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Kurume Medical Journal

Joe Iwanaga, Koichi Watanabe, Tsuyoshi Saga, Yoko Tabira, Koh-Ichi Yamaki
An elongated styloid process (ESP) is present in 4% of the general population. It is sometimes found incidentally by panoramic radiography or computed tomography in the clinical setting. Few detailed morphometric studies of this phenomenon have been performed, however, especially regarding its histologic aspects. During anatomic dissection of a 71-year-old man who had died from cardiac failure and whose body had been donated to our department for medical student training, an ESP was found while disconnecting the stylohyoid muscle from the hyoid bone...
February 6, 2017: Kurume Medical Journal
Ken-Ichiro Sasaki, Hidetoshi Chibana, Takafumi Ueno, Naoki Itaya, Masahiro Sasaki, Yoshihiro Fukumoto
A 73-year-old woman with arteriosclerosis obliterans (ASO) was underwent a crossover stenting for an aortoiliac bifurcation from the right common iliac artery (CIA) with a self-expandable bare-metal stent (SE-BMS); however, a new stenosis later occurred just behind the bifurcation of the left CIA. An ex vivo experiment demonstrated that culotte-stenting by additional implantation of a balloon-expandable bare-metal stent (BE-BMS) through stent struts of the SE-BMS would be empirically infeasible. Although we had initially planned a T-stenting for the additional implantation of a BE-BMS in the left CIA, we finally deployed the stent in the CIA with the proximal end protruding into the previously-implanted SE-BMS through the stent struts to avoid incomplete coverage of the stenosis by reference to the ex vivo experiments...
February 6, 2017: Kurume Medical Journal
Suguru Tanaka, Masafumi Gotoh, Yasuhiro Mitsui, Isao Shirachi, Takahiro Okawa, Fujio Higuchi, Naoto Shiba
We report a case of subcutaneous ganglion adjacent to the acromioclavicular joint with massive rotator cuff tear [1-7]. An 81-year-old woman presented with a ganglion adjacent to the acromioclavicular joint that had first been identified 9 months earlier. The ganglion had recurred after having been aspirated by her local physician, so she was referred to our hospital. The puncture fluid was yellowish, clear and viscous. Magnetic resonance imaging identified a massive rotator cuff tear with multi- lobular cystic lesions continuous to the acromioclavicular joint, presenting the "geyser sign"...
February 6, 2017: Kurume Medical Journal
Hanae Yoshimura, Toyoharu Oba, Takanobu Nagata, Eita Kumagai, Naoki Itaya, Naohiro Yoshikawa, Daiki Akagaki, Hideki Ohshima, Michihide Nishihara, Takafumi Ueno, Yoshihiro Fukumoto
Because of the protective effect of estrogen for atherosclerosis, the prevalence of acute coronary syndrome in women before menopause is low. We report a rare case of unstable angina in a young Japanese female who had a history of cigarette smoking and contraceptive use. Her coronary stenosis was successfully treated by percutaneous coronary intervention.
January 16, 2017: Kurume Medical Journal
Yukiko Kawakami, Issei Ogasawara, Yasukazu Yonetani, Rikio Takao, Tatsuo Mae, Ken Nakata, Shuji Horibe
Since the loss of balance can result in falls or lower extremity injuries during sports or daily activities, quantitative evaluation of one's ability to maintain balance with changes in the direction of motion is crucial. The present study aimed to assess whether the trajectory length of the center of pressure (COP) and peak values of the ground reaction force (GRF) following a single-leg hop landing differ when hopping forward or laterally, and to ascertain disparities in balance characteristics due to differences in hop direction...
January 16, 2017: Kurume Medical Journal
Kensuke Sakai, Masahiro Shirahama, Naoto Shiba, Kenji Yoshida, Shiro Yoshida
This study aimed to introduce a new treatment that apples primary hinged external fixation for complex fracture-dislocations of the elbow in 12 cases. We retrospectively assessed the functional outcomes of eight patients with terrible triad injuries and three patients with an olecranon fracture-dislocation of the elbow, who were treated at our hospital using a primary hinged external fixator between June 2012 and December 2014. Ten patients underwent repair or replacement of the radial head, while three underwent repair of the olecranon...
January 16, 2017: Kurume Medical Journal
Yukiko Kawakami, Yasukazu Yonetani, Rikio Takao, Issei Ogasawara, Tatsuo Mae, Ken Nakata, Shuji Horibe
Dynamic balance was evaluated using the trajectory length of the center of foot pressure (COP) in the early phase from immediately after landing to the time of pastoral maintenance. Ten young volunteers with an average age of 23.8 years were asked to stand on one foot on a horizontal floor, hop forward half a step and land on one foot 10 times on each of 3 non-consecutive days. The peak of the vertical component of the floor reaction force (Fz), and the initiation time of the maximum value (tz) and COP trajectory length were measured by a force plate (AMTI, Ltd...
2016: Kurume Medical Journal
Tetsu Sugimura, Yukiko Ozaki, Yoshifumi Tananari, Rumi Yamakawa, Rumiko Hirata
If the risk of progression to asthma could be predicted in patients with rhinitis, prevention of asthma might become possible. The purpose of this study was to clarify the relationship between the duration of rhinitis symptoms and acute asthma attacks in children with a history of asthma who were not on treatment for asthma. In 94 children with a history of asthma who were asymptomatic after completing asthma treatment, we investigated the onset and duration of nasal discharge and cough related to allergic rhinitis...
2016: Kurume Medical Journal
Shigeru Inoue, Takaaki Shinagawa, Takashi Horinouchi, Yutaka Kozuma, Koji Yonemoto, Daizo Hori, Kimio Ushijima
This study was designed to investigate the clinical predictors of abnormal glucose tolerance 5-7 weeks after delivery. Subjects were 155 women diagnosed with gestational diabetes mellitus (GDM) between October 2005 and September 2013 whose pregnancy and delivery were managed at our center. Subjects were divided into a normal glucose tolerance group (NGT; n = 113), or abnormal glucose tolerance group (AGT; n = 42) with borderline or overt diabetes mellitus, based on 75-g oral glucose tolerance test (75 gOGTT) results 5-7 weeks after delivery...
2016: Kurume Medical Journal
Takeshi Oka, Keisuke Ohta, Tomonoshin Kanazawa, Kei-Ichiro Nakamura
Analysis of the structural changes and cell-to-cell interactions occurring during wound healing of burn injuries is essential to elucidate the morphological characteristics of the reconstitution of tissue architecture. However, conventional approaches do not provide sufficient information with respect to cell-to-cell interactions during wound healing. The aim of this study was to evaluate the interaction between bone marrow-derived cells and resident stromal cells throughout the wound healing of burn injuries, using immunohistochemistry and focused ion beam/scanning electron microscope tomography...
2016: Kurume Medical Journal
Yoshio Takano, Hiroo Matsuse, Yuuya Tsukada, Masayuki Omoto, Ryuki Hashida, Naoto Shiba
The hybrid training system (HTS) resists the motion of a volitionally contracting agonist muscle using force generated by its electrically stimulated antagonist. We have developed a new training method using the principle of HTS. This study was designed to evaluate the effect of HTS with electrical stimulation on muscle strength and physical function by comparing it against training without electrical stimulation in older adults. 16 subjects were randomly divided into two groups: the squat and single leg lift training (control, CTR) group, and the CTR with HTS training group...
2016: Kurume Medical Journal
Takashi Inoue, Takashi Soejima, Hidetaka Murakami, Kousuke Tabuchi, Kouji Noguchi, Shuji Horibe, Yoshinari Tanaka, Naoto Shiba
Double-bundle anterior cruciate ligament (ACL) reconstruction using hamstring tendon grafts is a standard procedure for ACL injury. However, its clinical effectiveness is not always satisfactory. One cause of this was problems with the graft-tunnel healing of the posterolateral bundle (PLB) on the femur. To solve this problem, we devised a new anatomic ACL reconstruction technique to improve the graft-tunnel healing of the femoral PLB by using a single-bundle with one bone tunnel on the femoral side and a double-bundle on the tibial side...
2016: Kurume Medical Journal
Hiromi Chiba, Misari Oe, Naohisa Uchimura
Major depressive disorder (MDD) has been associated with stressful life events and with posttraumatic stress disorder (PTSD). PTSD and MDD comorbidity was also reported to be associated with greater symptom severity and lower levels of functioning. However, the characteristics of pharmacotherapy for PTSD with MDD are not fully understood. To understand this relationship, we conducted a retrospective review using medical charts at the Department of Neuropsychiatry, Kurume University Hospital. Information from 55 patients with PTSD was analyzed...
2016: Kurume Medical Journal
Shigeaki Aoyagi, Takeshi Oda, Hayato Fukuda, Yasuyuki Zaima, Eiji Nakamura, Hiroshi Yasunaga
A 70-year-old man was referred to our hospital for an intermittent high fever attributed to subcutaneous pocket infection of an implanted central venous access port device caused by methicillin-resistant staphylococcus aureus and subsequent bloodstream infection. Echocardiography revealed a large vegetation on the posterior tricuspid leaflet, annular dilatation and moderate-to-severe tricuspid regurgitation. Valve surgery was performed for persistent infection despite 8 weeks of antibiotics therapy. At operation, vegetations and torn chordae tendineae were found on the posterior tricuspid leaflet...
2016: Kurume Medical Journal
Joe Iwanaga, Tsuyoshi Saga, Yoko Tabira, Koichi Watanabe, Koh-Ichi Yamaki
Horseshoe kidney is a known congenital renal anomaly. During a gross anatomy dissection course for students in 2014, a horseshoe kidney was found in an 80-year-old female. The isthmus was formed by the fusion of the right and left kidneys at their lower poles and resulted in a U-shaped kidney. Both sides of the renal hilum opened ventrally. Four surplus renal arteries entered the horseshoe kidney. The first surplus renal artery arose from the right side of the abdominal aorta, and entered the lower part of the renal hilum...
2016: Kurume Medical Journal
Sayori Nagai, Hiroaki Kobayashi, Tomomi Nagata, Sayuri Hiwatashi, Toshihiko Kawamura, Daisaku Yokomine, Yuji Orita, Toshimichi Oki, Mitsuhiro Yoshinaga, Tsutomu Douchi
Intrauterine globe-shaped metreurynter tamponade has been used for some time to treat massive postpartum hemorrhage (PPH). More recently, the Bakri balloon has come into use to treat PPH. It is made of silicon, possesses a drainage lumen, and has a sausage-like spindle shape. The aim of the present study was to investigate the clinical usefulness of Bakri balloon tamponade for massive PPH. Subjects in the present study comprised 5 patients with uterine atony, 3 with placenta previa, and 2 with low-lying placenta...
2016: Kurume Medical Journal
Takeshi Yanagi, Yuta Shibamoto, Hiroyuki Ogino, Fumiya Baba, Taro Murai, Aiko Nagai, Akifumi Miyakawa, Chikao Sugie
The outcomes of induction chemotherapy followed by radiotherapy for hypopharyngeal carcinoma were analyzed to determine whether response to induction chemotherapy could be a useful parameter for selecting candidates for organ-preserving therapy.Forty-three patients with hypopharyngeal carcinoma were treated with definitive radiotherapy with or without concurrent chemotherapy following induction chemotherapy. The predominant induction chemotherapy regimens involved cisplatin and 5-fluorouracil with or without docetaxel...
2016: Kurume Medical Journal
Shigetaka Suekane, Kousuke Ueda, Shunsuke Suyama, Tokumasa Hayashi, Noriyuki Toyozawa, Maki Yoshitake, Kiyoaki Nishihara, Nao Sakashita, Naohisa Uchimura, Kei Matsuoka
We investigated the influence of nocturia and sleep disturbance on health-related quality of life(HRQOL) using the Medical Outcomes Study 8-item Short Form Health Survey (SF-8) in patients with nocturia. We also assessed the effect of therapeutic intervention by means of an anticholinergic agent on the results of the SF-8. One hundred and eighty-four patients who voided at least once per night were surveyed using the SF-8, Overactive Bladder Symptom Score (OABSS), Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS)...
2016: Kurume Medical Journal
Kenji Mizokami, Masafumi Gotoh, Yasuhiro Mitsui, Iichiro Yoshikawa, Takuya Uryu, Masahiro Shirahama, Takahiro Okawa, Fujio Higuchi, Naoto Shiba
Although cases of referred shoulder pain due to ischemic heart disease have been well documented, to our knowledge no reports on infective endocarditis accompanied by referred right shoulder pain have been published. A 43-year-old Japanese man presented with severe right shoulder pain and a body temperature of 38°C.Blood tests showed inflammation and liver dysfunction, although magnetic resonance imaging did not indicate septic shoulder arthritis. However, contrast-enhanced computed tomography showed renal, splenic, and hepatic infarctions...
2016: Kurume Medical Journal
Tatsuya Nishi, Shintaro Yokoyama, Shinzo Takamori, Toshihiro Matsuo, Daigo Murakami, Yoshito Akagi, Koichi Ohshima
Forkhead box P3 (FoxP3) is known as a pivotal and specific transcriptional factor of regulatory T cells, and are implicated in various immune diseases including myasthenia gravis (MG). The aim of this study was to investigate the relationships between FoxP3 expression of lymphocytes in thymoma and clinicopathological characteristics, particularly MG status in thymoma patients. We reviewed 83 thymoma specimens, including 22 from MG patients, and evaluated the FoxP3 expression of lymphocytes in thymoma using immunohistochemistry (IHC)...
2015: Kurume Medical Journal
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