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  1. Article: The Telehealth Program for Kindergarten and Nursery Teachers in Charge of Children with Behavioral Problems.

    Inoue, Masahiko / Takagi, Asuka

    Yonago acta medica

    2021  Volume 64, Issue 1, Page(s) 143–146

    Abstract: This study provided a telehealth program for kindergarten and nursery teachers in charge of children with, or suspected of having, developmental disabilities. We examined teacher participation, behavior intervention plans (BIP), practice, and improvement ...

    Abstract This study provided a telehealth program for kindergarten and nursery teachers in charge of children with, or suspected of having, developmental disabilities. We examined teacher participation, behavior intervention plans (BIP), practice, and improvement of children's behavior. Six sessions of online lectures and two online consultations based on functional behavioral assessments (FBA) were held. All ten teachers conducted the FBA, and seven created the BIP. Additionally, six out of seven teachers recorded their children's problem behaviors, showing improvement in the problem behavior of these children. Moreover, the non-targeted problem behaviors also showed improvement following the intervention.
    Language English
    Publishing date 2021-01-29
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 840719-8
    ISSN 1346-8049 ; 0513-5710
    ISSN (online) 1346-8049
    ISSN 0513-5710
    DOI 10.33160/yam.2021.02.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: First experience of temperature-controlled bipolar radiofrequency ablation of ventricular tachycardia originating from the anterior left ventricle using a diamond-embedded-tip catheter.

    Inaba, Osamu / Inamura, Yukihiro / Takagi, Takamitsu / Sato, Akira / Goya, Masahiko / Sasano, Tetsuo

    HeartRhythm case reports

    2023  Volume 9, Issue 8, Page(s) 529–533

    Language English
    Publishing date 2023-05-18
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2834871-0
    ISSN 2214-0271
    ISSN 2214-0271
    DOI 10.1016/j.hrcr.2023.05.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Nutritional Management in a 101-Year-Old Woman with Physical Inactivity and General Weakness: A Case Report.

    Mineyama, Ryoko / Tezuka, Fumie / Takagi, Nobuko / Kokabu, Shoichiro / Okubo, Masahiko

    Geriatrics (Basel, Switzerland)

    2023  Volume 8, Issue 1

    Abstract: Japan has the world's highest life longevity, and centenarian patients are no longer rare. However, sufficient information related to centenarians is not available. Herein, we report the case of a 101-year-old centenarian woman who recovered from extreme ...

    Abstract Japan has the world's highest life longevity, and centenarian patients are no longer rare. However, sufficient information related to centenarians is not available. Herein, we report the case of a 101-year-old centenarian woman who recovered from extreme inactivity and general weakness, mainly through nutritional management at home, to understand instances of nutritional management in centenarians. The patient developed lethargy, with a rapid decline in activity levels and food intake. She was diagnosed with senility by a primary doctor. We concluded that she had no problems with feeding and swallowing and predicted that her motivation to eat had decreased. We planned an intervention that lasted three months. To reduce the risk of aspiration, we paid attention to her posture while eating. To stimulate her appetite, we increased the variety and color of food items. To consider both the texture of food and safety, we changed the form of foods from paste (IDDSI Level 4)-like to solid food of regular size as much as possible. We recommended that the patient consume her favorite sweet between meals to enjoy eating. Two and half months after the initial intervention, the patient's inactivity and general weakness improved dramatically, which was recognized by her willingness to eat, laugh loudly, and hum, although she could not speak clearly. The patient finally was able to have dinner with her family.
    Language English
    Publishing date 2023-01-06
    Publishing country Switzerland
    Document type Case Reports
    ISSN 2308-3417
    ISSN (online) 2308-3417
    DOI 10.3390/geriatrics8010008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Late life-threatening arrhythmia in patients with Brugada syndrome: Results from long-term follow-up in a large Japanese cohort.

    Shinohara, Tetsuji / Takagi, Masahiko / Kamakura, Tsukasa / Komatsu, Yuki / Aizawa, Yoshiyasu / Sekiguchi, Yukio / Yokoyama, Yasuhiro / Aihara, Naohiko / Hiraoka, Masayasu / Aonuma, Kazutaka

    Journal of cardiovascular electrophysiology

    2024  Volume 35, Issue 4, Page(s) 701–707

    Abstract: Introduction: Most patients with Brugada syndrome (BrS) are first diagnosed in their 40s, with sudden cardiac death (SCD) often occurring in their 50s. Ventricular fibrillation (VF) may occur in some patients with BrS despite having been asymptomatic ... ...

    Abstract Introduction: Most patients with Brugada syndrome (BrS) are first diagnosed in their 40s, with sudden cardiac death (SCD) often occurring in their 50s. Ventricular fibrillation (VF) may occur in some patients with BrS despite having been asymptomatic for a long period. This study aimed to assess the incidence and risk factors for late life-threatening arrhythmias in patients with BrS.
    Methods: Patients with BrS (n = 523; mean age, 51 ± 13 years; male, n = 497) were enrolled. The risk of late life-threatening arrhythmia was investigated in 225 patients who had experienced no cardiac events (CEs: SCD or ventricular tachyarrhythmia) for at least 10 years after study enrollment. The incidence of CEs during the follow-up period was examined.
    Results: During the follow-up of the 523 patients, 59 (11%) experienced CEs. The annual incidences of CEs were 2.87%, 0.77%, and 0.09% from study enrollment to 3, 3-10, and after 10 years, respectively. Among 225 patients who had experienced no CEs for at least 10 years after enrollment, four patients (1.8%) subsequently experienced CEs. Kaplan-Meier analysis revealed significant differences in the incidence of late CEs between patients with and without a history of symptoms (p = .032). The positive and negative predictive values of late CEs for the programmed electrical stimulation (PES) test were 2.9% and 100%, respectively.
    Conclusion: Our results suggest that patients with BrS who are asymptomatic and have no ventricular tachycardia/VF inducibility by PES are at extremely low risk of experiencing late life-threatening arrhythmias.
    MeSH term(s) Humans ; Male ; Adult ; Middle Aged ; Brugada Syndrome/diagnosis ; Brugada Syndrome/therapy ; Brugada Syndrome/complications ; Follow-Up Studies ; Japan/epidemiology ; Electrocardiography/methods ; Arrhythmias, Cardiac/complications ; Ventricular Fibrillation/diagnosis ; Ventricular Fibrillation/epidemiology ; Ventricular Fibrillation/therapy ; Death, Sudden, Cardiac/epidemiology ; Death, Sudden, Cardiac/etiology
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025989-2
    ISSN 1540-8167 ; 1045-3873
    ISSN (online) 1540-8167
    ISSN 1045-3873
    DOI 10.1111/jce.16205
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Analysis of site-specific late potentials using a novel Holter signal-averaged electrocardiography in patients with Brugada syndrome.

    Takahashi, Hiroki / Takagi, Masahiko / Yoshio, Takuro / Yoh, Masue / Shiojima, Ichiro

    Heart rhythm

    2022  Volume 19, Issue 10, Page(s) 1650–1658

    Abstract: Background: The utility of late potentials on signal-averaged electrocardiography (SAECG) for risk stratification in patients with Brugada syndrome (BrS) remains controversial. Late potentials on conventional SAECG with Frank leads may be insufficiently ...

    Abstract Background: The utility of late potentials on signal-averaged electrocardiography (SAECG) for risk stratification in patients with Brugada syndrome (BrS) remains controversial. Late potentials on conventional SAECG with Frank leads may be insufficiently sensitive to detect site-specific late potentials in right precordial leads.
    Objective: The purpose of this study was to evaluate the utility of site-specific late potentials using a novel unipolar Holter-SAECG system for risk stratification in patients with BrS.
    Methods: Consecutive symptomatic (n = 20) and asymptomatic (n = 21) patients with BrS who underwent investigation using conventional SAECG and a novel unipolar Holter-SAECG system were enrolled. We evaluated clinical characteristics and outcomes and compared late potentials on the 2 SAECGs between both groups and patients with and without cardiac events (CEs) (sudden cardiac death or sustained ventricular tachyarrhythmias) during the follow-up period.
    Results: During mean follow-up of 76 months, 10 patients (24%) had CEs. There were no significant differences in late potentials on conventional SAECG between symptomatic and asymptomatic patients. On the Holter-SAECG system, RMS40 in lead V
    Conclusion: Site-specific late potentials in lead 3L-V
    MeSH term(s) Brugada Syndrome/diagnosis ; Death, Sudden, Cardiac ; Electrocardiography ; Electrocardiography, Ambulatory ; Humans ; Tachycardia, Ventricular/diagnosis
    Language English
    Publishing date 2022-05-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2229357-7
    ISSN 1556-3871 ; 1547-5271
    ISSN (online) 1556-3871
    ISSN 1547-5271
    DOI 10.1016/j.hrthm.2022.05.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Revascularization strategies in patients with diabetes and stable ischemic heart disease: a systematic review and meta-analysis of randomized trials.

    Noguchi, Masahiko / Ueyama, Hiroki / Fujisaki, Tomohiro / Takagi, Hisato / Kuno, Toshiki

    Journal of cardiovascular medicine (Hagerstown, Md.)

    2022  Volume 23, Issue 4, Page(s) 242–246

    Abstract: Aims: The optimal treatment strategy comparing invasive revascularization versus optimal medical therapy (OMT) in patients with diabetes mellitus (DM) and stable ischemic heart disease (SIHD) still remains unclear. We aimed to investigate clinical ... ...

    Abstract Aims: The optimal treatment strategy comparing invasive revascularization versus optimal medical therapy (OMT) in patients with diabetes mellitus (DM) and stable ischemic heart disease (SIHD) still remains unclear. We aimed to investigate clinical outcomes of invasive revascularization (percutaneous coronary intervention, coronary artery bypass grafting or both) versus OMT in patients with DM and SIHD from updated published randomised-controlled trials (RCTs).
    Methods: We conducted a comprehensive literature search through PubMed and EMBASE to investigate the effect of revascularization versus OMT for patients with DM and SIHD. The studies were limited to RCTs or their subgroup data for a meta-analysis. The outcomes of interest were major adverse cardiovascular events (MACE) in patients with DM and SIHD.
    Results: Our search identified subgroup data with DM of four RCTs including a total of 5742 patients with SIHD. Our results showed that invasive revascularization was not associated with a decreased risk of MACE when compared to OMT [hazard ratio (95% confidence interval): 0.95 (0.85-1.05), P = 0.31; I2 = 0%].
    Conclusion: Invasive revascularization was not associated with a decreased risk of MACE when compared with OMT.
    MeSH term(s) Coronary Artery Bypass/adverse effects ; Coronary Artery Disease/diagnostic imaging ; Coronary Artery Disease/surgery ; Diabetes Mellitus/diagnosis ; Diabetes Mellitus/epidemiology ; Humans ; Myocardial Ischemia/complications ; Myocardial Ischemia/surgery ; Percutaneous Coronary Intervention/adverse effects ; Randomized Controlled Trials as Topic ; Treatment Outcome
    Language English
    Publishing date 2022-01-07
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2223461-5
    ISSN 1558-2035 ; 1558-2027
    ISSN (online) 1558-2035
    ISSN 1558-2027
    DOI 10.2459/JCM.0000000000001285
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Ulnar Collateral Ligament Reconstruction of Thumb Metacarpophalangeal Joint With Adductor Pollicis Tendon Using the Wide-Awake Approach.

    Takagi, Takehiko / Watanabe, Masahiko

    The Journal of hand surgery

    2019  Volume 44, Issue 5, Page(s) 426.e1–426.e5

    Abstract: Injuries to the ulnar collateral ligament (UCL) of the thumb are common and require prompt attention. Diagnostic findings and treatment options differ in acute and chronic injuries of the UCL. Pain and weakness of pinch and grip occur with chronic UCL ... ...

    Abstract Injuries to the ulnar collateral ligament (UCL) of the thumb are common and require prompt attention. Diagnostic findings and treatment options differ in acute and chronic injuries of the UCL. Pain and weakness of pinch and grip occur with chronic UCL instability. Various surgical techniques have been described for the treatment of chronic ligament insufficiency at the metacarpophalangeal (MCP) joint of the thumb. These include refashioning of the ligament from capsular remnants, dynamic tendon transfers, tendon advancement, free tendon grafts, and MCP joint fusion. Free tendon grafts offer a reliable method of reconstruction. Fixation is usually achieved by passing sutures through drill holes, using pull out wires, passing the tendon graft through bone tunnels or attaching the tendon graft to a staple. However, a simpler technique using a half-slip of the adjacent adductor pollicis tendon to stabilize the thumb MCP joint can be considered. We demonstrate a simple and effective surgical technique for reconstruction of the UCL at the thumb MCP joint for chronic injury of the ligament, using the adjacent adductor pollicis tendon under a wide-awake approach.
    MeSH term(s) Anesthesia, Local ; Humans ; Metacarpophalangeal Joint/surgery ; Tendon Transfer/methods ; Thumb/injuries ; Thumb/surgery ; Ulnar Collateral Ligament Reconstruction/methods
    Language English
    Publishing date 2019-01-23
    Publishing country United States
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 605716-0
    ISSN 1531-6564 ; 0363-5023
    ISSN (online) 1531-6564
    ISSN 0363-5023
    DOI 10.1016/j.jhsa.2018.11.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Diverse Heat Tolerance of the Yeast Symbionts of

    Zhu, Xue-Jiao / Zhang, Sheng-Nan / Watanabe, Kana / Kawakami, Kako / Kubota, Noriko / Takagi, Etsuro / Tanahashi, Masahiko / Wen, Xiu-Jun / Kubota, Kôhei

    Frontiers in microbiology

    2022  Volume 12, Page(s) 793592

    Abstract: ... The ... ...

    Abstract The genus
    Language English
    Publishing date 2022-01-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2021.793592
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  9. Article ; Online: Compression of the Median Nerve and Ulnar Nerve's Deep Palmar Branch by a Ganglion Cyst in the Carpal Tunnel: A Case Report.

    Yanagisawa, Sho / Takagi, Takehiko / Kodama, Mitsuhiko / Kobayashi, Yuka / Watanabe, Masahiko

    JBJS case connector

    2021  Volume 11, Issue 3

    Abstract: Case: A 39-year-old woman presented with a ganglion cyst in the carpal tunnel simultaneously compressing the right median nerve and the deep palmar branch of the ulnar nerve. During surgery, the soft tissue was exposed under the median nerve and on the ... ...

    Abstract Case: A 39-year-old woman presented with a ganglion cyst in the carpal tunnel simultaneously compressing the right median nerve and the deep palmar branch of the ulnar nerve. During surgery, the soft tissue was exposed under the median nerve and on the deep palmar branch of the ulnar nerve running transversely in the deep area of the carpal tunnel.
    Conclusion: Simultaneous compression of the median nerve and deep palmar branch of the ulnar nerve is extremely rare; however, such a pathoanatomical relationship must be considered while examining a patient because these nerves are located close to each other.
    MeSH term(s) Adult ; Carpal Tunnel Syndrome/etiology ; Carpal Tunnel Syndrome/surgery ; Female ; Ganglion Cysts/complications ; Ganglion Cysts/diagnostic imaging ; Ganglion Cysts/surgery ; Humans ; Median Nerve/surgery ; Ulnar Artery ; Ulnar Nerve
    Language English
    Publishing date 2021-07-15
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2160-3251
    ISSN (online) 2160-3251
    DOI e20.00692
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Pre-Existing Left Bundle Branch Block and Clinical Outcomes After Transcatheter Aortic Valve Replacement.

    Saito, Tetsuya / Inohara, Taku / Tsuruta, Hikaru / Yashima, Fumiaki / Shimizu, Hideyuki / Fukuda, Keiichi / Ohno, Yohei / Nishina, Hidetaka / Izumo, Masaki / Asami, Masahiko / Naganuma, Toru / Mizutani, Kazuki / Yamawaki, Masahiro / Tada, Norio / Yamanaka, Futoshi / Shirai, Shinichi / Noguchi, Masahiko / Ueno, Hiroshi / Takagi, Kensuke /
    Watanabe, Yusuke / Yamamoto, Masanori / Hayashida, Kentaro

    JACC. Asia

    2024  Volume 4, Issue 4, Page(s) 306–319

    Abstract: Background: Few reports on pre-existing left bundle branch block (LBBB) in patients undergoing transcatheter aortic valve replacement (TAVR) are currently available. Further, no present studies compare patients with new onset LBBB with those with pre- ... ...

    Abstract Background: Few reports on pre-existing left bundle branch block (LBBB) in patients undergoing transcatheter aortic valve replacement (TAVR) are currently available. Further, no present studies compare patients with new onset LBBB with those with pre-existing LBBB.
    Objectives: This study aimed to investigate the association between pre-existing or new onset LBBB and clinical outcomes after TAVR.
    Methods: Using data from the Japanese multicenter registry, 5,996 patients who underwent TAVR between October 2013 and December 2019 were included. Patients were classified into 3 groups: no LBBB, pre-existing LBBB, and new onset LBBB. The 2-year clinical outcomes were compared between 3 groups using Cox proportional hazards models and propensity score analysis to adjust the differences in baseline characteristics.
    Results: Of 5,996 patients who underwent TAVR, 280 (4.6%) had pre-existing LBBB, while 1,658 (27.6%) experienced new onset LBBB. Compared with the no LBBB group, multivariable Cox regression analysis showed that pre-existing LBBB was associated not only with a higher 2-year all-cause (adjusted HR: 1.39; 95% CI: 1.06-1.82;
    Conclusions: Pre-existing LBBB was independently associated with poor clinical outcomes, reflecting an increased risk of cardiovascular mortality after TAVR. Patients with pre-existing LBBB should be carefully monitored.
    Language English
    Publishing date 2024-01-09
    Publishing country United States
    Document type Journal Article
    ISSN 2772-3747
    ISSN (online) 2772-3747
    DOI 10.1016/j.jacasi.2023.11.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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