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Kurume Medical Journal

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https://www.readbyqxmd.com/read/28331137/evaluation-of-surgical-procedures-for-t2-gallbladder-cancer-in-terms-of-recurrence-and-prognosis
#1
Ryuichi Kawahara, Takahisa Shirahama, Shyoichirou Arai, Daisuke Muroya, Yoriko Nomura, Shogo Fukutomi, Nobuhisa Shirahama, Katsuaki Takagi, Yuichi Goto, Masanori Akashi, Yuichirou Maruyama, Hisamune Sakai, Hiroto Ishikawa, Toru Hisaka, Masafumi Yasunaga, Hiroyuki Horiuchi, Koji Okuda, Yoshito Akagi, Hiroyuki Tanaka
T2 (tumor invades perimuscular connective tissue; no extension beyond serosa or into liver) gallbladder cancer has generally been treated by S4aS5 subsegmentectomy (S4aS5 HR). We investigated the therapeutic effect of full-thickness cholecystectomy (FC) and gallbladder bed resection (GBR), in terms of tumor location and resection margin (distance from the tumor). At our department we employ the following protocol to determine the extent of resection needed to achieve R0 status: (1) A tumor located in the gallbladder fundus (Gf) or body (Gb) and only on the free peritoneal side was classified as P-type, for which full-thickness cholecystectomy and regional lymph node dissection were performed...
March 22, 2017: Kurume Medical Journal
https://www.readbyqxmd.com/read/28302935/factor-x-deficiency-with-heterozygous-mutations-of-novel-p-g435s-and-known-p-g244r-in-a-patient-presenting-with-severe-umbilical-hemorrhage
#2
Yoko Matsuo, Tatsuki Mizuochi, Miho Mitsuo, Shinichiro Nakagawa, Shuichi Ozono, Koichiro Ueda, Yoko Sogabe, Ritsuko Seki, Kenji Soejima, Takashi Okamura, Yushiro Yamashita
A 10-day-old male patient was referred to our hospital with severe umbilical bleeding. Prothrombin time (PT) and activated partial thromboplastin time (APTT) were prominently prolonged. Plasma coagulation factor X (FX) activity and antigen levels were 1% and 0.6%, respectively. A DNA sequence analysis of his leukocytes revealed a compound heterozygous state; known Gly244 to Arg (p.G244R) in exon 6 and a novel mutation of Gly 435 to Ser (p.G435S) in exon 8. A pedigree analysis showed that p.G244R originated from the paternal side, while p...
March 15, 2017: Kurume Medical Journal
https://www.readbyqxmd.com/read/28302934/hepatitis-b-vaccination-status-among-japanese-travelers
#3
Kenichiro Yaita, Koji Yahara, Yoshiro Sakai, Jun Iwahashi, Kenji Masunaga, Nobuyuki Hamada, Hiroshi Watanabe
This study clarified the characteristics of travelers who received hepatitis B vaccinations. Subjects were 233 Japanese travelers who visited our clinic prior to travel. We summarized the characteristics of the clients and performed two comparative studies: first, we compared a hepatitis B-vaccinated group with an unvaccinated group; second, we compared a group that had completed the hepatitis B vaccine series with a group that did not complete the series. The hepatitis B vaccine was administered to 152 clients...
March 15, 2017: Kurume Medical Journal
https://www.readbyqxmd.com/read/28302933/essential-tremor-with-aspartic-acidemia
#4
Shiroh Miura, Ryuta Fujioka, Takayuki Taniwaki
We describe two cases of typical essential tremor with aspartic acidemia and mildly increased concentrations of plasma glutamic acid. Although this is a preliminary report, we emphasize the possibility of using amino acids, including aspartic acid, as biomarkers for the detection of essential tremor.
March 15, 2017: Kurume Medical Journal
https://www.readbyqxmd.com/read/28302932/successful-resection-of-a-large-rectal-adenoma-using-the-transsacral-approach
#5
Takuya Horio, Yosuke Oka, Ichitaro Shiratsuchi, Kouhei Saisho, Yuutarou Mihara, Reiichirou Kondo, Tetsushi Kinugusa, Jun Akiba, Yoshito Akagi
The transsacral approach is not routinely used for treating rectal tumors. We report the case of a 65-year-old man with a large adenoma at the posterior wall of the mid-rectum who was treated via the transsacral approach. The same lesion had been treated using transsacral endoscopic microsurgery 8 years previously. Moreover, 11 years previously he had undergone a laparotomy for bladder cancer, and an Indiana pouch had been constructed. Abdominal computed tomography showed that the pouch was adjacent to the rectum...
March 15, 2017: Kurume Medical Journal
https://www.readbyqxmd.com/read/28163270/morphometric-study-of-a-huge-elongated-styloid-process
#6
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
https://www.readbyqxmd.com/read/28163269/successful-endovascular-treatment-of-aortoiliac-bifurcation-stenosis-using-an-empirically-based-t-and-protrude-stenting-with-self-and-balloon-expandable-stents
#7
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
https://www.readbyqxmd.com/read/28163268/a-case-report-of-an-acromioclavicular-joint-ganglion-associated-with-a-rotator-cuff-tear
#8
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
https://www.readbyqxmd.com/read/28090005/unstable-angina-pectoris-in-a-22-year-old-female-patient
#9
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
https://www.readbyqxmd.com/read/28090004/difference-in-dynamic-body-balance-between-forward-and-lateral-single-leg-hop-landing
#10
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
https://www.readbyqxmd.com/read/28090003/primary-hinged-external-fixation-of-terrible-triad-injuries-and-olecranon-fracture-dislocations-of-the-elbow
#11
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
https://www.readbyqxmd.com/read/27237940/reproducibility-of-dynamic-body-balance-measurement-by-center-of-foot-pressure-analysis-immediately-after-single-leg-hop-landing
#12
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
https://www.readbyqxmd.com/read/27237939/relation-of-the-timing-of-onset-of-rhinitis-and-cough-to-asthma-attack-in-children
#13
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
https://www.readbyqxmd.com/read/27237938/predictors-of-abnormal-glucose-tolerance-in-the-early-postpartum-period-in-patients-with-gestational-diabetes
#14
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
https://www.readbyqxmd.com/read/27237937/interaction-between-macrophages-and-fibroblasts-during-wound-healing-of-burn-injuries-in-rats
#15
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
https://www.readbyqxmd.com/read/27237936/a-new-training-for-older-adults-using-combined-neuromuscular-electrical-stimulation-and-volitional-contraction-a-pilot-study
#16
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
https://www.readbyqxmd.com/read/27237935/anatomic-oblong-double-bundle-anterior-cruciate-ligament-reconstruction
#17
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
https://www.readbyqxmd.com/read/26935570/patients-with-posttraumatic-stress-disorder-with-comorbid-major-depressive-disorder-require-a-higher-dose-of-psychotropic-drugs
#18
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
https://www.readbyqxmd.com/read/26935569/isolated-tricuspid-valve-endocarditis-caused-by-infection-of-an-implanted-central-venous-access-port-device
#19
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
https://www.readbyqxmd.com/read/26935444/gross-anatomical-dissection-of-a-horseshoe-kidney-the-eighth-specimen-in-our-medical-school
#20
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
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