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- 저자 : ( Yoshihito Otsuka ) (검색결과 2 건)
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S-3 : Japanese Basic Clinical Microbiology Laboratories and Thought
( Yoshihito Otsuka ) 대한임상병리사협회 2009 임상미생물검사학회 발표자료집 Vol.2009 No.-
I would like to introduce the basic methods used in clinical microbiology laboratories in Japan. As of September, 2009, there are 8,766 hospitals in Japan. However, among these, only 1,700 hospitals have a microbiology laboratory. Microbiology laboratories commonly perform diagnostic tests for acute infections such as culture of bacterial, acid-fast and fungal pathogens and antigen POCT. But in Japan, microbiology laboratories do not only report the test results to the physician, they also take an active role in the diagnosis of the cause of infection, in the selection of appropriate antibiotics and treatment options, and in the planning and implementation of infection control measures.
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Hitoshi Kudo,Kazunari Takeuchi,Toru Yokoyama,Yoshihito Yamasaki,Kanichiro Wada,Gentaro Kumagai,Toru Asari,Hironori Otsuka,Yasuyuki Ishibashi 대한척추외과학회 2019 Asian Spine Journal Vol.13 No.4
Study Design: Retrospective study. Purpose: We experienced the situation wherein some patients had new-onset pain or dysesthesia around the ring and little fingers (C8 symptom) or ulnar aspect of the forearm (T1 symptom) after cervical laminoplasty (LP). We investigated the incidence and the cause of new C8 or T1 symptoms and the clinical outcomes after C3–C6 LP or C3–C7 LP. Overview of Literature: There were some reports regarding complications after cervical LP. However, there was no report regarding C8 or T1 symptoms after cervical LP. Methods: Among the 33 patients enrolled in this study, 11 and 22 patients were treated with C3–C6 LP and C3–C7 LP, respectively. We prospectively evaluated C8 or T1 symptoms daily postoperatively for 1 week. The distance of the posterior spinal cord shifting and posterior subarachnoid space from C2 to T1 was measured by T2-weighted midsagittal magnetic resonance imaging (MRI). We evaluated pre- and postoperative axial neck pain, Japanese Orthopaedic Association (JOA) score, and JOA score improvement rate. Results: C8 or T1 symptoms occurred in five and three patients with C3–C6 LP (45.5%) and C3–C7 LP (13.6%), respectively. The distance of the posterior subarachnoid space in C3–C6 LP at C7 was significantly shorter than that in C3–C7 LP at T1 on MRI 24 hours postoperatively (p=0.0448). Postoperative axial neck pain, pre- and postoperative JOA scores, and JOA score improvement rate were not significantly different. Conclusions: The incidence of C8 or T1 symptoms in C3–C6 LP was higher than that in C3–C7 LP. C8 or T1 symptoms would be caused by the posterior fila radicularia and spinal cord impingement on the intact lower end of the lamina.
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