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Otsubo H, Okita I, Suzuki M, Nakanishi S, Asai H, Inaoka PT. The Kuchi-kara Taberu index as a predictive marker of oral intake recovery in patients with aspiration pneumonia. Geriatr Gerontol Int 2023; 23:221-226. [PMID: 36748651 DOI: 10.1111/ggi.14551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 01/06/2023] [Accepted: 01/11/2023] [Indexed: 02/08/2023]
Abstract
AIM In recent years, the Kuchi-kara Taberu (KT) index has been used as a new tool for the evaluation of dysphagia; however, its predictive ability remains unknown. This study was conducted to examine the validity of oral intake recovery prediction using the KT index in patients with aspiration pneumonia. METHODS The subjects were older inpatients admitted to an acute-care hospital for the treatment of aspiration pneumonia. A logistic regression analysis was conducted to clarify factors significantly associated with oral intake recovery. In addition, cut-off values of the predictors were calculated using a receiver operating characteristic curve analysis with the area under the curve (P < 0.05). RESULTS A total of 124 patients (mean age 84.3 ± 7.9 years old, 70 males, 54 females) were enrolled in this study and divided into two groups at discharge: the oral intake group (62.1%) and the non-oral intake group (37.9%). The significant predictors of the recovery of oral intake were the pre-treatment period, treatment period, and the total score of the KT index; the respective odds ratios were 1.082 (95% confidence interval [CI] 1.013-1.156), 1.018 (1.003-1.033) and 0.850 (0.780-0.927), and the respective areas under the curve were 0.407 (95% CI 0.300-0.515), 0.304 (0.208-0.399), and 0.732 (0.640-0.824). The cut-off value of the total score of the KT index was 30. The model showed 85.7% sensitivity and 57.4% specificity. CONCLUSION The KT index is suggested to be a valid variable for predicting whether or not a patient with aspiration pneumonia can recover their oral intake ability during acute-care hospitalization. Geriatr Gerontol Int 2023; 23: 221-226.
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Affiliation(s)
- Hisanori Otsubo
- Department of Rehabilitation, Kanazawa City Hospital, Kanazawa, Japan.,Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan
| | - Ikumi Okita
- Department of Rehabilitation, Kanazawa City Hospital, Kanazawa, Japan
| | - Madoka Suzuki
- Department of Rehabilitation, Kanazawa City Hospital, Kanazawa, Japan
| | - Sayaka Nakanishi
- Department of Otorhinolaryngology, Kanazawa City Hospital, Kanazawa, Japan
| | - Hitoshi Asai
- Department of Physical Therapy, Graduate Course of Rehabilitation Science School of Health Sciences, Kanazawa University, Kanazawa, Japan
| | - Pleiades T Inaoka
- Department of Physical Therapy, Graduate Course of Rehabilitation Science School of Health Sciences, Kanazawa University, Kanazawa, Japan
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Hoshina D, Furuya K, Okita I. Erythema multiforme-like drug reaction with eosinophilia and systemic symptoms (DRESS). Clin Exp Dermatol 2014; 40:455-6. [DOI: 10.1111/ced.12541] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2014] [Indexed: 12/17/2022]
Affiliation(s)
- D. Hoshina
- Department of Dermatology; Hakodate Central General Hospital; Honcho 33-2 Hakodate 040-8585 Japan
| | - K. Furuya
- Department of Dermatology; Hakodate Central General Hospital; Honcho 33-2 Hakodate 040-8585 Japan
| | - I. Okita
- Department of Gastroenterology; Hakodate Central General Hospital; Honcho 33-2 Hakodate 040-8585 Japan
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Suzuki T, Matsushima M, Tsukune Y, Fujisawa M, Yazaki T, Uchida T, Gocyo S, Okita I, Shirakura K, Sasao K, Saito T, Sakamoto I, Igarashi M, Koike J, Takagi A, Mine T. Double-balloon endoscopy versus magnet-imaging enhanced colonoscopy for difficult colonoscopies, a randomized study. Endoscopy 2012; 44:38-42. [PMID: 22143991 DOI: 10.1055/s-0030-1256875] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND AND STUDY AIMS Studies have estimated that failure of cecal intubation occurs with conventional colonoscopy in up to 10 % of cases. Double-balloon endoscopy (DBE) systems, magnetic endoscope imaging (MEI), and transparent cap have been shown to improve success rates for colonoscopy. This study evaluated the utility of DBE for complete examination of the colon compared with MEI plus cap (MEI-Cap) after incomplete or technically difficult colonoscopy in a randomized comparative manner. PATIENTS AND METHODS A total of 94 patients with incomplete or technically difficult colonoscopy were randomly assigned to receive either DBE (n = 47) or colonoscopy with MEI-Cap (n = 47). The primary end point was cecal intubation rate within 30 minutes. Secondary end points included intubation time, pain score using a visual analog scale, abdominal pressure attempts, doses of sedative medication, and changes in patient position during colonoscopy. RESULTS Patient characteristics were comparable in both groups. Cecal intubation rate within 30 minutes was significantly higher for DBE (45 /47, 95.7 %) than for MEI-Cap (34 /47, 72.3 %) (P = 0.0049). Mean time to reach the cecum was significantly lower in the DBE group (13.0 ± 5.3 minutes) than in the MEI-Cap group (16.4 ± 4.8 minutes; P = 0.0003). No complications were encountered in either group. CONCLUSION DBE is more useful for complete examination of the colon than MEI-Cap in patients with incomplete or technically difficult colonoscopy.
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Affiliation(s)
- T Suzuki
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
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Fujihara T, Mori F, Kawano K, Yoshioka Y, Tamura Y, Okita I. [A case of T-cell type malignant lymphoma of the lung]. Nihon Kyobu Geka Gakkai Zasshi 1993; 41:258-61. [PMID: 8473792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
A case of T-cell type malignant lymphoma of the lung was reported. A 69-year-old woman was referred to our institute because of an abnormal shadow on the chest roentgenogram. She was symptom-free, and physical examination showed no abnormalities. Her laboratory tests were within normal limits. The chest roentgenogram showed a well-defined, nodular density in the left lower lung field without air bronchogram. She underwent a left lower lobectomy and a mediastinal lymphnodes dissection. This disclosed an elastic hard nodule, 2 cm in diameter, without pleural invasion. Pathologically the tumor was diagnosed as malignant lymphoma of T-cell type without regional lymphnode involvement. She is doing well without any sings of recurrence for one year after the operation.
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Affiliation(s)
- T Fujihara
- Department of Surgery, Yamaguchi Rosai Hospital, Onoda, Japan
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Suda H, Okita I, Matsumoto T, Hirose T, Yamakawa K, Moritani K, Higashi Y, Nakanishi T. [A case of miliary tuberculosis with intracranial tuberculoma]. Rinsho Hoshasen 1989; 34:1015-8. [PMID: 2810829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
A case of miliary tuberculosis with intracranial tuberculoma was reported. Homogenous or ring-like enhancing lesions surrounded with edema were seen after administration of contrast material on CT examination. However, CT is considered very useful method of evaluating the effect of antituberculous therapy.
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Matsumoto T, Shimabukuro M, Okita I, Hirose T, Yamakawa K, Nakamura H, Sakamoto E, Karino Y, Moritani K, Higashi Y. [CT findings of malignant lymphoma of the anterior mediastinum--differentiation from invasive thymoma]. Nihon Igaku Hoshasen Gakkai Zasshi 1989; 49:414-22. [PMID: 2798046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
CT findings were compared retrospectively between 9 cases with malignant lymphoma of the anterior mediastinum and 8 cases with invasive thymoma. CT findings of malignant lymphoma were as follows: 1) The majority of the tumors were bilateral and extended beyond the anterior mediastinum to the other mediastinum compartments. 2) Their margin was either smooth or lobulated. 3) Their density was either homogeneous or heterogeneous. In the case with heterogeneous density, ring, triangle and/or band-like low density areas, just like interspace of fused lymph nodes, were demonstrated. Calcification or cysts could not be shown. 4) Patent inherent vessels without deviation were occasionally demonstrated running through the tumors. 5) The tumors faced and contacted widely to anterior chest wall and often pressed the lung laterally at the anterior parietomediastinal pleural reflection. 6) Pleural implants were not demonstrated.
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Okita I, Matsumoto T, Eguchi S, Hirose T, Suga K, Nishigauchi K, Shimabukuro M, Nakamishi T. [Comparative study of findings by tomography with a compensation filter and those by bronchofiberscopy in the hilar and mediastinal region]. Nihon Igaku Hoshasen Gakkai Zasshi 1987; 47:722-8. [PMID: 3658659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Kawasaki S, Ebe K, Nagaoka S, Okita I, Shinohara K, Nakanishi T. [Quantitation of sensitivities of primary human tumor cells to radiation and hyperthermia. 1. Sensitivity of leukemic and malignant lymphoma cells]. Nihon Igaku Hoshasen Gakkai Zasshi 1984; 44:526-8. [PMID: 6462900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Nagaoka S, Okita I, Hashimoto H, Matsumoto T, Eguchi S, Nakanishi T. [A case of intralobar pulmonary sequestration associated with scoliosis and agenesis of bronchus]. Rinsho Hoshasen 1984; 29:405-8. [PMID: 6235384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Kusumoto S, Hashimoto H, Okita I, Kobayashi M, Suetomi K, Noi K, Nagano M, Neki M, Matsumoto T, Toriihara M, Eguchi S, Nakanishi T. [A study of encapsulated pleural effusions--focussing on the evaluation of chest x-ray findings (author's transl)]. Rinsho Hoshasen 1980; 25:1201-6. [PMID: 7452932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Kusumoto S, Nagano M, Noi K, Hashimoto H, Neki M, Fukuyama M, Suetomi K, Kobayashi M, Okita I, Nakanishi T. [A case of primary pulmonary cryptococcosis--report of a case (author's transl)]. Rinsho Hoshasen 1978; 23:1053-6. [PMID: 702882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Kawasaki S, Kobayashi M, Okita I, Suetomi K, Sakurai K. [Protective effect of SH compounds on the radiation-induced mitotic delay. 3. Protection by cysteamine (author's transl)]. Nihon Igaku Hoshasen Gakkai Zasshi 1974; 34:814-9. [PMID: 4533789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Kawasaki S, Kobayashi M, Okita I, Suetomi K, Sakurai K. [Protective effect of SH compounds on the radiation-induced mitotic delay. 2. Protective mechanism of glutathione (author's transl)]. Nihon Igaku Hoshasen Gakkai Zasshi 1974; 34:599-604. [PMID: 4531645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Kawasaki S, Kobayashi M, Okita I, Suetomi K, Sakurai K. [Protective effect of SH compounds on the radiation-induced mitotic delay. I. Protection by glutathione (author's transl)]. Nihon Igaku Hoshasen Gakkai Zasshi 1974; 34:444-8. [PMID: 4531638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Ogino K, Nakanishi K, Yokoyama K, Okita I, Motoki T. [Technics and clinical significance of trans-sternal pneumomediastinography, with special reference to the roentgenologic observation of the thymus in myasthenic patients]. Rinsho Hoshasen 1972; 17:926-30. [PMID: 4675530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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