1.Primary Squamous Cell Carcinoma of the Female Urethra: A Case Report
Takahiro HIRAYAMA ; Tetsuo FUJITA ; Yoshiko TOKUYAMA ; Akio KAZAMA ; Noboru FUKUHARA ; Seigo TAKANO
Journal of the Japanese Association of Rural Medicine 2009;58(2):85-89
We report a case of female urethral cancer. A 67-year-old female complained of a pain in the left buttocks. Magnetic resonance imaging (MRI) revealed a urethral tumor, which invaded the bladder wall and left buttocks tissue. Transurethral resection was performed. Histopathological examinations revealed squamous cell carcinoma of the urethra. The case was diagnosed as stage D4 urethral cancer according to the Grabstald's classification. Radiotherapies with a total dose of 57.5 Gy were performed on the primary and invaded sites. However, she died 6 months after the radiotherapy.
Female
;
seconds
;
Carcinoma, Squamous Cell
;
Procedures on Urethra
;
Primary
2.A Case of Vesicorectal Fistula due to Progressive RectalCarcinoma Successfully Treated by Total Pelvic Exenteration
Yoshiko TOKUYAMA ; Tetsuo FUJITA ; Takahiro HIRAYAMA ; Tsunehisa MATSUSHITA ; Akio KAZAMA ; Seigo TAKANO
Journal of the Japanese Association of Rural Medicine 2010;58(6):694-698
A 55-year-old male complained about urinary frequency, micturition pain, and right abdominal pain. Ultrasonography, computed tomography, and magnetic resonance imaging revealed severe vesicorectal fistula which was induced by either bladder carcinoma or rectal carcinoma. Total pelvic exenteration was performed. Histopathological examination revealed rectal adenocarcinoma with invasion of the urinary bladder. Twelve months after the surgery, the patient exhibited no sign nor symptom of local recurrence or metastatic disease.
3.Intake of allergenic foods at 1.5 years and 3 years of age in a general child population in Japan: a cross-sectional study.
Takafumi TAKASE ; Mizuho NAGAO ; Rei KANAI ; Takahiro NISHIDA ; Tomoyuki ARIMA ; Fumiko IWAI ; Shingo YAMADA ; Makiko NAKAMOTO ; Masahiro HIRAYAMA ; Takao FUJISAWA
Environmental Health and Preventive Medicine 2023;28():6-6
BACKGROUND:
Recent studies indicate that the timing of introduction of potentially allergenic food is crucial for the development of food allergy in children. This cross-sectional study aimed to clarify the reality of allergen food intake in a general population of young children in Japan.
METHODS:
A questionnaire survey of caregivers was conducted at health checkups for 1.5-year (18-month)-old and 3-year-old children in the fall of 2020. The caregivers were asked about (1) the presence/absence of allergic disease symptoms based on the ISAAC questionnaire, and (2) foods that caregivers avoided giving their children. Ordinal logistic regression analyses were periformed to determine factors associated with food avoidance.
RESULTS:
Questionnaires were distributed to 1720 caregivers, and 1603 (93%) responded. The responders consisted of 771 and 832 caregivers who participated in 1.5-year-old and 3-year-old checkups, respectively. The prevalence of allergic diseases was comparable to recent epidemiological studies in Japan, indicating that the population may be representative. At 1.5 years old, more than 50% of the children were not exposed to peanuts, tree nuts, fish eggs, shellfish, and buckwheat. At 3 years old, the avoidance rates of the foods had decreased but were still between 18.8% and 32.0%. On the other hand, the avoidance rates of chicken egg and cow's milk, the top 2 common allergenic foods in Japan, were much lower at 2.8% and 1.5% at 1.5 years, and they decreased to 1.4% and 0.7% at 3 years old, respectively. Ordinal logistic analysis showed that avoidance of chicken egg, cow's milk, and wheat was associated with food allergy diagnosis and chicken egg avoidance with eczema, but avoidance of other foods showed no associations with any risk factors for food allergy.
CONCLUSION
Caregivers avoided giving various foods, independent of allergy risk factors, to their young children. Since delayed introduction of an allergenic food has been reported to increase the risk of developing an allergy to the food, the results warrant future investigation of the development of food allergies in relation to current eating habits and recommendations.
Female
;
Animals
;
Cattle
;
Humans
;
Cross-Sectional Studies
;
Japan/epidemiology*
;
Food Hypersensitivity/complications*
;
Risk Factors
;
Food
;
Allergens
4.Ongoing rubella epidemic in Osaka, Japan, in 2018–2019
Daiki Kanbayashi ; Takako Kurata ; Hideyuki Kubo ; Seiji Yamamoto ; Kazutaka Egawa ; Yuki Hirai ; Kazuma Okada ; Ryo Ikemori ; Takahiro Yumisashi ; Akira Yamamoto ; Hideki Yoshida ; Takanori Hirayama ; Kazuyoshi Ikuta ; Kazushi Motomura ; Atsushi Kaida
Western Pacific Surveillance and Response 2020;11(2):48-50
Abstract
A large rubella epidemic is currently ongoing since 2018 in Osaka, Japan. The detected rubella viruses were classified into genotypes 1E lineage 2 and 2B lineage 1. These strains may have been imported from endemic countries, and these viruses spread within the susceptible population.