著者

Koichiro Fujisue Kenshi Yamanaga Suguru Nagamatsu Hideki Shimomura Takuro Yamashita Koichi Nakao Sunao Nakamura Masaharu Ishihara Kunihiko Matsui Naritsugu Sakaino Takashi Miyazaki Nobuyasu Yamamoto Shunichi Koide Toshiyuki Matsumura Kazuteru Fujimoto Ryusuke Tsunoda Yasuhiro Morikami Koushi Matsuyama Shuichi Oshima Kenji Sakamoto Yasuhiro Izumiya Koichi Kaikita Seiji Hokimoto Hisao Ogawa Kenichi Tsujita

出版者

Japan Atherosclerosis Society

雑誌

Journal of Atherosclerosis and Thrombosis (ISSN:13403478)

巻号頁・発行日

pp.54726, (Released:2020-05-20)

参考文献数

29

被引用文献数

6

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Aim: Coronary plaque regression is weak in acute coronary syndrome (ACS) patients with diabetes mellitus (DM). We evaluated whether dual lipid-lowering therapy (DLLT) with ezetimibe and atorvastatin attenuates coronary plaques in ACS patients with DM. Methods: The prospective, randomized controlled, multicenter PRECISE-IVUS (Plaque Regression with Cholesterol Absorption Inhibitor or Synthesis Inhibitor Evaluated by Intravascular Ultrasound) trial assigned 246 patients undergoing percutaneous coronary intervention to DLLT or atorvastatin monotherapy and evaluated IVUS-derived changes in percent atheroma volume (ΔPAV), at baseline and 9-12-month follow-up, in 126 ACS cases, including 25 DM patients. The atorvastatin dose was up-titrated to achieve low-density lipoprotein cholesterol (LDL-C) <70 mg/dL. Results: In DM patients, the monotherapy group (n=13) and the DLLT group (n=12) showed a similar prevalence of coronary risks and baseline lipid profiles. During the study, the change in LDL-C level was similar between DM and non-DM patients. Compared with non-DM patients, DM patients showed weaker regression of ΔPAV by DLLT than those who underwent monotherapy (DM: −2.77±3.47% vs. −0.77±2.51%, P=0.11; non-DM: −2.01±3.36% vs. −0.08±2.66%, P=0.008). The change in LDL-C level was not correlated with ΔPAV in non-DM patients, but there was significant correlation between the change in LDL-C level and ΔPAV in DM patients (r=0.52, P=0.008). Conclusions: ACS patients with DM showed weaker coronary plaque regression than their counterparts. A significant correlation between the change in LDL-C level and ΔPAV in DM patients suggested that more intensive lipid-lowering therapy is required in ACS patients with DM.

著者

Takashi Miyazaki Kazutaka Yasukawa Erika Tanaka Bogdan Stefanov Vaglarov Kenta Yoshida

出版者

GEOCHEMICAL SOCIETY OF JAPAN

雑誌

GEOCHEMICAL JOURNAL (ISSN:00167002)

巻号頁・発行日

pp.GJ23011, (Released:2023-06-27)

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During the early Paleogene (59–50 Ma), several short-term global warming events, known as hyperthermal events, occurred. Negative carbon isotope (δ13C) excursions are a typical proxy for detecting hyperthermal events. During the recovery from hyperthermal events, δ13C values returned toward pre-event levels via scavenging lighter C isotopes from the ocean and sequestrating them within sediments. The biological pump plays a key role in this process. Barium (Ba) is a nutrient-type element primarily transported in the water column by barite formed in microenvironments associated with the decomposition of organic matter, and the Ba-stable isotope ratio is a proxy of biological productivity. In this study, the δ138/134Ba values of bulk sediment samples from Ocean Drilling Program Site 738C in the southern part of the Kerguelen–Heard Plateau were analyzed. Although the samples predominantly comprised calcareous chalk corresponding to the latest Paleocene to early Eocene (56–52 Ma), the Ba isotope ratios of the bulk samples reflected a mixture of carbonate and barite. Three negative δ138/134Ba shifts were detected, corresponding to the global super-warming event “Paleocene–Eocene Thermal Maximum” at 56 Ma and to two hyperthermal events, known as ETM2 and I1. The changes in δ138/134Ba and δ13C values during PETM were comparable to those reported from the South Atlantic Ocean. Although commonly recognized, the scale of δ138/134Ba changes was smaller in the modest hyperthermal events (ETM2 and I1). Ba stable isotope ratios are a highly effective and powerful tool to reveal the response of the surficial system of Earth during hyperthermal events.

著者

Yuzuru Ito Makoto Shibuya Saho Hosokawa Yoko Motoki Ryou Nagata Hiromi Konishi Takashi Miyazaki Tatsuya Matsunaga Yoshiyuki Nomura Takashi Mihara Shihou Ito Ken Sugiura Yasuo Terauchi

出版者

The Japan Endocrine Society

雑誌

Endocrine Journal (ISSN:09188959)

巻号頁・発行日

vol.63, no.3, pp.231-237, 2016 (Released:2016-03-31)

参考文献数

27

被引用文献数

8 12

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This study assessed indicators of the need for insulin therapy and the effect of treatment on pregnancy outcomes in Japanese patients with gestational diabetes mellitus (GDM). All patients diagnosed with GDM were hospitalized for three days. Plasma glucose profiles in patients under strict dietary management and the characteristics of GDM patients with high daily glucose levels were investigated. Patients who failed to achieve glycemic targets were treated with insulin. Indicators of the need for insulin treatment were investigated. Pregnancy outcomes in patients prescribed dietary management and patients prescribed insulin treatment were compared. The study included 112 patients with GDM. GDM patients with high daily glucose levels in the hospital exhibited significantly higher 1-h and 2-h plasma glucose levels in oral glucose tolerance tests (OGTTs) at diagnosis. In our hospital, 102 GDM patients with singleton pregnancies were followed until delivery; 32 (31.3%) were treated with insulin. Univariate analysis identified significant associations of insulin requirement with family history of diabetes and with 1-h and 2-h OGTT values at diagnosis. Multivariate analysis showed that the 1-h OGTT plasma glucose level at diagnosis was an independent predictor of the need for insulin. In perinatal outcomes, insulin treatment was associated with low birth weight.

著者

Takashi MIYAZAKI Toshihiko SUZUKI Genshoku LEE Sinya FUJIMORI

出版者

Showa University Dental Society

雑誌

昭和歯学会雑誌 (ISSN:0285922X)

巻号頁・発行日

vol.12, no.1, pp.47-52, 1992-03-31 (Released:2012-08-27)

参考文献数

14

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Anodic oxidation is a popular method to deposit an oxide film on titanium with a thickness on the order of several hundred nm. In this study formation and some properties of anodic films of titanium under discharge conditions were investigated. Treated titanium specimens served as an anode in several electrolytes, and voltage was applied using the direct current power source. The discharge threshold voltage in each electrolyte decreased as the concentration of the electrolyte increased. Anodic oxidation of titanium was carried out on applying the voltage above the discharge threshold voltage, for example, at 100-130 V for a phosphoric acid solution (30 wt. %). Surface films with a thickness on the order of pm were formed by this treatment. Adhesion of the oxide film was superior when the anodic oxidation was carried out under moderate discharge conditions. SEM observations appeared the featured microscopic surface topography with many small (pm order) holes on the surface of the specimen treated by anodic oxidation under discharge conditions. X-ray diffractory analysis revealed that titanium oxides (TinO2n-1) and an amorphous anatase (TiO2) were formed by the anodic oxidation under discharge conditions.