Fujita Medical Journal最新文献_第8页

Primary sclerosing cholangitis with partial steroid responsiveness: a case report. 原发性硬化性胆管炎伴部分类固醇反应1例。

Fujita Medical Journal Pub Date : 2023-05-01 DOI: 10.20407/fmj.2022-012

Satoshi Yamamoto, Kazuo Inui, Yoshiaki Katano, Hironao Miyoshi, Kenji Notohara

{"title":"Primary sclerosing cholangitis with partial steroid responsiveness: a case report.","authors":"Satoshi Yamamoto, Kazuo Inui, Yoshiaki Katano, Hironao Miyoshi, Kenji Notohara","doi":"10.20407/fmj.2022-012","DOIUrl":"https://doi.org/10.20407/fmj.2022-012","url":null,"abstract":"A 69-year-old woman suspected to have IgG4-related sclerosing cholangitis causing bile duct stenosis was transferred from another hospital after diarrhea, eosinophilia, and eosinophilic infiltration were detected and prednisolone was prescribed. Additional biliary imaging suggested primary sclerosing cholangitis, but the IgG4 level and inferior bile duct stenosis were alleviated by steroid therapy, suggesting IgG4-related sclerosing cholangitis. Therefore, prednisolone was continued. Bile duct biopsy findings suggesting adenocarcinoma led to a diagnosis of pancreatoduodenectomy. The latter specimen only displayed evidence of primary sclerosing cholangitis, and prednisolone was discontinued. Intractable cholangitis necessitated left hepatectomy, after which serum alkaline phosphatase levels increased and eosinophilic colitis recurred. The reintroduction of prednisolone effectively managed the diarrhea but only temporarily reversed the alkaline phosphatase elevation. When histologic sections from resection specimens were compared, the hepatectomy specimen exhibited greater eosinophil infiltration than the earlier pancreatoduodenectomy specimen, suggesting eosinophilic cholangiopathy superimposed on primary sclerosing cholangitis.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 2","pages":"154-159"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare recurrence of a multilocular cystic leiomyoma following myomectomy. 子宫肌瘤切除术后罕见的多房囊性平滑肌瘤复发。

Fujita Medical Journal Pub Date : 2023-05-01 DOI: 10.20407/fmj.2022-013

Eiji Nishio, Yoshiko Sakabe, Takuma Fujii

{"title":"Rare recurrence of a multilocular cystic leiomyoma following myomectomy.","authors":"Eiji Nishio, Yoshiko Sakabe, Takuma Fujii","doi":"10.20407/fmj.2022-013","DOIUrl":"https://doi.org/10.20407/fmj.2022-013","url":null,"abstract":"Multilocular cystic leiomyomas rarely develop following myomectomy. To the best of our knowledge, there are no published reports on recurrent multilocular cystic leiomyoma following myomectomy. We here present such a case. A 45-year-old woman visited our outpatient clinic because of heavy vaginal bleeding. She underwent laparoscopic myomectomy for a solid mass in the uterine cavity. Subsequent pathological examination of the operative specimen revealed a tumour with well-demarcated borders and spindle cells arranged in intersecting fascicles. Seven days postoperatively, ultrasonography revealed a cystic lesion. Magnetic resonance imaging performed 28 months postoperatively revealed a large, well-defined, multilocular cystic mass that was homogeneously hyperintense on T2-weighted images on the exterior of the uterus. Abdominal hysterectomy was performed. On pathological examination of the operative specimen, she was found to have a leiomyoma with marked cystic degeneration. Incomplete excision of a multilocular cystic leiomyoma may result in recurrence in the form of a large cystic mass. Clinical differentiation between a multilocular cystic leiomyoma and an ovarian tumour may be difficult. Complete resection of a uterine multilocular cystic lesion prevents recurrence.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 2","pages":"160-162"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Importance of correcting alar base ptosis during primary cleft lip repair. 原发性唇裂修复中鼻翼基部下垂矫正的重要性。

Fujita Medical Journal Pub Date : 2023-05-01 DOI: 10.20407/fmj.2022-014

Maki Inukai, Yoshikazu Inoue, Yoshimi Sano, Satoko Onishi, Takayuki Okumoto, Ichiro Uyama

{"title":"Importance of correcting alar base ptosis during primary cleft lip repair.","authors":"Maki Inukai, Yoshikazu Inoue, Yoshimi Sano, Satoko Onishi, Takayuki Okumoto, Ichiro Uyama","doi":"10.20407/fmj.2022-014","DOIUrl":"https://doi.org/10.20407/fmj.2022-014","url":null,"abstract":"Objectives: Until 1999 at our hospital, primary cleft lip repair was performed by the straight-line method and external rhinoplasty was performed by the inverted trapezoidal suture method with bilateral reverse-U incisions for children with cleft lip and palate. Subsequently, repeated surgical corrections of the external nasal morphology became necessary during the growth period, often with unsatisfactory results because repeated external rhinoplasty results in a stronger scar contracture. From 2000 to 2004, we performed external rhinoplasty after patients had stopped growing; however, delaying surgery created a psychological burden for patients. Therefore, since 2005, we have focused on improving alar base ptosis and forming the nostril sill during the primary surgery. This study was performed to subjectively and objectively evaluate whether the current surgical method or the earlier technique produces a better treatment outcome.Methods: We subjectively and objectively evaluated alar base asymmetry after primary cleft lip repair but before bone grafting for alveolar cleft repair. For the objective evaluation, we measured the angle of alar base ptosis in frontal view photographs taken at the age of 6 or 7 years in patients who underwent repair before 1999 (Group A) and after 2005 (Group B).Results: The median angle was 2.75° in Group A and 1.50° in Group B, demonstrating a significant difference (P=0.04).Conclusions: The current surgical method, which reflects our focus on improving alar base ptosis and forming the nostril sill, subjectively and objectively improved the external nasal morphology.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 2","pages":"121-125"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9881550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea. 日本阻塞性睡眠呼吸暂停患者坚持持续气道正压治疗的自我效能感和结果预期的相关性

Fujita Medical Journal Pub Date : 2023-05-01 DOI: 10.20407/fmj.2022-015

Shigeko Kojima, Ayako Saito, Fumihiko Sasaki, Masamichi Hayashi, Yuki Mieno, Hiroki Sakakibara, Shuji Hashimoto

{"title":"Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea.","authors":"Shigeko Kojima, Ayako Saito, Fumihiko Sasaki, Masamichi Hayashi, Yuki Mieno, Hiroki Sakakibara, Shuji Hashimoto","doi":"10.20407/fmj.2022-015","DOIUrl":"https://doi.org/10.20407/fmj.2022-015","url":null,"abstract":"Objective: To examine the associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure (CPAP) therapy among Japanese men with obstructive sleep apnea (OSA) using objective adherence data for CPAP therapy.Methods: We conducted a retrospective study of 497 Japanese men with OSA who were receiving CPAP therapy. Good adherence was defined as CPAP use of ≥4 hours per night for ≥70% of nights. Logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations of good adherence to CPAP therapy with self-efficacy and outcome expectancy (measured with the CPAP Self-Efficacy Questionnaire for Sleep Apnea in Japanese). The models were adjusted for age, duration of CPAP therapy, body mass index, apnea-hypopnea index, Epworth Sleepiness Scale score, and comorbidities (diabetes mellitus and hypertension).Results: In total, 53.5% of participants had good adherence to CPAP therapy. The mean CPAP use was 5.18±1.53 hours/night. After adjusting for related factors, we found significant associations of good adherence to CPAP therapy with self-efficacy scores (OR, 1.10; 95% CI, 1.05-1.13; p<0.001) and outcome expectancy scores (OR, 1.10; 95% CI, 1.02-1.15; p=0.007).Conclusions: Our results indicate that self-efficacy and outcome expectancy are associated with good adherence to CPAP therapy among Japanese men with OSA.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 2","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9881553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simulated medical information system: education for aspiring healthcare information technologists. 模拟医疗信息系统:对有抱负的医疗信息技术人员的教育。

Fujita Medical Journal Pub Date : 2023-02-01 DOI: 10.20407/fmj.2021-022

Koichi Muto, Soichiro Koyama, Shigeo Tanabe, Hiroaki Sakurai, Yoshikiyo Kanada

{"title":"Simulated medical information system: education for aspiring healthcare information technologists.","authors":"Koichi Muto, Soichiro Koyama, Shigeo Tanabe, Hiroaki Sakurai, Yoshikiyo Kanada","doi":"10.20407/fmj.2021-022","DOIUrl":"https://doi.org/10.20407/fmj.2021-022","url":null,"abstract":"Objectives: To determine if a simulated medical information system can improve the level of understanding of healthcare information technology students.Methods: The study involved 40 healthcare information technology students. All the students took the healthcare information technology course using the simulated medical information system. The primary outcome was a measure of their level of understanding assessed with a questionnaire using a five-point Likert-type scale. The questions were all included in the required knowledge for the Specific Behavioral Objectives for Healthcare Information Technologists (2016) and Senior Healthcare Information Technologists (ver. 1.1, 2017). To measure the level of understanding, median with 10th-90th percentile CI values for both sets of questionnaires were calculated for all the students. The Wilcoxon signed-rank test was used to compare level of understanding before and after the training.Results: Some students were excluded because they failed to complete the questionnaires. For both Healthcare Information Technologists (n=37) and Senior Health Information Technologists (n=34), the level of understanding was significantly different before (median [10th-90th percentile]: 1175 [935-1271], 416 [302-513]) and after (1200 [1016-1472], 469.5 [351-527]) the training (p<0.05).Conclusions: A simulated medical information system may be an effective tool for students to learn about healthcare information technology.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of ocular morphological measurement by wide-angle echography and magnetic resonance imaging. 广角超声与磁共振眼底形态学测量的比较。

Fujita Medical Journal Pub Date : 2023-02-01 DOI: 10.20407/fmj.2021-028

Kohsuke Sekido, Kazuhiro Murayama, Tadashi Mizuguchi, Ryota Sakurai, Akiyoshi Iwase, Yoshiaki Shimada, Keita Suzuki, Atsuhiro Tanikawa, Masayuki Horiguchi

{"title":"Comparison of ocular morphological measurement by wide-angle echography and magnetic resonance imaging.","authors":"Kohsuke Sekido, Kazuhiro Murayama, Tadashi Mizuguchi, Ryota Sakurai, Akiyoshi Iwase, Yoshiaki Shimada, Keita Suzuki, Atsuhiro Tanikawa, Masayuki Horiguchi","doi":"10.20407/fmj.2021-028","DOIUrl":"https://doi.org/10.20407/fmj.2021-028","url":null,"abstract":"Objectives: To compare the eye axial length (AL), equatorial horizontal diameter (HD), and equatorial vertical diameter (VD) of normal eyes using a novel wide-angle, arc-scanning, ultrasound diagnostic device for wide-angle B-mode echography.Methods: In this cross-sectional study, wide-angle B-mode echography and magnetic resonance imaging (MRI) were conducted on 22 normal eyes; the AL, HD, and VD were measured.Results: The mean ALs were as follows: wide-angle B-mode echography, 25.22±1.47 mm and MRI, 25.24±1.46 mm; a significant correlation was observed between the two measurements (β=0.995 [0.976, 1.013]; p<0.001; 95% R2=1.00). The mean HDs were as follows: wide-angle B-mode echography, 22.33±0.84 mm and MRI, 22.55±0.90 mm; a significant correlation was observed between the two measurements (β=0.902 [0.750, 1.179]; p<0.001; 95% R2=0.81). The mean VDs were as follows: wide-angle B-mode echography, 22.77±0.91 mm; and MRI, 22.88±0.92 mm; a significant correlation was observed between the two measurements (β=0.966 [0.853, 1.097]; p<0.001; 95% R2=0.93).Conclusions: There were no significant differences in the measurements for each parameter by wide-angle B-mode echography and MRI. Therefore, wide-angle B-mode echography permits accurate visualization of ocular morphology.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9303261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-discharge clinical, laboratory and radiographic features of coronavirus disease 2019 (COVID-19) patients at university hospitals in Japan. 日本大学医院2019冠状病毒病(COVID-19)患者出院后临床、实验室和放射学特征

Fujita Medical Journal Pub Date : 2023-02-01 DOI: 10.20407/fmj.2021-024

Toshiharu Sasaki, Yoko Toyama, Tomoya Horiguchi, Masaya Hibino, Sei-Ichiro Tsuzuki, Masamichi Hayashi, Yohei Doi, Mitsunaga Iwata, Kazuyoshi Imaizumi, Masato Inaba

{"title":"Post-discharge clinical, laboratory and radiographic features of coronavirus disease 2019 (COVID-19) patients at university hospitals in Japan.","authors":"Toshiharu Sasaki, Yoko Toyama, Tomoya Horiguchi, Masaya Hibino, Sei-Ichiro Tsuzuki, Masamichi Hayashi, Yohei Doi, Mitsunaga Iwata, Kazuyoshi Imaizumi, Masato Inaba","doi":"10.20407/fmj.2021-024","DOIUrl":"https://doi.org/10.20407/fmj.2021-024","url":null,"abstract":"Objectives: Coronavirus disease 2019 (COVID-19) has affected nearly half million people in Japan. However, information on the prolonged symptoms as well as laboratory and radiographic findings after hospital discharge remains limited.Methods: We retrospectively collected the symptoms, laboratory test results, and chest imaging results of COVID-19 patients at the time of the hospital admission and the ambulatory visits after discharge at two university hospitals between July and December 2020.Patients: A total of 126 COVID-19 patients, including of 88 with mild to moderate disease and 38 with severe to critical disease, were included. The time between symptom onset and the first outpatient visit was 46 days (Interquartile range, 39 to 55).Results: At the ambulatory visits, 36.5% of patients had at least one symptom. The most frequent symptom was shortness of breath (12.8%), followed by cough (11.1%), and fatigue (8.8%). Of 120 patients with post-discharge laboratory test results, 27 patients (22.5%) had abnormal alanine aminotransferase levels, and 35 patients (29.1%) had lymphocytopenia, including 24 and 27 mild and moderate patients. Of 122 patients with post-discharge chest computed tomography (CT) scans, 105 (83.3%) had abnormal findings. This abnormality was found in both mild to moderate and severe patients.Conclusions: Shortness of breath, abnormal liver function test results and chest CT images often persisted for at least one month after discharge, even when symptoms were mild or moderate during hospitalization.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10739071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical characteristics and courses of 200 patients hospitalized for COVID-19 during the second and third waves at Fujita Health University Okazaki Medical Center in Japan. 日本藤田保健大学冈崎医学中心第二、三波新冠肺炎住院患者200例临床特征及病程分析

Fujita Medical Journal Pub Date : 2023-02-01 DOI: 10.20407/fmj.2021-018

Masamichi Hayashi, Sayako Morikawa, Yusuke Goto, Takazumi Yoshida, Yutaro Kimura, Taku Kawabe, Seiichiro Tsuzuki, Kazuyoshi Imaizumi

{"title":"Clinical characteristics and courses of 200 patients hospitalized for COVID-19 during the second and third waves at Fujita Health University Okazaki Medical Center in Japan.","authors":"Masamichi Hayashi, Sayako Morikawa, Yusuke Goto, Takazumi Yoshida, Yutaro Kimura, Taku Kawabe, Seiichiro Tsuzuki, Kazuyoshi Imaizumi","doi":"10.20407/fmj.2021-018","DOIUrl":"https://doi.org/10.20407/fmj.2021-018","url":null,"abstract":"Objectives: There are few reports about patients hospitalized for COVID-19 in Japan. We investigated 200 patients hospitalized for COVID-19 over a 6-month period with the aim of elucidating their clinical characteristics and clinical courses.Methods: The study cohort comprised 200 patients hospitalized for COVID-19 during a 6-month period. We examined baseline characteristics, source of transmission, preadmission course, initial symptoms, concomitant symptoms, comorbidities, treatments, and prognosis.Results: The number of inpatients from outside our region increased from 9 in the second wave to 53 in the third wave. The initial manifestations were cold-like and gastroenteritis-like symptoms, gustatory and olfactory dysfunction being frequently occurring concomitant symptoms. On admission 32 patients had mild disease, 108 moderate I, 54 moderate II, and 6 severe. We divided the 200 patients into second and third wave groups and compared their baseline characteristics. The third wave group was older and had more severe disease. The main treatments implemented were dexamethasone and remdesivir. Three patients (1.5%) required ventilation and 12 (6.0%) died in hospital.Conclusions: We investigated 200 patients hospitalized for COVID-19 over a period of 6 months. The patients in the second wave were relatively young and most had mild disease. In contrast, the patients in the third wave were older and had more severe disease and higher in-hospital mortality.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy and safety of tolvaptan for refractory fluid collection and edema in the terminal cancer patients. 托伐普坦治疗晚期癌症患者难治性积液和水肿的疗效和安全性。

Fujita Medical Journal Pub Date : 2023-02-01 DOI: 10.20407/fmj.2021-005

Norimasa Tsuzuki, Masanobu Usui, Akihiro Itoh, Akihiko Futamura, Kazuki Imai

{"title":"Efficacy and safety of tolvaptan for refractory fluid collection and edema in the terminal cancer patients.","authors":"Norimasa Tsuzuki, Masanobu Usui, Akihiro Itoh, Akihiko Futamura, Kazuki Imai","doi":"10.20407/fmj.2021-005","DOIUrl":"https://doi.org/10.20407/fmj.2021-005","url":null,"abstract":"Objective: Tolvaptan, a vasopressin V2 receptor antagonist, is an oral diuretic. Patients with terminal cancer develop marked fluid retention, and oral diuretics other than tolvaptan have been used as treatments without clear therapeutic effects. Herein, we aimed to study the efficacy and safety of tolvaptan in patients with terminal cancer.Methods: Tolvaptan was administered at a dose of 7.5 mg/day to 29 patients (median, 72 years) between August 2017 and February 2020. The duration of tolvaptan treatment ranged from 1 to 85 days (mean, 18.5 days).Results: Median albumin (Alb) and transthyretin (TTR) levels on admission were 2.3 g/dL (1.2-4.2 g/dL) and 8.9 mg/dL (2.1-38.2 g/dL), respectively. Median Alb and TTR levels 1 month after treatment initiation remained at 2.3 g/dL (0.8-2.9 g/dL) and 8.6 mg/dL (0.8-23.7 mg/dL), respectively. Regarding renal function indicators, median blood urea nitrogen (BUN) and creatinine levels on admission were 19.9 mg/dL (8.6-49.3 mg/dL) and 0.81 mg/dL (0.38-2.25 mg/dL), respectively. Median BUN and creatinine levels 1 month after treatment initiation were 23.4 mg/dL (13.5-34.0 mg/dL) and 0.91 mg/dL (0.39-2.41 mg/dL), respectively. No patients had hypernatremia on admission, and no effects of tolvaptan on the blood sodium level were found 1 month after treatment initiation. The median potassium level on admission was 4.2 mEq/dL (2.9-5.0 mEq/dL); tolvaptan treatment had no effects on blood potassium level.Conclusions: Tolvaptan is effective and safe for treating fluid retention refractory to conventional diuretics in patients with terminal cancer.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationships between cognitive appraisal and roles/personality traits in basic life support. 基本生命支持中认知评价与角色/人格特征的关系

Fujita Medical Journal Pub Date : 2023-02-01 DOI: 10.20407/fmj.2021-008

Tetsuya Nakamura, Sayuri Nakamura, Naoko Kageura, Akira Kondo, Yukika Hotta, Chikako Oda

{"title":"Relationships between cognitive appraisal and roles/personality traits in basic life support.","authors":"Tetsuya Nakamura, Sayuri Nakamura, Naoko Kageura, Akira Kondo, Yukika Hotta, Chikako Oda","doi":"10.20407/fmj.2021-008","DOIUrl":"https://doi.org/10.20407/fmj.2021-008","url":null,"abstract":"Objective: To examine the relationship between the cognitive assessment of stress (cognitive appraisal) caused in a scenario requiring basic life support (BLS) and the roles during BLS/personality traits in nursing students.Methods: We conducted an anonymous self-administered questionnaire survey for 264 freshman and senior nursing students. The study period was one month from June 2019. The questionnaire included characteristics, roles (active involvement group/passive involvement group/no involvement group), Cognitive Appraisal Rating Scale (CARS), and Maudsley Personality Inventory (MPI). We only included data for female students (107 people) in the analysis because very little data is available for male students. The Mann-Whitney test was used for the comparison between two groups and the Kruskal-Wallis test was used for the comparison between three groups. The significance level was set at p<0.05.Results: The total number of responses was 133 (50.4%), and the number of valid responses was 107 (40.5%). As a result of analyzing the relationship between the role and the CARS subscale, the controllability of the active and passive involvement groups was significantly lower than that of the no involvement group (p=0.046). Also, the analysis of the relationship between the grade and the CARS subscale showed that the controllability was significantly lower in freshmen than seniors (p=0.020).Conclusion: This study showed the relationship between controllability and cognitive appraisal of stress in the simulation scenario of BLS. Therefore, it was suggested that support for improving controllability is necessary as a preventive measure to reduce the stress associated with BLS.","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0