1.A Case Report of Successful Surgical Treatment of High Aortic Occlusion with Acute Ischemia of Intrapelvic Organs and Bilateral Lower Extremities.
Sadao YOSHIDA ; Tomoaki JIKUYA ; Yuji HIRAMATSU ; Tomonori SHIMADA ; Yuzuru SAKAKIBARA ; Naotaka ATSUMI ; Toshio MITSUI ; Motokazu HORI
Japanese Journal of Cardiovascular Surgery 1993;22(5):433-436
This is a case report of a 57-year-old woman with high aortic occlusion (HAO) who had acute symptoms of severe ischemia of the lower extremities and the intrapelvic organs. Generally, HAO is a chronic ischemic disease of the lower extremities and the intrapelvic organs; therefore, acute HAO is relatively rare. Acute thrombotic occlusion of a major collateral artery might be the cause of acute HAO. Laser Doppler flowmetry of the sigmoid colon was useful to evaluate the ischemia of intrapelvic organs. Thrombectomy of the juxtarenal portion with the suprarenal aortic cross clamp was performed within four minutes, then the clamp was moved to the infrarenal portion. The remaining occluded aorta was replaced with a Y-shaped knitted Dacron graft. She had no symptoms after the surgery except renovascular hypertension. Seventy five percent stenosis of the right renal artery was exacerbated to 99%. Vascular clamping of the right renal artery might have been the cause of severe stenosis. Percutaneous transluminal renal angioplasty was successfully performed after the surgery. Aggressive renal artery reconstruction during surgery is recommended in cases with moderate or severe renal artery stenosis.
2.Report of health survey conducted during 1982 by the mutual welfare association of the Fukushima Pref. Agricultural Co-operative.
Mieko Tanaka ; Mitsuko Shiraishi ; Yoichi Yoshida ; Masaki Namatame ; Iwao Komuro ; Sadao Haga ; Jiro Tachibana ; Ryoichi Endo ; Shigeharu Kikuta ; Katsuya Akanuma
Journal of the Japanese Association of Rural Medicine 1984;33(2):218-223
Our examination was performed on 1, 541 men and 3, 803 women. Reviewed were blood pressure, obesity, anemia, fatty tissue (lipide), liver function, urine-suger and protein, urobilinogen, and their abnormalities.
(1) High blood pressure was found in 53.7 % of the men and 68.3 % of the women, with higher rates found in the middle to older age groups of both men and women.
(2) Obesity, by the Minowa method, was found to be over 20 %, with the higher rate being in women. The tendency to obesity in men was found to decrease with age. In females, abnormalities of blood pressure, total cholesterol, triglyceride, thickness of subcutaneous fatty tissue (of the upper arm and shoulder blade areas) were discovered to be greater in proportion to obesity.
(3) Abnormalities in GPT were seen as 15.3 % in men and 7.3 % in women. According to age group in men: Those in their 30's, 21 %, in the 40's, 27.2 %, 50's, 12.7%, 60's, 9.1 %.
A study on the effects of alcholic beverage consumption will be included in the 1983 survey.
3.Ultrasound cardiography examinations detect victims' long-term realized and potential consequences after major disasters: a case-control study.
Hidenori ONISHI ; Osamu YAMAMURA ; Shinsaku UEDA ; Muneichi SHIBATA ; Soichi ENOMOTO ; Fumie MAEDA ; Hiromasa TSUBOUCHI ; Takeshi HIROBE ; Sadao SHIMIZU ; Kazuhiko HANZAWA ; Tadanori HAMANO ; Yasunari NAKAMOTO ; Hiroyuki HAYASHI ; Hidekazu TERASAWA
Environmental Health and Preventive Medicine 2018;23(1):37-37
BACKGROUND:
An increase in cardiovascular diseases has been reported following major disasters. Previous work has shown that ultrasonographic findings from ultrasound cardiography examination (UCG) increased until the 44th month after the tsunami caused by the Great East Japan Earthquake. The present study conducted UCG among victims in the tsunami disaster area and investigated the frequency of disaster-related cardiovascular diseases and changes over time until the 55th month after the disaster.
METHODS:
The subjects were residents of temporary housing complexes and neighboring housing in Watari-gun, Miyagi Prefecture, Japan. There were 207 subjects in the 18th month, 125 in the 30th month, 121 in the 44th month, and 106 in the 55th month after the disaster. Data were collected through UCG and self-report questionnaire.
RESULTS:
Significant changes were observed among subjects with clinical findings from the UCG, which increased over the study period-from 42.0 to 60.8, 72.7, and 73.6% beginning in the 18th month after the disaster (p < 0.0001).
CONCLUSIONS:
It is possible that the UCG can become a useful examination to visualize the potential impact of a major disaster on the cardiac function of victims. Victims with clinical findings continued increasing not only during the acute phase after a disaster but also in the long term. We therefore need to keep this in mind, and note that it is important to establish a support system to control cardiovascular diseases from the early stage of disaster.
TRIAL REGISTRATION
UMIN; ID000029802. R000034050 . 2 November 2017.
Aged
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Aged, 80 and over
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Cardiovascular Diseases
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diagnosis
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diagnostic imaging
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Case-Control Studies
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Disasters
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statistics & numerical data
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Earthquakes
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Female
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Health Behavior
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Humans
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Japan
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Male
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Middle Aged
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Tsunamis