Publications by authors named "M L Shikama"

Objective: Microvascular changes, such as crossing nailfold capillaries, could be crucial for linking maximum lifetime body mass index (BMI) and microvascular complications in patients with type 2 diabetes mellitus (T2DM). However, the relationship between maximum lifetime BMI and microvascular changes remains elusive. This study aimed to elucidate the relationship between maximum lifetime BMI and the percentage of crossing nailfold capillaries among patients with T2DM.

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Article Synopsis
  • Patients with acute bronchospasm may show a specific capnogram pattern known as the "shark fin," which indicates uneven alveolar exhalation.
  • This study focuses on a 53-year-old male asthma patient who was intubated for a severe asthma attack and underwent monitoring of the capnogram slope during his 10-day ventilation.
  • The findings indicate that the phase III slope of the capnogram can decrease earlier than the end-tidal carbon dioxide (EtCO) levels, suggesting that capnogram waveforms could effectively track treatment responses in intubated patients experiencing acute bronchospasm.
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Aim: This study aimed to explore the work-related factors related to forgetting to take oral diabetes medication during the working day among Japanese employees with diabetes.

Methods: This worksite-based study was designed to clarify the important work-related factors for preventing the aggravation of diabetes among working-age people and support for coexisting diabetes treatment and work (Ryoritsu Shien). This cross-sectional survey was conducted in 2018.

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Aim: Increased crossing of finger nailfold capillaries could be a novel visual marker of early microvascular damage among type 2 diabetes mellitus patients. Although abdominal obesity is an important driver of early microvascular damage, its association with an increase in the percentage of crossing capillaries remains uncertain. We investigated the association between abdominal obesity and an increase in the percentage of crossing capillaries in the finger nailfold in patients with type 2 diabetes mellitus.

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Aims/introduction: Crossing capillaries in the finger nailfold might potentially be a novel diabetic retinopathy (DR) biomarker that could be assessed non-invasively in the clinical setting. However, the association between crossing capillaries and DR is controversial. This study aimed to investigate the association between the percentage of crossing capillaries in the finger nailfold and DR in patients with type 2 diabetes mellitus.

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