluded by bone marrow examination, a G-CSF-producing cancer was suspected as the cause of the abnormally elevated serum G-CSF level. The resected stomach tumor was histologically diagnosed as adenosquamous carcinoma; positive expression of G-CSF by tumor cells was shown with immunohistochemical detection, which confirmed the preoperative diagnosis. Recurrent disease in the liver and lymph nodes, accompanied by leukocytosis and re-elevation of serum G-CSF, developed just 3 months after the curative gastrectomy and adjuvant chemotherapy. All of the recurrent disease was resected, restoring normal levels of serum G-CSF. The patient survived for almost 2 years after the initial surgery with extensive chemotherapy, including weekly treatment with paclitaxel, before finally succumbing to liver failure secondary to extensive liver metastasis. 相似文献
33.
Hiroya Takeuchi Ken Futamata Arafumi Maeshima Shigemichi Hirose Atsushi Shimada Yoshiki Kawaguchi Jo Tokuyama Koji Osumi Shinya Kishi Takashi Hojo Shiei Kim Norihito Wada Takashi Oishi Yoh Isobe Shunji Ikeuchi Kiyoshi Kubochi Sumio Matsumoto 《Journal of gastrointestinal cancer》2005,36(2):99-104
We report a very rare case of primary gastric small cell carcinoma (GSCC) that was accompanied with gastric tubular adenocarcinoma. A male in his 60s had an elevated tumor with a central ulceration in the middle stomach. The patient underwent a distal gastrectomy with lymph node dissection. The pathological examination showed two separated lesions of the stomach, which contained the components of primary GSCC and primary gastric tubular adenocarcinoma. Immunohistochemical (IHC) examination demonstrated that the tumor cells in the small cell carcinoma stained positive for synaptophysin, chromogranin A, and neural cell adhesion molecule (NCAM). GSCC cells and adenocarcinoma cells independently metastasized to each regional lymph node. Further studies on the biological behavior of individual tumors may allow the development of new treatment strategies for GSCC. 相似文献
34.
Long-lasting renal dysfunction following tacrolimus induction therapy in ulcerative colitis patients
Na Cha Naoki Oshima Kenichi Kishimoto Satoshi Kotani Eiko Okimoto Tomotaka Yazaki Hiroki Sonoyama Akihiko Oka Yoshiyuki Mishima Kotaro Shibagaki Hiroshi Tobita Kousaku Kawashima Norihisa Ishimura Shunji Ishihara 《Journal of Clinical Biochemistry and Nutrition》2022,70(3):297
Although tacrolimus (TAC) has remarkable effects in ulcerative colitis (UC) patients when given as remission induction therapy, some can develop renal dysfunction during TAC administration, resulting in withdrawal, though related details remain poorly understood. This study was conducted to determine the impact of oral TAC on renal function for remission induction therapy in UC patients. Fifty-five patients (10 elderly, 45 non-elderly) with UC and treated with oral TAC at our hospital were retrospectively evaluated. Renal function was assessed using estimated glomerular filtration rate (eGFR). Although a high clinical response to TAC was seen in both elderly and non-elderly, a decline in eGFR was noted in nearly all patients regardless of age, with a maximum change of −34.4% from the baseline value at week 11. Furthermore, eGFR decline recovered quickly after TAC discontinuation, though did not return to the baseline at two years following cessation. The rate of eGFR change at week 12 was significantly associated with patient age (β = −0.3242, p = 0.0103) and peak serum trough level during TAC treatment (β = 0.3563, p = 0.0051). Furthermore, the rate of decline in eGFR was significantly greater during treatment with TAC in the elderly as compared to non-elderly, with a large difference in eGFR decline rate between those groups also noted at two years after withdrawal of treatment. Careful attention to renal function when administering oral TAC for UC is important and changes in eGFR should be monitored closely in elderly patients even after treatment cessation. 相似文献
35.
Objective To investigate obstetric outcomes in singleton pregnancies conceived by in vitro fertilization (IVF) to nulliparous women
older than 35 compared to those of their younger counterparts.
Methods Nulliparous women 35 years and older at delivery conceived by IVF (n = 89) were compared with nulliparous women 34 years and younger at delivery conceived by IVF (n = 48). Data included antenatal data, gestational age at delivery, maternal and neonatal complications and mode of delivery.
Results The incidence of pregnancy-induced hypertension in the younger group was significantly higher than that in the elderly group
(13 vs. 3.4%, P = 0.043). There were no measurable differences in other obstetric outcomes such as placental abnormality, premature delivery
or neonatal asphyxia between the two groups.
Conclusion The current results suggest that obstetric complications in pregnancies conceived IVF are attributed to mechanisms other than
those depend on advanced maternal age. 相似文献
36.
Tomotaka Yazaki Ichiro Moriyama Hiroshi Tobita Hiroki Sonoyama Eiko Okimoto Akihiko Oka Yoshiyuki Mishima Naoki Oshima Kotaro Shibagaki Kousaku Kawashima Norihisa Ishimura Taichi Nagami Riruke Maruyama Hiroaki Shiina Shunji Ishihara 《Internal medicine (Tokyo, Japan)》2022,61(10):1485
Immune checkpoint inhibitors (ICIs), which have anti-tumor effects, are currently approved for treatment of several kinds of advanced malignancies. However, with their increasing use, a variety of immune-related adverse events (irAEs) in administered patients have been reported. We herein report a rare case of the simultaneous onset of acute pancreatitis and colitis as irAEs during nivolumab treatment given to a patient with renal cell carcinoma, who then shown marked improvement with corticosteroid therapy. 相似文献
37.
Seigo Okada Yuji Ohnishi Takashi Furuta Yasuo Suzuki Akiko Kawakami-Miyake Chie Matsuguma Takako Waniishi Hiroki Yasudo Shunji Hasegawa 《World journal of pediatrics : WJP》2021,(6):671-673
Although the standard treatment for Kawasaki disease (KD)is intravenous immunoglobulin (IVIG) combined with oral aspirin,18% of 1st IVIG is refractory [1].Recen... 相似文献
38.
Matsunobu S Amanuma M Tsukuda S 《Nihon Igaku Hōshasen Gakkai zasshi. Nippon acta radiologica》2004,64(1):31-34
PURPOSE: To evaluate the image quality and vascular selectivity of MR venography of the head using an MP-RAGE technique when obtained with a body radiofrequency transmitter coil system. MATERIALS AND METHODS: A total of 24 patients were imaged with a head or body RF transmission system. Subtraction MRA was processed with 0.1 mmol Gd-DTPA administration, and signal-to-noise ratios of the vascular system were measured. Venous demonstration and selectivity were also assessed. RESULTS: MP-RAGE MR venography with a body transmission system showed almost the same signal intensity for the venous and arterial systems, resulting in nonspecific vascular demonstration, while the head transmission system showed semi-selective venograms owing to inflow-induced high signal on precontrast images. However, MRA with a body transmission system provided a 1.5- to 2.5-fold higher signal-to-noise ratios based on higher gradient performance and excellent demonstration of the head veins, especially those below the skull base. CONCLUSION: Although selective venography was difficult, MRA with a body transmission coil provided excellent vascular images of the brain. 相似文献
39.
Nogawa T Takahashi S Okano A Kawatani M Uramoto M Saito T Osada H 《The Journal of antibiotics》2012,65(3):123-128
Two new 6,6-spiroacetal polyketides, spirotoamides A (1) and B (2), were isolated from a microbial metabolite fraction library of Streptomyces griseochromogenes JC82-1223 by screening of structurally unique compounds based on a search of spectral database. The fraction library was constructed using a systematic separation method to efficiently discover new metabolites from microbial sources such as actinomycetes and fungi. The structures of 1 and 2 were elucidated by 2D-NMR and mass spectrometric measurements. They belong to a class of polyketides, and contain a 6,6-spiroacetal core structure and a carboxamide group. The biosynthetic pathway of 1 and 2 is discussed in the text. 相似文献