Papers by teruyoshi amagai
Case Reports in Gastroenterology
The hepatocellular carcinoma (HCC) with intrahepatic and bone metastasis shows poor survival of a... more The hepatocellular carcinoma (HCC) with intrahepatic and bone metastasis shows poor survival of averagely 3 months. The bone metastasis and HCC itself might cause cancer-associated pain. An intrathecal (IT) analgesia might contribute to improve QOL and prolong surviving time (ST). A 71-year-old male presented with temperature and appetite loss continuing for 2 months. He looked pale and malaise. Computed tomography and tumor markers elevation confirmed diagnosis of HCC stage IV. To treat him, molecularly targeted therapy was started but abandoned because of side effects of life-threatening convulsions and loss of consciousness. Since this time, pain control strategy was planned as advance care plan. After dermal and oral opioids were administered, IT analgesia was introduced to conquer uncontrollable pelvic pain due to metastatic osteolytic lesions. Owing to IT analgesia against severe cancer-related pain, he had lived for 46 months. Comparing with reviews in which average ST is 3 m...
Bookmarks Related papers MentionsView impact
Radiology Case Reports, 2021
Bookmarks Related papers MentionsView impact
Aims: To test our hypothesis that swallowing capacity evaluated at admission is associated with p... more Aims: To test our hypothesis that swallowing capacity evaluated at admission is associated with poorly improving Activities of Daily Living (ADL) in older adult inpatients and that they must be target of earlier nutritional intervention including nutritional counseling conducted by registered dietitians. Methods: Recruited subjects were consecutive all inpatients aged ≥ 65 years old admitted to a single hospital met without exclusion criteria. After dividing included subjects by with the International Dysphagia Diet Standardization Initiative Functional Diet Scale (IDDSI-FDS) score <7 (low) vs. ≥ 7 (high) at admission, all collected data was compared to draw which patients must be target of intensive nutritional intervention to achieve relevant outcome. Results: 95 patients out of 167 were included with lowvs. high-IDDSI score (n=24 vs. 71, respectively). FOIS and IDDSI score in low-group showed significantly smaller ADL change measured by differences between Barthel Index (BI) b...
Bookmarks Related papers MentionsView impact
Journal of the Japanese Society of Pediatric Surgeons, 2011
... Takayuki; Dept. of Pediatric Surgery, Ibaraki Children's Hospital. Hirai Misako; Dept. o... more ... Takayuki; Dept. of Pediatric Surgery, Ibaraki Children's Hospital. Hirai Misako; Dept. of Pediatric Surgery, Ibaraki Children's Hospital. Muraji Toshihiro; Dept. of Pediatric Surgery, Ibaraki Children's Hospital. Urita Yasuhisa; Dept. of Pediatric Surgery, Tsukuba University. Komuro ...
Bookmarks Related papers MentionsView impact
Journal of the Japanese Society of Pediatric Surgeons, 1991
Bookmarks Related papers MentionsView impact
Jomyaku Keicho Eiyo, 2005
Bookmarks Related papers MentionsView impact
Radiology Case Reports, 2022
A 79 years male with fishbone-induced acute appendicitis was treated surgically with laparoscopic... more A 79 years male with fishbone-induced acute appendicitis was treated surgically with laparoscopic procedure. In preoperative diagnostic study, 3-dimensional multidetector-computed tomography (3D-MDCT) demonstrated the foreign body in the appendix and 3D-reconstructed images seemed fishbone with sharp-pointed dorsal fin directing to the tip of the appendix. With these findings, surgical indication of appendectomy was confirmed and laparoscopic appendectomy was performed. He made a full recovery and was discharged in a satisfactory condition following 7 days of post-operative treatment. From this case experience, 3D-MDCT seems helpful to visualize details of foreign bodies in the appendix, and valuable to confirm surgical indication of complicated acute appendicitis.
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Aim: To test the hypothesis that demographics, Pre-Pressure Injury (PI) nutrition care are associ... more Aim: To test the hypothesis that demographics, Pre-Pressure Injury (PI) nutrition care are associated with severe Hospital-Acquired PI (HAPI) in older adult patients. Methods: The study was conducted under a retrospective observational design in all consecutive patients admitted to a single general hospital during 24 months between July 2014 and June 2016. The inclusion criterion was a new PI developed after admission. Exclusion criteria were: 1) no PI at admission or during hospitalization, 2) PI already present at admission, 3) hospitalization extending beyond the end of the study period, 4) missing data, 5) serum creatinine and/or total bilirubin >1.5 mg/dl, 6) death within 14 days after PI development. Data collection: 1) demographics-sex, age, body mass index (BMI), Charlson comorbidity index; 2) PI parameters-severity of PI scored by NPUAP and DESIGN-R score, 3) laboratory parameters -hemoglobin, serum albumin (Alb), C-reactive protein; 4) nutrition parametersdaily energy a...
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Background: Malnutrition is frequently observed in patients with Chronic Obstructive Pulmonary Di... more Background: Malnutrition is frequently observed in patients with Chronic Obstructive Pulmonary Disease (COPD). However, the effects of decreased caloric consumption on disease severity have not been determined. Objective: To examine the hypothesis that increased incidence of COPD-related symptoms is associated with lower energy intake in malnourished COPD patients. Design and Setting: A cross-sectional study at a single institute. Participants: Patients with older than 18 years of age who visited the outpatient COPD clinic at a single institute were eligible. Measurements: Subjects were divided into two groups to categorize high and low Daily Energy Intake (DEI) using three strategies, with daily caloric cutoff thresholds of 25, 30 and 35 kcal/kg to distinguish high-DEI patients from low-DEI patients. All data was compared between higherDEI and lower-DEI patients using each threshold to examine whether lower energy intake is associated with COPD symptom severity and frequency and to...
Bookmarks Related papers MentionsView impact
Journal of the Japanese Society of Pediatric Surgeons, 1993
Bookmarks Related papers MentionsView impact
Radiology Case Reports, 2022
An invasive aspergillosis (IA) primarily occurs among immunocompromised patients. Recently with a... more An invasive aspergillosis (IA) primarily occurs among immunocompromised patients. Recently with an influenzae infection prevalently spreading, influenzae-associated invasive aspergillosis (IAIA) has been reported occasionally. By contrast, neuroleptic malignant syndrome (NMS) occurs rarely in psychiatric patients who are treated with Olanzapine. We report a 43 years old male with psychiatric disorder who had developed IAIA followed by NMS and cerebral hemorrhage as the result of aspergillus invasion to cerebral vessels. He had also super-infection of COVID-19, 13 months later to be saved completely after invasive mechanical respiratory supports. From clinical aspects, we would emphasize that it is of importance to find earlier co-occurrence of IAIA patients with cerebral hemorrhage due to secondary infectious vasculopathy of IA.
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Nutrition in Clinical Practice, 2021
Bookmarks Related papers MentionsView impact
Case Reports in Gastroenterology, 2021
An isolated superior mesenteric artery (SMA) dissection (ISMAD) is extremely rare among visceral ... more An isolated superior mesenteric artery (SMA) dissection (ISMAD) is extremely rare among visceral artery dissections. Its diagnosis is made by abdominal contrast CT scan which shows SMA occlusion partially or completely. The ISMAD is classified into 6 types: type I–V has partial occlusion and treated medically using antiplatelets or anticoagulants. On the other hand, type VI has complete occlusion and must be treated by urgent surgical operation. We present a 67-year-old female who presented with sudden onset abdominal pain and melena. An urgent contrast CT revealed type VI ISMAD. She underwent 3 staged operations as follows: (1) first, as laparotomy showed pale color in almost the extensive length of the small intestine, arterial bypassing of SMA was undertaken using SMA to the right common iliac artery bypass; (2) as the second-look operation on the next day, the terminal ileum was resected, and the remaining small intestine was able to be preserved. However, when the abdomen was t...
Bookmarks Related papers MentionsView impact
Journal of Nutrition & Health, 2016
Bookmarks Related papers MentionsView impact
Biomedical Journal of Scientific & Technical Research, 2019
Bookmarks Related papers MentionsView impact
In Vivo, 2018
Bookmarks Related papers MentionsView impact
Journal of International Medical Research, 2018
ObjectiveThis study was performed to determine the cut-off point of the Functional Independence M... more ObjectiveThis study was performed to determine the cut-off point of the Functional Independence Measure (FIM) to discriminate patients with acute stroke who develop adverse events during their stay in a stroke care unit (SCU).MethodsAll consecutive patients with stroke admitted to a single institute from January to March 2015 were enrolled. They were divided into two groups according to their average daily energy intake in the SCU: ≥66% or <66% of the target (high- and low-energy group, respectively). A receiver operating characteristic curve was used to determine the cut-off point of the FIM to predict adverse events in patients with acute stroke.ResultsThe length of stay in the SCU was significantly longer and the serum C-reactive protein level (CRP) was significantly higher in the low- than high-energy group (7 vs. 4 days and 2.15 vs. 0.20 mg/dL, respectively). The total FIM score cut-off value was 63 points.ConclusionsAn energy intake of <66% of the target was associated w...
Bookmarks Related papers MentionsView impact
Uploads
Papers by teruyoshi amagai