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Effects of Semi-Solid Enteral Formula on Aspiration Pneumonia and Diarrhea

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International Journal of Clinical Medicine 2020年第4期11卷 193-198页

作者： Minoru Oishi Minako Yasuda Mao Chikamatsu Rena Akiyama Michio Yamamoto Keisuke Terakawa yumi suzuki Mizuki Ando Mariko Shimada Tadashi Kumagai Akiko Nakayama Swallowing Team Koshinkai Izu Tobu Hospital Higashi-Izu Japan

Objective: The effects of semi-solid enteral formula were investigated in tube feeding patients with aspiration pneumonia and/or diarrhea caused by liquid enteral formula. Methods: In 25 cases of aspiration pneumonia and 10 cases of diarrhea (5 cases had both aspiration pneumonia and diarrhea) caused by liquid enteral formula, the rate of improvement by changing the liquid enteral formula to semi-solid enteral formula was studied. The semi-solid enteral formula (PG Soft®EJ) was infused via the nasogastric tube (16Fr) or percutaneous endoscopic gastrostomy (PEG) tube (20Fr). Results: The semi-solid enteral formula was effective in 72% of aspiration pneumonia cases and in 80% of diarrhea cases. Constipation was observed in one case but was controlled with magnesium oxide. Conclusion: In cases of aspiration pneumonia and/or diarrhea, changing liquid enteral formula to semi-solid enteral formula frequently shows improvement.

关键词： Semi-Solid Enteral Formula Tube Feeding Aspiration Pneumonia Diarrhea Liquid Formula Syndrome

Drug-induced sarcoidosis-like reaction three months after BNT162b2 mRNA COVID-19 vaccination:A case report and review of literature

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World Journal of Clinical Cases 2023年第1期11卷 177-186页

作者： Soo Ryang Kim Soo Ki Kim Takako Fujii Hisato Kobayashi Toyokazu Okuda Takanobu Hayakumo Atsushi Nakai yumi Fujii Ryuji suzuki Noriko Sasase Aya Otani Yu-ichiro Koma Motoko Sasaki Tsutomu Kumabe Osamu Nakashima Department of Gastroenterology Kobe Asahi HospitalKobe 6530801HyogoJapan Department of Radiology Kobe Asahi HospitalKobe 6530801HyogoJapan Department of Clinical Laboratory Kobe Asahi HospitalKobe 6530801HyogoJapan Department of Pharmacy Kobe Asahi HospitalKobe 6530801HyogoJapan Division of Pathology Department of PathologyKobe University Graduate School of MedicineKobe 6530801HyogoJapan Department of Human Pathology Kanazawa University Graduate School of MedicineKanazawa 9208640IshikawaJapan Department of Gastroenterology Kumabe ClinicKumamoto 8611331KumamotoJapan Laboratory Services Center St.Mary's HospitalKurume 830-8543FukuokaJapan

BACKGROUND A 70-year-old man with hepatitis C virus-related recurrent hepatocellular carcinoma was admitted for further diagnosis of a 1 cm iso-hyperechoic nodule in segment(S)5.CASE SUMMARY Gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging(EOB-MRI)revealed the nodule in S5 with a defect at the hepatobiliary phase,hyperintensity on diffusion weighted imaging(DWI)and hypointensity on apparent diffusion coefficient(ADC)map.Contrast-enhanced computed tomography revealed hypervascularity at the early phase,and delayed contrast-enhancement was observed at the late phase.Contrast-enhanced ultrasound(US)revealed incomplete defect at the late vascular phase.Inflammatory liver tumor,lymphoproliferative disease,intrahepatic cholangiocarcinoma(small duct type)and bile duct adenoma were suspected through the imaging studies.US guided biopsy,however,showed a noncaseating hepatic sarcoid-like epithelioid granuloma(HSEG),and histopathological analysis disclosed spindle shaped epithelioid cells harboring Langhans-type multinucleated giant cells.One month after admission,EOB-MRI signaled the disappearance of the defect at the hepatobiliary phase,of hyperintensity on DWI,of hypointensity on ADC map,and no stain at the early phase.CONCLUSION That the patient had received BNT162b2 messenger RNA(mRNA)coronavirus disease 2019 vaccination 3 mo before the occurrence of HSEG,and that its disappearance was confirmed 4 mo after mRNA vaccination suggested that the drug-induced sarcoidosis-like reaction(DISR)might be induced by the mRNA vaccination.Fortunately,rechallenge of drug-induced DISR with the third mRNA vaccination was not confirmed.

关键词： Drug-induced sarcoidosis-like reaction BNT162b2 mRNA COVID-19 vaccine Noncaseating granuloma Ethoxybenzyl diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging Th1/Th2 profile Case report

Practical Method of Estimating Effective Energy for Computed Tomography

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Practical Method of Estimating Effective Energy for Computed...

Developing a Questionnaire for Prediction of High Salt Intake Based on Salt Usage Behavior: Analysis from Dietary Habits and Urinary Sodium Excretion in Japan

The Second Asian and Oceanic Congress for Radiation Protection

作者： Masanao Kobayashi Yoshiro Koshida Ryota Matumoto Shingo Ichikawa Satoshi Yoshimi yumi Kataoka Toshiaki Nakai Yoshihiro Ida Yasuki Asada Syoichi suzuki Kazuhiro Katada Department of Radiology Fujita Health University Hospital Kanazawa University Graduate School of Medical SciencesDivision of Medical Sciences Graduate school of Health Sciences Fujita Health University Department of Radiology Fujita Health University Hospital Department of Radiology Fujita Health University Hospital Department of Radiology Fujita Health University Hospital Department of Radiology Fujita Health University Hospital Department of Radiology Fujita Health University Hospital Fujita Health University School of Health Sciences Fujita Health University School of Health Sciences Department of Radiology Fujita Health University School of Medicine

The principal dosimetric quantity used in CT is the CT dose index（CTDI）.Measured value is for comparison diagnostic reference levels（DRL）and it is not applied on an individual patient.X-ray exposures of patients are characterized by the absorbed dose to each organ or tissue of the body,although this assessment is requirement for effective energy measurement,if measured for used by anthropomorphic phantoms within thermoluminescent dosimetries（TLD）.The purpose of this study was to evaluate the effective energy from the CTDI100,air and CTDI100,c by using the PMMA phantom with diameters of 16 cm and 32 cm.Forty-nine radiology departments took part in the survey.For assessment of effective energy,we used 38 and 19 scanners for MDCT and SDCT,respectively.We measured the CTDI100,air,CTDI100,c and effective energy,respectively.As a practical alternative,estimates of effective energy can be derived from the attenuate rate from CTDI100,air to CTDI100,c.For the results,effective energy was obtained by Effective energy（keV）= 110.04×（CTDI100,c/CTDI100,air）-13.779 at 16 cmφand Effective energy（keV）= 238.29×（CTDI100,c/CTDI100,air）+ 8.977 at 32 cmφ.The correlation coefficient is 0.92 in both cases.

关键词： computed tomography CT dose index effective dose radiation protection patient exposure

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Food and Nutrition Sciences 2017年第1期8卷 1-18页

作者： Chika Horikawa Nobuko Murayama Eri Tochikura Emi Ishida Miyo Kojima Sumie Isobe Kazue suzuki Kyoko Fueta Miyoko Kira Mizue Sasaya Misato Koide Asako Oyanagi Rika Yonekura Yae Iriyama yumi Nakajima Chiho Hatano Junichi Horii Department of Health and Nutrition Faculty of Human Life Studies University of Niigata Prefecture Niigata Japan Niigata Prefectural Government Niigata Japan Yuzawa Town Office Yuzawa-machi Japan Sado City Office Sado Japan Health and Sanitation Department Public Health and Sanitation Center City of Niigata Niigata Japan Gosen City Office Gosen Japan Sanjo City Office Sanjo Japan Mitsuke City Office Mitsuke Japan Department of Health and Nutrition Faculty of Health Sciences Niigata University of Health and Welfare Niigata Japan Murakami City Office Murakami Japan

Salt reduction policies have been implemented throughout the world as well as in Japan. However, most of the current questionnaires for estimating salt intake are apt to be based on empirical evidence. This study was aimed to develop and validate a questionnaire for predicting high salt intake based on salt usage using dietary behaviors that affect salt intake in cooperation with Niigata prefecture, Japan. The study was comprised of 760 participants aged 21 - 79 years (Men%: 49%) living in Niigata. Participants completed a questionnaire about dietary behaviors potentially relevant to salt intake. Second morning voiding urine for estimating dietary salt intake per day was collected on the same day. The relationship of estimated dietary salt intake to answers on the questionnaire was examined using analysis of covariance for age, gender, body mass index, and whether taking medication or not. Ten items on the questionnaire revealed an association with dietary salt intake per day: making oneself gorge on a meal, having ≥2 different staples per meal, having a 1-dish meal, number of simmered dishes per day, variety of pickled vegetables per day, having salt-cured fish eggs per day, quantity of soup consumed when eating noodles, preference for strong-tasting meals, frequency of eating out, and frequency of alcohol consumption.The current study identified 10 dietary behaviors that enabled the development of a salt intake questionnaire for identifying specific dietary behaviors for assessing regions and/or individuals when attempting to encourage salt reduction.

关键词： Salt Intake Dietary Behavior Second Morning Voiding Urine Urinary Sodium Japanese