Acta medica Okayama最新文献_第8页

A Multidisciplinary Approach to Hip Fractures: Evaluating Outcomes on Mortality and Secondary Hip Fractures. 多学科方法治疗髋部骨折：评估死亡率和继发性髋部骨折的结果。

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67198

Osamu Muraoka, Norio Imai, Tatsuya Kuraishi, Makoto Imai, Takashi Fukuhara, Toshifumi Yoshimine

{"title":"A Multidisciplinary Approach to Hip Fractures: Evaluating Outcomes on Mortality and Secondary Hip Fractures.","authors":"Osamu Muraoka, Norio Imai, Tatsuya Kuraishi, Makoto Imai, Takashi Fukuhara, Toshifumi Yoshimine","doi":"10.18926/AMO/67198","DOIUrl":"https://doi.org/10.18926/AMO/67198","url":null,"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.","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"78 3","pages":"237-243"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative Analysis of Thoracic Rotation Exercises: Range of Motion Improvement in Standing and Quadruped Variants. 胸廓旋转运动的比较分析：站立式和四足式运动范围的改善

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67200

Koji Murofushi, Sho Mitomo, Kenji Hirohata, Hidetaka Furuya, Hiroki Katagiri, Koji Kaneoka, Kazuyoshi Yagishita

{"title":"Comparative Analysis of Thoracic Rotation Exercises: Range of Motion Improvement in Standing and Quadruped Variants.","authors":"Koji Murofushi, Sho Mitomo, Kenji Hirohata, Hidetaka Furuya, Hiroki Katagiri, Koji Kaneoka, Kazuyoshi Yagishita","doi":"10.18926/AMO/67200","DOIUrl":"https://doi.org/10.18926/AMO/67200","url":null,"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.","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"78 3","pages":"251-258"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of the Lipid Profile and Oxidative Stress in Fatigue, Sleep Disorders and Cognitive Impairment in Patients with Multiple Sclerosis. 血脂谱和氧化应激在多发性硬化症患者疲劳、睡眠障碍和认知障碍中的作用

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67201

Gonul Vural, Esra Demir, Sadiye Gumusyayla, Funda Eren, Serdar Barakli, Salim Neselioglu, Ozcan Erel

{"title":"The Role of the Lipid Profile and Oxidative Stress in Fatigue, Sleep Disorders and Cognitive Impairment in Patients with Multiple Sclerosis.","authors":"Gonul Vural, Esra Demir, Sadiye Gumusyayla, Funda Eren, Serdar Barakli, Salim Neselioglu, Ozcan Erel","doi":"10.18926/AMO/67201","DOIUrl":"https://doi.org/10.18926/AMO/67201","url":null,"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.","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"78 3","pages":"259-270"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Bilateral Pneumothorax in a Patient with Anorexia Nervosa: The Management of Prolonged Postoperative Air Leakage. 厌食症患者自发性双侧气胸：术后长期漏气的处理。

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67203

Kazuhiro Okada, Yuho Maki, Kei Matsubara, Yutaka Hirano, Toshiya Fujiwara, Motoki Matsuura

引用次数: 0

Effect of Humidified High-Flow Nasal Cannula Oxygen Therapy with a Pulmonary Infection Control Window as a Ventilation Switching Indication in Combination with Atomizing Inhalation of Terbutaline on the Lung Function of Patients with Acute Exacerbation of COPD. 以肺部感染控制窗口作为通气切换指征的湿化高流量鼻导管供氧疗法与雾化吸入特布他林联合疗法对慢性阻塞性肺疾病急性加重患者肺功能的影响

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67202

Mengjiao Ye, Renwei Zhang

{"title":"Effect of Humidified High-Flow Nasal Cannula Oxygen Therapy with a Pulmonary Infection Control Window as a Ventilation Switching Indication in Combination with Atomizing Inhalation of Terbutaline on the Lung Function of Patients with Acute Exacerbation of COPD.","authors":"Mengjiao Ye, Renwei Zhang","doi":"10.18926/AMO/67202","DOIUrl":"10.18926/AMO/67202","url":null,"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.","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"78 3","pages":"271-279"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Calcification of a Hydrophilic Acrylic Intraocular Lens after Glaucoma Surgery. 青光眼手术后亲水性丙烯酸眼内透镜的钙化。

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67206

Sara Okamoto, Yusuke Shiode, Shuhei Kimura, Mio Hosokawa, Ryo Matoba, Yuki Kanzaki, Hiroya Kindo, Tetsuro Morita, Akihiro Tsuji, Kosuke Takahashi, Yuki Morizane

引用次数: 0

Palliative Gamma Knife Radiosurgery for a Small Part of a Large Vestibular Schwannoma in an Elderly Patient. 姑息性伽玛刀放射外科手术治疗老年患者的小部分大前庭许旺瘤

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67207

Kiyoshi Nakazaki, Satoshi Hirai, Tomohito Hishikawa

引用次数: 0

Assessment of a New Elbow Joint Positioning Method Using Area Detector Computed Tomography. 利用区域探测器计算机断层扫描评估新的肘关节定位方法

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67196

Takuya Akagawa, Ryohei Fukui, Katsuhiro Kida, Ryutaro Matsuura, Makoto Shimada, Mitsuhiro Kinoshita, Yoko Akagawa, Sachiko Goto

{"title":"Assessment of a New Elbow Joint Positioning Method Using Area Detector Computed Tomography.","authors":"Takuya Akagawa, Ryohei Fukui, Katsuhiro Kida, Ryutaro Matsuura, Makoto Shimada, Mitsuhiro Kinoshita, Yoko Akagawa, Sachiko Goto","doi":"10.18926/AMO/67196","DOIUrl":"https://doi.org/10.18926/AMO/67196","url":null,"abstract":"We propose a sitting position that achieves both high image quality and a reduced radiation dose in elbow joint imaging by area detector computed tomography (ADCT), and we compared it with the 'superman' and supine positions. The volumetric CT dose index (CTDIvol) for the sitting, superman, and supine positions were 2.7, 8.0, and 20.0 mGy and the dose length products (DLPs) were 43.4, 204.7, and 584.8 mGy • cm, respectively. In the task-based transfer function (TTF), the highest value was obtained for the sitting position in both bone and soft tissue images. The noise power spectrum (NPS) of bone images showed that the superman position had the lowest value up to approx. 1.1 cycles/mm or lower, whereas the sitting position had the lowest value when the NPS was greater than approx. 1.1 cycles/mm. The overall image quality in an observer study resulted in the following median Likert scores for Readers 1 and 2: 5.0 and 5.0 for the sitting position, 4.0 and 3.5 for the superman position, and 4.0 and 2.0 for the supine position. These results indicate that our proposed sitting position with ADCT of the elbow joint can provide superior image quality and allow lower radiation doses compared to the superman and supine positions.","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"78 3","pages":"215-225"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Reduced Skeletal Muscle Mass on Patients with Knee Osteoarthritis. 骨骼肌质量下降对膝关节骨性关节炎患者的影响

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67199

Manabu Akagawa, Hidetomo Saito, Yasuhiro Takahashi, Yosuke Iwamoto, Junpei Iida, Takayuki Yoshikawa, Toshiki Abe, Kimio Saito, Hiroaki Kijima, Yuji Kasukawa, Michio Hongo, Naohisa Miyakoshi

{"title":"The Impact of Reduced Skeletal Muscle Mass on Patients with Knee Osteoarthritis.","authors":"Manabu Akagawa, Hidetomo Saito, Yasuhiro Takahashi, Yosuke Iwamoto, Junpei Iida, Takayuki Yoshikawa, Toshiki Abe, Kimio Saito, Hiroaki Kijima, Yuji Kasukawa, Michio Hongo, Naohisa Miyakoshi","doi":"10.18926/AMO/67199","DOIUrl":"https://doi.org/10.18926/AMO/67199","url":null,"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.","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"78 3","pages":"245-250"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thoughts on and Proposal for the Education, Training, and Recruitment of Infectious Disease Specialists. 关于传染病专科医生的教育、培训和招聘的想法和建议。

IF 0.6 4区医学

Acta medica Okayama Pub Date : 2024-06-01 DOI: 10.18926/AMO/67195

Hideharu Hagiya

{"title":"Thoughts on and Proposal for the Education, Training, and Recruitment of Infectious Disease Specialists.","authors":"Hideharu Hagiya","doi":"10.18926/AMO/67195","DOIUrl":"10.18926/AMO/67195","url":null,"abstract":"The global pandemic of COVID-19 has underscored the significance of establishing and sustaining a practical and efficient infection control system for the benefit and welfare of society. Infectious disease (ID) specialists are expected to take on leadership roles in enhancing organizational infrastructures for infection prevention and control (IPC) at the hospital, community, and national levels. However, due to an absolute shortage and an uneven distribution, many core hospitals currently lack the ID specialists. Given the escalating global risk of emerging and re-emerging infectious diseases as well as antimicrobial resistance pathogens, the education and training of ID specialists constitutes an imperative concern. As demonstrated by historical changes in the healthcare reimbursement system, the establishment and enhancement of IPC measures is pivotal to ensuring medical safety. The existing structure of academic society-driven certification and training initiatives for ID specialists, contingent upon the discretionary decisions of individual physicians, possesses both quantitative and qualitative shortcomings. In this article, I first address the present situations and challenges related to ID specialists and then introduce my idea of securing ID specialists based on the new concepts and platforms; (i) ID Specialists as National Credentials, (ii) Establishment of the Department of Infectious Diseases in Medical and Graduate Schools, (iii) Endowed ID Educative Courses Funded by Local Government and Pharmaceutical Companies, and (iv) Recruitment of Young Physicians Engaged in Healthcare Services in Remote Areas. As clarified by the COVID-19 pandemic, ID specialists play a crucial role in safeguarding public health. Hopefully, this article will advance the discussion and organizational reform for the education and training of ID specialists.","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"78 3","pages":"205-213"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0