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JaLCDOI 10.18926/AMO/65146
FullText URL 77_2_169.pdf
Author Inoue, Kanae| Fujita, Rio| Nagahara, Takatoshi| Murakami, Shiho| Nagai, Yuta| Moriwake, Rina| Miyake, Nozomi| Wakuta, Akiko| Kariyama, Kazuya| Nishimura, Mamoru| Nouso, Kazuhiro|
Abstract Alcoholic liver disease is a risk factor for non-virus-related hepatocellular carcinoma (HCC), which is increasing in prevalence. This study aimed to identify the factors for recovery from alcoholic liver failure. Sixty-two consecutive patients hospitalized for alcoholic liver failure at Okayama City Hospital were enrolled. The characteristics of patients who survived to the 1-month follow-up and whose liver function improved to Child–Pugh A at 3 months (CPA3) and 12 months (CPA12) were compared with the rest of the patients. The survivors at 1 month (50 patients) were significantly younger than the deceased patients and had better liver and renal function with higher levels of γ-glutamyl transferase (GGT). The same factors, except renal function, were correlated with achieving CPA3. High AST, ALT, and GGT levels as well as short spleen length, total abstinence, and good Child–Pugh scores at admission were identified as factors for achieving CPA12. The extent of alcohol intake before admission was not identified as a risk factor in any analysis. In conclusion, baseline liver function is crucial for survival and achieving CPA3, whereas high transaminase and γ-GTP levels, the absence of splenomegaly, and total abstinence are significant factors for achieving CPA12.
Keywords alcoholic liver failure risk factors recovery
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2023-04
Volume volume77
Issue issue2
Publisher Okayama University Medical School
Start Page 169
End Page 177
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2023 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 37094954
Web of Science KeyUT 000982503800006
JaLCDOI 10.18926/AMO/65145
FullText URL 77_2_161.pdf
Author Yamanoi, Tomoko| Suzuki, Satoshi| Kaku, Ryuji| Morimatsu, Hiroshi|
Abstract An intraoperative double-low condition is defined as concurrent low values for bispectral index (BIS) and mean arterial pressure (MAP), and may predict perioperative outcomes. We hypothesized that prolonged double-low times might be associated with an increased incidence of postoperative delirium. We conducted a single-center retrospective observational study on patients who had been admitted to our hospital’s intensive care unit (ICU) after surgery and whose BIS and MAP data had been recorded during general anesthesia. The primary outcome was the incidence of postoperative delirium. A double-low condition was defined as BIS < 45 and MAP <75 mmHg. The total double-low time was calculated in 1-min increments and used to divide the patients into quintiles. Multiple logistic regression analyses were conducted. Among the 334 patients included in the study, the incidence of postoperative delirium was 15.6% (n=52). Multiple logistic regression analysis revealed that a prolonged double-low time, defined as a total double-low time of > 42 min (i.e., third, fourth, and fifth quintiles), was significantly associated with an increased incidence of postoperative delirium (adjusted odds ratio: 2.61, 95% confidence interval: 1.27-5.37, p=0.009). Prolonged double-low time during general anesthesia was independently associated with an increased incidence of postoperative delirium in surgical ICU patients.
Keywords postoperative delirium bispectral index hypotension double-low condition general anesthesia
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2023-04
Volume volume77
Issue issue2
Publisher Okayama University Medical School
Start Page 161
End Page 167
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2023 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 37094953
Web of Science KeyUT 000982503800005
JaLCDOI 10.18926/AMO/65144
FullText URL 77_2_147.pdf
Author Arias, Zulema| Haines, Stephanie| Yamamoto, Tadashi| Hatanaka, Kazu| Yamashiro, Keisuke| Sonoi, Norihiro| Takashiba, Shogo|
Abstract The curriculum at the Department of Pathophysiology in the Periodontal Sciences program at Okayama University includes normative preclinical training (NPT) using phantoms. NPT is given to the whole class of 5 th year students divided in groups of 8 students/instructor. In 2019, an innovative personalized preclinical training (PPT) pilot study was implemented for this group of students whereby two students, each with their own dental unit, were coached by one instructor. The main topics covered were dental ergonomics and endodontics. We aimed to evaluate the effectiveness of PPT in dental ergonomics and endodontics toward increasing the knowledge and future clinical skills of students who had already undergone NPT. A test on endodontics was taken before and after PPT. A questionnaire was completed to assess their perception of improvement regarding the above-mentioned topics. Test scores and questionnaire results both showed that the students’ level of knowledge and awareness of future clinical skills was significantly higher after PPT. This pilot study demonstrated that PPT increased the students’ knowledge and future clinical skills. As preclinical training forms the foundation for clinical practice, investment in future research regarding this personalized approach is likely to enhance students’ understanding and clinical performance.
Keywords preclinical personalized education dental ergonomics endodontics clinical skills improvement undergraduate students
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2023-04
Volume volume77
Issue issue2
Publisher Okayama University Medical School
Start Page 147
End Page 159
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2023 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 37094952
Web of Science KeyUT 000982503800004
JaLCDOI 10.18926/AMO/65143
FullText URL 77_2_139.pdf
Author Namio, Keiichi| Kondo, Takashi| Miyatake, Nobuyuki| Hishii, Shuhei| Nishi, Hiroyuki| Katayama, Akihiko| Ujike, Kazuhiro| Suzuki, Hiromi| Koumoto, Kiichi|
Abstract We investigated the link between prolonged sedentary bouts and all-cause mortality in patients on chronic hemodialysis, using a prospective cohort. A total of 104 outpatients on chronic hemodialysis from 2013 to 2019, aged 71.4±11.4 years, were enrolled. Prolonged sedentary bouts (≥ 30 min and ≥60 min) (min and bouts) and relative prolonged sedentary bouts (≥ 30 min and ≥ 60 min) (%) on the patients’ non-hemodialysis days were measured by a tri-accelerometer, and we also analyzed the patients’ clinical parameters. The relationship between prolonged sedentary bouts and all-cause mortality was evaluated by a survival analysis and the Cox proportional hazard model. Thirty-five patients died during the follow-up period. A Kaplan-Meier analysis detected significant differences in the survival rate between two groups stratified by the median for all prolonged sedentary-bout parameters. After the adjustment for confounding factors, all of the prolonged sedentary-bout parameters were determinant factors for all-cause mortality. These results indicate that prolonged sedentary bouts on non-hemodialysis days were closely related to all-cause mortality in the patients on hemodialysis.
Keywords sedentary bout mortality hemodialysis survival analysis
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2023-04
Volume volume77
Issue issue2
Publisher Okayama University Medical School
Start Page 139
End Page 145
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2023 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 37094951
Web of Science KeyUT 000982503800003
JaLCDOI 10.18926/AMO/65142
FullText URL 77_2_131.pdf
Author Senda, Mayuko| Terada, Seishi| Fujiwara, Masaki| Yamada, Norihito|
Abstract Eating disorders (EDs) are associated with a high mortality rate. Patients with EDs often experience severe dehydration due to food restriction and/or vomiting. Severely underweight patients are often prescribed bed rest during inpatient care to reduce their energy consumption, and they may thus develop multiple risk factors for venous thromboembolism (VTE). We compared the clinical features of ED inpatients with VTE to those of ED inpatients without VTE. Seventy-one inpatients with ED were treated at Okayama University Hospital’s psychiatric ward in 2016-2020; five were experienced a VTE. Compared to the non-VTE group, the VTE group’s median age and disease duration were greater and the median body mass index (BMI) was lower. The VTE group’s D-dimer peak values were > 5 mg/L. Physical restraint and central venous catheter use were associated with VTE. Longer ED duration and lower BMI might be risk factors for VTE. To make inpatient treatment for ED safer, it is important to avoid the use of physical restraints and central venous catheters. Continuous D-dimer monitoring is necessary for the early detection of VTE in ED patients at high risk of VTE.
Keywords eating disorder anorexia nervosa venous thromboembolism deep vein thrombosis
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2023-04
Volume volume77
Issue issue2
Publisher Okayama University Medical School
Start Page 131
End Page 137
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2023 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 37094950
Web of Science KeyUT 000982503800002
JaLCDOI 10.18926/AMO/65141
FullText URL 77_2_121.pdf
Author Iguchi, Toshihiro| Matsui, Yusuke| Tomita, Koji| Uka, Mayu| Umakoshi, Noriyuki| Kawabata, Takahiro| Munetomo, Kazuaki| Nagata, Shoma| Araki, Motoo| Hiraki, Takao|
Abstract Percutaneous cryoablation of renal tumors is widely used because of its high efficacy and safety. This high safety can be attributed, at least in part, to the visibility of the ablated area as an “ice ball”. This therapy has fewer complications (incidence, 0-7.2%) and is less invasive than surgery. Minor bleeding is inevitable in most kidney-related procedures, and indeed the most common complication of this therapy is bleeding (hematoma and hematuria). However, patients require treatment such as transfusion or transarterial embolization in only 0-4% of bleeding cases. Various other complications such as ureteral or collecting system injury, bowel injury, nerve injury, skin injury, infection, pneumothorax, and tract seeding also occur, but they are usually minor and asymptomatic. However, operators should know and avoid the various complications associated with this therapy. This study aimed to summarize the complications of percutaneous cryoablation for renal tumors and provide some techniques for achieving safe procedures.
Keywords cryosurgery kidney neoplasms carcinoma renal cell complication
Amo Type Review
Publication Title Acta Medica Okayama
Published Date 2023-04
Volume volume77
Issue issue2
Publisher Okayama University Medical School
Start Page 121
End Page 129
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2023 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 37094949
Web of Science KeyUT 000982503800001
FullText URL fulltext20230413-01.pdf
Author Kumano, Shota| Takaki, Tomoyasu| Uchida, Tetsuya|
Published Date 2023-2-17
Publication Title Polymer Journal
Publisher Springer Science and Business Media LLC
ISSN 0032-3896
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © The Author(s) 2023.
File Version publisher
DOI 10.1038/s41428-023-00765-w
Web of Science KeyUT 000934721800001
Related Url isVersionOf https://doi.org/10.1038/s41428-023-00765-w
FullText URL fulltext.pdf
Author Aly, Nagwa S. M.| Matsumori, Hiroaki| Dinh, Thi Quyen| Sato, Akira| Miyoshi, Shin-Ichi| Chang, Kyung-Soo| Yu, Hak Sun| Cao, Duc Tuan| Kim, Hye-Sook|
Keywords transdermal N-89 mefloquine pyrimethamine antimalarials combination in vivo
Published Date 2023-03-01
Publication Title Pathogens
Volume volume12
Issue issue3
Publisher MDPI
Start Page 398
ISSN 2076-0817
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2023 by the authors.
File Version publisher
PubMed ID 36986320
DOI 10.3390/pathogens12030398
Web of Science KeyUT 000958932800001
Related Url isVersionOf https://doi.org/10.3390/pathogens12030398
FullText URL hss_055_contents_e.pdf
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
FullText URL hss_055_colophon.pdf
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65136
Title Alternative On Ten-nyo (Heavenly Maiden) with Wings, Part 8―Heavenly Maiden and Feathered Robe at the end of the Edo period and Early Meiji period―
FullText URL hss_055_(027).pdf
Author Tatsuno, Yuko|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page (27)
End Page (46)
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65135
Title Alternative Japanese Translation of “Lunyu Jizhu”(6)(Part 3)―Xi ZHU’s interpretation of “Confucian Analects”―
FullText URL hss_055_(001).pdf
Author Sun, Luyi|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page (1)
End Page (26)
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65134
Title Alternative Preliminary Examination of a Work Motivation Scale for Foreign Skill Interns
FullText URL hss_055_211.pdf
Author Yan, Lin| Horiuchi, Takashi|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 211
End Page 221
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65133
Title Alternative Die Idee des Lebens in Hegels Wissenschaft der Logik
FullText URL hss_055_193.pdf
Author Takeshima, Naohito|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 193
End Page 210
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65132
Title Alternative The Architecture and Decoration of Alte Nationalgalerie, Berlin (2)―Plurality of "Germany" on the Friezes by Otto Geyer―
FullText URL hss_055_171.pdf
Author Mitsui, Mao|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 171
End Page 191
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65131
Title Alternative "Yuese Chenchen" in Yu Xuanji’s Poems
FullText URL hss_055_151.pdf
Author Wang, Ruochong|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 151
End Page 170
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65130
Title Alternative On Japanese Tough Sentences from the Aspect of Voice
FullText URL hss_055_141.pdf
Author Sun, Huixin|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 141
End Page 150
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65129
Title Alternative “Gja1軍” in the Social-military System of the Tangut Empire―A Critical Analysis of the Tian Sheng Code Vol.4―
FullText URL hss_055_119.pdf
Author Ono, Hiroko|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 119
End Page 139
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65128
Title Alternative Crimes of Government Officials in the Qin and Han Periods―Focusing on the Yuelu Academy Qin Slips “Wei Yu Deng Zhuang Si Zhong” Case No.6―
FullText URL hss_055_099.pdf
Author Liu, Cong|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 99
End Page 118
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher
JaLCDOI 10.18926/65127
Title Alternative Establishment of a Stable Democracy in Korean Politics―Focusing on the legacy of the Park Chung-hee regime and the role of the Chun Doo-hwan regime - Part2―
FullText URL hss_055_083.pdf
Author Lim, chang yeon|
Publication Title Journal of Humanities and Social Sciences
Published Date 2023-03-27
Volume volume55
Start Page 83
End Page 98
ISSN 1881-1671
language Japanese
Copyright Holders Copyright (c) 2023 岡山大学大学院社会文化科学研究科
File Version publisher