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71.
72.
Shigeyuki Takatsuka Kan Yoshida Koichiro Ueki Kohei Marukawa Kiyomasa Nakagawa Etsuhide Yamamoto 《Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics》2005,99(5):614-621
OBJECTIVE: The purpose of this study was to elucidate causal relationship between disc and condyle range of movement and clinical signs and symptoms in patients with temporomandibular disorders (TMD), using magnetic resonance imaging (MRI). STUDY DESIGN: The subjects comprised of a study group of 191 patients with TMD and a control group of 43 asymptomatic patients. The clinical assessment consisted of range of maximum mouth opening (MMO) and preauricular pain during mandibular function. After clinical and radiographic findings assessment, disc and condyle condition were examined by MRI and the range of movement was accordingly classified. RESULTS: Disc displacement was observed in 156/191 (81.7%) of the study group and 9/43 (20.9%) of the control group. When disc and condyle mobility was presented around the eminence, wider MMO range was maintained, P < .05. Presence of osteoarthrosis (OA) was not correlated with preauricular pain, because OA variables were mild in the study group. CONCLUSION: Maintenance of disc/condyle translation is an important factor in TMJ function, irrespective of disc displacement or arthritis. 相似文献
73.
Arrhythmogenic right ventricular dysplasia/cardiomyopathy assessed with 64-slice computed tomography
Nishiyama Kei; Tadamura Eiji; Kanao Eitaro; Shizuta Satoshi; Furukawa Yutaka; Nakagawa Yoshihisa; Kimura Takeshi; Kita Toru 《European heart journal》2006,27(22):2666
A 69-year-old man was admitted to hospital because of sustainedventricular tachycardia with right bundle branch block morphology.After abolition of ventricular tachycardia, an electrocardiogramshowed atrial fibrillation, complete right bundle 相似文献
74.
Noriko Kotani Hitoshi Hara Harutoshi Fujimura Takeshi Miyashita Katuyuki Miyaguchi Takeshi Tabira 《Clinical neurology》2004,44(4-5):274-279
We report a 64-year-old Japanese woman with recurrent ischemic strokes and progressive dementia without any cardiovascular risk factors. Her first stroke was at 45 years old, and she has a family history of ischemic strokes compatible with an autosomal dominant trait. Marked leukoaraiosis and multiple lacunar infarcts were shown on brain MR images, and no atherosclerotic changes were observed in her extra- and intra-cranial arteries by cervical arterial echography and intracranial MR angiography. Excluded other inherited or metabolic diseases causing leukodystrophy by examination of her blood samples, her disease was diagnosed as CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and lekoencephalopathy). We demonstrated granular osmiophilic materials (GOM) on the wall of small arteries from a biopsied peripheral nerve tissue specimen and detected a mutation Arg169Cys of Notch 3 gene. Many CADASIL patients have been reported and over 28 kinds of mutations of the Notch 3 were identified in western countries, while few CADASIL patients have been reported in Japanese people. Among them, eleven CADASIL families have been reported and only five mutations (Arg133Cys, Cys174Phe, Arg213Lys, Arg90Cys and Arg141Cys) have been determined so far. The mutation of Notch 3 in our patient was determined as Arg169Cys, and this is the first report on a Japanese patient with CADASIL due to this mutation. 相似文献
75.
76.
Shinji Homma Kenji Satoh Hitoshi Matsuo Minoru Yagi Jun Hasegawa Tomoyuki Maruta Naozumi Watanabe Tsuneo Iiai Katsuyoshi Hatakeyama 《Journal of Smooth Muscle Research》2004,40(6):271-280
Electrogastrograms (EGGs) were recorded in patients both before and after receiving proximal gastrectomy plus jejunal interposition (PGJI) or just after receiving total gastrectomy plus jejunal interposition (TGJI). Intraluminal pressure was also recorded in some postoperative patients. The EGG 3 cpm component (2.5-4.9 cpm) remained after PGJI, but subsequently decreased with a significant reduction in the preoperative to postoperative ratio of the 3 cpm components (P<0.05). The mean frequency of the 3 cpm components increased significantly after PGJI (P<0.05) and its instability factor increased. The EGG 10 cpm components became relatively dominant compared to other frequency components in 2 out of 8 of patients having PGJI but the mean amplitude of 10 cpm decreased. In TGJI patients, only the 10 cpm component was conspicuous in EGG as in the case of total gastrectomy and Roux en Y anastomosis procedures. The spectral frequencies of intraluminal pressure in the interposed jejunum were similar to the EGG of 10 cpm components both in the case of PGJI and TGJI patients. In conclusion, surface EGG could record the electrical activities of the interposed jejunum more easily in patients having had TGJI than in PGJI. 相似文献
77.
Teruo Iwasaki Katsuhiro Nakagawa Motoaki Yasukawa Hiroyuki Shiono Teruaki Nagano Kunimitsu Kawahara 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2006,54(1):35-39
Ectopic cervical or cervico-mediastinal thymomas are very rare and most of them are asymptomatic, except for the presence
of a cervical mass. We present the case of a 71-year-old man with an ectopic cervico-mediastinal thymoma threatening superior
vena cava syndrome. He had a slight headache and presented with venous dilatation on the chest wall. A computed tomographic
scan and magnetic resonance, imaging of the chest demonstrated a mass extending from the right neck to the hilum, that indented
the trachea and compressed and displaced the brachiocephalic veins anteriorly. Under a right hemicollar incision and median
sternotomy, the mass was resected en bloc together with the thymus. The resected specimen was an encapsulated mass measuring 11×7×4 cm. The pathological diagnosis
was type AB, non-invasive thymoma, confirmed by 3-color flow, cytometry of tumor-derived lymphocytes. Flow cytometry using
biopsy material may contribute to the preoperative diagnosis of ectopic thymoma. 相似文献
78.
Takeshi Shinkawa Masaaki Yamagishi Keisuke Shuntoh Takako Miyazaki Takahiro Hisaoka Tomoya Inoue Hitoshi Yaku 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2006,54(11):469-471
Objective We have developed a surgical method for atrial septal defect repair through a limited right lateral thoracotomy in which the
incision line begins 2 cm caudal from the lower angle of the scapula and ends at the midaxial line, thereby improving patient
satisfaction with the cosmetic results of treatment.
Methods We performed a retrospective review of 28 patients who underwent isolated atrial septal defect repair through a limited right
lateral thoracotomy between January 2002 and August 2004. The mean age and mean body weight at the time of the operation were
85.8 months (range 9–236 months) and 23.0 kg (range 8.0–56.0 kg), respectively. All repaired defects were the ostium secundum
type.
Results There was no operative or late mortality and no late morbidity after a mean follow-up of 26 months (range 12–41 months). Echocardiography
showed no residual shunt in any of the patients. The mean length of the skin incision was 7.8 cm (range 5.0–11.0 cm), and
almost all the patients had satisfactory cosmetic results.
Conclusion The atrial septal defect repair through a limited right lateral thoracotomy in pediatric patients showed satisfactory surgical
results and excellent cosmetic results. 相似文献
79.
Sho Haneda M.D. Kouhei Fukushima M.D. Yuji Funayama M.D. Chikashi Shibata M.D. Ken-Ichi Takahashi M.D. Hitoshi Ogawa M.D. Munenori Nagao M.D. Kazuhiro Watanabe M.D. Iwao Sasaki M.D. 《Journal of gastrointestinal surgery》2006,10(7):1051-1059
Our previous studies demonstrated that sodium glucose cotransporter 1 (SGLT-1) was induced in the remnant ileum of total colectomized
rats via the action of factors other than hyperaldosteronism. The aim of the present study was to clarify whether fecal stream
is required for the enhancement of SGLT-1-mediated sodium transport. Twenty-seven pairs of ileal tissues were obtained from
the proximal and distal side, respectively, of loop ileostomy after total proctocolectomy. Mucosae were mounted in an Ussing
chamber to evaluate glucose-coupled sodium transport. Levels of SGLT-1 mRNA in proximal and distal mucosae were compared by
Northern blotting. Villous height and crypt depth were measured to test for correlations between mucosal structure and SGLT-1-mediated
sodium transport or mRNA expression levels. Both glucose-coupled sodium transport and expression of SGLT-1 mRNA were significantly
lower in distal mucosae relative to proximal mucosae. In distal mucosae, villous height, but not crypt depth, was significantly
lower than in proximal mucosae, demonstrating a positive correlation between villous height and SGLT-1 function and expression.
Comparative studies of proximal and distal mucosae demonstrated that in addition to hormonal changes, fecal stream is required
for full induction of the sodium transport system (which includes SGLT-1-mediated transport) in the remnant ileum following
total proctocolectomy.
Presented in part at the Forty-Sixth Annual Meeting of The Society for Surgery of the Alimentary Tract, Chicago, Illinois,
May 14–19, 2005 (poster presentation).
This work was supported by Grants-in-Aid for Scientific Research 10557118 and 14657295 from the Ministry of Education, Science
and Culture of Japan to K. Fukushima, and by Kanae Foundation to K. Fukushima. 相似文献
80.