Hoshigaoka Kouseinenkin Hospital

Hirakata, Japan

Hoshigaoka Kouseinenkin Hospital

Hirakata, Japan
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Osaki S.,Ookuma Central Hospital | Ueta K.,Hoshigaoka Kouseinenkin Hospital | Ueta K.,Kio University | Chiyohara S.,Higashiikoma Hospital | And 3 more authors.
Rigakuryoho Kagaku | Year: 2014

[Purpose] The purpose of this study was to clarify the effect of differences in teaching method before the tasks. [Subjects] Subjects were 29 healthy adults. [Methods] The subjects practiced series reaction time tasks before performing the tasks. We divided the subjects into 4 groups: the intentional answer group was taught all of the rules before the tasks, the intentional hint group was taught parts of the rules, the incidental awareness group which recognize the rules by themselves, and the group which was not taught and did not recognize the rules. Fourteen blocks were performed on the first day, and 3 blocks of retention tasks and transfer tasks were performed on the second day. [Results] In the transfer tasks, there were no decreases in reaction times in both the incidental awareness and intentional hint groups. [Conclusion] We found that the most effective learning condition for development of motor learning is to teach the subjects parts of the rules and have them recognize the other rules by themselves.


Shiogai T.,Kyoto Takeda Hospital | Koyama M.,Kyoto Takeda Hospital | Yamamoto M.,Kyoto Takeda Hospital | Yoshikawa K.,Hoshigaoka Kouseinenkin Hospital | And 2 more authors.
Perspectives in Medicine | Year: 2012

We have introduced and improved a transducer holder, named the Sonopod, for transcranial color duplex sonography (TCDS) monitoring via both temporal/foraminal windows (TW/FW). The objective is to clarify clinical usefulness and identify problems in TCDS-Sonopod monitoring during the evaluation of brain tissue perfusion. © 2012 Elsevier GmbH. All rights reserved.


Nakase T.,Hoshigaoka Kouseinenkin Hospital
European Musculoskeletal Review | Year: 2011

Treatment of complex fractures of long bones is a challenging matter, often involving a large osseous defect difficult to reconstruct. The limitations of traditional bone grafts or bone graft substitutes have prompted the development and use of some new synthetic biomaterials; however, little information is available in terms of the use of synthetic bone graft substitute in difficult trauma cases. We have recently developed a fully interconnected porous hydroxyapatite (HA) ceramic (IP-CHA, NEO BON ®). In this context, various modalities of application of IP-CHA into the osseous defect in complex fracture cases have been summarised. Successful outcomes with IP-CHA promise the elimination of the need for autogenous bone grafting and support fracture union even in challenging trauma cases. © Touch Briefings 2011.


Nakanishi M.,Hoshigaoka Kouseinenkin Hospital | Okura N.,Hoshigaoka Kouseinenkin Hospital | Kashii T.,Hoshigaoka Kouseinenkin Hospital | Matsushita M.,Hoshigaoka Kouseinenkin Hospital | And 3 more authors.
Japanese Journal of Anesthesiology | Year: 2014

We experienced a case of scheduled cesarean section under spinal anesthesia in a patient with LAM which had been missed in spite of preoperative medical examination and consultation with specialists but discovered because of perioperative hypoxia A 35-year-old woman, Gravida 1 Para 0, with breech presentation was scheduled to undergo cesarean section under spinal anesthesia at 38 weeks of gestation. She had no history of asthma or abnormal findings at annual medical examination. She had suffered from dry cough and nocturnal dyspnea for 7 weeks and an inhaled bronchodilator was administered with diagnosis of inflammatory airway disease by her respiratory physicians. Spinal anesthesia was performed with bupivacaine 12.5 mg. At the beginning of anesthesia SpO2 was 97% in supine position, but it rapidly decreased to less than 90% and 3 l·min-1 oxygen was supplied with a facial mask. The anesthetic level was thoracal 4 bilaterally and her breathing was stable. The circulatory state, Apgar score and other vital signs were within normal ranges. Postoperative chest X-ray showed bilateral numerous grained spots and computed tomography scans showed multiple thin-walled cysts. The characteristic history and the fluoroscopic data gave her clinical diagnosis of LAM.


Yoshikawa K.,Hoshigaoka Kouseinenkin Hospital | Hatate J.,Hoshigaoka Kouseinenkin Hospital | Toratani N.,Hoshigaoka Kouseinenkin Hospital | Sugiura S.,Hoshigaoka Kouseinenkin Hospital | And 4 more authors.
Journal of the Neurological Sciences | Year: 2012

Introduction: Sjögren's syndrome (SS) is an autoimmune disorder involving the exocrine glands, which affects 1.9-3.0% of the elderly population. Approximately 20% of all patients with SS have CNS involvement, including dementia, as a result of angiitis. Aims: The aim of the study was to clarify the prevalence and impact of SS among patients in a memory clinic. Methods: This study prospectively recruited patients with cognitive dysfunction in a memory clinic from 2007 to 2010. In addition to the examinations for dementia, the patients' levels of anti-SSA and SSB antibodies were measured. Schirmer's test and/or a lip biopsy were added if required. SS was diagnosed based on the American European consensus criteria. Results: Out of 276 cases who completed the examinations, 265 (97/168 males/females, mean age: 77.9, median MMSE score: 23) did not demonstrated cognitive decline. Sixteen (6.3%) and seven (2.7%) patients were positive for anti-SS-A and SS-B antibodies, respectively. Twenty patients (7.5%) were diagnosed with primary SS (mean age: 77.2 years old, median MMSE: 21). Seven of these patients had previously been diagnosed with MCI (VCIND: 5, aMCI: 2), and 13 had been diagnosed with dementia. All had asymmetrical focal hypoperfusion on SPECT, and eighteen had subcortical lesions on MRI. Twelve were treated for dementia (median time: 2.1 years), and their MMSE significantly improved (median MMSE: 26, p = 0.0019), while the non-SS subjects' MMSE declined (n = 126, median: 22). Conclusion: The patients with SS accounted for 7.5% of those with a cognitive decline as determined at a memory clinic, and are characterized by subcortical white matter lesions and asymmetric hypoperfusion. © 2012 Elsevier B.V.


Yokoyama T.,Hoshigaoka Kouseinenkin Hospital | Yokoyama T.,Takanohara Central Hospital | Kamada K.,Hoshigaoka Kouseinenkin Hospital | Tsurui Y.,Hoshigaoka Kouseinenkin Hospital | And 5 more authors.
Gastric Cancer | Year: 2011

Background The prognosis for patients with stage Ib (second English edition of the Japanese classification of gastric carcinoma) gastric cancer is promising, with an expected 5-year survival of 90%. Despite this relatively high survival rate, the outcome for patients who experience recurrence is poor. To date, however, prognostic and recurrence factors for stage Ib gastric cancer are poorly understood, and appropriate adjuvant chemotherapy protocols have not been developed. Methods We retrospectively analyzed data from 86 stage Ib gastric cancer patients who underwent curative gastrectomy to determine the rates and predictive factors of recurrence. Results Eleven patients showed recurrence, with a 12.8% 5-year cumulative recurrence rate. Nearly all of these patients were initially histologically diagnosed with poorly differentiated adenocarcinoma. Based on univariate analyses, recurrence was associated with gender and histological type. Multivariate analyses revealed that the only independent risk factor for recurrence was histologically undifferentiated-type adenocarcinoma. The 5-year survival rate of patients with undifferentiated-type adenocarcinoma was 84%. The predominant recurrence pattern was peritoneal dissemination, and was typically observed 1-3 years post-resection. Conclusion This retrospective study identified undifferentiated- type adenocarcinoma as the only risk factor for recurrence in stage Ib gastric cancer patients. Although randomized controlled studies are necessary, stage Ib gastric cancer patients with this identified recurrence risk factor would be candidates for adjuvant chemotherapy. © The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2011.


Hayashi Y.,Kansai Medical University | Asako M.,Kansai Medical University | Oooka H.,Kansai Medical University | Baba K.,Kansai Medical University | And 4 more authors.
Oto-Rhino-Laryngology Tokyo | Year: 2012

A microdebrider system is used also as bur of ESS in many cases. Septoplasty bur for the nasal plastic surgeries was used for the advanced deviation of nasal septum cases. There is also no involvement of nasal-septum membrane in the case of a crista, a spina, and vomer excision, it was a good feeling of use, and bony deletion could be easy and was able to cut efficiently rather than having used a chisel depending on a case. Septoplasty bur can be comparatively introduced on a low budget.


Nakanishi M.,Hoshigaoka Kouseinenkin Hospital
Japanese Journal of Anesthesiology | Year: 2013

Background: The Japanese government promotes palliative care and our hospital has the palliative care team including an anesthesiologist for better end of lives of cancer patients. Methods: From the new point of an anesthesiologist, the outcome and characteristics of patients receiving palliative care in our hospital were examined. Results: From August 2010 to March 2012, 93 patients were treated by the team. They were terminal patients whose remaining days were expected to be several months. The most common problem among them was severe pain amenable to opioid administration. Conclusions: Anesthesiologists familiar with pain, sedation and nausea control are important specialists in the palliative care team.


PubMed | Hoshigaoka Kouseinenkin Hospital and Nara Medical University
Type: Journal Article | Journal: Journal of medical ultrasonics (2001) | Year: 2016

During conservative therapy of infantile hypertrophic pyloric stenosis (IHPS) with atropine sulfate, there are many patients who do not achieve normal values of pyloric wall thickness and canal length even though they are clinically cured (vomiting has ceased); an objective criterion for cure has not yet been established. The aim of this study was to examine whether the appearance of pyloric wall stratification can be used as a criterion for cure.Twenty infants with IHPS who were treated conservatively were enrolled. Two of them ultimately required surgery. Ultrasound examinations were done serially and the pyloric wall thickness and canal length were measured. The echogenicity of the pyloric wall and the presence of wall stratification were noted.On admission, all infants satisfied the ultrasound criteria for IHPS and had a heterogeneous pyloric wall without stratification. With conservative therapy, symptoms disappeared, the pyloric wall thickness and the canal length gradually decreased, the echogenicity gradually became homogeneous and hypoechoic, and wall stratification appeared (in most cases before the pyloric wall thickness and the canal length had normalized). The absence of wall stratification suggests that cellular interstitial changes, such as edema or inflammation, are present in the pyloric wall in the acute stage.Pyloric wall stratification was absent during the acute stage, but it appeared after initiation of treatment but before the pyloric wall thickness and the canal length had normalized. The presence of pyloric wall stratification can be used as a criterion for cure; the absence of wall stratification can be added to ultrasound diagnostic criteria for IHPS.


PubMed | Hoshigaoka Kouseinenkin Hospital
Type: Journal Article | Journal: Journal of the neurological sciences | Year: 2012

Sjgrens syndrome (SS) is an autoimmune disorder involving the exocrine glands, which affects 1.9-3.0% of the elderly population. Approximately 20% of all patients with SS have CNS involvement, including dementia, as a result of angiitis.The aim of the study was to clarify the prevalence and impact of SS among patients in a memory clinic.This study prospectively recruited patients with cognitive dysfunction in a memory clinic from 2007 to 2010. In addition to the examinations for dementia, the patients levels of anti-SSA and SSB antibodies were measured. Schirmers test and/or a lip biopsy were added if required. SS was diagnosed based on the American European consensus criteria.Out of 276 cases who completed the examinations, 265 (97/168 males/females, mean age: 77.9, median MMSE score: 23) did not demonstrated cognitive decline. Sixteen (6.3%) and seven (2.7%) patients were positive for anti-SS-A and SS-B antibodies, respectively. Twenty patients (7.5%) were diagnosed with primary SS (mean age: 77.2 years old, median MMSE: 21). Seven of these patients had previously been diagnosed with MCI (VCIND: 5, aMCI: 2), and 13 had been diagnosed with dementia. All had asymmetrical focal hypoperfusion on SPECT, and eighteen had subcortical lesions on MRI. Twelve were treated for dementia (median time: 2.1 years), and their MMSE significantly improved (median MMSE: 26, p=0.0019), while the non-SS subjects MMSE declined (n=126, median: 22).The patients with SS accounted for 7.5% of those with a cognitive decline as determined at a memory clinic, and are characterized by subcortical white matter lesions and asymmetric hypoperfusion.

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