1
|
Yoshida M, Yamanaga S, Hiraki M, Nishiyama H, Fukuoka S, Uchida A, Yoshimaru K, Hidaka Y, Yamasaki T, Yoshimura H, Toyoda M, Ito T. A Case of Chronic Active Antibody-Mediated Rejection Caused by a Pre-Existing Anti-DQ Donor-Specific Antibody in a Systemic Lupus Erythematosus Recipient Without History of Sensitization: A Case Report. Transplant Proc 2023:S0041-1345(23)00139-2. [PMID: 37055294 DOI: 10.1016/j.transproceed.2023.03.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 03/13/2023] [Indexed: 04/15/2023]
Abstract
BACKGROUND Systemic lupus erythematosus (SLE) is reported to produce anti-HLA antibodies. We report a case of chronic active antibody-mediated rejection caused by pre-existing donor-specific antibody (DSA) in a patient with SLE without a history of sensitization. CASE REPORT The case was a 29-year-old man with end-stage renal disease due to lupus nephritis. Cross-match with the mother was negative, but low titer anti-DQ DSA was detected, although he had no prior history of sensitization. After desensitization with rituximab and mycophenolate mofetil, a living donor kidney transplant was undergone, and his early postoperative period was uneventful. However, his renal function started to decline at 2 years post-transplant. Although there was no rejection on the biopsy at 2.5 years post-transplant, his renal function continued to decline after that. At 7 years, he had failed his graft due to chronic active antibody-mediated rejection. Retrospective analysis of human leukocyte antigen antibody tests revealed that anti-DQ DSA had disappeared at 1 year post-transplant, but high titer DSA was detected again with complement-binding capacity at 2 years and after that. CONCLUSION Careful monitoring might be warranted in an SLE patient with pre-existing DSA, even though the titer was low and without any prior histories of sensitization events.
Collapse
Affiliation(s)
- Masaya Yoshida
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan.
| | - Shigeyoshi Yamanaga
- Department of Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Mikihisa Hiraki
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Hinoka Nishiyama
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Seiya Fukuoka
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Arisa Uchida
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Kiho Yoshimaru
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Yuji Hidaka
- Department of Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Takashi Yamasaki
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Hiromi Yoshimura
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Mariko Toyoda
- Department of Nephrology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| | - Teruhiko Ito
- Department of Clinical Laboratory, Japanese Red Cross Kumamoto Hospital, Kumamoto, Kumamoto, Japan
| |
Collapse
|
2
|
Suzuki M, Yoshimura H, Mimuro S, Sawaki K, Naito T, Inagaki K, Kanamori T, Matsushita K, Sasaki N, Ishihara T, Sakai I. [Effectiveness of programs developed for nurses to improve dementia nursing intervention ability in an acute care setting]. Nihon Ronen Igakkai Zasshi 2022; 59:67-78. [PMID: 35264536 DOI: 10.3143/geriatrics.59.67] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
PURPOSE The number of hospitalizations of older patients with dementia who require medical treatment has increased and delirium or physical restriction have become problems in the acute care setting. Dementia nursing intervention ability developing program by e-learning assumed the quality improvement of dementia medical care and the nursing of older patients with dementia based on person-centered aimed at reduction of body restriction. The purpose of this study was to validate the effectiveness of the developed e-learning programs for nurses in the acute care setting of seven to one nursing standards. METHOD This study was conducted between April and December 2020. This study was introduced to the floor nurse of the hospital for suitable application. Interested nurses were asked to attend "Developing programs for Dementia nursing intervention ability (4 weeks)" at four different time points (1) before attendance (baseline), post-attendance (1 month later), (3) practiced 3 months post-attendance, and (4) practiced 6 months post-attendance. A questionnaire to evaluate program effectiveness asked about consciousness of the dementia nursing with four items on "Interest in nursing of people with dementia and so on (four items)".In the evaluation on the person-centered dementia care, using the Self-assessment Scale of Nursing Practice for Elderly Patients with Cognitive Impairment, the Approach to Dementia Questionnaire - Japanese Edition (19 items). In the evaluation of ethics, ethical sensitivity scale for clinical nurses (19 items), self-efficacy on reduction of the physical restriction (six items). A statistical analysis was conducted using the Bonferroni test as the multiple test method to compare baseline values with the values obtained 1, 3, and 6 months later. RESULTS A total of 70 subjects were analyzed in this study. They belonged to different wards including the surgical and internal wards from where 60 subjects (85.7%) were recruited. The average clinical experience of the nurses was 13.5±9.5 years. The degree of self-efficacy was assessed in terms of attaching mitten type gloves as a physical restraint to avoid the pulling of tubes used for intravenous feeding, central veins, normal feeding, etc. by the patients and so on. Most patients had cognitive functional disorder, including dementia [n = 30 (42.9%)]. The self-assessed scale of nursing practice for elderly people with cognitive impairment, which aimed to promote person-centered care in an acute care hospital, revealed that the total score of each of the Approaches to Dementia Questionnaire - Japanese Edition significantly increased just after intervention (1 month) in comparison to baseline, and 3 months and 6 months after intervention. CONCLUSION This study indicated that the program developed to improve dementia nursing intervention ability significantly increased the above-mentioned evolution and consciousness of nurses after the intervention program (1 month), followed by 3 months and 6 months later. Along with ethical sensitivity, practice aimed at person-centered care was also found to improve. It was suggested that the intervention program of this study was effective and that nurses could easily learn using their respective free time and practice.
Collapse
Affiliation(s)
- Mizue Suzuki
- Hamamatsu University School of Medicine Faculty of Nursing
| | | | | | | | | | - Keigo Inagaki
- Hamamatsu University School of Medicine Faculty of Nursing
| | | | | | | | | | - Ikuko Sakai
- Graduate School of Nursing, China University
| |
Collapse
|
3
|
Suzuki M, Ishihara T, Sasaki N, Yoshimura H, Sakai I, Mastushita K, Mimuro S, Sawaki K. Effectiveness of the dementia nursing competence e-learning program for nurses in acute care hospitals in Japan. Innov Aging 2021. [PMCID: PMC8681396 DOI: 10.1093/geroni/igab046.3011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objective: The number of older patients with dementia hospitalised in acute care hospitals increased and these patients underwent physical restrictions leading to a degeneration of essential mental and physical function. The dementia nursing competence e-learning program with audio-visual materials has been developed in acute care hospitals. Methods: An application form that explained the research was distributed to 1,944 registered nurses from seven hospitals, and 110 people applied. Nurses used an e-learning program for a month in May and practiced applying the knowledge learned from programs June through November 2020. The nurses completed a questionnaire survey at four periods: first (before program/baseline), second (after program), third (three months later), and fourth (six months later). In the second, third, and fourth periods, ‘Technical knowledge of the dementia nursing’ and ‘dementia nursing intervention’ were significantly improved as compared with the first. In the fourth period, ‘confidence of reduce of physical restriction’ showed significant improvement compared to the first. In ‘Ethical sensitivity scale of nurses’, the first of the four sub-scales significantly increased as compared with the first period. In ‘Self-assessment Scale of Nursing Practice for Elderly Patients with Cognitive Impairment with the Aim of Person-centred Care in Acute Care Hospitals’, the fourth sub-scale showed significant improvement compared to the first. In the ‘Personhood’ sub- scale of the Japanese version of Approaches to Dementia Questionnaire, the fourth period showed a significant increase compared to the first. Conclusion: The results suggest that this program was effective and led to reduced physical restrictions in nursing practice.
Collapse
Affiliation(s)
- Mizue Suzuki
- Hamamatsu Universuty school of medicne, Hamamatsu, Shizuoka, Japan
| | - Tetsuro Ishihara
- Hamamatsu University School of Medicine, Hamamastu, Shizuoka, Japan
| | - Nanayo Sasaki
- Graduate School of Nursing Chiba University, chiba, Chiba, Japan
| | | | - Ikuko Sakai
- Hamamatsu Shugakusha Junior High School & High School, Hamamastu, Shizuoka, Japan
| | | | | | - Keisuke Sawaki
- Institute for Graduate Nurses of Japanese Nursing Association, Tokyo, Tokyo, Japan
| |
Collapse
|
4
|
Fujiwara S, Yoshimura H, Kawamoto M. Isolated anhidrosis of an upper limb in a patient with lung cancer: 'one-sleeve shirt sign'. QJM 2021; 114:527-528. [PMID: 33752233 DOI: 10.1093/qjmed/hcab062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Fujiwara
- Department of Neurology, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-Ku, Kobe, Hyogo 650-0047, Japan
| | - H Yoshimura
- Department of Neurology, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-Ku, Kobe, Hyogo 650-0047, Japan
| | - M Kawamoto
- Department of Neurology, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-Ku, Kobe, Hyogo 650-0047, Japan
| |
Collapse
|
5
|
Honda T, Tsunoda R, Ito T, Ikemoto T, Yoshimura H. Isolated posterior mitral valve leaflet cleft with mitral regurgitation. J Echocardiogr 2021; 20:245-246. [PMID: 34120325 DOI: 10.1007/s12574-021-00534-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Revised: 05/17/2021] [Accepted: 06/07/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Tsuyoshi Honda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan.
| | - Ryusuke Tsunoda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| | - Teruhiko Ito
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| | - Tomokazu Ikemoto
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| |
Collapse
|
6
|
Yoshimura H, Koike T, Mamoto K, Sugioka Y, Okano T, Tada M, Inui K, Nakamura H. POS0532 AveRAGE PREDNISOLONE DOSE OF ONLY 1 MG PER DAY WAS RISK FACTOR FOR CLINICAL FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS - NINE-YEAR FINDINGS OF THE TOMORROW STUDY. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.1868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Previous cohort studies showed that the use of prednisolone (PSL) was a risk factor for clinical fractures in patients with rheumatoid arthritis (RA). However, there are few reports on relationship between PSL dose and clinical fractures.Objectives:The present study aimed to determine the effect of PSL dose on the incidence of clinical fractures in the RA patients treated with PSL.Methods:We evaluated anthropoetric parameters, bone mineral density (BMD), disease activity score 28-erythrocyte sedimentation rate (DAS28-ESR), RA medication (methotrexate (MTX) dose, use of biologic disease modified anti-rheumatic-drugs (bDMARDs), and PSL dose) and the incidence of clinical fractures during nine years in RA patients who participant the TOMORROW study (UMIN000003876), which is a 10-years prospective cohort study. Data on clinical fracture was self-reported on the questionnaires. In this analysis, the data of RA patients treated with PSL at least once during nine-year period were evaluated. We analyzed the average dose of PSL until the incidence of the clinical fractures. The risk factor for clinical fractures were analyzed by using Cox proportional hazard model with adjustment for age, sex, body mass index (BMI), and smoking history.Results:We analyzed the data of 67 RA patients treated with PSL. Among them, median age was 61.8 year, 56 patients (83.6%) were female, 47 patients (70.1%) were never smoker and median disease duration was 12.1 year. The number of patients treated with PSL at baseline was 48 (69.1%). During 9 years, 23 clinical fractures were observed in 67 patients, and the incidence of clinical fracture was 0.046/person-year. In 19 patients, who were not treated with PSL at baseline but treated with PSL at least once during 9 years, 5 clinical fractures were observed. In 67 RA patients, Cox proportional hazard analysis revealed that baseline disease activities, BMD at thoracic vertebrae and medication were not significant risk factors for clinical fractures. However, average PSL dose of more than only 1 mg/day was a significant risk factor for the incidence of clinical fracture (hazard ratio (HR): 2.80; p=0.03) (Table 1).Table 1.Adjusted hazard ratio for clinical fractures in patients with rheumatoid arthritis treated with PSL.* Adjusted Hazard ratio95% Confidence intervalP valueCRP (mg/dL)1.290.88-1.910.19RF (IU/mL)0.990.99-1.000.07ACPA (U/mL)0.990.98-1.000.18DAS28-ESR0.990.71-1.390.97BMD at thoracic vertebrae (mg/cm2)0.020.00-1.000.05bDMARDs use0.550.23-1.320.18Bisphosphonate use2.330.95-5.710.07average dose of MTX (mg/week)1.020.92-1.120.74average score of DAS28-ESR1.150.76-1.750.52average dose of PSL more than 1mg/day2.81.09-7.240.03*Hazard ratio was adjusted for age, sex, body mass index (BMI), and smoking history. RF, Rheumatoid factor; ACPA, Anti-cyclic citrullinated peptide antibody; DAS28-ESR, disease activity score 28-erythrocyte sedimentation rate; BMD, Bone mineral density; bDMARDs, biologic disease modified anti-rheumatic-drugs; MTX, methotrexate; PSL, prednisolone.Conclusion:In RA patients treated with PSL, average PSL dose of only 1mg/day significantly increased the risk for the incidence of clinical fractures. Even for established RA patients, continuous use or initiation of low PSL dose was apparently significant risk factor for clinical fractures.Disclosure of Interests:Hitoshi Yoshimura: None declared, Tatsuya Koike Grant/research support from: Takeda Pharmaceutical, Mitsubishi Tanabe Pharma Corporation, Chugai Pharmaceutical, Eisai, Abbott Japan, Teijin Pharma, Banyu Pharmaceutical and Ono Pharmaceutical, Kenji Mamoto: None declared, Yuko Sugioka: None declared, Tadashi Okano: None declared, Masahiro Tada: None declared, Kentaro Inui Grant/research support from: Janssen Pharmaceutical K.K. and Astellas Pharma Inc, Hiroaki Nakamura: None declared
Collapse
|
7
|
Honda T, Koide S, Ikemoto T, Tsunoda R, Ito T, Yoshimura H. Successful percutaneous coronary intervention for multiple coronary artery aneurysms causing acute inferior myocardial infarction. Postepy Kardiol Interwencyjnej 2021; 17:112-113. [PMID: 33868427 PMCID: PMC8039917 DOI: 10.5114/aic.2021.104778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 01/28/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Tsuyoshi Honda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Shunichi Koide
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Tomokazu Ikemoto
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Ryusuke Tsunoda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Teruhiko Ito
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| |
Collapse
|
8
|
Honda T, Tsunoda R, Ito T, Ikemoto T, Yoshimura H. Cleft posterior mitral leaflet with hypertrophic obstructive cardiomyopathy. J Echocardiogr 2021; 20:182-184. [PMID: 33454851 DOI: 10.1007/s12574-021-00512-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 12/26/2020] [Accepted: 01/05/2021] [Indexed: 10/22/2022]
Affiliation(s)
- Tsuyoshi Honda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan.
| | - Ryusuke Tsunoda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| | - Teruhiko Ito
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| | - Tomokazu Ikemoto
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine minami, Higashi-ku, Kumamoto, 862-8520, Japan
| |
Collapse
|
9
|
Michishita M, Ishizaki Y, Konnai M, Machida Y, Nakahira R, Hatakeyama H, Yoshimura H, Yamamoto M, Soeta S, Ochiai K, Misawa K, Yugeta N, Azakami D. Primary Lymphangiosarcoma of the Urinary Bladder in a Dog. J Comp Pathol 2020; 179:31-35. [PMID: 32958144 DOI: 10.1016/j.jcpa.2020.06.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 05/21/2020] [Accepted: 06/24/2020] [Indexed: 11/18/2022]
Abstract
Abdominal ultrasonographical and computed tomography examinations of a 12-year-old neutered female toy poodle revealed a protruding mass, approximately 2 cm in diameter, at the apex of the bladder. The mass was firm and haemorrhagic with a homogeneously brownish-yellow cut surface. Microscopically, it was unencapsulated and located in the muscle layer with invasion of the extra-muscular layer. It was composed of spindloid to oval neoplastic cells that formed irregular clefts and diffuse sheets that dissected bundles of collagen. Immunohistochemically, the neoplastic cells were positive for vimentin and lymphatic vessel endothelial hyaluronan receptor 1 antigens, but negative for cytokeratin AE1/AE3, factor VIII-related antigen, CD31, CD34, Prox-1, S100, desmin, α-smooth muscle actin and MyoD1. Negative immunolabelling for laminin antigen supported the absence of evidence of a basal lamina on ultrastructural examination. Based on these findings, this tumour was identified as a lymphangiosarcoma. To the best of our knowledge, this case is the first report of lymphangiosarcoma arising from the bladder in a dog.
Collapse
Affiliation(s)
- M Michishita
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan.
| | - Y Ishizaki
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - M Konnai
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Y Machida
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - R Nakahira
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - H Hatakeyama
- Laboratory of Comparative Cellular Biology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - H Yoshimura
- Department of Applied Science, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - M Yamamoto
- Department of Applied Science, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - S Soeta
- Department of Veterinary Anatomy, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - K Ochiai
- Department of Basic Science, School of Veterinary Medicine, Nippon Veterinary and Life Science University
| | | | | | - D Azakami
- Laboratory of Veterinary Clinical Oncology, Tokyo University of Agriculture and Technology, Tokyo, Japan
| |
Collapse
|
10
|
Usuku H, Yamamoto E, Arima Y, Takashio S, Araki S, Sueta D, Kanazawa H, Suzuki S, Yoshimura H, Tsunoda R, Nishigami K, Uekihara S, Sakamoto K, Kawano H, Kaikita K, Matsui H, Tsujita K. Accumulation of coronary risk factors is associated with progression of mitral annular calcification in patients undergoing dialysis therapy: A long-term follow-up study. Int J Cardiol 2019; 293:248-253. [DOI: 10.1016/j.ijcard.2019.05.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 04/18/2019] [Accepted: 05/02/2019] [Indexed: 11/15/2022]
|
11
|
Michishita M, Fujiwara-Igarashi A, Suzuki S, Hatakeyama H, Machida Y, Yoshimura H, Yamamoto M, Azakami D, Ochiai K, Ishiwata T, Fujita M. Diffuse Pulmonary Meningotheliomatosis with Sarcomatous Transformation in a Shiba Dog. J Comp Pathol 2019; 171:1-5. [PMID: 31540619 PMCID: PMC7094254 DOI: 10.1016/j.jcpa.2019.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Revised: 06/18/2019] [Accepted: 06/24/2019] [Indexed: 11/17/2022]
Abstract
A 2-year-old neutered female Shiba dog exhibited laboured breathing for 1 month. Computed tomography of the thoracic cavity revealed multiple nodules (2-5 mm diameter) in the lungs. Grossly, the lungs were firm and normal in shape. The nodules were grey-white in colour. Microscopically, the nodules were non-encapsulated and exhibited an irregular shape. They were composed of polygonal or spindle cells with indistinct cell borders arranged in sheets. The cells had large, round, hyperchromatic nuclei and abundant pale eosinophilic cytoplasm with no atypia. Intrapulmonary arterial emboli and infiltration into the bronchioles were observed. Immunohistochemically, the cells were positive for vimentin and negative for cytokeratin, glial fibrillary acidic protein and α-smooth muscle actin. Ultrastructurally, the cells displayed cytoplasmic processes, desmosomes and intermediate filaments. These findings led to a diagnosis of diffuse pulmonary meningotheliomatosis with sarcomatous transformation. To the best of our knowledge, this is the first report of diffuse pulmonary meningotheliomatosis in a dog.
Collapse
Affiliation(s)
- M Michishita
- Department of Veterinary Pathology, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo.
| | - A Fujiwara-Igarashi
- Division of Veterinary Radiology, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| | - S Suzuki
- Division of Veterinary Surgery, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| | - H Hatakeyama
- Laboratory of Comparative Cellular Biology, School of Veterinary Medicine, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| | - Y Machida
- Department of Veterinary Pathology, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| | - H Yoshimura
- Department of Applied Science, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| | - M Yamamoto
- Department of Applied Science, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| | - D Azakami
- Department of Veterinary Nursing, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| | - K Ochiai
- Department of Basic Science, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Japan
| | - T Ishiwata
- Division of Aging and Carcinogenesis, Research Team for Geriatric Pathology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - M Fujita
- Division of Veterinary Radiology, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo
| |
Collapse
|
12
|
Suzuki M, Suzuki M, Sunaga S, Yoshimura H, Munakata M, Morimoto T, Ito Y. [Factors related to the physical restriction practiced by nurses in acute care hospitals: An analysis using nurses' self-assessment]. Nihon Ronen Igakkai Zasshi 2019; 56:146-155. [PMID: 31092780 DOI: 10.3143/geriatrics.56.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM The purpose of this study was to clarify the relationship between physical restriction as a nursing practice and the perceived extent of person-centered care towards elderly patients with cognitive impairment in acute care hospitals (SSNPEC). RESEARCH METHODS This study was conducted on ward nurses in 4 hospitals (nursing staff ratio of 7:1; >500 beds) in H city from April 2016 to March 2017. The evaluation of physical restriction in the hospital comprised the following six items: the use of trunk belts, wearing of mitten-type gloves, the use of shoulder harnesses (such as for patients in wheelchairs), wearing care clothes, the use of a bed fence, and psychotropic drugs. In the multiple regression analysis, the total physical restriction score was the dependent variable. Results pertaining to the prediction of physical restriction were as follows: "Care that values psycho-social approaches based on predicted potential problems", "Care that is tailored to the individual and their cognitive function", and "Improvement in the quality of the care" significantly decreased physical restrictions. CONCLUSION This study showed that nursing practices in acute care hospitals that are based on person-centered care emphasizing clinical ethics decreased the application of physical restrictions. A balance existed between safety management through nursing practices and respect for patients in acute hospitals.
Collapse
|
13
|
Kaikita K, Yoshimura H, Ishii M, Kudoh T, Yamada Y, Yamamoto E, Izumiya Y, Kojima S, Shimomura H, Tsunoda R, Matsui K, Ogawa H, Tsujita K. Tailored Adjunctive Cilostazol Therapy Based on CYP2C19 Genotyping in Patients With Acute Myocardial Infarction - The CALDERA-GENE Study. Circ J 2018; 82:1517-1525. [PMID: 29743380 DOI: 10.1253/circj.cj-18-0197] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND Patients with reduced-function CYP2C19 genotypes on dual antiplatelet therapy (DAPT) with aspirin and clopidogrel show higher clinical risk for acute myocardial infarction (AMI). We investigated the effect of CYP2C19 genotype-tailored adjunctive cilostazol therapy on treatment of AMI.Methods and Results:The study group of 138 patients with suspected AMI were screened for CYP2C19 genotype immediately after percutaneous coronary intervention (PCI) using a SPARTAN RX point-of-care device. Carriers of the CYP2C19 reduced-function allele were randomized into DAPT (Carrier/DAPT) and DAPT plus 14-day cilostazol (Carrier/DAPT+Cilostazol) groups, while noncarriers were treated with DAPT (Noncarrier/DAPT). After exclusion of 10 patients, the remaining 128 patients were analyzed for P2Y12 reaction unit (PRU) using VerifyNow®P2Y12 system, and levels of biomarkers immediately after, and 1, 14, and 28 days after PCI. DAPT+Cilostazol reduced PRU levels in carriers (n=46) to those found in the Noncarrier/DAPT group (n=40), and significantly lower than those of the Carrier/DAPT group (n=42) at 14 days post-PCI. Discontinuation of cilostazol for 14 days was associated with a significant rise in PRU levels to those of the Carrier/DAPT group at 28 days post-PCI. Plasma B-type natriuretic peptide levels at 14 days post-PCI were lower in Carrier/DAPT+Cilostazol than in the other 2 groups, and the levels increased to those of the other groups at 28 days post-PCI after withdrawal of cilostazol. CONCLUSIONS Adjunctive cilostazol therapy tailored to CYP2C19 genotype seemed useful in AMI patients with the CYP2C19 reduced-function allele.
Collapse
Affiliation(s)
- Koichi Kaikita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Masanobu Ishii
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Takashi Kudoh
- Department of Cardiovascular Medicine, Fukuoka Tokushukai Medical Center
| | - Yoshihiro Yamada
- Department of Cardiovascular Medicine, Fukuoka Tokushukai Medical Center
| | - Eiichiro Yamamoto
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Yasuhiro Izumiya
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Sunao Kojima
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Hideki Shimomura
- Department of Cardiovascular Medicine, Fukuoka Tokushukai Medical Center
| | - Ryusuke Tsunoda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Kunihiko Matsui
- Department of Community Medicine, Kumamoto University Hospital
| | | | - Kenichi Tsujita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | | |
Collapse
|
14
|
Usuku H, Yamamoto E, Yoshimura H, Tsunoda R, Nishigami K, Nakajima M, Suzuki R, Tsujita K. Utility of postural change in differentiating sludge from thrombus in the left atrial appendage: A case report. Echocardiography 2018; 35:573-574. [PMID: 29505659 DOI: 10.1111/echo.13850] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
We detected symptomatic atrial fibrillation in a 64-year-old man who had undergone mitral valvuloplasty. While performing transesophageal echocardiography (TEE) in the left lateral decubitus position, we detected an isoechoic mass lesion at the bottom of the left atrial appendage (LAA). After changing the patient's position from left to right, the mass lesion dropped down from the bottom of the LAA, spread out into the left atrium, and appeared as a spontaneous echocardiographic contrast with mobility. We therefore diagnosed the mass lesion as not a thrombus but sludge. Changing the patient's position during TEE is useful for distinguishing sludge from thrombi.
Collapse
Affiliation(s)
- Hiroki Usuku
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Eiichiro Yamamoto
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Ryusuke Tsunoda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | | | - Masamichi Nakajima
- Department of Cardiovascular Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Ryusuke Suzuki
- Department of Cardiovascular Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
| | - Kenichi Tsujita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
| |
Collapse
|
15
|
Hagiwara K, Michishita M, Yoshimura H, Ochiai K, Azakami D, Ishiwata T, Takahashi K. Pancreatic Colloid Carcinoma in an Elderly Cat. J Comp Pathol 2017; 157:266-269. [DOI: 10.1016/j.jcpa.2017.08.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Revised: 08/21/2017] [Accepted: 08/30/2017] [Indexed: 11/17/2022]
|
16
|
Fujiwara S, Yoshimura H, Mimura N, Ohira J, Ueda J, Ishii J, Kono T, Kawamoto M, Tomii K, Kohara N. Cerebrospinal fluid characteristics of encephalitis associated with immune checkpoint inhibitors. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.271] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
17
|
Tanioka K, Hitomi T, Yoshimura H, Ono M, Nakao Y, Mase R, Kohara N, Kanda M, Takahashi R, Ikeda A. Evaluation of usefulness of remote electroencephalography reading system in Japan. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.2722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
18
|
Ohira J, Yoshimura H, Mimura N, Ueda J, Fujiwara S, Ishii J, Ohara N, Kono T, Kawamoto M, Ariyoshi K, Kohara N. Predictive factors of postictal duration after generalized tonic clonic seizure. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.3778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
19
|
Kawamoto M, Ishii J, Yoshimura H, Fujiwara S, Kohara N. Clinical and electrophysiological aspects of Guillain-Barre syndrome following allogenic hematopoietic stem cell transplantation. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.1816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
20
|
Ueda J, Yoshimura H, Shimizu K, Hino M, Kohara N. Combined visual and semi-quantitative assessment of 123I-FP-CIT SPECT for the diagnosis of dopaminergic neurodegenerative diseases. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
21
|
Ito M, Fujiwara S, Fujimoto D, Mori R, Yoshimura H, Hata A, Kohara N, Tomii K. Rituximab for nivolumab plus ipilimumab-induced encephalitis in a small-cell lung cancer patient. Ann Oncol 2017; 28:2318-2319. [DOI: 10.1093/annonc/mdx252] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
22
|
Michishita M, Katori Y, Sasaki H, Obara RD, Furumoto R, Kato M, Nakahira R, Yoshimura H, Soeta S, Ishiwata T, Takahashi K. Cutaneous Angiolymphoid Hyperplasia in a Dog. J Comp Pathol 2017; 157:57-60. [PMID: 28735672 DOI: 10.1016/j.jcpa.2017.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2017] [Revised: 05/15/2017] [Accepted: 05/30/2017] [Indexed: 11/29/2022]
Abstract
A 5-year-old male miniature dachshund was presented with a dermal nodule on the left forelimb that increased to 5 mm in diameter over a 2-month period. Grossly, the nodule was firm, and both the external and cut surfaces were homogeneously pale pink in colour. Microscopically, the nodule was comprised of mainly plump endothelial cells and inflammatory cells; among the latter, lymphocytes were predominant, with few scattered plasma cells, mast cells and macrophages. Lymphoid follicles with germinal centres were often observed. Mitotic figures were not observed amongst the endothelial cells. Immunohistochemically, the endothelial cells were positive for vimentin, factor VIII-related antigen and CD31, and the surrounding cells were positive for smooth muscle actin. Lymphocytes expressed CD3 or BLA36. These findings led to a diagnosis of cutaneous angiolymphoid hyperplasia. To the best of our knowledge, this is the first report of a cutaneous proliferative disorder comprising an admixture of proliferating vascular endothelial cells and lymphocytic infiltration with follicle formation in a dog.
Collapse
Affiliation(s)
- M Michishita
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan.
| | - Y Katori
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan
| | - H Sasaki
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan
| | - R D Obara
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan
| | - R Furumoto
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan
| | - M Kato
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan
| | - R Nakahira
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan
| | - H Yoshimura
- Department of Applied Science, School of Veterinary Nursing and Technology, Japan
| | - S Soeta
- Department of Veterinary Anatomy, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Japan
| | - T Ishiwata
- Division of Aging and Carcinogenesis, Research Team for Geriatric Pathology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - K Takahashi
- Department of Veterinary Pathology, School of Veterinary Medicine, Japan
| |
Collapse
|
23
|
Suzuki M, Yoshimura H, Ito Y, Kanamori M. CORRELATIONS OF NURSING PRACTICES FOR ELDERLY WITH COGNITIVE IMPAIRMENT AND COMPETENCE IN HOSPITALS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M. Suzuki
- Faculty of Nursing, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan,
| | - H. Yoshimura
- Seirei Mikatahara Hospital, Hamamatsu, Shizuoka, Japan,
| | - Y. Ito
- Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan,
| | - M. Kanamori
- Ritsumeikan University, Shiga, Kusatsu, Japan
| |
Collapse
|
24
|
Ohta R, Yamada S, Naruse T, Yoshimura H, Sano K, Umeda M, Shibahara T, Kurita H. Outcome of eminectomy in elderly patients with long-standing/habitual dislocation of temporomandibular joint. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.1217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
25
|
Fuchigami S, Tsunoda R, Shimizu H, Takae M, Usuku H, Yoshimura H, Ikemoto T, Nagamine M, Ito T, Izumiya Y, Kaikita K, Hokimoto S, Tsujita K. Pulmonary Tumor Thrombotic Microangiopathy ― Antemortem Diagnosis With Pulmonary Artery Wedge Blood Cell Sampling in a Recurrent Breast Cancer Patient ―. Circ J 2017; 81:1959-1960. [DOI: 10.1253/circj.cj-17-0228] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | - Ryusuke Tsunoda
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Hiroshi Shimizu
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Masafumi Takae
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Hiroki Usuku
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Tomokazu Ikemoto
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | | | - Teruhiko Ito
- Department of Cardiovascular Medicine, Japanese Red Cross Kumamoto Hospital
| | - Yasuhiro Izumiya
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Koichi Kaikita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Seiji Hokimoto
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| | - Kenichi Tsujita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
| |
Collapse
|
26
|
Okuzono S, Yoshimura H, Arai S, Lowe D. Characterization of Innovative Tertiary Amine Catalyst Systems for Water-Blown Flexible Polyurethane Foams. J CELL PLAST 2016. [DOI: 10.1177/0021955x9202800203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- S. Okuzono
- TOSOH Corporation Technology Development Department 4560 Kaisei-cho, Shin-Nanyo-Shi Yamaguchi-Ken 746 Japan
| | - H. Yoshimura
- TOSOH Corporation Technology Development Department 4560 Kaisei-cho, Shin-Nanyo-Shi Yamaguchi-Ken 746 Japan
| | - S. Arai
- TOSOH Corporation Technology Development Department 4560 Kaisei-cho, Shin-Nanyo-Shi Yamaguchi-Ken 746 Japan
| | - D.W. Lowe
- TOSOH US.A., Inc. 1700 Water Place Suite 204 Atlanta, GA 30339 U.S.A
| |
Collapse
|
27
|
Affiliation(s)
- H. Yoshimura
- Technology Deuelopment Department TOSOH Corporation 4560 Tonda Shm-Nanyo-Shi Yamaguchi-Ken 746, JAPAN
| | - S. Okuzono
- Technology Deuelopment Department TOSOH Corporation 4560 Tonda Shm-Nanyo-Shi Yamaguchi-Ken 746, JAPAN
| | - S. Arai
- Technology Deuelopment Department TOSOH Corporation 4560 Tonda Shm-Nanyo-Shi Yamaguchi-Ken 746, JAPAN
| | - D.W. Lowe
- TOSOH U.S.A., Inc. 1700 Water Place Suite 204 Atlanta, Georgia 30339
| |
Collapse
|
28
|
Abstract
The establishment of CFC-free polyurethane foam systems, aimed at total CFC elimination by the year 1995, is of paramount importance in the present day polyurethane foam technology. Especially in rigid foam systems, the attempts to apply a variety of alternative blowing agents such as HCFC-22, -141b, and -142b, HFC-134a and -356, and hydrocarbons such as n-pentane, isopentane and cyclopentane, as well as all-water blown systems, are being examined. In all cases of alternative blown systems, however, there exist differences in foaming behavior as well as inferior foam properties compared to traditional CFC-11 blown systems. Especially in HCFC-141b and cyclopentane blown systems, which have gained the greatest interest among the above-mentioned options, the following three subjects are of major concern. The requirements involved in achieving the resolution of these problems are dependent not only on the development of major raw materials but also on the selection of suitable auxiliary intermediates such as catalysts and foam stabilizers. (1) Thermal Conductivity; HCFC-141b, cyclopentane and carbon dioxide, which is generated from the reaction of water and isocyanate, have high thermal conductivity compared to CFC-11, thereby causing inferior insulation performance of the foam. Fine cell technology is now being examined in order to improve the thermal conductivity. For the achievement of the fine cell structure, the selection of suitable amine catalyst systems is important, although the effect of foaming stabilizers has an especially large contribution. (2) Dimensional Stability; not only in all-water blown systems, but also in HCFC-141b and cyclopentane blown systems which use water in high concentration, dimensional stability becomes a large problem due to the diffusion of carbon dioxide gas from the foam cell. For the improvement of dimensional stability, there exists the option to increase the foam strength; moreover, it is important to improve the isotropy of cell structure by adjusting amine catalyst systems. (3) Foam density; since 141b and cyclopentane have relatively higher boiling points and less blowing efficiency, lowering the foam density becomes rather difficult. Moreover, lower foam density normally provides poor dimensional stability. It can be said that the catalytic activity ratio in blowing/gelling of amine catalysts play an important role for the lowering of foam density with improved dimensional stability. It is very difficult to improve these three factors simultaneously. In this report, however, the improvements of these subjects are discussed from a standpoint of amine catalysts; also special newly developed nucleation catalyst systems are introduced for cyclopentane and HCFC-141b blown systems.
Collapse
Affiliation(s)
- H. Yoshimura
- Tosoh Corporation, Chemical Research Laboratory, 4560 Kaisei-cho Shin-Nanyo-Shi, Yamaguchi-ken 746, Japan
| | - Y. Tamano
- Tosoh Corporation, Chemical Research Laboratory, 4560 Kaisei-cho Shin-Nanyo-Shi, Yamaguchi-ken 746, Japan
| | - S. Okuzono
- Tosoh Corporation, Chemical Research Laboratory, 4560 Kaisei-cho Shin-Nanyo-Shi, Yamaguchi-ken 746, Japan
| | - D. W. Lowe
- Tosoh U.S.A. Inc., Suite 600, 1100 Circle 75 Parkway, Atlanta, Georgia 30339-3097
| |
Collapse
|
29
|
Yoshimura H, Ozawa T. Monitoring of RNA Dynamics in Living Cells Using PUM-HD and Fluorescent Protein Reconstitution Technique. Methods Enzymol 2016; 572:65-85. [DOI: 10.1016/bs.mie.2016.03.018] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
|
30
|
Kishimoto TE, Yoshimura H, Saito N, Michishita M, Kanno N, Ohkusu-Tsukada K, Takahashi K. Salivary Gland Epithelial-Myoepithelial Carcinoma with High-Grade Transformation in a Dog. J Comp Pathol 2015. [PMID: 26223938 DOI: 10.1016/j.jcpa.2015.06.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
An 8-year-old male neutered standard dachshund was presented with a slowly growing mass in the left submandibular salivary gland. Histopathological examination revealed a tumour that was composed of bilayered duct-like structures with an inner layer of ductal cells and an outer layer of clear cells. Both inner and outer cells in the greater part of the tumour exhibited low to moderate atypia and low mitotic activity. However, a focal area towards the periphery showed enhanced cellular atypia and mitotic activity in tumour cells. Immunohistochemically, the outer layer of clear cells expressed myoepithelial markers, while the inner layer cells were positive for a luminal epithelial marker. No local recurrence or lymph node or distant metastasis was observed 18 months following surgery. Based on the morphology and immunohistochemical findings, a final diagnosis of epithelial-myoepithelial carcinoma with high-grade transformation was made.
Collapse
Affiliation(s)
- T E Kishimoto
- Department of Veterinary Pathology, School of Veterinary Medicine, Tokyo, Japan
| | - H Yoshimura
- Division of Physiological Pathology, Department of Applied Science, School of Veterinary Nursing and Technology, Tokyo, Japan.
| | - N Saito
- Department of Veterinary Pathology, School of Veterinary Medicine, Tokyo, Japan
| | - M Michishita
- Department of Veterinary Pathology, School of Veterinary Medicine, Tokyo, Japan
| | - N Kanno
- Department of Veterinary Surgery, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - K Ohkusu-Tsukada
- Department of Veterinary Pathology, School of Veterinary Medicine, Tokyo, Japan
| | - K Takahashi
- Department of Veterinary Pathology, School of Veterinary Medicine, Tokyo, Japan
| |
Collapse
|
31
|
Yoshimura H, Kimura-Tsukada N, Ono Y, Michishita M, Ohkusu-Tsukada K, Matsuda Y, Ishiwata T, Takahashi K. Characterization of Spontaneous Mammary Tumors in Domestic Djungarian Hamsters (Phodopus sungorus). Vet Pathol 2015; 52:1227-34. [DOI: 10.1177/0300985815583097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Mammary tumors that spontaneously occurred in domestic Djungarian hamsters ( Phodopus sungorus) were histologically examined. Forty-five mammary tumors included 14 adenomas, 18 adenocarcinomas, 1 lipid-rich carcinoma, 2 adenoacanthomas, 2 malignant adenomyoepitheliomas, 1 benign mixed tumor, and 7 “balloon cell” carcinosarcomas. The latter 4 types were newly recognized neoplasms in Djungarian hamsters. The relatively high incidence of spontaneous mammary carcinosarcomas in domestic Djungarian hamsters is intriguing. Carcinosarcomas exhibited anomalous histological features made up of a mixture of glandular cells, polygonal cells (including “balloon cells”), and sarcomatous spindle cells in varying proportions. Transitional features from glandular cells to polygonal cells and subsequently to sarcomatous spindle cells were observed. Using immunohistochemistry, we observed that glandular cells exhibited an epithelial phenotype (cytokeratin(+)/vimentin(–)), spindle cells exhibited a mesenchymal phenotype (cytokeratin(–)/vimentin(+)), and polygonal cells exhibited an intermediate phenotype (cytokeratin(+)/vimentin(+)). Reduction or loss of β-catenin expression and gain of S100A4 expression were observed in polygonal and spindle cells. The polygonal cell population included a varying number of characteristic cells that were expanded by large intracytoplasmic vacuoles. Electron microscopy revealed that these “balloon cells” had large cytoplasmic lumens lined by microvilli. These observations suggest that epithelial-mesenchymal transition may account for the pathogenesis of mammary carcinosarcomas in Djungarian hamsters.
Collapse
Affiliation(s)
- H. Yoshimura
- Division of Physiological Pathology, Department of Applied Science, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo, Japan
- Department of Veterinary Pathology, School of Veterinary medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - N. Kimura-Tsukada
- Department of Veterinary Pathology, School of Veterinary medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Y. Ono
- Department of Veterinary Pathology, School of Veterinary medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - M. Michishita
- Department of Veterinary Pathology, School of Veterinary medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - K. Ohkusu-Tsukada
- Department of Veterinary Pathology, School of Veterinary medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Y. Matsuda
- Department of Pathology, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, Japan
| | - T. Ishiwata
- Department of Integrated Diagnostic Pathology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan
| | - K. Takahashi
- Department of Veterinary Pathology, School of Veterinary medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| |
Collapse
|
32
|
Yoshimura H, Inoue T, Yamada T, Shiraki K. Anemia during hard physical training (sports anemia) and its causal mechanism with special reference to protein nutrition. World Rev Nutr Diet 2015; 35:1-86. [PMID: 6994373 DOI: 10.1159/000386405] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
|
33
|
Yoshimura H. Physiological effect of protein deficiency with special reference to evaluation of protein nutrition and protein requirement. World Rev Nutr Diet 2015; 14:100-33. [PMID: 4212241 DOI: 10.1159/000392734] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
|
34
|
Hayasaka H, Kobayashi D, Yoshimura H, Nakayama EE, Shioda T, Miyasaka M. The HIV-1 Gp120/CXCR4 axis promotes CCR7 ligand-dependent CD4 T cell migration: CCR7 homo- and CCR7/CXCR4 hetero-oligomer formation as a possible mechanism for up-regulation of functional CCR7. PLoS One 2015; 10:e0117454. [PMID: 25688986 PMCID: PMC4331524 DOI: 10.1371/journal.pone.0117454] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2014] [Accepted: 12/24/2014] [Indexed: 11/29/2022] Open
Abstract
During human immunodeficiency virus (HIV) infection, enhanced migration of infected cells to lymph nodes leads to efficient propagation of HIV-1. The selective chemokine receptors, including CXCR4 and CCR7, may play a role in this process, yet the viral factors regulating chemokine-dependent T cell migration remain relatively unclear. The functional cooperation between the CXCR4 ligand chemokine CXCL12 and the CCR7 ligand chemokines CCL19 and CCL21 enhances CCR7-dependent T cell motility in vitro as well as cell trafficking into the lymph nodes in vivo. In this study, we report that a recombinant form of a viral CXCR4 ligand, X4-tropic HIV-1 gp120, enhanced the CD4 T cell response to CCR7 ligands in a manner dependent on CXCR4 and CD4, and that this effect was recapitulated by HIV-1 virions. HIV-1 gp120 significantly enhanced CCR7-dependent CD4 T cell migration from the footpad of mice to the draining lymph nodes in in vivo transfer experiments. We also demonstrated that CXCR4 expression is required for stable CCR7 expression on the CD4 T cell surface, whereas CXCR4 signaling facilitated CCR7 ligand binding to the cell surface and increased the level of CCR7 homo- as well as CXCR4/CCR7 hetero-oligomers without affecting CCR7 expression levels. Our findings indicate that HIV-evoked CXCR4 signaling promotes CCR7-dependent CD4 T cell migration by up-regulating CCR7 function, which is likely to be induced by increased formation of CCR7 homo- and CXCR4/CCR7 hetero-oligomers on the surface of CD4 T cells.
Collapse
Affiliation(s)
- Haruko Hayasaka
- Laboratory of Immune Regulation, Department of Microbiology and Immunology, Graduate School of Medicine, WPI Immunology Frontier Research Center, Osaka University, Suita, Osaka, Japan
- * E-mail:
| | - Daichi Kobayashi
- Laboratory of Immune Regulation, Department of Microbiology and Immunology, Graduate School of Medicine, WPI Immunology Frontier Research Center, Osaka University, Suita, Osaka, Japan
| | - Hiromi Yoshimura
- Laboratory of Immune Regulation, Department of Microbiology and Immunology, Graduate School of Medicine, WPI Immunology Frontier Research Center, Osaka University, Suita, Osaka, Japan
| | - Emi E. Nakayama
- Department of Viral Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Osaka, Japan
| | - Tatsuo Shioda
- Department of Viral Infections, Research Institute for Microbial Diseases, Osaka University, Suita, Osaka, Japan
| | - Masayuki Miyasaka
- Institute for Academic Initiatives, Osaka University, Suita, Osaka, Japan
- MediCity Laboratory, University of Turku, Tykistökatu 6A, 20520, Turku, Finland
| |
Collapse
|
35
|
Nakahira R, Michishita M, Yoshimura H, Hatakeyama H, Takahashi K. Neuroendocrine carcinoma of the mammary gland in a dog. J Comp Pathol 2015; 152:188-91. [PMID: 25670668 DOI: 10.1016/j.jcpa.2014.12.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2014] [Revised: 12/08/2014] [Accepted: 12/17/2014] [Indexed: 11/25/2022]
Abstract
A 10-year-old female border collie was presented with a mass (2 cm diameter) in the fifth mammary gland. The mass was located in the subcutis and the cut surface was grey-white in colour. Microscopically, the mass was composed of tumour cells arranged in nests of various sizes separated by delicate fibrovascular stroma. The tumour cells had small, round hypochromatic nuclei and abundant cytoplasm. Metastases were observed in the inguinal lymph node. Immunohistochemically, most tumour cells expressed cytokeratin (CK) 20, chromogranin A, neuron-specific enolase, synaptophysin and oestrogen receptor-β, but not low molecular weight CK (CAM5.2), p63 and insulin. Ultrastructurally, the tumour cells contained a large number of electron-dense granules corresponding to neuroendocrine granules. Based on these findings, this case was diagnosed as a neuroendocrine carcinoma of the mammary gland.
Collapse
Affiliation(s)
- R Nakahira
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - M Michishita
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan.
| | - H Yoshimura
- Department of Applied Science, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - H Hatakeyama
- Department of Comparative Cellular Biology, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - K Takahashi
- Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| |
Collapse
|
36
|
Ohba S, Yoshimura H, Matsuura T, Sano K. Orthodontic and orthognathic treatment including transplanted teeth after radiotherapy for rhabdomyosacroma. J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.joms.2014.06.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
37
|
Yoshimura H, Ohba S, Tobita T, Yasuta M, Nakai K, Fujieda S, Sano K. Zygomatico-coronoid fixation in a segmental mandibular reconstruction with a free vascularized flap: a simple and correct repositioning method without interfering reconstructive and microsurgical procedures. J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.joms.2014.06.353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
38
|
Ishii J, Kawamoto M, Yoshimura H, Kohara N. P631: Clinical features of recurrent Fisher syndrome and Bickerstaff brainstem encephalitis. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50724-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
39
|
Kawamoto M, Ishii J, Togo M, Higashida K, Tamaki Y, Murase S, Yoshimura H, Kohara N. P173: Seven-year follow up of two sisters with late onset Pompe’s disease: effects and limitation of enzyme replacement therapy. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50313-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
40
|
Kawamoto M, Kohara N, Ishii J, Yoshimura H, Higashida K, Oka N, Sone J, Sobue G. P630: Slowing of peripheral nerve conduction in patients with adult onset sporadic neuronal intranuclear inclusion disease (NIID) with leukoencephalopathy. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50723-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
41
|
Nakayama N, Kaikita K, Fukunaga T, Matsuzawa Y, Sato K, Horio E, Yoshimura H, Mizobe M, Takashio S, Tsujita K, Kojima S, Tayama S, Hokimoto S, Sakamoto T, Nakao K, Sugiyama S, Kimura K, Ogawa H. Clinical features and prognosis of patients with coronary spasm-induced non-ST-segment elevation acute coronary syndrome. J Am Heart Assoc 2014; 3:e000795. [PMID: 24811613 PMCID: PMC4309067 DOI: 10.1161/jaha.114.000795] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Accepted: 03/05/2014] [Indexed: 01/21/2023]
Abstract
BACKGROUND The prevalence, clinical features, and long-term outcome of patients with non-ST-segment elevation acute coronary syndrome (NSTE ACS) associated with coronary spasm are not fully investigated. METHODS AND RESULTS This observational multicenter study enrolled 1601 consecutive patients with suspected NSTE-ACS who underwent cardiac catheterization between January 2001 and December 2010. A culprit lesion was found in 1152 (72%) patients. In patients without a culprit lesion, the acetylcholine provocation test was performed in 221 patients and was positive in 175 patients. In the other patients, coronary spasm was verified in 145 patients during spontaneous attack. Spasm-induced NSTE-ACS was diagnosed in 320 (20%) patients. Multivariable analysis identified age <70 years (odds ratio [OR] 2.19, 95% CI 1.58 to 3.04), estimated glomerular filtration rate >60 mL/min per 1.73 m(2) (OR 1.72, 95% CI 1.16 to 2.56), and lack of hypertension (OR 2.55, 95% CI 1.90 to 3.41), dyslipidemia (OR 2.76, 95% CI 2.05 to 3.73), diabetes mellitus (OR 2.49, 95% CI 1.78 to 3.48), previous myocardial infarction (OR 5.37, 95% CI 2.89 to 10.0), and elevated cardiac biomarkers (OR 2.84, 95% CI 2.11 to 3.83) as significant correlates of spasm-induced NSTE-ACS (P<0.01 for all variables). Transient ST-segment elevation during spontaneous attack (variant angina) was observed in 119 patients with spasm-induced NSTE-ACS. Variant angina was more common in nondyslipidemic men among patients with spasm-induced NSTE-ACS. CONCLUSIONS The study showed frequent involvement of coronary spasm in the pathogenesis of NSTE-ACS. Variant angina was observed in one third of patients with spasm-induced NSTE-ACS. Coronary spasm should be considered even in patients with less coronary risk factors and nonobstructive coronary arteries.
Collapse
Affiliation(s)
- Naoki Nakayama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Koichi Kaikita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Takashi Fukunaga
- Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, Kumamoto, Japan (T.F., T.S., K.N.)
| | - Yasushi Matsuzawa
- Division of Cardiology, Yokohama City University Medical Center, Yokohama, Japan (Y.M., K.K.)
| | - Koji Sato
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Eiji Horio
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Michio Mizobe
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Seiji Takashio
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Kenichi Tsujita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Sunao Kojima
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Shinji Tayama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Seiji Hokimoto
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Tomohiro Sakamoto
- Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, Kumamoto, Japan (T.F., T.S., K.N.)
| | - Koichi Nakao
- Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, Kumamoto, Japan (T.F., T.S., K.N.)
| | - Seigo Sugiyama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| | - Kazuo Kimura
- Division of Cardiology, Yokohama City University Medical Center, Yokohama, Japan (Y.M., K.K.)
| | - Hisao Ogawa
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (N.N., K.K., K.S., E.H., H.Y., M.M., S.T., K.T., S.K., S.T., S.H., S.S., H.O.)
| |
Collapse
|
42
|
Yoshimura H, Kaikita K, Ono T, Iwashita S, Nakayama N, Sato K, Horio E, Tsujita K, Kojima S, Tayama S, Hokimoto S, Ogawa H. Lack of association between peri-procedural myocardial damage and CYP2C19 gene variant in elective percutaneous coronary intervention. Heart Vessels 2014; 30:572-9. [PMID: 24781308 DOI: 10.1007/s00380-014-0516-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2013] [Accepted: 04/11/2014] [Indexed: 12/27/2022]
Abstract
Peri-procedural myocardial damage (MD) is associated with increased risk of major in-hospital complications and adverse clinical events. The aim of this study was to evaluate the effects of on-clopidogrel platelet aggregation and CYP2C19-reduced-function gene variants on elective percutaneous coronary intervention (PCI)-related MD. We measured changes in serum high-sensitive troponin T (hs-TnT) levels, CYP2C19 genotype, and on-clopidogrel platelet aggregation (PA) using VerifyNow(®) P2Y12 system in 91 patients who received stent implantation (stent group). The control group comprised 30 patients who did not receive PCI. Blood samples were obtained before and 24 h after PCI or coronary angiography (CAG). Patients of the stent group were divided into high and low MD groups based on the median value of hs-TnT level at 24 h after PCI. Serum hs-TnT levels were significantly higher 24 h after PCI (86.8 ± 121.5 pg/ml) compared with before PCI (9.4 ± 5.3, p < 0.001), whereas the levels were identical before and 24 h after CAG in the control group. Simple logistic regression analysis demonstrated that MD correlated with age (p = 0.014), estimated GFR (p = 0.003), hemoglobin A1c (p = 0.015), baseline serum hs-TnT (p = 0.049), and stent length (p < 0.001). Multiple logistic regression analysis identified old age, high hemoglobin A1c level, and long stent, but not CYP2C19 reduced-function allele or high on-clopidogrel PA, as independent predictors of elective PCI-related MD. The present study demonstrated no significant relation between peri-procedural MD and high on-clopidgrel PA associated with CYP2C19 reduced-function allele in patients undergoing elective PCI.
Collapse
Affiliation(s)
- Hiromi Yoshimura
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Koichi Kaikita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan.
| | - Takamichi Ono
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Satomi Iwashita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Naoki Nakayama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Koji Sato
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Eiji Horio
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Kenichi Tsujita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Sunao Kojima
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Shinji Tayama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Seiji Hokimoto
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| | - Hisao Ogawa
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan
| |
Collapse
|
43
|
Yoshimura H, Michishita M, Ohkusu-Tsukada K, Matsuda Y, Ishiwata T, Naito Z, Takahashi K. Cellular Sources of Tenascin-C in Canine Mammary Carcinomas. Vet Pathol 2014; 52:92-6. [DOI: 10.1177/0300985814522817] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Tenascin-C (Tn-C) is an extracellular matrix glycoprotein implicated in the progression of several human cancers. In canine mammary carcinomas, accumulation of Tn-C has been recognized in 3 different areas: regions of proliferating myoepithelial cells in complex carcinoma, basement membrane zone in low-grade simple carcinoma, and reactive stroma in high-grade simple carcinoma. To identify the Tn-C synthesizing cells in these areas, we utilized double-labeling immunohistochemistry, branched DNA in situ hybridization, and in situ hybridization–immunohistochemistry double-labeling techniques. In complex carcinomas, Tn-C was generated by proliferating myoepithelial cells. Tn-C in low-grade simple carcinomas was also derived from myoepithelial cells existing as a basal monolayer. However, stromal Tn-C in high-grade carcinomas was mainly synthesized by fibroblasts/myofibroblasts, similar to human breast cancer. Thus, the origin of Tn-C in canine mammary carcinomas differs between low- and high-grade malignancies. The role of myoepithelial cell-generated Tn-C is not yet understood.
Collapse
Affiliation(s)
- H. Yoshimura
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University, Tokyo, Japan
- Departments of Pathology and Integrative Oncological Pathology, Nippon Medical School, Tokyo, Japan
| | - M. Michishita
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - K. Ohkusu-Tsukada
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Y. Matsuda
- Departments of Pathology and Integrative Oncological Pathology, Nippon Medical School, Tokyo, Japan
| | - T. Ishiwata
- Departments of Pathology and Integrative Oncological Pathology, Nippon Medical School, Tokyo, Japan
| | - Z. Naito
- Departments of Pathology and Integrative Oncological Pathology, Nippon Medical School, Tokyo, Japan
| | - K. Takahashi
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University, Tokyo, Japan
| |
Collapse
|
44
|
Takaoka N, Tsujita K, Kaikita K, Hokimoto S, Mizobe M, Nagano M, Horio E, Sato K, Nakayama N, Yoshimura H, Yamanaga K, Komura N, Kojima S, Tayama S, Nakamura S, Ogawa H. Comprehensive analysis of intravascular ultrasound and angiographic morphology of culprit lesions between ST-segment elevation myocardial infarction and non-ST-segment elevation acute coronary syndrome. Int J Cardiol 2014; 171:423-30. [DOI: 10.1016/j.ijcard.2013.12.094] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2013] [Revised: 11/26/2013] [Accepted: 12/21/2013] [Indexed: 11/28/2022]
|
45
|
Yoshimura H, Nakahira R, Kishimoto TE, Michishita M, Ohkusu-Tsukada K, Takahashi K. Differences in Indicators of Malignancy Between Luminal Epithelial Cell Type and Myoepithelial Cell Type of Simple Solid Carcinoma in the Canine Mammary Gland. Vet Pathol 2014; 51:1090-5. [DOI: 10.1177/0300985813516637] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Routinely diagnosed simple solid carcinoma (SSC) of the canine mammary gland comprises a heterogeneous group of tumors. Seventy-two cases that had been diagnosed as SSC based on hematoxylin and eosin–stained tissue sections were reclassified immunohistochemically on the basis of myoepithelial markers p63 and α-smooth muscle actin, as well as a luminal epithelial marker cytokeratin 8. Only 23 cases (32%) were true SSC, composed only of luminal epithelial cells, whereas 11 cases (15%) were malignant myoepithelioma (MM), composed predominantly of myoepithelial cells, and 38 cases (53%) were biphasic carcinoma (BC), characterized by biphasic proliferation of luminal epithelial and basal/myoepithelial components. As the pathological parameters were compared between the reclassified tumor types, infiltrative potential, vascular/lymphatic invasion, lymph node metastasis, and Ki-67 labeling index were higher in true SSC compared with MM and BC, suggesting that the former may exhibit a poorer prognosis compared with the latter two.
Collapse
Affiliation(s)
- H. Yoshimura
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University (NVLU), Tokyo, Japan
| | - R. Nakahira
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University (NVLU), Tokyo, Japan
| | - T. E. Kishimoto
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University (NVLU), Tokyo, Japan
| | - M. Michishita
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University (NVLU), Tokyo, Japan
| | - K. Ohkusu-Tsukada
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University (NVLU), Tokyo, Japan
| | - K. Takahashi
- Department of Veterinary Pathology, Nippon Veterinary and Life Science University (NVLU), Tokyo, Japan
| |
Collapse
|
46
|
Takada K, Yoshimura H, Yoshikawa H, Muranishi S, Yasumura T, Oka T. Enhanced selective lymphatic delivery of cyclosporin a by solubilizers and intensified immunosuppressive activity against mice skin allograft. Pharm Res 2013; 3:48-51. [PMID: 24271357 DOI: 10.1023/a:1016324932378] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The absorption and lymphatic delivery of a new immunosuppressive drug, cyclosporin A (CsA), were studied in rats by administering CsA orally after solubilization with HCO-60 (polyoxyethylated hydrogenated castor oil), sugar ester, and oils. After the administration of solubilized CsA (7 mg/kg) to rats with thoracic lymph duct cannulas, both plasma and lymph CsA levels were measured over 6 hr. The lymph CsA levels were strongly affected by the solubilizers. The rank order of the solubilizers in enhancing lymph absorption was HCO-60 (57 µg/ml) > sugar ester (46 µg/ml) > sesame oil (3.5 µg/ml) > linoleic acid (0.4 µg/ml), where the parentheses show the maximum lymph CsA levels. Plasma CsA levels were below 2 µg/ml in each group of animals and were barely altered by the solubilizers. These results support the selective lymphatic delivery of CsA with solubilizers such as HCO-60 and sugar ester. The immunosuppressive activity of CsA (1 mg/kg) solubilized with HCO-60 was nearly equivalent to the sesame oil solution with 7 to 15 mg/kg CsA in the skin-allograft mice model.
Collapse
Affiliation(s)
- K Takada
- Department of Biopharmaceutics, Kyoto Pharmaceutical University, Yamashina-ku, Kyoto, 607, Japan
| | | | | | | | | | | |
Collapse
|
47
|
Yasuno K, Nishiyama S, Kobayashi R, Yoshimura H, Takahashi K, Omachi T, Kamiie J, Shirota K. Proliferative lesions of intra-epidermal cytokeratin CAM5.2-positive cells in canine nipples. J Comp Pathol 2013; 150:18-26. [PMID: 24060153 DOI: 10.1016/j.jcpa.2013.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2012] [Revised: 05/27/2013] [Accepted: 07/10/2013] [Indexed: 11/28/2022]
Abstract
Non-keratinocyte cells with clear or vacuolated cytoplasm are frequently observed in the epidermis of canine nipples. Most of these cells express cytokeratin (CK) CAM5.2, a marker of luminal epithelial cells. The morphological and immunohistochemical characteristics of these clear cells were investigated. Nipple tissue from 36 dogs of both sexes was collected and labelled immunohistochemically for CAM5.2, CK7, CK14, CK18, CK20, α-smooth muscle actin, p63, melan-A, E-cadherin, epidermal growth factor receptor and oestrogen receptor (OR). The intra-epidermal CAM5.2(+) clear cells were present singly or as small clusters, mostly within the basal layer, in 22 dogs (61%). These cells also expressed CK7, CK18, E-cadherin and OR. Electron microscopy revealed that some of these cells had surface microvilli. Multifocal proliferative lesions consisting of these cells were observed in the nipples of four dogs. In these lesions, proliferating cells formed bilayered tubules with CAM5.2(+) inner and CK14/p63(+) outer cells. This is the first report describing intra-epidermal CAM5.2(+) clear cells, distinct from melanocytes and Merkel cells in dog nipples. These cells might arise from the luminal epithelium of the papillary duct.
Collapse
Affiliation(s)
- K Yasuno
- Research Institute of Biosciences, School of Veterinary Medicine, Azabu University, Kanagawa, Japan
| | - S Nishiyama
- Research Institute of Biosciences, School of Veterinary Medicine, Azabu University, Kanagawa, Japan
| | - R Kobayashi
- Research Institute of Biosciences, School of Veterinary Medicine, Azabu University, Kanagawa, Japan
| | - H Yoshimura
- Department of Veterinary Pathology, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - K Takahashi
- Department of Veterinary Pathology, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - T Omachi
- PATHO LABO Co., Ltd, Shizuoka, Japan
| | - J Kamiie
- Laboratory of Veterinary Pathology, School of Veterinary Medicine, Azabu University, Kanagawa, Japan
| | - K Shirota
- Research Institute of Biosciences, School of Veterinary Medicine, Azabu University, Kanagawa, Japan; Laboratory of Veterinary Pathology, School of Veterinary Medicine, Azabu University, Kanagawa, Japan.
| |
Collapse
|
48
|
Sato K, Kaikita K, Nakayama N, Horio E, Yoshimura H, Ono T, Ohba K, Tsujita K, Kojima S, Tayama S, Hokimoto S, Matsui K, Sugiyama S, Yamabe H, Ogawa H. Coronary vasomotor response to intracoronary acetylcholine injection, clinical features, and long-term prognosis in 873 consecutive patients with coronary spasm: analysis of a single-center study over 20 years. J Am Heart Assoc 2013; 2:e000227. [PMID: 23858100 PMCID: PMC3828805 DOI: 10.1161/jaha.113.000227] [Citation(s) in RCA: 97] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2013] [Accepted: 06/20/2013] [Indexed: 12/24/2022]
Abstract
BACKGROUND The aim of this study was to elucidate the correlation between angiographic coronary vasomotor responses to intracoronary acetylcholine (ACh) injection, clinical features, and long-term prognosis in patients with vasospastic angina (VSA). METHODS AND RESULTS This is a retrospective, observational, single-center study of 1877 consecutive patients who underwent ACh-provocation test between January 1991 and December 2010. ACh-provoked coronary spasm was observed in 873 of 1637 patients included in the present analysis. ACh-positive patients were more likely to be older male smokers with dyslipidemia, to have a family history of ischemic heart disease, and to have a comorbidity of coronary epicardial stenosis than were ACh-negative patients. ACh-positive patients were divided into 2 groups: those with focal (total or subtotal obstruction, n=511) and those with diffuse (severe diffuse vasoconstriction, n=362) spasm patterns. Multivariable logistic regression analysis identified female sex and low comorbidity of coronary epicardial stenosis to correlate with the ACh-provoked diffuse spasm pattern in patients with VSA. Kaplan-Meier survival curve indicated better 5-year survival rates free from major adverse cardiovascular events in patients with diffuse spasm pattern compared with those with focal spasm pattern (P=0.019). Multivariable Cox hazard regression analysis identified diffuse spasm pattern as a negative predictor of major adverse cardiovascular events in patients with VSA. CONCLUSIONS ACh-induced diffuse coronary spasm was frequently observed in female VSA patients free of severe coronary epicardial stenosis and was associated with better prognosis than focal spasm. These results suggest the need to identify the ACh-provoked coronary spasm subtypes in patients with VSA.
Collapse
Affiliation(s)
- Koji Sato
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Koichi Kaikita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Naoki Nakayama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Eiji Horio
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Hiromi Yoshimura
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Takamichi Ono
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Keisuke Ohba
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Kenichi Tsujita
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Sunao Kojima
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Shinji Tayama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Seiji Hokimoto
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Kunihiko Matsui
- Department of General Medicine, Yamaguchi University Hospital, Ube, Japan (K.M.)
| | - Seigo Sugiyama
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Hiroshige Yamabe
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| | - Hisao Ogawa
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan (K.S., K.K., N.N., E.H., H.Y., T.O., K.O., K.T., S.K., S.T., S.H., S.S., H.Y., H.O.)
| |
Collapse
|
49
|
Takata T, Ohshiro T, Hashimoto T, Yoshimura H, Togawa A, Fujita M, Watanabe K, Tanaka M, Muratani T, Tanihara S, Une H. P210 Active screening of vancomycin-resistant enterococci colonization and the patient outcome in a tertiary care university hospital in Japan. Int J Antimicrob Agents 2013. [DOI: 10.1016/s0924-8579(13)70451-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
50
|
Toshihiro Y, Nariai Y, Takamura Y, Yoshimura H, Tobita T, Yoshino A, Tatsumi H, Tsunematsu K, Ohba S, Kondo S, Yanai C, Ishibashi H, Sekine J. Applicability of buccal fat pad grafting for oral reconstruction. Int J Oral Maxillofac Surg 2013; 42:604-10. [DOI: 10.1016/j.ijom.2012.07.009] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2012] [Revised: 05/21/2012] [Accepted: 07/19/2012] [Indexed: 11/28/2022]
|