Fukuoka igaku zasshi = Hukuoka acta medica最新文献_第5页

Long-Term Results of a Hybrid Revascularization Procedure for Peripheral Arterial Disease. 外周动脉疾病混合型血运重建术的长期疗效。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-09-01 DOI: 10.15017/1544197

Jun Okadome, Takuya Matsumoto, Y. Aoyagi, Daisuke Matsuda, Shinichi Tanaka, Eisuke Kawakubo, R. Kyuragi, K. Morisaki, Kenichi Homma, K. Iwasa, T. Ohmine, A. Guntani, Ryota Fukunaga, Y. Maehara

{"title":"Long-Term Results of a Hybrid Revascularization Procedure for Peripheral Arterial Disease.","authors":"Jun Okadome, Takuya Matsumoto, Y. Aoyagi, Daisuke Matsuda, Shinichi Tanaka, Eisuke Kawakubo, R. Kyuragi, K. Morisaki, Kenichi Homma, K. Iwasa, T. Ohmine, A. Guntani, Ryota Fukunaga, Y. Maehara","doi":"10.15017/1544197","DOIUrl":"https://doi.org/10.15017/1544197","url":null,"abstract":"OBJECTIVE\u0000To evaluate the efficacy of hybrid procedure for peripheral arterial disease (PAD), we compared the cases treated using the hybrid procedure with those treated using open revascularization (bypass alone) in our facilities.\u0000\u0000\u0000MATERIALS AND METHODS\u0000We retrospectively reviewed 204 patients who underwent revascularization for PAD between 2007 and 2013. We divided the patients into two groups based on the type of procedure. Group 1 included patients who underwent the hybrid procedure, that is, doing endovascular therapy (EVT) either femoral or iliac resion and added the bypass procedure (infragenicular vein bypass) to the below knee artery, and group 2 included patients who underwent only bypass procedure (used autovein), that is, central anastomotic region was femoral artery region and peripheral anastomotic region was below knee artery. We evaluated various factors between the two groups, including the primary patency rate, secondary patency rate, amputation-free survival rate, and determined the efficacy of the hybrid procedure for PAD.\u0000\u0000\u0000RESULTS\u0000In the patient's characteristics, there was significant difference between the two groups in the cases with cerebrovascular disease, only (p = 0.03). There were no significant differences in the primary or secondary patency rates, and the amputation-free survival rate.\u0000\u0000\u0000CONCLUSIONS\u0000Primary patency rate, secondary patency rate, and amputation-free survival rate of the hybrid procedure were comparable to those of bypass (alone) procedure. The hybrid procedure is therefore an acceptable strategy for patients with PAD.","PeriodicalId":12665,"journal":{"name":"Fukuoka igaku zasshi = Hukuoka acta medica","volume":"19 1","pages":"254-61"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78795115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Novel Surgical Skill Evaluation with Reference to Two-handed Coordination. 参考双手协调的新手术技能评价。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-07-01

Munenori Uemura, Kazuhito Sakata, Morimasa Tomikawa, Yoshihiro Nagao, Kenoki Ohuchida, Satoshi Ieiri, Tomohiko Akahoshi, Makoto Hashizume

{"title":"Novel Surgical Skill Evaluation with Reference to Two-handed Coordination.","authors":"Munenori Uemura, Kazuhito Sakata, Morimasa Tomikawa, Yoshihiro Nagao, Kenoki Ohuchida, Satoshi Ieiri, Tomohiko Akahoshi, Makoto Hashizume","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: We evaluated the differences in instrument manipulation skills between expert laparoscopic surgeons and novices.Methods: Six expert surgeons who had performed more than 500 laparoscopic surgeries and one skilled instructor at Kyushu University Training Center for Minimally Invasive Surgery, and 20 medical students who had experienced no laparoscopic surgery were enrolled. A new skill assessment task was designed using zippers on an unstable, mobile platform in a box trainer. The examinees were asked to close the zippers, while trying to avoid moving the platform. The path lengths of the tips of the instruments and of the platform were measured, and the performance time was also recorded. Surgical skill score was calculated from the correlation between the path lengths of the instruments and that of the platform, in addition to the performance time.Results: The path lengths of the tips of both instruments and of the platform were significantly shorter in the experts than in the novices (all p < 0.05). The performance time was also significantly shorter for experts than novices (p < 0.05). The surgical skill score was significantly higher for experts than novices (p < 0.01).Conclusion: The differences in the instrument manipulation skills between expert laparoscopic surgeons and novices could therefore be evaluated using our surgical skill scoring system.","PeriodicalId":12665,"journal":{"name":"Fukuoka igaku zasshi = Hukuoka acta medica","volume":"106 7","pages":"213-22"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34254447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Survival with Collateral Circulation after Gastrointestinal Ischemia Caused by Aortic Dissection: A Case Report. 主动脉夹层引起胃肠缺血后伴侧支循环存活1例。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-07-01

Eiji Kusumoto, Kazuya Endo, Mitsuhiko Ota, Norifumi Tsutsumi, Kenkichi Hashimoto, Akinori Egashira, Yoshihisa Sakaguchi, Tetsuya Kusumoto, Koji Ikejiri

{"title":"Survival with Collateral Circulation after Gastrointestinal Ischemia Caused by Aortic Dissection: A Case Report.","authors":"Eiji Kusumoto, Kazuya Endo, Mitsuhiko Ota, Norifumi Tsutsumi, Kenkichi Hashimoto, Akinori Egashira, Yoshihisa Sakaguchi, Tetsuya Kusumoto, Koji Ikejiri","doi":"","DOIUrl":"","url":null,"abstract":"We report a case of a 43-year-old man who presented with gradually intensifying abdominal pain of acute onset and was shown by contrast-enhanced computed tomography (CT) examination to have acute aortic dissection (Stanford type B). A diagnosis of gastrointestinal necrosis was made and he underwent emergency surgery. At laparoscopy, he was found to have no superior mesenteric arterial pulse and intestinal necrosis from the upper jejunum to the right transverse colon. Resection of the superior mesenteric artery (SMA) perfusion area was performed. Postoperatively, ischemia in the perfusion area of the celiac artery was also diagnosed, manifesting as gallbladder necrosis, portal vein gas accompanying gastric wall necrosis, perforation of the remaining upper jejunum, and hepatic and splenic infarction. However, development of a collateral circulation originating in the left colic branch of the inferior mesenteric artery (IMA) enabled retrograde provision of blood to the celiac artery through the SMA pancreaticoduodenal arcade. Thus, in this case, spontaneous development of a natural bypass created a new route for arterial perfusion, contributing to the patient's survival. When ischemia of the celiac artery and SMA perfusion areas occur, collateral circulation can develop from the IMA.","PeriodicalId":12665,"journal":{"name":"Fukuoka igaku zasshi = Hukuoka acta medica","volume":"106 7","pages":"223-9"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34254450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Avulsion Fracture of the Tibial Tuberosity Requiring Meniscal Repair: A Case Report. 胫骨粗隆撕脱骨折需半月板修复一例报告。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-06-01

Naohide Takeuchi, Kousuke Sasaki, Takao Mae, Yukihide Iwamoto

引用次数: 0

[The Epidemiology of Gastric Cancer: The Hisayama Study]. 胃癌的流行病学:Hisayama研究。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-06-01

Fumie Ikeda, Yutaka Kiyohasa

引用次数: 0

Avulsion Fracture of the Tibial Tuberosity Requiring Meniscal Repair: A Case Report. 胫骨粗隆撕脱骨折需半月板修复一例报告。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-06-01 DOI: 10.15017/1518484

N. Takeuchi, K. Sasaki, T. Mae, Y. Iwamoto

引用次数: 2

[An Autopsy Case of Abnormal Behaviour Induced by Zolpidem]. 唑吡坦致异常行为尸检一例

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-06-01

Yosuke Usumoto, Keiko Kudo, Naomi Sameshima, Kazuo Sato, Akiko Tsuji, Noriaki Ikeda

{"title":"[An Autopsy Case of Abnormal Behaviour Induced by Zolpidem].","authors":"Yosuke Usumoto, Keiko Kudo, Naomi Sameshima, Kazuo Sato, Akiko Tsuji, Noriaki Ikeda","doi":"","DOIUrl":"","url":null,"abstract":"Zolpidem is a widely used ultrashort-acting non-benzodiazepine in clinical practice; compared with benzodiazepines, it does not have side effects such as daytime hangover, rebound insomnia, and development of tolerance. We report an autopsy case of abnormal behaviour induced by zolpidem. A man in his 60's had suffered from postherpetic neuralgia about 2 months ago and had been prescribed zolpidem for insomnia. According to his family, he had no memory of his actions such as striking a wall, taking his futon outside, and eating 5 times a day after he took zolpidem. Because his postherpetic neuralgia did not improve, he was hospitalized and treated with an epidural block. During hospitalization, he took off his clothes, removed the epidural block catheter by himself, and slept on others' beds. He disappeared from the hospital one day; the next day, he was found dead in a narrow water storage tank 10 km away from the hospital. He was thought to have driven a car by himself to reach the place. Forensic autopsy revealed that the cause of death was drowning. Zolpidem and several other drugs were detected by toxicological analysis of his blood; the concentrations of these drugs were within therapeutic range. There are several reports about somnambulism induced by zolpidem such as sleepwalking, sleep driving, and eating. Considering the strange episodes following zolpidem administration, his behaviour on the day of his death was considered abnormal behaviour induced by zolpidem.","PeriodicalId":12665,"journal":{"name":"Fukuoka igaku zasshi = Hukuoka acta medica","volume":"106 6","pages":"202-5"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34121689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metabolomics of Salivary Biomarkers in Yusho Patients. 玉树患者唾液生物标志物代谢组学研究

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-05-25 DOI: 10.15017/1518359

G. Kawasaki, Yoko Ichikawa, I. Yoshitomi, M. Umeda

引用次数: 5

[Anti- SSA/Ro and Anti-SSB/ La Antibodies in Patients with Yusho]. [抗SSA/Ro和抗ssb / La抗体在玉露患者中的应用]。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-05-01 DOI: 10.1007/978-3-211-79280-3_69

H. Tsuji

引用次数: 0

[Relationships between Half-Lives of Dioxins and SNPs in AhR among Yusho Patients]. [二恶英半衰期与鱼穗患者AhR中snp的关系]。

Fukuoka igaku zasshi = Hukuoka acta medica Pub Date : 2015-05-01

Shinya Matsumoto, Manabu Akahane, Yoshiyuki Kanagawa, Jumboku Kajiwara, Kiyomi Tsukimori, Norio Wake, Chikage Mitoma, Hiroshi Uchi, Masutaka Furue, Tomoaki Imamura

引用次数: 0