1.A Pseudoaneurysm of Abdominal Aorta after Intravesical bacillus Calmette-Guerin Therapy
Fuyuki Asami ; Hiroki Yamaguchi ; Tatsuya Nakao ; Yu Oshima ; Noriyuki Tokunaga ; Hiromasa Nakamura ; Takaaki Itohara ; Tasuku Kadowaki ; Masatoshi Sunada ; Kyohei Ueno
Japanese Journal of Cardiovascular Surgery 2013;42(3):197-199
We report a patient who underwent an operation for an infectious abdominal aortic aneurysm 10 months after intravesical bacillus Calmette-Guerin therapy. A 68-year-old man had previous gastrectomy for early gastric cancer and intravesical BCG therapy for early stage urinary bladder cancer. His follow up CT scan revealed an abdominal aorta pseudoaneurysm. We performed aneurysmectomy, omentopexy and bilateral axillo-femoral bypass. The culture of an abscess in the aneurysm identified Mycobacterium bovis. The patients improved clinically with antituberculosis agents after operation. Intravesical bacillus Calmette-Guerin therapy is effective in the treatment of early stage urinary bladder cancer. Although this treatment is generally considered safe, serious complications including vascular complications have been reported.
2.Effect of the COVID-19 pandemic lockdown on the physique of school-age children in Japan
Junji TAKAYA ; Hirohiko HIGASHINO ; Ryuzo TAKAYA ; Hiromi SAKAGUCHI ; Jitsuo TANOUE ; Takashi HIGASHIDE ; Hisako MORIGUCHI ; Masatoshi NAKAO ; Yasuyuki TAKAI
Annals of Pediatric Endocrinology & Metabolism 2023;28(2):124-130
Purpose:
Schools in Japan were closed nationwide from March to May 2020 because of the coronavirus disease 2019 (COVID-19) pandemic. Many suspect that this school closure affected children’s mental and physical health. We investigated changes in school-age children’s physiques to determine the effects of the COVID-19 lockdown and restrictions on their health.
Methods:
Data were extracted from a database of school physical examinations in Osaka elementary and junior high schools for 4 consecutive years from 2018 to 2021. The following characteristics were analyzed: short stature, tall stature, underweight, mild obesity, middle grade obesity, and severe obesity. The paired Student t-test was used to compare school examination data in the prepandemic period (2018–2019), pandemic lockdown (2019–2020), and post-lockdown period (2020–2021).
Results:
Obesity rates in elementary school students aged 6–12 years, particularly in boys, were significantly higher during the lockdown than they were in 2019. After the pandemic, the tall stature rate continued to rise, while rates of short stature and underweight decreased in both sexes in 2020. In junior high school students aged 12–15 years, rates of obesity and underweight tended to decrease in 2020. However, these rates rebounded and rose in 2021 when the lockdown was lifted.
Conclusion
During the COVID-19 pandemic lockdown, elementary school students gained weight, while junior high school students lost weight. The lockdown that was implemented during the COVID-19 pandemic had an unfavorable effect on weight gain, particularly in young school-age children.