The Tokai journal of experimental and clinical medicine
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Tokai J. Exp. Clin. Med. · Sep 2012
Home monitoring using portable polygraphy for perioperative assessment of pediatric obstructive sleep apnea syndrome.
To overcome very few facilities available for polysomnography, a portable device of polygraphy was introduced into home monitoring for the assessment of obstructive sleep apnea syndrome (OSAS) in children. ⋯ Attended home monitoring by guardians using a portable device can be useful in the perioperative assessment of pediatric OSAS.
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Tokai J. Exp. Clin. Med. · Apr 2012
Electrical defibrillation outcome prediction by waveform analysis of ventricular fibrillation in cardiac arrest out of hospital patients.
Indexes such as amplitude spectrum area (AMSA) and power spectrum area (PSA) obtained from electrocardiogram waveform analysis are possible predictors of outcome after electrical defibrillation for ventricular fibrillation (VF). In this study, we examined AMSA and PSA to determine whether these parameters can predict defibrillation outcome. ⋯ It is possible by analyzing the AMSA of VF to predict cases where electrical defibrillation is more likely to return cardiac rhythm. Furthermore, unnecessary electrical shocks with a low possibility of ROSC can be avoided, and chest compression should be continued to prevent myocardial damage and consequently improve prognosis.
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Tokai J. Exp. Clin. Med. · Sep 2011
Significant relationship between platelet activation and apnea-hypopnea index in patients with obstructive sleep apnea syndrome.
Obstructive sleep apnea syndrome (OSAS) is an independent risk factor for arterial thrombosis, which is associated with high cardiovascular morbidity and mortality. To investigate the possible involvement of activated platelets, we evaluated the relationship between severity of OSAS and appearance of platelet aggregates (a marker of activated platelets) in 35 OSAS patients. ⋯ There was a significant correlation between platelet aggregates and apnea-hypopnea index in the severe (AHI≥30 events/hour) group (r=0.756, p<0.001), but not in the mild-moderate (5≤AHI<30 events/hour) group (r=-0.032, p=0.905). The results indicate that the appearance of platelet aggregates increases with an increase in the severity of OSAS.
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Tokai J. Exp. Clin. Med. · Jul 2011
Case ReportsGluteal compartment syndrome due to prolonged immobilization after alcohol intoxication: a case report.
Gluteal compartment syndrome is a relatively rare condition that mostly result from atraumatic causes such as prolonged immobilization due to drug abuse or alcoholic intoxication and incorrect positioning during surgical procedures rather than traumatic causes. Early diagnosis is difficult and sometimes delayed or overlooked because of poor physical signs resulting from altered mental status and inappropriate diagnosis by clinicians. ⋯ Here, we report the case of a patient with gluteal compartment syndrome caused by prolonged immobilization after acute alcoholic intoxication. After disease onset, the patient developed complications of crush syndrome and sciatic nerve palsy, but immediate fasciotomy improved his condition.
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Tokai J. Exp. Clin. Med. · Jul 2011
Case ReportsA case of surgically resected lung cancer in a patient with Kartagener's syndrome.
Kartagener's syndrome is a rare inherited disorder with a triology of symptoms (bronchiectasis, sinusitis and situs inversus) and is also associated with abnormalities of the cilia of the respiratory epithelium. Lung cancer arising in Kartagener's syndrome is very rare and to date only 5 cases have been reported in the English and Japanese literature. We report on a case of a 65-year-old Japanese male Kartagener's syndrome patient with squamous cell carcinoma of the lung. A left pneumonectomy was performed and no recurrence was found within 2 years.