- 著者
- Masayuki Endo Taisuke Jo Takaaki Konishi Ryosuke Kumazawa Hiroki Matsui Hideo Yasunaga
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- pp.1115-22, (Released:2023-05-24)
- 参考文献数
- 32
- 被引用文献数
- 1
Objective Recommendations on the timing of Legionella urinary antigen tests for community-acquired pneumonia patients differ among guidelines in Japan, the United States, and European nations. We therefore evaluated the association between the timing of urinary antigen tests and in-hospital mortality in patients with Legionella pneumonia. Methods We conducted a retrospective cohort study using the Diagnosis Procedure Combination database, a nationwide database of acute care inpatients in Japan. Patients who underwent Legionella urinary antigen tests on the day of admission formed the tested group. Patients who were tested on day 2 of admission or later or were unexamined formed the control group. We performed a propensity score matching analysis to compare in-hospital mortality, length of hospital stay and duration of antibiotics use between the two groups. Results Of the 9,254 eligible patients, 6,933 were included in the tested group. One-to-one propensity score matching generated 1,945 pairs. The tested group had a significantly lower 30-day in-hospital mortality than the control group (5.7 vs. 7.7%; odds ratio, 0.72; 95% confidence intervals, 0.55-0.95; p=0.020). The tested group also showed a significantly shorter length of stay and duration of antibiotics use than the control group. Conclusions Urine antigen testing upon admission was associated with better outcomes in patients with Legionella pneumonia. Urine antigen tests upon admission may be recommended for all patients with severe community-acquired pneumonia.
- 著者
- Tianyi WANG Shima OKADA Masayuki ENDO Masaaki MAKIKAWA Yuko OHNO
- 出版者
- Japanese Society for Medical and Biological Engineering
- 雑誌
- Advanced Biomedical Engineering (ISSN:21875219)
- 巻号頁・発行日
- vol.10, pp.11-17, 2021 (Released:2021-01-26)
- 参考文献数
- 34
- 被引用文献数
- 3 4
Hiesho is the condition of having a cold sensation in one's hands or feet. This is a well-known health problem for young Asian females. However, the definition of Hiesho is still controversial. In this study, we aimed to develop a quantitative and non-invasive approach to determine Hiesho. Sixty-three young females participated in this research. Temperature difference (ΔT) between the forehead and foot sole was utilized to define Hiesho or non-Hiesho condition, and the result was crosschecked with that of a self-reported questionnaire. Central systolic blood pressure and augmentation index were measured to evaluate subjects' physiological indicators. The results of the questionnaire showed that 49% of young females (31 of 63 people) reported Hiesho. There was a significant difference in ΔT between non-Hiesho and Hiesho (1.85℃ and 5.55℃, respectively, p < 0.01). After cross-checking with the self-reported questionnaire, ΔT of 3.64℃ demonstrated acceptable reliability and accuracy for defining Hiesho. Central systolic blood pressure and augmentation index were not different between Hiesho and non-Hiesho. In conclusion, young females with Hiesho had drastically different temperatures at the forehead and foot sole. The temperature difference between the forehead and foot could be used as a quantitative and objective parameter for defining Hiesho.
- 著者
- Toko Mori Toshisaburo Nagai Taiichi Katayama Masayuki Endo Kazutomo Ohashi
- 出版者
- Japan Brain Science society
- 雑誌
- 脳科学誌 (ISSN:13415301)
- 巻号頁・発行日
- vol.50, pp.101-135, 2021 (Released:2022-01-18)
- 参考文献数
- 42
- 著者
- 遠藤 正之 エンドウ マサユキ Masayuki Endo
- 出版者
- 立教大学史学会
- 雑誌
- 史苑 (ISSN:03869318)
- 巻号頁・発行日
- vol.74, no.1, pp.9-34, 2014-01