著者

Kazuki OKURA Yusuke TAKAHASHI Kakeru HASEGAWA Kazutoshi HATAKEYAMA Kimio SAITO Chihiro IMAIZUMI Hajime KAGA Naoto TAKAHASHI

出版者

Japanese Society of Physical Therapy

雑誌

Physical Therapy Research (ISSN:21898448)

巻号頁・発行日

pp.E10188, (Released:2022-11-09)

参考文献数

21

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Introduction: Early implementation of neuromuscular electrical stimulation (NMES) has been reported to prevent muscle atrophy and physical functional decline in patients requiring mechanical ventilation. However, its effect in patients with acute exacerbation of interstitial lung disease (ILD) remains unclear. We herein report our experience using the NMES combined with mobilization in a patient with an acute exacerbation of rheumatoid arthritis-associated ILD (RA-ILD) requiring mechanical ventilation. Case presentation: A 74-year-old man was admitted to the intensive care unit (ICU) and put on mechanical ventilation due to severe acute exacerbation of RA-ILD. Early mobilization and the NMES using a belt electrode skeletal muscle electrical stimulation system were started on day 7 of hospitalization (day 2 of ICU admission). The NMES duration was 20 min, performed once daily. The patient could perform mobility exercises on day 8 and could walk on day 16. We assessed his rectus femoris and quadriceps muscle thicknesses using ultrasound imaging, and found decreases of 4.5% and 8.4%, respectively, by day 14. On day 27, he could independently visit the lavatory, and the NMES was discontinued. He was instructed to start long-term oxygen therapy on day 49 and was discharged on day 63. His 6-minute walk distance was 308 m and his muscle thickness recovered to levels comparable to those at the initial evaluation at the time of discharge. Conclusion: Combining the NMES and mobilization started in the early phase and continued after ICU discharge was safe and effective in a patient with a severe acute exacerbation of RA-ILD.

著者

Hiroaki SHIMIZU Takahiro ONO Takatsugu ABE Masaaki HOKARI Yusuke EGASHIRA Koji SHIMONAGA Masahiko KAWANISHI Kyoko NOMURA Yusuke TAKAHASHI

出版者

The Japan Neurosurgical Society

雑誌

Neurologia medico-chirurgica (ISSN:04708105)

巻号頁・発行日

pp.2022-0249, (Released:2023-01-05)

参考文献数

21

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Intracranial carotid artery dissection causing cerebral ischemia is a rare but important cause of cerebral infarction in children and adolescents. Although endovascular therapy has been reported to be effective, questions regarding the indications for intervention are yet to be addressed. Therefore, this study aimed to evaluate factors related to clinical outcomes through a nationwide survey. Overall, 35 neurosurgical centers reported patients within 2 weeks after ischemic onset due to intracranial carotid artery dissection causing cerebral ischemia treated between January 2015 and December 2020. Data on clinical and radiological findings were statistically analyzed. Twenty-eight patients met the inclusion criteria. The median age was 36 years (range, 7-59 years), without sex differences. Headache at onset was documented in 60.7% of the patients. Dissection findings were categorized into stenosis (71.4%) or occlusion (28.6%). Initial treatments, including various antithrombotic agent combinations in 23 (82.1%) patients, effectively improved or prevented aggravation in half of the patients. The patients with stenotic dissection were significantly more likely to experience aggravation during the initial treatment than did those with occlusive dissection (P = 0.03). In addition, the patients with moderate to severe neurological deficits on admission had poorer outcomes at discharge more frequently than did those with mild neurological deficits on admission. Eight patients undergoing endovascular therapy had no procedural complications or further aggravation after intervention. In conclusion, patients with intracranial carotid dissection causing cerebral ischemia who had a stenotic dissection were at risk of further aggravation, and endovascular therapy effectively improved or prevented aggravation.

著者

Shinji YAMAGATA Yusuke TAKAHASHI

出版者

Psychologia Society

雑誌

PSYCHOLOGIA (ISSN:00332852)

巻号頁・発行日

pp.2020-B006, (Released:2020-10-30)

参考文献数

43

被引用文献数

1

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This study examined whether religiosity moderates the genetic and environmental etiology of the Big Five personality traits (Neuroticism, Extraversion, Openness to Experience, Agreeableness, and Conscientiousness). Data from a nationwide sample of 549 twin pairs collected through the MacArthur Foundation National Survey of Midlife Development in the United States were analyzed. Analyses of a gene–environment interaction model revealed that religiosity moderated the magnitude of genetic and environmental influences on Agreeableness and Conscientiousness; for those who were religious, environmental influences on Agreeableness and genetic influences on Conscientiousness were greater. Religiosity exhibited weak main effects on both traits, with higher religiosity contributing to higher levels of both traits. These results suggested that religiosity serves as a psychological immune system that restricts individuals’ levels of Agreeableness and Conscientiousness within a religiously appropriate range, insulating them from internal and external forces. Implications for personality theory and molecular genetic research on personality and psychopathology are discussed.

著者

Hideharu Hagiya Hiroko Ogawa Yusuke Takahashi Kosuke Kimura Kan Hasegawa Fumio Otsuka

出版者

一般社団法人 日本内科学会

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.54, no.21, pp.2775-2777, 2015 (Released:2015-11-01)

参考文献数

13

被引用文献数

9

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We herein present a rare case of Actinomyces turicensis bacteremia that was caused by pyometra. The patient was successfully treated with transvaginal drainage and antibiotic therapy. A literature review in MEDLINE showed that there have been only 8 previously reported cases of A. turicensis bacteremia. This infection frequently occurs in patients with visceral abscesses, and blood culture examinations usually reveal a polymicrobial pattern. However, the prognosis of such patients has been reported to generally be benign. Due to difficulties in performing bacterial identification and the wide-spectrum clinical pictures associated with this bacteremia, no comprehensive understanding of the clinical features of each Actinomyces species has yet been established.

著者

Filip De Fruyt Jun Moriya Yusuke Takahashi

出版者

日本パーソナリティ心理学会

雑誌

パーソナリティ研究 (ISSN:13488406)

巻号頁・発行日

vol.23, no.3, pp.119-130, 2015-03-31 (Released:2015-04-04)

参考文献数

77

被引用文献数

1 2

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Developments in the assessment of general and maladaptive personality traits in children and adolescents have been reviewed in the present paper, with an emphasis on instruments based on the Five-Factor Model (FFM), such as the Hierarchical Personality Inventory for Children (HiPIC; Mervielde & De Fruyt, 1999), which describes general traits, and the Dimensional Personality Symptom Item Pool (DIPSI; De Clercq, De Fruyt, Van Leeuwen, & Mervielde, 2006), which accounts for maladaptive traits. We have additionally discussed measures available in Japanese, to assess traits in children, adolescents, and adults, and pertaining issues in cross-cultural personality research, especially with respect to Western and Asian differences. Finally, a number of key implementation areas for personality assessment have been identified, together with some challenges for this promising field of research.