1.A Pediatric Case of Spitzoid Melanoma with Subsequent Large Lymph Node Metastasis.
Kenji HAYASHIDA ; Hiroto SAIJO ; Shin MOROOKA ; Masaki FUJIOKA
Annals of Dermatology 2015;27(3):338-339
No abstract available.
Lymph Nodes*
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Melanoma*
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Neoplasm Metastasis*
2.Advanced Test of Attention in Children with Attention-Deficit/Hyperactivity Disorder in Japan for Evaluation of Methylphenidate and Atomoxetine Effects.
Toru FUJIOKA ; Shinichiro TAKIGUCHI ; Chiho YATSUGA ; Michio HIRATANI ; Kang E M HONG ; Min Sup SHIN ; Sungzoon CHO ; Hirotaka KOSAKA ; Akemi TOMODA
Clinical Psychopharmacology and Neuroscience 2016;14(1):79-87
OBJECTIVE: This study was conducted to validate the Advanced Test of Attention (ATA) of the visual attention version of Japanese children with attention deficit/hyperactivity disorder (ADHD) and to evaluate the efficacy of methylphenidate (OROS-MPH) and atomoxetine medications. METHODS: To assess pharmacotherapy efficacy, the visual version of ATA was administered to 42 children with ADHD. Results were assessed using discriminant analysis, ANOVA for indices of ATA before and after medication treatment, and correlation analysis between the improvement of indices of ATA and clinical symptoms during medication treatment. RESULTS: Discriminant analysis showed that 69.0% of ADHD children were assigned correctly. The T score of commission errors increased as the trial progressed on the medication-off condition. T scores of commission errors and standard deviation of response times on medication-on condition were low compared to the medication-off condition. A few significant correlations were found between the improvements of indices of ATA and ADHD-Rating Scale (RS) during treatment. CONCLUSION: The performance of the visual version of ATA on medication-off condition reflected the features of ADHD. Furthermore, the medication treatment effects were confirmed sufficiently. In addition, results suggest that indices of ATA reflected aspects of ADHD symptoms that are difficult to elucidate for ADHD-RS. For assessing symptoms and effects of medical treatment in children with ADHD, ATA might be a useful assessment tool.
Asian Continental Ancestry Group
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Attention Deficit Disorder with Hyperactivity
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Child*
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Drug Therapy
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Humans
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Japan*
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Methylphenidate*
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Reaction Time
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Atomoxetine Hydrochloride
3.One-year clinical efficacy and safety of indigo naturalis for active ulcerative colitis: a real-world prospective study
Yuichi MATSUNO ; Takehiro TORISU ; Junji UMENO ; Hiroki SHIBATA ; Atsushi HIRANO ; Yuta FUYUNO ; Yasuharu OKAMOTO ; Shin FUJIOKA ; Keisuke KAWASAKI ; Tomohiko MORIYAMA ; Tomohiro NAGASUE ; Keizo ZEZE ; Yoichiro HIRAKAWA ; Shinichiro KAWATOKO ; Yutaka KOGA ; Yoshinao ODA ; Motohiro ESAKI ; Takanari KITAZONO
Intestinal Research 2022;20(2):260-268
Background/Aims:
Recent studies suggested a favorable effect of indigo naturalis (IN) in inducing remission for refractory ulcerative colitis (UC), however, the maintenance effect of IN for patients with UC remains unknown. Therefore, we conducted a prospective uncontrolled open-label study to analyze the efficacy and safety of IN for patients with UC.
Methods:
Patients with moderate to severe active UC (clinical activity index [CAI] ≥ 8) took 2 g/day of IN for 52 weeks. CAI at weeks 0, 4, 8, and 52 and Mayo endoscopic subscore (MES) and Geboes score (GS) at weeks 0, 4, and 52 were assessed. Clinical remission (CAI ≤ 4), mucosal healing (MES ≤ 1), and histological healing (GS ≤ 1) rates at each assessment were evaluated. Overall adverse events (AEs) during study period were also evaluated. The impact of IN on mucosal microbial composition was assessed using 16S ribosomal RNA gene sequences.
Results:
Thirty-three patients were enrolled. The rates of clinical remission at weeks 4, 8, and 52 were 67%, 76%, and 73%, respectively. The rates of mucosal healing at weeks 4 and 52 were 48% and 70%, respectively. AEs occurred in 17 patients (51.5%) during follow-up. Four patients (12.1%) showed severe AEs, among whom 3 manifested acute colitis. No significant alteration in the mucosal microbial composition was observed with IN treatment.
Conclusions
One-year treatment of moderate to severe UC with IN was effective. IN might be a promising therapeutic option for maintaining remission in UC, although the relatively high rate of AEs should be considered.