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101.
Effectiveness of electric toothbrushing in patients with neuromuscular disability: A randomized observer‐blind crossover trial 下载免费PDF全文
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Kotaro Shimizu Atsuhiko Uno Kazuya Takemura Naoki Ashida Ryohei Oya Takahiro Kitamura Yukinori Takenaka Yoshifumi Yamamoto 《Auris, nasus, larynx》2018,45(3):640-643
Laryngeal cleft is an anomaly of failed posterior closure of the larynx. Most cases are diagnosed and need treatment early in life due to respiratory and swallowing problems. We report an unusual case of a 66-year-old man with an asymptomatic laryngeal cleft until treatment for hypopharyngeal cancer. During concurrent chemoradiotherapy (CCRT), despite reduced tumor volume, he presented severe dysphagia and dyspnea, followed by severe pneumonia twice. Because CCRT had to be discontinued, a pharyngolaryngectomy was performed for the cancer treatment. The resected specimen showed total removal of the tumor and a total longitudinal cleft of the cricoid cartilage, classified as a type III laryngeal cleft by the Benjamin and Inglis’ classification. A review of computed tomography images indicated that the redundant mucosa from bilateral edges closed the separation of the posterior cricoid cartilage and narrowed the laryngeal airway during CCRT. Adult presentations of laryngeal cleft are quite rare with only ten reported cases in English literature; the present case is of the oldest patient. Undiagnosed cases with laryngeal cleft may exist asymptomatically or without severe symptoms. The awareness of this condition may increase its diagnosis as a cause of diseases such as aspiration and recurrent pneumonia even in adult patients. 相似文献
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Hirayama Y Hirasawa H Oda S Shiga H Nakanishi K Matsuda K Nakamura M Hirano T Moriguchi T Watanabe E Nitta M Abe R Nakada T 《Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy》2003,7(5):475-482
The aim of our study was to examine renal replacement therapies (RRT) that have been used for acute renal failure (ARF) in our intensive care unit (ICU) patients and to compare their outcomes. Sixteen patients who underwent intermittent hemodialysis (IHD), 14 patients who underwent continuous hemofiltration (CHF) in combination with IHD (CHF + IHD), and 38 patients who underwent continuous hemodiafiltration (CHDF) were evaluated. Regarding the effects of blood purification on hemodynamics and renal function, the percentage increase in blood pressure and percent rapid increase in urinary output were the greatest in the CHDF group. The hourly urinary output after the start of initial blood purification increased only in the CHDF group. The survival rate was significantly higher in the CHDF group. These results suggest that CHDF should be the first-line therapy for patients with ARF and that we are moving in the right direction regarding the application of RRT to treat ARF in ICU patients. 相似文献
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Yoshiyuki Nishida M.D. Kunihiko Murase M.D. Ph.D. Ryuichi Ashida M.D. Osamu Sasaki M.D. Yoshiyuki Ozono M.D. Ph.D. Yohei Mizuta M.D. Ph.D. Fumitoshi Takeshima M.D. Ph.D. Kazuya Makiyama M.D. Ph.D. Shigeru Kohno M.D. Ph.D. 《The American journal of gastroenterology》1998,93(12):2599-2601
We describe a young Japanese woman who was diagnosed with Crohn's disease affecting the ileum, transverse colon, and rectum, as confirmed by barium studies, colonoscopy, and histopathological examination. Her father and sister also had Crohn's disease. After a 4-yr course of sulfasalazine and elemental diet therapy, she was readmitted for perianal abscess associated with the presence of pancytopenia, microhematuria with granular cast, hypocomplementemia, and high titers of autoimmune antibodies (anti-ANA and anti-dsDNA antibodies). Based on these features, a diagnosis of systemic lupus erythematosus (SLE) was made. Despite the rarity of such combination (Crohn's disease with SLE), patients with Crohn's disease who develop such clinical findings might need evaluation for SLE. 相似文献
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Shiraishi H Ishibashi K Urao N Hyogo M Tsukamoto M Keira N Hirasaki S Seo Y Shirayama T Nakagawa M 《Internal medicine (Tokyo, Japan)》2002,41(6):445-448
Verapamil is widely used for the termination of paroxysmal supraventricular tachycardia (PSVT) with little proarrhythmic effect. We describe two cases of PSVT that changed to non-sustained polymorphic ventricular tachycardia after administration of verapamil. Electrophysiological study revealed atrioventricular nodal reentrant tachycardia in the first case, and atrioventricular reentrant tachycardia due to a concealed left lateral accessory pathway in the second case. Catecholamine-induced automaticity was one of the possible mechanisms of VT in the first case, but the mechanism is unknown in the second case. 相似文献
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Ohfuji Satoko Matsuura Tomoka Tamori Akihiro Kubo Shoji Sasaki Satoshi Kondo Kyoko Ito Kazuya Fukushima Wakaba 《Digestive diseases and sciences》2021,66(6):2118-2128
Digestive Diseases and Sciences - Hepatocellular carcinoma develops in some patients with hepatitis C virus (HCV), even after achieving sustained virological response (SVR). We examined factors... 相似文献