Prognostic impact of frailty after gastrectomy in elderly gastric cancer patients
CONCLUSION: We identified the clinical impact of frailty prognostic factor for elderly GC patients who underwent gastrectomy. J. Med. Invest. 70 : 423-429, August, 2023.PMID:37940527 | DOI:10.2152/jmi.70.423 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Masaaki Nishi Yuma Wada Kozo Yoshikawa Chie Takasu Takuya Tokunaga Toshihiro Nakao Hideya Kashihara Shinichiro Yamada Toshiaki Yoshimoto Mitsuo Shimada Source Type: research

Usefulness of new acoustic respiratory sound monitoring with artificial intelligence for upper airway assessment in obese patients during monitored anesthesia care
This study aimed to quantify the levels of aspiration and airway obstruction using an artificial intelligence (AI)-based acoustic analysis algorithm, assessing its utility in identifying airway complications in obese patients. To verify the correlation between the stridor quantitative value (STQV) calculated by acoustic analysis and body weight, and to further evaluate fluid retention and airway obstruction, STQV calculated exhaled breath sounds collected at the neck region, was compared before and after injection of 3 ml of water in the oral cavity and at the start and end of the MAC procedures. STQV measured immediately ...
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Yoshitaka Shimizu Noboru Saeki Shinichiro Ohshimo Mitsuru Doi Kana Oue Mitsuhiro Yoshida Tamayo Takahashi Aya Oda Takuma Sadamori Yasuo M Tsutsumi Nobuaki Shime Source Type: research

Impact of early urinary catheter removal on successful voiding and physical function in stroke patients
CONCLUSION: Early removal of catheters may lead to early recovery of bladder function, improvement of physical function, and lower risk of complications in patients with stroke. J. Med. Invest. 70 : 436-442, August, 2023.PMID:37940529 | DOI:10.2152/jmi.70.436 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Megumi Tsuda Tomoya Fukawa Yasuyo Yamamoto Kei Daizumoto Yutaro Sasaki Yoshiteru Ueno Ryotaro Tomida Yoshito Kusuhara Kunihisa Yamaguchi Masayuki Takahashi Hiro-Omi Kanayama Source Type: research

Factors associated with anxiety and depression among caregivers of patients receiving medical home visits
J Med Invest. 2023;70(3.4):443-449. doi: 10.2152/jmi.70.443.ABSTRACTIn recent years, Japan has promoted home visits to support older adults, with caregivers playing an important role. However, caregivers generally experience a high frequency of anxiety and depression, and the factors associated with these conditions among home visit caregivers remain unknown. To identify the associated factors, we conducted a questionnaire-based cross-sectional study of home visit caregivers in Tokushima Prefecture, Japan. The survey included caregivers' Hospital Anxiety and Depression Scale;sociodemographic items of patients and caregiver...
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Yoshihiro Okura Chisato Takeuchi Harutaka Yamaguchi Kenji Tani Source Type: research

Lipoprotein (a) is a risk factor of aortic valve calcification in patients with a risk of atherosclerosis
In conclusion, the serum Lp(a) level is a potent risk factor of AVC in patients with high risk of atherosclerosis. J. Med. Invest. 70 : 450-456, August, 2023.PMID:37940531 | DOI:10.2152/jmi.70.450 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Munkhtsetseg Tserensonom Shusuke Yagi Takayuki Ise Yutaka Kawabata Muneyuki Kadota Tomoya Hara Kenya Kusunos Koji Yamaguchi Hirotsugu Yamada Takeshi Soeki Tetsuzo Wakatsuki Masataka Sata Source Type: research

The association between sarcopenia and functional outcomes in patients undergoing convalescent rehabilitation
This study aimed to assess the impact of sarcopenia on functional outcomes and dietary intake during hospitalization in adults undergoing convalescent rehabilitation. We conducted a retrospective cohort analysis at a single rehabilitation institution. The Asian Working Group Consensus Criteria for Sarcopenia was used to diagnose. The Functional Independence Measure (FIM) score was used at hospital discharge to measure the primary functional outcome. Energy and protein intakes during hospitalization were calculated as part of the nutritional assessment. There were 126 patients in the research (median age, 73 yr;54% women). ...
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Yuki Yamasaki Yui Honda Mami Inoue-Umezaki Ryoko Makieda Yoko Endo Kozo Hanayama Hiroshi Sakaue Fusako Teramoto Source Type: research

Molecular composition of adiponectin in urine is a useful biomarker for detecting early stage of diabetic kidney disease
In conclusion, we demonstrated a new index to estimate monomer adiponectin in urine by using Sand-EIA and ICT-EIA, and urinary monomer adiponectin can be a good early indicator of deterioration of renal function in diabetic patients. J. Med. Invest. 70 : 464-470, August, 2023.PMID:37940533 | DOI:10.2152/jmi.70.464 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Tomoharu Kawano Motohiro Aiba Masashi Ishizu Hiroyasu Mori Munehide Matsuhisa Seiichi Hashida Tracey Colpitts Toshihiro Watanabe Source Type: research

Middle-term outcome and complications after primary total hip arthroplasty using a contemporary titanium tapered wedge cementless femoral stem
In conclusion, we have shown excellent survival rate of the contemporary tapered wedge stem in primary THA ; however, patients with coexisting diseases could not acquire sufficient improvement in hip function and ambulatory ability. J. Med. Invest. 70 : 471-475, August, 2023.PMID:37940534 | DOI:10.2152/jmi.70.471 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Yuto Sugimine Shunji Nakano Hitoshi Goto Ryosuke Sato Tetsuya Enishi Tomohiro Goto Koichi Sairyo Source Type: research

Association between early-term birth and hypoglycaemia in large-for-gestational-age neonates:A retrospective cohort study
CONCLUSIONS: Among LGA neonates, early-term birth is positively associated with neonatal hypoglycaemia. This indicates that among LGA neonates, those born at early term require more careful observation for hypoglycaemia than do those born at later term. J. Med. Invest. 70 : 476-482, August, 2023.PMID:37940535 | DOI:10.2152/jmi.70.476 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Makoto Irahara Takashi Nagai Shunsuke Takeuchi Takahiro Tayama Mari Nii Sachiko Katayama Kana Kasai Naoko Doi Osamu Okitsu Source Type: research

Does student evaluation of on-demand video lectures vary with student characteristics? A questionnaire survey of medical students at Tokushima University
This study aims to examine the association between the detailed characteristics/various contexts of students and the evaluation of online classes. An online questionnaire survey administered to third- and fourth-grade medical students of Tokushima University in September 2021-with 101 (42.8%) valid responses-showed the respondents' general impressions, comprehension, convenience, and desire for online classes even after the pandemic ends were significantly higher for the on-demand lectures than for simultaneous online classes. Notably, students who did not do other things while watching video lectures (10.9%) rated on-dema...
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Harutaka Yamaguchi Seito Kagoshima Yoshihiro Okura Yoshinori Nakanishi Keisuke Kawahito Kenji Tani Source Type: research

Prognosis of frail older patients treated with intubation and artificial ventilation for respiratory failure
CONCLUSION: The overall prognosis of frail older patients who underwent intubation and artificial ventilation was poor. When providing intensive care to such patients, it is important to carefully consider their suitability for the treatment. J. Med. Invest. 70 : 494-498, August, 2023.PMID:37940537 | DOI:10.2152/jmi.70.494 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Kazuhisa Nakashima Ken Yoshihara Kento Kono Mika Horie Seiko Tanaka Keita Kawakado Misato Kobayashi Yohei Shiratsuki Takae Okuno Mika Nakao Yoshihiro Amano Takamasa Hotta Megumi Hamaguchi Shunichi Hamaguchi Yukari Tsubata Taishi Nagao Noriaki Kurimoto Tak Source Type: research

Suspected Aspergillus nodule histologically consistent with pulmonary nodular lymphoid hyperplasia:a case report
J Med Invest. 2023;70(3.4):499-502. doi: 10.2152/jmi.70.499.ABSTRACTAspergillus nodules (AN) are an unusual form of chronic pulmonary aspergillosis. On the other hand, pulmonary nodular lymphoid hyperplasia (PNLH) is classified as a reactive pulmonary lymphoproliferative disorder. A 65-year-old male was referred to our hospital due to a nodule in the left upper lobe. Histologically, a mixture of prominent lymphoid follicular formation, and hyaline necrosis were observed. Grocott staining revealed morphological forms of Aspergillus spp. in the necrosis. The final clinical diagnosis was suspected AN histologically consistent...
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Shun Morizumi Atsushi Morishita Miho Nishiyama Kiyohide Takahashi Kenya Sumitomo Hiroyuki Hino Keishi Naruse Eiji Takeuchi Shoji Sakiyama Tsutomu Shinohara Source Type: research

An incidentally discovered paraganglioma that caused sinus arrest after resection
J Med Invest. 2023;70(3.4):503-507. doi: 10.2152/jmi.70.503.ABSTRACTParagangliomas are neural-crest-derived nonepithelial neuroendocrine tumors distributed along the parasympathetic and sympathetic nerves. To our knowledge, no studies were reported regarding sinus arrest on day 4 after paraganglioma resection. A 66-year-old female patient with a history of pulmonary vein isolation visited our department for sigmoid colon cancer treatment. Enhanced computed tomography revealed an enhanced small nodule-like lymph node near the root of the inferior mesenteric artery. The patient underwent laparoscopic colectomy with regional ...
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Takayuki Sano Takeshi Inoue Naoko Irie Tatsuo Ichikawa Akira Iai Kiyoshi Osa Satoshi Ono Kozo Asanuma Shiori Kaneko Tadao Kuribara Itaru Shigeyoshi Kouta Matsubara Kanako Suzuki Hideki Ishizu Keishin Sunagawa Source Type: research

A rare case of massive hepatic abscess 6 years after ERCP due to retained biliary stent
CONCLUSION: The insertion of biliary stents is common endoscopic technique, but close follow up is of outmost importance. J. Med. Invest. 70 : 508-512, August, 2023.PMID:37940540 | DOI:10.2152/jmi.70.508 (Source: Journal of Medical Investigation)
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Ioannis G Gkionis Michail I Giakoumakis Ifigenia Tzartzalou George Kavallaris Pinelopi Nicolaou Emmanouil Vardas Aggelos Laliotis Source Type: research

Primary leiomyoma of the bladder radiologically mimicking a retroperitoneal tumor - a case report
J Med Invest. 2023;70(3.4):513-515. doi: 10.2152/jmi.70.513.ABSTRACTThe case presented is of a 47-year-old patient with an extravesical pedunculated bladder leiomyoma, which was difficult to distinguish from a retroperitoneal tumor. Preoperatively, it was suspected to be a retroperitoneal tumor and a laparotomy with tumor resection was performed. lntraoperatively, the bladder and tumor were connected by a cord-like tissue. A retrospective review of preoperative images revealed that cord-like tissue, identified intraoperatively, was also present. Bladder leiomyomas can grow as extravesical pedunculated tumors. Therefore, wh...
Source: Journal of Medical Investigation - November 8, 2023 Category: General Medicine Authors: Mami Taniuchi Masato Yanagi Tomonari Kiriyama Jun Akatsuka Hiroya Hasegawa Hikaru Mikami Yuki Endo Hayato Takeda Yuka Toyama Go Kimura Yukihiro Kondo Source Type: research