JaLCDOI 10.18926/AMO/60375
FullText URL 74_4_359.pdf
Author Inaba, Mototaka| Naito, Hiromichi| Muramatsu, Tomoyoshi| Yamada, Taihei| Sakata, Taizo| Nakao, Atsunori|
Abstract During major flooding in June/July 2018, the Mabi Memorial Hospital in Kurashiki, Okayama, Japan was flooded and patients were stranded in the hospital. Peace Winds Japan, a non-governmental organization, collaborated with the Japanese Disaster Medical Assistance Team and Self-Defense Force Public to transport 8 critical patients from the hospital by helicopter. Ultimately, 54 patients and hospital staff members were safely evacuated. The evacuation was accomplished without any casualties, despite the severe conditions. Public and private organizations can work together and continue to seek ways to collaborate and cooperate in disaster settings.
Keywords natural disaster transportation rain relief work public-private sector partnerships
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2020-08
Volume volume74
Issue issue4
Publisher Okayama University Medical School
Start Page 359
End Page 364
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2020 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 32843768
Web of Science KeyUT 000562508700012
NAID 120006880214
JaLCDOI 10.18926/AMO/60365
FullText URL 74_4_285.pdf
Author Tsukahara, Kohei| Naitou, Hiromichi| Yorifuji, Takashi| Nosaka, Nobuyuki| Yamamoto, Hirotsugu| Osako, Takaaki| Nakao, Atsunori| the JaRPAC Study Group|
Abstract The importance of centralizing treatment services for severely ill children has been well established, but such entralization remains difficult in Japan. We aimed to compare the trauma and illness severity and mortality of children admitted to two common types of ICUs for children. According to the type of management and disposition of the medical provider, we classified ICUs as pediatric ICUs [PICUs] or general ICUs, and analyzed differences in endogenous and exogenous illness settings between them. Overall, 1,333 pediatric patients were included, with 1,143 patients admitted to PICUs and 190 patients to general ICUs. The Pediatric Cerebral Performance Category score (PCPC) at discharge was significantly lower in the PICU group (adjusted OR: 0.45; 95%CI: 0.23-0.88). Death and unfavorable neurological outcomes occurred less often in the PICU group (adjusted OR: 0.29; 95%CI: 0.14-0.60). However, when limited to exogenous illness, PCPC scores (adjusted OR: 0.38; 95%CI: 0.07-1.99) or death/unfavorable outcomes (adjusted OR: 0.72; 95%CI: 0.08-6.34) did not differ between the groups. PCPC deterioration and overall sequelae/death rates were lower in PICUs for children with endogenous illnesses, although the outcomes of exogenous illness were similar between the 2 unit types. Further studies on the necessity of centralization are warranted.
Keywords kids critical care mortality morbidity centralization
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2020-08
Volume volume74
Issue issue4
Publisher Okayama University Medical School
Start Page 285
End Page 291
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2020 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 32843759
Web of Science KeyUT 000562508700003
NAID 120006880204
FullText URL fulltext.pdf
Author Yumoto Tetsuya| Ihoriya, Hiromi| Tanabe, Ryo| Naitou, Hiromichi| Nakao, Atsunori|
Keywords Computed tomography attenuated value Massive transfusion Wounds and injuries
Published Date 2019-12-31
Publication Title Clinical and Experimental Emergency Medicine
Volume volume6
Issue issue4
Publisher The Korean Society of Emergency Medicine
Start Page 330
End Page 339
ISSN 2383-4625
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders Copyright © 2019 The Korean Society of Emergency Medicine
File Version publisher
PubMed ID 31910504
DOI 10.15441/ceem.18.090
Web of Science KeyUT 000504857900007
Related Url isVersionOf https://doi.org/10.15441/ceem.18.090
FullText URL fulltext.pdf
Author Iida, Atsuyoshi| Ryuko, Tsuyoshi| Kemmotsu, Masaichi| Ishii, Hiroaki| Naitou, Hiromichi| Nakao, Atsunori|
Keywords Hepatic injury Non-operative management Transarterial embolization Pediatric Case report
Published Date 2020-12-31
Publication Title International Journal of Surgery Case Reports
Volume volume70
Publisher Elsevier
Start Page 205
End Page 208
ISSN 22102612
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2020 The Author(s).
File Version publisher
PubMed ID 32417739
DOI 10.1016/j.ijscr.2020.04.036
Web of Science KeyUT 000549991900021
Related Url isVersionOf https://doi.org/10.1016/j.ijscr.2020.04.036
FullText URL fulltext.pdf
Author Yumoto, Tetsuya| Naitou, Hiromichi| Ihoriya, Hiromi| Yorifuji, Takashi| Nakao, Atsunori|
Published Date 2019-01-29
Publication Title PLoS ONE
Volume volume14
Issue issue1
Publisher Public Library of Science
Start Page e0207049
ISSN 1932-6203
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2019 Yumoto et al.
File Version publisher
PubMed ID 30695039
DOI 10.1371/journal.pone.0207049
Web of Science KeyUT 000457046400004
Related Url isVersionOf https://doi.org/10.1371/journal.pone.0207049
FullText URL fulltext.pdf
Author Yumoto, Tetsuya| Naitou, Hiromichi| Yorifuji, Takashi| Aokage, Toshiyuki| Fujisaki, Noritomo| Nakao, Atsunori|
Keywords Glasgow coma scale Japan Coma Scale Mortality Trauma Traumatic brain injury
Published Date 2019-11-06
Publication Title BMC Emergency Medicine
Volume volume19
Issue issue1
Publisher BMC
Start Page 65
ISSN 1471-227X
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © The Author(s). 2019
File Version publisher
PubMed ID 31694575
DOI 10.1186/s12873-019-0282-x
Web of Science KeyUT 000495573700001
Related Url isVersionOf https://doi.org/10.1186/s12873-019-0282-x
FullText URL fulltext.pdf
Author Knaup, Emily| Nosaka, Nobuyuki| Yorifuji, Takashi| Tsukahara, Kohei| Naitou, Hiromichi| Tsukahara, Hirokazu| Nakao, Atsunori| the JaRPAC Study Group|
Keywords Decision support Intensive care Length of stay Mortality Outcome Pediatric Risk Prediction rules Scoring system
Published Date 2019-07-29
Publication Title Journal of Intensive Care
Volume volume7
Publisher BMC
Start Page 38
ISSN 2052-0492
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © The Author(s).
File Version publisher
PubMed ID 31384469
DOI 10.1186/s40560-019-0392-2
Web of Science KeyUT 000477892900001
Related Url isVersionOf https://doi.org/10.1186/s40560-019-0392-2
FullText URL fulltext.pdf
Author Nakamura, Shunsuke| Yamada, Taihei| Nojima, Tsuyoshi| Naitou, Hiromichi| Koga, Hitoshi| Yamashita, Hisashi| Gochi, Akira| Nakao, Atsunori|
Keywords Acute care surgery Computed tomography Mesenteric hematoma
Published Date 2019-12-31
Publication Title International Journal of Surgery Case Reports
Volume volume65
Publisher Elsevier
Start Page 124
End Page 126
ISSN 22102612
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2019 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
File Version publisher
PubMed ID 31715445
DOI 10.1016/j.ijscr.2019.10.058
Web of Science KeyUT 000501862100027
Related Url isVersionOf https://doi.org/10.1016/j.ijscr.2019.10.058
FullText URL fulltext.pdf
Author Aokage, Toshiyuki| Tsukahara, Kohei| Fukuda, Yasushi| Tokioka, Fumiaki| Taniguchi, Akihiko| Naito, Hiromichi| Nakao, Atsunori|
Keywords Tobacco Cigarettes Heat-not-burn cigarettes Acute eosinophilic pneumonia Extracorporeal membrane oxygenation ECMO
Published Date 2019-12-04
Publication Title Respiratory Medicine Case Reports
Volume volume26
Publisher Elsevier
Start Page 87
End Page 90
ISSN 2213-0071
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2018 The Authors.
File Version publisher
PubMed ID 30560050
DOI 10.1016/j.rmcr.2018.12.002
Web of Science KeyUT 000461453000023
Related Url isVersionOf https://doi.org/10.1016/j.rmcr.2018.12.002
JaLCDOI 10.18926/AMO/55433
FullText URL 71_5_363.pdf
Author Yumoto, Tetsuya| Kosaki, Yoshinori| Yamakawa, Yasuaki| Iida, Atsuyoshi| Yamamoto, Hirotsugu| Yamada, Taihei| Tsukahara, Kohei| Naito, Hiromichi| Osako, Takaaki| Nakao, Atsunori|
Abstract Worldwide, hemorrhagic shock in major trauma remains a major potentially preventable cause of death. Controlling bleeding and subsequent coagulopathy is a big challenge. Immediate assessment of unidentified bleeding sources is essential in blunt trauma patients with hemorrhagic shock. Chest/pelvic X-ray in conjunction with ultrasonography have been established classically as initial diagnostic imaging modalities to identify the major sources of internal bleeding including intra-thoracic, intra-abdominal, or retroperitoneal hemorrhage related to pelvic fracture. Massive soft tissue injury, regardless of whether isolated or associated with multiple injuries, occasionally causes extensive hemorrhage and acute traumatic coagulopathy. Specific types of injuries, including soft tissue injury or retroperitoneal hemorrhage unrelated to pelvic fracture, can potentially be overlooked or be considered “occult” causes of bleeding because classical diagnostic imaging often cannot exclude such injuries. The purpose of this narrative review article is to describe “occult” or unusual sources of bleeding associated with blunt trauma.
Keywords soft tissue injury subcutaneous hematoma non-cavitary hemorrhage retroperitoneal hemorrhage hemorrhagic shock
Amo Type Review
Publication Title Acta Medica Okayama
Published Date 2017-10
Volume volume71
Issue issue5
Publisher Okayama University Medical School
Start Page 363
End Page 368
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2017 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 29042693
JaLCDOI 10.18926/AMO/54987
FullText URL 71_2_179.pdf
Author Nosaka, Nobuyuki| Tsukahara, Kohei| Knaup, Emily| Yabuuchi, Toshihiko| Kikkawa, Tomonobu| Fujii, Yosuke| Yashiro, Masato| Yasuhara, Takao| Okada, Ayumi| Ugawa, Toyomu| Nakao, Atsunori| Tsukahara, Hirokazu| Date, Isao|
Abstract Newly published clinical practice guidelines recommend intracranial pressure (ICP) monitoring in critical care for the management of pediatric acute encephalopathy (pAE), but the utility of ICP monitoring for pAE has been poorly studied. We recently performed direct ICP monitoring for two patients. We observed that although the direct ICP monitoring had clinical benefits with less body weight gain and no vasopressor use in both cases, this monitoring technique is still invasive. Future studies should determine the utility of non-invasive ICP monitoring systems in pAE to further improve the quality of intensive-care management.
Keywords cerebral perfusion encephalopathy child intracranial pressure neurological intensive care
Amo Type Short Communication
Publication Title Acta Medica Okayama
Published Date 2017-04
Volume volume71
Issue issue2
Publisher Okayama University Medical School
Start Page 179
End Page 180
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2017 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 28420900
Title Alternative Does hydrogen-rich water really work?
FullText URL 129_9.pdf
Author Nakao, Atsunori|
Keywords 水素水 抗酸化作用 抗炎症作用 臨床応用 疑似科学
Publication Title Journal of Okayama Medical Association
Published Date 2017-04-03
Volume volume129
Issue issue1
Start Page 9
End Page 15
ISSN 0030-1558
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.9
NAID 130005632038
JaLCDOI 10.18926/AMO/54590
FullText URL 70_5_331.pdf
Author Iida, Atsuyoshi| Nosaka, Nobuyuki| Yumoto, Tetsuya| Knaup, Emily| Naito, Hiromichi| Nishiyama, Chihiro| Yamakawa, Yasuaki| Tsukahara, Kohei| Terado, Michihisa| Sato, Keiji| Ugawa, Toyomu| Nakao, Atsunori|
Abstract In recent years, it has become evident that molecular hydrogen is a particularyl effective treatment for various disease models such as ischemia-reperfusion injury; as a result, research on hydrogen has progressed rapidly. Hydrogen has been shown to be effective not only through intake as a gas, but also as a liquid medication taken orally, intravenously, or locally. Hydrogenʼs effectiveness is thus multifaceted. Herein we review the recent research on hydrogen-rich water, and we examine the possibilities for its clinical application. Now that hydrogen is in the limelight as a gaseous signaling molecule due to its potential ability to inhibit oxidative stress signaling, new research developments are highly anticipated.
Keywords hydrogen antioxidant effect medical gas gaseous signaling molecule clinical tests
Amo Type Review
Publication Title Acta Medica Okayama
Published Date 2016-10
Volume volume70
Issue issue5
Publisher Okayama University Medical School
Start Page 331
End Page 337
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2016 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 27777424
Web of Science KeyUT 000388098700001