A5069238301- Dysphagia Assessment and Management
- Gastroesophageal reflux and treatments
- Streptococcal Infections and Treatments
- Telemedicine and Telehealth Implementation
- COVID-19 diagnosis using AI
- Pneumonia and Respiratory Infections
- Metabolism and Genetic Disorders
- Infective Endocarditis Diagnosis and Management
- Nosocomial Infections in ICU
- Infectious Encephalopathies and Encephalitis
- Hernia repair and management
- Diverticular Disease and Complications
- Neurological and metabolic disorders
- Computer Graphics and Visualization Techniques
- Advanced Optical Imaging Technologies
- Advanced Vision and Imaging
- Pleural and Pulmonary Diseases
- Pediatric Urology and Nephrology Studies
- Parasitic infections in humans and animals
- Bacterial Identification and Susceptibility Testing
- Gastric Cancer Management and Outcomes
- Urinary Tract Infections Management
- Gastrointestinal Tumor Research and Treatment
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Cytomegalovirus and herpesvirus research
Jichi Medical University
2014-2024
Osaka Prefectural Medical Center
2021-2024
Kinki Central Hospital
2024
Osaka City General Hospital
2024
Kagoshima Prefectural College
2024
Jichi Medical University Hospital
2015-2022
Toyooka Hospital
2013-2018
Wakayama University
2015
University of Marketing and Distribution Sciences
2001
ObjectivesOne of the most significant features poor prognosis in COVID-19 is pulmonary fibrosis. Nintedanib a new antifibrotic agent that interferes with processes This study aimed to investigate efficacy and safety nintedanib COVID-19.MethodsThis was an interventional which adult patients requiring mechanical ventilation were consecutively enrolled. The primary endpoint 28-day mortality after initiation ventilation. secondary endpoints length ventilation, volume lung injury, incidence...
Abstract Numerous COVID-19 diagnostic imaging Artificial Intelligence (AI) studies exist. However, none of their models were potential clinical use, primarily owing to methodological defects and the lack implementation considerations for inference. In this study, all development processes deep-learning are performed based on strict criteria “KAIZEN checklist”, which is proposed previous AI guidelines overcome deficiencies mentioned above. We develop evaluate two binary-classification triage...
Objectives The present study investigated the incidence of hyperammonemia in urinary tract infections and explored utility obstruction relief antimicrobial administration to improve hyperammonemia. Methods This was an observational study. Subjects were patients who diagnosed with infection hospitalized between June 2008 2009. We measured plasma ammonia levels on admission clinically hospitalized. assessed each patient's level consciousness using Glasgow Coma Scale (GCS) performed urine blood...
A 56-year-old man presented to our department with a 2-month history of fever and chills. He had received mitral valvuloplasty 3 years ago. been administered levofloxacin for 2 months. We discontinued repeated the blood cultures. Bacterial cultures were positive transoesophageal echocardiography revealed vegetation attached posterior leaflet. started patient on intravenous antibiotic therapy infectious endocarditis by Streptococcus gallolyticus subspecies pasteurianus. colonoscopic screening...
Clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) is encephalopathy caused by various pathological processes, but due to bacteria rare. We report the case of 45-year-old Japanese woman who on receiving chemotherapy for advanced breast cancer developed an altered mental status and dysarthria soon after fever from infection subcutaneous implantable port. Staphylococcus aureus was detected in her blood cultures. Magnetic resonance imaging (MRI) revealed ovoid...
Abstract Aim To investigate the items that are considered by physicians when making decisions regarding resumption of oral intake among patients with aspiration pneumonia who have undergone short‐term fasting. Methods We surveyed 2490 Japanese hospitals had internal medicine and respiratory departments. mailed questionnaires contained 24 related to after head department at each hospital. Cronbach statistics, principal component analysis cluster were used analyze results. Results received...
Background: Aspiration pneumonia (AsP), a phenotype of community-acquired (CAP), is common and problematic disease with symptomless recurrence fatality in old adults. Characteristic factors for distinguishing AsP from CAP need to be determined manage AsP. No such factorial markers oldest-old adults, who are often seen the primary-care settings, have yet been established. Methods: From database our Primary Care General Practice Study, including general backgrounds, clinical conditions...
Abstract A few cases of empyema secondary to coronavirus disease 2019 (COVID‐19) pneumonia have been reported. Here, we report our experience a successful endobronchial occlusion using Watanabe spigots (EWSs) for with broncho‐pleural fistula COVID‐19 pneumonia. 62‐year‐old man was diagnosed and progressed fistula. Computed tomography (CT) imaging showed cyst formation the right B 5 b presumed be branch dependent on cyst. The effusion air in pleural cavity were well drained, although leak...
Pyomyositis is typically caused by Staphylococcus aureus, and rare in temperate climates, although its prevalence has been recently increasing. This infection often involves the thigh, associated with immunodeficiency.We report case of a healthy 20-year-old Japanese woman who experienced fever continuous pain for several days. She was admitted to our hospital diagnosed pyomyositis after we discovered an abscess between muscles her dorsal distal left thigh using computed tomography....
Abstract A 93-year-old woman with neurogenic bladder was admitted to our hospital because of impaired consciousness. Her urine culture revealed urease-test-positive Corynebacterium urealyticum. She diagnosed hyperammonemia due an obstructive urinary tract infection that caused by urease-producing bacteria. The patient showed rapid improvement consciousness and after analysis. It is necessary consider as a differential diagnosis hyperammonemia, which commonly occurs in infections owing the...
There is no report yet on the application of telemedicine in orthopedic practice Japan. With a focus patients with KOA, we investigated willingness to use by assessing factors such as patient's age, smartphone possession, hospital visiting time, and severity KOA.Data who regularly consulted surgeons at our institutions from April 2020 June were retrospectively analyzed using an electronic medical database. The diagnosed KOA according clinical radiological findings, Kellgren-Lawrence (KL)...
A 40-year-old Japanese man with acquired immunodeficiency syndrome was diagnosed Kaposi sarcoma (KS) on the basis of results skin lesion biopsies. In addition, 18F-fluorodeoxyglucose-position emission tomography-computed tomography revealed abnormal fluorodeoxyglucose uptake in KS lesions, whereas gallium-67 scintigraphy did not show gallium. These findings indicate that combining these imaging modalities can help distinguish from other malignancies and opportunistic infections.
Structural color display is an illumination projection technique that can generate a completely altered appearance. It has potential for the visualization of scientific simulation, material perception display, and other applications. This paper investigates how to alternate directional distribution desired bidirectional reflectance function (BRDF). For technique, we modeled reflection property retro-reflective coating lightfield using projector array. Because overlap creates error with...
Strongyloidiasis is a parasitic infection caused by the nematode Strongyloides stercoralis that presents with variety of nonspecific symptoms. Diagnosis challenging unless physicians suspect this disease and perform sensitivity tests. We report case strongyloidiasis protein-losing gastroenteropathy-like symptoms in 92-year-old Japanese female lower extremity edema hypoalbuminemia. In case, patient refused invasive tests for complete examination; however, an agar plate culture stool sample...
Abstract Background We report the exceedingly rare case of diaphragmatic hernia after esophageal surgery resulting in obstructive shock and cardiac arrest. Case presentation An 82-year-old man, who had undergone a robotic-assisted thoracoscopic esophagectomy gastric tube reconstruction via subcutaneously route with three-field lymphadenectomy for esophagogastric junction cancer at another hospital 3 months prior, complaining persistent epigastric pain nausea. Computed tomography revealed...
Background: Hospital-related coronavirus disease 2019 (COVID-19) infection is of utmost concern among patients and health care workers. Expanding the use telemedicine may be required in daily outpatient practice; however, acceptance still low, especially older patients. In an orthopedic practice, no studies have investigated potential factors that can contribute to changes using telemedicine. Focusing on outpatients with knee osteoarthritis (KOA), we hypothesized a drastic surge number...
Supply chain management (SCM) is a concept to facilitate effective product/cash flow control in global manufacturing/distribution environments. Product allocation SCM conventionally based on simple Theory of Constraints (TOG) concept, but that doesn't always provide efficient solutions. Contract mechanism human activities economic markets solves the complex product distribution problem with flexibility and robustness. In this paper new using multistage negotiation protocol various utilities...