result 485 件
| JaLCDOI | 10.18926/AMO/63409 |
|---|---|
| FullText URL | 76_2_155.pdf |
| Author | Kimura, Jiro| Okabayashi, Takehiro| Sui, Kenta| Tabuchi, Motoyasu| Iwata, Jun| Hata, Yasuhiro| Iiyama, Tatsuo| Ono, Noriaki| |
| Abstract | Small bowel metastasis from renal cell carcinoma (RCC) is rare, and its clinicopathological characteristics are unclear; thus, we revisited the concept of this tumor and reviewed its diagnostic and treatment modalities. We filtered MEDLINE searches of articles published in English between 1950 and 2019, and identified 100 patients who had undergone treatment, including 1 patient from our clinic. We extracted patient characteristics, treatment, and prognostic data, resulting in clinicopathological data on 100 patients (83 men, 17 women). Mean age was 63 years (range, 16-86 years). Tumor sites were duodenum, jejunum, ileum, and multiple sites in 30, 37, 25, and 7 patients, respectively. The 1-, 3-, and 5-year overall survival rates after diagnosis were 53.0%, 36.0%, and 36.0%. Curative resection patients showed 62.1% 5-year survival after surgery, vs. 27.5% in noncurative surgical management cases. Good prognoses can be expected if these tumors are identified early for complete removal. Surgery is the only curative option. To determine the best management strategy and improve prognostic accuracy, we continue to collect and analyze epidemiological and pathological data. Although this condition is rare, surgery should be considered if curative resection is expected. Prognosis after curative resection is not poor, but recurrence is not unlikely. |
| Keywords | renal cell carcinoma small bowel metastasis intestine tumor |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2022-04 |
| Volume | volume76 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 155 |
| End Page | 165 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 35503443 |
| Web of Science KeyUT | 000792374900007 |
| JaLCDOI | 10.18926/AMO/63408 |
|---|---|
| FullText URL | 76_2_145.pdf |
| Author | Qin, Yi| Liu, Linlin| Zhu, Fanghui| Lu, Huazhen| Huang, Mingliu| |
| Abstract | With rapidly aging populations, family care functions can become weakened, and community health services often lack unified standards. A standardized and professional community home-based long-term care model (CHLCM) for the elderly is urgently needed in many regions of China and in other countries. Here, we explored the indicators of the need for a CHLCM among elderly individuals, and we constructed a CHLCM. We created and distributed a questionnaire regarding the requirement of long-term care services, based on a literature review. The two-rounds Delphi method was used, involving 20 experts who were randomly selected from among the medical universities, community health service centers, and nursing homes in Nanning, Guangxi, China. The experts’ enthusiasm rates in the questionnaire’s two rounds were 95% and 100%, respectively. The authentic coefficient of the experts’ consulting was 0.857, and that of the experts’ academic level was 0.835; the judgement coefficient was 0.880 and the familiar coefficient was 0.855. The CHLCM includes service content and an evaluation. The coordination coefficients for the two primary, eight secondary, and 29 tertiary indicators were 0.200, 0.386, and 0.184, respectively (p<0.05). The experts’ enthusiasm and authority were high. The coordination of the experts’ agreement was sufficient, and the analysis results were reliable. The CHLCM includes 29 items that provide a foundation and references for the formulation of concrete indicators and subsequent research. |
| Keywords | community home-based long-term care elderly indicator system |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2022-04 |
| Volume | volume76 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 145 |
| End Page | 154 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 35503442 |
| Web of Science KeyUT | 000792374900006 |
| JaLCDOI | 10.18926/AMO/63406 |
|---|---|
| FullText URL | 76_2_129.pdf |
| Author | Kubo, Kotaro| Nakamura, Keiichiro| Okamoto, Kazuhiro| Matsuoka, Hirofumi| Ida, Naoyuki| Haruma, Tomoko| Ogawa, Chikako| Masuyama, Hisashi| |
| Abstract | Cancer patients have increased risk of venous thromboembolism (VTE) that must be assessed before treatment. This study aimed to determine effective VTE biomarkers in gynecologic cancer (GC). We investigated the correlation between D-dimer levels, Khorana risk score (KRS), Glasgow prognostic score (GPS), and VTE in 1499 GC patients (583 cervical cancer (CC), 621 endometrial cancer (EC), and 295 ovarian cancer (OC) patients) treated at our institution between January 2008 and December 2019. χ2 and Mann–Whitney U-tests were used to determine statistical significance. We used receiver operating characteristic-curve analysis to evaluate the discriminatory ability of each parameter. D-dimer levels were significantly correlated with KRS and GPS in patients with GC. VTE was diagnosed in 11 CC (1.9%), 27 EC (4.3%), and 39 OC patients (13.2%). Optimal D-dimer cut-off values for VTE were 3.1, 3.2, and 3.9 μg/ml in CC, EC and OC patients, respectively. D-dimer could significantly predict VTE in all GC patients. Furthermore, D-dimer combined with GPS was more accurate in predicting VTE than other VTE biomarkers in stage IIIC and IVA OC (AUC: 0.846; p<0.001). This study demonstrates that combined D-dimer and GPS are useful in predicting VTE in patients with OC. |
| Keywords | D-dimer gynecologic cancer venous thromboembolism |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2022-04 |
| Volume | volume76 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 129 |
| End Page | 135 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 35503440 |
| Web of Science KeyUT | 000792374900004 |
| JaLCDOI | 10.18926/AMO/63404 |
|---|---|
| FullText URL | 76_2_113.pdf |
| Author | Namio, Keiichi| Miyatake, Nobuyuki| Hishii, Shuhei| Kondo, Takashi| Nishi, Hiroyuki| Katayama, Akihiko| Ujike, Kazuhiro| Koumoto, Kiichi| Suzuki, Hiromi| Hashimoto, Hiroo| |
| Abstract | This study aimed to investigate the link between prolonged sedentary bouts and health-related quality of life (QOL) in patients on chronic hemodialysis (CHD). A total of 84 outpatients on CHD, aged 71.6±11.8 years, were enrolled in this cross-sectional study. Parameters for prolonged sedentary bouts [i.e., ≧ 30 min (% and bout) and ≧ 60 min (% and bout)] were measured using a triaxial accelerometer. Health-related QOL (HRQOL) was evaluated by the Euro-QOL (EQ-5D). Clinical parameters were obtained from medical records. Relatively prolonged sedentary bouts (%) were 44.0±18.2 (≧ 30 min) and 29.8±16.5 (≧ 60 min) for total days. Prolonged sedentary bouts (bouts) were 6.2±2.7 (≧ 30 min) and 2.7±1.6 (≧ 60 min) for total days. EQ-5D scores were 0.728±0.220. All prolonged sedentary bout parameters were negatively correlated with EQ-5D scores, except for prolonged sedentary bouts (≧ 60 min) (min) and relatively prolonged sedentary bouts (%) on hemodialysis days. Multiple regression analysis showed that prolonged sedentary bout parameters were an important factor in EQ-5D scores even after adjusting for confounding factors for total and non-hemodialysis days. Our results suggested that prolonged sedentary bouts were closely associated with HRQOL in patients on CHD, especially on non-hemodialysis days. |
| Keywords | prolonged sedentary bouts hemodialysis EQ-5D QOL |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2022-04 |
| Volume | volume76 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 113 |
| End Page | 119 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 35503438 |
| Web of Science KeyUT | 000792374900002 |
| FullText URL | fulltext20220413-5.pdf |
|---|---|
| Author | Tanabe, Ryo| Hongo, Takashi| Mandai, Yasuhiro| Inaba, Mototaka| Yorifuji, Takashi| Nakao, Atsunori| Elmer, Jonathan| Naito, Hiromichi| |
| Keywords | DNAR EMT OHCA Stress |
| Published Date | 2022-03-03 |
| Publication Title | Resuscitation |
| Volume | volume173 |
| Publisher | Elsevier BV |
| Start Page | 61 |
| End Page | 68 |
| ISSN | 0300-9572 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2022 The Author(s) |
| File Version | publisher |
| PubMed ID | 35143903 |
| DOI | 10.1016/j.resuscitation.2022.01.028 |
| Web of Science KeyUT | 000767483800011 |
| Related Url | isVersionOf https://doi.org/10.1016/j.resuscitation.2022.01.028 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Yamamoto, Norio| Mitsuhashi, Toshiharu| Tsuchihashi, Yuuki| Yorifuji, Takashi| |
| Keywords | Tokyo 2020 Olympic and Paralympic Games COVID-19 pandemic synthetic control method causal effect ecological study |
| Published Date | 2022-02-03 |
| Publication Title | Journal Of Personalized Medicine |
| Volume | volume12 |
| Issue | issue2 |
| Publisher | MDPI |
| Start Page | 209 |
| ISSN | 2075-4426 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2022 by the authors. |
| File Version | publisher |
| PubMed ID | 35207697 |
| DOI | 10.3390/jpm12020209 |
| Web of Science KeyUT | 000769713400001 |
| Related Url | isVersionOf https://doi.org/10.3390/jpm12020209 |
| JaLCDOI | 10.18926/AMO/63214 |
|---|---|
| FullText URL | 76_1_71.pdf |
| Author | Tanaka, Masato| Sonawane, Sumeet| Fujiwara, Yoshihiro| Uotani, Koji| Arataki, Shinya| Yamauchi, Taro| Ye, Youchen| Misawa, Haruo| |
| Abstract | The surgical treatment of pediatric atlantoaxial subluxation (AAS) in Down syndrome (DS) remains technically challenging due to radiation exposure and complications such as vertebral artery injury and nonunion. The established treatment is fixation with a C1 lateral mass screw and C2 pedicle screw (modified Goel technique). However, this technique requires fluoroscopy for C1 screw insertion. To avoid exposing the operating team to radiation we present here a new C-arm free O-arm navigated surgical procedure for pediatric AAS in DS. A 5-year-old male DS patient had neck pain and unsteady gait. Radiograms showed AAS with an atlantodental interval of 10 mm, and irreducible subluxation on extension. CT scan showed Os odontoideum and AAS. MRI demonstrated spinal cord compression between the C1 posterior arch and odontoid process. We performed a C-arm free O-arm navigated modified Goel procedure with postoperative halo-vest immobilization. At oneyear follow-up, good neurological recovery and solid bone fusion were observed. The patient had no complications such as epidural hematoma, infection, or nerve or vessel injury. This novel procedure is a useful and safe technique that protects surgeons and staff from radiation risk. |
| Keywords | atlantoaxial fixation Down syndrome C-arm free O-arm navigation surgery modified Goel technique |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2022-02 |
| Volume | volume76 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 71 |
| End Page | 78 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 35237001 |
| Web of Science KeyUT | 000762803800001 |
| JaLCDOI | 10.18926/AMO/63203 |
|---|---|
| FullText URL | 76_1_7.pdf |
| Author | Takami, Masao| Yamamoto, Koichiro| Hanayama, Yoshihisa| Nakano, Yasuhiro| Hasegawa, Kou| Obika, Mikako| Hagiya, Hideharu| Furukawa, Masanori| Otsuka, Fumio| |
| Abstract | Subclinical hypothyroidism (SCH) is diagnosed when serum thyrotropin (TSH) is elevated despite a normal thyroxine level and is known to increase the risk of metabolic disorders. This study was conducted to identify potential laboratory markers suspicious for latent SCH. We retrospectively reviewed 958 outpatients in whom thyroid functions had been examined. Eighty-five (9.1%) of the 939 analyzed subjects had SCH (73% females). In the SCH group, median serum TSH and FT4 levels were 5.04 μU/ml and 1.19 ng/dl, respectively, and auto-thyroid antibodies were detected in 53.8% of patients. SCH group patients were significantly older than patients in the euthyroid group, while there was no intergroup difference in BMI. However, 56.5% of the SCH patients were asymptomatic. In the SCH group, serum aspartate aminotransferase and low-density lipoprotein cholesterol (LDL-C) levels were significantly higher, and the estimated glomerular filtration rate (eGFR) was significantly lower than in the euthyroid group. Among patients less than 65 years of age, SCH patients tended to have lower eGFR and higher LDL-C than euthyroid patients. Age-dependent reductions of red blood cells and serum albumin were more prominent in the SCH than the euthyroid group. Biochemical changes with aging are useful as potential clues for suspecting latent SCH. |
| Keywords | aging renal function cholesterol subclinical hypothyroidism thyroid function |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2022-02 |
| Volume | volume76 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 7 |
| End Page | 15 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 35236993 |
| Web of Science KeyUT | 000762812700002 |
| FullText URL | fulltext20220216-3.pdf Figure20220216-3.pdf Supplementary Figure20220216-3.pdf |
|---|---|
| Author | Nishimura, Yoshito| Hagiya, Hideharu| Keitoku, Koichi| Koyama, Toshihiro| Otsuka, Fumio| |
| Note | © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 License. http://creativecommons.org/licenses/by-nc-nd/4.0/. This is the accepted manuscript version. The formal published version is available at [https://doi.org/10.1016/j.ajic.2021.08.033] .| |
| Published Date | 2022-01-28 |
| Publication Title | American Journal of Infection Control |
| Volume | volume50 |
| Issue | issue2 |
| Publisher | Elsevier BV |
| Start Page | 141 |
| End Page | 147 |
| ISSN | 0196-6553 |
| NCID | AA10617749 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. |
| File Version | author |
| PubMed ID | 34718066 |
| DOI | 10.1016/j.ajic.2021.08.033 |
| Web of Science KeyUT | 000749317500004 |
| Related Url | isVersionOf https://doi.org/10.1016/j.ajic.2021.08.033 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Uraguchi, Kensuke| Maeda, Yukihide| Takahara, Junko| Omichi, Ryotaro| Fujimoto, Shohei| Kariya, Shin| Nishizaki, Kazunori| Ando, Mizuo| |
| Published Date | 2021-10-22 |
| Publication Title | PLOS ONE |
| Volume | volume16 |
| Issue | issue10 |
| Publisher | Public Library Science |
| Start Page | e0258977 |
| ISSN | 1932-6203 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2021 Uraguchi et al. |
| File Version | publisher |
| PubMed ID | 34679122 |
| DOI | 10.1371/journal.pone.0258977 |
| Web of Science KeyUT | 000733392900043 |
| Related Url | isVersionOf https://doi.org/10.1371/journal.pone.0258977 |
| FullText URL | fulltext20220104-5.pdf |
|---|---|
| Author | Suzuki, Etsuji| Tsuda, Toshihide| Mitsuhashi, Toshiharu| Mansournia, Mohammad Ali| Yamamoto, Eiji| |
| Keywords | bias causality epidemiologic methods |
| Note | © 2016 Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 License.
http://creativecommons.org/licenses/by-nc-nd/4.0/. This is the accepted manuscript version. The formal published version is available at [https://doi.org/10.1016/j.annepidem.2016.09.008] .| |
| Published Date | 2016-11 |
| Publication Title | Annals of Epidemiology |
| Volume | volume26 |
| Issue | issue11 |
| Publisher | Elsevier BV |
| Start Page | 788 |
| End Page | 793 |
| ISSN | 1047-2797 |
| NCID | AA10761439 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2016 Elsevier Inc. |
| File Version | author |
| PubMed ID | 27771142 |
| DOI | 10.1016/j.annepidem.2016.09.008 |
| Web of Science KeyUT | 000388546300011 |
| Related Url | isVersionOf https://doi.org/10.1016/j.annepidem.2016.09.008 |
| FullText URL | fulltext20220104-4.pdf |
|---|---|
| Author | Suzuki, Etsuji| VanderWeele, Tyler J.| |
| Note | © 2018 Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 License. http://creativecommons.org/licenses/by-nc-nd/4.0/. This is the accepted manuscript version. The formal published version is available at [https://doi.org/10.1016/j.socscimed.2018.04.023] .| |
| Published Date | 2018-8 |
| Publication Title | Social Science & Medicine |
| Volume | volume210 |
| Publisher | Elsevier BV |
| Start Page | 83 |
| End Page | 85 |
| ISSN | 0277-9536 |
| NCID | AA10627742 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2018 Elsevier Ltd. |
| File Version | author |
| PubMed ID | 29703448 |
| DOI | 10.1016/j.socscimed.2018.04.023 |
| Web of Science KeyUT | 000441652900021 |
| Related Url | isVersionOf https://doi.org/10.1016/j.socscimed.2018.04.023 |
| FullText URL | fulltext20220104-3.pdf |
|---|---|
| Author | Suzuki, Etsuji| Tsuda, Toshihide| Yamamoto, Eiji| |
| Keywords | bias causality confounding factors epidemiologic methods |
| Note | © 2017 Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 License. http://creativecommons.org/licenses/by-nc-nd/4.0/. This is the accepted manuscript version. The formal published version is available at [https://doi.org/10.1016/j.annepidem.2017.11.005] .| |
| Published Date | 2018-1 |
| Publication Title | Annals of Epidemiology |
| Volume | volume28 |
| Issue | issue1 |
| Publisher | Elsevier BV |
| Start Page | 48 |
| End Page | 53 |
| ISSN | 1047-2797 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2017 Elsevier Inc. |
| File Version | author |
| PubMed ID | 29241736 |
| DOI | 10.1016/j.annepidem.2017.11.005 |
| Web of Science KeyUT | 000425081000008 |
| Related Url | isVersionOf https://doi.org/10.1016/j.annepidem.2017.11.005 |
| FullText URL | fulltext20220104-2.pdf |
|---|---|
| Author | Suzuki, Etsuji| Yamamoto, Eiji| |
| Keywords | Agonism Causality Counterfactual model Mediation Potential outcomes Sufficient cause model |
| Note | This is a non-final version of an article published in final form in Suzuki, Etsuji; Yamamoto, Eiji Marginal Sufficient Component Cause Model, Epidemiology: November 2021 - Volume 32 - Issue 6 - p 838-845 doi: 10.1097/EDE.0000000000001411| |
| Published Date | 2021-11 |
| Publication Title | Epidemiology |
| Volume | volume32 |
| Issue | issue6 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Start Page | 838 |
| End Page | 845 |
| ISSN | 1044-3983 |
| NCID | AA10832184 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | Copyright © 2021 Wolters Kluwer Health, Inc |
| File Version | author |
| PubMed ID | 34583368 |
| DOI | 10.1097/ede.0000000000001411 |
| Web of Science KeyUT | 000702003900011 |
| Related Url | isVersionOf https://doi.org/10.1097/ede.0000000000001411 |
| FullText URL | fulltext20220104-1.pdf |
|---|---|
| Author | Suzuki, Etsuji| Yamamoto, Eiji| |
| Keywords | Bradford Hill Causal inference Causal mechanisms Counterfactual Sufficient cause model Potential-outcome model |
| Note | This is an Accepted Manuscript published by Springer Science. This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s10654-021-00798-6| |
| Published Date | 2021-9 |
| Publication Title | European Journal of Epidemiology |
| Volume | volume36 |
| Issue | issue9 |
| Publisher | Springer Science and Business Media LLC |
| Start Page | 899 |
| End Page | 908 |
| ISSN | 0393-2990 |
| NCID | AA10674491 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © Springer Nature B.V. 2021 |
| File Version | author |
| PubMed ID | 34564795 |
| DOI | 10.1007/s10654-021-00798-6 |
| Web of Science KeyUT | 000700703200003 |
| Related Url | isVersionOf https://doi.org/10.1007/s10654-021-00798-6 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Tsuge, Mitsuru| Ikeda, Masanori| Matsumoto, Naomi| Yorifuji, Takashi| Tsukahara, Hirokazu| |
| Keywords | atopic march atopic dermatitis food allergy allergic asthma allergic rhinitis skin barrier dysfunction alarmin group 2 innate lymphoid cells type 2 inflammation oxidative stress specific biomarker epidemiology phenotype early intervention emollient |
| Published Date | 2021-11-19 |
| Publication Title | Children-Basel |
| Volume | volume8 |
| Issue | issue11 |
| Publisher | MDPI |
| Start Page | 1067 |
| ISSN | 2227-9067 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2021 by the authors. |
| File Version | publisher |
| PubMed ID | 34828780 |
| DOI | 10.3390/children8111067 |
| Web of Science KeyUT | 000727145500001 |
| Related Url | isVersionOf https://doi.org/10.3390/children8111067 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Matsumoto, Naomi| Kubo, Toshihide| Nakamura, Kazue| Mitsuhashi, Toshiharu| Takeuchi, Akihito| Tsukahara, Hirokazu| Yorifuji, Takashi| |
| Published Date | 2021-11-26 |
| Publication Title | Scientific Reports |
| Volume | volume11 |
| Issue | issue1 |
| Publisher | Nature Portfolio |
| Start Page | 23004 |
| ISSN | 2045-2322 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s) 2021 |
| File Version | publisher |
| PubMed ID | 34837002 |
| DOI | 10.1038/s41598-021-02464-z |
| Web of Science KeyUT | 000722925300029 |
| Related Url | isVersionOf https://doi.org/10.1038/s41598-021-02464-z |
| JaLCDOI | 10.18926/AMO/62776 |
|---|---|
| FullText URL | 75_5_631.pdf |
| Author | Yamamoto, Koichiro| Omura, Daisuke| Yamane, Mai| Son, Reina| Hasegawa, Kou| Honda, Hiroyuki| Obika, Mikako| Minao, Nozomu| Edahiro, Satoru| Yamada, Norihito| Otsuka, Fumio| |
| Abstract | Anorexia nervosa (AN) is occasionally complicated with hypoglycemic coma, which may cause sudden death by unknown mechanisms. We present the case of a 36-year-old woman with recurrent comas and a nineteen-year history of AN. She was found in a coma with remarkable hypoglycemia (28 mg/dL). Her BMI was 11.1 kg/m2. Endocrine workup revealed extremely low serum levels of glucagon, IGF-I and insulin. Asymptomatic hypoglycemia occurred with liver injury in the refeeding process. An aberrant glucose metabolism due to liver damage might have been involved in her susceptibility to hypoglycemia. This case suggests a possible mechanism of hypoglycemic coma in AN. |
| Keywords | anorexia nervosa glucagon hypoglycemic coma insulin-like growth factor-I liver injury |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2021-10 |
| Volume | volume75 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 631 |
| End Page | 636 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2021 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 34703046 |
| Web of Science KeyUT | Recurrence of Hypoglycemic Coma in a Patient with Anorexia Nervosa Recurrence of Hypoglycemic Coma in a Patient with Anorexia Nervosa 000711568400001 |
| NAID | 120007166676 |
| JaLCDOI | 10.18926/AMO/62773 |
|---|---|
| FullText URL | 75_5_601.pdf |
| Author | Mitsuhashi, Toshiharu| |
| Abstract | Research suggests that the fundamental concepts of epidemiology cannot be sufficiently learned in traditional lectures, and interactive learning is necessary. However, few studies have investigated interactive epidemiology education in general, or peer instruction (PI) in particular. This study investigated the effect of PI. Study par-ticipants were fourth-year medical students. The attitude of participants in regard to PI learning was examined in a non-PI and a PI group. The Survey of Attitudes Toward Statistics (SATS) (containing six sub-categories) was conducted as a learning-attitudes index. The pre- and post-lecture scores were compared between the non-PI and PI groups using double robust (DR) estimation. The non-PI and PI groups consisted of 20 and 121 student participants, respectively. In DR estimation, affect exhibited the lowest SATS score changes, at −0.51 (95% confidence interval −0.78 to −0.24; p-value < 0.001), whereas effort exhibited the highest score changes of 0.01 (95% confidence interval −0.30 to 0.32; p-value = 0.952). The epidemiology lecture with PI did not increase the SATS scores. This might be due to issues related to the experimental design. Further research investigating the effects of interactive epidemiology education, it will be necessary to develop tools for assessing the learning of epidemiological concepts and to improve the research design. |
| Keywords | medical students peer instruction epidemiological education learning attitude double robust esti-mation |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2021-10 |
| Volume | volume75 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 601 |
| End Page | 609 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2021 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 34703043 |
| Web of Science KeyUT | 000711561600007 |
| NAID | 120007166673 |
| JaLCDOI | 10.18926/AMO/62769 |
|---|---|
| FullText URL | 75_5_567.pdf |
| Author | Takase, Ryosuke| Hagiya, Hideharu| Honda, Hiroyuki| Nakano, Yasuhiro| Ogawa, Hiroko| Obika, Mikako| Ueda, Keigo| Kataoka, Hitomi| Hanayama, Yoshihisa| Otsuka, Fumio| |
| Abstract | Influenza potentially has a high mortality rate when it affects the elderly. We aimed to examine the differences in clinical manifestations in patients with influenza according to their age. This multicenter prospective study was performed in six medical institutions in Okayama and Kagawa prefectures (Japan). Between December 1, 2019 and March 31, 2020, we collected data on adult patients diagnosed with influenza type A, who were strat-ified into younger (20-49 years), middle-aged (50-64 years), and older groups (≥ 65 years). We compared the presence or absence of fever, respiratory symptoms, and extrapulmonary symptoms according to age group. In total, 203 patients (113, younger; 51, middle-aged; and 39, older) were eligible for the analysis. The maxi-mum body temperature and temperature at first physician visit in the older group were significantly lower than those in the younger group. The incidence of respiratory symptoms was not different among the three groups. Chills, muscle pain, and arthralgia as systemic symptoms were noted significantly more frequently in the younger (80.9%) and middle-aged (75.5%) groups than in the older group (51.3%) (p = 0.002). Fever and sys-temic symptoms were less likely to appear in older patients, possibly resulting in the delaying of hospital visits among older adults. |
| Keywords | influenza, elderly fever respiratory symptom |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2021-10 |
| Volume | volume75 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 567 |
| End Page | 574 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2021 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 34703039 |
| Web of Science KeyUT | 000711561600003 |
| NAID | 120007166669 |
