1.Early Pulmonary Complications after Videofluoroscopic Examination of Swallowing
Takashi TANAKA ; Hitoshi KAGAYA ; Michio YOKOYAMA ; Eiichi SAITOH ; Mikoto BABA
The Japanese Journal of Rehabilitation Medicine 2010;47(5):320-323
Videofluoroscopic examination of swallowing (VF) is widely used for evaluating swallowing function. However, pulmonary complications after VF are seldom evaluated. We checked residual barium sulfate on chest X-rays and early pulmonary complication after VF. One hundred and ninety-eight patients underwent VF and chest X-rays. Eighty-six patients who did not aspirate during VF had no residual barium on their chest X-rays. One hundred and twelve patients aspirated during VF, but only 40 of these patients showed residual barium on their chest X-rays. Ten patients had fever after VF, but no significant relationship was observed between fever and residual barium on chest X-rays or aspiration. Aspiration was not correlated with mobility or cognitive status. One case had pneumonia after VF, but VF did not seem to be the cause of the pneumonia. In conclusion, no severe early pulmonary complications after VF were observed. It is difficult to predict early pulmonary complications from chest X-rays.
2.Characteristics of pre-existing physical factors associated with the onset of Osgood–Schlatter disease in junior soccer players
Mafumi Shiota ; Yoshinori Kagaya ; Tatsuya Tamaki ; Takashi Mochida ; Makoto Suzukawa ; Noboru Sekiya ; Atsushi Akaike ; Kuniaki Shimizu ; Haruhito Aoki
Japanese Journal of Physical Fitness and Sports Medicine 2016;65(1):205-212
The aim of this study is to investigate the characteristics of pre-existing physical factors associated with the onset of Osgood-Schlatter disease (OSD) in junior soccer players. Fifty-nine junior soccer players of the elementary school were included in this study. The boys who had been diagnosed as OSD were excluded. At the time of the first investigation, the subjects were examined through physical evaluation and an ultrasonography. The subjects were followed up one and a half years, and the tibial tuberosity was classified according to the growth stages using the ultrasonography. After the end of follow-up period, the subjects were divided into two groups, those with signs and symptoms of OSD that appeared during the follow up period and those without that. The Mann-Whitney U test was used for the comparison between OSD group’s and control group’s initial assessments. The players who were followed up for one and half years were 38 people. 5 knees of the 4 players were clinically diagnosed as OSD (OSD group), and the remaining 34 players with no symptoms of the OSD constituted the control group. The range of the bilateral hip external rotation, straight leg raise of the non-dominant side, and knee flexion in the OSD group were significantly lower than those in the control group (p < 0.05). We concluded that a decrease in specific joint flexibility might be related with the onset of OSD.
3.Pregnancy outcome in women with inflammatory bowel disease treated with anti-tumor necrosis factor and/or thiopurine therapy: a multicenter study from Japan.
Shunsuke KOMOTO ; Satoshi MOTOYA ; Yuji NISHIWAKI ; Toshiyuki MATSUI ; Reiko KUNISAKI ; Katsuyoshi MATSUOKA ; Naoki YOSHIMURA ; Takashi KAGAYA ; Makoto NAGANUMA ; Nobuyuki HIDA ; Mamoru WATANABE ; Toshifumi HIBI ; Yasuo SUZUKI ; Soichiro MIURA ; Ryota HOKARI
Intestinal Research 2016;14(2):139-145
BACKGROUND/AIMS: Anti-tumor necrosis factor drugs (anti-TNF) and thiopurines are important treatment options in patients with inflammatory bowel disease (IBD), including during pregnancy. However, there are limited data on the benefit/risk profile of anti-TNF and thiopurines during pregnancy in Asia. The aim of this study was to analyze pregnancy outcomes of female Japanese IBD patients treated with anti-TNF and/or thiopurines. METHODS: This cross-sectional study assessed pregnancy outcomes in 72 women with IBD. Pregnancy outcomes were compared among 31 pregnancies without exposure to infliximab (IFX), adalimumab (ADA), or thiopurines; 24 pregnancies with exposure to anti-TNF treatment (23 IFX, 1 ADA); 7 pregnancies with exposure to thiopurines alone; and 10 pregnancies with exposure to both IFX and thiopurines. RESULTS: Thirty-five of the 41 pregnancies (85.3%) that were exposed to anti-TNF treatment and/or thiopurines resulted in live births after a median gestational period of 38 weeks. Of the 35 live births, 3 involved premature deliveries; 7, low birth weight; and 1, a congenital abnormality. There were 6 spontaneous abortions in pregnancies that were exposed to anti-TNF treatment (17.7%). Pregnancy outcomes among the 4 groups were similar, except for the rate of spontaneous abortions (P =0.037). CONCLUSIONS: Exposure to anti-TNF treatment or thiopurines during pregnancy was not related to a higher incidence of adverse pregnancy outcomes in Japanese IBD patients except for spontaneous abortion.
Adalimumab
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Abortion, Spontaneous
;
Asia
;
Asian Continental Ancestry Group
;
Congenital Abnormalities
;
Cross-Sectional Studies
;
Female
;
Humans
;
Incidence
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Infliximab
;
Infant, Low Birth Weight
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Infant, Newborn
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Inflammatory Bowel Diseases*
;
Japan*
;
Live Birth
;
Necrosis*
;
Pregnancy
;
Pregnancy Outcome*
;
Pregnancy*