Achievement of team for CLI care at Kansai Rosai Hospital

2014 ◽  
Vol 6 (1) ◽  
pp. 76-80
Author(s):  
Mitsuko Watanabe ◽  
Mayuko Ohshiro ◽  
Atsumi Shindo ◽  
Asako Tajiri ◽  
Yoko Nunotani ◽  
...  
Keyword(s):  
Rosai Hospital

scholarly journals Gallstone Ileus following Endoscopic Stone Extraction

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yoshiya Yamauchi ◽  
Noritaka Wakui ◽  
Yasutsugu Asai ◽  
Nobuhiro Dan ◽  
Yuki Takeda ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Ileus ◽  
Balloon Catheter ◽  
Common Bile Duct Stones ◽  
Abdominal Distension ◽  
Abdominal Ultrasonography ◽  
Stent Occlusion ◽  
Plastic Stent ◽  
Rosai Hospital

An 85-year-old woman was an outpatient treated at Tokyo Rosai Hospital for cirrhosis caused by hepatitis B. She had previously been diagnosed as having common bile duct stones, for which she underwent endoscopic retrograde cholangiopancreatography (ERCP). However, as stone removal was unsuccessful, a plastic stent was placed after endoscopic sphincterotomy. In October 2012, the stent was replaced endoscopically because she developed cholangitis due to stent occlusion. Seven days later, we performed ERCP to treat recurring cholangitis. During the procedure, the stone was successfully removed by a balloon catheter when cleaning the common bile duct. The next day, the patient developed abdominal pain, abdominal distension, and nausea and was diagnosed as having gallstone ileus based on abdominal computed tomography (CT) and abdominal ultrasonography findings of an incarcerated stone in the terminal ileum. Although colonoscopy was performed after inserting an ileus tube, no stone was visible. Subsequent CT imaging verified the disappearance of the incarcerated stone from the ileum, suggesting that the stone had been evacuated naturally via the transanal route. Although it is extremely rare for gallstone ileus to develop as a complication of ERCP, physicians should be aware of gallstone ileus and follow patients carefully, especially after removing huge stones.

scholarly journals Hypnotics Use and Falls in Hospital Inpatients Stratified by Age

2016 ◽  
Vol 9 (4) ◽  
pp. 148 ◽  
Author(s):  
Masayoshi Zaitsu ◽  
Yoko Kurita ◽  
Maki Iwahana ◽  
Hitomi Akiyama ◽  
Fujiko Watanabe ◽  
...  
Keyword(s):  
Medical Records ◽  
Fall Risk ◽  
Daily Living ◽  
Incidence Rate Ratio ◽  
Poisson Regression Model ◽  
Middle Aged ◽  
Older Inpatients ◽  
Rosai Hospital ◽  
Hypnotic Drugs ◽  
Hospital Inpatients

<p><strong>BACKGROUND:</strong> Little is known about the association between hypnotics use and falls among inpatients in young and middle-aged populations. We aimed to determine whether the use of hypnotics elevated the fall risk in adult inpatients aged 20 and above.</p><p><strong>METHODS:</strong> Patients admitted to the Kanto Rosai Hospital, Kanagawa, Japan, between April 1, 2013 and January 31, 2014 were followed up until discharge. We estimated the incidence rate ratio (IRR) and 95% confidence intervals (CI) of falls for the use of hypnotic drugs with a Poisson regression model, adjusted for sex, age, activities of daily living, and comorbidities.</p><p><strong>RESULTS:</strong> For the 6,949 inpatients whose medical records were examined, the incidence of falls was significantly higher in hypnotics’ users than in non-users. The IRR was 1.52 (95% CI, 1.10-2.11). When stratified by age, the risk of hypnotics use in the patients aged 65 and above was statistically elevated (IRR, 1.48; 95% CI, 1.02-2.13); the risk in the patients aged 25-64 was elevated but not significant (IRR, 1.33; 95% CI, 0.63-2.81).</p><p><strong>CONCLUSION:</strong> Usage of hypnotics elevated fall risk in the older inpatients, though this association was not significant in the young and middle-aged inpatients. Further studies are needed.</p>

scholarly journals Operation for Fracture of the Femoral Neck and the Trochanteric Fracture in Yamaguchi-Rosai Hospital

1976 ◽  
Vol 25 (1) ◽  
pp. 64-66
Author(s):  
K. Ohya ◽  
Y. Otani ◽  
S. Kurose ◽  
K. Ikemoto ◽  
K. Katai ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Trochanteric Fracture ◽  
Rosai Hospital

scholarly journals Development of New Library at Osaka Rosai Hospital.

1991 ◽  
Vol 38 (3) ◽  
pp. 295-300
Author(s):  
Misae MATSUI
Keyword(s):  
Rosai Hospital

scholarly journals Proposed mechanism for cyst formation and enlargement following Gamma Knife Surgery for arteriovenous malformations

2012 ◽  
Vol 117 (Special_Suppl) ◽  
pp. 135-143 ◽  
Author(s):  
Takashi Shuto ◽  
Makoto Ohtake ◽  
Shigeo Matsunaga
Keyword(s):  
Gamma Knife ◽  
Arteriovenous Malformations ◽  
Brain Area ◽  
Cyst Formation ◽  
Gamma Knife Surgery ◽  
Mr Images ◽  
Complete Obliteration ◽  
Rosai Hospital ◽  
Hemosiderin Deposits ◽  
Adjacent Brain

Object The authors retrospectively studied the mechanism of cyst formation and enlargement after Gamma Knife surgery (GKS) for arteriovenous malformations (AVMs). Methods Eighteen patients in whom cyst formation developed following GKS for AVM were retrospectively identified among 775 patients who underwent GKS for AVM at Yokohama Rosai Hospital. The study group was composed of 12 male and 6 female patients ranging in age from 17 to 47 years. Results Chronic encapsulated expanding hematoma was associated with the cyst in 5 patients. The AVM nidus volume at the time of GKS ranged from 1.9 to 36 cm3, and the prescription radiation dose was 18–25 Gy. Complete obliteration of the AVM nidus was obtained in 13 patients and partial obliteration in 5 patients. Cyst formation was detected between 2.6 and 15 years after GKS. Craniotomy was performed in 10 patients, including 2 patients in whom the incompletely obliterated nidus was removed at the same time, and an Ommaya reservoir was placed in 2 patients. Spontaneous regression of the cyst was observed in 1 patient. Serial MR imaging was performed in the other patients because the size of the cyst was stable or the lesion was asymptomatic. Histological examination of the cyst wall revealed linear hemosiderin deposits with gliosis. The nodular lesion, which was enhanced on MR images, contained granulation tissue with chronic hemorrhage from newly developed capillary vessels. Conclusions Cysts developing after GKS for AVM enlarge mainly due to repeated minor hemorrhages from a reddish nodular angiomatous lesion that develops within an adjacent brain area. Thus, the optimal treatment is wide opening of the cyst with removal of the associated angiomatous lesion by craniotomy.

Evaluation of Cortisol Production in Aldosterone-Producing Adenoma

2017 ◽  
Vol 49 (11) ◽  
pp. 847-853 ◽  
Author(s):  
Kosuke Inoue ◽  
Yuto Yamazaki ◽  
Yuya Tsurutani ◽  
Sachiko Suematsu ◽  
Chiho Sugisawa ◽  
...  
Keyword(s):  
Tumour Size ◽  
Serum Cortisol ◽  
Dexamethasone Suppression Test ◽  
Subclinical Hypercortisolism ◽  
Partial Adrenalectomy ◽  
Significant Difference ◽  
Rosai Hospital ◽  
Suppression Test ◽  
Aldosterone Producing Adenoma ◽  
Dexamethasone Suppression

AbstractAldosterone-producing adenoma (APA) is sometimes accompanied with subclinical hypercortisolism. We investigated the ability of cortisol production in APA, both clinically and pathologically. A retrospective cohort study was conducted at Yokohama Rosai Hospital from 2009 to 2016. Thirty patients with APA and serum cortisol levels during the 1 mg dexamethasone suppression test (F-DST)<3.0 μg/dl were included. We evaluated the 1) difference between pre-adrenalectomy F-DST (pre-F-DST) and post-adrenalectomy F-DST (ΔF-DST), 2) correlation between ∆F-DST and pre-F-DST, tumour size determined by CT, and type of adrenalectomy (total or partial), and 3) relationship between the ratio of F-DST divided by tumour size (ΔF-DST/pre-F-DST/mm) and immunoreactivity of CYP17A1, CYP11B1, and CYP11B2. The median [interquartile range] age was 48 [38–58] years. We found a significant decrease in F-DST after adrenalectomy [before: 1.4 (1.1–1.8); after: 0.9 (0.6–1.2); p<0.001]. Additionally, a significant correlation was found for ΔF-DST and both pre-F-DST (Spearman, ρ=–0.68, p<0.001) and tumour size (ρ=–0.51, p 0.005). No significant difference was found in ΔF-DST between total and partial adrenalectomy. CYP17A1 and CYP11B1 were positive in 21 (100%) and 17 (81%) adenomas, respectively. CYP17A1 immunoreactivity in the tumour was significantly related with ΔF-DST/pre-F-DST/mm (p 0.049). F-DST significantly decreased after adrenalectomy, and most of the adenomas were immunohistochemically positive for CYP17A1 and CYP11B1 as well as CYP11B2. We should consider the possibility of autonomous cortisol production as well as hyperaldosteronism in the evaluation and treatment of APA patients.

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