著者

Akihiko Nakamura Kei-ichi Okazaki Tadaomi Furuta Minoru Sakurai Jun Ando Ryota Iino

出版者

The Biophysical Society of Japan

雑誌

Biophysics and Physicobiology (ISSN:21894779)

巻号頁・発行日

pp.BSJ-2020004, (Released:2020-06-09)

被引用文献数

5

著者

Jonathan Yap Fang Yi Lim Fei Gao Sinead Z. Wang Shoen C.S. Low Thu Thao Le Ru-San Tan

出版者

The Japanese Circulation Society

雑誌

Circulation Reports (ISSN:24340790)

巻号頁・発行日

vol.2, no.6, pp.306-313, 2020-06-10 (Released:2020-06-10)

参考文献数

30

被引用文献数

3

---

Background:Myocardial viability assessment in revascularization of ischemic heart failure remains controversial. This study evaluated the prognostic utility of cardiac magnetic resonance (CMR) late gadolinium enhancement (LGE) in ischemic heart failure.Methods and Results:This study retrospectively analyzed subjects with ischemic heart failure and left ventricular ejection fraction (LVEF) ≤35%, who underwent CMR at a single center in 2004–2014 before undergoing coronary artery bypass grafting (CABG) or optimal medical therapy (OMT). Analyses were stratified by treatment. Myocardial segments were deemed non-viable if LGE exceeded 50% wall thickness. Overall and anterior viability were assessed. Outcomes were all-cause mortality, cardiovascular (CV) mortality and major adverse CV events. Among 165 subjects (mean (±SD) age 57.5±8.5 years, 152 males), 79 underwent CABG and 86 received OMT. A greater number of non-viable segments was significantly associated with higher all-cause and CV mortality in the CABG group (adjusted hazard ratios 1.17 [95% confidence interval {CI} 1.01–1.37; P=0.04] and 1.25 [95% CI 1.01–1.56; P=0.045], respectively), but not in the OMT (P>0.05) group. Anterior wall viability did not affect outcomes.Conclusions:The extent of myocardial viability assessed by LGE appeared to identify patients with a differential survival benefit from CABG in this retrospective, small cohort study. These findings raise interesting hypotheses that need to be validated in larger prospective studies.

著者

西尾 悠佑 石川 信一 ニシオ ユウスケ イシカワ シンイチ Nishio Yusuke Ishikawa Shin-ichi

出版者

心理臨床科学編集委員会

雑誌

心理臨床科学 = Doshisha Clinical Psychology : therapy and research (ISSN:21864934)

巻号頁・発行日

vol.6, no.1, pp.43-52, 2016-12-15

---

研究動向本稿の目的は,心理的ウェルビーイング(PsychologicalWell-Being:PWB)および,ウェルビーイング療法(Well-BeingTherapy:WBT)についてレビューすることであった。まず先行研究を概観したところ,PWBはさまざまな精神疾患との関係性が示されており,PWBの向上が精神疾患の改善に有効であることが示唆された。次に,WBTのこれまでのエビデンスを概観したところ,WBTは認知行動療法(CognitiveBehaviorTherapy:CBT)に追加されて実施されることが多いとわかった。しかし,CBT単独の実施より,CBTにWBTを追加した方が,効果が高いかについては,今後検討していく必要性があげられた。最後にWBTでは"肯定的な側面の否定や割り引き"という思考の誤りを扱っている可能性が推察された。そのためWBTの介入により,この思考の誤りが変化しているかについて検討する余地がある。

著者

Hsiang-Wen Cheng Shu-Chih Yang Yu-Ching Liou Ching-Sen Chen

出版者

Meteorological Society of Japan

雑誌

SOLA (ISSN:13496476)

巻号頁・発行日

pp.2020-017, (Released:2020-05-12)

被引用文献数

2

---

This study investigates the forecast sensitivity of an afternoon thunderstorm in northern Taiwan to the upstream condition associated with the prevailing warm and moist southwesterly winds on 16 June 2008. This event was initiated near noon and lasted for several hours with a maximum hourly precipitation rate of 69 mm hr−1 at 14 LST.Experiments are conducted to assimilate radial velocity only or both radial velocity and reflectivity data from radars at southwestern and southern Taiwan with the WRF-Local Ensemble Transform Kalman Filter Radar assimilation system. Results show that these experiments can predict the rainfall occurrence in northern Taiwan, but the location and rainfall amount is very sensitive to upstream environmental conditions. Assimilating the unfiltered topography-associated reflectivity noise upstream generates unrealistic light rain and cooling, which leads to a great reduction of rainfall in the target area. The precipitation prediction suggests that a careful topography-based quality control performed on the radar data can be essential to restore the necessary environmental conditions for forecasting the afternoon thunderstorm event.

著者

Naoyuki Takashima Hisatomi Arima Yoshikuni Kita Takako Fujii Sachiko Tanaka-Mizuno Satoshi Shitara Akihiro Kitamura Katsuyuki Miura Kazuhiko Nozaki on behalf of the Shiga Stroke and Heart Attack Registry Group

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

pp.CJ-20-0024, (Released:2020-04-29)

参考文献数

30

被引用文献数

6

---

Background:Despite many effective strategies for the prevention of recurrent stroke, individuals who survive an initial stroke have been shown to be at high risk of recurrent stroke. The aim of this study was to investigate the current status of stroke recurrence after first-ever stroke using a population-based stroke registry in Japan.Methods and Results:As part of the Shiga Stroke and Heart Attack Registry, the Shiga Stroke Registry is an ongoing population-based stroke registry study that covers approximately 1.4 million residents of Shiga Prefecture, Japan. A total of 1,883 first-ever stroke survivors at 28 days was registered in 2011 and followed-up until the end of 2013. Recurrence was defined as any type of stroke after 28 days from the onset of an index event. Two-year cumulative recurrence rates were estimated using cumulative incidence function methods. Over a mean 2.1-year follow-up period, 120 patients experienced recurrent stroke and 389 patients died without recurrence. The 2-year cumulative recurrence rate was higher in patients with index ischemic stroke (6.8%) than in those with index hemorrhagic stroke (3.8%).Conclusions:Two-year cumulative recurrence rate after first-ever stroke remained high, particularly among patients with ischemic stroke, in the present population-based registry study in a real-world setting in Japan. Further intensive secondary prevention strategies are required for these high-risk individuals.

著者

Yukiko Kinjo Makoto Takahashi Naoto Hirose Masami Mizu De-Xing Hou Koji Wada

出版者

Japan Oil Chemists' Society

雑誌

Journal of Oleo Science (ISSN:13458957)

巻号頁・発行日

vol.68, no.2, pp.183-191, 2019 (Released:2019-02-01)

参考文献数

35

被引用文献数

1 6

---

Stress is a part of everyday life, but excessive stress can be related to diverse diseases. Recently, oral intake of a non-centrifuged cane sugar, Kokuto, was reported to produce potential anti-stress effects in humans. However, the molecular components associated with the anti-stress property of Kokuto remain mostly unknown. Therefore, we focused on the non-sugar component (NSC) fractions of Kokuto, and investigated how serum corticosterone level (used as a stress marker) and antioxidant activity were affected in restraint-stressed mice treated with NSC fractions obtained from the elusion on HP-20 resin with 25%, 50%, 75%, and 100% aqueous methanol (MeOH) solutions. Among the four NSC fractions, the 50% MeOH fraction showed a high content of phenolic compounds and high antioxidant activity. Moreover, oral administration of the 50% MeOH fraction suppressed both corticosterone secretion into the serum and reduction of antioxidant activity in serum and liver in restraint-stressed mice. Component analysis of the 50% MeOH fraction identified five antioxidative phenolic compounds: p-hydroxybenzaldehyde, p-hydroxyacetophenone, schaftoside, isoschaftoside, and p-coumaric acid. Phenolic compounds detected in the NSC fractions of Kokuto might contribute to the anti-stress property of Kokuto. In addition, this research provides more understanding of potential health benefits offered by the constituents of Kokuto.

著者

Hyung-Kyu CHAE Ji-In YANG Ju-Hyun AHN In-Hyun LEE Min-Hee SON Woo-Jin SONG Hwa-Young YOUN

出版者

JAPANESE SOCIETY OF VETERINARY SCIENCE

雑誌

Journal of Veterinary Medical Science (ISSN:09167250)

巻号頁・発行日

pp.19-0578, (Released:2020-04-03)

被引用文献数

2

---

An oral paclitaxel formulation that overcomes the hypersensitivity reaction of paclitaxel has been evaluated for safety and efficacy in humans, but not in dogs. We present the first case report on the use of oral paclitaxel in dogs. In this study, oral paclitaxel was well-tolerated in four dogs with either transitional cell carcinoma or prostate cancer; adverse effects were limited to mild neutropenia. Each of the dogs had progressive disease at the end, but clinical responses, including changes in mass size and improvement of clinical symptoms, were confirmed in some of the animals following oral paclitaxel chemotherapy. Although this study is somewhat limited by a small sample size, it suggests that oral paclitaxel may be a chemotherapeutic option for malignant tumors in dogs.

著者

Fei Li Rong Tang Ling-Bo Chen Ke-Sheng Zhang Xiao-Ping Huang Chang-Qing Deng

出版者

公益社団法人日本薬学会

雑誌

Biological and Pharmaceutical Bulletin (ISSN:09186158)

巻号頁・発行日

vol.40, no.5, pp.598-609, 2017-05-01 (Released:2017-05-01)

参考文献数

27

被引用文献数

20

---

Danggui Buxue Tang (DBT), a combination of Astragalus and Angelica at a 5 : 1 ratio, mainly promotes hematopoiesis. However, in the clinic, the combination ratio of Astragalus and Angelica to treat low hematopoietic function is not an absolute 5 : 1 ratio, suggesting that the herbs may promote hematopoiesis better after being combined at a certain range of ratios. The objective of this study is to investigate the effect of different ratio combinations of Astragalus and Angelica on bone marrow hematopoiesis suppression induced by cyclophosphamide (CTX) and to probe the interaction and mechanism of Astragalus combined with Angelica in promoting hematopoiesis. Following establishment of the model, mice were administered with Astragalus (6.00 g·kg−1), Angelica (3.00 g·kg−1), and combinations of Astragalus and Angelica at different ratios, including 10 : 1 (Astragalus 9.81 g·kg−1+Angelica 0.98 g·kg−1), 5 : 1 (Astragalus 9.00 g·kg−1+Angelica 1.80 g·kg−1), 2 : 1 (Astragalus 7.71 g·kg−1+Angelica 3.08 g·kg−1), 1 : 1 (Astragalus 5.40 g·kg−1+Angelica 5.40 g·kg−1), 1 : 2.5 (Astragalus 3.08 g·kg−1+Angelica 7.71 g·kg−1), 1 : 5 (Astragalus 1.80 g·kg−1+Angelica 9.00 g·kg−1), and 1 : 10 (Astragalus 0.98 g·kg−1+Angelica 9.81 g·kg−1). Our results suggested that Astragalus mixed with Angelica synergistically promoted hematopoiesis best when the combination ratio of Astragalus and Angelica was 1 : 1, 1 : 2.5 or 1 : 5; moreover, the effect of Angelica was greater than that of Astragalus. The potential mechanisms of the combinations of Astragalus and Angelica that promote hematopoiesis include the dissolution of the effective components, promoting the synthesis and secretion of hematopoietic growth factor (HGF) and the proliferation of hematopoietic progenitor cells (HPCs).

著者

Taiji Noguchi Hiroko Nakagawa-Senda Yuya Tamai Takeshi Nishiyama Miki Watanabe Akihiro Hosono Kiyoshi Shibata Mari Ichikawa Ryozo Wakabayashi Kenji Nagaya Kanae Ema Naoko Okamoto Shoko Tsujimura Hitomi Fujita Mayumi Kamiya Fumi Kondo Tamaki Yamada Sadao Suzuki

出版者

Japan Epidemiological Association

雑誌

Journal of Epidemiology (ISSN:09175040)

巻号頁・発行日

pp.JE20190146, (Released:2019-12-07)

参考文献数

40

被引用文献数

7

---

BackgroundSecond-hand smoke exposure has been associated with poor mental health. However, among Japanese adults, little is known about the association between second-hand smoking and depressive symptoms. We examined this association in a cross-sectional study among a Japanese general adult population sample.MethodsJapanese adults were recruited from the Japan Multi-Institutional Collaborative Cohort Study in the Okazaki area between 2012 and 2017. Second-hand smoke exposure and smoking status were assessed using a self-administered questionnaire. Based on their frequency of exposure to second-hand smoke, non-smokers and smokers were categorized as “almost never,” “sometimes,” and “almost every day.” Depressive symptoms were defined by a Kessler 6 score ≥ 5 points. We performed a multivariable Poisson regression analysis to obtain adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) for depressive symptoms.ResultsOverall, 5,121 participants (4,547 non-smokers and 574 smokers) were included whose mean age was 63.6 years (SD = 10.3 years) for non-smokers and 59.33 years (SD = 10.2 years) for smokers. The association between second-hand smoking and depressive symptoms was significant among non-smokers, but not among smokers. Among non-smokers, PRs (95% CIs) compared with “almost never” were 1.25 (1.09 – 1.42) for “sometimes,” 1.41 (1.09 – 1.84) for “almost every day” (p for trend < 0.001), and among smokers, 1.30 (0.82 – 2.06) for “sometimes,” 1.44 (0.90 – 2.33) for “almost every day” (p for trend = 0.144).ConclusionsSecond-hand smoking and depressive symptoms were associated among non-smokers. Our findings indicate the importance of tobacco smoke control for mental health.

著者

Cornelis SWENNEN Yat-tung YU

出版者

The Ornithological Society of Japan

雑誌

ORNITHOLOGICAL SCIENCE (ISSN:13470558)

巻号頁・発行日

vol.3, no.2, pp.119-124, 2004 (Released:2005-07-13)

参考文献数

17

被引用文献数

19 9

---

The bills of the spoonbills differ from the bills of most birds by being wider near the downward curved tip than in the middle, and having the mandibles dorso-ventrally extremely flattened. The mandibles have rounded lateral borders and lack cutting edges. The inward directed sides have a dense cover of thin parallel ridges on the distal parts and rows of teeth-like tubercles in the proximate parts. Their skeletons have numerous small pits in the distal parts especially along the edges and the insides. These pits are similar to the spaces for sensory corpuscles for touch in the bills of Scolopacidae (sandpipers, snipes) and are presumed to have the same function in spoonbills. The bill seems adapted for tactile feeding with lateral movements (sweeping) and for pecking, but not for probing into sediments. The wide gape with gular pouch allows the swallowing of rather large food items. The muscular layer of the gizzard is weakly developed and the gizzard is more a digestive pocket than a chewing organ such as occurs for grinding hard shells and grains in molluscivorous and granivorous birds. The long legs are laterally flattened, perhaps for minimising resistance and not-disturbing prey when walking in water during feeding; the partly webbed feet with long toes allow walking over soft mud bottoms.

著者

鵜野-小野寺 レイナ 山田 孝樹 大井 徹 玉手 英利

出版者

一般社団法人 日本生態学会

雑誌

保全生態学研究 (ISSN:13424327)

巻号頁・発行日

vol.24, no.1, pp.61-69, 2019 (Released:2019-07-01)

参考文献数

33

---

絶滅が危惧される四国のツキノワグマの繁殖状況を把握するため、2005年から2017年までに捕獲された13頭の血縁解析を行った。19種類のマイクロサテライト遺伝子座を用いて親子判定を行った結果、4組の母子ペア、5組の父子ペアが確認された。繁殖が確認された個体はメス4頭、オス2頭で、少数のオスの繁殖への参加が確認された。血縁解析の結果から、繁殖オスは同胞兄弟である可能性が高いと考えられる。アリル多様度は他の地域個体群よりも低い傾向がある一方で、ヘテロ接合度の観察値が期待値よりも有意に高いことから、繁殖個体数が極めて少ない可能性が考えられる。血縁解析の結果に基づきCreel and Rosenblattの方法で算出した推定個体数は約16-24頭となった。

著者

Masao Takahashi Gauthier Mouillet Asmaa Khaled Madjid Boukantar Romain Gallet Vladimir Rubimbura Pascal Lim Jean-Luc Dubois-Rande Emmanuel Teiger

出版者

International Heart Journal Association

雑誌

International Heart Journal (ISSN:13492365)

巻号頁・発行日

pp.19-296, (Released:2020-01-17)

参考文献数

27

被引用文献数

3

---

Transcatheter aortic valve implantation (TAVI) using a transfemoral approach under local anesthesia with conscious sedation (LACS) is becoming an increasingly common TAVI strategy. However, patients who are awake during the TAVI procedure can experience stress, anxiety, and pain, even when LACS is used. Clinical hypnotherapy is an anxiolytic intervention that can be beneficial for patients undergoing invasive surgery. This study aimed to assess the perioperative outcomes of adjunctive hypnotherapy undergoing transfemoral TAVI with LACS.Consecutive patients (n = 143) with symptomatic severe aortic stenosis who underwent transfemoral TAVI with LACS only (n = 107) or with LACS and hypnotherapy (n = 36) between January 2015 and April 2016 were retrospectively included in the study. The clinical outcomes were compared between the two groups. The LACS with hypnotherapy group had a significantly shorter length of stay in the intensive care unit (ICU; LACS only versus LACS with hypnotherapy: 4.0 (4.0-5.5) days versus 3.0 (3.0-5.0) days, P < 0.01). Moreover, the use of anesthetics (propofol and remifentanil) and norepinephrine was significantly lower in the LACS with hypnotherapy group (e.g., for propofol, LACS only versus LACS with hypnotherapy: 96.4 ± 104.7 mg versus 15.0 ± 31.8 mg, P < 0.001). The multiple regression analysis showed that being male, hypnotherapy, and the composite complication score were independently associated with the length of stay in the ICU.The adjunctive hypnotherapy on LACS among transfemoral TAVI patients may facilitate perioperative management. However, a prospective randomized study is necessary to confirm the efficacy of hypnotherapy among TAVI patients.

著者

TAKYI Paul Owusu LEON-GONZALEZ Roberto

出版者

GRIPS Policy Research Center

雑誌

GRIPS Discussion Papers

巻号頁・発行日

vol.19-31, 2020-01

---

This study explores the role of financial inclusion in the mitigation of the effects of a health shock at the household level. To that end, we examine empirically the effect of financial inclusion on household working hours and health care utilization, using round six of the Ghana Living Standard Survey data. We find that a health shock does decrease household working hours and increase the likelihood of health care utilization. This suggests that households in Ghana are not able to fully insure themselves against a health shock. However, we find that, faced with a health shock, households who are financially excluded see their working hours reduce more than those who enjoy full financial inclusion. Also, financial inclusion increases the likelihood of health care utilization when households experience a health shock. We find evidence that loan acquisition (borrowing) is one of the main mechanisms by which households can insure themselves against a health shock. Generally, our findings support the financial inclusion agenda of policymakers in Ghana and many other countries. Thus, efforts to ensure full financial inclusion will increase the probability of households using the financial sector as a means of insulating themselves against the effects of health shocks.

著者

早乙女 誉 S. Nicole CULOS-REED

出版者

Japan Society of Sports Industry

雑誌

スポーツ産業学研究 (ISSN:13430688)

巻号頁・発行日

vol.28, no.2, pp.2_141-2_148, 2018 (Released:2018-04-20)

参考文献数

19

---

The purpose of this article was to introduce the role and importance of physical literacy in Canadian Long-Term Athlete Development (LTAD) and physical education, and to consider the applicability of physical literacy in Japanese athlete development and physical education.    Physical literacy can be described as “the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities for life”. The concept is recognized as the foundation for LTAD. However, the effectiveness of LTAD and physical literacy have not been made clear because there has been no concrete measurement.     On the other hand, in a physical education setting, recent studies have recommended the assessment of outcomes of physical education by the Canadian Assessment of Physical Literacy (CAPL). If the reliability and validity of CAPL is confirmed, further studies are expected to procced in the fields of LTAD and physical education.     In conclusion, there are a lot of research subjects within LTAD and physical education settings, while the attention to physical literacy is increasing. Therefore, the applicability of physical literacy in Japanese athlete development and physical education needs to be considered with careful attention to future research trends. In addition, the discussion on sharing the goal of developing physical literacy between athlete development and physical education is one of the important issues.

著者

Hans-Rudolf Weiss Deborah Turnbull

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.31, no.11, pp.960-964, 2019 (Released:2019-11-26)

参考文献数

37

被引用文献数

6

---

[Purpose] Although there is evidence that non-specific chronic pain can be influenced by physical therapy, some patients with scoliosis and chronic pain may benefit from additional brace treatment. The purpose of this review is to answer the question whether there are studies on the use of brace treatment in patients with scoliosis and pain and to investigate whether brace treatment does positively influence chronic pain. [Methods] A PubMed review has been undertaken using the key words (1) scoliosis and pain and brace treatment and (2) scoliosis and pain and orthotics. From both searches the studies were extracted that included a patient group with the diagnosis of a scoliosis and with additional chronic non-specific low back pain, treated with a brace. [Results] One hundred forty two items have been found for search (1) and 111 for search (2). The total number of relevant items found in both searches was 10. According to the studies found, bracing seems an effective treatment for this condition. [Conclusion] Brace treatment in patients with scoliosis and chronic non-specific low back pain has demonstrated to be effective. It should be used when exercise treatment is not effective. A clinical test is demonstrated to predict the most beneficial approach in brace treatment.

著者

Ayaka NAKASHIMA Koji YAMADA Osamu IWATA Ryota SUGIMOTO Kohei ATSUJI Taro OGAWA Naoko ISHIBASHI-OHGO Kengo SUZUKI

出版者

Center for Academic Publications Japan

雑誌

Journal of Nutritional Science and Vitaminology (ISSN:03014800)

巻号頁・発行日

vol.64, no.1, pp.8-17, 2018 (Released:2018-02-28)

参考文献数

84

被引用文献数

139

---

β-Glucans are a class of polysaccharides consisting of D-glucose units that are polymerized primarily via the β-1,3 glycosidic bonds, in addition to the β-1,4 and/or β-1,6 bonds. They are present in various food products such as cereals, mushrooms, and seaweeds and are known for their numerous effects on the human body, depending on their structures, which are diverse. The major physicochemical properties of β-glucans include their antioxidant property, which is responsible for the scavenging of reactive oxygen species, and their role as dietary fiber for preventing the absorption of cholesterol, for promoting egestion, and for producing short-chain fatty acids in the intestine. Dietary β-glucans also exert immunostimulatory and antitumor effects by activation of cells of the mucosal immune system via β-glucan receptors, such as dectin-1. In this review, we elaborate upon the diversity of the structures and functions of β-glucans present in food, along with discussing their proposed mechanisms of action. In addition to the traditional β-glucan-containing foods, recent progress in the commercial mass cultivation and supply of an algal species, Euglena gracilis, as a food material is briefly described. Mass production has enabled consumption of paramylon, a Euglena-specific novel β-glucan source. The biological effects of paramylon are discussed and compared with those of other β-glucans.

著者

Yasuaki Takeji Hiroki Shiomi Takeshi Morimoto Yutaka Furukawa Natsuhiko Ehara Yoshihisa Nakagawa Takao Kato Junichi Tazaki Eri Toda Kato Hidenori Yaku Yusuke Yoshikawa Tomohisa Tada Michiya Hanyu Kazushige Kadota Tatsuhiko Komiya Kenji Ando Takeshi Kimura CREDO-Kyoto PCI/CABG Registry Cohort Investigators

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

pp.CJ-19-0980, (Released:2020-01-29)

参考文献数

31

被引用文献数

7

---

Background:The effect of diabetes mellitus (DM) status on the long-term risk for heart failure (HF) in patients undergoing coronary revascularization has not been adequately evaluated.Methods and Results:In this study, 15,231 patients who underwent coronary revascularization in the CREDO-Kyoto Registry Cohort-2 were divided into 2 groups according to DM status (DM group: n=5,999; Non-DM group: n=9,232). The DM group was further divided into 2 groups according to insulin treatment (insulin-treated DM [ITDM]: n=1,353; non-insulin-treated DM [NITDM]: n=4,646). The primary outcome measure was HF hospitalization. The cumulative 5-year incidence of HF hospitalization was significantly higher in the DM than non-DM group (11.0% vs. 6.6%, respectively; log-rank P<0.0001), and in the ITDM than NITDM group (14.6% vs. 10.0%, respectively; log-rank P<0.0001). After adjusting for confounders, the increased risk of HF hospitalization with DM relative to non-DM remained significant (hazard ratio [HR] 1.47, 95% confidence interval [CI] 1.30–1.67, P<0.0001), whereas the risk associated with ITDM relative to NITDM was not significant (HR 1.17, 95% CI 0.96–1.43, P=0.12).Conclusions:The adjusted long-term risk for HF hospitalization after coronary revascularization was significantly higher in DM than non-DM patients, regardless of revascularization strategy, but did not differ between ITDM and NITDM patients.

著者

Kyoung-Sim Jung Hwi-Young Cho Tae-Sung In

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.3, pp.940-944, 2016 (Released:2016-03-31)

参考文献数

30

被引用文献数

10 26

---

[Purpose] This study examined the effects of trunk exercises performed on an unstable surface on trunk muscle activation, postural control, and gait speed in stroke patients. [Subjects] Twenty-four participants with stroke were recruited in this study and randomly distributed into experimental (n = 12) and control groups (n = 12). [Methods] Subjects in the experimental group participated in trunk exercises on the balance pad for 30 min, five times a week for 4 weeks; those in the control group performed trunk exercises on a stable surface for 30 min, five times a week for 4 weeks. Trunk muscle activation was measured by using surface electromyography, and trunk control was evaluated with the Trunk Impairment Scale (TIS). Gait speed was measured with the 10-Meter Walk Test. [Results] Activity of the external and internal oblique muscles in the experimental group was significantly higher than that in the control group. The TIS score of the experimental group showed significantly greater improvement than did that of the control group. The 10-Meter Walk Test (10MWT) score also significantly improved in the experimental group. [Conclusion] Trunk exercises on an unstable surface improve trunk muscle activation, postural control, and gait speed in patients with hemiparetic stroke.

著者

Angel Torralba-Morón Maria Urbanowicz Carolina Ibarrola-De Andres Guadalupe Lopez-Alonso Francisco Colina-Ruizdelgado Juan-Manuel Guerra-Vales

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.55, no.18, pp.2595-2599, 2016-09-15 (Released:2016-09-15)

参考文献数

18

被引用文献数

4 9

---

Endometriosis is a quite common pathology, however, intestinal endometriosis is a rare condition, which typically occurs with chronic symptoms. Its acute presentation is very infrequent. We herein report four cases of intestinal endometriosis, in which the clinical debut occurred acutely: two as an acute small bowel obstruction and two as a small bowel perforation. None of the cases had a preoperative diagnosis of endometriosis. The interest of these cases lies in this exceptional form of presentation, such as a surgical acute abdomen. Therefore, intestinal endometriosis should be taken into account in the differential diagnosis of an acute obstructive or perforative process of the small or large bowel.

著者

Shohei Yoshida Hayato Tada Tetsuo Nishikawa Tamami Nakagawa-Kamiya Takuya Nakahashi Kenji Sakai Kenji Sakata Masa-aki Kawashiri Masahito Yamada Masayuki Takamura

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

pp.3870-19, (Released:2019-12-26)

参考文献数

11

---

Transcatheter aortic valve implantation (TAVI) is widely accepted as the treatment for patient with severe aortic stenosis (AS) whose prognosis may be over one year; however, there is no consensus concerning extremely high-risk patients whose prognosis may not exceed one year. We herein report a highly frail patient with severe AS complicated with transthyretin-type cardiac amyloidosis who had a very poor prognosis. Given his condition, we treated him by percutaneous antegrade balloon aortic valvuloplasty (A-BAV) instead of TAVI. A-BAV may be a beneficial option for treating extremely high-risk severe AS patients, including those with cardiac amyloidosis.