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991.
Yuki Iijima Yusuke Ueda Masaki Katoh Motohiko Oyama Teruaki Endo Kazuo Saita 《European journal of orthopaedic surgery & traumatology : orthopedie traumatologie》2010,20(4):309-311
We present two cases of pulmonary embolism (PE) without deep venous thrombosis (DVT) after spinal surgery with an anterior
approach. On the seventh day after surgery, the patients’ plasma D-dimer levels were high without symptoms, so computed tomography
(CT) was performed from chest to lower limb, revealing PE without lower limb DVT. After the exam, we immediately started anticoagulation
therapy with heparin and warfarin. The patients were discharged with no complications. Previous reports have documented that
DVT causes most cases of PE; however, our cases had no lower limb DVT. Some reports hypothesize that anterior spinal surgery
might have a differential pathogenesis of PE. Simple mechanical prophylaxis for DVT may not protect these patients. On the
other hand, the administration of chemical anticoagulants therapy after spinal surgery is controversial because of the risk
of epidural hematoma. We should explain the risk of PE to patients undergoing spinal surgery with an anterior approach. 相似文献
992.
993.
Yohei Misumi MD PhD Mitsuharu Ueda MD PhD Taro Yamashita MD PhD Teruaki Masuda MD Yumiko Kinoshita MA Masayoshi Tasaki PhD Terumasa Nagase MD PhD Yukio Ando MD PhD 《Annals of neurology》2017,81(4):604-608
We aimed to assess the possibility of using a noninvasive screening method for hereditary transthyretin amyloidosis by means of abdominal fat ultrasonography. Quantitative analysis of ultrasound B‐mode images demonstrated a significant increase in mean echogenicity and a loss of the normal structure of the layers of fat tissue in patients with hereditary transthyretin amyloidosis (n = 19). The ultrasound features of the fat tissue and the degree of amyloid deposition seen histopathologically showed a significant correlation. These results suggest that abdominal fat ultrasonography may be a valuable method for screening for hereditary transthyretin amyloidosis. Ann Neurol 2017;81:604–608 相似文献
994.
Inquiring about insomnia may facilitate diagnosis of depression in the primary care setting 下载免费PDF全文
995.
996.
Eisuke Booka Yasuhiro Tsubosa Teruaki Matsumoto Mari Takeuchi Takashi Kitani Masato Nagaoka Atsushi Imai Tomoyuki Kamijo Yoshiyuki Iida Ayako Shimada Katsushi Takebayashi Masahiro Niihara Keita Mori Tetsuro Onitsuka Hiroya Takeuchi Yuko Kitagawa 《Esophagus》2017,14(3):229-234
Background
Postoperative delirium is common after extensive surgery, and is known to be associated with sleeping medications. In this study, we aimed to investigate the relationships between sleeping medications and postoperative delirium after pharyngolaryngectomy with esophagectomy.Methods
We performed a retrospective analysis of 65 patients who underwent pharyngolaryngectomy with esophagectomy at Shizuoka Cancer Center Hospital between January 2012 and March 2016. All data were assessed by two psychiatrists, and univariate and multivariate analyses were performed.Results
Postoperative delirium developed in 9 (13.8%) patients, with most cases (77.8%) occurring between postoperative day (POD) 1 and POD 3. Of the 24 patients taking a minor tranquilizer after surgery, 8 (33.3%) became delirious, but, of the remaining 41 patients taking ramelteon with or without suvorexant, only one (2.4%) became delirious after surgery. Moreover, of the 16 patients taking both ramelteon and suvorexant, no postoperative delirium was observed. Ramelteon with or without suvorexant was significantly associated with a decreased rate of postoperative delirium compared with minor tranquilizer use (p = 0.001). Multivariate analysis confirmed that the use of ramelteon with or without suvorexant was the only significant preventive factor of postoperative delirium (odds ratio 0.060, p = 0.013).Conclusion
The use of ramelteon with or without suvorexant was the only significant preventive factor of postoperative delirium after pharyngolaryngectomy with esophagectomy. However, using minor tranquilizers was associated with postoperative delirium. We recommend ramelteon with or without suvorexant for preventing postoperative delirium after pharyngolaryngectomy with esophagectomy.997.
998.
999.
K. Mizuta Y. Aoki A. Suto K. Ootani N. Katsushima T. Itagaki A. Ohmi M. Okamoto H. Nishimura Y. Matsuzaki S. Hongo K. Sugawara H. Shimizu T. Ahiko 《Vaccine》2009
We isolated and identified six subgenogroups (B2, B4, B5, C1, C2, and C4) of enterovirus 71 (EV71) between 1990 and 2007 in Yamagata, Japan. We measured neutralizing antibody (NT Ab) titers against those subgenogroup strains and the BrCr reference strain for antigenic analysis. Serological analysis of 83 residents in Yamagata in 2004 showed that differences in the NT Ab titer of each individual against the different subgenogroups were mostly within 4-fold. Furthermore, sera from guinea pigs, immunized with the B2 and C1 strains indicated cross-antigenicity among the seven different subgenogroups. In conclusion, our results showed that cross-antigenicity exists among EV71 strains from different subgenogroups circulating in the community through genomic evolution. Our results also suggest that eliciting neutralizing antibodies against one genotype is likely to confer cross-neutralization against other genotypes. 相似文献
1000.
Teruaki Mizobuchi Naomichi Iwai Hiromasa Kohno Nao Okada Tomoki Yoshioka Hiroki Ebana 《General thoracic and cardiovascular surgery》2009,57(8):430-432
We report a case of late presentation of traumatic rupture of the diaphragm discovered incidentally on chest radiography (CXR)
during an annual medical checkup. A 60-year-old man suffered severe blunt trauma from heavy steel frames collapsing against
his back, resulting in pelvic and femoral fractures as well as pulmonary contusions. The patient recovered, but 10 months
later CXR performed for lung cancer surveillance during an annual medical checkup revealed a traumatic rupture of the diaphragm.
Video-assisted thoracic surgery was performed with reduction of the intestine and primary closure of the diaphragmatic defect.
The patient recovered uneventfully. This report serves as a useful reminder that a medical history of severe blunt trauma
should provoke a high index of suspicion for diaphragmatic rupture during annual medical surveillance. 相似文献