51 results match your criteria: "Jichi Medical University Shimotsuke Japan.[Affiliation]"

Purpose: Medial meniscus posterior root tears (MMPRT) are a risk factor for knee osteoarthritis. The predominant treatment for MMPRT is transtibial pullout repair, and loop suture remains the gold standard procedure. This study aimed to investigate the structural properties of the meniscus-suture-tibia (MST) complex after loop stitch using ultra-high molecular weight polyethylene (UHMWPE) suture tape of different thicknesses.

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Aim: Intimate partner violence (IPV) is becoming a serious public health issue worldwide. This study sought to analyze factors affecting the help-seeking behavior of male victims of IPV using a web survey.

Methods: Male IPV victims living in Japan were recruited to participate in a web-based questionnaire survey conducted on February 25 and 26, 2021.

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  • The study aimed to assess the impact of untreated medial meniscal ramp lesions (MMRLs) on tendon grafts following anterior cruciate ligament (ACL) reconstruction using a pig model.
  • A total of 17 pigs were divided into two groups: one with untreated MMRLs and another with intact medial meniscus, and after 12 weeks, their specimens were tested for differences in structural properties and histology.
  • Although there were no significant differences in mechanical performance between the two groups, the group with untreated MMRLs showed considerably worse histological scores, indicating tissue deterioration post-surgery.
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  • * Analyzing data from 1183 patients, it found that completing 6 months of postoperative adjuvant therapy significantly improved overall, disease-specific, and recurrence-free survival, especially for high-risk patients.
  • * Additionally, neoadjuvant therapy showed benefits for those with borderline resectable IPMC, and any treatment for recurrence after surgery was linked to longer survival compared to no treatment.
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  • The aim of the study was to create a reliable animal model for non-occlusive mesenteric ischemia (NOMI) to understand its pathophysiology better, as current treatments are not well-established.
  • Researchers conducted experiments in pigs using different combinations of hemorrhagic shock and vasopressor infusions to simulate NOMI conditions and assess their effects.
  • The study successfully developed a model that showed significant intestinal changes and elevated serum lactate levels when systemic norepinephrine was combined with local epinephrine after moderate blood loss, confirming the effectiveness of this approach for studying NOMI.
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Purpose: This study aimed to clarify whether the range of motion (ROM), anterior and posterior (AP) stability and other clinical measures changed in patients who underwent tibia-first total knee arthroplasty (TF-TKA) using navigation with a computer-aided system after surgery.

Methods: This is a retrospective study and we conducted a matched cohort analysis of 60 measured resection (MR)-TKAs and 52 TF-TKAs performed by a single surgeon. All the surgeries used the same implant and approach.

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  • Atrioventricular nodal reentrant tachycardia (AVNRT) can return even after successful ablation of the slow pathway, prompting a study on recurrence reasons in 46 patients.
  • The study found that while many patients initially had successful RF ablation targeting the rightward inferior extension (RIE), some still experienced recurrent AVNRT, with various types showing up in follow-up cases.
  • Most recurrences were treated successfully again within the RIE area, and notably, the new successful ablation sites were often higher than where the initial procedure targeted.
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Guidance for clinical practice using emergency and point-of-care ultrasonography.

Acute Med Surg

June 2024

Committee for the Promotion of Point-of-Care Ultrasonography Japanese Association for Acute Medicine Japan.

Article Synopsis
  • The miniaturization of ultrasound scanners has led to the rise of point-of-care ultrasonography (POCUS), allowing bedside use for quick clinical decision-making, especially in emergencies.
  • In Japan, while POCUS is becoming more recognized globally, formal guidance was previously limited to trauma assessments and central venous procedures.
  • The Japanese Association for Acute Medicine has now established comprehensive clinical guidance for POCUS, addressing its principles and applications in emergency care, which aims to enhance ultrasound education and the quality of acute medical services in Japan.
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Purpose: We aimed to investigate whether a plate adapted to the anatomy of the proximal medial porcine's tibia would provide maintenance of the anterior gap (AG), posterior gap (PG) and posterior tibial slope (PTS).

Methods: Twenty-seven porcine tibias were biomechanically evaluated by performing MOWHTO and placing TOMOFIX ( = 9), AC plate ( = 9) and TriS ( = 9) anteromedially. Cyclic testing (800 N, 2000 cycles, 0.

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Purpose: To compare the postoperative clinical and radiological outcomes in patients aged ≥70 years following neutral alignment medial opening-wedge high tibial osteotomy (NA-MOWHTO) for medial compartment knee osteoarthritis (KOA) to those observed in younger patients.

Methods: The data of patients who underwent NA-MOWHTO for medial compartment KOA between September 2018 and June 2022 were retrospectively analysed. The patients were categorised into groups Y (<70 years) and O (≥70 years).

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Background: Follitropin δ may be an alternative to conventional follitropin α/β for controlled ovarian stimulation (COS) within assisted reproductive treatment (ART), but its efficacy and safety remain unknown. We performed a random-effects meta-analysis to compare the efficacy and safety of follitropin δ and follitropin α/β.

Methods: We searched randomized controlled trials comparing follitropin δ and follitropin α/β using MEDLINE, Embase, CENTRAL, ClinicalTrials.

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Purpose: To clarify differences in surgery duration, postoperative knee range of motion (ROM), anterior and posterior (AP) laxity, and Forgotten Joint Score (FJS) in patients undergoing medial-pivot (MP) and GRADIUS cruciate-retaining (CR) total knee arthroplasty (TKA) surgeries.

Methods: We examined patients who underwent either MP or CR TKA at six different Japanese centres. Patients were propensity score matched for age, sex, and preoperative hip-knee angle (HKA).

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  • An 88-year-old man received high-dose steroid treatment for COVID-19 and lung disease prior to hospitalization due to left arm swelling and redness.
  • Blood tests during his hospital stay revealed an infection, which ultimately led to his death despite receiving antifungal medication.
  • The case highlights the importance of monitoring patients for prolonged immunosuppression effects from high-dose steroids used in COVID-19 treatment.
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Background: In recent years, various home-use health devices have gained popularity. The abdominal roller is one of these. Spinal cord injury without radiological abnormality is known to occur even with relatively minor injuries, but there are few reports of such injuries caused by a roller.

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  • * It highlights new guidance developed by a working group on managing heat stroke amidst the COVID-19 pandemic, incorporating updated research from multiple sources.
  • * The second edition of this guidance focuses on critical aspects such as indoor ventilation, mask safety, and the isolation of older adults, aiming to improve prevention and treatment strategies for heat stroke during the ongoing pandemic.
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Objective: Benign vocal fold lesions (BVFLs) cause voice disorders and impair social life. Recently, office-based vocal fold steroid injection (VFSI) has gained attention as a minimally invasive treatment for BVFLs. This study aimed to analyze the age-dependent treatment effect of VFSI and to clarify the indications for treatment.

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Objectives: Vocal fold scarring is caused by replacement of vocal fold mucosa with fibrous tissue due to repeated inflammation or trauma. It can lead to severe dysphonia. It is currently treated conservatively and with phonosurgery and intracordal injections.

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Even with high-dose statin therapy, residual cardiovascular event risks remain in patients with chronic coronary syndrome (CCS). Thus, future treatment targets need to be elucidated. This study determined the factors associated with residual cardiovascular risk in patients with CCS treated with high-dose statins.

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Introduction: We report a prostate cancer case diagnosed during leuprorelin treatment for spinal and bulbar muscular atrophy which is a X-linked recessive, lower motor neuron disease.

Case Presentation: A 64-year-old man who had received leuprorelin treatment over 3 years for his spinal and bulbar muscular atrophy presented with an enlarged prostate accompanied by abdominal pain and constipation. An abnormally high serum prostate-specific antigen of 17.

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Objectives: Treatments for unilateral vocal fold paralysis (UVFP) include conservative voice rehabilitation, vocal fold injection, and laryngeal framework surgery. We proposed basic fibroblast growth factor (bFGF) injection as a potential novel treatment for UVFP and have reported the short-term results. In this study, we present the long-term results and safety of vocal fold bFGF injection as a treatment for UVFP.

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Objectives: To assess the relationship between the surgical procedure of robot-assisted radical prostatectomy (RARP) and urinary continence recovery by reviewing the video database.

Methods: Video and data about men diagnosed with prostate cancer and underwent RARP were extracted and reviewed. Preserved urethral length (PUL) was semi-quantitatively measured using the lateral width of a 16-Fr urethral balloon catheter while cutting the urethra on a video screen.

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  • In a pilot study, researchers compared the impact of antioxidant co-supplementation therapy and methylcobalamin therapy on men with poor semen quality.
  • Eighty-four participants with abnormal semen tests were randomly assigned to receive either therapy, and various metrics like oxidative stress levels and semen analysis were measured.
  • Results showed that while neither treatment significantly affected semen parameters overall, only methylcobalamin therapy notably increased sperm concentration, especially in patients with high initial oxidative stress levels.
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Background The impact of chronic kidney disease (CKD) on the prognostic utility of cardiovascular biomarkers in high-risk patients remains unclear. Methods and Results We performed a multicenter, prospective cohort study of 3255 patients with suspected or known coronary artery disease (CAD) to investigate whether CKD modifies the prognostic utility of cardiovascular biomarkers. Serum levels of cardiovascular and renal biomarkers, including soluble fms-like tyrosine kinase-1 (sFlt-1), N-terminal pro-brain natriuretic peptide (NT-proBNP), high-sensitivity cardiac troponin-I (hs-cTnI), cystatin C, and placental growth factor, were measured in 1301 CKD and 1954 patients without CKD.

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