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Murakami T, Ikari Y, Taniai S, Ishibashi Y, Taguchi I, Ako J, Kyono H, Yoshizawa M, Itoh T, Morino Y, Kato R, Sakuma M, Sugimura H, Akashi Y, Yoshino H. P4393The clinical characteristics of mortality in patients with Takotsubo Syndrome during hospitalization-A Multicenter Registry in Eight-University Hospitals in East Japan. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4393] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - Y Ikari
- Tokai University, Kanagawa, Japan
| | | | | | - I Taguchi
- Dokkyo Medical University Koshigya Hospital, Koshigaya City, Japan
| | - J Ako
- Kitasato University School of Medicine, Kanagawa, Japan
| | - H Kyono
- Teikyo University, Tokyo, Japan
| | | | - T Itoh
- Iwate University Hospital, Iwate, Japan
| | - Y Morino
- Iwate University Hospital, Iwate, Japan
| | - R Kato
- Saitama Medical University, Saitama, Japan
| | - M Sakuma
- Dokkyo Medical University, tochigi, Japan
| | - H Sugimura
- Dokkyo Medical University Nikko Medical Center, Tochigi, Japan
| | - Y Akashi
- St. Marianna University, Kawasaki, Japan
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Taniai S, Ito J, Yorozu T, Yoshino H. 2171Cardiovascular preoperative screening system for non-cardiac surgery modified from ACC/AHA guideline can provide effective evaluation. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.2171] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Taniai
- Kyorin University, Second department of Internal Medicine, Mitaka, Japan
| | - J Ito
- Kyorin University, Second department of Internal Medicine, Mitaka, Japan
| | - T Yorozu
- Kyorin University School of Medicine, anesthesiology, Tokyo, Japan
| | - H Yoshino
- Kyorin University, Second department of Internal Medicine, Mitaka, Japan
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Taniai S, Ito J, Yorozu T, Yoshino H. P1537Is exercise capacity above 4METs good enough to screen pre-operative patients with non-cardiac surgery? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1537] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Taniai
- Kyorin University, Second Department of Internal Medicine, Mitaka, Japan
| | - J Ito
- Kyorin University, Second Department of Internal Medicine, Mitaka, Japan
| | - T Yorozu
- Kyorin University, Second Department of Internal Medicine, Mitaka, Japan
| | - H Yoshino
- Kyorin University, Second Department of Internal Medicine, Mitaka, Japan
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Ichioka M, Hasegawa M, Nakagawa K, Kataoka N, Inase N, Tojo N, Tsukimoto K, Miyazato I, Taniai S, Marumo F. [Effects of a prosthetic dental device used to treat obstructive sleep apnea syndrome, and compliance of patients using the device]. Nihon Kyobu Shikkan Gakkai Zasshi 1995; 33:1191-7. [PMID: 8583709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
We studied the short-term effects and complications of the use of a dental device (prosthetic mandibular advancement: PMA) in 72 patients with obstructive sleep apnea syndrome (OSAS), and the compliance of these patients with this treatment. In 61 (84.5%) of the 72 patients, the apnea index decreased by more than 50%. The lowest SaO2 and symptom scores also improved significantly. The severity of OSAS was not related to the percent reduction in apnea index. Complications of PMA use were observed in 22 patients (30.6%), but no severe adverse effects were observed. Sixty-two of the 72 patients continued using the PMA throughout the entire study period (overall compliance rate, 86.1%). In addition, the long-term compliance rate (more than 5 years) was 61.5%. We conclude that the effects of PMA in patients with OSAS are clinically significant, that there are no severe complications, and that compliance with treatment is good.
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Affiliation(s)
- M Ichioka
- Second Department of Internal Medicine, Tokyo Medical and Dental University, Japan
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Ichioka M, Hirata Y, Inase N, Tojo N, Yoshizawa M, Chida M, Miyazato I, Taniai S, Marumo F. Changes of circulating atrial natriuretic peptide and antidiuretic hormone in obstructive sleep apnea syndrome. Respiration 1992; 59:164-8. [PMID: 1439228 DOI: 10.1159/000196049] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Patients with obstructive sleep apnea (OSA) syndrome are known to exhibit nocturnal natriuresis/diuresis. We studied plasma and urinary levels of atrial natriuretic peptide (ANP), a potent natriuretic hormone released from the heart, and plasma antidiuretic hormone (ADH) levels in patients with OSA during awake and sleeping periods, to compare with those of normal subjects. Seven patients with OSA and 6 normal subjects were studied. Arterial blood samples were drawn during the awake and the sleeping period, while in patients with OSA, blood samples were obtained during the apneic period. Urine samples were collected over two 12-hour periods (9 a.m.-9 p.m. and 9 p.m.-9 a.m.) In patients with OSA, plasma ANP as well as urinary ANP excretion increased during the apneic period compared with the awake period. There was a significant negative correlation between plasma levels of ANP and ADH in patients with OSA. On the other hand, normal subjects had no apparent differences in plasma and urinary ANP levels between the two periods. It is suggested that nocturnal increase in ANP and decrease in ADH are responsible for the nocturnal diuresis and natriuresis associated with OSA.
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Affiliation(s)
- M Ichioka
- Second Department of Internal Medicine, Tokyo Medical and Dental University, Japan
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Ida T, Taniai S, Makiguchi K, Otomo N, Taniguchi K, Miyazato I, Chida M, Ichioka M, Marumo F. [Interleukin-2 (IL-2) in active pulmonary tuberculosis]. Kekkaku 1991; 66:723-6. [PMID: 1766152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
To clarify the precise of cellular immunity mechanism in pulmonary tuberculosis, we investigated the amount of IL-2 in patients with untreated active pulmonary tuberculosis. When serum adenosine deaminase (ADA) activity was examined using enzyme assay, an abnormally high level was observed in all patients (29.0 + 11.6 IU/ml, mean + SD; 4.5-17.8, normal range). Likewise, the level of serum-soluble interleukin-2 receptor (IL-2R) measured by ELISA showed abnormal high level in all patients (844.3 + 584.8 IU/ml; 80-300, normal range). When stimulated using PHA, the peripheral lymphocyte's ability to produce IL-2 revealed no difference between control subjects and patients. It was, however, noted that the lymphocytes of the patients significantly suppressed IL-2 responsiveness when compared to the control subjects (P less than 0.05). The serum IL-2 concentration measured using RIA could not be detected in any of the patients as was the same for control subject. All of the above mentioned results suggest that T-cell activation which caused increment in serum ADA activity and soluble IL-2R occurred in active pulmonary tuberculosis. The suppressed IL-2 responsiveness in the peripheral lymphocytes of patients proposes the possibility of soluble IL-2R reduction by the negative feedback mechanism in IL-2-sensitive lymphocytes.
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Affiliation(s)
- T Ida
- Department of Internal Medicine, Branch Hospital, Tokyo Medical and Dental University, Ibaraki, Japan
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Makiguchi K, Sakaino H, Yoshimura N, Ichioka M, Takayama S, Tsutsui H, Chida M, Miyasato I, Taniai S, Marumo F. [Diffuse panbronchiolitis in two brothers with different clinical courses]. Nihon Kyobu Shikkan Gakkai Zasshi 1991; 29:1190-4. [PMID: 1753547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Diffuse panbronchiolitis in two brothers is reported. The elder brother aged 46, was admitted in May 1983 due to severe dyspnea and productive cough, which had gradually worsened over several years. He had severe hypoxemia and hypercapnia. He died at age 47 of respiratory failure due to pseudomonas infection despite antibiotic therapy. The younger brother, at age 41, was admitted in March 1983 due to fever, productive cough, and abnormal shadows on chest X-ray films. He showed mild hypoxemia and his symptoms improved with antibiotic treatment. Since then he has been followed as an outpatient for over 7 years while taking 400 mg of Erythromycin per day, and he has had no exacerbation. These two cases had different clinical courses despite the facts that both had similar conditions of chronic sinusitis and appeared to be exposed to no special environmental or occupational hazards. These facts suggest that not only intrinsic factors, such as defenselessness of airways, but extrinsic factors such as viral, mycoplasmal, or bacterial infection may act together on the mechanisms of the onset and progression of diffuse panbronchiolitis.
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Affiliation(s)
- K Makiguchi
- Second Department of Internal Medicine, Faculty of Medicine, Tokyo Medical and Dental University, Japan
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Tojo N, Yoshimura N, Yoshizawa M, Ichioka M, Chida M, Miyazato I, Taniai S, Marumo F, Matubara O, Kato T. Vitiligo and chronic photosensitivity in human immunodeficiency virus infection. Jpn J Med 1991; 30:255-9. [PMID: 1920968 DOI: 10.2169/internalmedicine1962.30.255] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A 56-year-old man was admitted with hemiparesis and shortness of breath. He was positive to human immunodeficiency virus (HIV) antibody and was diagnosed as acquired immunodeficiency syndrome (AIDS) with Kaposi's sarcoma and pneumocystis carinii pneumonia. He developed chronic photosensitivity and vitiligo preceding the onset of the AIDS-related complex (ARC). Association of the two skin lesions with HIV infection is very rare. Although the role of HIV infection in these skin lesions is not significant, the immunological responses in the early course of HIV infection may have contributed to the development of both of these skin lesions.
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Affiliation(s)
- N Tojo
- Second Department of Internal Medicine, Tokyo Medical and Dental University, Japan
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Ichioka M, Tojo N, Yoshizawa M, Chida M, Miyazato I, Taniai S, Marumo F, Nakagawa K, Hasegawa M. A dental device for the treatment of obstructive sleep apnea: a preliminary study. Otolaryngol Head Neck Surg 1991; 104:555-8. [PMID: 1903873 DOI: 10.1177/019459989110400425] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- M Ichioka
- Second Department of Internal Medicine, Tokyo Medical and Dental University, Japan
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Ida T, Taniai S, Nitta M, Shimase J, Makiguchi K, Miyasato I, Chida M, Shinada H, Shinohara Y, Tachi H. [Serum adenosine deaminase (ADA) activity in patients with active pulmonary tuberculosis]. Kekkaku 1990; 65:477-81. [PMID: 2214510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
To clarify the immunological aspect of tuberculosis, we investigated serum adenosine deaminase (ADA) activity, T and B cell percentile in total peripheral mononuclear cells, peripheral T cell subpopulation and their relationship with other inflammatory parameters in 20 patients with active pulmonary tuberculosis. Serum ADA activity showed abnormal high level in all patients in nontreated phase with significant regression after three months treatment by anti-tuberculous drugs (P less than 0.05). In addition, significant positive correlation was observed between serum ADA activity and erythrocyte sedimentation rate at 1 hour (r = 0.56). Concerning about peripheral T cell subpopulation studied by two colour flow cytometry with FITC-conjugated anti-CD4 and phycoerythrin-conjugated anti-HLA-DR antibody, there was positive correlation between CD4(-) HLA-DR(+) T cell and serum ADA activity (r = 0.59) without any abnormal frequency of each T cell subpopulation. Additionally, after the treatment of pulmonary tuberculosis, significant increase of T cell percentile in total peripheral mononuclear cells were observed (P less than 0.005). In conclusion, these results may suggest serum ADA activity could be a parameter of activity of pulmonary tuberculosis and reflect the function of activated suppressor/cytotoxic T cell.
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Affiliation(s)
- T Ida
- Department of Internal Medicine, Kasumigaura Branch Hospital, Tokyo Medical and Dental University, Ibaraki, Japan
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Suda Y, Takeuchi N, Yoshida T, Ichioka M, Tojo N, Makiguchi K, Tsutsui H, Chida M, Miyazato I, Taniai S. [Changes in arterial blood gas tensions and pH at the start of exercise and ventilatory and gas exchange kinetics in chronic obstructive pulmonary diseases (COPD)]. Nihon Kyobu Shikkan Gakkai Zasshi 1987; 25:864-72. [PMID: 3121900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Tojo N, Ichioka M, Shimase J, Chida M, Miyazato I, Taniai S, Takeuchi J, Hashimoto K, Nasu M, Kamiyama K. [A case of malignant fibrous histiocytoma of the lung]. Nihon Kyobu Shikkan Gakkai Zasshi 1984; 22:423-7. [PMID: 6092756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Takayama S, Shinohara Y, Tsutsui H, Shimase J, Chida M, Miyasato I, Taniai S, Takeuchi J. [A case of bronchomalacia (author's transl)]. Nihon Kyobu Shikkan Gakkai Zasshi 1982; 20:461-6. [PMID: 7109373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Taniai S, Miyazato I, Chida M, Shimase J, Takayama S, Tsutsui H, Shinohara Y, Kametani J, Imagawa U, Hashimoto K, Mitsunaga K. [A case with marked esophageal dilatation and bilateral upper lobe tuberculosis (author's transl)]. Kekkaku 1981; 56:75-80. [PMID: 7265607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Miyazato I, Taniai S, Chida M, Shimase J, Imagawa U, Takeuchi J. [A case of "lower lung field tuberculosis" associated with hypertrophic osteoarthropathy and multiple cavitary lesions (author's transl)]. Kekkaku 1977; 52:645-51. [PMID: 604606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Taniai S. [Studies on the treatment of experimental chronic tuberculosis with steroid hormone as a stimulation therapy and the distribution of 14C-labeled isoniazid in the tuberculous mice]. Kekkaku 1967; 42:111-8. [PMID: 6065157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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