Nagoya Journal of Medical Science最新文献_第9页

Current status of and future issues related to endoscopic papillectomy. 与内窥镜乳头切除术有关的现状和未来问题。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.648

Hiroki Kawashima, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Takeshi Yamamura, Kazuhiro Furukawa, Masanao Nakamura

{"title":"Current status of and future issues related to endoscopic papillectomy.","authors":"Hiroki Kawashima, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Kota Uetsuki, Takeshi Yamamura, Kazuhiro Furukawa, Masanao Nakamura","doi":"10.18999/nagjms.85.4.648","DOIUrl":"10.18999/nagjms.85.4.648","url":null,"abstract":"Endoscopic papillectomy is widely performed to treat duodenal papillary tumors, particularly at high-volume centers. It is indicated for adenomas without intraductal extension of the bile or pancreatic ducts. However, despite numerous reports of carcinomas that expand the indications to include well-differentiated adenocarcinomas that do not invade the sphincter of Oddi, the low agreement between biopsy and final pathological diagnosis, as well as the current inability of imaging modalities to diagnose sphincter of Oddi invasion, makes it difficult to consider expanding indications. Although complications can be prevented by certain methods, such as pancreatic duct stenting, and the frequency of severe complications has decreased, the safety of the procedure remains unconfirmed. In the future, this technology is expected to progress and enable wider applications, including those in tumors with extensive horizontal spread and those with intraductal extension of the bile and pancreatic ducts. Such technology may also improve the safety and accuracy of diagnosis.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"648-658"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hand function and quality of life in patients with diabetes mellitus before and during the COVID-19 pandemic. COVID-19 大流行之前和期间糖尿病患者的手部功能和生活质量。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.659

Michiro Yamamoto, Yayoi Kato, Jun Takeuchi

{"title":"Hand function and quality of life in patients with diabetes mellitus before and during the COVID-19 pandemic.","authors":"Michiro Yamamoto, Yayoi Kato, Jun Takeuchi","doi":"10.18999/nagjms.85.4.659","DOIUrl":"10.18999/nagjms.85.4.659","url":null,"abstract":"This study aimed to investigate the effects of the coronavirus disease 2019 (COVID-19) pandemic on patients with diabetes mellitus using patient-rated outcome measures focusing on hand function and quality of life, as well as patients' mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. It was a part of a longitudinal research involving patients with diabetes mellitus living in Sapporo, Japan. Among the 594 patients surveyed before the COVID-19 pandemic from March to June 2019, 417 patients who could be re-surveyed from March to June 2021 were included. We compared the patient-rated outcome measures, namely the Hand10 for hand function and EuroQol five-dimension questionnaire for assessing quality of life in the same population of patients with diabetes mellitus, before and during the COVID-19 pandemic. The results indicated no deterioration in the Hand10 (3.9 vs 3.6) and quality of life scores (0.89 vs 0.9), including mobility (1.25 vs 1.17), self-care (1.1 vs 1.08), pain/discomfort (1.43 vs 1.35), and anxiety/depression (1.21 vs 1.2), during the COVID-19 pandemic when compared with the pre-pandemic values. Usual activity values on the EuroQol five-dimension subscale significantly improved during the pandemic compared to those before the pandemic (1.21 vs 1.12, p<0.01). This study highlighted the effects of the COVID-19 pandemic on patients with diabetes mellitus by comparing patient-rated outcome measures in two different social situations. Patients with diabetes mellitus living in Sapporo, Japan maintained hand function and quality of life by continuing their usual activities during the COVID-19 pandemic.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"659-667"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creation of synthetic contrast-enhanced computed tomography images using deep neural networks to screen for renal cell carcinoma. 利用深度神经网络创建合成对比度增强计算机断层扫描图像，以筛查肾细胞癌。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.713

Naoto Sassa, Yoshitaka Kameya, Tomoichi Takahashi, Yoshihisa Matsukawa, Tsuyoshi Majima, Katsuhisa Tsuruta, Ikuo Kobayashi, Keishi Kajikawa, Hideji Kawanishi, Haruka Kurosu, Sho Yamagiwa, Masaya Takahashi, Kazuhiro Hotta, Keiichi Yamada, Tokunori Yamamoto

{"title":"Creation of synthetic contrast-enhanced computed tomography images using deep neural networks to screen for renal cell carcinoma.","authors":"Naoto Sassa, Yoshitaka Kameya, Tomoichi Takahashi, Yoshihisa Matsukawa, Tsuyoshi Majima, Katsuhisa Tsuruta, Ikuo Kobayashi, Keishi Kajikawa, Hideji Kawanishi, Haruka Kurosu, Sho Yamagiwa, Masaya Takahashi, Kazuhiro Hotta, Keiichi Yamada, Tokunori Yamamoto","doi":"10.18999/nagjms.85.4.713","DOIUrl":"10.18999/nagjms.85.4.713","url":null,"abstract":"In this study, we elucidate if synthetic contrast enhanced computed tomography images created from plain computed tomography images using deep neural networks could be used for screening, clinical diagnosis, and postoperative follow-up of small-diameter renal tumors. This retrospective, multicenter study included 155 patients (artificial intelligence training cohort [n = 99], validation cohort [n = 56]) who underwent surgery for small-diameter (≤40 mm) renal tumors, with the pathological diagnosis of renal cell carcinoma, during 2010-2020. We created a learned deep neural networks using pix2pix. We examined the quality of the synthetic enhanced computed tomography images created using this deep neural networks and compared them with real enhanced computed tomography images using the zero-mean normalized cross-correlation parameter. We assessed concordance rates between real and synthetic images and diagnoses according to 10 urologists by creating a receiver operating characteristic curve and calculating the area under the curve. The synthetic computed tomography images were highly concordant with the real computed tomography images, regardless of the existence or morphology of the renal tumor. Regarding the concordance rate, a greater area under the curve was obtained with synthetic computed tomography (area under the curve = 0.892) than with only computed tomography (area under the curve = 0.720; p < 0.001). In conclusions, this study is the first to use deep neural networks to create a high-quality synthetic computed tomography image that was highly concordant with a real computed tomography image. Our synthetic computed tomography images could be used for urological diagnoses and clinical screening.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"713-724"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Difference of coil distribution made by finishing coils in large size aneurysm model with radiolucent coils. 在大尺寸动脉瘤模型中使用放射线透明线圈对线圈分布进行精加工所产生的差异。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.725

Hiroki Matsuno, Takashi Izumi, Masahiro Nishihori, Shunsaku Goto, Yoshio Araki, Kinya Yokoyama, Kenji Uda, Ryuta Saito

{"title":"Difference of coil distribution made by finishing coils in large size aneurysm model with radiolucent coils.","authors":"Hiroki Matsuno, Takashi Izumi, Masahiro Nishihori, Shunsaku Goto, Yoshio Araki, Kinya Yokoyama, Kenji Uda, Ryuta Saito","doi":"10.18999/nagjms.85.4.725","DOIUrl":"10.18999/nagjms.85.4.725","url":null,"abstract":"We conducted a study to understand the characteristics of the finishing coils to select the appropriate coil for the final stage of embolization. Consequently, experimental embolization was performed on a 10 mm spherical silicone aneurysm filled with radiolucent coils, which simulated a volume embolization ratio of 20%. Nine different coils (i-ED complex ∞ SilkySoft, SilkySoft, ExtraSoft, V-Trak HyperSoft helical, Barricade 10 complex finishing, Optima complex 10 soft, Target 360 Ultra, Galaxy G3 mini, and Axium prime 3D ExtraSoft) were analyzed six times at random. After each coil insertion, indices that include area, Feret diameter, circularity, and centroid center of mass were calculated using biplane x-ray images. Furthermore, these data were analyzed using the spring constant k, which represents the stiffness of the coil. In multiple comparisons, a significant difference was observed in the area analysis. The i-ED complex ∞ SilkySoft was more widespread than Target 360 Ultra (p < 0.05). However, no significant differences were observed in the other indices. The spring constant k value of Target 360 Ultra was 2.5 times larger than that of the i-ED complex ∞ SilkySoft, and it negatively correlated with the area index rather than with the other indices. Notably, it was suggested that the smaller the spring constant k, the wider the distribution of the finishing coils. Although there was little difference between the coils, some coils had characteristics suggesting that good embolization could be expected using appropriate finishing coils.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"725-732"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dupilumab suppresses relapsing chronic eosinophilic pneumonia with severe asthma. 杜比鲁单抗抑制复发性慢性嗜酸性粒细胞肺炎合并重症哮喘。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.857

Nami Masumoto, Chiyako Oshikata, Ryo Nakadegawa, Yuto Motobayashi, Reeko Osada, Saki Manabe, Takeshi Kaneko, Naomi Tsurikisawa

{"title":"Dupilumab suppresses relapsing chronic eosinophilic pneumonia with severe asthma.","authors":"Nami Masumoto, Chiyako Oshikata, Ryo Nakadegawa, Yuto Motobayashi, Reeko Osada, Saki Manabe, Takeshi Kaneko, Naomi Tsurikisawa","doi":"10.18999/nagjms.85.4.857","DOIUrl":"10.18999/nagjms.85.4.857","url":null,"abstract":"Dupilumab-induced hypereosinophilia is mediated by blockade of the IL-4/IL-13 pathway, which reduces eosinophil migration from peripheral blood. The increase in peripheral blood eosinophils may lead to chronic eosinophilic pneumonia (CEP) and/or eosinophilic granulomatosis with polyangiitis, but a direct causal connection between dupilumab and eosinophilic lung diseases has not been established. A 33-year-old Japanese woman with bronchial asthma since age three was treated with fluticasone propionate plus salmeterol twice daily after several asthma exacerbations at age 17. Her course was complicated by CEP at age 33 which resolved without the need for systemic steroids. However, in the four months following resolution of her CEP, the patient had three asthma exacerbations, and a recurrence of CEP, with blood leukocytes of 8500/µL, of which 25.0% were eosinophils. She was treated with prednisolone 50 mg/day, but she could not continue this dose due to the onset of myalgia. Then she had relapsing CEP twice within three months. She was treated with prednisolone 15 mg/day for CEP, but she had persistent asthma for more than one month; dupilumab was added at 600 mg, followed by 300 mg every two weeks. In the first month of treatment with dupilumab, the patient's asthma symptoms resolved completely, and she had only one relapse of CEP. In 12 months of follow-up, she had neither an asthma exacerbation nor another relapse of CEP. Dupilumab may be a promising treatment for patients with refractory asthma complicated by recurring CEP and undesirable steroid side effects.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"857-865"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical reconstruction after resection of cardiac metastasis from oropharyngeal carcinoma: a case report. 口咽癌心脏转移灶切除术后的手术重建：病例报告。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.875

Toshihiko Nishi, Kazuro L Fujimoto, Mariko Hiramatsu, Tohru Okada, Yuka Suzuki, Yoshie Shimoyama, Sachie Terazawa, Yoshiyuki Tokuda, Masato Mutsuga, Akihiko Usui

引用次数: 0

Validity and reliability of the Posttraumatic Growth Inventory among Japanese women with cesarean section. 日本剖腹产妇女创伤后成长量表的有效性和可靠性。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.745

Asuka Suzuki, Shigemi Iriyama, Yoko Obayashi

{"title":"Validity and reliability of the Posttraumatic Growth Inventory among Japanese women with cesarean section.","authors":"Asuka Suzuki, Shigemi Iriyama, Yoko Obayashi","doi":"10.18999/nagjms.85.4.745","DOIUrl":"10.18999/nagjms.85.4.745","url":null,"abstract":"This study aimed to examine the validity and reliability of the expanded version of the Posttraumatic Growth Inventory-Japanese version (PTGI-X-J) among Japanese women who delivered by cesarean section. The study is a cross-sectional survey psychometric study. Participants were 517 Japanese women who were in the hospital after childbirth by cesarean section at six general hospitals and two obstetric clinics in Tokai Region, Japan. They completed a self-report questionnaire-which included sociodemographic and childbirth information and obstetric history, the PTGI-X-J, and the Postnatal Women Version of the Japanese-Language Version of the Impact of Event Scale-Revised (IES-R-J-PWV). We conducted an exploratory factor analysis to evaluate the factorial validity of the PTGI-X-J. We confirmed the internal consistency reliability of the Postpartum Women Version of PTGI-X-J (PTGI-X-J-PWV) using Cronbach's α coefficients and examined Spearman's correlation coefficients between the PTGI-X-J-PWV and the IES-R-J-PWV. The exploratory factor analysis resulted in a 22-item measure that comprised four factors: strength as mothers, spiritual change as mothers, new possibilities as mothers and appreciation of life, and relating to others as mothers. The PTGI-X-J-PWV exhibited good internal consistency reliability (Cronbach's α = 0.94), and a weak significant positive correlation with the IES-R-J-PWV (rs = 0.18, p < 0.001) was evident. The results of this study indicated that the PTGI-X-J-PWV was a valid and reliable tool for measuring postpartum posttraumatic growth among Japanese women who have delivered by cesarean section. By accurately measuring mothers' posttraumatic growth, midwives and nurses can provide the kind of care that encourages their growth as mothers.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"745-757"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

＜Editors' Choice＞ Mesenchymal stem/stromal cells generated from induced pluripotent stem cells are highly resistant to senescence. ＜编辑推荐＞由诱导多能干细胞生成的间充质干细胞/基质细胞具有很强的抗衰老能力。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.682

Tomonori Aoi, Akihito Tanaka, Kazuhiro Furuhashi, Makoto Ikeya, Asuka Shimizu, Yuko Arioka, Itaru Kushima, Norio Ozaki, Shoichi Maruyama

{"title":"＜Editors' Choice＞ Mesenchymal stem/stromal cells generated from induced pluripotent stem cells are highly resistant to senescence.","authors":"Tomonori Aoi, Akihito Tanaka, Kazuhiro Furuhashi, Makoto Ikeya, Asuka Shimizu, Yuko Arioka, Itaru Kushima, Norio Ozaki, Shoichi Maruyama","doi":"10.18999/nagjms.85.4.682","DOIUrl":"10.18999/nagjms.85.4.682","url":null,"abstract":"The use of mesenchymal stem/stromal cells (MSCs) has attracted attention in the field of regenerative medicine based on their anti-inflammatory and tissue repair-promoting effects. Bone marrow is widely used as a source of MSCs; however, the performance of bone marrow (BM)-MSCs deteriorates as the cells age along with cell passaging. Recently, it has been reported that MSCs can be generated from induced pluripotent stem cells (iPSCs), which is expected to represent a new source of MSCs. However, few studies have investigated aging in iPSC-derived MSCs (iMSCs) and their functions. In this study, we investigated whether iMSCs overcome cellular senescence compared to that in BM-MSCs. Cellular senescence was quantitatively evaluated by staining iMSCs and BM-MSCs with fluorescein di-β-D-galactopyranoside (FDG) and following flow cytometer analysis. The hepatocyte growth factor (HGF) concentration in the culture supernatant was also measured as a factor in the therapeutic efficacy of nephritis. The iMSCs did not reach their proliferation limit and their morphology did not change even after 10 passages. The FDG positivity of BM-MSCs increased with passaging, whereas that in iMSCs did not increase. The HGF concentration increased with passaging in iMSCs. In conclusion, our results suggest that iMSCs may be less susceptible to senescence than BM-MSCs and may be used in clinical applications.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"682-690"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 of endoscopic cricopharyngeal myotomy using a curved rigid laryngoscope in patients with sporadic inclusion body myositis: four retrospective case reviews. 在散发性包涵体肌炎患者中使用弯曲硬质喉镜进行内窥镜环咽肌切开术的疗效：四篇回顾性病例综述。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.866

Mayu Shigeyama, Naoki Nishio, Sayaka Yokoi, Nobuaki Mukoyama, Akihisa Wada, Takashi Maruo, Seiya Noda, Ayuka Murakami, Takashi Tsuboi, Masahisa Katsuno, Yasushi Fujimoto, Michihiko Sone

{"title":"Efficacy of endoscopic cricopharyngeal myotomy using a curved rigid laryngoscope in patients with sporadic inclusion body myositis: four retrospective case reviews.","authors":"Mayu Shigeyama, Naoki Nishio, Sayaka Yokoi, Nobuaki Mukoyama, Akihisa Wada, Takashi Maruo, Seiya Noda, Ayuka Murakami, Takashi Tsuboi, Masahisa Katsuno, Yasushi Fujimoto, Michihiko Sone","doi":"10.18999/nagjms.85.4.866","DOIUrl":"10.18999/nagjms.85.4.866","url":null,"abstract":"Sporadic inclusion body myositis (s-IBM) is an acquired degenerative inflammatory myopathy that leads to slowly progressive muscle weakness and atrophy of the limbs, face, and pharynx. Owing to the slow progression of the disease, the indications for surgical intervention remain unclear. Herein, we retrospectively reviewed the records of four patients with s-IBM who had undergone cricopharyngeal myotomy for severe dysphagia at our institution between 2016 and 2021. Among these, one patient underwent transcervical cricopharyngeal myotomy and laryngeal suspension, as videofluoroscopic examination of swallowing revealed poor laryngeal elevation. The remaining three patients underwent endoscopic cricopharyngeal myotomy using a curved rigid laryngoscope. Preoperatively, the mean Hyodo score was 8 points (range: 6-10) using a flexible endoscope. The mean surgical duration was 104 min, and no severe complications were observed. Postoperatively, all patients achieved improvement in swallowing function and food intake. Moreover, swallowing function was maintained in all four patients even 6-12 months postoperatively. Cricopharyngeal myotomy may be a safe surgical procedure with the potential to improve swallowing function, and a Hyodo score of 6 may be considered a surgical indication for cricopharyngeal myotomy in patients with s-IBM.","PeriodicalId":49014,"journal":{"name":"Nagoya Journal of Medical Science","volume":"85 4","pages":"866-874"},"PeriodicalIF":0.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute bilateral hypotropia and esotropia complex as first manifestation of multiple sclerosis: a case report. 作为多发性硬化症首发表现的急性双侧肌张力减退和内斜视综合征：病例报告。

IF 0.9 4区医学

Nagoya Journal of Medical Science Pub Date : 2023-11-01 DOI: 10.18999/nagjms.85.4.822

Joe Senda, Ryota Hirao, Kentaro Maeda, Yoshinobu Amakusa, Tomoki Hirunagi, Masahisa Katsuno, Katsuhiro Kawaguchi

引用次数: 0