1.Surgical Considerations of Isolated Femoral Arterial Aneurysms.
Ken-ichi Togashi ; Yoshitomo Sato ; Masatomo Yazawa
Japanese Journal of Cardiovascular Surgery 1995;24(3):150-154
Between 1986 and 1992, 7 patients underwent 8 operations for isolated femoral arterial aneurysms. Three patients with iatrogenic pseudoaneurysms underwent direct closures of the punctured hole. Three patients with either arteriosclerotic or mucoid-degenerative aneurysms underwent aneurysmectomy and reconstruction of the femoral artery by means of the graft. One patient with anastomotic false aneurysm underwent aneurysmectomy and patch-plasty. Four years after the surgery, the same patient had a recurrent anastomotic aneurysm, which was resected and replaced by means of the graft. The results were good in all 7 patients, while 3 had minor complications. It is most important to select the appropriate procedure for the isolated femoral aneurysms which develop due to various causes.
2.Development and Evaluation of a Multi-Functional Drug Discrimination System Mounted with Automatic Data Analysis of the Clinical Examination Values for Medications Brought to Hospital
Yoshihiro Kiryu ; Naomi Honma ; Taeko Yoshino ; Yuriko Murai ; Ten Sobue ; Yoshitomo Sato
Japanese Journal of Drug Informatics 2017;19(1):8-16
Objective: Numerous new drugs have been developed in recent years, making the available types of prescription drugs quite diverse, with increasingly more complex drug interactions. From an operations support system perspective, hospitals that cannot incorporate a large-scale custom-order system because of financial or use-efficiency limitations have no choice but to rely on commercial products. However, this leaves many problems unsolved, such as functional restrictions and limited specifications. In this study, we used Microsoft®Visual Basic®for Application (VBA) to develop an economical drug discrimination system suited to our situation and equipped with original function from the perspective of clinical pharmacists.
Design: System design and development.
Methods: We prototyped the system in VBA and used Microsoft®Excel®to create Query Tables. The utility of the new system was evaluated based on drug discrimination output and time required in each process.
Results: The new system is capable of inter-database communication and automated data analysis and uses drop-down lists of pre-defined options for data input in many places. Compared with the conventional method, the new system enabled us to significantly reduce the average time needed to input and confirm data by as much as 61.9%. This indicates that the new system can considerably reduce the time required for completing time-intensive processes and is also useful in preparing highly precise drug discrimination reports.
Conclusion: Based on the results obtained so far, the new, original system, developed with zero design or development costs, is more efficient and offers more reliable information in the clinical setting than the conventional system. As a result, we are able to maintain operational quality and reduce the amount of time required for drug discrimination.
3.Effect of Hachimijiogan and its Additional Prescription for Anticholinergic Agent-resistant Overactive Bladder
Hiroshi YAGI ; Yosio ASHIZAWA ; Ryo SATO ; Yoshitomo KOBORI ; Yosio ASHIZAWA ; Shigehiro SOH ; Gaku ARAI ; Hiroshi OKADA ; Kanjun TOSA
Kampo Medicine 2013;64(2):99-103
We evaluated the effects of Hachimijiougan and its additional prescription in 11 cases of anticholinergic agent-resistant overactive bladder. The improvements in IPSS, QOL score, BII score and urinary 8-OHdG for the patients were statistically much improved. This study showed improvements of urinary symptoms and QOL in anticholinergic agent-resistant overactive bladder. Further long-term studies will be needed not only in urinary symptoms but also on effects as an anti-aging medicine.
4.Effect of Hachimijiogan for Male Lower Urinary Tract Symptoms
Hiroshi YAGI ; Kojiro NISHIO ; Ryo SATO ; Makoto KAWAGUTI ; Yoshitomo KOBORI ; Yosio ASHIZAWA ; Shigehiro SOH ; Gaku ARAI ; Hiroshi OKADA ; Kanjun TOSA
Kampo Medicine 2015;66(1):49-53
We evaluated the effect of hachimijiogan in 30 cases of anticholinergic agent and α-blocker resistant LUTS. International Prostate Symptom Scores (IPSS), QOL scores, Benign Prostatic Hyperplasia Impact Index (BII) scores and urinary 8-OHdG of the patients were statistically much improved. This study demonstrated improvement in urinary symptoms, urinary QOL and oxidative stress, in LUTS resistant to anticholinergic agents and α-blockers. Further long-term studies will be needed not only in urinary symptoms, but also in effect as an anti-aging medicine.