-
Hiroaki Tokioka
2006 Volume 13 Issue 3 Pages
199-201
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Yasufumi Asai
2006 Volume 13 Issue 3 Pages
201-203
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Daisuke Okada, Kiyoshi Koizumi
2006 Volume 13 Issue 3 Pages
203-206
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Yasuko Ichihara, Hirosato Kikuchi
2006 Volume 13 Issue 3 Pages
206-209
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Kota Bokuda, Seitaro Fujishima
2006 Volume 13 Issue 3 Pages
209-211
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
current status of clinical application and future perspectives
Kazutomo Inoue
2006 Volume 13 Issue 3 Pages
213-220
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
Regenerative medicine is strongly expected to play an important role as an epoc making medical therapy in the 21th century. Although it is only for 6-7 years since regenerative medicine has been universally recognized as a new medical therapy, various research and clinical application of regenerative medicine including almost all of the tissues and organs in the body has been much more widely and rapidly extended than that was expected before in our country. Concomitantly considerable numbers of venture companies for regenerative medicine have been founded. There are two important keys for establishment of a true progress of regenerative medicine in our country; one is how to link an original research results to a clinical application, the other is how to get a social consensus for regenerative medicine. In this paper, a physical therapy has firstly been included and classified as one of therapeutic approaches for regenerative medicine. It is sincerely desired that regenerative medicine will bring a dream like therapy and contribute a lots to a health, welfare and happiness of human beings, providing an improvement of patient's symptoms, a prevention of a disease progress, medical treatment, and an improvement of quality of life.
View full abstract
-
Masayoshi Mishima, Minoru Ichikawa, Kazuhisa Kodama
2006 Volume 13 Issue 3 Pages
221-227
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
Since the development of coronary angioplasty in the late 1970s, there has been a series of technical advancements that have improved the outcome of the procedure. Clearly, the great advance was to move from balloon angioplasty to intracoronary stenting. In addition to largely eliminating abrupt vessel closure and the need for emergency bypass surgery, stents have also led to substantial reductions in both angiographic and clinical restenosis compared with balloon angioplasty alone.
Among the various strategies explored, the development of drug-eluting stents has been particularly promising. Stents coated with sirolimus effectively prevented the development of neointimal proliferation and injured-induced arterial intimal thickening in preclinical studies and that of in-stent restenosis in human pilot studies. In randomized trials comparing sirolimus-eluting with conventional bare-metal stents, very low rates of in-stent restenosis were observed at 6 to 8 months of follow-up in the groups treated with drug-eluting stents. The either lack or sustained suppression of the neointimal proliferation was comfirmed by angiographic, intravascular ultrasound, and angioscopic (unpublished data) follow-up studies. Furthermore, the remarkable angiographically documented results were corroborated by very low rates of major adverse cardiac events at 1 year. Recently, the remarkable safety and efficacy of sirolimus-eluting stents were confirmed clinically up to 3 years after device implantation in the “late follow-up study from RAVEL, 2005”.
View full abstract
-
Ma. Isabelita C. Rogado
2006 Volume 13 Issue 3 Pages
229-233
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
Nurses make up the biggest number of the health care professionals in the Philippines, but there are few nursing jobs available for the Filipino nurses.
The majority of the nursing population seek job opportunities overseas.
Nurses are educated on a four-year programme of competency-based and community-orientated units leading to a Bachelor of Science in Nursing award.
The accreditation of nurses is slow as nurses and organisations strive to meet government targets. This is compounded by professionals moving abroad to work.
Working abroad, however, provides a boost to the nurses' own and their family's financial and economic state as well as that of the country as a whole.
Critical care nursing in the Philippines is described within the above context.
View full abstract
-
Takahiro Moriyama, Toru Imabayashi, Takeshi Omae, Akira Matsunaga, Yas ...
2006 Volume 13 Issue 3 Pages
235-238
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
We report a case of localized right atrial tamponade due to a giant hematoma after cardiac surgery. A 70-year-old man had coronary artery bypass surgery for angina pectoris. On postoperative day 9, severe hypotension occurred. Palliative infusion therapy was instituted due to hypovolemia as diagnosed by transthoracic echocardiography. On postoperative day 10, chest X-ray demonstrated cardiomegaly and transthoracic echocardiography revealed a small amount of pericardial effusion. A pericardiocentesis was immediately performed, however, there was no significant hemodynamic improvement. Transesophageal echocardiography identified localized right atrial tamponade due to a large pericardial hematoma compressing the right atrium. The clinical picture was improved dramatically after surgical removal of the blood clots. Localized right atrial tamponade must be kept in mind as a cause of shock following coronary artery bypass surgery. Transesophageal echocardiography should be performed if transthoracic echocardiography is not helpful.
View full abstract
-
Tomohiro Kiya, Yoshiki Masuda, Hitoshi Imaizumi, Yasuo Kobayashi, Naok ...
2006 Volume 13 Issue 3 Pages
239-242
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
A case of hemophagocytic syndrome (HPS) associated with fungal sepsis is described. A 64-year-old male was admitted to our hospital because of acute abdomen. He was diagnosed as having intestinal perforation and underwent an urgent intra-abdominal operation that involved irrigation, drainage and omentopexy. During and after the operation, hypotension persisted despite vigorous fluid therapy and administration of a vasopressor. On ICU admission, oligouria persisted and continuous hemodiafiltration (CHDF) was therefore started. Empiric use of antibiotics was also started for the treatment of sepsis syndrome. On the 3rd ICU day, the culture of ascites in the operation was positive for
Candida albicans, and an antifungal agent was administered. After ICU admission, thrombocytopenia and anemia, which required supplements of concentrated platelet and packed red cells, and liver dysfunction gradually developed. On the 9th ICU day, platelet count had decreased to 17, 000·μ
l-1, serum ferritin level had increased to 3, 000μg·m
l-1 and total bilirubin level had increased to 34mg·m
l-1. Examination of bone marrow obtained by aspiration performed on the 9th ICU day showed significant hemophagocytosis. Steroid pulse therapy was then started, and hematological data associated with HPS improved in response to the steroid therapy. However, the patient died on the 30th postoperative day. It was thought that in addition to the steroid therapy, CHDF for renal impairment played a role in the temporary improvement of the symptoms of HPS associated with fungal sepsis. When pancytopenia is seen in a patient with sepsis, a differential diagnosis of HPS should be made immediately.
View full abstract
-
Yoko Sato, Marie Ninomiya, Mariko Saito, Toshiro Sato, Asako Nakagaki, ...
2006 Volume 13 Issue 3 Pages
243-247
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
We report a case of successful mechanical ventilation with BIPAP mode in an ARDS patient. An 84-year-old man with pulmonary emphysema who had undergone total gastrectomy one month earlier suffered respiratory failure at home five days after discharge due to aspiration pneumonia. The patient was mechanically ventilated with pressure-controlled ventilation with an 840 ventilator (Tyco Healthcare, USA) and the oxygenation improved temporarily. However, septic shock caused by aspiration pneumonia due to MRSA developed and patient-ventilator dyssynchrony, characterized by tachypnea, double inspiration, and hiccup-like inspiration, was observed. Additionally, the dead-space fraction was more than 70%. Ventilatory modes, including CPAP (+PS), SIMV, and A/C, could not but only BIPAP was able to improve oxygenation. The patient was successfully weaned from mechanical ventilation three months later. It is speculated that the better response of BIPAP to the patient's own irregular pattern in both inspiration and expiration re-established the patientventilator synchrony and led to the increase in minute ventilation and the alveolar recruitment followed by improvement of oxygenation.
View full abstract
-
Masaki Hamamoto, Katsutoshi Sato, Koji Ban, Katsuhiko Imai, Hiroshi Sa ...
2006 Volume 13 Issue 3 Pages
249-250
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Arihiro Fujinaga, Yoshiaki Terao, Kazunori Yamashita, Masafumi Takada, ...
2006 Volume 13 Issue 3 Pages
251-252
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Nobuo Sakagoshi, Toshihiro Ohata, Takahiro Yamaguchi, Kouichi Kadowaki
2006 Volume 13 Issue 3 Pages
253-254
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Maria Goto, Mikako Sato, Tomoya Mizushima, Takeshi Kanazawa, Shinji Is ...
2006 Volume 13 Issue 3 Pages
255-256
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Kenichi Nitta, Tomonori Akamine, Hiroshi Tomiyama, Tatsuya Fuchigami, ...
2006 Volume 13 Issue 3 Pages
257-258
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Taishin Ito, Masashi Kawamoto, Osafumi Yuge
2006 Volume 13 Issue 3 Pages
259-260
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Naoki Umezono, Chikara Uenomachi, Kazuto Miyata, Kunio Yanagita
2006 Volume 13 Issue 3 Pages
261-262
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Isao Nagata, Hideo Nishizawa, Fujinori Nozaki
2006 Volume 13 Issue 3 Pages
263-264
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Takeshi Osawa, Michihiko Fukui, Kunihiko Kooguchi, Shouhei Hayashi, Sa ...
2006 Volume 13 Issue 3 Pages
265-266
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Kazui Soma, Nobuo Sakagoshi, Toshihiro Ohata, Takahiro Yamaguchi, Koui ...
2006 Volume 13 Issue 3 Pages
267-269
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS
-
Junko Wadaguri, Yukihiro Michimata, Toshiaki Ono
2006 Volume 13 Issue 3 Pages
269-270
Published: July 01, 2006
Released on J-STAGE: March 27, 2009
JOURNAL
FREE ACCESS