A5009856108- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Esophageal and GI Pathology
- Pediatric Hepatobiliary Diseases and Treatments
- Child Nutrition and Feeding Issues
- Liver Disease Diagnosis and Treatment
- Congenital Diaphragmatic Hernia Studies
- Nutrition, Genetics, and Disease
- Disaster Response and Management
- Child Nutrition and Water Access
- Cystic Fibrosis Research Advances
- Congenital Heart Disease Studies
- Gastrointestinal disorders and treatments
- Frailty in Older Adults
- Dysphagia Assessment and Management
- Congenital gastrointestinal and neural anomalies
- Abdominal vascular conditions and treatments
- Diet and metabolism studies
- GDF15 and Related Biomarkers
- Liver Disease and Transplantation
- Foreign Body Medical Cases
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Gastroesophageal reflux and treatments
- Hernia repair and management
- Health and Well-being Studies
Graduate School of Health Care Sciences, Jikei Institute
2021-2025
Yao Tokushukai General Hospital
2023-2025
Mukogawa Women's University
2012-2024
Fukuoka Tokushukai Hospital
2021-2023
University of Tsukuba
1993-2023
Osaka Medical Center for Cancer and Cardiovascular Diseases
2016
Institute of Clinical Research
2000
Abstract The American Society for Parenteral and Enteral Nutrition (ASPEN) Position Paper focus is on applying the 4 ethical principles clinician's decision‐making in use of artificially administered nutrition hydration (AANH) adult pediatric patients. These basic are (1) autonomy, respect patient's healthcare preferences; (2) beneficence, provide best interest patient; (3) nonmaleficence, do no harm; (4) justice, all individuals a fair appropriate distribution resources. Preventing...
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We present a 43-year-old female who presented with left chest pain on exhalation after falling in her room five days ago. CT scan of the also revealed suspected complicated diaphragmatic injury posterolateral hernia orifice measuring 34 × 27 mm pneumothorax. Laparoscopy was performed lithotomy position hand raised during thoracoscopy, followed by thoracoscopic approach. Operative findings were as follows: 1) (DH) diagnosed, 2) transverse colon herniated into thoracic cavity and appeared...
Hypersensitivity Pneumonitis (HP) is an allergic interstitial lung disease that arises from type III and IV reactions. During the COVID-19 outbreak, HP was established as having similar manifestations to COVID-19. In remote rural regions of Japan, where respiratory specialists are not readily accessible, always easy differentiate, establishing a definitive diagnosis can be challenging due insufficient laboratory examinations. Herein, we present case moderately definite acute non-fibrosing...
Background: Japan is a country often subject to natural disasters, influenced by rapidly increasing aging demographic. The current research aims analyze the food distribution for elderly evacuees who were relocated care facility in Wajima City, administered non-profit organization Tokushukai Medical Assistant Team (TMAT), post Noto Peninsula Earthquake on 1 January 2024. A significant portion of shelter’s inhabitants individuals. Methods: TMAT’s operations began immediately after calamity,...
Background: The aim of the present study was to determine whether nutrition assessment helps predict clinical outcomes (COs) in infants who have undergone cardiac surgery. Methods: Study subjects were infants, aged less than 18 months, had surgery between April 2007 and August 2008. parameters assessed include Onodera's prognostic nutritional index (PNI), height for age, weight height, age. COs included mortality rate during hospitalization, length stay intensive care unit (LOS‐1), hospital...
Background : Thickened enteral formula (TEF), which is made by adding thickener to formula, has been used mainly in Japan reduce the incidence of clinical complications associated with nutrition. However, optimal viscosity TEF needed achieve a high efficiency different for each medical complication and individual patients. Methods The TEF, consists thickener, was determined 5 factors: (1) energy density, (2) temperature, (3) stirring speed, (4) time, (5) time elapsed since preparation. Then,...
Background: In recent years, the number of patients with cancer has increased. These are prone to sarcopenia as a result decrease in muscle mass and weakness that occur cachexia. Amino Index Cancer Screening is carried out evaluate cachexia risk by examining amino acid concentration analyzing balance. Methods: We conducted retrospective chart review consecutive unresectable advanced gastrointestinal (stage IV) receiving chemotherapy treatment (December 2012–September 2015) an outpatient or...
Objective This study was performed to determine the cut-off point of Functional Independence Measure (FIM) discriminate patients with acute stroke who develop adverse events during their stay in a care unit (SCU). Methods All consecutive admitted single institute from January March 2015 were enrolled. They divided into two groups according average daily energy intake SCU: ≥66% or <66% target (high- and low-energy group, respectively). A receiver operating characteristic curve used FIM...
A case of carcinosarcoma the urinary bladder in a 2-year-old girl is reported. The tumor, measuring 34 x 20 18 mm, was located peri-trigone area with polypoid features. Histologic examination revealed transitional cell carcinoma at tumor surface downward invasion. Concurrently, sarcomatous found beneath carcinoma, these two different malignant components sharing on apparent transition without distinct boundaries. Sarcomatous included immature round cells focally showing rhabdoid No...
In recent years, the number of cancer patients has increased. Cancer are prone to sarcopenia as a result decrease in muscle mass and weakness which occurs cachexia. Attention been given on effects fatty acid administration patients.We conducted retrospective chart-review study consecutive with unresectable advanced GI (stage IV) (n=46) receiving chemotherapy treatment an outpatient or in-hospital setting between December 2012 September 2015 at our Institution. The collected data were...
We investigated the effects of treatment with antibodies against tumor necrosis factor (TNF)-α on energy metabolism, nutritional status, serum cytokine levels in patients Crohn's disease (CD). Twelve were enrolled. Resting expenditure (REE) measured by indirect calorimetry. activity index (CDAI) significantly decreased after anti-TNF-α therapy. Anti-TNF-α therapy did not affect REE, but respiratory quotient (RQ) increased treatment. Serum interleukin-6 and RQ high REE (≥25 kcal/kg/day) group...
Although nutrition support is essential in intensive care units, optimal energy intake remains unclear. Here, we assessed the influence of on outcomes critically ill, underweight patients.A retrospective chart review was conducted patients with body mass index (BMI) <20.0 kg/m(2) an emergency unit (EICU). Patients were categorized into 4 groups by initial Sequential Organ Failure Assessment score (I-SOFA) and average daily during first week: group M-1, I-SOFA ≤8 <16 kcal/kg/d; M-2, ≥16 S-1,...
Background: Administration of thickened enteral formula (TEF) through a percutaneous endoscopic gastrostomy (PEG) tube is becoming common practice in Japan to prevent nutrition (EN)–related complications. However, what constitutes an adequate viscosity TEF remains unclear. The aim this study was examine the clinical effects TEFs with different viscosities administered PEG. Methods: subjects were 50 patients admitted single institution who underwent PEG placement. Viscosities frequently...
1. Biliary atresia (BA), as a common disease in Japan, and cystic fibrosis (CF), an extremely uncommon were selected to assess the clinical significance of measurement energy expenditure (EE). 2. Energy was significantly higher children with BA than normal children. 3. Measurement EE lead clues resolving its mechanism by novel assessment interleukin-6 leptin. 4. CF is also higher, but this has been addressed nutritional intervention additional calories. 5. Individualization necessary...