1.Proposal of a New Estimation Method of Colonization Rate of Arbuscular Mycorrhizal Fungi in the Roots of Chengiopanax sciadophylloides.
Seitaro DEGUCHI ; Yosuke MATSUDA ; Chisato TAKENAKA ; Yuki SUGIURA ; Hajime OZAWA ; Yoshimune OGATA
Mycobiology 2017;45(1):15-19
This study proposed a rapid method to quantify the colonization rate of arbuscular mycorrhizal fungi (AMF) in plant roots. The method involved the use of an image analysis software (WinRHIZO Pro). The colonization rate is defined as the ratio of the fungal body to the plant root area in a micrograph. Three seedlings of Chengiopanax sciadophylloides, a woody species that accumulates radiocesium, were collected from a secondary forest in the Yamakiya district of Kawamata, Fukushima Prefecture during May–September 2014. The colonization of AMF structures was examined under a light microscope, and the percentage of colonization was determined using the WinRHIZO method. The superiority of the new method was verified by comparing with a modified grid-line intersect method. The colonization of AMF was confirmed in all the seedlings, and a significant coefficient of determination (R² = 0.94) was found with both the methods. The results suggested that the WinRHIZO method is reliable for estimating the colonization of AMF in C. sciadophylloides.
Colon*
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Forests
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Fungi*
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Methods*
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Microscopy
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Plant Roots
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Seedlings
2.Influence of Skeletal Muscle Mass and Spinal Alignment on Surgical Outcomes for Lumbar Spinal Stenosis
Yawara EGUCHI ; Munetaka SUZUKI ; Hajime YAMANAKA ; Hiroshi TAMAI ; Tatsuya KOBAYASHI ; Sumihisa ORITA ; Kazuyo YAMAUCHI ; Miyako SUZUKI ; Kazuhide INAGE ; Kazuki FUJIMOTO ; Hirohito KANAMOTO ; Koki ABE ; Masaki NORIMOTO ; Tomotaka UMIMURA ; Yasuchika AOKI ; Masao KODA ; Takeo FURUYA ; Tomoaki TOYONE ; Tomoyuki OZAWA ; Kazuhisa TAKAHASHI ; Seiji OHTORI
Asian Spine Journal 2018;12(3):556-562
STUDY DESIGN: Retrospective observational study. PURPOSE: We considered the relationship between spinal alignment and skeletal muscle mass on clinical outcomes following a surgery for lumbar spinal stenosis (LSS). OVERVIEW OF LITERATURE: There are no reports of preoperative factors predicting residual low back pain following surgery for LSS. METHODS: Our target population included 34 women (mean age, 74.4 years) who underwent surgery for LSS. Prior to and 6 months after the surgery, systemic bone mineral density and lean soft tissue mass were measured using dual-energy X-ray absorptiometry. Skeletal muscle mass index (SMI) was calculated as the sum of the arm and leg lean mass in kilograms divided by height in meters squared. The spinal alignment was also measured. Clinical outcomes were evaluated using the Japanese Orthopedic Association scoring system, leg and low back pain Visual Analog Scale, and Roland–Morris Disability Questionnaire (RDQ). Additionally, we examined the bone mineral density, skeletal muscle mass, and spinal alignment before and after the surgery. We used the Spearman correlation coefficient to examine the associations among clinical outcomes, preoperative muscle mass, and spinal alignment. RESULTS: Sarcopenia (SMI <5.46) was observed in nine subjects (26.5%). Compared with normal subjects (SMI >6.12), RDQ was significantly higher in subjects with sarcopenia (p=0.04). RDQ was significantly negatively correlated with SMI (r=−0.42, p<0.05). There was a significant positive correlation between postoperative RDQ and pelvic tilt (PT; r=0.41, p<0.05). SMI and PT were significantly negatively correlated (r=−0.39, r<0.05). CONCLUSIONS: Good postoperative outcomes were negatively correlated with low preoperative appendicular muscle mass, suggesting that postoperative outcomes were inferior in cases of decreased appendicular muscle mass (sarcopenia). Posterior PT due to decreased limb muscle mass may contribute to postoperative back pain, showing that preoperatively reduced limb muscle mass and posterior PT are predictive factors in the persistence of postoperative low back pain.
Absorptiometry, Photon
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Arm
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Asian Continental Ancestry Group
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Back Pain
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Bone Density
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Extremities
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Female
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Health Services Needs and Demand
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Humans
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Leg
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Low Back Pain
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Muscle, Skeletal
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Observational Study
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Orthopedics
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Retrospective Studies
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Sarcopenia
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Spinal Stenosis
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Visual Analog Scale
3.Conservative and Surgical Treatment Improves Pain and Ankle-Brachial Index in Patients with Lumbar Spinal Stenosis.
Seiji OHTORI ; Masaomi YAMASHITA ; Yasuaki MURATA ; Yawara EGUCHI ; Yasuchika AOKI ; Hiromi ATAKA ; Jiro HIRAYAMA ; Tomoyuki OZAWA ; Tatsuo MORINAGA ; Hajime ARAI ; Masaya MIMURA ; Hiroto KAMODA ; Sumihisa ORITA ; Masayuki MIYAGI ; Tomohiro MIYASHITA ; Yuzuru OKAMOTO ; Tetsuhiro ISHIKAWA ; Hiroaki SAMEDA ; Tomoaki KINOSHITA ; Eiji HANAOKA ; Miyako SUZUKI ; Munetaka SUZUKI ; Takato AIHARA ; Toshinori ITO ; Gen INOUE ; Masatsune YAMAGATA ; Tomoaki TOYONE ; Gou KUBOTA ; Yoshihiro SAKUMA ; Yasuhiro OIKAWA ; Kazuhide INAGE ; Takeshi SAINOH ; Kazuyo YAMAUCHI ; Kazuhisa TAKAHASHI
Yonsei Medical Journal 2013;54(4):999-1005
PURPOSE: The pathological mechanism of lumbar spinal stenosis is reduced blood flow in nerve roots and degeneration of nerve roots. Exercise and prostaglandin E1 is used for patients with peripheral arterial disease to increase capillary flow around the main artery and improve symptoms; however, the ankle-brachial index (ABI), an estimation of blood flow in the main artery in the leg, does not change after treatment. Lumbar spinal nerve roots contain somatosensory, somatomotor, and unmyelinated autonomic nerves. Improved blood flow by medication with prostaglandin E1 and decompression surgery in these spinal nerve roots may improve the function of nerve fibers innervating muscle, capillary, and main vessels in the lower leg, resulting in an increased ABI. The purpose of the study was to examine whether these treatments can improve ABI. MATERIALS AND METHODS: One hundred and seven patients who received conservative treatment such as exercise and medication (n=56) or surgical treatment (n=51) were included. Low back pain and leg pain scores, walking distance, and ABI were measured before treatment and after 3 months of conservative treatment alone or surgical treatment followed by conservative treatment. RESULTS: Low back pain, leg pain, and walking distance significantly improved after both treatments (p<0.05). ABI significantly increased in each group (p<0.05). CONCLUSION: This is the first investigation of changes in ABI after treatment in patients with lumbar spinal stenosis. Improvement of the spinal nerve roots by medication and decompression surgery may improve the supply of blood flow to the lower leg in patients with lumbar spinal stenosis.
Adult
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Aged
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Aged, 80 and over
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Alprostadil/therapeutic use
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*Ankle Brachial Index
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Decompression, Surgical/methods
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Female
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Humans
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Low Back Pain/drug therapy/physiopathology/surgery/*therapy
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Lumbar Vertebrae/physiopathology/*surgery
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Male
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Middle Aged
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Pain/surgery
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Spinal Nerve Roots/physiopathology
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Spinal Stenosis/physiopathology/*surgery/*therapy
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Treatment Outcome
4.Incidence of Nocturnal Leg Cramps in Patients with Lumbar Spinal Stenosis before and after Conservative and Surgical Treatment.
Seiji OHTORI ; Masaomi YAMASHITA ; Yasuaki MURATA ; Yawara EGUCHI ; Yasuchika AOKI ; Hiromi ATAKA ; Jiro HIRAYAMA ; Tomoyuki OZAWA ; Tatsuo MORINAGA ; Hajime ARAI ; Masaya MIMURA ; Hiroto KAMODA ; Sumihisa ORITA ; Masayuki MIYAGI ; Tomohiro MIYASHITA ; Yuzuru OKAMOTO ; Tetsuhiro ISHIKAWA ; Hiroaki SAMEDA ; Tomoaki KINOSHITA ; Eiji HANAOKA ; Miyako SUZUKI ; Munetaka SUZUKI ; Takato AIHARA ; Toshinori ITO ; Gen INOUE ; Masatsune YAMAGATA ; Tomoaki TOYONE ; Gou KUBOTA ; Yoshihiro SAKUMA ; Yasuhiro OIKAWA ; Kazuhide INAGE ; Takeshi SAINOH ; Jun SATO ; Kazuyo YAMAUCHI ; Kazuhisa TAKAHASHI
Yonsei Medical Journal 2014;55(3):779-784
PURPOSE: To examine the effects of conservative and surgical treatments for nocturnal leg cramps in patients with lumbar spinal stenosis (LSS). Nocturnal leg cramps is frequently observed in patients with peripheral neuropathy. However, there have been few reports on the relationship between nocturnal leg cramps and LSS, and it remains unknown whether conservative or surgical intervention has an impact on leg cramps in patients with LSS. MATERIALS AND METHODS: The subjects were 130 LSS patients with low back and leg pain. Conservative treatment such as exercise, medication, and epidural block was used in 66 patients and surgical treatment such as decompression or decompression and fusion was performed in 64 patients. Pain scores and frequency of nocturnal leg cramps were evaluated based on self-reported questionnaires completed before and 3 months after treatment. RESULTS: The severity of low back and leg pain was higher and the incidence of nocturnal leg cramps was significantly higher before treatment in the surgically treated group compared with the conservatively treated group. Pain scores improved in both groups after the intervention. The incidence of nocturnal leg cramps was significantly improved by surgical treatment (p=0.027), but not by conservative treatment (p=0.122). CONCLUSION: The findings of this prospective study indicate that the prevalence of nocturnal leg cramps is associated with LSS and severity of symptoms. Pain symptoms were improved by conservative or surgical treatment, but only surgery improved nocturnal leg cramps in patients with LSS. Thus, these results indicate that the prevalence of nocturnal leg cramps is associated with spinal nerve compression by LSS.
Adult
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Aged
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Aged, 80 and over
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Decompression, Surgical
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Female
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Humans
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Leg/*pathology
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Low Back Pain/epidemiology/etiology
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Male
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Middle Aged
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Pain/*epidemiology/*etiology
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Prospective Studies
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Questionnaires
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Spinal Stenosis/*complications/*physiopathology/surgery