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Yi YR, Lee NR, Kwon YS, Jang JS, Lim SY. Pulsed Radiofrequency Application for the Treatment of Pain Secondary to Sacroiliac Joint Metastases. Korean J Pain 2016; 29:53-6. [PMID: 26839672 PMCID: PMC4731553 DOI: 10.3344/kjp.2016.29.1.53] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Accepted: 10/20/2015] [Indexed: 12/02/2022] Open
Abstract
Sacroiliac (SI) joint pain can result from degeneration, infection, malignancy, and trauma. Patients with metastatic bone pain who do not respond to conventional treatment may need more aggressive neuroinvasive approaches. Recently, pulsed radiofrequency (PRF) neuromodulation has emerged as a promising treatment alternative for refractory cases of SI joint pain. Nevertheless, there is no report on the treatment of pain arising from SI joint metastases with PRF. We are reporting about a 63-year-old woman suffering from buttock pain due to breast cancer metastases in the SI joint. We treated this patient with PRF neuromodulation of the L4-S3 primary dorsal rami and lateral branches using a rotating curved needle technique. The patient tolerated the procedures well, without any complications. She experienced about 70% reduction in pain, and pain relief was sustained for 10 months. This result suggests that PRF neuromodulation is a safe, effective treatment for pain from SI joint metastases.
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Mitra AK, Mukherjee UK, Harding T, Jang JS, Stessman H, Li Y, Abyzov A, Jen J, Kumar S, Rajkumar V, Van Ness B. Single-cell analysis of targeted transcriptome predicts drug sensitivity of single cells within human myeloma tumors. Leukemia 2015; 30:1094-102. [DOI: 10.1038/leu.2015.361] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Revised: 11/30/2015] [Accepted: 12/15/2015] [Indexed: 12/14/2022]
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Takhistov V, Abe K, Haga Y, Hayato Y, Ikeda M, Iyogi K, Kameda J, Kishimoto Y, Miura M, Moriyama S, Nakahata M, Nakajima T, Nakano Y, Nakayama S, Orii A, Sekiya H, Shiozawa M, Takeda A, Tanaka H, Tomura T, Wendell RA, Irvine T, Kajita T, Kametani I, Kaneyuki K, Nishimura Y, Richard E, Okumura K, Labarga L, Fernandez P, Gustafson J, Kachulis C, Kearns E, Raaf JL, Stone JL, Sulak LR, Berkman S, Nantais CM, Tanaka HA, Tobayama S, Goldhaber M, Carminati G, Kropp WR, Mine S, Weatherly P, Renshaw A, Smy MB, Sobel HW, Ganezer KS, Hartfiel BL, Hill J, Hong N, Kim JY, Lim IT, Himmel A, Li Z, Scholberg K, Walter CW, Wongjirad T, Ishizuka T, Tasaka S, Jang JS, Learned JG, Matsuno S, Smith SN, Friend M, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Takeuchi Y, Yano T, Hirota S, Huang K, Ieki K, Kikawa T, Minamino A, Nakaya T, Suzuki K, Takahashi S, Fukuda Y, Choi K, Itow Y, Suzuki T, Mijakowski P, Frankiewicz K, Hignight J, Imber J, Jung CK, Li X, Palomino JL, Wilking MJ, Yanagisawa C, Ishino H, Kayano T, Kibayashi A, Koshio Y, Mori T, Sakuda M, Kuno Y, Tacik R, Kim SB, Okazawa H, Choi Y, Nishijima K, Koshiba M, Suda Y, Totsuka Y, Yokoyama M, Bronner C, Hartz M, Martens K, Marti L, Suzuki Y, Vagins MR, Martin JF, de Perio P, Konaka A, Chen S, Zhang Y, Wilkes RJ. Search for Nucleon and Dinucleon Decays with an Invisible Particle and a Charged Lepton in the Final State at the Super-Kamiokande Experiment. PHYSICAL REVIEW LETTERS 2015; 115:121803. [PMID: 26430987 DOI: 10.1103/physrevlett.115.121803] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Indexed: 06/05/2023]
Abstract
Search results for nucleon decays p→e^{+}X, p→μ^{+}X, n→νγ (where X is an invisible, massless particle) as well as dinucleon decays np→e^{+}ν, np→μ^{+}ν, and np→τ^{+}ν in the Super-Kamiokande experiment are presented. Using single-ring data from an exposure of 273.4 kton·yr, a search for these decays yields a result consistent with no signal. Accordingly, lower limits on the partial lifetimes of τ_{p→e^{+}X}>7.9×10^{32} yr, τ_{p→μ^{+}X}>4.1×10^{32} yr, τ_{n→νγ}>5.5×10^{32} yr, τ_{np→e^{+}ν}>2.6×10^{32} yr, τ_{np→μ^{+}ν}>2.2×10^{32} yr, and τ_{np→τ^{+}ν}>2.9×10^{31} yr at a 90% confidence level are obtained. Some of these searches are novel.
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Choi K, Abe K, Haga Y, Hayato Y, Iyogi K, Kameda J, Kishimoto Y, Miura M, Moriyama S, Nakahata M, Nakano Y, Nakayama S, Sekiya H, Shiozawa M, Suzuki Y, Takeda A, Tomura T, Wendell RA, Irvine T, Kajita T, Kametani I, Kaneyuki K, Lee KP, Nishimura Y, Okumura K, McLachlan T, Labarga L, Kearns E, Raaf JL, Stone JL, Sulak LR, Berkman S, Tanaka HA, Tobayama S, Goldhaber M, Carminati G, Kropp WR, Mine S, Renshaw A, Smy MB, Sobel HW, Ganezer KS, Hill J, Hong N, Kim JY, Lim IT, Akiri T, Himmel A, Scholberg K, Walter CW, Wongjirad T, Ishizuka T, Tasaka S, Jang JS, Learned JG, Matsuno S, Smith SN, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Takeuchi Y, Bronner C, Hirota S, Huang K, Ieki K, Ikeda M, Kikawa T, Minamino A, Nakaya T, Suzuki K, Takahashi S, Fukuda Y, Itow Y, Mitsuka G, Mijakowski P, Hignight J, Imber J, Jung CK, Yanagisawa C, Ishino H, Kibayashi A, Koshio Y, Mori T, Sakuda M, Yano T, Kuno Y, Tacik R, Kim SB, Okazawa H, Choi Y, Nishijima K, Koshiba M, Totsuka Y, Yokoyama M, Martens K, Marti L, Vagins MR, Martin JF, de Perio P, Konaka A, Wilking MJ, Chen S, Zhang Y, Wilkes RJ. Search for neutrinos from annihilation of captured low-mass dark matter particles in the sun by super-kamiokande. PHYSICAL REVIEW LETTERS 2015; 114:141301. [PMID: 25910107 DOI: 10.1103/physrevlett.114.141301] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2015] [Indexed: 06/04/2023]
Abstract
Super-Kamiokande (SK) can search for weakly interacting massive particles (WIMPs) by detecting neutrinos produced from WIMP annihilations occurring inside the Sun. In this analysis, we include neutrino events with interaction vertices in the detector in addition to upward-going muons produced in the surrounding rock. Compared to the previous result, which used the upward-going muons only, the signal acceptances for light (few-GeV/c^{2}-200-GeV/c^{2}) WIMPs are significantly increased. We fit 3903 days of SK data to search for the contribution of neutrinos from WIMP annihilation in the Sun. We found no significant excess over expected atmospheric-neutrino background and the result is interpreted in terms of upper limits on WIMP-nucleon elastic scattering cross sections under different assumptions about the annihilation channel. We set the current best limits on the spin-dependent WIMP-proton cross section for WIMP masses below 200 GeV/c^{2} (at 10 GeV/c^{2}, 1.49×10^{-39} cm^{2} for χχ→bb[over ¯] and 1.31×10^{-40} cm^{2} for χχ→τ^{+}τ^{-} annihilation channels), also ruling out some fraction of WIMP candidates with spin-independent coupling in the few-GeV/c^{2} mass range.
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Lee JJ, Yoo YS, Hwang JT, Kim DY, Jeon SJ, Hwang SM, Jang JS. Efficacy of direct arthroscopy-guided suprascapular nerve block after arthroscopic rotator cuff repair: a prospective randomized study. Knee Surg Sports Traumatol Arthrosc 2015; 23:562-6. [PMID: 23455386 DOI: 10.1007/s00167-013-2451-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2012] [Accepted: 02/18/2013] [Indexed: 11/25/2022]
Abstract
PURPOSE The purpose of this study was to evaluate the outcomes of arthroscopy-guided direct suprascapular nerve block performed after arthroscopic rotator cuff repair. METHODS In the present prospective, randomized, double-blinded clinical study, 30 patients were divided into two groups: 15 patients (group I) were treated with arthroscopy-guided suprascapular nerve block using 10 mL 0.5 % ropivacaine with 1:200,000 epinephrine, and 15 patients (group II) were treated with placebo using 10 mL 0.9 % saline after arthroscopic rotator cuff repair. Patient pain levels were measured using the visual analog scale (VAS) at 1, 3, 6, 12, 18, and 24 h post-operatively. Additionally, the number of boluses and total amount of fentanyl dispensed by patient-controlled analgesia administration during the 24-h post-operative period were evaluated. RESULTS VAS scores did not differ significantly between groups I and II during the 24-h post-operative period, but mean fentanyl bolus consumption was significantly less in group I compared with group II (p = 0.015). CONCLUSION Arthroscopy-guided suprascapular nerve block at the end of a rotator cuff repair was safe and less time-consuming than expected. Although this procedure did not significantly reduce the post-operative pain, the post-operative need for fentanyl boluses as analgesia was reduced significantly, and it would be beneficial if this procedure involved a sensory branch of axillary nerve block or was performed at the beginning of the arthroscopic procedure. LEVEL OF EVIDENCE Prospective, randomized, double-blinded clinical trial, Level I.
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Jang JS, Lee KS, Lee EJ, Kwon MS, Kim TW. Enhancement of the Color Rendering Index of White Organic Light-Emitting Devices Based on a Blue and Red Emitting Layer with a Y3Al5O12:Ce3+ Green Phosphor Color-Conversion Layer. JOURNAL OF NANOSCIENCE AND NANOTECHNOLOGY 2015; 15:562-565. [PMID: 26328402 DOI: 10.1166/jnn.2015.8304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
White organic light-emitting devices (WOLEDs) were fabricated utilizing blue and red emitting organic light-emitting devices and a color conversion layer (CCL) made of yttrium aluminum garnet (YAG:Ce3+) phosphors embedded into polymethylmethacrylate. The good color balance for the color conversion of the WOLEDs was achieved utilizing 20-nm blue and 10-nm red OLEDs. The electroluminescence spectrum for the fabricated device showed a white color consisting of the blue color from the 4,4-bis(2,2-diphenylethen-1-yl)bipheny layer, the red color from the tris-(8-hydroxyquinolinato) aluminum: 4-(dicyanomethylene)-2-methyl-6-(p-dimethylaminostyryl)-4H-pyran layer, and the green color from the YAG:Ce3+ phosphor. The Commission Internationale de l'Eclairage coordinates of the WOLEDs slightly shifted from (0.25, 0.23) of the blue and red emission OLEDs without phosphors to (0.34, 0.35) of the OLEDs with green phosphors, indicative of the pure white color. WOLEDs with a CCL exhibited three wavelength white emissions with a color rendering index of 86.
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Lee KS, Jang JS, Lee DR, Kim YH, Nam GE, Han BD, Do Han K, Cho KH, Kim SM, Choi YS, Kim DH. Serum ferritin levels are positively associated with bone mineral density in elderly Korean men: the 2008-2010 Korea National Health and Nutrition Examination Surveys. J Bone Miner Metab 2014; 32:683-90. [PMID: 24337956 DOI: 10.1007/s00774-013-0540-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2013] [Accepted: 10/31/2013] [Indexed: 10/25/2022]
Abstract
A possible negative effect of iron overload on bone metabolism has been suggested by the fact that patients with hemochromatosis, thalassemia, and sickle cell anemia have lower bone mineral density than the general population. However, the influence of iron overload on bone health in the general population is uncertain. The aim of this study was to investigate the relationship between serum ferritin levels and bone mineral density (BMD) in elderly Koreans. A total of 2,943 subjects aged 65 years and over who participated in the 2008-2010 Korea National Health and Nutrition Examination Surveys were included in this study. Age, physical activity, current smoking status, alcohol consumption, education level, household income, and dietary assessment were surveyed by a face-to-face interview. BMD was measured at the lumbar spine and femur by dual-energy X-ray absorptiometry, and other biochemical markers, including serum ferritin, 25-hydroxyvitamin D3, serum alkaline phosphatase, and parathyroid hormone, were assayed. After adjusting for age and body mass index, we found an association between BMD of the total lumbar spine, total femur, and femur neck and levels of alkaline phosphatase, parathyroid hormone, vitamin D3, and daily intake of calcium and protein. Serum ferritin levels were positively associated with BMD of the total lumbar spine, total femur, and femur neck after adjusting for all covariates in men, but not in women. This study suggests a positive association between serum ferritin levels and BMD in elderly South Korean men without hematologic disorders. Further study is warranted to verify the effects of iron on bone metabolism.
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Abe K, Hayato Y, Iida T, Iyogi K, Kameda J, Koshio Y, Kozuma Y, Marti L, Miura M, Moriyama S, Nakahata M, Nakayama S, Obayashi Y, Sekiya H, Shiozawa M, Suzuki Y, Takeda A, Takenaga Y, Ueno K, Ueshima K, Yamada S, Yokozawa T, Ishihara C, Kaji H, Kajita T, Kaneyuki K, Lee KP, McLachlan T, Okumura K, Shimizu Y, Tanimoto N, Labarga L, Kearns E, Litos M, Raaf JL, Stone JL, Sulak LR, Goldhaber M, Bays K, Kropp WR, Mine S, Regis C, Renshaw A, Smy MB, Sobel HW, Ganezer KS, Hill J, Keig WE, Jang JS, Kim JY, Lim IT, Albert JB, Scholberg K, Walter CW, Wendell R, Wongjirad TM, Ishizuka T, Tasaka S, Learned JG, Matsuno S, Smith SN, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Nishikawa K, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Takeuchi Y, Ikeda M, Minamino A, Nakaya T, Fukuda Y, Itow Y, Mitsuka G, Tanaka T, Jung CK, Lopez GD, Taylor I, Yanagisawa C, Ishino H, Kibayashi A, Mino S, Mori T, Sakuda M, Toyota H, Kuno Y, Yoshida M, Kim SB, Yang BS, Okazawa H, Choi Y, Nishijima K, Koshiba M, Yokoyama M, Totsuka Y, Martens K, Schuemann J, Vagins MR, Chen S, Heng Y, Yang Z, Zhang H, Kielczewska D, Mijakowski P, Connolly K, Dziomba M, Thrane E, Wilkes RJ. Search for nucleon decay via n→ν[over ¯]π0 and p→ν[over ¯]π+ in Super-Kamiokande. PHYSICAL REVIEW LETTERS 2014; 113:121802. [PMID: 25279622 DOI: 10.1103/physrevlett.113.121802] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2013] [Indexed: 06/03/2023]
Abstract
We present the results of searches for nucleon decay via n→ν[over ¯]π0 and p→ν[over ¯]π+ using data from a combined 172.8 kt·yr exposure of Super-Kamiokande-I,-II, and-III. We set lower limits on the partial lifetime for each of these modes: τn→ν[over ¯]π0>1.1×10(33) years and τp→ν[over ¯]π+>3.9×10(32) years at a 90% confidence level.
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Takhistov V, Abe K, Haga Y, Hayato Y, Ikeda M, Iyogi K, Kameda J, Kishimoto Y, Miura M, Moriyama S, Nakahata M, Nakano Y, Nakayama S, Sekiya H, Shiozawa M, Suzuki Y, Takeda A, Tanaka H, Tomura T, Ueno K, Wendell RA, Yokozawa T, Irvine T, Kajita T, Kametani I, Kaneyuki K, Lee KP, McLachlan T, Nishimura Y, Richard E, Okumura K, Labarga L, Fernandez P, Berkman S, Tanaka HA, Tobayama S, Gustafson J, Kearns E, Raaf JL, Stone JL, Sulak LR, Goldhaber M, Carminati G, Kropp WR, Mine S, Weatherly P, Renshaw A, Smy MB, Sobel HW, Ganezer KS, Hartfiel BL, Hill J, Keig WE, Hong N, Kim JY, Lim IT, Akiri T, Himmel A, Scholberg K, Walter CW, Wongjirad T, Ishizuka T, Tasaka S, Jang JS, Learned JG, Matsuno S, Smith SN, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Takeuchi Y, Bronner C, Hirota S, Huang K, Ieki K, Kikawa T, Minamino A, Murakami A, Nakaya T, Suzuki K, Takahashi S, Tateishi K, Fukuda Y, Choi K, Itow Y, Mitsuka G, Mijakowski P, Hignight J, Imber J, Jung CK, Yanagisawa C, Ishino H, Kibayashi A, Koshio Y, Mori T, Sakuda M, Yamaguchi R, Yano T, Kuno Y, Tacik R, Kim SB, Okazawa H, Choi Y, Nishijima K, Koshiba M, Suda Y, Totsuka Y, Yokoyama M, Martens K, Marti L, Vagins MR, Martin JF, de Perio P, Konaka A, Wilking MJ, Chen S, Zhang Y, Connolly K, Wilkes RJ. Search for trilepton nucleon decay via p→e+νν and p→μ+νν in the Super-Kamiokande experiment. PHYSICAL REVIEW LETTERS 2014; 113:101801. [PMID: 25238348 DOI: 10.1103/physrevlett.113.101801] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2014] [Indexed: 06/03/2023]
Abstract
The trilepton nucleon decay modes p→e+νν and p→μ+νν violate |Δ(B-L)| by two units. Using data from a 273.4 kt yr exposure of Super-Kamiokande a search for these decays yields a fit consistent with no signal. Accordingly, lower limits on the partial lifetimes of τp→e+νν>1.7×10(32) years and τp→μ+νν>2.2×10(32) years at a 90% confidence level are obtained. These limits can constrain Grand Unified Theories which allow for such processes.
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Kim BJ, Kim MW, Jang JS, Stach EA. Real time observation of ZnO nanostructure formation via the solid-vapor and solid-solid-vapor mechanisms. NANOSCALE 2014; 6:6984-6990. [PMID: 24837497 DOI: 10.1039/c3nr06628b] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We report in situ transmission electron microscopy studies of the formation of ZnO nanostructures--nanoscale depressions, nanoholes, nanoribbons, and nanosheets--and the phase stability and kinetics of Au catalysts on ZnO. During annealing, the ZnO layer produces hexagonally shaped, vertical nanoscale depressions, which increase in size along the 〈 0001 〉 growth direction through preferential dissociation from the {101[combining macron]0} facet and which subsequently form hexagonal islands at their six-fold junctions. Real time observations of the annealing of Au deposited on ZnO show that the catalysts remain solid up to 900 °C, an observation that has implications regarding ZnO nanowire growth via the vapor-solid-solid mechanism (VSS). The Au also creates hexagonal nanoscale holes only at the location of solid Au catalysts, via the solid-solid-vapor (SSV) mechanism. Importantly, coarsening of the Au particles is negligible due to limited Au diffusion on the side facets of the nanoscale depressions, suggesting an approach to the growth of uniform hybrid nanowires with control over both diameter and location. Furthermore, we directly monitor the evolution of the transformation of a nanoribbon into a nanosheet with {101[combining macron]0} facets. This process takes place through a periodic, kinetic roughening transition of the surface, which is controlled by the kinetic competition between surface growth and the transfer of evaporated gases. In total, these observations give new insights into multiple growth processes occurring in this important materials system.
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Litos M, Abe K, Hayato Y, Iida T, Ikeda M, Iyogi K, Kameda J, Kobayashi K, Koshio Y, Kozuma Y, Miura M, Moriyama S, Nakahata M, Nakayama S, Obayashi Y, Ogawa H, Sekiya H, Shiozawa M, Suzuki Y, Takeda A, Takenaga Y, Takeuchi Y, Ueno K, Ueshima K, Watanabe H, Yamada S, Yokozawa T, Hazama S, Ishihara C, Kaji H, Kajita T, Kaneyuki K, McLachlan T, Okumura K, Shimizu Y, Tanimoto N, Vagins MR, Kearns E, Stone JL, Sulak LR, Dufour F, Raaf JL, Henning B, Goldhaber M, Bays K, Casper D, Cravens JP, Kropp WR, Mine S, Regis C, Smy MB, Sobel HW, Ganezer KS, Hill J, Keig WE, Jang JS, Kim JY, Lim IT, Albert JB, Wongjirad T, Wendell R, Scholberg K, Walter CW, Tasaka S, Learned JG, Matsuno S, Watanabe Y, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Nishikawa K, Nishino H, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Minamino A, Nakaya T, Fukuda Y, Itow Y, Mitsuka G, Tanaka T, Jung CK, Lopez G, McGrew C, Terri R, Yanagisawa C, Tamura N, Ishino H, Kibayashi A, Mino S, Mori T, Sakuda M, Toyota H, Kuno Y, Yoshida M, Kim SB, Yang BS, Ishizuka T, Okazawa H, Choi Y, Nishijima K, Yokosawa Y, Koshiba M, Yokoyama M, Totsuka Y, Chen S, Heng Y, Yang Z, Zhang H, Kielczewska D, Mijakowski P, Connolly K, Dziomba M, Thrane E, Wilkes RJ. Search for dinucleon decay into kaons in Super-Kamiokande. PHYSICAL REVIEW LETTERS 2014; 112:131803. [PMID: 24745406 DOI: 10.1103/physrevlett.112.131803] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Indexed: 06/03/2023]
Abstract
A search for the dinucleon decay pp → K+ K+ has been performed using 91.6 kton·yr data from Super-Kamiokande-I. This decay provides a sensitive probe of the R-parity-violating parameter λ112''. A boosted decision tree analysis found no signal candidates in the data. The expected background was 0.28±0.19 atmospheric neutrino induced events and the estimated signal detection efficiency was 12.6%±3.2%. A lower limit of 1.7×10(32) years has been placed on the partial lifetime of the decay O16 → C14K+ K+ at 90% C.L. A corresponding upper limit of 7.8×10(-9) has been placed on the parameter λ112''.
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Renshaw A, Abe K, Hayato Y, Iyogi K, Kameda J, Kishimoto Y, Miura M, Moriyama S, Nakahata M, Nakano Y, Nakayama S, Sekiya H, Shiozawa M, Suzuki Y, Takeda A, Takenaga Y, Tomura T, Ueno K, Yokozawa T, Wendell RA, Irvine T, Kajita T, Kaneyuki K, Lee KP, Nishimura Y, Okumura K, McLachlan T, Labarga L, Berkman S, Tanaka HA, Tobayama S, Kearns E, Raaf JL, Stone JL, Sulak LR, Goldhabar M, Bays K, Carminati G, Kropp WR, Mine S, Smy MB, Sobel HW, Ganezer KS, Hill J, Keig WE, Hong N, Kim JY, Lim IT, Akiri T, Himmel A, Scholberg K, Walter CW, Wongjirad T, Ishizuka T, Tasaka S, Jang JS, Learned JG, Matsuno S, Smith SN, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Takeuchi Y, Bronner C, Hirota S, Huang K, Ieki K, Ikeda M, Kikawa T, Minamino A, Nakaya T, Suzuki K, Takahashi S, Fukuda Y, Choi K, Itow Y, Mitsuka G, Mijakowski P, Hignight J, Imber J, Jung CK, Yanagisawa C, Ishino H, Kibayashi A, Koshio Y, Mori T, Sakuda M, Yano T, Kuno Y, Tacik R, Kim SB, Okazawa H, Choi Y, Nishijima K, Koshiba M, Totsuka Y, Yokoyama M, Martens K, Marti L, Vagins MR, Martin JF, de Perio P, Konaka A, Wilking MJ, Chen S, Zhang Y, Wilkes RJ. First indication of terrestrial matter effects on solar neutrino oscillation. PHYSICAL REVIEW LETTERS 2014; 112:091805. [PMID: 24655245 DOI: 10.1103/physrevlett.112.091805] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2013] [Indexed: 06/03/2023]
Abstract
We report an indication that the elastic scattering rate of solar B8 neutrinos with electrons in the Super-Kamiokande detector is larger when the neutrinos pass through Earth during nighttime. We determine the day-night asymmetry, defined as the difference of the average day rate and average night rate divided by the average of those two rates, to be [-3.2 ± 1.1(stat) ± 0.5(syst)]%, which deviates from zero by 2.7 σ. Since the elastic scattering process is mostly sensitive to electron-flavored solar neutrinos, a nonzero day-night asymmetry implies that the flavor oscillations of solar neutrinos are affected by the presence of matter within the neutrinos' flight path. Super-Kamiokande's day-night asymmetry is consistent with neutrino oscillations for 4 × 10(-5) eV(2) ≤ Δm 2(21) ≤ 7 × 10(-5) eV(2) and large mixing values of θ12, at the 68% C.L.
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Hwang SM, Lee JJ, Jang JS, Gim GH, Kim MC, Lim SY. Patient preference and satisfaction with their involvement in the selection of an anesthetic method for surgery. J Korean Med Sci 2014; 29:287-91. [PMID: 24550660 PMCID: PMC3924012 DOI: 10.3346/jkms.2014.29.2.287] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2013] [Accepted: 11/29/2013] [Indexed: 11/29/2022] Open
Abstract
This prospective study aimed to evaluate the satisfaction of patients who participated in the decision-making process for selecting an anesthesia method for surgery; the patients' preferred role (active, collaborative or passive) in the decision-making; and the patients' preferred choice of anesthetic method. The study included 257 patients scheduled for simple elective surgeries involving the upper or lower extremities. During the preanesthetic visit, patients were informed regarding two methods of anesthesia for their surgeries, and participated in selecting one option. Of the 257 patients, 69.6% preferred a collaborative role, 18.3% and 12.1% preferred an active and a passive role, respectively. Among patients requiring surgery on an upper extremity and on a lower extremity, 64.3% and 51.3% expressed a preference for general anesthesia over regional anesthesia, respectively. After surgery, the majority of our patients were satisfied (93.4%) and felt respected (97.7%). Furthermore, the patients expressed a change in preference for assuming an active role (49.4%) and a collaborative role (43.6%) in the decision-making process for their future anesthesia needs. This study may help to promote patient centered care in a department of anesthesiology.
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Lee JJ, Gim GH, Jang JS, Hwang SM. Shearing of an intrathecal catheter during insertion for cerebrospinal fluid drainage. Korean J Anesthesiol 2014; 65:S47-8. [PMID: 24478869 PMCID: PMC3903857 DOI: 10.4097/kjae.2013.65.6s.s47] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Jang JS, Choi HJ, Kang SH, Yang JS, Lee JJ, Hwang SM. Effect of pulsed radiofrequency neuromodulation on clinical improvements in the patients of chronic intractable shoulder pain. J Korean Neurosurg Soc 2013; 54:507-10. [PMID: 24527194 PMCID: PMC3921279 DOI: 10.3340/jkns.2013.54.6.507] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2013] [Revised: 07/28/2013] [Accepted: 12/12/2013] [Indexed: 11/27/2022] Open
Abstract
Objective The aim of this study was to evaluate effect of pulsed radiofrequency (PRF) neuromodulation of suprascpaular nerve (SSN) in patients with chronic shoulder pain due to adhesive capsulitis and/or rotator cuff tear. Methods The study included 11 patients suffering from chronic shoulder pain for at least 6 months who were diagnosed with adhesive capsulitis (n=4), rotator cuff tear (n=5), or adhesive capsulitis+rotator cuff tear (n=2) using shoulder magnetic resonance imaging or extremity ultrasonography. After a favorable response to a diagnostic suprascapular nerve block twice a week (pain improvement >50%), PRF neuromodulation was performed. Shoulder pain and quality of life were assessed using a Visual Analogue Scale (VAS) and the Oxford Shoulder Score (OSS) before the diagnostic block and every month after PRF neuromodulation over a 9-month period. Results The mean VAS score of 11 patients before PRF was 6.4±1.49, and the scores at 6-month and 9 month follow-up were 1.0±0.73 and 1.5±1.23, respectively. A significant pain reduction (p<0.001) was observed. The mean OSS score of 11 patients before PRF was 22.7±8.1, and the scores at 6-month and 9 month follow-up were 41.5±6.65 and 41.0±6.67, respectively. A significant OSS improvement (p<0.001) was observed. Conclusion PRF neuromodulation of the suprascapular nerve is an effective treatment for chronic shoulder pain, and the effect was sustained over a relatively long period in patients with medically intractable shoulder pain.
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Hwang SM, Lee JJ, Jang JS, Lee NH. Esophageal misplacement of a single-lumen tube after its exchange for a double-lumen tube despite the use of an airway-exchange catheter. Saudi J Anaesth 2013; 7:194-6. [PMID: 23956723 PMCID: PMC3737699 DOI: 10.4103/1658-354x.114050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
An airway-exchange catheter (AEC) can increase the safety of exchanges of endotracheal tubes (ETTs); however, the procedure is associated with potential risks. We describe a case of esophageal misplacement of a single-lumen ETT after switching from a double-lumen tube, despite the use of an AEC as a guidewire. To avoid this, physicians should consider the insertion depth and maintenance depth of the AEC and should verify its position before changing ETTs and should perform, if possible, with simultaneous visualization of the glottis with direct or video laryngoscopy during the exchange. Additionally, the new ETT position should be confirmed by auscultation, end-tidal carbon dioxide, and portable chest X-ray.
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Lee KS, Kim DH, Jang JS, Nam GE, Shin YN, Bok AR, Kim MJ, Cho KH. Eating rate is associated with cardiometabolic risk factors in Korean adults. Nutr Metab Cardiovasc Dis 2013; 23:635-641. [PMID: 22633791 DOI: 10.1016/j.numecd.2012.02.003] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2011] [Revised: 02/04/2012] [Accepted: 02/06/2012] [Indexed: 11/24/2022]
Abstract
BACKGROUND AND AIM Eating slowly is a crucial concept in behavioural nutrition and is recommended for weight management as it is believed to have an important effect on satiety control. This study aimed to determine whether or not eating rate is associated with cardiometabolic risk factors. METHODS AND RESULTS This was a cross-sectional study involving 8775 Korean adults, who visited the Center for Health Promotion of Korea University Anam Hospital in Seoul, Korea. In male study participants, weight and body mass index (BMI) were found to depend on eating rate after adjusting for age, alcohol consumption, smoking, exercise and total energy intake. When adjusted for age, alcohol consumption, smoking, exercise and BMI, differences were found between the eating rate groups with respect to high-density lipoprotein (HDL)-cholesterol, alanine aminotransferase (ALT) and alkaline phosphatase (ALP) values, white blood cell (WBC) count and total energy intake. Female participants were found to be different from males in that diastolic blood pressure and low-density lipoprotein (LDL)- and HDL-cholesterol values were significantly different between each eating rate group, while ALT and ALP values, WBC count and total energy intake were not. Compared with the slow eating rate group (>15 min), the fastest eating rate group (<5 min) had significantly increased odds ratios for cardiometabolic risk factors such as high glucose and low HDL-cholesterol levels in males, even after adjusting for BMI. CONCLUSION Fast eating rates are associated with obesity and other cardiometabolic risk factors, particularly in men. Thus, eating slowly is recommended for weight reduction and to decrease cardiovascular risk factors.
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Abe K, Hayato Y, Iida T, Iyogi K, Kameda J, Koshio Y, Kozuma Y, Marti L, Miura M, Moriyama S, Nakahata M, Nakayama S, Obayashi Y, Sekiya H, Shiozawa M, Suzuki Y, Takeda A, Takenaga Y, Ueno K, Ueshima K, Yamada S, Yokozawa T, Ishihara C, Kaji H, Kajita T, Kaneyuki K, Lee KP, McLachlan T, Okumura K, Shimizu Y, Tanimoto N, Labarga L, Kearns E, Litos M, Raaf JL, Stone JL, Sulak LR, Goldhaber M, Bays K, Kropp WR, Mine S, Regis C, Renshaw A, Smy MB, Sobel HW, Ganezer KS, Hill J, Keig WE, Jang JS, Kim JY, Lim IT, Albert JB, Scholberg K, Walter CW, Wendell R, Wongjirad TM, Ishizuka T, Tasaka S, Learned JG, Matsuno S, Smith SN, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Nishikawa K, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Takeuchi Y, Ikeda M, Minamino A, Nakaya T, Fukuda Y, Itow Y, Mitsuka G, Tanaka T, Jung CK, Lopez GD, Taylor I, Yanagisawa C, Ishino H, Kibayashi A, Mino S, Mori T, Sakuda M, Toyota H, Kuno Y, Yoshida M, Kim SB, Yang BS, Okazawa H, Choi Y, Nishijima K, Koshiba M, Yokoyama M, Totsuka Y, Martens K, Schuemann J, Vagins MR, Chen S, Heng Y, Yang Z, Zhang H, Kielczewska D, Mijakowski P, Connolly K, Dziomba M, Thrane E, Wilkes RJ. Evidence for the appearance of atmospheric tau neutrinos in super-Kamiokande. PHYSICAL REVIEW LETTERS 2013; 110:181802. [PMID: 23683190 DOI: 10.1103/physrevlett.110.181802] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2012] [Indexed: 06/02/2023]
Abstract
Super-Kamiokande atmospheric neutrino data were fit with an unbinned maximum likelihood method to search for the appearance of tau leptons resulting from the interactions of oscillation-generated tau neutrinos in the detector. Relative to the expectation of unity, the tau normalization is found to be 1.42 ± 0.35(stat)(-0.12)(+0.14)(syst) excluding the no-tau-appearance hypothesis, for which the normalization would be zero, at the 3.8σ level. We estimate that 180.1 ± 44.3(stat)(-15.2)(+17.8) (syst) tau leptons were produced in the 22.5 kton fiducial volume of the detector by tau neutrinos during the 2806 day running period. In future analyses, this large sample of selected tau events will allow the study of charged current tau neutrino interaction physics with oscillation produced tau neutrinos.
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Jang JS, Lee JJ, Park WJ, Kim EY, Lim SY. Anesthetic management of an adolescent with Dandy-Walker syndrome. Korean J Anesthesiol 2013; 64:180-1. [PMID: 23460934 PMCID: PMC3581791 DOI: 10.4097/kjae.2013.64.2.180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
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Jang JS, Lee JH, Lee JJ, Park WJ, Hwang SM, Lee SK, Lim SY. Postoperative nausea and vomiting after myringoplasty under continuous sedation using midazolam with or without remifentanil. Yonsei Med J 2012; 53:1010-3. [PMID: 22869486 PMCID: PMC3423846 DOI: 10.3349/ymj.2012.53.5.1010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
PURPOSE This prospective study evaluated the effects of continuous sedation using midazolam, with or without remifentanil, on postoperative nausea and vomiting (PONV) in patients undergoing myringoplasty. MATERIALS AND METHODS Sixty patients undergoing myringoplasty were sedated with midazolam in the presence of remifentanil (group MR), or after saline injection instead of remifentanil (group M). RESULTS Three patients (10%) in group M complained of nausea; two vomited. Four patients (13%) in group MR complained of nausea and vomited within 24 h after surgery. Rescue drugs were given to the six patients who vomited. No significant difference was detected between the two groups regarding the incidence or severity of nausea, incidence of vomiting, or need for rescue drugs. CONCLUSION Midazolam-based continuous sedation can reduce PONV after myringoplasty. Compared with midazolam alone, midazolam with remifentanil produced no difference in the incidence or severity of nausea, incidence of vomiting, or need for rescue drugs.
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Ahn JK, Chebotaryov S, Choi JH, Choi S, Choi W, Choi Y, Jang HI, Jang JS, Jeon EJ, Jeong IS, Joo KK, Kim BR, Kim BC, Kim HS, Kim JY, Kim SB, Kim SH, Kim SY, Kim W, Kim YD, Lee J, Lee JK, Lim IT, Ma KJ, Pac MY, Park IG, Park JS, Park KS, Shin JW, Siyeon K, Yang BS, Yeo IS, Yi SH, Yu I. Observation of reactor electron antineutrinos disappearance in the RENO experiment. PHYSICAL REVIEW LETTERS 2012; 108:191802. [PMID: 23003027 DOI: 10.1103/physrevlett.108.191802] [Citation(s) in RCA: 105] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2012] [Indexed: 06/01/2023]
Abstract
The RENO experiment has observed the disappearance of reactor electron antineutrinos, consistent with neutrino oscillations, with a significance of 4.9 standard deviations. Antineutrinos from six 2.8 GW(th) reactors at the Yonggwang Nuclear Power Plant in Korea, are detected by two identical detectors located at 294 and 1383 m, respectively, from the reactor array center. In the 229 d data-taking period between 11 August 2011 and 26 March 2012, the far (near) detector observed 17102 (154088) electron antineutrino candidate events with a background fraction of 5.5% (2.7%). The ratio of observed to expected numbers of antineutrinos in the far detector is 0.920±0.009(stat)±0.014(syst). From this deficit, we determine sin(2)2θ(13)=0.113±0.013(stat)±0.019(syst) based on a rate-only analysis.
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Jang JS, Kim HJ, Yoo JI, Lee JJ, Lim SY. Right axillary vein thrombosis due to malpositioning of a central venous catheter via the internal jugular vein. Korean J Anesthesiol 2012. [PMID: 23198049 PMCID: PMC3506865 DOI: 10.4097/kjae.2012.63.5.479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Abe K, Hayato Y, Iida T, Ikeda M, Iyogi K, Kameda J, Koshio Y, Kozuma Y, Miura M, Moriyama S, Nakahata M, Nakayama S, Obayashi Y, Sekiya H, Shiozawa M, Suzuki Y, Takeda A, Takenaga Y, Takeuchi Y, Ueno K, Ueshima K, Watanabe H, Yamada S, Yokozawa T, Ishihara C, Kaji H, Lee KP, Kajita T, Kaneyuki K, McLachlan T, Okumura K, Shimizu Y, Tanimoto N, Martens K, Vagins MR, Labarga L, Magro LM, Dufour F, Kearns E, Litos M, Raaf JL, Stone JL, Sulak LR, Goldhaber M, Bays K, Kropp WR, Mine S, Regis C, Smy MB, Sobel HW, Ganezer KS, Hill J, Keig WE, Jang JS, Kim JY, Lim IT, Albert JB, Scholberg K, Walter CW, Wendell R, Wongjirad TM, Tasaka S, Learned JG, Matsuno S, Hasegawa T, Ishida T, Ishii T, Kobayashi T, Nakadaira T, Nakamura K, Nishikawa K, Nishino H, Oyama Y, Sakashita K, Sekiguchi T, Tsukamoto T, Suzuki AT, Minamino A, Nakaya T, Fukuda Y, Itow Y, Mitsuka G, Tanaka T, Jung CK, Taylor I, Yanagisawa C, Ishino H, Kibayashi A, Mino S, Mori T, Sakuda M, Toyota H, Kuno Y, Kim SB, Yang BS, Ishizuka T, Okazawa H, Choi Y, Nishijima K, Koshiba M, Yokoyama M, Totsuka Y, Chen S, Heng Y, Yang Z, Zhang H, Kielczewska D, Mijakowski P, Connolly K, Dziomba M, Wilkes RJ. Search for differences in oscillation parameters for atmospheric neutrinos and antineutrinos at Super-Kamiokande. PHYSICAL REVIEW LETTERS 2011; 107:241801. [PMID: 22242990 DOI: 10.1103/physrevlett.107.241801] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2011] [Indexed: 05/31/2023]
Abstract
We present a search for differences in the oscillations of antineutrinos and neutrinos in the Super-Kamiokande-I, -II, and -III atmospheric neutrino sample. Under a two-flavor disappearance model with separate mixing parameters between neutrinos and antineutrinos, we find no evidence for a difference in oscillation parameters. Best-fit antineutrino mixing is found to be at (Δm2,sin2 2θ)=(2.0×10(-3) eV2, 1.0) and is consistent with the overall Super-K measurement.
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Park JW, Kim HS, Seo DD, Jang JS, Shin WG, Kim KH, Jang MK, Lee JH, Kim HY, Kim DJ, Lee MS, Park CK. Long-term efficacy of entecavir in adefovir-refractory chronic hepatitis B patients with prior lamivudine resistance. J Viral Hepat 2011; 18:e475-81. [PMID: 21914066 DOI: 10.1111/j.1365-2893.2011.01479.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
This study aimed to evaluate the long-term efficacy of entecavir (ETV) in adefovir (ADV)-refractory chronic hepatitis B (CHB) patients with prior lamivudine (LMV) resistance. A total of 55 ADV-refractory CHB patients with prior LMV resistance, who received rescue therapy with ETV 1 mg daily for at least 12 months, were consecutively enrolled and analysed. Forty-four patients were men, and their median age was 47 (25-69). Ten patients had liver cirrhosis and 46 patients were positive for hepatitis B e antigen (HBeAg). Median hepatitis B virus DNA levels were 6.6 (4.3-8.0) log(10) copies/mL, and the median duration of ETV therapy was 24 (12-47) months. Cumulative virologic response rates at 6, 12, 24 and 36 months were 18%, 29%, 58% and 75%, respectively. HBeAg loss occurred in 10 (21.7%) of 46 HBeAg-positive patients. In multivariate analysis, only initial virologic response at 3 months remained as an independent predictor for virologic response (RR 3.143; 95% CI 1.387-7.120; P = 0.006). The patients with a virological response at 3 months had not only a significantly higher probability of achieving a virologic response (P < 0.001) but also lower probability of experiencing a virologic breakthrough (P = 0.043) than the patients without an early response. Viral breakthrough was observed in 29 patients during the follow-up period. Cumulative breakthrough rates at 6, 12, 24 and 36 months were 0%, 15%, 45% and 73%, respectively. ETV monotherapy may be considerably efficacious in cases with an initial virological response but its efficacy is attenuated by frequent emergence of ETV resistance in ADV-refractory CHB patients with prior LMV resistance.
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Hwang SM, Jang JS, Yoo JI, Kwon HK, Lee SK, Lee JJ, Lim SY. Difficult tracheostomy tube placement in an obese patient with a short neck -A case report-. Korean J Anesthesiol 2011; 60:434-6. [PMID: 21738847 PMCID: PMC3121091 DOI: 10.4097/kjae.2011.60.6.434] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2010] [Revised: 01/02/2011] [Accepted: 01/02/2011] [Indexed: 11/10/2022] Open
Abstract
We report a difficult case of tracheostomy in a 34-year-old obese woman with a short neck. The tracheostomy tube placement repeatedly failed because of anatomical changes due to obesity and a short neck, tracheal mucosal swelling due to prolonged intubation, and unexpected false passage; however, it was successfully performed using an endotracheal tube exchanger as a guidewire.
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