1.On the Effects of the Exposure to Sulfur Gas upon the Pulmonary Function
Kengo OTSUBO ; Yoshiaki KAWAGUCHI ; Takaaki ISHIKAWA ; Ichiji ITO ; Hiroo KOJIMA ; Masami FUSE
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1970;34(1-2):30-40
Recently our intensive attention has been drawn to the effects of the air pollution on the respiratory organs. The authers have studied the vital capacity and timed vital capacity of the adults and children living in the Spa (hydrogen sulfide containing acid Spring Kusatsu) and the sulfur mine where the atomospheric air contains a small quantity of H2S under 2ppm in spa and SO2 under 1ppm in spa, and following results were obtained;
1. There was no significant difference in height and body weight among the children in the mine, the spa and the control district.
2. In the mine, many children complained of subjective symptoms concerning the respiratory organs.
3. Elevated vital capacity was found in the mine children.
4. There was no significant difference in the timed vital capacity between the control and the spa children.
5. In the control and the spa, the height showed the highest correlation to the vital capacity with men and the body weight to the vital capacity with women.
Concerning the partial correlation except the age factor, there was a higher correlation between the vital capacity and body weight than between the vital capacity and the height both with boys and girls.
6. Our results supported the Hewlett-Jackson's fomula in regression equation which can be used to predict the vital capacity.
7. There was no significant difference in the vital capacity of the residents between the two mines, which have different environmental and occupational conditions each other.
8. Concerning the timed vital capacity, there was no significant difference between these mines, but it was lower in the mine workers than in the office workers of the mine.
9. No significant difference in the timed vital capacity was proved between the smoker and non-smoker in the mine.
2.Risk of venous thromboembolism with a central venous catheter in hospitalized Japanese patients with inflammatory bowel disease: a propensity score-matched cohort study
Yasuhiro AOKI ; Hiroki KIYOHARA ; Yohei MIKAMI ; Kosaku NANKI ; Takaaki KAWAGUCHI ; Yusuke YOSHIMATSU ; Shinya SUGIMOTO ; Tomohisa SUJINO ; Kaoru TAKABAYASHI ; Naoki HOSOE ; Haruhiko OGATA ; Yasushi IWAO ; Takanori KANAI
Intestinal Research 2023;21(3):318-327
Background/Aims:
Thromboprophylaxis is recommended for hospitalized patients with inflammatory bowel disease (IBD) in Western countries, although it is selectively administered to high-risk patients in East Asia. A central venous catheter (CVC) is commonly placed in patients with IBD. Although CVC placement is considered a risk factor for venous thromboembolism (VTE), the degree of increased risk in patients with IBD is uncertain. This study aimed to identify the risk of VTE with CVC placement in hospitalized Japanese patients with IBD without thromboprophylaxis.
Methods:
This retrospective cohort study included patients with ulcerative colitis or Crohn’s disease who were admitted for disease flares at Keio University Hospital between January 2016 and December 2020. Patients who already had thrombosis or were administered any antithrombotic treatment on admission were excluded. VTE development during the hospitalization was surveyed, and VTE risk associated with CVC indwelling was estimated using propensity score matching and inverse probability of treatment weighting analyses.
Results:
Altogether, 497 hospitalized patients with IBD (ulcerative colitis, 327; Crohn’s disease, 170) were enrolled. VTE developed in 9.30% (12/129) of catheterized patients and in 0.82% (3/368) of non-catheterized patients. The propensity score matching yielded 127 matched pairs of patients. The catheterized group demonstrated higher odds for VTE than the non-catheterized group (odds ratio, 13.15; 95% confidence interval, 1.68–102.70). A similar result was obtained in the inverse probability of treatment weighting analysis (odds ratio, 11.02; 95% confidence interval, 2.64–46.10).
Conclusions
CVC placement is a major risk factor for VTE among hospitalized Japanese patients with IBD without thromboprophylaxis.