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51.
Batsukh Zolboo Toume Kazufumi Javzan Batkhuu Kazuma Kohei Cai Shao-Qing Hayashi Shigeki Kawahara Nobuo Maruyama Takuro Komatsu Katsuko 《Journal of natural medicines》2020,74(1):170-188
Journal of Natural Medicines - Saposhnikoviae Radix (SR) is a commonly used crude drug that is obtained from the root and rhizome of Saposhnikovia divaricata which is distributed throughout China,... 相似文献
52.
Mitsuaki Morimoto Yoshikazu Nakamura Yoshikazu Yasuda Alan T. Lefor Takashi Nagaie Naohiro Sata Yoshinori Hosoya Hisanaga Horie Koji Koinuma 《The Indian journal of surgery》2015,77(4):283-289
It has been suggested that total cholesterol levels and the use of statin medications are associated with the incidence of complications after gastrointestinal surgery. The aim of this study was to determine if preoperative total cholesterol levels are associated with a higher risk of postoperative infections and mortality. A total of 2211 patients undergoing general surgical procedures between December 2006 and November 2008 at Iizuka Hospital and between January 2010 and March 2012 at Jichi Medical University Hospital were reviewed. Multiple logistic regression models were used to evaluate serum total cholesterol and other variables as predictors of postoperative nosocomial infections. Serum total cholesterol concentrations lower than 160 mg/dl were associated with an increased incidence of superficial and deep incisional surgical site infections. Serum total cholesterol levels showed a reverse J-shaped relationship with the development of organ space surgical site infection and pneumonia. There was no discernible effect of serum cholesterol levels on the postoperative mortality observed in this cohort of patients. Decreased serum albumin was one of the strongest risk factors for the development of nosocomial infection after surgery. Postoperative pneumonia was not observed in patients taking statin medications whose cholesterol levels were <200 mg/dl. Serum total cholesterol may be a valid predictor of surgical outcome. Preoperative statin use may affect the development of postoperative pneumonia in patients with total cholesterol levels below 200 mg/dl. 相似文献
53.
54.
Horie H Togashi K Kawamura YJ Ohta M Nakajima Y Kihara M Nagai H Lefor AT Konishi F 《Diseases of the colon and rectum》2008,51(10):1529-1534
Purpose This study was designed to identify colonoscopic stigmata, indicating substantial invasion into the submucosa by T1 colorectal
cancer with sessile morphology, including both flat and protruded types.
Methods A total of 111 Tis or T1 colorectal cancers were studied retrospectively. The lesions were divided into two groups: Group
A (n = 83), Tis or T1 cancers with <1 mm submucosal invasion; and Group B (n = 28), T1 cancers with a ≥1 mm submucosal invasion.
Printed photographs of the lesions were reviewed by five experienced colonoscopists who were blinded to histology. Deep depression,
irregular surface, ulceration or erosion, fold convergence, and spontaneous bleeding were independently evaluated. Findings
considered present by three or more reviewers were defined as positive. Kappa analysis was used to measure inter/intraobserver
variability.
Results Positive rates of four findings but not fold convergence were significantly higher in Group B than in Group A. Irregular surface
and spontaneous bleeding were significant independent predictors of ≥1 mm submucosal invasion, with diagnostic accuracies
of 85.6 and 76.6 percent, respectively. Kappa analysis demonstrated fair-to-good inter/intraobserver agreement for spontaneous
bleeding and fair-to-good intraobserver agreement for irregular surface.
Conclusions Irregular surface and spontaneous bleeding were colonoscopic stigmata, indicating ≥1 mm submucosal invasion in T1 colorectal
cancer. 相似文献
55.
Subacute cor pulmonale due to tumor embolism 总被引:1,自引:0,他引:1
Nakamura H Adachi H Sudoh A Yagyu H Kishi K Oh-ishi S Kusama H Hashimoto T Matsuoka T 《Internal medicine (Tokyo, Japan)》2004,43(5):420-422
We describe a patient wih subacute cor pulmonale caused by tumor emboli in the lungs. A 64-year-old female suffering from a subacute progressive cough and shortness of breathing died of severe pulmonary hypertension seven days after admission. Neither chest CT scans nor lung perfusion scintigraphy showed any abnormal findings. Microscopic examination after an autopsy revealed diffuse intravascular tumor emboli occluding not only the small pulmonary arteries and arterioles, but also the lymphatic vessels, which were suggested to be metastases of a breast carcinoma resected five years previously. Thus, pulmonary tumor embolism should be considered in the differential diagnosis of primary pulmonary hypertension, particularly in patients with a past history of cancers. 相似文献
56.
Takaaki Fujita Atsushi Sato Yui Togashi Ryuichi Kasahara Takuro Ohashi Yuichi Yamamoto 《Journal of Physical Therapy Science》2015,27(3):815-818
[Purpose] The trunk muscles frequently become weak after stroke, thus impacting overall
activities of daily living. However, activities of daily living items closely related with
trunk strength remain unclear. This study aimed to clarify the influence of trunk muscle
weakness on activities of daily living items. [Subjects] The subjects were 24 stroke
patients who fulfilled the following inclusion criteria: first stroke and the absence of
severe paralysis, marked cognitive function deterioration, unilateral spatial neglect or
apathy. [Methods] According to abdominal strength, the 24 patients were divided into a
nonweakness group and a weakness group. For the assessment, we used the stroke impairment
assessment set, the Berg balance scale, a simple test for evaluating hand function, grip
strength, and functional independence measure scale scores and the results were compared
between the groups. [Results] The Berg balance scale score and scores for dressing, toilet
use, transfer to bed, and walk items of the functional independence measure were
significantly lower in the weakness group than in the nonweakness group. [Conclusion] Our
results suggest that weakness of the abdominal muscles adversely impacts the balance of
patients with mild stroke as well as their ability to dress, use a toilet, transfer, and
walk. Trunk training, including abdominal muscle exercises, can effectively improve the
performance of these activities of daily living items.Key words: Stroke, Activities of daily living, Abdominal muscles 相似文献
57.
58.
Takuro Nishimura Arun Kannan Roderick Tung 《Journal of cardiovascular electrophysiology》2020,31(4):968-971
We present a rare case of reentrant ventricular tachycardia proven by entrainment maneuvers that was successfully ablated from the noncoronary cusp. The case highlights regional anatomy, pacing maneuvers with multi‐modality images from fluoroscopy, intracardiac echo, and electroanatomical mapping. 相似文献
59.