Publications by authors named "Maiko Iwata"
Article Synopsis
- A study conducted in six ICUs in Japan aimed to examine the prevalence and factors linked to physical restraint use among ICU patients, noting its ethical concerns.
- Out of 787 patient observations, physical restraint was used in 32.9% of cases, increasing to 41.5% in patients on invasive mechanical ventilation.
- Key factors associated with restraint use included age, severity of illness (measured by the APACHE II score), use of invasive devices, sedative medication, agitation, and delirium, highlighting the need for strategies to minimize restraint use in medical settings.
von Hippel-Lindau (VHL) syndrome is an inherited neoplastic syndrome caused by abnormity of the VHL gene found on the short arm of the chromosome 3. We reported a case of VHL disease diagnosed by the detection of multiple pancreatic endocrine tumors and renal tumor 13 years after bilateral adrenalectomy. A 40-year-old man presented with multiple pancreas tumors (maximum size 42 mm in diameter) detected by screening abdominal ultrasonography.
View Article and Find Full Text PDF[A case of duodenal gangliocytic paraganglioma with lymph node metastasis].
Nihon Shokakibyo Gakkai Zasshi
April 2010
Article Synopsis
- A 28-year-old man presented with tarry stools, leading to examinations that revealed a bleeding submucosal tumor at the papilla of Vater and a swollen # 17b lymph node, suggesting hypervascularity.
- The tumor was diagnosed as gangliocytic paraganglioma, which showed metastasis to the affected lymph node after enucleation.
- While most gangliocytic paragangliomas are benign, this case highlights that about 7% can spread to lymph nodes, emphasizing its significance for treatment strategies.