The purpose of this study was to investigate the relationship between functional ankle instability and collegiate female football players’ performance. Ankle instability was defined as functional instability based on...
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The purpose of this study was to investigate the relationship between functional ankle instability and collegiate female football players’ performance. Ankle instability was defined as functional instability based on the Karlsson score. All participants underwent performance tests (Yo-Yo Intermittent Recovery test level 1, 20 m and 40 m Sprint, Bounding test, Shuttle run, Figure-of-8 hop test, and Side hopping). A positive relationship was observed between functional ankle instability and performance deficits on the Figure-of-8 hop test. However, functional ankle instability is thought to have an influence on football performance. In the performance tests, the results suggest the necessity of a new evaluation method with more difficult tests incorporating football movements, subjective “pain” and “instability” indices, and mechanical instability.
Endoscopic self-expandable metal stent (SEMS) placement has become a standard palliative therapy for pa- tients with malignant biliary obstruction. Acute cholecystitis after SEMS placement is a serious complication. W...
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Endoscopic self-expandable metal stent (SEMS) placement has become a standard palliative therapy for pa- tients with malignant biliary obstruction. Acute cholecystitis after SEMS placement is a serious complication. We report a patient with an acute cholecystitis after covered SEMS placement, who was managed successfully with endoscopic transpapillary gallbladder drainage (ETGBD) and replacement of the covered SEMS. An 85-year-old man with pancreatic cancer suffered from acute cholecystitis after covered SEMS placement. It was impossible to perform percutaneous transhepatic gallbladder drainage. After removal of the covered SEMS with a snare, a 7Fr double pigtail stent was placed between the gallbladder and duodenum, subsequently followed by another covered SEMS insertion into the common bile duct beside the gallbladder stent. The cholecystitis improved immediately after ETGBD. ETGBD with replacement of the covered SEMS thus proved to be effective for treatment of patients with acute cholecystitis after covered SEMS placement.
Background and Purpose -Prevalence of carotid artery stenosis in patients with coronary artery disease (CAD) is unknown in Japanese population. Methods -The study populations consisted of 632 consecutive patients who ...
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Background and Purpose -Prevalence of carotid artery stenosis in patients with coronary artery disease (CAD) is unknown in Japanese population. Methods -The study populations consisted of 632 consecutive patients who underwent coronary angiography because of suspicion of CAD. All patients underwent carotid ultrasonography to screen carotid artery stenosis before coronary angiography. We define d echographic carotid stenosis as area stenosis of >50%or peak systolic velocit y of >200 cm/s. Results -Echographic carotid stenosis was observed in 124 patie nts (19.6%). Coronary angiography revealed 433 patients had CAD. Prevalence of echographic carotid artery stenosis was 14 of 199 (7.0%), 18 of 124 (14.5%), 2 8 of 131 (21.4%), and 64 of 178 (36.0%) in patients with 0-, 1-, 2-, and 3 -vessel CAD, respectively (P < 0.0001). The prevalence rate with carotid stenos is and CAD was 25.4%. Multivariate stepwise logistic regression analysis showed that age and the extent of CAD were independently related to the presence of ca rotid stenosis (P=0.0002 and < 0.0001, respectively). Conclusions -Prevalence o f carotid stenosis in patients with CAD is high in Japan as well as in Western c ountries. Screening of carotid artery stenosis is recommended especially in olde r patients with multivessel CAD.
Gemcitabine chemotherapy has been the standard for advanced pancreatic cancer for more than a *** oral fluoropyrimidines such as S-1 and capecitabine are other key *** plus erlotinib was the only combination therapy t...
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Gemcitabine chemotherapy has been the standard for advanced pancreatic cancer for more than a *** oral fluoropyrimidines such as S-1 and capecitabine are other key *** plus erlotinib was the only combination therapy that significantly prolonged survival,although the effect was *** or no improvement in survival with recent moleculartargeted drugs might be attributed to the very high incidence of K-ras gene mutation in pancreatic ***,the non-gemcitabine-based-regimen of FOLFIRINOX showed significantly greater overall survival compared with gemcitabine for the first *** biliary tract cancer,gemcitabine plus cisplatin combination chemotherapy has been proved to significantly prolong survival and will become the standard *** improvement in survival is expected by the addition of cetuximab.
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