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A Change in Bathing Style May Improve Mental Fitness

Health 2015年第2期7卷 270-278页

作者： Takaaki Kubo Tomonori Yasuda Yoshihisa Masumitsu Yoshihiro Iwashita Satoshi Watanabe Taichi Ishizawa Mitsuo Tsunakawa shingo yano Junichi Iimaya Department of Rehabilitation Faculty of Health Sciences Kumamoto Health Science University Kumamoto Japan Products Development Department Bathclin Corporation Ibaraki Japan

Frequent bathtub bathing (BB) improves the mental health of middle-aged and older Japanese in-dividuals. This study investigated the chronic mental health effects of BB, maintaining warmth using an insulating sheet and sleeping bag after bathtub bathing (BBW), and bathtub bathing with herbal extracts (BBH) in healthy young adults. The study involved healthy young adults who habitually showered, as opposed to bathing. In the first experiment, 18 participants were randomly assigned to either the BB or BBW groups for 14 consecutive nights. After a 2-week washout period, the participants were asked to switch their bathing styles (a cross-over design). In the second experiment, 20 participants were randomly assigned to the BB or BBH group. The herbal extracts for the BBH group contained angelicae radix, aurantii nobilis pericarpium, chamomile, and zingiberis rhizoma. After a 2-week washout period, these participants also switched to the other bathing style. The participants’ mental conditions pre- and post-intervention were assessed using the Profile of Mood States-Brief Form questionnaire, Japanese version, and were statistically analyzed. The participants’ Anger-Hostility score converged to an average (50 points) in the post-BBW and post-BBH participants, and there were no significant differences in BB. The Confusion change rate was significantly different in the first experiment (BB versus BBW). The Depression-Dejection and Fatigue change rates were significantly different in the second experiment (BB versus BBH). Our findings suggest that changing bathing style from showering to BBW or BBH improves the POMS Anger-Hostility scores of healthy young adults.

关键词： Bathtub Bathing Warmth Herbal Extracts Mental Fitness Healthy Young Adults

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Impact of metastatic lymph node ratio in node-positive colorectal cancer

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World Journal of Gastrointestinal Surgery 2010年第3期2卷 70-77页

作者： shingo Noura Masayuki Ohue shingo Kano Tatsushi Shingai Terumasa Yamada Isao Miyashiro Hiroaki Ohigashi Masahiko yano Osamu Ishikawa Department of Surgery Osaka Medical Center for Cancer and Cardiovascular DiseasesOsaka 537-8511Japan

Colorectal cancer(CRC) is one of the most common malignant diseases in the ***,the most widely used staging system for CRC is the tumor nodes metastasis classification system,which classifies patients into prognostic groups according to the depth of the primary tumor,presence of regional lymph node(LN) metastases,and evidence of distant metastatic *** number of LNs with confirmed metastasis is related to the severity of the disease,but this number depends on the number of LNs retrieved,which varies depending on patient age,tumor grade,surgical extent,and tumor *** studies and a recent structured review have demonstrated associated improvements in the survival of CRC patients with increasing numbers of LNs retrieved for ***,the impact of lymph node ratio(LNR),defined as the number of metastatic LNs divided by the number of LNs retrieved,has been investigated in various malignancies,including *** this editorial,we review the literature demonstrating the clinicopathological significance of LNR in CRC *** reports have indicated the advantage of considering the LNR compared to the number of LNs retrieved and/or LN *** the LNR is taken into consideration for survival analysis,the number of LNs retrieved and/or the LN status is not always found to be a prognostic *** cut-off points for LNRs were proposed in numerous ***,optimal thresholds for LNRs have not yet received *** is still unclear whether the LNR has more prognostic validity than N *** all these reasons,the potential advantages of LNRs in the staging system should be investigated in large prospective data sets.

关键词： Lymph node ratio Lymph node Colorectal cancer Prognostic factor Tumor nodes metastasis stage

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Single-incision laparoscopic cecectomy for low-grade appendiceal mucinous neoplasm after laparoscopic rectectomy

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World Journal of Gastrointestinal Surgery 2014年第5期6卷 84-87页

作者： Shiki Fujino Norikatsu Miyoshi shingo Noura Tatsushi Shingai Yasuhiko Tomita Masayuki Ohue Masahiko yano Departments of Surgery Osaka Medical Center for Cancer and Cardiovascular DiseasesOsaka-city558-8585 Osaka Japan Departments of Surgery Saiseikai Senri HospitalSuita-city 590-0072 Osaka Japan Departments of Pathology Osaka Medical Center for Cancer and Cardiovascular Diseases Higashinari-KuOsaka-city 558-8585 Osaka Japan

In this case report,we discuss single-incision laparoscopic cecectomy for low-grade appendiceal neoplasm after laparoscopic anterior resection for rectal *** optimal surgical therapy for low-grade appendiceal neoplasm is controversial;currently,the options include appendectomy,cecectomy,right hemicolectomy,and open or laparoscopic *** to the risk of pseudomyxoma peritonei,complete resection without rupture is *** have encountered 5 cases of lowgrade appendiceal neoplasm and all 5 patients had no lymph node *** chose the appendectomy or cecectomy without lymph node dissection if preoperative imaging studies did not suspect *** the present case,we performed cecectomy without lymph node dissection by single-incision laparoscopic surgery(SILS),which is reported to be a reduced port surgery associated with decreased invasiveness and patient stress compared with conventional laparoscopic *** are confident that SILS is a feasible alternative to traditional surgical procedures for borderline tumors,such as low-grade appendiceal neoplasms.

关键词： Single-incision laparoscopic surgery Lowgrade appendiceal mucinous neoplasm Mucocele Reduced port surgery

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Efficacy of subcutaneous penrose drains for surgical site infections in colorectal surgery

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World Journal of Gastrointestinal Surgery 2013年第4期5卷 110-114页

作者： Shinya Imada shingo Noura Masayuki Ohue Tatsushi Shingai Toshinori Sueda Kentaro Kishi Terumasa Yamada Hiroaki Ohigashi Masahiko yano Osamu Ishikawa Department of Surgery Osaka Medical Center for Cancer and Cardiovascular Diseases

AIM: To investigate whether a subcutaneous penrose drain would decrease the superficial surgical site infection (s-SSI) rate in elective colorectal surgery. METHODS: This is a comparative study of the historical control type. Intervention consisted of the use of penrose drain in elective open colorectal surgical wounds. The outcome was an incidence of s-SSI. The patients were risk stratified according to the depth of subcutaneous ***: There were 131 patients (40 patients with high s-SSI risk) in the prior period (from July 2008 to June 2009, when no penrose drains were inserted) and 151 patients (75 patients with high s-SSI risk) in the latter period (from June 2010 to November 2011, when penrose drains were inserted). The overall s-SSI rate was 6.1% and 5.3% during the two periods (P = 0.770), and the s-SSI rate in the high s-SSI risk group was 15.0% and 8.0% (P = 0.242).CONCLUSION: Although penrose drain was not observed to significantly reduce s-SSI, there tended to be a reduced risk of s-SSI in the high s-SSI risk group.

关键词： Surgical site infections Subcutaneous penrose drains Colorectal surgery Open surgery Subcutaneous tissue

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Solitary mediastinal lymph node recurrence after curative resection of colon cancer

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World Journal of Gastrointestinal Surgery 2014年第8期6卷 164-168页

作者： Yasuhiro Matsuda Masahiko yano Norikatsu Miyoshi shingo Noura Masayuki Ohue Keijiro Sugimura Masaaki Motoori Kentaro Kishi Yoshiyuki Fujiwara Kunihito Gotoh Shigeru Marubashi Hirofumi Akita Hidenori Takahashi Masato Sakon Department of Surgery Osaka Medical Center for Cancer and Cardiovascular Disease

We report two cases of solitary mediastinal lymph node recurrence after colon cancer resection. Both cases had para-aortic lymph node metastasis at the time of initial surgery and received adjuvant chemotherapy for 4 years in case 1 and 18 mo in case 2. The time to recurrence was more than 8 years in both cases. After resection of the recurrent tumor, the patient is doing well with no recurrence for 6 years in case 1 and 4 mo in case 2. Patients should be followed up after colon cancer surgery considering the possibility of solitary mediastinal lymph node recurrence if they had para-aortic node metastasis at the time of initial surgery.

关键词： Solitary mediastinal lymph node recurrence Colon cance

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Standardized technique for single-incision laparoscopicassisted stoma creation

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World Journal of Gastrointestinal Endoscopy 2016年第15期8卷 541-545页

作者： Norikatsu Miyoshi Shiki Fujino Masayuki Ohue Masayoshi Yasui shingo Noura Yuma Wada Ryuichiro Kimura Keijiro Sugimura Akira Tomokuni Hirofumi Akita Shogo Kobayashi Hidenori Takahashi Takeshi Omori Yoshiyuki Fujiwara Masahiko yano Department of Surgery Osaka Medical Center for Cancer and Cardiovascular Diseases Department of Surgery Osaka Rosai Hospital

To describe the procedure, efficacy, and utility of singleincision laparoscopic-assisted stoma creation(SILStoma) for transverse colostomy. Using single-incision laparoscopic surgery, we developed a standardized technique for SILStoma. Twelve consecutive patients underwent SILStoma for transverse colostomy at Osaka Medical Center for Cancer and Cardiovascular Diseases from April 2013 to March 2016. A single, intended stoma site was created with a 2.5-3.5 cm skin incision for primary access to the intra-abdominal space, and it functioned as the main port through which multi-trocars were placed. Clinical and operative factors and postoperative outcomes were evaluated. Patient demographics, including age, gender, body mass index, and surgical indications for intestinal diversion were evaluated. SILStoma was performed in nine cases without the requirement of additional ports. In the remaining three cases, 1-2 additional 5-mm ports were required for mobilization of the transverse colon and safe dissection of abdominal adhesions. No cases required conversion to open surgery. In all cases, SILStoma was completed at the initial stoma site marked preoperatively. No intraoperative or postoperative complications greater than Grade Ⅱ(the Clavien-Dindo classification) were reported in the complication survey. Surgical site infection at stoma sites was observed in four cases; however, surgical interventions were not required and all infectionswere cured completely. In all cases, the resumption of bowel movements was observed between postoperative days 1 and 2. SILStoma for transverse loop colostomy represents a feasible surgical procedure that allows the creation of a stoma at the preoperatively marked site without any additional large skin incisions.

关键词： Laparoscopic surgery Colostomy Stoma Postoperative complications Cosmetic outcomes

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