检索结果-南通市图书馆

Prediction of return of spontaneous circulation in outof-hospital cardiac arrest with non-shockable initial rhythm using point-of-care testing: a retrospective observational study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Emergency Medicine 2023年第2期14卷 89-95页

作者： Kota Shinada Hiroyuki Koami Ayaka Matsuoka yuichiro sakamoto Department of Emergency and Critical Care Medicine Faculty of MedicineSaga UniversitySaga CitySaga Prefecture 849-8501Japan Division of Translational Research in Intensive Care Medicine Faculty of MedicineSaga UniversitySaga CitySaga Prefecture 849-8501Japan

BACKGROUND:Out-of-hospital cardiac arrest(OHCA) is a public health concern, and many studies have been conducted on return of spontaneous circulation(ROSC) and its prognostic *** thromboelastometry(ROTEM?), a point-of-care testing(POCT) method, has been useful for predicting ROSC in patients with OHCA, but very few studies have focused on patients with non-shockable rhythm. We examined whether the parameters of POCT could predict ROSC in patients with OHCA and accompanying non-shockable ***:This is a single-center, retrospective observational study. Complete blood count,blood gas, and ROTEM POCT measurements were used. This study included patients with nontraumatic OHCA aged 18 years or older who were transported to the emergency department and evaluated using POCT between January 2013 and December 2021. The patients were divided into the ROSC and non-ROSC groups. Prehospital information and POCT parameters were compared using receiver operating characteristic(ROC) curve analysis, and further logistic regression analysis was ***:Sixty-seven and 135 patients were in the ROSC and non-ROSC groups,respectively. The ROC curves showed a high area under the curve(AUC) for K^(+) of 0.77(95%confidence interval [CI]:0.71–0.83) and EXTEM amplitude 5 min after clotting time(A5) of 0.70(95%CI:0.62–0.77). The odds ratios for ROSC were as follows:female sex 3.67(95%CI:1.67–8.04);K^(+)0.64(95%CI:0.48–0.84);and EXTEM A5 1.03(95%CI:1.01–1.06).CONCLUSION:In OHCA patients with non-shockable rhythm, K^(+) level and the ROTEM parameter EXTEM A5 may be useful in predicting ROSC.

关键词： Rotational thromboelastometry Blood coagulation disorders Extrinsic pathway Potassium

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

牵引力变化引起列车纵向振动的分析

国外铁道机车与动车 2022年第3期 27-31,42页

作者： [日]yuichiro sakamoto 刘志荣(译) 不详

驱动力或制动力的变化会引起车辆的纵向振动,有时会导致黏着力下降,进一步滑移和滑动。因此,在考虑电气系统和机械系统时,有必要阐明牵引力与纵向振动之间的关系。了解这一关系有助于改进电机控制方法。文章介绍了对牵引力变化所产生的... 详细信息

驱动力或制动力的变化会引起车辆的纵向振动,有时会导致黏着力下降,进一步滑移和滑动。因此,在考虑电气系统和机械系统时,有必要阐明牵引力与纵向振动之间的关系。了解这一关系有助于改进电机控制方法。文章介绍了对牵引力变化所产生的纵向加速度进行的研究,以及用实际列车组的测试结果与数值模拟结果之间进行比较的结果。

关键词：列车组的车辆动力学纵向振动分析牵引力车钩力车钩缓冲器

Identification of telomere maintenance gene variations related to lung adenocarcinoma risk by genome-wide association and whole genome sequencing analyses

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Cancer Communications 2024年第2期44卷 287-293页

作者： Kouya Shiraishi Atsushi Takahashi Yukihide Momozawa Yataro Daigo Syuzo Kaneko Takahisa Kawaguchi Hideo Kunitoh Shingo Matsumoto Hidehito Horinouchi Akiteru Goto Takayuki Honda Kimihiro Shimizu Masahiro Torasawa Daisuke Takayanagi Motonobu Saito Akira Saito yuichiro Ohe Shun-ichi Watanabe Koichi Goto Masahiro Tsuboi Katsuya Tsuchihara Sadaaki Takata Tomomi Aoi Atsushi Takano Masashi Kobayashi Yohei Miyagi Kazumi Tanaka Hiroyuki Suzuki Daichi Maeda Takumi Yamaura Maiko Matsuda Yoko Shimada Takaaki Mizuno Hiromi sakamoto Teruhiko Yoshida Yasushi Goto Tatsuya Yoshida Taiki Yamaji Makoto Sonobe Shinichi Toyooka Kazue Yoneda Katsuhiro Masago Fumihiro Tanaka Megumi Hara Nobuo Fuse Satoshi S.Nishizuka Noriko Motoi Norie Sawada yuichiro Nishida Kazuki Kumada Kenji Takeuchi Kozo Tanno Yasushi Yatabe Kuniko Sunami Tomoyuki Hishida Yasunari Miyazaki Hidemi Ito Mitsuhiro Amemiya Hirohiko Totsuka Haruhiko Nakayama Tomoyuki Yokose Kazuyoshi Ishigaki Toshiteru Nagashima Yoichi Ohtaki Kazuhiro Imai Ken Takasawa Yoshihiro Minamiya Kazuma Kobayashi Kenichi Okubo Kenji Wakai Atsushi Shimizu Masayuki Yamamoto Motoki Iwasaki Koichi Matsuda Johji Inazawa Yuichi Shiraishi Hiroyoshi Nishikawa Yoshinori Murakami Michiaki Kubo Fumihiko Matsuda Yoichiro Kamatani Ryuji Hamamoto Keitaro Matsuo Takashi Kohno Division of Genome Biology National Cancer Center Research InstituteTokyoJapan Department of Clinical Genomics National Cancer Center Research InstituteTokyoJapan Laboratory for Statistical Analysis Center for Integrative Medical SciencesRIKENYokohamaJapan Department of Genomic Medicine Research InstituteNational Cerebral and Cardiovascular CenterOsakaJapan Laboratory for Genotyping Development Center for Integrative Medical SciencesRIKENYokohamaJapan Center for Antibody and Vaccine Therapy Research HospitalInstitute of Medical ScienceThe University of TokyoTokyoJapan Department of Medical Oncology and Cancer Center and Center for Advanced Medicine against CancerShiga University of Medical ScienceOtsuJapan Division of Medical AI Research and Development National Cancer Center Research InstituteTokyoJapan Center for Genomic Medicine Graduate School of MedicineKyoto UniversityKyotoJapan Department of Medical Oncology Japanese Red Cross Medical CenterTokyoJapan Department of Thoracic Oncology National Cancer Center Hospital EastJapan Department of Thoracic Oncology National Cancer Center HospitalTokyoJapan Department of Cellular and Organ Pathology Graduate School of MedicineAkita UniversityAkitaJapan Department of Respiratory Medicine Tokyo Medical and Dental UniversityBunkyo-kuTokyoJapan Division of General Thoracic Surgery Department of SurgeryShinshu University School of MedicineMatsumotoNaganoJapan Department of General Surgical Science Division of General Thoracic SurgeryGunma University Graduate School of MedicineIntegrative Center of General SurgeryGunma University HospitalGunmaJapan Department of Gastrointestinal Tract Surgery Fukushima Medical University School of MedicineFukushimaJapan StaGen Co. LtdTokyoJapan Division of Thoracic Surgery National Cancer Center HospitalTokyoJapan Department of Thoracic Surgery National Cancer Center Hospital EastChibaJapan Division of Translational Informatics Exploratory Oncology Research and Clinical Trial Center(EPOC

Dear editor,Lung carcinoma is responsible for the highest fatal-ity rate among cancer-related deaths globally,with lung adenocarcinoma(LADC)emerging as the prevailing sub-type.

关键词： adenocarcinoma lung Lung

Impact of laparoscopic liver resection on bleeding complications in patients receiving antithrombotics

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2017年第8期9卷 396-404页

作者： Takahisa Fujikawa Hiroshi Kawamoto yuichiro Kawamura Norio Emoto Yusuke sakamoto Akira Tanaka Department of Surgery Kokura Memorial HospitalFukuoka 802-8555Japan

AIM To assess the impact of laparoscopic liver resection(LLR) on surgical blood loss(SBL),especially in patients with antithrombotics for thromboembolic *** Consecutive 258 patients receiving liver resection at our institution between 2010 and 2016 were retrospectively *** antithrombotic therapy(ATT;antiplatelets and/or anticoagulation) was regularly used in 100 patients(ATT group,38.8%) whereas not used in 158(non-ATT group,61.2%).Our perioperative management of high thromboembolic risk patients included maintenance of preoperative aspirin monotherapy for patients with antiplatelet therapy and bridging heparin for patients with *** both ATT and non-ATT groups,outcome variables of patients undergoing LLR were compared with those of patients receiving open liver resection(OLR),and the independent risk factors for increased SBL were determined by multivariate *** This series included 77 LLR and 181 *** were 3 thromboembolic events(1.2%) in a whole cohort,whereas increased SBL(≥500 mL) and postoperative bleeding complications(BCs) occurred in 66 patients(25.6%) and 8(3.1%),*** in the ATT and non-ATT groups,LLR was significantly related to reduced SBL and low incidence of BCs,although LLR was less performed as anatomical *** analysis showed that anatomical liver resection was the most significant risk factor for increased SBL [risk ratio(RR)=6.54,P<0.001] in the whole cohort,and LLR also had the significant negative impact(RR = 1/10.0,P<0.001).The same effects of anatomical resection(RR=15.77,P<0.001) and LLR(RR=1/5.88,P=0.019) were observed when analyzing the patients in the ATT *** LLR using the two-surgeon technique is feasible and safely performed even in the ATT-burdened patients with thromboembolic *** from the extent of liver resection,LLR is significantly associated with reduced SBL,both in the ATT and non-ATT groups.

关键词： Laparoscopic 肝切除术二外科医生的技术 Antithrombotic 治疗增加的外科的血损失流血复杂并发症

Electrical Stimulation in Addition to Passive Exercise Has a Small Effect on Spasticity and Range of Motion in Bedridden Elderly Patients: A Pilot Randomized Crossover Study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health 2019年第8期11卷 1072-1086页

作者： Hideki Kataoka Shunpei Nakashima Hideki Aoki Kyo Goto Junichiro Yamashita yuichiro Honda Yasutaka Kondo Tatsuya Hirase Junya sakamoto Minoru Okita Department of Rehabilitation Nagasaki Memorial Hospital Nagasaki Japan Department of Physical Therapy Science Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan Department of Rehabilitation Nagasaki University Hospital Nagasaki Japan Department of Rehabilitation Nagasaki Genbaku Hospital Nagasaki Japan Institute of Biomedical Sciences Nagasaki University Nagasaki Japan

Purpose: Belt electrode skeletal muscle electrical stimulation (B-SES) can stimulate large portions of muscles including deep sites without localisation of the stimulation area. The purpose of this study is to investigate both immediate treatment effects of B-SES and long-term treatment effects of B-SES with passive exercise on range of motion (ROM) and muscle tone of lower extremities in bedridden elderly patients. Methods: Outcome measures before and after B-SES treatment alone (4 Hz, 20 min, both lower extremities) were examined for the immediate effect. Outcome measures were: ROM and Modified Ashworth scale (MAS) of hip flexion and adduction;knee flexion and extension;and knee joint distance at position of flexion abduction in hip (distance of knee). A randomized crossover trial was conducted to examine the long-term effect of adding B-SES to passive exercise on ROM and MAS. Results and Discussion: The immediate effect study had 18 patients. ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved after B-SES treatment. The long-term effect study had 11 patients. Friedman test revealed ROM and MAS of 4 joint angles in 2 joints and distance of knee significantly improved during B-SES intervention but not control intervention. B-SES in addition to passive stretch has a more statistically significant effect on contracture and spasticity in large portions of the lower extremities of bedridden elderly patients than passive stretching alone. Conclusions: We consider B-SES a useful tool to improve the ROM in lower extremities of bedridden patients.

关键词： Bedridden Patients Belt Electrode Skeletal Muscle Electrical Stimulation Lower Extremity Muscle Tone Restriction of Range of Joint Motion

Malignant Triton Tumor in the Abdominal Wall: A Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Advances in Molecular Imaging 2013年第2期3卷 9-13页

作者： Yoshiyuki Kitamura Koichiro Abe Shingo Baba Takuro Isoda Yasuhiro Maruoka Yoshio Matsuo yuichiro Kubo Akio sakamoto Hiroshi Nishimura Masayuki Sasaki Hiroshi Honda Department of Anatomic Pathology Pathological Sciences Graduate School of Medical Sciences Kyushu University Fukuoka Japan Department of Clinical Radiology Kyushu University Hospital Fukuoka Japan Department of Clinical Radiology Saiseikai Futsukaichi Hospital Fukuoka Japan Department of Health Sciences Graduate School of Medical Sciences Kyushu University Fukuoka Japan Department of Orthopaedic Surgery Kyushu University Hospital Fukuoka Japan

Malignant triton tumor (MTT) is a rare variant of malignant peripheral nerve sheath tumor (MPNST) with rhabdomyosarcomatous differentiation. We report the case of a 54-year-old male without a history of neurofibromatosis type 1 (NF1) who had a growing abdominal wall tumor diagnosed as MTT. Computed tomography (CT), magnetic resonance imaging (MRI) and 2-[F-18]-fluoro-2-deoxy-D-glucose positron emission tomography/CT (FDG-PET/CT) were performed. The MRI and FDG-PET/CT indicated that the lateral component of the tumor was composed of many proliferative cells, corresponding to the histopathological finding of a cellular proliferation of spindle-shaped cells. In light of this case and previous reports, it is apparent that FDG-PET/CT is a helpful tool for distinguishing MTT from benign peripheral nerve sheath tumor.

关键词： Malignant Triton Tumor (MTT) Malignant Peripheral Nerve Sheath Tumor (MPNST) 2-[F-18]-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography/Computed Tomography (FDG-PET/CT)

Electrical Stimulation in Addition to Passive Exercise Has a Small Effect on Spasticity and Range of Motion in Bedridden Elderly Patients:A Pilot Randomized Crossover Study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Solitary recurrence of hilar cholangiocarcinoma in a mediastinai lymph node two years after curative resection

Health 2019年第8期

作者： Hideki Kataoka Shunpei Nakashima Hideki Aoki Kyo Goto Junichiro Yamashita yuichiro Honda Yasutaka Kondo Tatsuya Hirase Junya sakamoto Minoru Okita

来源：评论

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2007年第15期13卷 2243-2246页

作者： yuichiro Ito Yoshitsugu Tajima Fumihiko Fujita Ryuji Tsutsumi Tamotsu Kuroki Takashi Kanematsu Department of Transplantation and Digestive Surgery Nagasaki University Graduate School of Biomedical Sciences 1-7-1 SakamotoNagasaki 852-8501Japan

我们最近遇到了在一个纵隔淋巴节点的独居的复发在发生了的门 cholangiocarcinoma 的一个不平常的盒子在原发性瘤的药品切除术以后的二年。一个 64 年的老妇人与正确 hypochondrial 不快的抱怨进入我们的医院。在成像研究在左肝的管表... 详细信息

我们最近遇到了在一个纵隔淋巴节点的独居的复发在发生了的门 cholangiocarcinoma 的一个不平常的盒子在原发性瘤的药品切除术以后的二年。一个 64 年的老妇人与正确 hypochondrial 不快的抱怨进入我们的医院。在成像研究在左肝的管表明了门 cholangiocarcinoma 以后，肿瘤的药品切除术被执行，由与额外的肝的胆汁管的有尾的叶切除术，地区性的淋巴节点解剖，和切除术一起的左肝的叶切除术组成。没有节的转移组织学地被观察。在外科以后的二年，病人 thoracoscopically 被发现在以后的纵隔有一个小瘤，它是 resected。没有另外的肿的淋巴节点，本地复发，或远转移被注意。组织学地，小瘤证明了是一个变形淋巴节点，并且辅助 chemoradiation 治疗被开始。病人留下了很好跟随她的第一个手术的四年并且没在她的第二个手术以后有疾病复发 28 瞬间的证据。到我们的知识，这个案例是在在门 cholangiocarcinoma 的药品切除术以后的一个纵隔淋巴节点的独居的复发的第一份报告。

关键词：肝门胆管癌治疗性切除纵隔淋巴结复发