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TAISUKE OKADA MASATO MAEDA TOMOKI TAKECHI TAKASHI TOMODA HIROSHI WAKIGUCHI TAKANOBU KURASHIGE 《Pediatrics international》1997,39(6):690-693
A case report is presented of a 15-year-old girl with reflex sympathetic dystrophy (RSD). She was referred to hospital because of left upper limb pain. Her left upper limb was cold, edematous and blue with a limited active range of movement. The serum concentration of noradrenaline was lower on the painful side than on the healthy side, and neurotropin, which has an antinociceptive effect to hyperalgesia, was clearly effective. Early diagnosis and management is essential in the treatment of RSD and administration of neurotropin is a useful and non-invasive treatment without severe adverse effects. 相似文献
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Keishi TAKECHI Kazutoshi FURUHASHI Toshio USUI Hiroyuki MAEKAWA Akira KIZAWA Hiroshi TANABE Youko IKEDA Kuniyasu SHIMOKAWA 《Digestive endoscopy》1990,2(4):383-389
A 34-year-old female visited our hospital because of epigastralgia. We performed an upper gastrointestinal x-ray examination, and both conventional endoscopy and dye-spraying endoscopy (indigo-carmine contrast method). We diagnosed early gastric lymphoma which simulated Borrmann 3 type gastric cancer with IIb type early gastric cancer on the middle body and reactive lymphoreticular hyperplasia (RLH) of cobble stone-like granular pattern by endoscopic appearance on the lower body. Although dye-spraying endoscopy showed the details of the mucosa, it was very difficult to diagnose the lesions correctly by gross appearance alone. Because gastric lymphoma arises from the mucosal or submucosal layer and spreads in the mucosa diffusely, ultrasonic visualization by echo-endoscopy might be useful in the diagnostic procedure. We report a case of early gastric lymphoma coexisting with RLH; both lesions showed uncommon endoscopic features. 相似文献
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Clinical outcome of conservative therapy for stage T1, grade 3 transitional cell carcinoma of the bladder 总被引:10,自引:0,他引:10
ISAO HARA HIDEAKI MIYAKE YOSHIZUMI TAKECHI HIROSHI ETO AKINOBU GOTOH MASATO FUJISAWA HIROSHI OKADA SOICHI ARAKAWA SADAO KAMIDONO KOBE UROGENITAL TUMOR STUDY GROUP 《International journal of urology》2003,10(1):19-24
BACKGROUND: The objective of this study was to retrospectively investigate the effectiveness of transurethral resection of bladder tumor (TURBT) and intravesical instillation therapy for stage T1, grade 3 (T1G3) transitional cell carcinoma (TCC) of the urinary bladder. METHODS: Between January 1995 and December 1997, 97 patients with T1G3 TCC of the urinary bladder were treated by TURBT and adjuvant intravesical instillation with bacillus Calmette-Guérin (BCG) or other anticancer agents. The recurrence-free survival rates were evaluated according to several clinicopathological factors. The cases that progressed to muscle invasive disease were also analysed. RESULTS: In this series, the median follow-up period was 25 months (range, 5- 41) after the initial TURBT. Intravesical recurrence was noted in 44 patients (45%), and the 1, 2, and 3 year recurrence-free survival rates were 72%, 58%, and 42%, respectively. Multivariate analyses revealed that the risk of intravesical recurrence was significantly higher for patients who did not receive BCG therapy, irrespective of age, gender, tumor size, multiplicity, pathological stage, concomitant carcinoma in situ, and lymphovascular involvement. Moreover, after a median of 10 months, disease progression occurred in seven patients (7%), of which only one patient was treated by BCG therapy after initial TURBT. CONCLUSION: These findings suggest that intravesical instillation with BCG combined with TURBT is an effective conservative treatment for T1G3 TCC of the bladder. Patients with negative prognostic factors should be treated by BCG rather than other anticancer agents after TURBT. 相似文献
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Keishi TAKECHI Masahiro MIHARA Yoshio SAITO Tetsuya YAMADA Hisataka MORIWAKI Yasutoshi MUTO Kuniyasu SHIMOKAWA Junko ENDO Noriyuki TAKEDA Hiroshi TANABE 《Digestive endoscopy》1993,5(1):102-106
Abstract: A 62-year-old female visited our unit complaining of persisting diarrhea. She underwent a thymectomy for myasthenia gravis (MG) and a thyroidectomy for malignancy at age 58, and she was treated medically for MG fbllowing surgery. She also received a partial ileo-colectomy because of an intramural suppurative abscess of the terminal ileum at age 60. In her laboratory data, the anti-acetylcholine receptor antibody and antinuclear antibody were positive, and IgG as well as IgA were a high titer. X-ray and endoscopic examinations revealed the presence of stiff and narrow lesions accompanied by longitudinal ulcers of the descending colon, and rough and granular mucosa of the rest of the colon and stomach. An elemental diet was not effective, but her condition was relieved by the oral administration of prednisolone. This case was considered a case of inflammatory bowel disease ac-companied by MG and systemic immunological disorders. 相似文献
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Basilua Andre MUZEMBO Masamitsu EITOKU Yuta INAOKA Makiko OOGIKU Mitomo KAWAKUBO Ryuta TAI Momoko TAKECHI Ken-ichi HIRABAYASHI Naofumi YOSHIDA Nlandu Roger NGATU Ryoji HIROTA Bernardus SANDJAYA Narufumi SUGANUMA 《Industrial health》2014,52(3):256-261
Allergy to laboratory animals is a well known occupational hazard and remains a health
concern for individuals in contact with lab animals. This study evaluates the prevalence
of allergy symptoms among medical researchers exposed to laboratory animals. We analyzed
data from a cross-sectional survey, involving subjects (n=169, 21–59 yr), working in Kochi
Medical School, Japan. They were asked to fill out a questionnaire to evaluate symptoms
related to contact with laboratory animals. The overall response rate was 86.2%. The
prevalence of laboratory animal allergy was 17.6%. The symptoms most reported were
allergic rhino-conjunctivitis and asthma. A small number of the subjects received
education on the allergy issue and 62.5% of subjects with an allergy to laboratory animals
claimed to have atopy. Protection from animal allergens should be a high priority for
institutions using lab animals; providing continuous education to animal handlers would be
meaningful to reduce and control exposure. 相似文献
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KOICHI OHARA YASUO SUZUKI TOMOKI SUGITA KAZUHIRO KOBAYASHI KAZUTOMO TAMEFUSA SHINYA HATTORI KENSHIRO OHARA 《Addiction (Abingdon, England)》1989,84(3):287-291
A study of mortality among alcoholics was carried out involving patients discharged from the alcoholic ward of a Hamamatsu University-affiliated hospital from 1972 to 1984 (1021 patients). The average age at death was 48,4 years. The causes of death were divided into three groups; ‘diseases, accidents’, ‘suicide and homicide’, accounting for 73.5%, 10.5% and 7.3% of 257 deaths, respectively. Death rates per 1000 persons for the years at risk were compared with the expected rates for the general population. Briefly, the death rates for patients were more than 10 times as large as those in the general population. Our results showed that liver cirrhosis and heart failure ranked high among the causes of death in alcoholics. Among patients who died, only 3.1% were total abstainers after discharge from hospital, which was an extremely low proportion in comparison with the average cross-total abstinence rate of 25.8% among patients after discharge. 相似文献
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K. OHTA M. TAKECHI M. MINAMI H. SHIGEISHI M. HIRAOKA M. NISHIMURA N. KAMATA 《Journal of oral rehabilitation》2010,37(2):131-137
Summary Resonance frequency analysis (RFA) was introduced as a method for measuring implant stability more than a decade ago. Implant stability quotient (ISQ) values obtained using a recently introduced wireless RFA device have made it possible to evaluate stability in a non‐invasive technique; however, there are few studies of the factors that affect ISQ values determined using this device. The aim of the present study was to evaluate the association between ISQ values determined by wireless RFA and various factors related to dental implant stability using a pig cortical bone model. Dental implants (Replace® Select Tapered implants) with a length of 10 mm were placed into pig cortical bone samples, then, ISQ values were determined using wireless RFA under various conditions (probe orientation, diameter of implant, insertion torque and peri‐implant bone loss). The results of this study showed that ISQ values were not affected by the direction of the probe from parallel to perpendicular to the long axis of the pig bone or to the smart peg. In addition, the diameter of the implant did not have a significant effect on the measured ISQ values. Statistically significant correlations were found between insertion torque and ISQ values (Spearman’s test, P < 0·05), and lower ISQ values were observed for deeper peri‐implant vertical defects (Mann–Whitney U‐test, P < 0·05). A wireless RFA device appears to be useful for measuring implant stability within the limits of the present in vitro study. 相似文献
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Hideo SHIGEISHI Kouji OHTA Masaaki TAKECHI 《Journal of applied oral science : revista FOB》2015,23(4):419-423