45 results match your criteria: "Aizenbashi Hospital[Affiliation]"

This study aimed to develop the Japanese version of the Pregnancy and Weight Gain Attitude Scale (J-PWGAS) as a measurement of body image regarding body weight and shape during pregnancy. This cross-sectional study was conducted at a perinatal medical center in Osaka, Japan, between March and November 2020. We recruited pregnant women in their second or third trimester, who were 20 years old or older and without pregnancy complications.

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  • The study aimed to evaluate the short-term effects of ketamine on pediatric and adolescent patients suffering from super-refractory status epilepticus (SRSE) and its relationship with underlying inflammatory causes.
  • A cohort of 18 patients was analyzed, revealing that 83% experienced a significant reduction in seizure frequency after ketamine treatment, although those with inflammatory conditions had less favorable outcomes.
  • The findings suggest that while ketamine is generally safe and effective, the presence of inflammation may diminish its efficacy in treating SRSE.
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Background: We aimed to investigate the clinical characteristics and outcomes of patients with isolated left-sided congenital diaphragmatic hernia (CDH) who developed preoperative pneumothorax and determine its risk factors.

Methods: We performed an international cohort study of patients with CDH enrolled in the Congenital Diaphragmatic Hernia Study Group registry between January 2015 and December 2020. The main outcomes assessed included survival to hospital discharge and preoperative pneumothorax development.

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Peripartum cardiomyopathy (PPCM) is a left ventricular systolic dysfunction associated with heart failure (HF) in late-term pregnancy or peripartum. A 29-year-old pregnant woman with no history of cardiac disease noted lower extremity edema around 34 weeks' gestation with significant weight gain. She delivered twins via caesarean section, and the edema regressed postpartum.

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Aims/introduction: The aim of this study was to develop a scale to evaluate disease stigma in patients with lifestyle-related chronic non-communicable diseases (LCNCDs), which we named the Kanden Institute Stigma Scale (KISS), and to consider its possible clinical application for patients with diabetes.

Materials And Methods: An initial 90 questions were drafted and categorized into six subscales according to the manifestations of stigma. The final version of the KISS was developed as a 24-item questionnaire comprising four items for each subscale.

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Objective: Hemorrhagic shock and encephalopathy syndrome (HSES) is a severe subtype of acute encephalopathy with a poor prognosis. The factors associated with acute neurological outcomes in patients with HSES remain unclear. This study aimed to determine the clinical features, laboratory and radiological findings, and treatments that determine the acute outcomes of HSES.

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Background: The concept of "see one, do one, teach one" raises concerns regarding patient safety in the intensive care unit (ICU) and highlights the need for prior preparation of residents/fellows for ICU rotation. This study assessed the need for an adult pre-ICU "boot camp" training course.

Methods: An online questionnaire regarding the current ICU training and desirable course framework was distributed via e-mail to the ICU directors of 269 educational centers certified by the Japanese Society of Intensive Care Medicine.

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  • The study focused on understanding the outcomes of retained products of conception (RPOC) in pregnancies after 22 weeks, specifically examining patients in Japanese perinatal centers.
  • It found that 43% of the 323 patients had pregnancies resulting from assisted reproductive technology (ART), with 33% requiring blood transfusions at delivery.
  • Factors such as larger RPOC size and ART pregnancies significantly increased the likelihood of needing transfusions and additional surgical interventions like transarterial embolization (TAE) or hysterectomy for bleeding issues.
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Sivelestat's effect on Candida albicans water-soluble fraction-induced vasculitis.

Pediatr Int

January 2022

Department of Pathological Biochemistry, Faculty of Pharmaceutical Sciences, Setsunan University, Hirakata, Osaka, Japan.

Background: We investigated the efficacy of sivelestat sodium hydrate (SSH) as a treatment for Kawasaki disease, and its pharmacological action sites, in mice with Candida albicans water-soluble fraction-induced vasculitis.

Methods: Sivelestat sodium hydrate was administered intraperitoneally to Candida albicans water-soluble fraction-induced vasculitis model mice to assess its efficacy in preventing the development of coronary artery lesions based on the degree of inflammatory cell infiltration in the aortic root and coronary arteries (vasculitis score). The pharmacological sites of action were investigated based on changes in neutrophil elastase (NE) and intercellular adhesion molecule 1 (ICAM-1) positive areas, ICAM-1 and tumor necrosis factor-α mRNA expression levels in the upper heart, and the proportion of monocytes in the peripheral blood.

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Objectives There is limited evidence on the infants' postoperative complications who have undergone surgical repair of duodenal atresia and stenosis. This study aimed to identify the factors associated with poor surgical outcomes after the initial repair. Methods We retrospectively reviewed the data of 82 patients who underwent surgery for duodenal atresia and stenosis between January 1994 and December 2013 at our institution.

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Objective: Hemorrhagic shock and encephalopathy syndrome (HSES) is a severe subtype of acute encephalopathy with a poor prognosis. The association between electroencephalogram (EEG) findings and neurological outcomes in patients with HSES, including the onset of epilepsy, remains unclear.

Methods: Thirty-two children with HSES registered in a database of Osaka City General Hospital between 2003 and 2018 were included in this study.

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Association of Lifestyle Changes Due to the COVID-19 Pandemic with Nutrient Intake and Physical Activity Levels during Pregnancy in Japan.

Nutrients

October 2021

Department of Children's and Women's Health, Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.

The coronavirus disease 2019 (COVID-19) pandemic has introduced changes in our lifestyles, such as refraining from unnecessary outings. This study aimed to clarify the association of lifestyle changes due to the COVID-19 pandemic with nutrient intake and physical activity levels during pregnancy in Japan. A cross-sectional study involving 168 healthy pregnant Japanese women was conducted in 2020.

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Background: Hemorrhagic shock and encephalopathy syndrome (HSES) is a devastating disease and has an uncertain pathogenesis. The aim of this study was to predict neurological outcomes for HSES using magnetic resonance imaging (MRI) findings at neurological onset and elucidate the pathophysiology of HSES in the acute phase from serial MRI changes.

Materials And Methods: We analyzed the MRI findings of 13 patients who underwent an initial MRI within 24 h of neurological onset.

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The story of critical care in Asia: a narrative review.

J Intensive Care

October 2021

Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Background: Asia has more critically ill people than any other part of our planet. The aim of this article is to review the development of critical care as a specialty, critical care societies and education and research, the epidemiology of critical illness as well as epidemics and pandemics, accessibility and cost and quality of critical care, culture and end-of-life care, and future directions for critical care in Asia.

Main Body: Although the first Asian intensive care units (ICUs) surfaced in the 1960s and the 1970s and specialisation started in the 1990s, multiple challenges still exist, including the lack of intensivists, critical care nurses, and respiratory therapists in many countries.

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  • Acute subdural hematoma (ASDH) is a serious but rare head injury in rugby, with documented cases among high school players in Japan.
  • An analysis of injury reports from 2004 to 2020 identified 30 ASDH cases, mostly affecting novice players during the tackling and being tackled phases.
  • The findings suggest that new players, especially in their first year, are at higher risk for ASDH, highlighting the need for prevention strategies focused on their specific playing experience.
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  • * A survey conducted across 19 facilities, involving 373 healthcare professionals, revealed that all units screened patients for SARS-CoV-2, but endoscopic procedures decreased by 44% due to safety protocols.
  • * Personal protective equipment (PPE) was universally adopted, and daily risk assessments ensured no infections occurred among healthcare professionals, validating the Japan Gastroenterological Endoscopy Society's preventive recommendations.
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Objective: Increasing reports suggest a role for immunological mechanisms in febrile infection-related epilepsy syndrome (FIRES). The objective of this study was to elucidate the efficacy and safety of intrathecal dexamethasone therapy (IT-DEX).

Methods: We assessed six pediatric patients with FIRES who were administered add-on IT-DEX in the acute (n = 5) and chronic (n = 1) phases.

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Background: A diagnostic sign on magnetic resonance imaging, suggestive of posterior extrauterine adhesion (PEUA), was identified in patients with placenta previa. However, the clinical features or surgical outcomes of patients with placenta previa and PEUA are unclear. Our study aimed to investigate the clinical characteristics of placenta previa with PEUA and determine whether an altered management strategy improved surgical outcomes.

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Influenza virus, respiratory syncytial virus, and human metapneumovirus commonly cause acute upper and lower respiratory tract infections, especially in children and the elderly. Although rapid antigen detection tests for detecting these infections have been introduced recently, these are less sensitive than nucleic acid amplification tests. More recently, highly sensitive point-of-care testings (POCTs) have been developed based on nucleic acid amplification tests, which are easy to use in clinical settings.

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Objective: Patients with congenital myotonic dystrophy (CDM) tend to be born preterm. Although the CDM severity generally depends on the CTG repeat length, prematurity may also affect the prognosis in patients with CDM. Given that preterm birth is expected to increase the risk of CDM in newborns, we investigated the outcomes of newborns with CDM according to gestational age to assess prematurity and the CTG repeat length for predicting prognosis.

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