1.Ultrastructural Damage to Myocardium and Lung Caused by Ischemic Limb Reperfusion.
Japanese Journal of Cardiovascular Surgery 1997;26(3):150-157
Purpose. To investigate deteriorating effects on systemic organs due to actute arterial occlusion of the lower extremities, ultrastructural changes of the heart and lung after temporal occlusion of the abdominal aorta for 24 hours were examined with transmission electron microscopy (TEM). Methods. Fifteen mongrel dogs, weighing 10 to 15kg, underwent temporal occlusion of the infrarenal aorta and lumbar arteries followed by release of occlusion and restoration of circulation 24 hours later. After three-hours' reperfusion, the heart and lungs were excised for pathological evaluation with TEM. Experimental groups were divided into three groups according to the maximum values of CPK (group I, max CPK≤10000; group II, 10000
2.Study of Health-related Quality of Life of Women and Fruits Granola
Hisano HASEBE ; Katsuyuki ISHIHARA ; Masayoshi ITO ; Hoko KYO ; Nobutaka SUZUKI
Japanese Journal of Complementary and Alternative Medicine 2016;13(1):21-27
The purpose of this study was to examine the health-related Quality of Life (QOL) of women and the effects of “fruits granola” on women’s health. It was based on an Internet questionnaire survey on QOL (using a QOL questionnaire for women that was prepared by LSTT Co., Ltd.) of 3,460 subjects who answered questions concerning physical and mental matters. It also had 165 subjects, 108 of whom had mild constipation and 57 of whom did not, consume fruits granola freely for a period of time and then compared their QOL before and after consumption.The results of the screening survey showed significantly higher scores in all categories among women who did not have constipation than women who did. Additionally, the mental QOL score was significantly higher among women who had the habit of eating fruits granola.Moreover, the overall QOL score significantly increased after consumption of fruits granola. These results suggest that consumption of fruits granola may be effective in improving women’s QOL.
3.A Surgical Case of Aortic Arch Aneurysm Which Developed Five Years after CABG.
Taku Sakurada ; Yoichi Kikuchi ; Junichi Koizumi ; Takayasu Suzuki ; Tomoyasu Hirano ; Katsuyuki Kusajima
Japanese Journal of Cardiovascular Surgery 2000;29(4):290-292
We report a successful case of graft replacement for ascending and aortic arch aneurysm which developed 5 years after CABG. A 75-year-old woman, who underwent emergency CABG (LITA-LAD, SVG-RCA) 5 years previously, was admitted to our hospital due to an abnormal shadow on chest roentogenogram. Aortogram and coronary angiogram revealed ascending and aortic arch aneurysm and patent LITA and SVG. Graft replacement of the ascending and total aortic arch was carried out using four branched grafts (Gelweave 26/10/8/8*8). Cardiopulmonary bypass was established with right axillary arterial perfusion and bicaval cannulation. Cardiac arrest was obtained with cold blood cardioplegia using both retrograde and antegrade techniques. Selective cerebral perfusion was used for brain protection. The patient was discharged without any complication on the 27th postoperative day.
4.Increase in Knowledge of Ignorance During Problem-Based Learning Sessions: Possible Improvement of Metacognition
Noriko AINODA ; Hirotaka ONISHI ; Yoshimichi UEDA ; Ariyuki HORI ; Katsuyuki MIURA ; Katsuhito MIYAZAWA ; Koji SUZUKI
Medical Education 2007;38(1):11-17
To seek longitudinal changes in metacognitive processes through problem-based learning (PBL), we analysed the contents of all comments written reflectively by the third-year students after they finished discussions in each PBL session. After dividing their comments into meaningful units, we focused on two major thematic categories and five sub-categories to be analysed.
1) The number of units decreased significantly (chi-square: p=0.02).
2) Only the proportion of units categorised as “comprehension” in “individual learning” showed significant increase (Bonferroni: p<0.001).
3) Comments in this category stated that “I don't understand so-and-so.”
4) The increase of “comprehension” as they experienced more PBL suggested that students' knowledge of ignorance as metacognition was fostered through sessions in medical PBL.
5.Effects of the Intake of Fruits Granola on Defecation and Quality of Life
Hoko KYO ; Hisano HASEBE ; Katsuyuki ISHIHARA ; Masayoshi ITO ; Kazuo UEBABA ; Nobutaka SUZUKI
Japanese Journal of Complementary and Alternative Medicine 2017;14(1):23-26
In order to investigate the effects of fruits granola intake on defecation and quality of life (QOL), 20 females (mean age: 20.0 ± 1.1 y.o.) with frequency of defecation of less than 5 times per week were selected for this open study. Daily intake of 50 g of fruits granola was used as a substitute staple food for 2 weeks, and changes in defecation and QOL were compared before and after the procedure. The results showed that, compared with the pre-intake period, the frequency of defecation and the amount of defecation increased after fruits granola intake (p = 0.014, p = 0.024), and improvement of QOL (p = 0.011) was also observed. We conclude that, a continuous intake of fruits granola can improve defecation, and also improve quality of life.
6.A Case of Pseudoaneurysm of the External Iliac Artery after Total Hip Arthroplasty.
Mitsuru Iida ; Nanao Negishi ; Yoshiyuki Ishii ; Seiryuu Niino ; Hideaki Maeda ; Katsuyuki Suzuki ; Yoshinori Sakuma ; Tetsuya Niino ; Takanori Yoshino ; Yukiyasu Sezai
Japanese Journal of Cardiovascular Surgery 1997;26(2):120-123
A case of pseudoaneurysm of the external iliac artery after a total hip arthroplasty is reported. A 48-year-old man had undergone a total left hip arthroplasty 5 years previously. Acute arterial occlusion (AAO) of the left lower extremity occurred 3 times. AAO was due to pseudoaneurysm of the external iliac artery, which was detected by rotating digital subtraction angiography (DAS). Aneurysmectomy and reconstruction were carried out. Rotating DSA was useful for the diagnosis of this unusual case of pseudoaneurysm of the external iliac artery after a total hip arthroplasty is unusual.
7.Absorption of Folic Acid from Potato Chips in Humans
Katsuyuki ISHIHARA ; Akiko SEKIYA ; Kazuo UEBABA ; Takuya KAWASHIMA ; Yusuke NAKADE ; Fenghao XU ; Hiroyuki MUGITA ; Rui SAKUMA ; Hidenori KOGA ; Katsushi KAWABATA ; Nobutaka SUZUKI
Japanese Journal of Complementary and Alternative Medicine 2014;11(1):35-40
Folic acid contained in potato (Solanum tuberosum L.) tubers is concentrated in potato chips by dehydration during frying. It is a vitamin recommended to young women which helps protect fetus from congenital disease. Additionally, folic acid can lower plasma homocysteine concentrations, a known independent risk factor for cardiovascular disease. This study was designed to determine whether the dietary consumption of potato chips affect serum folic acid concentration and plasma homocysteine concentration in human subjects. Results showed a significant increase in serum concentrations of folate 1, 3, and 6 hours after ingestion. Vitamin B6, on the other hand, increased significantly after 3 hours of intake. In contrast, plasma homocysteine concentration decreased significantly 6 hours after ingestion. These results suggest that potato chips would be a good dietary source of folic acid for humans.
8.Parasitology/medical zoology pointing toward medical education remodeling
Yuzo TAKAHASHI ; Yuzaburo OKU ; Takashi AOKI ; Nobuaki AKAO ; Junko SHIMADA ; Mamoru SUZUKI ; Hiroyuki MATSUOKA ; Naoki ARIZONO ; Takafumi TSUBOI ; Tamotsu KANAZAWA ; Katsuyuki YUI ; Tsutomu TAKEUCHI
Medical Education 2010;41(1):17-21
9.Introducing Problem-Based Learning Tutorials into a Traditional Curriculum.
Ariyuki HORI ; Yoshimichi UEDA ; Noriko AINODA ; Shinobu MATSUI ; Katsuyuki MIURA ; Katsuhito MIYAZAWA ; Toru NAGANO ; Mikihiro TSUTSUMI ; Susumu SUGAI ; Koji SUZUKI ; Noboru TAKEKOSHI
Medical Education 2003;34(6):403-412
Problem-based learning (PBL) tutorials were introduced at our university in April 2001. Because a complete PBLbased curriculum could not be adopted, a transitional curriculum incorporating 3-hour PBL tutorial sessions into the traditional curriculum was introduced. More than 80% of students agreed that PBL is an effective way of learning problem solving at the bedside. Twenty percent to 40% of teachers felt that students who took PBL were more motivated for bedside learning and self-directed learning and had better at presentation than were students who did not take PBL. Because of 80% of the curriculum comprised didactic lectures, most students considered PBL tutorials a type of lecture. For this reason, motivating students to learn additional material originating from PBL tutorials was difficult. Although the combination of a traditional curriculum and PBL tutorials may appear to be a new curriculum, this type of PBL has limited value as a method for studying problem solving.
10.Antimicrobial Resistance for Chlamydia Trachomatis Genital Infection during Pregnancy in Japan
Shunji SUZUKI ; Shin-ichi HOSHI ; Yoko SAGARA ; Akihiko SEKIZAWA ; Katsuyuki KINOSHITA ; Tadaichi KITAMURA
Infection and Chemotherapy 2022;54(1):173-175
The current study examined the antimicrobial resistance of Chlamydia Trachomatis (CT) genital infection during pregnancy in Japan. We requested 2,146 obstetrical facilities that are members of Japan Association of Obstetricians and Gynecologists to provide information of CT screening tests and antimicrobial resistance in pregnant women between April 2020 and March 2021. The prevalence of CT genital infection in Japan was 2.1%. The antimicrobial resistance was recognized in 2.0 and 2.4% of the cases using azithromycin and clarithromycin, respectively. There were no significant differences in the antimicrobial resistance rate between the 2 analogues (P = 0.28). In Japan, azithromycin and clarithromycin have effectively treated genital CT infections during pregnancy.