著者

Takemasa ISHIKAWA Fumiya SANO Yugo NARITA Seiichi NAGANO Hideki MOCHIZUKI Hisatomo KOWA Kaoru KONISHI

出版者

Japan Society of Kansei Engineering

雑誌

International Symposium on Affective Science and Engineering (ISSN:24335428)

巻号頁・発行日

pp.1-4, 2023 (Released:2023-05-31)

参考文献数

11

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The transparent communication board (TCB) is a communication tool that is commonly employed by individuals with amyotrophic lateral sclerosis (ALS). Both the 50-letters and flick type TCB are prevalent in Japan. The purpose of this case study was to compare and investigate the speed of letter transmission and the subjective user impression associated with the use of the 50-letters and flick type TCB in ALS patients. The study included four ALS patients and four caregivers, who acted as communication partners. Participants used the 50-letters and flick type TCB at intervals ranging from one week to 90 days. They received video instructions on how to use each type of TCB and tried to transmit a total of 18 Japanese letters. We measured the time taken to transmit each word and the number of errors. Additionally, the participants were asked to complete a questionnaire assessing their subjective impressions of the TCB. Compared with the 50-letters type, the ALS patients and their partners tended to make fewer errors and preferred the flick type of TCB. However, the 50-letters type was easier to use to communicate if the patient and partner were not familiar with the flick type sequence. Our data suggest that the age of the patient and their partner, as well as the amount of experience using a smartphone, should be considered when choosing a TCB.

著者

Han Soo CHANG Fumiya SANO Takatoshi SORIMACHI

出版者

The Japan Neurosurgical Society

雑誌

Neurologia medico-chirurgica (ISSN:04708105)

巻号頁・発行日

pp.2022-0330, (Released:2023-07-25)

参考文献数

13

被引用文献数

1

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Surgery on spinal tumors becomes challenging when the tumor is ventral to the spinal cord. Conventionally, we approach it posteriorly through bilateral laminectomy and rotate the cord after sectioning the dentate ligament and nerve roots. However, manipulating the cord can be hazardous, and a long bilateral laminectomy can be invasive. Meanwhile, a narrow operative field and a limited lateral viewing angle in a unilateral approach constrained the surgeon. To overcome these problems, we previously reported a technique of modified unilateral approach where we incised the skin and the fascia horizontally and placed a pair of retractors longitudinally.The current article reports our experience applying this approach in 15 patients with ventrally located spinal tumors. The approach was performed on 10 schwannomas, 2 meningiomas, and 3 others. We evaluated paraspinal muscle atrophy on postoperative magnetic resonance imaging.The modified unilateral approach provided an excellent surgical field for removing ventrally located tumors. Gross total removal was achieved in 11 patients (92% of benign tumors). No neurological complications occurred except for one case of transient weakness. We encountered no wound-related late complications such as pain or deformity. The reduction of the cross-sectional area of the paraspinal muscles on the approach side (compared to the nonapproach side) was 0.93 (95% confidence interval: 0.72-1.06), indicating 7% atrophy (statistically nonsignificant, p = 0.48).We believe this simple technique can be useful for removing spinal tumors located ventral to the spinal cord.

著者

Yoshinori Katsumata Fumiya Sano Takayuki Abe Tomoyoshi Tamura Taishi Fujisawa Yasuyuki Shiraishi Shun Kohsaka Ikuko Ueda Koichiro Homma Masaru Suzuki Shigeo Okuda Yuichiro Maekawa Eiji Kobayashi Shingo Hori Junichi Sasaki Keiichi Fukuda Motoaki Sano

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

vol.81, no.7, pp.940-947, 2017-06-23 (Released:2017-06-23)

参考文献数

28

被引用文献数

18 49

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Background:Hydrogen gas inhalation (HI) reduced infarct size and mitigated adverse left ventricular (LV) remodeling in a rat model of acute myocardial infarction (AMI). We designed a prospective, open-label, rater-blinded clinical pilot study in patients experiencing ST-elevated MI (STEMI).Methods and Results:The 20 patients with an initial diagnosis of STEMI were assigned to either an HI group (1.3% H2with 26% oxygen) or a control group (26% oxygen). There were no HI-related severe adverse events. In the full analysis set, the cardiac salvage index as evaluated using cardiac magnetic resonance imaging at 7 days after primary percutaneous coronary intervention (PCI), showed no significant between-group difference (HI: 50.0±24.3%; control: 60.1±20.1%; P=0.43). However, the improvement from day 7 in the HI group was numerically greater than that in the control group in some of the surrogate outcomes at 6-month follow-up, including the LV stroke volume index (HI: 9.2±7.1 mL/m2; control: −1.4±7.2 mL/m2; P=0.03) and the LV ejection fraction (HI: 11.0%±9.3%; control: 1.7%±8.3%; P=0.11).Conclusions:The first clinical study has shown that HI during PCI is feasible and safe and may also promote LV reverse remodeling at 6 months after STEMI. The study was not powered to test efficacy and a further large-scale trial is warranted. (Clinical trials registration: UMIN00006825)