検索結果 514 件
| JaLCDOI | 10.18926/AMO/66151 |
|---|---|
| フルテキストURL | 77_6_595.pdf |
| 著者 | 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| |
| 抄録 | 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. |
| キーワード | vancomycin-associated nephrotoxicity polypharmacy nephrotoxin spontaneous adverse event reporting database electronic medical records |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-12 |
| 巻 | 77巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 595 |
| 終了ページ | 605 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 38145933 |
| Web of Science KeyUT | 001164631200004 |
| JaLCDOI | 10.18926/AMO/66149 |
|---|---|
| フルテキストURL | 77_6_577.pdf |
| 著者 | Liu, Siyu| Athurupana, Rukmali| Han, Hongmei| Yang, Titi| Nakatsuka, Mikiya| |
| 抄録 | 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. |
| キーワード | midwife nurse miscarriage bereavement knowledge |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-12 |
| 巻 | 77巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 577 |
| 終了ページ | 587 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 38145931 |
| Web of Science KeyUT | 001164631200002 |
| JaLCDOI | 10.18926/AMO/66148 |
|---|---|
| フルテキストURL | 77_6_567.pdf |
| 著者 | Matsumoto, Naomi| Higuchi, Chigusa| Miyaji, Chikara| Mitsuhashi, Toshiharu| Hagiya, Hideharu| Takao, Soshi| Yorifuji, Takashi| |
| 抄録 | 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. |
| キーワード | coronavirus disease 2019 adverse reactions mRNA vaccine antibody titers young adults |
| Amo Type | Review |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-12 |
| 巻 | 77巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 567 |
| 終了ページ | 575 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 38145930 |
| Web of Science KeyUT | 001164631200001 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yoshimura, M.| |
| 発行日 | 2022-05-17 |
| 出版物タイトル | Physical Review D |
| 巻 | 105巻 |
| 号 | 10号 |
| 出版者 | American Physical Society (APS) |
| 開始ページ | 103522 |
| ISSN | 2470-0010 |
| NCID | AA00773624 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | ©2023 American Physical Society. |
| 論文のバージョン | publisher |
| DOI | 10.1103/physrevd.105.103522 |
| Web of Science KeyUT | 000811638000014 |
| 関連URL | isVersionOf https://doi.org/10.1103/physrevd.105.103522 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Murakami, Taku| Yamamoto, Akira| Hagiya, Hideharu| Obika, Mikako| Mandai, Yasuhiro| Miyoshi, Tomoko| Kataoka, Hitomi| Otsuka, Fumio| |
| キーワード | Medical Education Educational Measurement Simulation Training Peer Group Emergency Medicine Internship and residency Curriculum Personal satisfaction Case-control studies |
| 備考 | 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| |
| 発行日 | 2023-11-12 |
| 出版物タイトル | BMC Medical Education |
| 巻 | 23巻 |
| 号 | 1号 |
| 出版者 | BMC |
| 開始ページ | 859 |
| ISSN | 1472-6920 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2023. |
| 論文のバージョン | publisher |
| PubMed ID | 37953233 |
| DOI | 10.1186/s12909-023-04798-w |
| Web of Science KeyUT | 001103563600006 |
| 関連URL | isVersionOf https://doi.org/10.1186/s12909-023-04798-w |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | 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| |
| 発行日 | 2023-10-26 |
| 出版物タイトル | PLoS ONE |
| 巻 | 18巻 |
| 号 | 10号 |
| 出版者 | Public Library of Science |
| 開始ページ | e0287501 |
| ISSN | 1932-6203 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2023 Ichihara et al. |
| 論文のバージョン | publisher |
| PubMed ID | 37883347 |
| DOI | 10.1371/journal.pone.0287501 |
| Web of Science KeyUT | 001094123400028 |
| 関連URL | isVersionOf https://doi.org/10.1371/journal.pone.0287501 |
| フルテキストURL | K0006901_abstract_review.pdf K0006901_fulltext.pdf K0006901_summary.pdf |
|---|---|
| 著者 | 稲葉 基高| |
| 発行日 | 2023-09-25 |
| 資料タイプ | 学位論文 |
| 学位授与番号 | 甲第6901号 |
| 学位授与年月日 | 2023-09-25 |
| 学位・専攻分野 | 博士（医学） |
| 授与大学 | 岡山大学 |
| 言語 | 英語 |
| 著作権者 | © The Author(s) 2023 |
| フルテキストURL | fulltext20231112-02.pdf |
|---|---|
| 著者 | Fujiwara, Masazumi| |
| 備考 | 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.| |
| 発行日 | 2023-10-16 |
| 出版物タイトル | Biomicrofluidics |
| 巻 | 17巻 |
| 号 | 5号 |
| 出版者 | AIP Publishing |
| 開始ページ | 054107 |
| ISSN | 1932-1058 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2023 Author(s). |
| 論文のバージョン | author |
| PubMed ID | 37854889 |
| DOI | 10.1063/5.0172795 |
| Web of Science KeyUT | 001086923400001 |
| 関連URL | isVersionOf https://doi.org/10.1063/5.0172795 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yumoto, Tetsuya| Hongo, Takashi| Koide, Yasuhiro| Obara, Takafumi| Tsukahara, Kohei| Naito, Hiromichi| Nakao, Atsunori| |
| キーワード | Emergency service Informed consent Radiation Treatment refusal |
| 備考 | 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| |
| 発行日 | 2023-10-04 |
| 出版物タイトル | BMC Medical Ethics |
| 巻 | 24巻 |
| 号 | 1号 |
| 出版者 | BMC |
| 開始ページ | 80 |
| ISSN | 1472-6939 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2023. |
| 論文のバージョン | publisher |
| PubMed ID | 37794408 |
| DOI | 10.1186/s12910-023-00962-5 |
| Web of Science KeyUT | 001080177500004 |
| 関連URL | isVersionOf https://doi.org/10.1186/s12910-023-00962-5 |
| JaLCDOI | 10.18926/AMO/65975 |
|---|---|
| フルテキストURL | 77_5_527.pdf |
| 著者 | Ando, Miho| Hanayama, Yoshihisa| Nishimura, Yoshito| Hagiya, Hideharu| Otsuka, Fumio| |
| 抄録 | 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. |
| キーワード | retroperitoneal fibrosis IgG4-related disease malignancy |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-10 |
| 巻 | 77巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 527 |
| 終了ページ | 536 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 37899264 |
| Web of Science KeyUT | 001108661600010 |
| JaLCDOI | 10.18926/AMO/65973 |
|---|---|
| フルテキストURL | 77_5_511.pdf |
| 著者 | Sato, Kohei| Tsuji, Hironori| Yorimitsu, Masanori| Uehara, Takenori| Okazaki, Yuki| Takao, Shinichiro| Hata, Toshiaki| Fukuoka, Shiro| Noda, Tomoyuki| Kanda, Hideyuki| Ozaki, Toshifumi| |
| 抄録 | 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. |
| キーワード | sarcopenia nutrition geriatric hip fracture psoas muscle index controlling nutritional status score |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-10 |
| 巻 | 77巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 511 |
| 終了ページ | 516 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 37899262 |
| Web of Science KeyUT | 001108661600008 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | 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.| |
| 発行日 | 2022-03-25 |
| 出版物タイトル | Science Advances |
| 巻 | 8巻 |
| 号 | 12号 |
| 出版者 | American Association for the Advancement of Science (AAAS) |
| 開始ページ | eabm2225 |
| ISSN | 2375-2548 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2022 The Authors |
| 論文のバージョン | publisher |
| PubMed ID | 35333570 |
| DOI | 10.1126/sciadv.abm2225 |
| Web of Science KeyUT | 000800334900012 |
| 関連URL | isVersionOf https://doi.org/10.1126/sciadv.abm2225 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Hiraoka, Tomohiro| Kawamura, Mai| Takada, Keisuke| Moriwake, Tadashi| |
| キーワード | Cystinuria Ureterolithiasis Cystine Acute appendicitis Case report |
| 発行日 | 2022-10 |
| 出版物タイトル | International Journal of Surgery Case Reports |
| 巻 | 99巻 |
| 出版者 | Elsevier |
| 開始ページ | 107596 |
| ISSN | 2210-2612 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2022 The Authors. |
| 論文のバージョン | publisher |
| PubMed ID | 36115118 |
| DOI | 10.1016/j.ijscr.2022.107596 |
| Web of Science KeyUT | 001043865800003 |
| 関連URL | isVersionOf https://doi.org/10.1016/j.ijscr.2022.107596 |
| タイトル（別表記） | A third step of visual art instruction in medical education : Introduction of visual thinking strategies supported by Okayama Prefectural Museum of Art |
|---|---|
| 著者 | 木股 敬裕| 小比賀 美香子| 久保 卓也| 大塚 益美| 岡本 裕子| 福冨 幸| 松本 洋| |
| 出版物タイトル | 岡山医学会雑誌 |
| 発行日 | 2023-08-01 |
| 巻 | 135巻 |
| 号 | 2号 |
| 開始ページ | 85 |
| 終了ページ | 88 |
| ISSN | 0030-1558 |
| 関連URL | isVersionOf https://doi.org/10.4044/joma.135.85 |
| 言語 | 日本語 |
| 著作権者 | Copyright (c) 2023 岡山医学会 |
| 論文のバージョン | publisher |
| DOI | 10.4044/joma.135.85 |
| フルテキストURL | K003052.pdf |
|---|---|
| 著者 | 信久 徹治| |
| 発行日 | 2005-12-31 |
| 資料タイプ | 学位論文 |
| 学位授与番号 | 甲第3052号 |
| 学位授与年月日 | 2005-12-31 |
| 学位・専攻分野 | 博士（医学） |
| 授与大学 | 岡山大学 |
| 言語 | 英語 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Cong, Yingnan| Hou, Yufei| Jiang, Jiaming| Chen, Shuangzi| Cai, Xiaojing| |
| キーワード | energy trade complex networks topology evolutionary properties |
| 発行日 | 2023-07-28 |
| 出版物タイトル | Energies |
| 巻 | 16巻 |
| 号 | 15号 |
| 出版者 | MDPI |
| 開始ページ | 5677 |
| ISSN | 1996-1073 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2023 by the authors. |
| 論文のバージョン | publisher |
| DOI | 10.3390/en16155677 |
| Web of Science KeyUT | 001045434700001 |
| 関連URL | isVersionOf https://doi.org/10.3390/en16155677 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Liu, Ziang| Nishi, Tatsushi| |
| キーワード | Evolutionary algorithm Inventory management Data-driven Supply chain Digital twin |
| 備考 | 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| |
| 発行日 | 2023-08-09 |
| 出版物タイトル | Complex & Intelligent Systems |
| 巻 | 10巻 |
| 号 | 1号 |
| 出版者 | Springer |
| 開始ページ | 825 |
| 終了ページ | 846 |
| ISSN | 2199-4536 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2023 |
| 論文のバージョン | publisher |
| DOI | 10.1007/s40747-023-01179-0 |
| Web of Science KeyUT | 001044871100001 |
| 関連URL | isVersionOf https://doi.org/10.1007/s40747-023-01179-0 |
| JaLCDOI | 10.18926/AMO/65755 |
|---|---|
| フルテキストURL | 77_4_429.pdf |
| 著者 | Sasanami, Misa| Iida, Atsuyoshi| Iwamuro, Masaya| Hirai, Ryousuke| Obara, Takashi| Tsukahara, Kohei| Yumoto, Tetsuya| Naito, Hiromichi| Nakao, Atsunori| |
| 抄録 | 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. |
| キーワード | chest pain dysphagia esophageal dissection hematemesis |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-08 |
| 巻 | 77巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 429 |
| 終了ページ | 431 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 37635144 |
| Web of Science KeyUT | 001163659800012 |
| JaLCDOI | 10.18926/AMO/65753 |
|---|---|
| フルテキストURL | 77_4_423.pdf |
| 著者 | Yamakawa, Yasuaki| Miyashita, Kohei| Morizane, Atsushi| Takeuchi, Masato| Kawashima, Yuta| Sugimura, Tomoko| Saisaka, Yuichi| |
| 抄録 | 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. |
| キーワード | coronary spasm angina noradrenaline severe trauma ST elevation treatment strategy |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-08 |
| 巻 | 77巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 423 |
| 終了ページ | 427 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 37635143 |
| Web of Science KeyUT | 001163659800004 |
| JaLCDOI | 10.18926/AMO/65751 |
|---|---|
| フルテキストURL | 77_4_407.pdf |
| 著者 | Hotta, Kensuke| Kobayashi, Takaomi| |
| 抄録 | 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. |
| キーワード | fragility fracture of the pelvis functional treatment strategy Sam Sling stress radiograph Johns Hopkins highest level of mobility scale |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-08 |
| 巻 | 77巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 407 |
| 終了ページ | 414 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 37635141 |
| Web of Science KeyUT | 001163659800001 |