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FullText URL fulltext20240904-02.pdf
Author Asanuma, Masato| Miyazaki, Ikuko| Funada, Masahiko|
Keywords Psychoactive drugs 2,5-Dimethoxy-substituted phenethylamines Neurotoxicity Serotonin-containing neurons Dopamine neurons Reactive oxygen species
Note This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s11419-020-00527-w|
Published Date 2020-02-21
Publication Title Forensic Toxicology
Volume volume38
Issue issue2
Publisher Springer Science and Business Media LLC
Start Page 394
End Page 408
ISSN 1860-8965
NCID AA12435006
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © Japanese Association of Forensic Toxicology 2020
File Version author
DOI 10.1007/s11419-020-00527-w
Web of Science KeyUT 000516475700001
Related Url isVersionOf https://doi.org/10.1007/s11419-020-00527-w
JaLCDOI 10.18926/AMO/67554
FullText URL 78_4_349.pdf
Author Tominaga, Yuichiro| Sugaya, Akiko| Kariya, Shin| Shimizu, Aiko| Kataoka, Yuko| Ando, Mizuo|
Abstract Middle-ear salivary gland choristoma (SGCh) is a rare, benign tumor that causes conductive hearing loss owing to middle-ear morphological abnormalities. Early diagnosis is challenging, and surgical resection is indispensable for a definitive diagnosis. We report the case of a 3-year-old boy diagnosed with middle-ear SGCh during the follow-up period for left-sided hearing loss discovered at newborn hearing screening (NHS). Long-term follow-up after the NHS result, subsequent computed tomography/magnetic resonance imaging, and surgical resection led to its relatively early diagnosis and treatment.
Keywords middle-ear salivary gland choristoma middle-ear morphological abnormalities newborn hearing screening unilateral hearing loss surgical resection
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 349
End Page 355
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198990
Web of Science KeyUT 001310557400004
JaLCDOI 10.18926/AMO/67549
FullText URL 78_4_331.pdf
Author Furukawa, Chieko| Tachibana, Tomoyasu| Nobuhisa, Tetsuji| Kanie, Yuichiro| Wani, Yoji| Matsumoto, Jun-Ya| Kariya, Akifumi| Sato, Asuka| Ishikawa, Iichiro| Naoi, Yuto| Ando, Mizuo|
Abstract No previous study has published magnetic resonance imaging (MRI) findings for a subglottic pleomorphic adenoma. Here, we describe the case of a 62-year-old man with a subglottic pleomorphic adenoma. Endoscopic findings revealed a smooth-surfaced tumor arising from the subglottic posterior wall. MRI revealed the lesion as an isointense region on T1-weighted images, which was homogeneously enhanced. This lesion showed a heterogeneously hyperintense region on T2-weighted images. Diffusion-weighted imaging (DWI) showed slightly high intensity in the same area, with a normal or only slightly high apparent diffusion coefficient (ADC). Laryngomicrosurgery was performed for transoral excision of the subglottic tumor, resulting in a postsurgical diagnosis of pleomorphic adenoma.
Keywords subglottis pleomorphic adenoma MRI transoral surgery
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 331
End Page 335
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198987
Web of Science KeyUT 001310557400001
JaLCDOI 10.18926/AMO/67548
FullText URL 78_4_323.pdf
Author Katayama, Akira| Kimura, Satoshi| Matsusaki, Takashi| Morimatsu, Hiroshi|
Abstract It has not been clear how recipient age affects the incidence of serious complications after pediatric living donor liver transplantation (LDLT). We investigated the records of 42 pediatric patients receiving LDLT, dividing our sample into two groups: the infant group (aged < 1 year) and the non-infant group (aged ≥ 1 year and ≤15 years). The primary outcome was postoperative complications assessed using the Clavien-Dindo classification. Multivariate analysis using the Cox regression model was applied to adjust for confounding factors in assessing the incidence of Clavien-Dindo grade ≥ III (C-D ≥ III) complications. The incidence of C-D ≥ III complications was higher in the non-infant group (46.2%) than in the infant group (12.5%) (odds ratio 6.00, 95% confidence interval [CI] 1.13-31.88, p=0.03). In multivariate analysis using the Cox regression model, the Graft-to-Recipient Weight Ratio (GRWR) was independently associated with the incidence of C-D ≥ III complications (hazard ratio [HR] 0.62, 95%CI 0.40-0.95, p=0.03), but being an infant was not (HR 0.84, 95%CI 0.35-1.98, p=0.68). In conclusion, the incidence of C-D ≥ III complications was higher in the non-infant group than in the infant group, but this was largely a function of GRWR: multivariate analysis revealed that GRWR was independently associated with complications.
Keywords pediatric liver transplantation postoperative severe complications Graft-to-Recipient Weight Ratio
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 323
End Page 330
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198986
Web of Science KeyUT 001310576400003
JaLCDOI 10.18926/AMO/67547
FullText URL 78_4_313.pdf
Author Eto, Eriko| Maki, Jota| Yamashita, Noriyuki| Hasegawa, Toru| Suemori, Ayano| Nakato, Hikari| Oba, Hikaru| Mitoma, Tomohiro| Mishima, Sakurako| Kirino, Satoe| Ohira, Akiko| Masuyama, Hisashi|
Abstract During the coronavirus pandemic, face-to-face simulation education became impossible. Therefore, we aimed to develop remote-access simulation education with a sense of realism through Information and Communication Technology (ICT) using a perinatal whole-body management and delivery simulator. In September 2021, we administered a multi-center simultaneous remote simulation based on our developed model. Ten universities in the Chugoku–Shikoku region were connected via a web-conferencing system to a live broadcast of a virtual vaginal birth in which a fictional hospitalized pregnant woman experienced accelerated labor and gave birth through vacuum delivery for fetal distress. A Video on Demand (VOD) was made beforehand using a new simulator that allowed for a visual understanding of the process of the inter-vaginal examination. We provided a participatory program that enhanced the sense of realism by combining VOD and real-time lectures on each scenario, with two-way communication between participants and trainee doctors using a chat function. Most participants answered “satisfied” or “very satisfied” with the content, level of difficulty, and level of understanding. From November 2021, we have used the videos of all processes in face-to-face classes. Our construction of a high-flexibility education system using remote simulation in the field of obstetrics and gynecology, especially in the vaginal delivery module, is unique, creative, and sustainable.
Keywords remote simulator education perinatal simulator information and communication technology high-flexibility education
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 313
End Page 322
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198985
Web of Science KeyUT 001310576400002
JaLCDOI 10.18926/AMO/67546
FullText URL 78_4_307.pdf
Author Sugihara, Naoya| Hashine, Katsuyoshi| Yamashita, Natsumi| Sakamoto, Miki| Terashita, Masato| Funaki, Keisuke| Saiki, Kaori| Sawada, Takatora| Kakuda, Toshio| Nishimura, Kenichi| Fukumoto, Tetsuya| Miura, Noriyosi| Miyauchi, Yuki| Kikugawa, Tadahiko| Saika, Takashi|
Abstract The Briganti nomogram (cut-off value 5%) is commonly used to determine the indications for pelvic lymph node dissection (PLND) in patients with prostate cancer. We retrospectively analyzed the potential oncological benefit of PLND based on the 5% cut-off value on the Briganti nomogram. We obtained the data from the Medical Investigation Cancer Network (MICAN) Study, which included 3,463 patients who underwent a radical prostatectomy (RP) at nine institutions in Japan between 2010 and 2020. We included patients with Briganti scores ≥ 5% and a follow-up period ≥6 months and excluded patients categorized in the very high-risk group (based on NCCN categories); a final total of the cases of 1,068 patients were analyzed. The biochemical recurrence (BCR)-free survival was significantly worse in the patients who underwent PLND compared to those who did not (p=0.019). A multivariate analysis showed that high prostate-specific antigen (PSA) levels (p<0.001) and an advanced T-stage (p=0.018) were significant prognostic factors for BCR, whereas PLND had no effect on BCR (p=0.059). Thus, PLND in patients with prostate cancer whose Briganti score was 5% did not provide any oncological benefit. Further research is necessary to determine the indication criteria for conducting PLND.
Keywords Briganti nomogram pelvic lymph node dissection prostate cancer radical prostatectomy
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 307
End Page 312
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198984
Web of Science KeyUT 001310576400001
FullText URL fulltext.pdf
Author Yumoto, Tetsuya| Hongo, Takashi| Obara, Takafumi| Ageta, Kohei| Aokage, Toshiyuki| Tsukahara, Kohei| Nakao, Atsunori| Naito, Hiromichi|
Keywords clinical conference end-of-life care ICU rounds multidisciplinary team meetings
Published Date 2024-07-24
Publication Title Journal of Clinical Medicine
Volume volume13
Issue issue15
Publisher MDPI
Start Page 4324
ISSN 2077-0383
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 by the authors.
File Version publisher
PubMed ID 39124591
DOI 10.3390/jcm13154324
Web of Science KeyUT 001287177900001
Related Url isVersionOf https://doi.org/10.3390/jcm13154324
FullText URL fulltext.pdf
Author Tsuge, Mitsuru| Ichihara, Eiki| Hasegawa, Kou| Kudo, Kenichiro| Tanimoto, Yasushi| Nouso, Kazuhiro| Oda, Naohiro| Mitsumune, Sho| Kimura, Goro| Yamada, Haruto| Takata, Ichiro| Mitsuhashi, Toshiharu| Taniguchi, Akihiko| Tsukahara, Kohei| Aokage, Toshiyuki| Hagiya, Hideharu| Toyooka, Shinichi| Tsukahara, Hirokazu| Maeda, Yoshinobu|
Keywords novel coronavirus disease 2019 pneumonia hydroperoxide nitric oxide reactive oxygen species citrulline arginine asymmetric dimethylarginine
Published Date 2024-07-31
Publication Title International Journal of Molecular Sciences
Volume volume25
Issue issue15
Publisher MDPI
Start Page 8370
ISSN 1661-6596
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 by the authors.
File Version publisher
PubMed ID 39125944
DOI 10.3390/ijms25158370
Web of Science KeyUT 001286890700001
Related Url isVersionOf https://doi.org/10.3390/ijms25158370
FullText URL fulltext.pdf
Author Nishihara, Takahiro| Takaya, Yoichi| Nakayama, Rie| Yoshida, Yu| Toh, Norihisa| Miyoshi, Toru| Nakamura, Kazufumi| Yuasa, Shinsuke|
Keywords echocardiography prognosis right atrial function tricuspid regurgitation
Published Date 2024-08-02
Publication Title ESC Heart Failure
Volume volume11
Issue issue6
Publisher Wiley
Start Page 4019
End Page 4027
ISSN 2055-5822
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 The Authors.
File Version publisher
PubMed ID 39092803
DOI 10.1002/ehf2.14846
Web of Science KeyUT 001283015200001
Related Url isVersionOf https://doi.org/10.1002/ehf2.14846
FullText URL fulltext.pdf
Author Feng, Yue| Li, Zhenhua| Li, Xiaoyi| Shen, Lili| Liu, Xueyang| Zhou, Cuicui| Zhang, Jinyang| Sang, Min| Han, Guangye| Yang, Wenqiang| Kuang, Tingyun| Wang, Wenda| Shen, Jian-Ren|
Published Date 2023-10-25
Publication Title Science Advances
Volume volume9
Issue issue43
Publisher American Association for the Advancement of Science
Start Page eadi8446
ISSN 2375-2548
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2023 The Authors
File Version publisher
PubMed ID 37878698
DOI 10.1126/sciadv.adi8446
Web of Science KeyUT 001261640600010
Related Url isVersionOf https://doi.org/10.1126/sciadv.adi8446
FullText URL fulltext.pdf
Author Shien, Tadahiko| Tsuda, Hitoshi| Sasaki, Keita| Mizusawa, Junki| Akiyama, Futoshi| Kurosumi, Masafumi| Sawaki, Masataka| Tamura, Nobuko| Tanaka, Kiyo| Kogawa, Takahiro| Takahashi, Mina| Hayashi, Naoki| Mukai, Hirofumi| Masuda, Norikazu| Hara, Fumikata| Iwata, Hiroji|
Keywords Breast cancer Neoadjuvant chemoradiotherapy Pathological therapeutic effect Specimen sampling method
Note The version of record of this article, first published in Breast Cancer Research and Treatment, is available online at Publisher’s website: http://dx.doi.org/10.1007/s10549-024-07408-5|
Published Date 2024-06-27
Publication Title Breast Cancer Research and Treatment
Volume volume208
Publisher Springer Science and Business Media LLC
Start Page 145-
End Page 154
ISSN 0167-6806
NCID AA10623184
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © The Author(s) 2024
File Version publisher
PubMed ID 38935214
DOI 10.1007/s10549-024-07408-5
Web of Science KeyUT 001256954600001
Related Url isVersionOf https://doi.org/10.1007/s10549-024-07408-5
FullText URL papyrus_030_12_18.pdf
Author 山野 定寿|
Abstract  教科書(清水:2020)の三角形の指導計画では、頂点から底辺上に高さがない鈍角三角形は、平行四辺形の中の「高さが外にあるときの面積の求め方」で、また、1組の平行線を用いて面積が等しいことを説明する活動は、単元の後半の「面積の求め方の工夫」で指導することになっている。筆者は、この2点を「三角形の面積」に統合した新たな指導計画を作成して授業実践を行い、この効果を分析することにした。授業実践の結果、「三角形の面積」に統合した新たな指導計画は、三角形の学習を主体的なものにするばかりでなく、平行四辺形の理解を容易にすることが分かった。
Keywords 鈍角三角形 平行線 指導計画
Publication Title 岡山大学算数・数学教育学会誌 : パピルス
Published Date 2024-02-14
Volume volume30
Start Page 12
End Page 18
ISSN 1341-3155
language Japanese
File Version publisher
JaLCDOI 10.18926/AMO/67207
FullText URL 78_3_301.pdf
Author Nakazaki, Kiyoshi| Hirai, Satoshi| Hishikawa, Tomohito|
Abstract We report a case of a large vestibular schwannoma in an 80-year-old female patient that shrank after palliative Gamma Knife radiosurgery (GKS). Neurological symptoms included hearing deterioration and facial palsy. The tumor volume was 21.9 mL. Craniotomy was considered high-risk, and conventional GKS was risky, owing to the risk of transient enlargement. Therefore, GKS was performed on only a portion of the tumor. The marginal dose (12 Gy) volume was 3.8 mL (17.4%). The tumor began to shrink after transient enlargement. Sixty months later, the tumor volume was only 3.1 mL, and the patient was able to maintain independent activities of daily living without salvage treatment.
Keywords vestibular schwannoma Gamma Knife radiosurgery large volume palliative elderly patient
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 301
End Page 306
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902220
Web of Science KeyUT 001267340600001
JaLCDOI 10.18926/AMO/67205
FullText URL 78_3_291.pdf
Author Minagi, Hitoshi| Aoki, Hideki| Doita, Susumu| Miyake, Eiki| Ogawa, Toshihiro| Taniguchi, Fumitaka| Watanabe, Megumi| Arata, Takashi| Katsuda, Koh| Tanakaya, Kohji|
Abstract In the clinical course of malignant melanoma, which can metastasize to multiple organs, gallbladder metastases are rarely detected. A 69-year-old man who underwent resection of a primary malignant melanoma was subsequently treated with nivolumab for lung metastases and achieved complete response. Seven years after surgery, multiple nodules were found in the gallbladder, and he underwent laparoscopic cholecystectomy. The postoperative diagnosis was metastases of malignant melanoma. He has been recurrence-free 8 months after surgery. If radical resection is possible, such surgery should be performed for gallbladder metastases found in patients with other controlled lesions of malignant melanoma.
Keywords malignant melanoma gallbladder metastasis laparoscopic cholecystectomy
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 291
End Page 294
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902218
Web of Science KeyUT 001267351900003
JaLCDOI 10.18926/AMO/67204
FullText URL 78_3_285.pdf
Author Hirano, Shuichiro| Otani, Yoshihiro| Fujii, Kentaro| Date, Isao|
Abstract Organized chronic subdural hematoma (OCSDH) is a relatively rare condition that forms over a longer period of time compared to chronic subdural hematoma and is sometimes difficult to diagnose with preoperative imaging. We resected an intracranial lesion in a 37-year-old Japanese man; the lesion had been increasing in size for >17 years. The preoperative diagnosis based on imaging findings was meningioma; however, pathological findings revealed OCSDH. Clinicians should be aware that OCSDH mimics other tumors and consider surgical strategies for this disease.
Keywords meningioma organized chronic subdural hematoma
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 285
End Page 290
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902217
Web of Science KeyUT 001267351900002
JaLCDOI 10.18926/AMO/67202
FullText URL 78_3_271.pdf
Author Ye, Mengjiao| Zhang, Renwei|
Abstract We investigated how humidified high-flow nasal cannula oxygen therapy (HFNC) with a pulmonary infection control (PIC) window as a ventilation switching indication in combination with atomizing inhalation of terbutaline affects the lung function of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). We examined 140 hospitalized AECOPD patients randomized to control and observation groups. Conventional supportive therapy and invasive mechanical ventilation with tracheal intubation were conducted in both groups, with a PIC window as the indication for ventilation switching. Noninvasive positive pressure ventilation (NIPPV) plus atomizing inhalation of terbutaline was used in the control group. In the observation group, HFNC combined with atomizing inhalation of terbutaline was used. Compared to the control group, after 48-hr treatment and treatment completion, the observation group had significantly increased levels of lung function indicators (maximal voluntary ventilation [MVV] plus forced vital capacity [FVC], p<0.05) and oxygen metabolism indicators (arterial oxygen partial pressure [PaO2], arterial oxygen content [CaO2], and oxygenation index, p<0.05). The comparison of the groups revealed that the levels of airway remodeling indicators (matrix metalloproteinase-2 [MMP-2], tissue inhibitor of metalloproteinase 2 [TIMP-2] plus MMP-9) and inflammatory indicators (interferon gamma [IFN-γ] together with interleukin-17 [IL-17], IL-10 and IL-4) were significantly lower after 48 h of treatment as well as after treatment completion (both p<0.05). These results demonstrate that HFNC with a PIC window as the indication for ventilation switching combined with atomizing inhalation of terbutaline can relieve the disorder of oxygen metabolism and correct airway hyper-reactivity.
Keywords chronic obstructive pulmonary disease inhalation oxygen therapy pulmonary function ventilation
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 271
End Page 279
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902215
Web of Science KeyUT 001267351000008
JaLCDOI 10.18926/AMO/67201
FullText URL 78_3_259.pdf
Author Vural, Gonul| Demir, Esra| Gumusyayla, Sadiye| Eren, Funda| Barakli, Serdar| Neselioglu, Salim| Erel, Ozcan|
Abstract The aim of this study is to investigate the relationship of the lipid profile, dysfunctional high-density lipoprotein, ischaemia-modified albumin and thiol–disulfide homeostasis with cognitive impairment, fatigue and sleep disorders in patients with multiple sclerosis. The cognitive functions of patients were evaluated with the Brief International Cognitive Assessment for Multiple Sclerosis battery. Fatigue was evaluated with the Fatigue Severity Scale and the Fatigue Impact Scale. The Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale were used to assess patients’ sleep disturbance. Peripheral blood samples were collected, and lipid levels and myeloperoxidase and paraoxonase activity were measured. The myeloperoxidase/paraoxonase ratio, which indicates dysfunctional high-density lipoprotein, was calculated. Thiol–disulfide homeostasis and ischaemia-modified albumin were measured.
We did not identify any relationship between dysfunctional high-density lipoprotein and the physical disability, cognitive decline, fatigue and sleep problems of multiple sclerosis. Thiol–disulfide homeostasis was associated with cognitive scores. The shift of the balance towards disulfide was accompanied by a decrease in cognitive scores. On the other hand, we did not detect any relationship between fatigue and sleep disorders and thiol–disulfide homeostasis. Our findings revealed a possible correlation between cognitive dysfunction and thiol–disulfide homeostasis in multiple sclerosis patients.
Keywords multiple sclerosis dysfunctional HDL thiol–disulfide homeostasis cognitive decline
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 259
End Page 270
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902214
Web of Science KeyUT 001267351000007
JaLCDOI 10.18926/AMO/67200
FullText URL 78_3_251.pdf
Author Murofushi, Koji| Mitomo, Sho| Hirohata, Kenji| Furuya, Hidetaka| Katagiri, Hiroki| Kaneoka, Koji| Yagishita, Kazuyoshi|
Abstract There have been few investigations into the effectiveness of thoracic spine exercises for improving thoracic range of motion (ROM) in any plane. This study assessed the effectiveness of two thoracic spine exercises: one in the quadruped position and one in the thoracic standing position. We determined how these exercises affect thoracic spine mobility ROM over a 2-week intervention period. Thirty-nine healthy participants were enrolled and assigned to a Quadruped Thoracic Rotation group (n=17 participants: 9 females and 8 males) or Flamenco Thoracic Spine Rotation group (n=22: 14 females and 8 males). All participants were administered a KOJI AWARENESSTM screening test, and the initial thoracic spine ROM before intervention exercise was measured in a laboratory setting. Quadruped Thoracic Rotation was performed as the quadruped exercise and Flamenco Thoracic Spine Rotation as the standing exercise. The KOJI AWARENESSTM thoracic spine test and ROM were evaluated on the day after the first exercise session and again after the program. Despite their different approaches to thoracic mobility, the quadruped exercise and standing exercise achieved equivalent improvement in thoracic ROM after 2 weeks. Practitioners have a range of exercise options for enhancing thoracic mobility based on their environmental or task-specific needs.
Keywords thoracic spine thoracic rotation range of motion exercise intervention
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 251
End Page 258
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902213
Web of Science KeyUT 001267351000006
JaLCDOI 10.18926/AMO/67199
FullText URL 78_3_245.pdf
Author Akagawa, Manabu| Saito, Hidetomo| Takahashi, Yasuhiro| Iwamoto, Yosuke| Iida, Junpei| Yoshikawa, Takayuki| Abe, Toshiki| Saito, Kimio| Kijima, Hiroaki| Kasukawa, Yuji| Hongo, Michio| Miyakoshi, Naohisa|
Abstract Although several studies have suggested a possible association between sarcopenia and knee osteoarthritis (OA) in the elderly, there remains no definitive evidence. Recently, however, the serum creatinine/cystatin C ratio (sarcopenia index: SI) was reported to correlate with skeletal muscle mass. The present retrospective study therefore investigated the impact of reduced skeletal muscle mass on advanced knee OA using SI. In 55 individuals scheduled for knee osteotomy or knee arthroplasty, correlations between SI and patient-reported outcomes such as the Knee Society Score (KSS), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Oxford Knee Score (OKS) were explored. Significant associations were found between SI and the KSS functional activity score (β=0.37; p=0.022), KOOS subscale for activities of daily living (β=0.42; p=0.0096), and OKS (β=0.42; p=0.0095). This study underscores the role of reduced muscle mass in functional outcomes and introduces SI as a valuable marker for assessing muscle loss in knee OA patients.
Keywords knee osteoarthritis sarcopenia index reduced muscle mass activities of daily living functional activity
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 245
End Page 250
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902212
Web of Science KeyUT 001267351000005
JaLCDOI 10.18926/AMO/67198
FullText URL 78_3_237.pdf
Author Muraoka, Osamu| Imai, Norio| Kuraishi, Tatsuya| Imai, Makoto| Fukuhara, Takashi| Yoshimine, Toshifumi|
Abstract Fracture liaison services (FLS) have been introduced in Japan and several other countries to reduce medical complications and secondary fractures. We aimed to evaluate the effects of the implementation of an FLS approach on patient outcomes during hospitalization at our hospital and over a 2-year follow-up post-injury. This retrospective cohort study included patients ≥ 60 years admitted to our hospital for hip fragility fractures between October 1, 2016, and July 31, 2020. Patient groups were defined as those treated before (control group, n=238) and after (FLS group, n=196) establishment of the FLS protocol at our institution. The two groups were compared in terms of time to surgery, length of hospital stay, and the incidence of complications after admission, including secondary hip fracture and mortality rates. The follow-up period was 24 months. FLS focuses on early surgery within 48 h of injury and assessing osteoporosis treatment before injury to guide post-discharge anti-osteoporosis medication. FLS reduced the length of hospital stay (p<0.001) and the prevalence of complications after admission (p<0.001), particularly cardiovascular disease, and it increased adherence to anti-osteoporosis medication. These FLS effects resulted in lower secondary hip fracture and mortality rates at 12 and 24 months post-injury. FLS for fragility hip fractures can improve patient outcomes during hospitalization and over a 2-year follow-up period.
Keywords fracture liaison services complications after admission secondary hip fracture mortality
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-06
Volume volume78
Issue issue3
Publisher Okayama University Medical School
Start Page 237
End Page 243
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 38902211
Web of Science KeyUT 001267351000004