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Kinugasa Y, Nakamura K, Hirai M, Manba M, Ishiga N, Sota T, Nakayama N, Ohta T, Kato M, Adachi T, Fukuki M, Hirota Y, Mizuta E, Mura E, Nozaka Y, Omodani H, Tanaka H, Tanaka Y, Watanabe I, Mikami M, Yamamoto K. Association of a Transitional Heart Failure Management Program With Readmission and End-of-Life Care in Rural Japan. Circ Rep 2024; 6:168-177. [PMID: 38736846 PMCID: PMC11082435 DOI: 10.1253/circrep.cr-24-0030] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 03/26/2024] [Indexed: 05/14/2024] Open
Abstract
Background: Evidence on transitional care for heart failure (HF) in Japan is limited. Methods and Results: We implemented a transitional HF management program in rural Japan in 2019. This involved collaboration with general practitioners or nursing care facilities and included symptom monitoring by medical/nursing staff using a handbook; standardized discharge care planning and information sharing on self-care and advance care planning using a collaborative sheet; and sharing expertise on HF management via manuals. We compared the outcomes within 1 year of discharge among patients hospitalized with HF in the 2 years before program implementation (2017-2018; historical control, n=198), in the first 2 years after program implementation (2019-2020; Intervention Phase 1, n=205), and in the second 2 years, following program revision and regional dissemination (2021-2022; Intervention Phase 2, n=195). HF readmission rates gradually decreased over Phases 1 and 2 (P<0.05). This association was consistent regardless of physician expertise, follow-up institution, or the use of nursing care services (P>0.1 for interaction). Mortality rates remained unchanged, but significantly more patients received end-of-life care at home in Phase 2 than before (P<0.05). Conclusions: The implementation of a transitional care program was associated with decreased HF readmissions and increased end-of-life care at home for HF patients in rural Japan.
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Affiliation(s)
- Yoshiharu Kinugasa
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan
| | - Kensuke Nakamura
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan
| | - Masayuki Hirai
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan
| | - Midori Manba
- Division of Nursing, Tottori University Hospital Yonago Japan
| | - Natsuko Ishiga
- Division of Rehabilitation, Tottori University Hospital Yonago Japan
| | - Takeshi Sota
- Division of Rehabilitation, Tottori University Hospital Yonago Japan
| | | | - Tomoki Ohta
- Division of Pharmacy, Tottori University Hospital Yonago Japan
| | - Masahiko Kato
- Department of Pathobiological Science and Technology, School of Health Science, Faculty of Medicine, Tottori University Yonago Japan
| | | | - Masaharu Fukuki
- Department of Cardiology, Yonago Medical Center Yonago Japan
| | | | | | - Emiko Mura
- Visiting Nurse Station Nanbu Kohoen Yonago Japan
| | | | - Hiroki Omodani
- Omodani Internal Medicine and Cardiovascular Medicine Clinic Yonago Japan
| | - Hiroaki Tanaka
- Department of Cardiology, Tottori Prefecture Sakaiminato General Hospital Sakaiminato Japan
| | | | - Izuru Watanabe
- Department of Nursing, Sanin Rosai Hospital Yonago Japan
| | | | - Kazuhiro Yamamoto
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan
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Guguchia Z, Das D, Simutis G, Adachi T, Küspert J, Kitajima N, Elender M, Grinenko V, Ivashko O, Zimmermann MV, Müller M, Mielke C, Hotz F, Mudry C, Baines C, Bartkowiak M, Shiroka T, Koike Y, Amato A, Hicks CW, Gu GD, Tranquada JM, Klauss HH, Chang JJ, Janoschek M, Luetkens H. Designing the stripe-ordered cuprate phase diagram through uniaxial-stress. Proc Natl Acad Sci U S A 2024; 121:e2303423120. [PMID: 38150501 PMCID: PMC10769840 DOI: 10.1073/pnas.2303423120] [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: 02/28/2023] [Accepted: 11/02/2023] [Indexed: 12/29/2023] Open
Abstract
The ability to efficiently control charge and spin in the cuprate high-temperature superconductors is crucial for fundamental research and underpins technological development. Here, we explore the tunability of magnetism, superconductivity, and crystal structure in the stripe phase of the cuprate La[Formula: see text]Ba[Formula: see text]CuO[Formula: see text], with [Formula: see text] = 0.115 and 0.135, by employing temperature-dependent (down to 400 mK) muon-spin rotation and AC susceptibility, as well as X-ray scattering experiments under compressive uniaxial stress in the CuO[Formula: see text] plane. A sixfold increase of the three-dimensional (3D) superconducting critical temperature [Formula: see text] and a full recovery of the 3D phase coherence is observed in both samples with the application of extremely low uniaxial stress of [Formula: see text]0.1 GPa. This finding demonstrates the removal of the well-known 1/8-anomaly of cuprates by uniaxial stress. On the other hand, the spin-stripe order temperature as well as the magnetic fraction at 400 mK show only a modest decrease under stress. Moreover, the onset temperatures of 3D superconductivity and spin-stripe order are very similar in the large stress regime. However, strain produces an inhomogeneous suppression of the spin-stripe order at elevated temperatures. Namely, a substantial decrease of the magnetic volume fraction and a full suppression of the low-temperature tetragonal structure is found under stress, which is a necessary condition for the development of the 3D superconducting phase with optimal [Formula: see text]. Our results evidence a remarkable cooperation between the long-range static spin-stripe order and the underlying crystalline order with the three-dimensional fully coherent superconductivity. Overall, these results suggest that the stripe- and the SC order may have a common physical mechanism.
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Affiliation(s)
- Z. Guguchia
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - D. Das
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - G. Simutis
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232Villigen, Switzerland
| | - T. Adachi
- Department of Engineering and Applied Sciences, Sophia University, Tokyo102-8554, Japan
| | - J. Küspert
- Physik-Institut, Universität Zürich, CH-8057Zürich, Switzerland
| | - N. Kitajima
- Department of Applied Physics, Tohoku University, Sendai980-8579, Japan
| | - M. Elender
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - V. Grinenko
- Tsung-Dao Lee Institute, Shanghai Jiao Tong University, Pudong, 201210Shanghai, China
| | - O. Ivashko
- Deutsches Elektronen-Synchrotron, 22607Hamburg, Germany
| | | | - M. Müller
- Condensed Matter Theory Group, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - C. Mielke
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - F. Hotz
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - C. Mudry
- Condensed Matter Theory Group, Paul Scherrer Institute, CH-5232Villigen, Switzerland
- Institut de Physique, École Polytechnique Fédérale de Lausanne, LausanneCH-1015, Switzerland
| | - C. Baines
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - M. Bartkowiak
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232Villigen, Switzerland
| | - T. Shiroka
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
- Laboratorium für Festkörperphysik, ETH Zürich, CH-8093Zürich, Switzerland
| | - Y. Koike
- Department of Applied Physics, Tohoku University, Sendai980-8579, Japan
| | - A. Amato
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
| | - C. W. Hicks
- Max Planck Institute for Chemical Physics of Solids, D-01187Dresden, Germany
- School of Physics and Astronomy, University of Birmingham, BirminghamB15 2TT, United Kingdom
| | - G. D. Gu
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY11973
| | - J. M. Tranquada
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, NY11973
| | - H.-H. Klauss
- Institute for Solid State and Materials Physics, Technische Universitat Dresden, D-01069Dresden, Germany
| | - J. J. Chang
- Physik-Institut, Universität Zürich, CH-8057Zürich, Switzerland
| | - M. Janoschek
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232Villigen, Switzerland
- Physik-Institut, Universität Zürich, CH-8057Zürich, Switzerland
| | - H. Luetkens
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232Villigen, Switzerland
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Kinugasa Y, Adachi T, Fukuki M, Hirota Y, Ishiga N, Kato M, Mizuta E, Mura E, Nozaka Y, Omodani H, Tanaka H, Tanaka Y, Watanabe I, Yamamoto K, Mikami M. Factors affecting the willingness of nursing care staffs for cooperation with heart failure care and the role of internet video education. J Gen Fam Med 2024; 25:19-27. [PMID: 38239992 PMCID: PMC10792320 DOI: 10.1002/jgf2.658] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 10/18/2023] [Accepted: 10/29/2023] [Indexed: 01/22/2024] Open
Abstract
Background With the aging of heart failure (HF) patients, collaboration between medical and nursing care facilities is essential for HF care. The aims of this study were: (1) to identify the factors that affect willingness of nursing care staffs to cooperate with HF care; (2) to test whether the internet video education is useful in improving their willingness to collaborate. Methods A web-based questionnaire was e-mailed to 417 registered medical corporations that operated nursing care facilities in the prefecture where the authors work. Medical and care staff working at each facility were asked their willingness to cooperate with HF care and their problems about collaboration. Machine learning analysis was used to assess the factors associated with unwillingness to cooperate. After watching a 6-min YouTube video explaining HF and community collaboration, we reaffirmed their willingness to cooperate. Results We received responses from 76 medical and care staff members. Before watching the video, 32.9% of participants stated that they were unwilling to cooperate with HF care. Machine learning analysis showed that job types, perceived problems of collaboration, and low opportunities to learn about HF were associated with unwillingness to cooperation. After watching the video, we observed an increase from 67.1% to 80.3% (p < 0.05) of participants willing to cooperate with HF care. Conclusions Job types, perceived problems of collaboration, and low opportunities to learn about HF are associated with unwillingness of nursing care staff for HF care. Internet videos are potential learning tool that can easily promote community collaboration for HF.
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Affiliation(s)
- Yoshiharu Kinugasa
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of MedicineTottori UniversityYonagoJapan
| | | | | | | | - Natsuko Ishiga
- Division of RehabilitationTottori University HospitalYonagoJapan
| | - Masahiko Kato
- Department of Pathobiological Science and Technology, School of Health Science, Faculty of MedicineTottori UniversityYonagoJapan
| | | | - Emiko Mura
- Visiting Nurse Station Nanbu KohoenYonagoJapan
| | | | - Hiroki Omodani
- Omodani Internal Medicine and Cardiovascular Medicine ClinicYonagoJapan
| | - Hiroaki Tanaka
- Department of CardiologyTottori Prefecture Sakaiminato General HospitalSakaiminatoJapan
| | | | | | - Kazuhiro Yamamoto
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of MedicineTottori UniversityYonagoJapan
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Simutis G, Bollhalder A, Zolliker M, Küspert J, Wang Q, Das D, Van Leeuwen F, Ivashko O, Gutowski O, Philippe J, Kracht T, Glaevecke P, Adachi T, V Zimmermann M, Van Petegem S, Luetkens H, Guguchia Z, Chang J, Sassa Y, Bartkowiak M, Janoschek M. In situ uniaxial pressure cell for x-ray and neutron scattering experiments. Rev Sci Instrum 2023; 94:013906. [PMID: 36725613 DOI: 10.1063/5.0114892] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 12/24/2022] [Indexed: 06/18/2023]
Abstract
We present an in situ uniaxial pressure device optimized for small angle x-ray and neutron scattering experiments at low-temperatures and high magnetic fields. A stepper motor generates force, which is transmitted to the sample via a rod with an integrated transducer that continuously monitors the force. The device has been designed to generate forces up to 200 N in both compressive and tensile configurations, and a feedback control allows operating the system in a continuous-pressure mode as the temperature is changed. The uniaxial pressure device can be used for various instruments and multiple cryostats through simple and exchangeable adapters. It is compatible with multiple sample holders, which can be easily changed depending on the sample properties and the desired experiment and allow rapid sample changes.
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Affiliation(s)
- G Simutis
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - A Bollhalder
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - M Zolliker
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - J Küspert
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - Q Wang
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - D Das
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, Villigen PSI, Switzerland
| | - F Van Leeuwen
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - O Ivashko
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - O Gutowski
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - J Philippe
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - T Kracht
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - P Glaevecke
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - T Adachi
- Department of Engineering and Applied Sciences, Sophia University, Chiyoda, Tokyo, 102-8554, Japan
| | - M V Zimmermann
- Deutsches Elektronen-Synchrotron DESY, Notkestraße 85, 22607 Hamburg, Germany
| | - S Van Petegem
- Structure and Mechanics of Advanced Materials, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - H Luetkens
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, Villigen PSI, Switzerland
| | - Z Guguchia
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, Villigen PSI, Switzerland
| | - J Chang
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - Y Sassa
- Department of Physics, Chalmers University of Technology, SE-41296 Göteborg, Sweden
| | - M Bartkowiak
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - M Janoschek
- Laboratory for Neutron and Muon Instrumentation, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
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5
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Kondo T, Adachi T, Kobayashi K, Okumura T, Izawa H, Murohara T, McMurray JJV, Yamada S. Frailty and use of treatment in patients with heart failure and reduced ejection fraction. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.965] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
In heart failure with reduced ejection fraction (HFrEF), drugs including angiotensin-converting enzyme inhibitors (ACEi)/ angiotensin receptor blockers (ARB), beta-blockers, and mineralocorticoid receptor antagonists (MRA) have been shown to have robust survival benefits. However, these guideline-recommended therapies remain underutilized in clinical practice. Frailty is common in HFrEF and may lead to underprescription of life-saving therapy.
Purpose
We aimed to investigate the association between physical frailty and the use of evidence-based pharmacological therapy for HFrEF, and the impact of this on prognosis
Methods
The FLAGSHIP study included patients hospitalized for acute HF and data on physical frailty were collected prospectively. Of the total 3,272 patients registered in the FLAGSHIP study, 1,041 HFrEF patients (70 years; 73% male) with left ventricular ejection fraction ≤40% were analyzed and were divided into 4 groups by severity of frailty: category I (n=371) [least frail], II (n=275), III (n=224), and IV (n=171) [most frail].
Results
An ACEi/ARB was prescribed in 76% of category I and 53% of category IV patients; for a beta-blocker these proportions were 94% and 76%, respectively; for an MRA they were 55% and 46%, respectively. The proportion of patients using receiving all 3 drugs decreased as frailty increased, with approximately twice the rate of use of triple therapy in category I patients (40.2%) compared to category IV patients (23.4%) [p<0.001] (Figure 1). In adjusted analyses, the severity of frailty was an independent predictor for non-use of an ACEi/ARB (Odds ratio (OR): 1.23, 95% CI: 1.05–1.43, per 1 category increase) and a beta-blocker (OR: 1.32, 95% CI: 1.06–1.64), but not an MRA (OR: 0.97, 95% CI: 0.84–1.12). Risk of the composite outcome of all-cause death or HF rehospitalization increased with decreasing use of treatment across frailty categories: category I-II (Hazard ratio (HR): 1.80, 95% CI: 1.08–2.98, in 0–1 drug with 3 drugs as reference) and III–IV (HR: 1.53, 95% CI: 1.01–2.32). The relationship between the number of HF drugs prescribed and the composite outcome did not differ across frailty categories (p-interaction=0.86). The HRs for all 12 groups, reflecting frailty categories and a number of HF drugs is depicted in Figure 2. The HRs for composite outcome increased with increasing frailty category and with decreasing number of drugs, with an almost 4-fold difference in risk between the least frail patients receiving all three evidence-based therapies and the most frail receiving only 0–1 drug.
Conclusions
Prescription of guideline-recommended therapy decreased as the severity of frailty increased in patients with HFrEF. Sub-optimal medical therapy was associated with a worse outcome and underprescription of guideline-recommended therapy may contribute to the poor prognosis associated with frailty. An effective strategy is needed to improve the medical treatment of frail patients with HFrEF.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): This study issupported by a Grant-in-Aid for Scientifi c Research (A) from the Japan Society for the Promotion of Science (16H01862). ToruKondo receives grants from the Uehara Memorial Foundation and the Japanese Heart Failure Society Tsuchiya Foundation forthe research activities at the University of Glasgow.
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Affiliation(s)
- T Kondo
- University of Glasgow, British Heart Foundation Cardiovascular Research Centre , Glasgow , United Kingdom
| | - T Adachi
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences , Nagoya , Japan
| | - K Kobayashi
- Nagoya University Hospital, Department of Rehabilitation , Nagoya , Japan
| | - T Okumura
- Nagoya University Graduate School of Medicine, Department of Cardiology , Nagoya , Japan
| | - H Izawa
- Fujita Health University School of Medicine, Department of Cardiology , Toyoake , Japan
| | - T Murohara
- Nagoya University Graduate School of Medicine, Department of Cardiology , Nagoya , Japan
| | - J J V McMurray
- University of Glasgow, British Heart Foundation Cardiovascular Research Centre , Glasgow , United Kingdom
| | - S Yamada
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences , Nagoya , Japan
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Hanada S, Adachi T, Iwatsu K, Kamisaka K, Kamiya K, Yamada S. Association between the changes in walking speed during 6 months after discharge and subsequent prognosis in older patients with heart failure: report from a multicenter prospective cohort study. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2471] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Walking speed (WS) is one of the key components of physical frailty associated with a prognosis in patients with heart failure (HF). However, the prognostic impact of changes in WS after discharge in patients with HF remains to be examined.
Purpose
The purpose of this study was to examined the association between the change in WS during 6 months after discharge and subsequent prognosis in older patients with HF.
Methods
This study was performed as a sub-analysis of the multicenter cohort study in Japan (FLAGSHIP). We analyzed patients hospitalized for HF aged ≥65 years whose WS was measured at discharge and after 6 months of discharge. Based on the patterns of WS at the two points, patients were divided into four groups (A: WS ≥0.98 m/s both at discharge and 6-month; B: ≥0.98 m/s at discharge, <0.98 m/s at 6-month; C: <0.98 m/s at discharge, ≥0.98 m/s at 6-month; D: <0.98 m/s both at discharge and 6-month). WS <0.98 m/s has been identified as a cut-off value predicting the prognosis of HF in the main analysis of the FLAGSHIP. Kruskal - Wallis test was used to compare among groups. Furthermore, Cox proportional hazards model was performed to evaluate the association between the WS subgroups and HF rehospitalization after 6-month of discharge. Additionally, adjustments were made for age and sex in model 1, and for age, sex, cognitive function (Mini-mental state examination, MMSE ≤23), past HF hospitalization, rehospitalization within 6 months after discharge, and variables with a p value <0.05 both at discharge and 6 months in univariate analysis in model 2.
Results
A total of 890 patients were included in this study (Group A: n=386, B: n=51, C: n=143, D: n=310). There was a significant difference in HF rehospitalization after 6-month of discharge among the four groups (Log-rank test, p=0.01, Figure 1). In the crude model, hazard ratio (HR) of group B compared with A was 2.26 [95% confidence interval: 1.19–4.27, p=0.013], HR of C was 1.00 [0.56–1.77, p=0.988], and HR of D was 1.66 [1.11–2.47, p=0.013]. In model 1, HR of B was 2.12 [1.11–4.07, p=0.023], HR of C was 0.99 [0.56–1.75, p=0.964], and HR of D was 1.56 [1.01–2.42, p=0.047]. In model 2, HR of B was 0.95 [0.45–1.97, p=0.897], HR of C was 0.67 [0.35–1.26, p=0.212], and HR of D was [0.25–0.80, p=0.007].
Conclusion
Although slow WS is associated with poor prognosis, the prognosis might be improved if WS increases by 6 months after discharge.
Funding
This study is supported by a Grant-in-Aid for Scientific Research (A) from the Japanese Society for the Promotion of Science [16H01862].
Funding Acknowledgement
Type of funding sources: Public Institution(s). Main funding source(s): The Japanese Society for the Promotion of Science
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Affiliation(s)
- S Hanada
- Miyakonojo Medical Association Hospital, Department of Rehabilitation , Miyakonojo , Japan
| | - T Adachi
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences , Nagoya , Japan
| | - K Iwatsu
- Hirakata Kohsai Hospital, Department of Rehabilitation , Hirakata , Japan
| | - K Kamisaka
- Kitano Hospital, Department of Rehabilitation , Osaka , Japan
| | - K Kamiya
- Osaka Medical and Pharmaceutical University, Department of Hygiene and Public Health , Takatsuki , Japan
| | - S Yamada
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences , Nagoya , Japan
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7
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Kinugasa Y, Fukuki M, Hirota Y, Ishiga N, Kato M, Mizuta E, Mura E, Nozaka Y, Omodani H, Tanaka H, Tanaka Y, Watanabe I, Yamamoto K, Adachi T. Differences in needs for community collaboration for heart failure between medical and nursing care staff. Heart Vessels 2021; 37:969-975. [PMID: 34816312 DOI: 10.1007/s00380-021-01988-8] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 11/05/2021] [Indexed: 11/29/2022]
Abstract
The increased numbers of older and frail patients with heart failure (HF) means there is an urgent need to establish regional collaborative systems for medical and nursing care. However, expectations related to collaborative HF care among medical and care staff remain unclear. We conducted a questionnaire survey with staff in hospitals, clinics, and nursing care facilities (NCFs) who had experienced collaboration through the common HF collaborative pathway in the western region of Tottori Prefecture, Japan, from July 2019 to July 2020. We received 150 responses from hospitals and 41 responses from clinics and NCFs. Following introduction of the collaborative pathway, 57% of respondents from hospitals, 35% from clinics, and 71% from NCFs rated collaboration as improved. Staff from hospitals and clinics were most satisfied with improved education interventions following implementation of the collaborative pathway, and NCF staff were most satisfied with improved information sharing. Staff from hospitals and NCFs placed the highest importance on improving information sharing through collaboration, and clinic staff placed the highest importance on improving efficiency. The needs for collaborative HF care differ between hospitals, clinics, and NCFs. A collaboration program should be designed to meet the different needs of diverse staff in the community.
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Affiliation(s)
- Yoshiharu Kinugasa
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University, 36-1 Nishicho, Yonago, 683-8504, Japan.
| | - Masaharu Fukuki
- Department of Cardiology, Yonago Medical Center, Yonago, Japan
| | - Yutaka Hirota
- Tomimasu Surgical Primary Care Clinic, Yonago, Japan
| | - Natsuko Ishiga
- Division of Rehabilitation, Tottori University Hospital, Yonago, Japan
| | - Masahiko Kato
- Department of Pathobiological Science and Technology, School of Health Science, Faculty of Medicine, Tottori University, Yonago, Japan
| | - Einosuke Mizuta
- Department of Cardiology, Sanin Rosai Hospital, Yonago, Japan
| | - Emiko Mura
- Visiting Nurse Station Nanbu Kohoen, Yonago, Japan
| | | | - Hiroki Omodani
- Omodani Internal Medicine and Cardiovascular Medicine Clinic, Yonago, Japan
| | - Hiroaki Tanaka
- Department of Cardiology, Tottori Prefecture Sakaiminato General Hospital, Sakaiminato, Japan
| | | | - Izuru Watanabe
- Department of Nursing, Sanin Rosai Hospital, Yonago, Japan
| | - Kazuhiro Yamamoto
- Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University, 36-1 Nishicho, Yonago, 683-8504, Japan
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Adachi T, Iritani N, Kamiya K, Iwatsu K, Kamisaka K, Iida Y, Yamada S. Effects of cardiac rehabilitation on the two-year prognosis of patients with heart failure: a multicentre prospective cohort study. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0927] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Cardiac rehabilitation (CR) is a comprehensive disease management program highly recommended by heart failure (HF) guidelines. However, the prognostic effects of outpatient CR are inconsistent among recent meta-analyses which enrolled mainly younger HF with reduced ejection fraction (HFrEF). With an aging population, an increased importance of CR has been put on patients with HF with preserved ejection fraction (HFpEF).
Purpose
This study aimed to examine the prognostic effects of regularly undergoing CR for 6 months after discharge analysing nationwide cohort data including older population with HFrEF and HFpEF.
Methods
We analysed 2876 patients who hospitalised for acute HF or worsening chronic HF and capable of walking at discharge in the multicentre prospective cohort study. Frequency of outpatient CR participation of each patient was collected using medical records. We assessed CR frequency within 6 months of discharge since most collaborating hospitals conducted final follow-up examinations at 6 months. The CR group was defined as patients who underwent outpatient CR once or more per week for 6 months after discharge. The main study endpoint was a composite of all-cause mortality and HF rehospitalisation during a 2-year follow-up. We performed a propensity score-matched analysis to compare survival rates between the CR and non-CR groups. Propensity scores for each patient were produced by a logistic regression analysis with the CR group as the dependent variable and 33 potential confounders as independent variables. To evaluate events beyond 6 months, we also conducted landmark analyses at 6 months.
Results
Of the 2876 enrolled patients, 313 underwent CR for 6 months. After propensity score matching using confounding factors, 626 patients (313 pairs) were included in the survival analysis (median age: 74 years, men: 59.6%, median left ventricular ejection fraction [LVEF]: 42%). During 1006.1 person-years of follow-up, 137 patients were rehospitalised due to HF exacerbation, and 50 patients died in the matched cohort. In Cox proportional hazards model (Figure 1), CR was associated with a reduced risk of composite outcomes (hazard ratio [HR] 0.66; 95% confidence interval [CI] 0.48–0.91), all-cause mortality (HR 0.53; 95% CI 0.30–0.95), and HF rehospitalisation (HR 0.66; 95% CI 0.47–0.92). A subgroup analysis showed similar CR effects in patients with HFpEF (LVEF ≥50%) and HFrEF (LVEF <40%). However, in a landmark analysis, CR did not reduce the adverse outcomes beyond 6 months after discharge (Figure 2).
Conclusions
The findings of this study demonstrate the needs that CR should become a standard treatment for HF regardless of HF type and the necessity of periodical follow-up after completing CR program to maintain its prognostic effects.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Grant-in-Aid for Scientific Research (A) from the Japan Society for the Promotion of Science Figure 1. Prognostic effects of CRFigure 2. Landmark analysis
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Affiliation(s)
- T Adachi
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences, Nagoya, Japan
| | - N Iritani
- Toyohashi Heart Center, Department of Cardiac Rehabilitation, Toyohashi, Japan
| | - K Kamiya
- Osaka Medical College, Department of Hygiene & Public Health, Takatsuki, Japan
| | - K Iwatsu
- Hirakata Kohsai Hospital, Department of Rehabilitation, Hirakata, Japan
| | - K Kamisaka
- Kitano Hospital, Rehabilitation Center, Osaka, Japan
| | - Y Iida
- Toyohashi Sozo University, Department of Physical Therapy, Toyohashi, Japan
| | - S Yamada
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences, Nagoya, Japan
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9
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Pezzotti G, Boschetto F, Ohgitani E, Fujita Y, Shin-Ya M, Adachi T, Yamamoto T, Kanamura N, Marin E, Zhu W, Nishimura I, Mazda O. Mechanisms of instantaneous inactivation of SARS-CoV-2 by silicon nitride bioceramic. Mater Today Bio 2021; 12:100144. [PMID: 34632359 PMCID: PMC8485720 DOI: 10.1016/j.mtbio.2021.100144] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 09/20/2021] [Accepted: 09/24/2021] [Indexed: 12/23/2022] Open
Abstract
The hydrolytic processes occurring at the surface of silicon nitride (Si3N4) bioceramic have been indicated as a powerful pathway to instantaneous inactivation of SARS-CoV-2 virus. However, the virus inactivation mechanisms promoted by Si3N4 remain yet to be elucidated. In this study, we provide evidence of the instantaneous damage incurred on the SARS-CoV-2 virus upon contact with Si3N4. We also emphasize the safety characteristics of Si3N4 for mammalian cells. Contact between the virions and micrometric Si3N4 particles immediately targeted a variety of viral molecules by inducing post-translational oxidative modifications of S-containing amino acids, nitration of the tyrosine residue in the spike receptor binding domain, and oxidation of RNA purines to form formamidopyrimidine. This structural damage in turn led to a reshuffling of the protein secondary structure. These clear fingerprints of viral structure modifications were linked to inhibition of viral functionality and infectivity. This study validates the notion that Si3N4 bioceramic is a safe and effective antiviral compound; and a primary antiviral candidate to replace the toxic and allergenic compounds presently used in contact with the human body and in long-term environmental sanitation.
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Affiliation(s)
- G Pezzotti
- Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, Kyoto, 606-8585, Japan
- Department of Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, 465 Kajii-cho, Kyoto, 602-8566, Japan
- Department of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, 160-0023, Tokyo, Japan
- The Center for Advanced Medical Engineering and Informatics, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0854, Japan
- Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, 2-3-10 Kanda-Surugadai, Chiyoda-ku, Tokyo, 101-0062, Japan
| | - F Boschetto
- Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, Kyoto, 606-8585, Japan
- Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, 602-8566, Japan
| | - E Ohgitani
- Department of Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, 465 Kajii-cho, Kyoto, 602-8566, Japan
| | - Y Fujita
- Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, Kyoto, 606-8585, Japan
| | - M Shin-Ya
- Department of Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, 465 Kajii-cho, Kyoto, 602-8566, Japan
| | - T Adachi
- Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, 602-8566, Japan
| | - T Yamamoto
- Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, 602-8566, Japan
| | - N Kanamura
- Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, 602-8566, Japan
| | - E Marin
- Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, Kyoto, 606-8585, Japan
- Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, 602-8566, Japan
| | - W Zhu
- Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, Kyoto, 606-8585, Japan
| | - I Nishimura
- Division of Advanced Prosthodontics, The Jane and Jerry Weintraub Center for Reconstructive Biotechnology, UCLA School of Dentistry, Los Angeles, CA, 90095, USA
| | - O Mazda
- Department of Immunology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, 465 Kajii-cho, Kyoto, 602-8566, Japan
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10
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Adachi T, Tsunekawa Y, Kameyama T, Kobayashi K, Matsuoka A, Tanimura D. Association between Big Five personality traits and participation in cardiac rehabilitation in Japanese patients with cardiovascular disease: a longitudinal study. Eur J Cardiovasc Nurs 2021. [DOI: 10.1093/eurjcn/zvab060.064] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): JSPS KAKENHI
Background
Cardiac rehabilitation (CR) remains underutilised, despite its established clinical benefit. Assessments of personality traits may serve for patient-medical staff communication to promote CR implementation as they are determinants of health-related behavior. However, few studies have explored the potential effects of the Big Five personality traits on CR participation.
Purpose
This study aimed to examine the association between the Big Five personality traits and CR participation in patients with cardiovascular disease.
Methods
This longitudinal analysis included patients aged <80 years hospitalised for cardiovascular disease. We excluded patients aged ≥ 80 years because of the increased prevalence of the need of assistance for outdoor walking, resulting in non-participation in CR. The Big Five personality traits (conscientiousness, neuroticism, openness, extraversion, agreeableness) of each patient were evaluated using the Japanese version of Ten-Item Personality Inventory at discharge (references: 1, 2). Each patient was also asked to answer a self-administered questionnaire related to outpatient CR. The questionnaire included the will to participate in outpatient CR after discharge (yes or no) and the reasons for non-participation in CR. We examined the frequency of CR attendance for each patient for three months after discharge from medical records. According to the participation frequency, patients were stratified into non-participation, participation, and dropout groups. The participation group was defined as at least one CR session a month within three months after discharge. Patients who did not continue CR for three months were considered dropouts. We examined the relationship of each personality trait with non-participation in CR and dropout within three months using logistic regression analysis.
Results
A total of 139 patients hospitalised for cardiovascular disease were analysed (the mean age: 67.2 ± 9.8 years, men: 71.9%). Of 49 patients who initiated the outpatient CR after discharge, 26 patients continued CR for three months, and 23 patients dropped out. The results of the logistic regression analysis are shown in Figure 1. After adjusted for age, gender, and heart failure, high conscientiousness was associated with non-participation in CR (odds ratio [OR] 1.35, per 1 point; 95% confidence interval (CI) 1.00-1.87). The primary reason for non-participation among patients with high conscientiousness was a lack of motivation. Conversely, low conscientiousness (OR 0.56; 95% CI 0.35-0.90) and high openness (OR 2.19; 95% CI 1.27-3.78) were predictors of dropout within three months after discharge.
Conclusion
The results of this study imply that the Big Five assessment serves for the health communication to improve CR participation. In particular, high conscientious was associated with non-participation in CR due to a lack of motivation, and patients with low conscientiousness and high openness tended to dropout.
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Affiliation(s)
- T Adachi
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences, Nagoya, Japan
| | - Y Tsunekawa
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - T Kameyama
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - K Kobayashi
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - A Matsuoka
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - D Tanimura
- Nagoya Ekisaikai Hospital, Department of Cardiology, Nagoya, Japan
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11
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Adachi T, Tsunekawa Y, Kameyama T, Kobayashi K, Matsuoka A, Tanimura D. Usefulness of the japanese version of rapid dementia screening test for mild cognitive impairment in older patients with cardiovascular disease. Eur J Cardiovasc Nurs 2021. [DOI: 10.1093/eurjcn/zvab060.129] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): JSPS KAKENHI
Background
Cognitive decline is common among older patients with cardiovascular disease and can decrease their self-management abilities. Therefore, early detection of cognitive decline is clinically important, as it can help guide effective home-based care measures, including education of family members and deployment of healthcare resources. However, the standard instruments for identifying mild cognitive impairment (MCI) are not always feasible in clinical practice.
Purpose
This study evaluated whether MCI could be detected using the Japanese version of the Rapid Dementia Screening Test (RDST-J), which is a simple screening tool for identifying cognitive decline.
Methods
This cross-sectional study included patients who were ≥ 65 years old and hospitalised because of cardiovascular disease. Patients with a pre-hospitalisation diagnosis of dementia were excluded. Each patient’s cognitive function had been measured at discharge using the RDST-J and the Japanese version of the Montreal Cognitive Assessment (MoCA-J), which is a standard tool for MCI screening. The RDST-J includes a number transcoding task and a supermarket task, and can be completed in 3 min (range: 0–12 points). The MoCA-J assesses nine domains of cognition and requires 10–15 min to complete (range: 0–30 points). The correlation between the two scores was evaluated using Spearman’s rank correlation coefficient. Receiver operating characteristic (ROC) analysis was also conducted to evaluate whether the RDST-J could identify MCI, which was defined as a MoCA-J score of ≤ 25 points.
Results
The study included 78 patients (the mean age: 77.2 ± 8.9 years, men: 56.4%). Based on a MoCA-J score of ≤ 25 points, MCI was identified in 73.1% (n = 57) of the patients. The RDST-J and MoCA-J scores were strongly correlated (r = 0.835, p <0.001). The ROC analysis revealed that an RDST-J score of ≤ 9 points provided 75.4% sensitivity and 95.2% specificity for identifying MCI, with an area under the curve of 0.899 (95% confidence interval: 0.835–0.964, Figure 1). The same cut-off value was identified when excluding patients with a high probability of dementia (RDST-J score of ≤ 4 points).
Conclusions
The RDST-J is a simple instrument and its score was highly correlated with the standard test for identifying MCI in older patients with cardiovascular disease. Our results suggest that the RDST-J may be useful for routine cognitive assessments in clinical practice. Longitudinal studies are needed to evaluate whether the RDST-J scores respond to changes in cognitive status, as well as whether this tool can be used to predict adverse health outcomes after discharge.
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Affiliation(s)
- T Adachi
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences, Nagoya, Japan
| | - Y Tsunekawa
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - T Kameyama
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - K Kobayashi
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - A Matsuoka
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - D Tanimura
- Nagoya Ekisaikai Hospital, Department of Cardiology, Nagoya, Japan
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12
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Tsunekawa Y, Adachi T, Kameyama T, Kobayashi K, Matsuoka A, Tanimura D. Association between coordination of long-term care insurance service and adverse outcome after discharge in older patients with heart failure. Eur J Cardiovasc Nurs 2021. [DOI: 10.1093/eurjcn/zvab060.131] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
Long-term care insurance (LTCI) has a key role in the disease management of older patients in Japan. However, clinical benefit of coordinating LTCI service during hospitalization has not been examined in patients with heart failure (HF).
Purpose
We aimed to examine the association between the coordination of LTCI service and adverse outcome after discharge in Japanese older patients with HF.
Methods
The inclusion criteria of this retrospective cohort study were patients aged ≥ 65 years hospitalised for HF who used any LTCI services after discharge. In Japan, people aged ≥ 65 who satisfy the eligibility criteria are eligible to receive LTCI services. Questionnaires regarding daily life and activities are used to assess eligibility and create the 7 certification levels: support required 1 or 2, and care levels 1 (least disabled) to 5 (most disabled). In this study, patients were divided into 1) patients without any change in LTCI service during hospitalisation (Group N), 2) patients with coordination of LTCI services during hospitalization (Group C), 3) patients who newly initiated LTCI service after discharge (Group I). The primary outcome was a composite of HF rehospitalisation and all-cause mortality. Survival rate was compared using Kaplan-Meier curve analysis and log-rank test. Multivariate analysis was conducted using Cox proportional-hazards model adjusted for propensity score calculated based on age, gender, brain natriuretic peptide, β-blocker, angiotensin converting enzyme inhibitor /angiotensin II receptor blocker, need of any walking device or assistance at discharge, living alone, LTCI level.
Results
A total of 135 older patients were included (mean age 84 years, men 46%). During the median follow-up of 580 days, 43 events occurred. The number of patients for each group was as following: Group N, n = 91; Group C, n = 20; Group I, n = 24. The survival rates were significantly different among the three groups (log-rank test p = 0.039 , Figure 1). In Cox proportional-hazards model with Group N as a reference, Group C was associated with reduced risk of the study outcome (hazard ratio 0.22, 95% confidence interval 0.05-0.91, p = 0.036). Group I also showed lower event rate but not statistically significant (hazard ratio 0.81, 95% confidence interval 0.20-0.30, p = 0.756). All the patients in Group C used visiting nurse service, whereas the implementation rates were 12.1% and 37.5% in Group N and Group I, respectively. Implementation rate of visiting rehabilitation was higher in Group C (20.0%) compared to Group N (1.1%) and Group I (4.2).
Conclusions
Patients with coordination of LTCI service during HF hospitalization showed reduced risk of adverse outcome after discharge, implying the clinical benefits of utilization of LTCI service. Further large-scale studies are needed to examine the optimal utilization of tailor-made LTCI service according to the patient’s condition.
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Affiliation(s)
- Y Tsunekawa
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - T Adachi
- Nagoya University Graduate School of Medicine, Department of Integrated Health Sciences, Nagoya, Japan
| | - T Kameyama
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - K Kobayashi
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - A Matsuoka
- Nagoya Ekisaikai Hospital, Department of Rehabilitation, Nagoya, Japan
| | - D Tanimura
- Nagoya Ekisaikai Hospital, Department of Cardiology, Nagoya, Japan
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13
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Kamisaka K, Kamiya K, Iwatsu K, Iritani N, Iida Y, Adachi T, Yamada S. Weight loss early after discharge predicts the risk of rehospitalization in non-obese patients with heart failure preserved ejection fraction. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0863] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Weight loss (WL) has been considered as a prognostic factor in heart failure with reduced ejection fraction (HFrEF). However, the prognosis and associated factors of WL in heart failure with preserved ejection fraction (HFpEF) have remained unclear.
Purpose
This study aimed to examine the prevalence, prognosis, and clinical characteristics of worse prognosis based on the identified WL after discharge in HFpEF.
Methods
The study was conducted as a part of a multicenter cohort study (Flagship). The cohort study enrolled ambulatory HF who hospitalized due to acute HF or exacerbation of chronic HF. Patients with severe cognitive, psychological disorders or readmitted within 6-month after discharge were excluded in the study. WL was defined as ≥5% weight loss in 6-month after discharge and HFpEF was defined as left ventricular ejection fraction (LVEF) ≥50% at discharge. Age, gender, etiology, prior HF hospitalization, New York Heart Association (NYHA) class, brain natriuretic peptide (BNP) or N-terminal-proBNP (NT-proBNP), anemia (hemoglobin; male <13g/dL, female <12g/dL), serum albumin, Geriatric Depression Scale, hand grip strength and comorbidities were collected at discharge. Patients were stratified according to their body mass index (BMI) at discharge as non-obese (BMI <25) or obese (BMI ≥25). We analyzed the association between WL and HF rehospitalization from 6 month to 2 years after discharge using Kaplan-Meier curve analysis and Cox regression analysis adjusted for age and gender, and clinical characteristics associated to worse prognosis in WL using logistic regression analysis adjusted for potential confounders in HFpEF.
Results
A total of 619 patients with HFpEF were included in the analysis. The prevalence of WL was 12.9% in 482 non-obese and 15.3% in 137 obese patients. During 2 years, 72 patients were readmitted for HF (non-obese: 48, obese: 24). WL in non-obese independently associated with poor prognosis (hazard ratio: 2.2: 95% confidence interval: 1.13–4.25) after adjustment for age and sex, while WL in obese patients did not. Logistic regression analysis chose age (odds ratio 1.02 per 1 year; 1.00–1.05), anemia (2.14; 1.32–3.48), and BNP ≥200pg/mL or NT-proBNP ≥900pg/mL (1.83; 1.18–2.86) as independent associated factors for worse prognosis of WL in non-obese patients.
Conclusion
In HFpEF, WL in early after discharge in non-obese elderly patients may be a prognostic indicator for HF rehospitalization. HF management including WL prevention along with controlling anemia is likely to improve prognosis in this population.
Kaplan Meier survival curves
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): A Grant-in-Aid for Scientific Research (A) from the Japan Society for the Promotion of Science
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Affiliation(s)
| | - K Kamiya
- Osaka Medical College, Department of Hygiene and Public Health, Takatsuki, Japan
| | - K Iwatsu
- Hirakata Kohsai Hospital, Department of Rehabilitation, Hirakata, Japan
| | - N Iritani
- Toyohashi Heart Center, Department of Rehabilitation, Toyohashi, Japan
| | - Y Iida
- Kainan Hospital, Department of Rehabilitation, Yatomi, Japan
| | - T Adachi
- Nagoya University, Department of Health Sciences, Nagoya, Japan
| | - S Yamada
- Nagoya University, Department of Health Sciences, Nagoya, Japan
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14
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Funaki K, Adachi T, Kameshima M, Fujiyama H, Iritani N, Asai C, Sakui D, Hara Y, Yamada S. Predicters of physical activity at 3-month after discharge in patients underwent percutaneous coronary intervention -A multicenter prospective cohort study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2877] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Long-term prognosis after percutaneous coronary intervention (PCI), particularly non-target region stenosis, has not been well improved. Therefore, lifestyle modification should be considered along with medication to prevent the progression of coronary atherosclerosis. Particularly, the promotion of physical activity (PA) is recommended as a core intervention for secondary prevention because of its direct effects on coronary risk factors. However, the factors related to PA after PCI have not been fully investigated.
Purpose
To explore predictors of PA after discharge in patients underwent PCI.
Methods
We conducted a multicenter prospective cohort study. Participants were patients aged <75 years who underwent PCI. The main outcome was PA {step counts (SC) and a time of moderate-to-vigorous physical activity (MVPA)} measured for 7 consecutive days using an accelerometer at 3-month post discharge. We collected demographic data, comorbidities, medical history, laboratory data, and medications from medical record. In addition, severity of chest pain at the onset, physician's explanation regarding long-term prognosis, exercise environments, social support, work, lifestyle except exercise, self-efficacy for walking, difficulty in daily activities and depression were evaluated using questionnaires at discharge and 1-month post-discharge. The study participants were divided into two groups based on the median SC and MVPA at 3-month, and clinical characteristics were compared between the groups using χ2test or Mann Whitney U test. Then, multiple logistic regression analysis adjusted for age, gender, and diagnosis {stable angina or acute coronary syndrome (ACS)} was conducted with 3-month PA as dependent variable. Independent variables were those with a p<0.2 in the univariate analysis. In addition, the area under the curve (AUC) was calculated by receiver operating characteristic analysis to assess predictive accuracy of the regression model.
Results
We enrolled 313 patients [median age: 63 {inter-quartile range (IQR):56–67} years, women: 13.1%, ACS: 16.4%]. The median of SC and MVPA at 3-month were 6902 steps (IQR:5078–9095) and 16.2 min (IQR: 8.6–28.9), respectively. Predictors of SC at 3-month ≥the median were SC at 1-month (odds ratio 1.78, per 1000 steps/day; 95% confidence interval 1.51–2.09), hemoglobin (1.43, per 1g/dl; 1.10–1.86), body mass index (BMI) (0.87, per 1kg/m2; 0.82–0.99), use of β-blocker (0.49, 0.25–0.95), and self-efficacy for walking (1.06, per 1 point; 1.00–1.11). Predictors of MVPA ≥the median were MVPA at 1-month (5.66, per 10 minutes/day; 3.63–8.84), hemoglobin (1.57, per 1g/dl; 1.19–2.06), and BMI (0.85, per 1kg/m2; 0.76–0.94). The AUC of the regression model for SC and MVPA were 0.87 and 0.89, respectively.
Conclusion
PA after PCI could be predicted by modifiable factors with good predictive accuracy. The findings of this study suggest the possibility to develop tailored PA promotion program.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- K Funaki
- Nagoya University Graduate School of Medicine, Program in Physical and Occupational Therapy, Nagoya, Japan
| | - T Adachi
- Nagoya University Graduate School of Medicine, Department of Health Sciences, Nagoya, Japan
| | - M Kameshima
- Nagoya Heart Center, Department of Rehabilitation, Nagoya, Japan
| | - H Fujiyama
- Nagoya Heart Center, Department of Rehabilitation, Nagoya, Japan
| | - N Iritani
- Toyohashi Heart Center, Department of Rehabilitation, Toyohashi, Japan
| | - C Asai
- Toyohashi Heart Center, Department of Rehabilitation, Toyohashi, Japan
| | - D Sakui
- Gifu Heart Center, Department of Rehabilitation, Gifu, Japan
| | - Y Hara
- Gifu Heart Center, Department of Nursing, Gifu, Japan
| | - S Yamada
- Nagoya University Graduate School of Medicine, Department of Health Sciences, Nagoya, Japan
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15
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Osaki A, Sato Y, Endo S, Ito K, Kagami K, Yumita Y, Ishinoda Y, Toya T, Ido Y, Namba T, Adachi T. Adipose extracellular signal-regulated kinase 2 protected from endothelial dysfunction and the oxidative stress of perivascular adipose tissue in obese mice. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3822] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Extracellular signal-regulated kinase (ERK) modulates differentiation and maturation of adipocyte and the hypertrophy and differentiation of adipocytes affected the vascular diseases in obese. Changes in characters of adipocytes could develope the oxidative stress and inflammations. Moreover, changes in perivascular adipose tissue (PVAT) could modulate vascular tonus in obesity. However, the role of adipose ERK2 in endothelial function and characters of PVAT in obese in vivo had not been clarified, yet.
Purpose
This study aims to elucidate the role of the adipose ERK2 in endothelial-dependent relaxation (EDR) in mice model of obesity. The role of PVAT in EDR was also assessed.
Methods and results
We created adipose-specific ERK2 knock out mice (AE2KO) by crossing fatty acid binding protein 4 Cre and ERK2 flox mice and fed them with normal diet (ND) or high fat/ high sucrose diet (HFHSD) for 24 weeks. AE2KO fed with HFHSD gained more weight and revealed the heterogeneity in sizes of adipocyte in subcutaneous fat (SF). Furthermore, the mRNA levels of lipoprotein lipase, hormone-sensitive lipase, and peroxisome proliferator-activated receptor γ, which was the master genes of adipocyte differentiation, were markedly down-regulated in SF. PVAT in AE2KO with HFHSD was markedly enlarged and the mRNA expression of inflammatory adipocytokines, such as IL-1β and leptin were up-regulated. Next, we assessed EDR by acetylcholine (ACh) -induced relaxation in aortic rings with or without PVAT. EDR without PVAT was modestly decreased in AE2KO with HFHSD compared with wild type mice (WT) with HFHSD. Aortic rings with PVAT increased EDR in WT with ND. PVAT modestly decreased EDR in WT with HFHSD and mostly eliminated EDR in AE2KO with HFHSD. To assess the contraction factors released from PVAT, the solutions incubated with PVAT (SIP) were transferred to the normal aortic rings. SIP from WT with HFHSD mildly increased vascular tone and SIP from AE2KO with HFHSD further increased it. Tempol, which was superoxide scavenger, restored endothelial dysfunction with PVAT and suppressed the contraction with SIP from AE2KO with HFHSD. Fluorescence intensity of dihydroethidium stain of aorta and PVAT, which indicated that aortic and adipose superoxide production were elevated in AE2KO with HFHSD, which were mostly eliminated with tempol.
Conclusions
Adipose ERK2 selectively modulated differentiation in SF, suppressed the aortic oxidative stress and protected from endothelial dysfunction in obese. Moreover, adipose ERK2 suppressed the hypertrophy, inflammation, and oxidative stress of PVAT in obese. The oxidative stress with the inflammation in PVAT released vasoconstriction factors, which contributed to endothelial dysfunction in obese mice.
Figure 1
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Osaki
- National Defense Medical College, Saitama, Japan
| | - Y Sato
- National Defense Medical College, Saitama, Japan
| | - S Endo
- Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan
| | - K Ito
- National Defense Medical College, Saitama, Japan
| | - K Kagami
- National Defense Medical College, Saitama, Japan
| | - Y Yumita
- National Defense Medical College, Saitama, Japan
| | - Y Ishinoda
- National Defense Medical College, Saitama, Japan
| | - T Toya
- National Defense Medical College, Saitama, Japan
| | - Y Ido
- National Defense Medical College, Saitama, Japan
| | - T Namba
- National Defense Medical College, Saitama, Japan
| | - T Adachi
- National Defense Medical College, Saitama, Japan
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16
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Guguchia Z, Das D, Wang CN, Adachi T, Kitajima N, Elender M, Brückner F, Ghosh S, Grinenko V, Shiroka T, Müller M, Mudry C, Baines C, Bartkowiak M, Koike Y, Amato A, Tranquada JM, Klauss HH, Hicks CW, Luetkens H. Using Uniaxial Stress to Probe the Relationship between Competing Superconducting States in a Cuprate with Spin-stripe Order. Phys Rev Lett 2020; 125:097005. [PMID: 32915617 DOI: 10.1103/physrevlett.125.097005] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 07/30/2020] [Indexed: 06/11/2023]
Abstract
We report muon spin rotation and magnetic susceptibility experiments on in-plane stress effects on the static spin-stripe order and superconductivity in the cuprate system La_{2-x}Ba_{x}CuO_{4} with x=0.115. An extremely low uniaxial stress of ∼0.1 GPa induces a substantial decrease in the magnetic volume fraction and a dramatic rise in the onset of 3D superconductivity, from ∼10 to 32 K; however, the onset of at-least-2D superconductivity is much less sensitive to stress. These results show not only that large-volume-fraction spin-stripe order is anticorrelated with 3D superconducting coherence but also that these states are energetically very finely balanced. Moreover, the onset temperatures of 3D superconductivity and spin-stripe order are very similar in the large stress regime. These results strongly suggest a similar pairing mechanism for spin-stripe order and the spatially modulated 2D and uniform 3D superconducting orders, imposing an important constraint on theoretical models.
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Affiliation(s)
- Z Guguchia
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - D Das
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - C N Wang
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - T Adachi
- Department of Engineering and Applied Sciences, Sophia University, 7-1 Kioi-cho, Chiyoda-ku, Tokyo 102-8554, Japan
| | - N Kitajima
- Department of Applied Physics, Tohoku University, 6-6-05 Aoba, Aramaki, Aoba-ku, Sendai 980-8579, Japan
| | - M Elender
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - F Brückner
- Institute for Solid State and Materials Physics, Technische Universität Dresden, D-01069 Dresden, Germany
| | - S Ghosh
- Institute for Solid State and Materials Physics, Technische Universität Dresden, D-01069 Dresden, Germany
| | - V Grinenko
- Institute for Solid State and Materials Physics, Technische Universität Dresden, D-01069 Dresden, Germany
- Leibniz-Institut für Festkörper- und Werkstoffforschung (IFW) Dresden, 01171 Dresden, Germany
| | - T Shiroka
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
- Laboratorium für Festkörperphysik, ETH Zürich, CH-8093 Zürich, Switzerland
| | - M Müller
- Condensed Matter Theory Group, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - C Mudry
- Condensed Matter Theory Group, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
- Institute of Physics, École Polytechnique Fédérale de Lausanne (EPFL), CH-1015 Lausanne, Switzerland
| | - C Baines
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - M Bartkowiak
- Laboratory for Scientific Developments and Novel Materials, Paul Scherrer Institut, 5232 Villigen PSI, Switzerland
| | - Y Koike
- Department of Applied Physics, Tohoku University, 6-6-05 Aoba, Aramaki, Aoba-ku, Sendai 980-8579, Japan
| | - A Amato
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
| | - J M Tranquada
- Condensed Matter Physics and Materials Science Division, Brookhaven National Laboratory, Upton, New York 11973, USA
| | - H-H Klauss
- Institute for Solid State and Materials Physics, Technische Universität Dresden, D-01069 Dresden, Germany
| | - C W Hicks
- Max Planck Institute for Chemical Physics of Solids, D-01187 Dresden, Germany
| | - H Luetkens
- Laboratory for Muon Spin Spectroscopy, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland
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17
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Yada H, Ito K, Naganuma T, Yumita Y, Kagami K, Osaki A, Yasuda R, Toya T, Namba T, Nagatomo Y, Masaki N, Adachi T. 1320Effectiveness of atrial flutter ablation line selection using SOUNDSTAR catheter. Europace 2020. [DOI: 10.1093/europace/euaa162.129] [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] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Cavotricuspid isthmus (CTI) ablation for atrial flutter (AFL) shows a high success rate and effective for patients. However, operators experience difficulties in CTI ablation in some cases and need additional ablation for repeated recurrence. We investigated whether the SOUNDSTAR® (Biosense. Webster, Diamond Barr, CA, USA) catheter would be effective to select a CTI line of high therapeutic effect.
Methods
We have investigated the anatomy of around CTI by SOUNDSTAR® catheter and decided the CTI line using the anatomical information in AFL ablation (Figure1). We assumed two CTI lines of medial and lateral line. Medial CTI (M-CTI) line was more common and shorter line. Lateral CTI (L-CTI) line was uncommon and slightly longer line. We use 3.5mm tip catheter with NxT steerable introducer. The target Ablation Index (AI) was 400, and the target VisTtag™ interval was 6 mm or less.
Results
A total 30 of AFL ablated cases were investigated retrospectively. We surveyed 15 cases in M-CTI group and 15 cases in L-CTI group. Comparing the length of CTI in all cases, the length of M-CTI line was shorter than L-CTI line (M-CTI 32.1 ± 6.6mm vs. L-CTI 38.4 ± 8.3mm, n = 30, p <0.01). The atrial wall thickness of midsection and tricuspid valve (TV) side were thicker in M-CTI line (Midsection: M-CTI 4.0 ± 1.2mm vs. L-CTI 3.3 ± 0.8mm, n = 30, p <0.05, TV side: M-CTI 5.4 ± 1.4mm vs. L-CTI 4.3 ± 1.1mm, n = 30, p <0.05,). There was no difference in the required number of points to complete initial line (M-CTI 8.4 ± 1.6 vs. L-CTI 8.1 ± 1.7, n = 15, ns). Eustachian ridge in IVC side was thicker and higher in the M-CTI group (3.4 ± 3.3mm vs. 0.9 ± 1.9mm, n =30, p <0.01) and ablation on the Eustachian ridge showed instability of catheter placement. A lot of RF delivery was required on Eustachian ridge in M-CTI (2.6 ± 0.6 vs. 2.1 ± 0.7, n =15, p <0.05) and AI had resulted lower in M-CTI (351 ± 42.8 vs. 381 ± 27.1, n =15, p <0.05). Recurrence is more common in M-CTI group (9/15, 60% vs. 3/15, 20%). Recurrence sites in M-CTI group were distributed ((IVC side 3/9 (33%), midsection 5/9 (56%), TV side 5/9 (56%)) and multiple recurrences occurred in 3/9 (33%). Recurrence sites in L-CTI were only midsection of CTI (3/3, 100%).
Conclusions
CTI ablation at the shorter distance M-CTI, which is commonly selected, resulted in more recurrences due to the unevenness including Eustachian ridge and the myocardium thickness. However, ablation at slightly longer L-CTI line showed lower recurrence and effective for CTI ablation.
Abstract Figure 1
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Affiliation(s)
- H Yada
- National Defense Medical College, Saitama, Japan
| | - K Ito
- National Defense Medical College, Saitama, Japan
| | - T Naganuma
- National Defense Medical College, Saitama, Japan
| | - Y Yumita
- National Defense Medical College, Saitama, Japan
| | - K Kagami
- National Defense Medical College, Saitama, Japan
| | - A Osaki
- National Defense Medical College, Saitama, Japan
| | - R Yasuda
- National Defense Medical College, Saitama, Japan
| | - T Toya
- National Defense Medical College, Saitama, Japan
| | - T Namba
- National Defense Medical College, Saitama, Japan
| | - Y Nagatomo
- National Defense Medical College, Saitama, Japan
| | - N Masaki
- National Defense Medical College, Saitama, Japan
| | - T Adachi
- National Defense Medical College, Saitama, Japan
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18
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Ito K, Yada H, Toya T, Osaki A, Kagami K, Yumita Y, Ido Y, Takase B, Adachi T. 739SERCA2 Cys674 modification lead to ventricular arrhythmia due to impaired sarcoplasmic reticulum Ca2+ handling. Europace 2020. [DOI: 10.1093/europace/euaa162.109] [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] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Sarcoplasmic reticulum Ca2+-ATPase2 (SERCA2) plays an important role in intracellular Ca2+ handling. Under pathological conditions, oxidative stress leads to irreversible oxidation of Cys674 on SERCA2 which causes intracellular Ca2+ overload. Intracellular Ca2+ overload is known as the cause of ventricular arrhythmia, but the relation between SERCA2 function and ventricular arrhythmia remains unclear.
Purpose
To investigate the role of Cys674 on SERCA2 in the intracellular Ca2+ handling and the induction of ventricular arrhythmia.
Methods
We employed SERCA2 Cys674Ser heterozygote knock-in mice (SKI) which mimics oxidative modification of Cys674 on SERCA2. Continuous infusion of angiotensin (ANG) (3mg/kg/day) or distilled water were performed both in wild type mice (WT) and SKI for a week. After 1 week, electrophysiological study and intracellular Ca2+ transient measurement were performed.
Results
ANG elevated blood pressure and represented cardiac hypertrophy with fibrosis similarly both in WT and SKI. The mRNA expression of calcium/calmodulin-dependent protein kinase-II (CaMKII), ryanodine receptor (RyR) and sodium-calcium exchanger (NCX) was increased in SKI heart compared with WT. QTc interval was prolonged in SKI compared with WT, which was markedly prolonged with ANG infusion. Under programmed electrical stimulation, only SKI with ANG showed high incidence of pacing induced ventricular arrhythmia (0/11 in WT/SKI control, 0/14 in WT with ANG vs. 8/14 in SKI with ANG, P < 0.01). In Ca2+ transient measurement, the peak Ca2+ transient amplitude (F/F0) was decreased (WT: 1.81 vs. SKI: 1.46, P < 0.01) and the time to 50% of cytosolic Ca2+ extrusion (T50) was prolonged (WT: 152.6ms vs. SKI: 202.3ms, P < 0.05) in SKI with ANG, suggesting decreased sarcoplasmic reticulum Ca2+ content and impaired SERCA2 activity in SKI with ANG. Intraperitoneal administration of dantrolene sodium (DAN) which inhibit Ca2+ leakage from RyR receptor normalized decreased F/F0 and prolonged T50 in SKI with ANG (Fig. 1 A, B). DAN also prevented QTc prolongation and decreased the incidence of ventricular arrhythmia in SKI with ANG (8/14 in SKI with ANG vs. 2/13 in SKI with ANG + DAN, P < 0.05) (Fig. 2).
Conclusions
The loss of thiol on Cys674 under pathological condition resulted in impaired Ca2+ handling and high incidence of ventricular arrhythmia which were ameliorated by inhibition of Ca2+ leakage through RyR. Oxidative modification of Cys674 on SERCA2 might contribute to Ca2+ mishandling and arrhythmogenesis.
Abstract Figure.
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Affiliation(s)
- K Ito
- National Defense Medical College, Cardiology , Tokorozawa, Japan
| | - H Yada
- National Defense Medical College, Cardiology , Tokorozawa, Japan
| | - T Toya
- National Defense Medical College, Cardiology , Tokorozawa, Japan
| | - A Osaki
- National Defense Medical College, Cardiology , Tokorozawa, Japan
| | - K Kagami
- National Defense Medical College, Cardiology , Tokorozawa, Japan
| | - Y Yumita
- National Defense Medical College, Cardiology , Tokorozawa, Japan
| | - Y Ido
- National Defense Medical College, Cardiology , Tokorozawa, Japan
| | - B Takase
- National Defence Medical College, Intensive Care Medicine, Tokorozawa, Japan
| | - T Adachi
- National Defense Medical College, Cardiology , Tokorozawa, Japan
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19
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Adachi T, Koba S, Hanyu A, Kato M, Morita M, Kawamoto T, Ida H, Watanabe Y, Shinke T. 0590 Reliability of Simple Sleep Evaluation Device at Split-Night Polysomnography. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.587] [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] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Watch-PAT is a sleep evaluation device that measures the peripheral blood volume continuously with a probe attached to a fingertip and does not use an electroencephalogram or a nasal cannula. There has been no report on the usefulness of watch-PAT to determine the apnea diagnosis and continuous positive airway pressure (CPAP) use effects in split-night sleep study.
Methods
The consent of the study was obtained. Watch-PAT was simultaneously worn on a patient admitted for split-night polysomnography. The apnea-hypopnea index (AHI) obtained from PSG and the pAHI gained from the watch-PAT were measured when not using CPAP and when using CPAP respectively. And also we examined whether the reduction rates of AHI and pAHI could be correlated.
Results
38 subjects (32 men, age 55 ± 13 years old). BMI 28.3 ± 5.7 kg / m2. When CPAP was not used, AHI was 57.2 ± 23.3 / h and pAHI was 50.8 ± 20.3 / h (r = 0.93, p < 0.0001), when CPAP was used, AHI was 5.2 ± 4.5 /h and pAHI was 6.2 ± 4.5 h (r = 0.82, p < 0.0001), AHI reduction rate was 90.4 ± 8.0% and pAHI reduction rate was 85.4 ± 14.6% (r = 0.76, p < 0.0001).
Conclusion
It was suggested that Watch-PAT had a good correlation with AHI at split night-sleep study.
Support
None
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Affiliation(s)
- T Adachi
- Sleep Medicine Center, Showa University East Hospital, Tokyo, JAPAN
| | - S Koba
- Department of Medicine, Division of Cardiology, Showa University School of Medicine, Tokyo, JAPAN
| | - A Hanyu
- Sleep Medicine Center, Showa University East Hospital, Tokyo, JAPAN
| | - M Kato
- Sleep Medicine Center, Showa University East Hospital, Tokyo, JAPAN
| | - M Morita
- Sleep Medicine Center, Showa University East Hospital, Tokyo, JAPAN
| | - T Kawamoto
- Sleep Medicine Center, Showa University East Hospital, Tokyo, JAPAN
| | - H Ida
- Sleep Medicine Center, Showa University East Hospital, Tokyo, JAPAN
| | - Y Watanabe
- Sleep Medicine Center, Showa University East Hospital, Tokyo, JAPAN
| | - T Shinke
- Department of Medicine, Division of Cardiology, Showa University School of Medicine, Tokyo, JAPAN
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20
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Wang Q, Horio M, von Arx K, Shen Y, John Mukkattukavil D, Sassa Y, Ivashko O, Matt CE, Pyon S, Takayama T, Takagi H, Kurosawa T, Momono N, Oda M, Adachi T, Haidar SM, Koike Y, Tseng Y, Zhang W, Zhao J, Kummer K, Garcia-Fernandez M, Zhou KJ, Christensen NB, Rønnow HM, Schmitt T, Chang J. High-Temperature Charge-Stripe Correlations in La_{1.675}Eu_{0.2}Sr_{0.125}CuO_{4}. Phys Rev Lett 2020; 124:187002. [PMID: 32441965 DOI: 10.1103/physrevlett.124.187002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 03/02/2020] [Accepted: 04/14/2020] [Indexed: 06/11/2023]
Abstract
We use resonant inelastic x-ray scattering to investigate charge-stripe correlations in La_{1.675}Eu_{0.2}Sr_{0.125}CuO_{4}. By differentiating elastic from inelastic scattering, it is demonstrated that charge-stripe correlations precede both the structural low-temperature tetragonal phase and the transport-defined pseudogap onset. The scattering peak amplitude from charge stripes decays approximately as T^{-2} towards our detection limit. The in-plane integrated intensity, however, remains roughly temperature independent. Therefore, although the incommensurability shows a remarkably large increase at high temperature, our results are interpreted via a single scattering constituent. In fact, direct comparison to other stripe-ordered compounds (La_{1.875}Ba_{0.125}CuO_{4}, La_{1.475}Nd_{0.4}Sr_{0.125}CuO_{4}, and La_{1.875}Sr_{0.125}CuO_{4}) suggests a roughly constant integrated scattering intensity across all these compounds. Our results therefore provide a unifying picture for the charge-stripe ordering in La-based cuprates. As charge correlations in La_{1.675}Eu_{0.2}Sr_{0.125}CuO_{4} extend beyond the low-temperature tetragonal and pseudogap phase, their emergence heralds a spontaneous symmetry breaking in this compound.
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Affiliation(s)
- Qisi Wang
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - M Horio
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - K von Arx
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - Y Shen
- State Key Laboratory of Surface Physics and Department of Physics, Fudan University, Shanghai 200433, China
| | - D John Mukkattukavil
- Department of Physics and Astronomy, Uppsala University, Box 516, SE-751 20 Uppsala, Sweden
| | - Y Sassa
- Department of Physics, Chalmers University of Technology, SE-412 96 Göteborg, Sweden
| | - O Ivashko
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
| | - C E Matt
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
- Swiss Light Source, Photon Science Division, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - S Pyon
- Department of Advanced Materials, University of Tokyo, Kashiwa 277-8561, Japan
| | - T Takayama
- Department of Advanced Materials, University of Tokyo, Kashiwa 277-8561, Japan
| | - H Takagi
- Department of Advanced Materials, University of Tokyo, Kashiwa 277-8561, Japan
| | - T Kurosawa
- Department of Physics, Hokkaido University, Sapporo 060-0810, Japan
| | - N Momono
- Department of Physics, Hokkaido University, Sapporo 060-0810, Japan
- Department of Applied Sciences, Muroran Institute of Technology, Muroran 050-8585, Japan
| | - M Oda
- Department of Physics, Hokkaido University, Sapporo 060-0810, Japan
| | - T Adachi
- Department of Engineering and Applied Sciences, Sophia University, Tokyo 102-8554, Japan
| | - S M Haidar
- Department of Applied Physics, Tohoku University, Sendai 980-8579, Japan
| | - Y Koike
- Department of Applied Physics, Tohoku University, Sendai 980-8579, Japan
| | - Y Tseng
- Swiss Light Source, Photon Science Division, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - W Zhang
- Swiss Light Source, Photon Science Division, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - J Zhao
- State Key Laboratory of Surface Physics and Department of Physics, Fudan University, Shanghai 200433, China
- Collaborative Innovation Center of Advanced Microstructures, Nanjing 210093, China
| | - K Kummer
- European Synchrotron Radiation Facility, 71 Avenue des Martyrs, 38043 Grenoble, France
| | - M Garcia-Fernandez
- Diamond Light Source, Harwell Campus, Didcot, Oxfordshire OX11 0DE, United Kingdom
| | - Ke-Jin Zhou
- Diamond Light Source, Harwell Campus, Didcot, Oxfordshire OX11 0DE, United Kingdom
| | - N B Christensen
- Department of Physics, Technical University of Denmark, DK-2800 Kongens Lyngby, Denmark
| | - H M Rønnow
- Institute of Physics, École Polytechnique Fedérale de Lausanne (EPFL), CH-1015 Lausanne, Switzerland
| | - T Schmitt
- Swiss Light Source, Photon Science Division, Paul Scherrer Institut, CH-5232 Villigen PSI, Switzerland
| | - J Chang
- Physik-Institut, Universität Zürich, Winterthurerstrasse 190, CH-8057 Zürich, Switzerland
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21
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Kameo Y, Miya Y, Hayashi M, Nakashima T, Adachi T. In silico experiments of bone remodeling explore metabolic diseases and their drug treatment. Sci Adv 2020; 6:eaax0938. [PMID: 32181336 PMCID: PMC7060067 DOI: 10.1126/sciadv.aax0938] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Accepted: 12/13/2019] [Indexed: 05/05/2023]
Abstract
Bone structure and function are maintained by well-regulated bone metabolism and remodeling. Although the underlying molecular and cellular mechanisms are now being understood, physiological and pathological states of bone are still difficult to predict due to the complexity of intercellular signaling. We have now developed a novel in silico experimental platform, V-Bone, to integratively explore bone remodeling by linking complex microscopic molecular/cellular interactions to macroscopic tissue/organ adaptations. Mechano-biochemical couplings modeled in V-Bone relate bone adaptation to mechanical loading and reproduce metabolic bone diseases such as osteoporosis and osteopetrosis. V-Bone also enables in silico perturbation on a specific signaling molecule to observe bone metabolic dynamics over time. We also demonstrate that this platform provides a powerful way to predict in silico therapeutic effects of drugs against metabolic bone diseases. We anticipate that these in silico experiments will substantially accelerate research into bone metabolism and remodeling.
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Affiliation(s)
- Y. Kameo
- Department of Biosystems Science, Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto, Japan
- Department of Micro Engineering, Graduate School of Engineering, Kyoto University, Kyoto, Japan
- Department of Mammalian Regulatory Network, Graduate School of Biostudies, Kyoto University, Kyoto, Japan
| | - Y. Miya
- Department of Micro Engineering, Graduate School of Engineering, Kyoto University, Kyoto, Japan
| | - M. Hayashi
- Department of Cell Signaling, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - T. Nakashima
- Department of Cell Signaling, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
- Core Research for Evolutional Science and Technology, Japan Agency for Medical Research and Development, Tokyo, Japan
| | - T. Adachi
- Department of Biosystems Science, Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto, Japan
- Department of Micro Engineering, Graduate School of Engineering, Kyoto University, Kyoto, Japan
- Department of Mammalian Regulatory Network, Graduate School of Biostudies, Kyoto University, Kyoto, Japan
- Core Research for Evolutional Science and Technology, Japan Agency for Medical Research and Development, Tokyo, Japan
- Corresponding author.
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22
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Ida H, Adachi T, Kawamoto T, Watanabe Y, Endo T, Shinke T, Sagara H. A case of excessive daytime sleepiness without sleep Apnea in obese boy with Prader-Willi syndrome. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.457] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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23
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Sato A, Satoh Y, Endo S, Kimura T, Osaki A, Horii S, Ito K, Kagami K, Namba T, Adachi T. P737Endothelial ERK2/thromboxane receptor pathway induces endothelial dysfunction, insulin resistance and steatohepatosis through superoxide with high fat high sucrose diet. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0341] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Metabolic syndrome (MetS) is well known as the risk of cardiovascular diseases associated with endothelial dysfunction and induces steatohepatosis. Insulin resistance is a major character of MetS, which affects intracellular signaling pathways and endothelial function. Extracellular signal-regulated kinase (ERK) is a major component of insulin signal and many of vasoactive peptides, which were released in MetS, can activate it in endothelium. However, the role of endothelial ERK in nitric oxide (NO) bioactivity in MetS in in vivo has been unknown.
Purpose
The aim of this study is to clarify the role of endothelial ERK2 on NO bioactivity in mice model of MetS.
Methods and results
We created endothelial specific ERK2 knock out mice (EE2KO) crossing Tie2-Cre mice and ERK2 flox mice and fed them with normal or high-fat/high-sucrose diet (HFHSD) for 24 weeks. Serum glucose and insulin levels and HOMA-IR were lowered in EE2KO with HFHSD without changing body weight. In wild type mice (WT) with HFHSD, nonalcoholic fatty liver disease (NAFLD) activity score, fibrosis score and serum ALT level were increased, all of which were blunted in EE2KO. EE2KO with HFHSD lowered systolic blood pressure (WT: 123.7±5.83 mmHg, EE2KO: 101.4±3.66 mmHg, P<0.01, N=8) without changing heart rate, which was increased to the same levels with L-NAME, an endothelial NO synthase inhibitor, in both groups. Serum NO levels measured with serum nitrite/nitrate concentrations were increased in EE2KO with HFHSD (WT: 23.10±3.74 μmol/l, EE2KO: 41.71±6.73 μmol/l, P<0.05, N=12). Endothelial function was assessed with the isometric tension measurement of aortic rings with acetylcholine (ACh). ACh-induced relaxation was improved in EE2KO with HFHSD. Superoxide production of aorta from EE2KO was lowered than WT with HFHSD in dihydroethidium (DHE) staining. S18886, an antagonist of the thromboxane A2-prostanoid (TP) receptor, decreased superoxide production of aorta in DHE staining resulting in improving endothelial function in the isometric tension measurement of aortic rings. Oral administrations of S18886 decreased systolic blood pressure, serum fasting glucose and insulin levels, and surprisingly improved steatohepatosis by decreasing NAFLD activity score and fibrosis score.
Relaxation of aortic rings with ACh
Conclusions
Endothelial ERK2/TP receptor pathway increases superoxide production and decreased NO bioactivity, resulting in deteriorating endothelial function, insulin resistance and steatohepatosis, which were improved by antagonist of the TP receptor in mice model of MetS. The present study indicates that ERK2/TP pathway could be a therapeutic target for complications of MetS.
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Affiliation(s)
- A Sato
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
| | - Y Satoh
- National Defense Medical College, Pharmacology, Tokorozawa, Japan
| | - S Endo
- Tokyo Metropolitan Geriatric Hospital, Aging Neuroscience Research Team, Tokyo, Japan
| | - T Kimura
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
| | - A Osaki
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
| | - S Horii
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
| | - K Ito
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
| | - K Kagami
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
| | - T Namba
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
| | - T Adachi
- National Defense Medical College, Cardiovascular Medicine, Tokorozawa, Japan
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Tashiro H, Tanaka A, Ishii H, Motomura N, Arai K, Adachi T, Okajima T, Hitora Y, Hayashi M, Furusawa K, Imai H, Ogawa Y, Kawaguchi K, Murohara T. P4601Reduced exercise capacity and clinical outcomes following acute myocardial infarction. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0985] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Reduced exercise capacity is known to be an important predictor of poor prognosis and disability in patients with cardiovascular diseases and chronic heart failure, and even members of the general population. However, data about exercise capacity assessed by cardiopulmonary exercise testing (CPX) in acute myocardial infarction (AMI) patients who underwent primary percutaneous coronary intervention (PCI) is scarce. The purpose of this study is to assess the associated factors and clinical influence of exercise capacity measured by CPX in AMI patients.
Methods
Among 594 consecutive AMI patients who underwent primary PCI, we examined 136 patients (85.3% men, 64.9±11.9 years) who underwent CPX during hospitalization for AMI. CPX was usually performed five days after the onset of AMI. Reduced exercise capacity was defined as peak oxygen consumption (peak VO2) ≤12. Clinical outcomes including all-cause death, myocardial infarction, and hospitalization due to heart failure were followed.
Results
Among 136 patients, reduced exercise capacity (peak VO2 ≤12) was seen in 38 patients (28%). Patients with reduced exercise capacity were older, more likely to have hypertension, and had lower renal function. In echocardiography, patients with reduced exercise capacity had higher E/e' and larger left atria. Median follow-up term was 12 months (interquartile range: 9–22). The occurrence of composite endpoints of all-cause death, myocardial infarction, and hospitalization due to heart failure was significantly higher in patients with peak VO2≤12 than those with peak VO2>12 (p<0.001). Multivariate logistic analysis showed that E/e' (Odds ratio, 1.19, 95%, confidence interval 1.09 to 1.31, p<0.001) was an independent predictor of reduced exercise capacity (peak VO2≤12).
Cumulative incidence of clinical events
Conclusion
Diastolic dysfunction is associated with reduced exercise capacity following successful primary PCI in AMI patients and may lead to poorer clinical outcomes.
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Affiliation(s)
- H Tashiro
- Nagoya University Hospital, Cardiology, Nagoya, Japan
| | - A Tanaka
- Nagoya University Hospital, Cardiology, Nagoya, Japan
| | - H Ishii
- Nagoya University Hospital, Cardiology, Nagoya, Japan
| | - N Motomura
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - K Arai
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - T Adachi
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - T Okajima
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - Y Hitora
- Nagoya University Hospital, Cardiology, Nagoya, Japan
| | - M Hayashi
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - K Furusawa
- Nagoya University Hospital, Cardiology, Nagoya, Japan
| | - H Imai
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - Y Ogawa
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - K Kawaguchi
- Komaki City Hospital, Cardiology, Komaki, Japan
| | - T Murohara
- Nagoya University Hospital, Cardiology, Nagoya, Japan
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25
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Adachi T, Iwatsu K, Kamisaka K, Iida Y, Yamada S. P6322Trajectories of functional limitations during 14 months after discharge among patients with heart failure: a multicenter cohort study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0919] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Severity of functional limitations (FLs) has been considered as a prognostic factor in patients with heart failure (HF). However, trajectory patterns of FLs after discharge and their associated factors have remained unclear.
Purpose
This study aimed to explore trajectories of FLs after discharge and to examine clinical characteristics based on the identified trajectories.
Methods
This study was performed as a part of a multicenter cohort study. The cohort study enrolled hospitalized patients due to acute HF or exacerbation of chronic HF and who were able to walk at discharge. Patients with severe cognitive or psychological disorders or less than 6-month life expectancy were excluded. FLs were assessed using Performance Measure for Activities of Daily Living-8 (PMADL-8; higher scores indicate worse FLs) at discharge and 1-, 6-, 10- and 14-month after discharge. To identify FLs trajectories getting worse after discharge, we excluded patients already having severe FLs at discharge (PMADL-8 ≥21, a cut off value for predicting poor prognosis). Group-based trajectory modeling (GBTM) was conducted to identify distinct PMADL-8 trajectories. Then, associated factors of trajectory group that showed increasing FLs after discharge were examined using logistic regression analysis adjusted for potential confounders.
Results
A total of 953 patients were included in the analysis (age: 70.6±11.8 years, men: 70.9%, left ventricular ejection fraction <40%: 41.3%). GBTM identified four PMADL-8 trajectories: two separate trajectories where PMADL-8 remained low (T1: 14.1%, T2: 31.3%), mildly increasing PMADL-8 trajectory (T3: 41.0%) and rapidly increasing PMADL-8 trajectory (T4: 13.6%) (Figure). Logistic regression analysis showed that age (odds ratio 1.05, per 1 year; 95% confidence interval 1.02–1.07), women (2.12; 1.31–3.45), brain natriuretic peptide ≥200 pg/mL (1.88; 1.10–3.21), estimated glomerular filtration rate <30 mL/min/1.73m2 (2.50; 1.41–4.41), depression (2.34; 1.44–3.80), and re-hospitalization due to HF during 1-year follow-up (2.85; 1.56–5.21) were independent associated factors of T4 group.
Figure 1. Trajectories of PMADL-8
Conclusions
The high-risk population for increasing FLs after discharge was identified by GBTM. The findings of this study suggest the importance of long-term HF management for preventing FLs after discharge especially among those with older age, female gender and depression.
Acknowledgement/Funding
This work was supported by a Grant-in-Aid for Scientific Research (A) from the Japan Society for the Promotion of Science [16H01862].
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Affiliation(s)
- T Adachi
- Nagoya University Graduate School of Medicine, Department of Health Sciences, Nagoya, Japan
| | - K Iwatsu
- Hirakata Kohsai Hospital, Department of Rehabilitation, Hirakata, Japan
| | - K Kamisaka
- Kitano Hospital, Rehabilitation Center, Osaka, Japan
| | - Y Iida
- Kainan Hospital, Department of Rehabilitation, Yatomi, Japan
| | - S Yamada
- Nagoya University Graduate School of Medicine, Department of Health Sciences, Nagoya, Japan
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26
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Iwatsu K, Adachi T, Kamisaka K, Iida Y, Yamada S. 296Clinical benefit of assessing cognitive function in frail patients with heart failure: a multicenter prospective cohort study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0093] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Cognitive decline is highly prevalent in patients with heart failure (HF) and increases the risk of hospital readmission or mortality due to poor self-care ability. Although cognitive decline often coexists with physical frailty (PF) in HF, the clinical utility of combined assessment of both cognitive function and PF remains unclear.
Purpose
The aim of this study was to examine the prognostic value of assessing cognitive function and PF in patients with HF.
Methods
This prospective study was performed as a multicenter cohort study in Japan (FLAGSHIP). We enrolled 1611 patients admitted for acute HF or exacerbation of chronic HF and who were able to walk at discharge. Patients with severe dementia [Mini-Mental State Examination (MMSE) scores <18], severe psychological disorders or less than 6-month life expectancy were excluded. From data at discharge, we collected data on cognitive function, PF, age, gender, New York Heart Association class, left ventricular ejection fraction, brain natriuretic peptide, estimate glomerular filtration rate, hemoglobin, depression (5-item geriatric depression scale ≥2) and comorbidities, including atrial fibrillation, diabetes mellitus, stroke, and hyponatremia. PF was defined as ≥2 of the followings based on our previous publication: usual walking speed <0.8 m/s; grip strength <26 kg (men) or <17 kg (women); Performance Measure of Activity in Daily Living-8 ≥21; body mass index <20 kg/m2. Cognitive function was assessed by MMSE. We selected the optimal cutoff point of MMSE that predict a worse outcome by the receiver operating characteristic (ROC) curve analysis. Study outcome was a composite outcome of rehospitalization for worsening HF or all-cause mortality within 2 years after discharge. We used Cox proportional-hazard models to examine the association between the presence of cognitive decline and PF and 2-years prognosis, controlling for potential confound factors.
Results
A total of 507 events (31.5%) were observed (400 HF rehospitalization, 27 cardiac death, 80 non-cardiac death). The optimal cutoff point of MMSE was 28 (the area under the ROC curve: 0.58, p<0.01, sensitivity: 71.0%, specificity: 41.0%). There was a significant difference in event-free survival across the groups stratified by cognitive decline (MMSE <28) and PF (Figure). After adjusting for all variables, coexistence of both cognitive decline and PF was independently associated with 2-years prognosis (hazard ratio: 1.52, 95% confidence interval: 1.19–1.94).
Conclusion
Our data shows that even a slight decline in cognitive function leads to an increased risk of death or HF rehospitalization in frail patients with HF. Combined assessment both cognitive function and PF improves risk stratification for readmission and mortality in patients with HF.
Acknowledgement/Funding
This work was supported by a Grant-in-Aid for Scientific Research (A) from the Japan Society for the Promotion of Science [16H01862].
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Affiliation(s)
- K Iwatsu
- Hirakata Kohsai Hospital, Department of Rehabilitation, Hirakata, Japan
| | - T Adachi
- Nagoya University Graduate School of Medicine, Department of Health Sciences, Nagoya, Japan
| | - K Kamisaka
- Kitano Hospital, Department of Rehabilitation, Osaka, Japan
| | - Y Iida
- Kainan Hospital, Department of Rehabilitation, Yatomi, Japan
| | - S Yamada
- Nagoya University Graduate School of Medicine, Department of Health Sciences, Nagoya, Japan
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27
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Adachi T, Hori M, Ishimaru Y, Fujii N, Kondo T, Yamada S. Preferences for health information in middle-aged Japanese workers based on health literacy levels: a descriptive study. Public Health 2019; 174:18-21. [PMID: 31301551 DOI: 10.1016/j.puhe.2019.05.036] [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] [Received: 07/28/2018] [Revised: 04/13/2019] [Accepted: 05/30/2019] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To describe the health information preferences in middle-aged Japanese workers based on health literacy (HL) levels and presence of medications. STUDY DESIGN A cross-sectional study. METHODS We performed a web-based questionnaire survey with Japanese workers aged below 60 years. HL was assessed using the total score of communicative skills (five items) and critical skills (four items) from the 14-item Health Literacy Scale. Regarding their health information preferences, participants were asked about the health information they wanted (four items), could easily understand (six items), or easily use (two items) and answered on a 4-point scale (strongly agree/agree/disagree/strongly disagree). The percentages of the affirmative responses (strongly agree or agree) were compared among tertiles based on the HL score. RESULTS We obtained data from a total of 3387 volunteers, of whom 510 participants were on either antihypertensive, lipid-lowering, or antidiabetic drugs. Compared with the high HL and middle HL groups, low HL had fewer affirmative responses to most health information items. Health information items received 70% of affirmative responses even in the low HL level. They were visually shown by figures or pictures, highlighted by colors for important points, could be read in 1-2 min, and were accessed on the Internet, regardless of the presence of medications. Additionally, the explanation for mechanisms of medications or lifestyle to prevent or improve diseases showed high affinity in all HL levels, only for those on medications. CONCLUSIONS This result generates a hypothesis that low HL individuals have a low interest in health information. Our data showed several possible forms of health information with high affinity based on HL levels that would help plan future population approaches.
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Affiliation(s)
- T Adachi
- Program in Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan
| | - M Hori
- Program in Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan
| | - Y Ishimaru
- Program in Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan
| | - N Fujii
- Department of Physical Therapy, School of Health Sciences, Nagoya University, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan
| | - T Kondo
- Department of Radiological and Medical Laboratory Sciences, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan
| | - S Yamada
- Department of Health Sciences, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan.
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28
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Okuda S, Takata N, Hasegawa Y, Kawada M, Inoue Y, Adachi T, Sasai Y, Eiraku M. Strain-triggered mechanical feedback in self-organizing optic-cup morphogenesis. Sci Adv 2018; 4:eaau1354. [PMID: 30474058 PMCID: PMC6248953 DOI: 10.1126/sciadv.aau1354] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Accepted: 10/19/2018] [Indexed: 05/27/2023]
Abstract
Organogenesis is a self-organizing process of multiple cells in three-dimensional (3D) space, where macroscopic tissue deformations are robustly regulated by multicellular autonomy. It is clear that this robust regulation requires cells to sense and modulate 3D tissue formation across different scales, but its underlying mechanisms are still unclear. To address this question, we developed a versatile computational model of 3D multicellular dynamics at single-cell resolution and combined it with the 3D culture system of pluripotent stem cell-derived optic-cup organoid. The complementary approach enabled quantitative prediction of morphogenesis and its corresponding verification and elucidated that the macroscopic 3D tissue deformation is fed back to individual cellular force generations via mechanosensing. We hereby conclude that mechanical force plays a key role as a feedback regulator to establish the robustness of organogenesis.
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Affiliation(s)
- S. Okuda
- RIKEN Center for Developmental Biology, Kobe 650-0047, Japan
- PRESTO, Japan Science and Technology Agency, Kawaguchi 332-0012, Japan
- Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto 606-8507, Japan
| | - N. Takata
- RIKEN Center for Developmental Biology, Kobe 650-0047, Japan
| | - Y. Hasegawa
- RIKEN Center for Developmental Biology, Kobe 650-0047, Japan
| | - M. Kawada
- RIKEN Center for Developmental Biology, Kobe 650-0047, Japan
| | - Y. Inoue
- Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto 606-8507, Japan
| | - T. Adachi
- Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto 606-8507, Japan
| | - Y. Sasai
- Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto 606-8507, Japan
| | - M. Eiraku
- RIKEN Center for Developmental Biology, Kobe 650-0047, Japan
- Institute for Frontier Life and Medical Sciences, Kyoto University, Kyoto 606-8507, Japan
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29
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Ito K, Yada H, Horii S, Osaki A, Sato A, Kimura T, Yasuda R, Toya T, Shiraishi Y, Nanba T, Nagatomo Y, Masaki N, Ido Y, Takase B, Adachi T. P2832SERCA2 C674S heterozygote knock-in mice with angiotensin II infusion leads to QT prolongation and lethal ventricular arrhythmia due to impaired sarcoplasmic reticulum Ca2+ handling. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2832] [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)
- K Ito
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - H Yada
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - S Horii
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - A Osaki
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - A Sato
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - T Kimura
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - R Yasuda
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - T Toya
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - Y Shiraishi
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - T Nanba
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - Y Nagatomo
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - N Masaki
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - Y Ido
- National Defense Medical College, Cardiology, Tokorozawa, Japan
| | - B Takase
- National Defence Medical College, Intensive Care Medicine, Tokorozawa, Japan
| | - T Adachi
- National Defense Medical College, Cardiology, Tokorozawa, Japan
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30
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Yamada S, Adachi T, Iwatsu K, Fujita R, Kamisaka K, Nakane E, Sakui D, Kawamura I, Shibata K, Ehara M, Ohtake H, Shimozato T, Iritani N, Terashima M. P3197Frailty predicts short-term heart failure re-hospitalization independently from other known prognostic indicators in patients with heart failure: a multicenter prospective cohort study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3197] [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 Yamada
- Nagoya University Graduate School of Medicine, Department of Health Sciences, Nagoya, Japan
| | - T Adachi
- Nagoya University Graduate School of Medicine, Department of Rehabilitation Science, Nagoya, Japan
| | - K Iwatsu
- Hirakata Kohsai Hospital, Department of Rehabilitation, Hirakata, Japan
| | - R Fujita
- Hirakata Kohsai Hospital, Department of Cardiology, Hirakata, Japan
| | - K Kamisaka
- Kitano Hospital, Rehabilitation Center, Osaka, Japan
| | - E Nakane
- Kitano Hospital, Cardiovascular Center, Osaka, Japan
| | - D Sakui
- Gifu Heart Center, Department of Rehabilitation, Gifu, Japan
| | - I Kawamura
- Gifu Heart Center, Department of Cardiology, Gifu, Japan
| | - K Shibata
- Nagoya Heart Center, Department of Rehabilitation, Nagoya, Japan
| | - M Ehara
- Nagoya Heart Center, Department of Cardiology, Nagoya, Japan
| | - H Ohtake
- Nagoya Tokushukai General Hospital, Department of Rehabilitation, Kasugai, Japan
| | - T Shimozato
- Nagoya Tokushukai General Hospital, Department of Cardiology, Kasugai, Japan
| | - N Iritani
- Toyohashi Heart Center, Department of Rehabilitation, Toyohashi, Japan
| | - M Terashima
- Toyohashi Heart Center, Department of Cardiology, Toyohashi, Japan
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31
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Adachi T, Abe T, Mizuno T, Iida Y, Yamada T, Uchiyama S, Nishi M, Nagao T, Sakamoto K, Ito T, Fujimoto N, Kobayashi K, Okumura T, Yamada S. P3196Anorexia coexisted in frailty predicts 1-year prognosis in patients with heart failure: a multicenter prospective cohort study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3196] [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: 11/12/2022] Open
Affiliation(s)
- T Adachi
- Nagoya University Graduate School of Medicine, Department of Rehabilitation, Nagoya, Japan
| | - T Abe
- Aichi Medical University Hospital, Department of Rehabilitation, Nagakute, Japan
| | - T Mizuno
- Aichi Medical University Hospital, Department of Cardiology, Nagakute, Japan
| | - Y Iida
- Kainan Hospital, Department of Rehabilitation, Yatomi, Japan
| | - T Yamada
- Kainan Hospital, Department of Cardiology, Yatomi, Japan
| | - S Uchiyama
- New Tokyo hospital, Department of Rehabilitation, Matsudo, Japan
| | - M Nishi
- New Tokyo hospital, Department of Rehabilitation, Matsudo, Japan
| | - T Nagao
- Hoshi General Hospital, Department of Rehabilitation, Koriyama, Japan
| | - K Sakamoto
- Hoshi General Hospital, Department of Cardiology, Koriyama, Japan
| | - T Ito
- Mie University Hospital, Department of Rehabilitation, Tsu, Japan
| | - N Fujimoto
- Mie University Graduate School of Medicine, Department of Cardiology, Tsu, Japan
| | - K Kobayashi
- Nagoya University Hospital, Department of Rehabilitation, Nagoya, Japan
| | - T Okumura
- Nagoya University Hospital, Department of Cardiology, Nagoya, Japan
| | - S Yamada
- Nagoya University, Department of Health Sciences, Nagoya, Japan
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32
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Adachi T, Sato A, Kuroki K, Hiraya D, Machino T, Nogami A, Aonuma K. P4230Audiovisual telementoring system for cardiovascular catheter intervention. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4230] [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)
- T Adachi
- Kamisu Saiseikai Hospital, Internal Medicine, Kamisu, Japan
| | - A Sato
- University of Tsukuba, Graduate School of Comprehensive Human Sciences, Division of Cardiovascular, Tsukuba, Japan
| | - K Kuroki
- University of Tsukuba, Graduate School of Comprehensive Human Sciences, Division of Cardiovascular, Tsukuba, Japan
| | - D Hiraya
- University of Tsukuba, Graduate School of Comprehensive Human Sciences, Division of Cardiovascular, Tsukuba, Japan
| | - T Machino
- University of Tsukuba, Graduate School of Comprehensive Human Sciences, Division of Cardiovascular, Tsukuba, Japan
| | - A Nogami
- University of Tsukuba, Graduate School of Comprehensive Human Sciences, Division of Cardiovascular, Tsukuba, Japan
| | - K Aonuma
- University of Tsukuba, Graduate School of Comprehensive Human Sciences, Division of Cardiovascular, Tsukuba, Japan
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33
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Onuki T, Gokan T, Nakamura Y, Okada N, Chiba Y, Kawasaki S, Onishi Y, Munetsugu Y, Ito H, Shoji M, Watanabe N, Minoura Y, Adachi T, Kawamura M, Kobayashi Y. P4833Risk predictors of supraventricular tachycardia and bradycardia necessitating therapy in patients with unexplained syncope receiving implantable loop recorder. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4833] [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: 11/12/2022] Open
Affiliation(s)
- T Onuki
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - T Gokan
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - Y Nakamura
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - N Okada
- Showa University Hospital, Department of hospital pharmaceutics, Tokyo, Japan
| | - Y Chiba
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - S Kawasaki
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - Y Onishi
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - Y Munetsugu
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - H Ito
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - M Shoji
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - N Watanabe
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - Y Minoura
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - T Adachi
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - M Kawamura
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
| | - Y Kobayashi
- Showa University Hospital, Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
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Adachi T, Imanishi N, Umehara S, Izumida Y, Matsumoto N, Kosaki K, Matsubara Y, Mizusawa H, Suematsu M. 744 Japans initiative on rare and undiagnosed diseases patients: To bring their diagnostic odyssey to an end, and beyond. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.754] [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: 11/28/2022]
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Yamagami S, Adachi T, Sugimura T, Wada S, Kishimoto T, Maekawa M, Yoshimura R, Niwa M, Terano Y, Shaldon S. Detection of Endotoxin Antibody in Long-Term Dialysis Patients. Int J Artif Organs 2018. [DOI: 10.1177/039139889001300403] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [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
Endotoxins are often seen in dialysate. They are derived from Gram-negative bacteria especially Pseudomonas, E. coli and Serratia. Endotoxins are large-molecular-weight substances with an average molecular weight of 108. These large units can be divided into subunits down to a molecular weight of 10,000 which are thought to pass through dialyzer membranes. To investigate this, endotoxin antibody levels were measured in two groups of patients on chronic regular hemodialysis, a low-flux group using cellulosic membrane dialyzers (cuprophanR and cuproammonium rayon (CAR) and a high-flux group using synthetic polymer membrane dialyzers (PMMA, EVAL). Using an ELISA based on standard endotoxin antibodies the percentages of patients in the low flux group with endotoxin antibodies were 26.9% with Cuprophan and 25% with CAR, not significantly different from a normal control group. In the PMMA and EVAL groups, it was 53.6% and 68.4% respectively. Back filtration of dialysate into blood is understood as the main reason for the entry of endotoxin in patients treated with high-flux dialyzers
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Affiliation(s)
- S. Yamagami
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - T. Adachi
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - T. Sugimura
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - S. Wada
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - T. Kishimoto
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - M. Maekawa
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - R. Yoshimura
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - M. Niwa
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - Y. Terano
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
| | - S. Shaldon
- Osaka City University Medical School, Osaka - Japan
- University Hospital Nimes, Montpellier- France
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Kobayashi K, Morita M, Ito S, Inoue Y, Yamaguchi I, Kosaka T, Kuba S, Sakimura C, Soyama A, Adachi T, Ohno S, Kobayashi S, Hara T, Hidaka M, Hayashida N, Yamanouchi K, Kanetaka K, Takatsuki M, Eguchi S. S-1 and CPT-11 plus ramucirumab (IRIS+Rmab) as second-line chemotherapy for patients with oxaliplatin-refractory metastatic colorectal cancer: A multicenter phase II study in Japan (N-DOCC-F-C-1701). Ann Oncol 2017. [DOI: 10.1093/annonc/mdx659.049] [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: 11/13/2022] Open
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Adachi T. Profile of risk factors and prognosis of branch atheromatous disease, compared with atherothrombotic and lacunar infarction. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.3315] [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: 11/29/2022]
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Arakawa C, Adachi T, Hoshino H, Fukatani J, Takagi M. The current status of prescriptions of memantine and herbal medicines for behavioral and psychological symptoms of Alzheimer’s disease. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.895] [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: 11/15/2022]
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Watanabe N, Nakamura Y, Ogawa K, Inokuchi K, Ochi A, Oonuma M, Itou H, Onuki T, Minoura Y, Adachi T, Kawamura M, Kobayashi Y. P1391Creation of firm lines made by left atrial voltage map and pace and ablate after atrial fibrillation ablation decreased recurrence of atrial fibrillation in persistent atrial fibrillation patients. Europace 2017. [DOI: 10.1093/ehjci/eux158.019] [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: 11/15/2022] Open
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Kuroki K, Adachi T, Hanaoka D, Ieki R, Yamagami F, Machino T, Yamasaki H, Xu D, Murakoshi N, Sekiguchi Y, Kuga K, Nogami A, Aonuma K. P1055The aortic dissection and cardiac tamponade caused by catheter manipulation in the left coronary cusp. Europace 2017. [DOI: 10.1093/ehjci/eux151.234] [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: 11/14/2022] Open
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Yoshizawa R, Kuroki K, Hashimoto N, Yamagami F, Shinoda Y, Hattori A, Masuda K, Adachi T, Komatsu Y, Machino T, Yamasaki H, Sekiguchi Y, Nogami A, Yamaguchi I, Aonuma K. P1441The characteristics of superior vena cava isolation, which is useful to avoid procedural complications: the findings obtained from high- resolution substrate mapping. Europace 2017. [DOI: 10.1093/ehjci/eux158.068] [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: 11/15/2022] Open
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Adachi T, Nakanishi T, Yumoto H, Hirao K, Takahashi K, Mukai K, Nakae H, Matsuo T. Caries-related Bacteria and Cytokines Induce CXCL10 in Dental Pulp. J Dent Res 2016; 86:1217-22. [DOI: 10.1177/154405910708601215] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Marked infiltration of inflammatory cells, such as activated T-cells, is observed in the progression of pulpitis; however, little is known about the mechanism of their recruitment into pulpal lesions. It has been recently demonstrated that CXC chemokine ligand 10 (CXCL10) chemoattracts CXC chemokine receptor 3 (CXCR3)-positive activated T-cells. We therefore examined whether CXCL10 is involved in the pathogenesis of pulpitis. CXCL10 mRNA expression levels in clinically inflamed dental pulp were higher than those in healthy dental pulp. Immunostaining results revealed that CXCL10 was detected in macrophages, endothelial cells, and fibroblasts in inflamed dental pulp, and that CXCR3 expression was observed mainly on T-cells. Moreover, cultured dental pulp fibroblasts produced CXCL10 after stimulation with live caries-related bacteria, peptidoglycans, and pro-inflammatory cytokines. In contrast, heat-killed bacteria did not induce CXCL10 secretion. These findings suggest that CXCL10-CXCR3 may play an important role in the pulpal immune response to caries-related bacterial invasion. Abbreviations: CXCL10, CXC chemokine ligand 10; CXCR3, CXC chemokine receptor 3; IFN, interferon; FBS, fetal bovine serum; LTA, lipoteichoic acid; PGN, peptidoglycan; IL, interleukin; TNF, tumor necrosis factor; PBS, phosphate-buffered saline; ELISA, enzyme-linked immunosorbent assay; CCL, C-C chemokine ligand; TLR, Toll-like receptor; NOD, nucleotide oligomerization domain; HDPF, human dental pulp fibroblasts.
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Affiliation(s)
- T. Adachi
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
| | - T. Nakanishi
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
| | - H. Yumoto
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
| | - K. Hirao
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
| | - K. Takahashi
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
| | - K. Mukai
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
| | - H. Nakae
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
| | - T. Matsuo
- Department of Conservative Dentistry, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8504, Japan
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Iida T, Adachi T, Nakagaki S, Yabana T, Goto A, Kondo Y, Watanabe Y, Kasai K. EDUCATION AND IMAGING. Gastrointestinal: Needle tract implantation after endoscopic ultrasound-guided fine-needle aspiration of a pancreatic adenocarcinoma. J Gastroenterol Hepatol 2016; 31:285. [PMID: 26510538 DOI: 10.1111/jgh.13209] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Accepted: 10/16/2015] [Indexed: 12/29/2022]
Affiliation(s)
- T Iida
- Department of Gastroenterology, Otaru General Hospital, Otaru, Japan.
| | - T Adachi
- Department of Gastroenterology, Otaru General Hospital, Otaru, Japan
| | - S Nakagaki
- Department of Gastroenterology, Otaru General Hospital, Otaru, Japan
| | - T Yabana
- Department of Gastroenterology, Otaru General Hospital, Otaru, Japan
| | - A Goto
- Department of Gastroenterology, Otaru General Hospital, Otaru, Japan
| | - Y Kondo
- Department of Gastroenterology, Otaru General Hospital, Otaru, Japan
| | - Y Watanabe
- Department of Surgery, Otaru General Hospital, Otaru, Japan
| | - K Kasai
- Department of Diagnostic Pathology, Otaru General Hospital, Otaru, Japan
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Soyama A, Takatsuki M, Hidaka M, Adachi T, Kitasato A, Kinoshita A, Natsuda K, Baimakhanov Z, Kuroki T, Eguchi S. Hybrid procedure in living donor liver transplantation. Transplant Proc 2015; 47:679-82. [PMID: 25891710 DOI: 10.1016/j.transproceed.2015.02.016] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2014] [Revised: 02/15/2015] [Accepted: 02/25/2015] [Indexed: 01/07/2023]
Abstract
BACKGROUND We have previously reported a hybrid procedure that uses a combination of laparoscopic mobilization of the liver and subsequent hepatectomy under direct vision in living donor liver transplantation (LDLT). We present the details of this hybrid procedure and the outcomes of the procedure. METHODS Between January 1997 and August 2014, 204 LDLTs were performed at Nagasaki University Hospital. Among them, 67 recent donors underwent hybrid donor hepatectomy. Forty-one donors underwent left hemihepatectomy, 25 underwent right hemihepatectomy, and 1 underwent posterior sectionectomy. First, an 8-cm subxiphoid midline incision was made; laparoscopic mobilization of the liver was then achieved with a hand-assist through the midline incision under the pneumoperitoneum. Thereafter, the incision was extended up to 12 cm for the right lobe and posterior sector graft and 10 cm left lobe graft procurement. Under direct vision, parenchymal transection was performed by means of the liver-hanging maneuver. The hybrid procedure for LDLT recipients was indicated only for selected cases with atrophic liver cirrhosis without a history of upper abdominal surgery, significant retroperitoneal collateral vessels, or hypertrophic change of the liver (n = 29). For total hepatectomy and splenectomy, the midline incision was sufficiently extended. RESULTS All of the hybrid donor hepatectomies were completed without an extra subcostal incision. No significant differences were observed in the blood loss or length of the operation compared with conventional open procedures. All of the donors have returned to their preoperative activity level, with fewer wound-related complaints compared with those treated with the use of the conventional open procedure. In recipients treated with the hybrid procedure, no clinically relevant drawbacks were observed compared with the recipients treated with a regular Mercedes-Benz-type incision. CONCLUSIONS Our hybrid procedure was safely conducted with the same quality as the conventional open procedure in both LDLT donors and recipients.
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Affiliation(s)
- A Soyama
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - M Takatsuki
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - M Hidaka
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - T Adachi
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - A Kitasato
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - A Kinoshita
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - K Natsuda
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Z Baimakhanov
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - T Kuroki
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - S Eguchi
- Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
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Ise M, Tanese K, Adachi T, Du W, Amagai M, Ohyama M. Postherpetic Wolf's isotopic response: possible contribution of resident memory T cells to the pathogenesis of lichenoid reaction. Br J Dermatol 2015; 173:1331-4. [PMID: 26114399 DOI: 10.1111/bjd.13968] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- M Ise
- Department of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
| | - K Tanese
- Department of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
| | - T Adachi
- Department of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
| | - W Du
- Department of Pathology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
| | - M Amagai
- Department of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
| | - M Ohyama
- Department of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan
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Koshinuma S, Inoue Y, Yamada S, Takamori S, Shibutani A, Adachi T, Murakami T, Higo T, Yokoe Y, Yamamoto G. A case of obstructive sleep apnea syndrome caused by a huge epidermoid cyst. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.646] [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: 11/17/2022]
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Adachi T, Kishihara Y, Okano H, Honzawa H, Hirayama M, Higashi H, Yasuda H, Minami Y, Hara S, Harada N, Katsumi A, Suzaki S. The utility of procalcitonin for the patients with infected pancreatic necrotic and pancreatic abscess. Intensive Care Med Exp 2015. [PMCID: PMC4796962 DOI: 10.1186/2197-425x-3-s1-a113] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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Maresh JL, Adachi T, Takahashi A, Naito Y, Crocker DE, Horning M, Williams TM, Costa DP. Summing the strokes: energy economy in northern elephant seals during large-scale foraging migrations. Mov Ecol 2015; 3:22. [PMID: 26380090 PMCID: PMC4570705 DOI: 10.1186/s40462-015-0049-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2015] [Accepted: 08/26/2015] [Indexed: 06/01/2023]
Abstract
BACKGROUND The energy requirements of free-ranging marine mammals are challenging to measure due to cryptic and far-ranging feeding habits, but are important to quantify given the potential impacts of high-level predators on ecosystems. Given their large body size and carnivorous lifestyle, we would predict that northern elephant seals (Mirounga angustirostris) have elevated field metabolic rates (FMRs) that require high prey intake rates, especially during pregnancy. Disturbance associated with climate change or human activity is predicted to further elevate energy requirements due to an increase in locomotor costs required to accommodate a reduction in prey or time available to forage. In this study, we determined the FMRs, total energy requirements, and energy budgets of adult, female northern elephant seals. We also examined the impact of increased locomotor costs on foraging success in this species. RESULTS Body size, time spent at sea and reproductive status strongly influenced FMR. During the short foraging migration, FMR averaged 90.1 (SE = 1.7) kJ kg(-1)d(-1) - only 36 % greater than predicted basal metabolic rate. During the long migration, when seals were pregnant, FMRs averaged 69.4 (±3.0) kJ kg(-1)d(-1) - values approaching those predicted to be necessary to support basal metabolism in mammals of this size. Low FMRs in pregnant seals were driven by hypometabolism coupled with a positive feedback loop between improving body condition and reduced flipper stroking frequency. In contrast, three additional seals carrying large, non-streamlined instrumentation saw a four-fold increase in energy partitioned toward locomotion, resulting in elevated FMRs and only half the mass gain of normally-swimming study animals. CONCLUSIONS These results highlight the importance of keeping locomotion costs low for successful foraging in this species. In preparation for lactation and two fasting periods with high demands on energy reserves, migrating elephant seals utilize an economical foraging strategy whereby energy savings from reduced locomotion costs are shuttled towards somatic growth and fetal gestation. Remarkably, the energy requirements of this species, particularly during pregnancy, are 70-80 % lower than expected for mammalian carnivores, approaching or even falling below values predicted to be necessary to support basal metabolism in mammals of this size.
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Affiliation(s)
- JL Maresh
- />University of California Center for Ocean Health/Long Marine Lab, 100 Shaffer Rd., Santa Cruz, CA 95060 USA
| | - T. Adachi
- />Department of Polar Science, Graduate University for Advanced Studies, Midoricho Tachikawa, Japan
| | - A. Takahashi
- />Department of Polar Science, Graduate University for Advanced Studies, Midoricho Tachikawa, Japan
- />National Institute of Polar Research, Midoricho Tachikawa, Japan
| | - Y. Naito
- />National Institute of Polar Research, Midoricho Tachikawa, Japan
| | - DE Crocker
- />Department of Biology, Sonoma State University, Rohnert Park, USA
| | - M. Horning
- />Department of Fisheries & Wildlife, Marine Mammal Institute, Oregon State University, Newport, USA
| | - TM Williams
- />Department of Ecology & Evolutionary Biology, University of California, Santa Cruz, USA
| | - DP Costa
- />Department of Ecology & Evolutionary Biology, University of California, Santa Cruz, USA
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Matsubara H, Tamii A, Nakada H, Adachi T, Carter J, Dozono M, Fujita H, Fujita K, Fujita Y, Hatanaka K, Horiuchi W, Itoh M, Kawabata T, Kuroita S, Maeda Y, Navrátil P, von Neumann-Cosel P, Neveling R, Okamura H, Popescu L, Poltoratska I, Richter A, Rubio B, Sakaguchi H, Sakaguchi S, Sakemi Y, Sasamoto Y, Shimbara Y, Shimizu Y, Smit FD, Suda K, Tameshige Y, Tokieda H, Yamada Y, Yosoi M, Zenihiro J. Nonquenched Isoscalar Spin-M1 Excitations in sd-Shell Nuclei. Phys Rev Lett 2015; 115:102501. [PMID: 26382672 DOI: 10.1103/physrevlett.115.102501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2014] [Indexed: 06/05/2023]
Abstract
Differential cross sections of isoscalar and isovector spin-M1 (0(+)→1(+)) transitions are measured using high-energy-resolution proton inelastic scattering at E(p)=295 MeV on (24)Mg, (28)Si, (32)S, and (36)Ar at 0°-14°. The squared spin-M1 nuclear transition matrix elements are deduced from the measured differential cross sections by applying empirically determined unit cross sections based on the assumption of isospin symmetry. The ratios of the squared nuclear matrix elements accumulated up to E(x)=16 MeV compared to a shell-model prediction are 1.01(9) for isoscalar and 0.61(6) for isovector spin-M1 transitions, respectively. Thus, no quenching is observed for isoscalar spin-M1 transitions, while the matrix elements for isovector spin-M1 transitions are quenched by an amount comparable with the analogous Gamow-Teller transitions on those target nuclei.
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Affiliation(s)
- H Matsubara
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - A Tamii
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - H Nakada
- Department of Physics, Chiba University, Inage, Chiba 263-8522, Japan
| | - T Adachi
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - J Carter
- School of Physics, University of the Witwatersrand, Johannesburg 2050, South Africa
| | - M Dozono
- Department of Physics, Kyushu University, Fukuoka 812-8581, Japan
| | - H Fujita
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - K Fujita
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - Y Fujita
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - K Hatanaka
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - W Horiuchi
- Department of Physics, Hokkaido University, Sapporo 060-0810, Japan
| | - M Itoh
- Cyclotron and Radioisotope Center (CYRIC), Tohoku University, Sendai, Miyagi 980-8578, Japan
| | - T Kawabata
- Center for Nuclear Study (CNS), University of Tokyo, Bunkyo, Tokyo 113-0033, Japan
| | - S Kuroita
- Department of Physics, Kyushu University, Fukuoka 812-8581, Japan
| | - Y Maeda
- Department of Applied Physics, Miyazaki University, Miyazaki 889-2192, Japan
| | - P Navrátil
- TRIUMF, 4004 Wesbrook Mall, Vancouver, British Columbia V6T 2A3, Canada
| | - P von Neumann-Cosel
- Institut für Kernphysik, Technische Universität Darmstadt, D-64289 Darmstadt, Germany
| | - R Neveling
- iThemba LABS, National Research Foundation, Somerset West 7129, South Africa
| | - H Okamura
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - L Popescu
- Vakgroep Subatomaire en Stralingsfysica, Universiteit Gent, B-9000 Gent, Belgium
| | - I Poltoratska
- Institut für Kernphysik, Technische Universität Darmstadt, D-64289 Darmstadt, Germany
| | - A Richter
- Institut für Kernphysik, Technische Universität Darmstadt, D-64289 Darmstadt, Germany
| | - B Rubio
- Instituto of Fisica Corpuscular, CSIC-University de Valencia, E-46071 Valencia, Spain
| | - H Sakaguchi
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - S Sakaguchi
- Center for Nuclear Study (CNS), University of Tokyo, Bunkyo, Tokyo 113-0033, Japan
| | - Y Sakemi
- Cyclotron and Radioisotope Center (CYRIC), Tohoku University, Sendai, Miyagi 980-8578, Japan
| | - Y Sasamoto
- Center for Nuclear Study (CNS), University of Tokyo, Bunkyo, Tokyo 113-0033, Japan
| | - Y Shimbara
- Graduate School of Science and Technology, Niigata University, Niigata 950-2102, Japan
| | - Y Shimizu
- Center for Nuclear Study (CNS), University of Tokyo, Bunkyo, Tokyo 113-0033, Japan
| | - F D Smit
- iThemba LABS, National Research Foundation, Somerset West 7129, South Africa
| | - K Suda
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - Y Tameshige
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - H Tokieda
- Center for Nuclear Study (CNS), University of Tokyo, Bunkyo, Tokyo 113-0033, Japan
| | - Y Yamada
- Department of Physics, Kyushu University, Fukuoka 812-8581, Japan
| | - M Yosoi
- Research Center for Nuclear Physics (RCNP), Osaka University, Ibaraki, Osaka 567-0047, Japan
| | - J Zenihiro
- Department of Physics, Kyoto University, Kyoto 606-8502, Japan
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Kinoshita N, Oguchi H, Kita A, Yoshioka C, Sasamoto K, Nishimoto Y, Adachi T, Shioura H, Kimura H. SU-E-T-204: Comparison of Absorbed-Dose to Water in High-Energy Photon Beams Based On Addendum AAPM TG-51, IAEA TRS-398, and JSMP 12. Med Phys 2015. [DOI: 10.1118/1.4924565] [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: 11/07/2022] Open
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