result 514 件
| JaLCDOI | 10.18926/AMO/66151 |
|---|---|
| FullText URL | 77_6_595.pdf |
| Author | Bando, Takashi| Chuma, Masayuki| Hamano, Hirofumi| Niimura, Takahiro| Okada, Naoto| Kondo, Masateru| Izumi, Yuki| Ishida, Shunsuke| Yoshioka, Toshihiko| Asada, Mizuho| Zamami, Yoshito| Takechi, Kenshi| Goda, Mitsuhiro| Miyata, Koji| Yagi, Kenta| Izawa-Ishizawa, Yuki| Azuma, Momoyo| Yanagawa, Hiroaki| Tasaki, Yoshikazu| Ishizawa, Keisuke| |
| Abstract | There is a growing concern about the relationship between vancomycin-associated nephrotoxicity (VAN) and concomitant use of nephrotoxins. We examined this relationship by combined retrospective analyses of two real-world databases. Initially, the FDA Adverse Event Reporting System (FAERS) was analyzed for the effects of concomitant use of one or more nephrotoxins on VAN and the types of combinations of nephrotoxins that exacerbate VAN. Next, electronic medical records (EMRs) of patients who received vancomycin (VCM) at Tokushima University Hospital between January 2006 and March 2019 were examined to confirm the FAERS analysis. An elevated reporting odds ratio (ROR) was observed with increases in the number of nephrotoxins administered (VCM + one nephrotoxin, adjusted ROR (95% confidence interval [CI]) 1.67 [1.51-1.85]; VCM + ≥2 nephrotoxins, adjusted ROR [95% CI] 1.54 [1.37-1.73]) in FAERS. EMRs analysis showed that the number of nephrotoxins was associated with higher incidences of VAN [odds ratio: 1.99; 95% CI: 1.42-2.78]. Overall, concomitant use of nephrotoxins was associated with an increased incidence of VAN, especially when at least one of those nephrotoxins was a renal hypoperfusion medication (furosemide, non-steroidal anti-inflammatory drugs, and vasopressors). The concomitant use of multiple nephrotoxins, especially including renal hypoperfusion medication, should be avoided to prevent VAN. |
| Keywords | vancomycin-associated nephrotoxicity polypharmacy nephrotoxin spontaneous adverse event reporting database electronic medical records |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-12 |
| Volume | volume77 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 595 |
| End Page | 605 |
| 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 | 38145933 |
| Web of Science KeyUT | 001164631200004 |
| JaLCDOI | 10.18926/AMO/66149 |
|---|---|
| FullText URL | 77_6_577.pdf |
| Author | Liu, Siyu| Athurupana, Rukmali| Han, Hongmei| Yang, Titi| Nakatsuka, Mikiya| |
| Abstract | Bereavement care is conducted to meet the emotional needs of grieving couples who are devastated by the experience of a miscarriage or stillbirth. From January to April 2022, we distributed a questionnaire that assessed the knowledge and attitudes of Japanese nursing staff (nurses and midwives) in Japan’s Chugoku-Shikoku region toward bereavement care for couples with miscarriage/stillbirth. The 370 survey respondents’ answers revealed that the nursing staff’s knowledge regarding recurrent pregnancy loss and subsequent bereavement care was insufficient. About 41.1% and 64.1% of the respondents had received school and on-the-job education in bereavement care, respectively, and 79.2% expressed willingness to provide such care. Our analyses revealed that the following factors were associated with the nursing staff’s knowledge level: parent status, age, reproductive history, midwifery license, work experience and environment, and on-the-job education. The following were correlated with the staff’s willingness to provide bereavement care: work environment, midwifery license, bereavement care knowledge, and on-the-job education. Together our findings indicate that education plays a significant role in equipping caregivers to provide effective bereavement care for couples who have experienced a miscarriage or stillbirth. |
| Keywords | midwife nurse miscarriage bereavement knowledge |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-12 |
| Volume | volume77 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 577 |
| End Page | 587 |
| 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 | 38145931 |
| Web of Science KeyUT | 001164631200002 |
| JaLCDOI | 10.18926/AMO/66148 |
|---|---|
| FullText URL | 77_6_567.pdf |
| Author | Matsumoto, Naomi| Higuchi, Chigusa| Miyaji, Chikara| Mitsuhashi, Toshiharu| Hagiya, Hideharu| Takao, Soshi| Yorifuji, Takashi| |
| Abstract | This paper presents the results of a series of surveys conducted from July 2021 to March 2023 to investigate the post-vaccination adverse reactions to the mRNA-1273 (Moderna) vaccine among faculty, staff, and students at Okayama University. These studies complement the official surveys conducted by the Ministry of Health, Labour and Welfare (MHLW) and provide a more representative picture of adverse reactions in the general population including large numbers of healthy young people. Pain, swelling, redness at the injection site, fever, headache, and malaise were the main adverse reactions reported. The proportion of adverse reactions was generally higher after the second vaccination and decreased with each additional vaccination. No statistically significant differences in the adverse reactions were found for males and females and those with/without a history of allergy, but a lower proportion of fever was observed in older participants and those with underlying medical conditions. We also evaluated the association between adverse reactions and antibody titers after the third vaccination and found no significant differences in antibody levels one month after vaccination. This series of studies highlights the importance of conducting surveys in diverse populations to provide a more representative picture of post-vaccination adverse reactions during a pandemic. |
| Keywords | coronavirus disease 2019 adverse reactions mRNA vaccine antibody titers young adults |
| Amo Type | Review |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-12 |
| Volume | volume77 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 567 |
| End Page | 575 |
| 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 | 38145930 |
| Web of Science KeyUT | 001164631200001 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Yoshimura, M.| |
| Published Date | 2022-05-17 |
| Publication Title | Physical Review D |
| Volume | volume105 |
| Issue | issue10 |
| Publisher | American Physical Society (APS) |
| Start Page | 103522 |
| ISSN | 2470-0010 |
| NCID | AA00773624 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | ©2023 American Physical Society. |
| File Version | publisher |
| DOI | 10.1103/physrevd.105.103522 |
| Web of Science KeyUT | 000811638000014 |
| Related Url | isVersionOf https://doi.org/10.1103/physrevd.105.103522 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Murakami, Taku| Yamamoto, Akira| Hagiya, Hideharu| Obika, Mikako| Mandai, Yasuhiro| Miyoshi, Tomoko| Kataoka, Hitomi| Otsuka, Fumio| |
| Keywords | Medical Education Educational Measurement Simulation Training Peer Group Emergency Medicine Internship and residency Curriculum Personal satisfaction Case-control studies |
| Note | The version of record of this article, first published in BMC Medical Education, is available online at Publisher’s website: http://dx.doi.org/10.1186/s12909-023-04798-w| |
| Published Date | 2023-11-12 |
| Publication Title | BMC Medical Education |
| Volume | volume23 |
| Issue | issue1 |
| Publisher | BMC |
| Start Page | 859 |
| ISSN | 1472-6920 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s) 2023. |
| File Version | publisher |
| PubMed ID | 37953233 |
| DOI | 10.1186/s12909-023-04798-w |
| Web of Science KeyUT | 001103563600006 |
| Related Url | isVersionOf https://doi.org/10.1186/s12909-023-04798-w |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Ichihara, Eiki| Hasegawa, Kou| Kudo, Kenichiro| Tanimoto, Yasushi| Nouso, Kazuhiro| Oda, Naohiro| Mitsumune, Sho| Yamada, Haruto| Takata, Ichiro| Hagiya, Hideharu| Mitsuhashi, Toshiharu| Taniguchi, Akihiko| Toyooka, Shinichi| Tsukahara, Kohei| Aokage, Toshiyuki| Tsukahara, Hirokazu| Kiura, Katsuyuki| Maeda, Yoshinobu| |
| Published Date | 2023-10-26 |
| Publication Title | PLoS ONE |
| Volume | volume18 |
| Issue | issue10 |
| Publisher | Public Library of Science |
| Start Page | e0287501 |
| ISSN | 1932-6203 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2023 Ichihara et al. |
| File Version | publisher |
| PubMed ID | 37883347 |
| DOI | 10.1371/journal.pone.0287501 |
| Web of Science KeyUT | 001094123400028 |
| Related Url | isVersionOf https://doi.org/10.1371/journal.pone.0287501 |
| FullText URL | K0006901_abstract_review.pdf K0006901_fulltext.pdf K0006901_summary.pdf |
|---|---|
| Author | INABA, Mototaka| |
| Published Date | 2023-09-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6901号 |
| Granted Date | 2023-09-25 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | English |
| Copyright Holders | © The Author(s) 2023 |
| FullText URL | fulltext20231112-02.pdf |
|---|---|
| Author | Fujiwara, Masazumi| |
| Note | This article may be downloaded for personal use only. Any other use requires prior permission of the author and AIP Publishing. This article appeared in Masazumi Fujiwara; Diamond quantum sensors in microfluidics technology. Biomicrofluidics 1 September 2023; 17 (5): 054107. https://doi.org/10.1063/5.0172795 and may be found at https://doi.org/10.1063/5.0172795.| |
| Published Date | 2023-10-16 |
| Publication Title | Biomicrofluidics |
| Volume | volume17 |
| Issue | issue5 |
| Publisher | AIP Publishing |
| Start Page | 054107 |
| ISSN | 1932-1058 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2023 Author(s). |
| File Version | author |
| PubMed ID | 37854889 |
| DOI | 10.1063/5.0172795 |
| Web of Science KeyUT | 001086923400001 |
| Related Url | isVersionOf https://doi.org/10.1063/5.0172795 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Yumoto, Tetsuya| Hongo, Takashi| Koide, Yasuhiro| Obara, Takafumi| Tsukahara, Kohei| Naito, Hiromichi| Nakao, Atsunori| |
| Keywords | Emergency service Informed consent Radiation Treatment refusal |
| Note | The version of record of this article, first published in BMC Medical Ethics, is available online at Publisher’s website: http://dx.doi.org/10.1186/s12910-023-00962-5| |
| Published Date | 2023-10-04 |
| Publication Title | BMC Medical Ethics |
| Volume | volume24 |
| Issue | issue1 |
| Publisher | BMC |
| Start Page | 80 |
| ISSN | 1472-6939 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s) 2023. |
| File Version | publisher |
| PubMed ID | 37794408 |
| DOI | 10.1186/s12910-023-00962-5 |
| Web of Science KeyUT | 001080177500004 |
| Related Url | isVersionOf https://doi.org/10.1186/s12910-023-00962-5 |
| JaLCDOI | 10.18926/AMO/65975 |
|---|---|
| FullText URL | 77_5_527.pdf |
| Author | Ando, Miho| Hanayama, Yoshihisa| Nishimura, Yoshito| Hagiya, Hideharu| Otsuka, Fumio| |
| Abstract | Retroperitoneal fibrosis (RPF) is a rare cause of hydronephrosis and progressive renal dysfunction with unidentified origin. RPF is categorized into idiopathic RPF with/without immunoglobulin G4 (IgG4)-related disease (IgG4-RD), and secondary RPF. Identifying the underlying cause is challenging and often associated with delayed diagnosis or therapeutic interventions. We investigated RPF’s clinical characteristics based on different etiologies and factors that may help distinguish the underlying causes. We analyzed the cases of 49 patients with RPF that was radiographically diagnosed at our institution (2008-2022). The cohort was 77.6% males; 75.5% had idiopathic RPF and 24.5% had secondary RPF. Among the idiopathic patients, 54.1% had IgG4-RD. The patients were likely to have abdominal pain, lower back pain/lumbago, and constitutional symptoms including generalized fatigue and fever. The idiopathic patients were likely to have higher serum IgG4 and IgG levels and lower serum C3 levels compared to secondary RPF. The IgG4-RPF patients were likely to have higher serum IgG4 levels and lower serum C-reactive protein, ferritin, and C3 levels compared to the idiopathic RPF patients without IgG4-RD. These findings might reflect underlying systemic inflammatory responses. Comprehensive laboratory testing, including serum inflammatory markers and immunological panels, is recommended for radiologically diagnosed RPF patients. |
| Keywords | retroperitoneal fibrosis IgG4-related disease malignancy |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-10 |
| Volume | volume77 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 527 |
| End Page | 536 |
| 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 | 37899264 |
| Web of Science KeyUT | 001108661600010 |
| JaLCDOI | 10.18926/AMO/65973 |
|---|---|
| FullText URL | 77_5_511.pdf |
| Author | Sato, Kohei| Tsuji, Hironori| Yorimitsu, Masanori| Uehara, Takenori| Okazaki, Yuki| Takao, Shinichiro| Hata, Toshiaki| Fukuoka, Shiro| Noda, Tomoyuki| Kanda, Hideyuki| Ozaki, Toshifumi| |
| Abstract | Sarcopenia and malnutrition are increasing in older adults and are reported risk factors for functional impairment after hip fracture surgery. This study aimed to investigate the associations between skeletal muscle mass loss, malnutrition, and postoperative walking ability in patients with hip fracture. We retrospectively reviewed patients who underwent intertrochanteric fracture surgery at our institute. The psoas muscle index, controlling nutritional status score, and functional ambulation category (FAC) were used to evaluate skeletal muscle mass, nutritional status, and walking ability, respectively. Six months after surgery, walking ability was assessed as either “gait disturbance” or “independent gait”. Multivariate binomial logistic regression analysis, with skeletal muscle mass, nutritional status, and other factors, was used to predict the risk of being assigned to the gait disturbance group. This study included 95 patients (mean age, 85.2 years; 70 women). Sixty-six patients had low skeletal muscle mass, 35 suffered from malnutrition, and 28 had both. Malnutrition and low skeletal muscle mass were significantly associated with postoperative gait disturbance (FAC < 3). Preoperative low skeletal muscle mass and malnutrition were risk factors for postoperative poor walking ability. Further preventive interventions focusing on skeletal muscle mass and nutritional status are required. |
| Keywords | sarcopenia nutrition geriatric hip fracture psoas muscle index controlling nutritional status score |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-10 |
| Volume | volume77 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 511 |
| End Page | 516 |
| 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 | 37899262 |
| Web of Science KeyUT | 001108661600008 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Akıl, Caner| Ali, Samson| Tran, Linh T.| Gaillard, Jérémie| Li, Wenfei| Hayashida, Kenichi| Hirose, Mika| Kato, Takayuki| Oshima, Atsunori| Fujishima, Kosuke| Blanchoin, Laurent| Narita, Akihiro| Robinson, Robert C.| |
| Published Date | 2022-03-25 |
| Publication Title | Science Advances |
| Volume | volume8 |
| Issue | issue12 |
| Publisher | American Association for the Advancement of Science (AAAS) |
| Start Page | eabm2225 |
| ISSN | 2375-2548 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2022 The Authors |
| File Version | publisher |
| PubMed ID | 35333570 |
| DOI | 10.1126/sciadv.abm2225 |
| Web of Science KeyUT | 000800334900012 |
| Related Url | isVersionOf https://doi.org/10.1126/sciadv.abm2225 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Hiraoka, Tomohiro| Kawamura, Mai| Takada, Keisuke| Moriwake, Tadashi| |
| Keywords | Cystinuria Ureterolithiasis Cystine Acute appendicitis Case report |
| Published Date | 2022-10 |
| Publication Title | International Journal of Surgery Case Reports |
| Volume | volume99 |
| Publisher | Elsevier |
| Start Page | 107596 |
| ISSN | 2210-2612 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2022 The Authors. |
| File Version | publisher |
| PubMed ID | 36115118 |
| DOI | 10.1016/j.ijscr.2022.107596 |
| Web of Science KeyUT | 001043865800003 |
| Related Url | isVersionOf https://doi.org/10.1016/j.ijscr.2022.107596 |
| Title Alternative | A third step of visual art instruction in medical education : Introduction of visual thinking strategies supported by Okayama Prefectural Museum of Art |
|---|---|
| Author | Kimata, Yoshihiro| Obika, Mikako| Kubo, Takuya| Otsuka, Masumi| Okamoto, Yuko| Fukutomi, Koh| Matsumoto, Hiroshi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-08-01 |
| Volume | volume135 |
| Issue | issue2 |
| Start Page | 85 |
| End Page | 88 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.85 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.85 |
| FullText URL | K003052.pdf |
|---|---|
| Author | Nobuhisa, Tetsuji| |
| Published Date | 2005-12-31 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第3052号 |
| Granted Date | 2005-12-31 |
| Thesis Type | Doctor of Philosophy in Medical Science |
| Grantor | 岡山大学 |
| language | English |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Cong, Yingnan| Hou, Yufei| Jiang, Jiaming| Chen, Shuangzi| Cai, Xiaojing| |
| Keywords | energy trade complex networks topology evolutionary properties |
| Published Date | 2023-07-28 |
| Publication Title | Energies |
| Volume | volume16 |
| Issue | issue15 |
| Publisher | MDPI |
| Start Page | 5677 |
| ISSN | 1996-1073 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2023 by the authors. |
| File Version | publisher |
| DOI | 10.3390/en16155677 |
| Web of Science KeyUT | 001045434700001 |
| Related Url | isVersionOf https://doi.org/10.3390/en16155677 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Liu, Ziang| Nishi, Tatsushi| |
| Keywords | Evolutionary algorithm Inventory management Data-driven Supply chain Digital twin |
| Note | The version of record of this article, first published in Complex & Intelligent Systems, is available online at Publisher’s website: http://dx.doi.org/10.1007/s40747-023-01179-0| |
| Published Date | 2023-08-09 |
| Publication Title | Complex & Intelligent Systems |
| Volume | volume10 |
| Issue | issue1 |
| Publisher | Springer |
| Start Page | 825 |
| End Page | 846 |
| ISSN | 2199-4536 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s) 2023 |
| File Version | publisher |
| DOI | 10.1007/s40747-023-01179-0 |
| Web of Science KeyUT | 001044871100001 |
| Related Url | isVersionOf https://doi.org/10.1007/s40747-023-01179-0 |
| JaLCDOI | 10.18926/AMO/65755 |
|---|---|
| FullText URL | 77_4_429.pdf |
| Author | Sasanami, Misa| Iida, Atsuyoshi| Iwamuro, Masaya| Hirai, Ryousuke| Obara, Takashi| Tsukahara, Kohei| Yumoto, Tetsuya| Naito, Hiromichi| Nakao, Atsunori| |
| Abstract | Intramural esophageal dissection (IED), characterized by bleeding into the submucosal space, leads to mucosal separation and dissection. The most prevalent symptoms are sudden chest or retrosternal pain, hematemesis, and dysphagia. Therefore, acute coronary syndrome and aortic dissection are among its most notable differential diagnoses. A 31-year-old pregnant woman presented with acute chest pain, laryngeal discomfort, and hematemesis. Emergency esophagogastroscopy revealed longitudinal mucosal dissection (upper esophagus to esophagogastric junction). The patient was successfully treated by avoiding the ingestion of solid foods. Clinicians should consider a diagnosis of IED for pregnant patients with acute chest pain, especially if hematemesis is present. |
| Keywords | chest pain dysphagia esophageal dissection hematemesis |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-08 |
| Volume | volume77 |
| Issue | issue4 |
| Publisher | Okayama University Medical School |
| Start Page | 429 |
| End Page | 431 |
| 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 | 37635144 |
| Web of Science KeyUT | 001163659800012 |
| JaLCDOI | 10.18926/AMO/65753 |
|---|---|
| FullText URL | 77_4_423.pdf |
| Author | Yamakawa, Yasuaki| Miyashita, Kohei| Morizane, Atsushi| Takeuchi, Masato| Kawashima, Yuta| Sugimura, Tomoko| Saisaka, Yuichi| |
| Abstract | We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST elevation and cardiac arrest was coronary vasospasm. Physicians should be aware that pain-related stress and platelet activation as well as use of noradrenaline in severe trauma cases can induce coronary vasospasm. |
| Keywords | coronary spasm angina noradrenaline severe trauma ST elevation treatment strategy |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-08 |
| Volume | volume77 |
| Issue | issue4 |
| Publisher | Okayama University Medical School |
| Start Page | 423 |
| End Page | 427 |
| 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 | 37635143 |
| Web of Science KeyUT | 001163659800004 |
| JaLCDOI | 10.18926/AMO/65751 |
|---|---|
| FullText URL | 77_4_407.pdf |
| Author | Hotta, Kensuke| Kobayashi, Takaomi| |
| Abstract | This study aimed to investigate the usefulness of force-controlled pelvic stress radiographs in the evaluation and treatment of fragility fractures of the pelvis (FFP) using a functional treatment strategy. We conducted a retrospective study of 55 geriatric patients with FFP who underwent pelvic stress radiographs on admission. The differences in the sacral width, pelvic ring width, and medial femoral head width between the radiographs with and without the Sam Sling II M size were defined as Δ sacral width, Δ pelvic ring width, and Δ medial femoral head width, respectively. We used Pearson’s correlation test to assess the relationship between the degree of radiographic instability and the Johns Hopkins highest level of mobility scale (JH-HLM) at 10-days postadmission. Conventional receiver-operating-characteristic curve analysis was used to identify cases requiring surgery using the best cutoff value for radiographic instability. The JH-HLM was significantly correlated with Δ sacral width (r=−0.401, p=0.017), but not with Δ pelvic ring width (r=−0.298, p=0.080) nor with Δ medial femoral head width (r= −0.261, p=0.128). The best cutoff value of Δ sacral width in identifying surgical cases was 10.7 mm (sensitivity 75.0%, specificity 98.0%). Force-controlled pelvic stress radiographs could be helpful in assessing the need for surgery on admission. |
| Keywords | fragility fracture of the pelvis functional treatment strategy Sam Sling stress radiograph Johns Hopkins highest level of mobility scale |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2023-08 |
| Volume | volume77 |
| Issue | issue4 |
| Publisher | Okayama University Medical School |
| Start Page | 407 |
| End Page | 414 |
| 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 | 37635141 |
| Web of Science KeyUT | 001163659800001 |
