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- 저자 : Takehiro Nakamura (검색결과 3 건)
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Metabolic Syndrome is a Predisposing Factor for Diffuse Idiopathic Skeletal Hyperostosis
Eijiro Okada,Shinichi Ishihara,Koichiro Azuma,Takehiro Michikawa,Satoshi Suzuki,Osahiko Tsuji,Satoshi Nori,Narihito Nagoshi,Mitsuru Yagi,Michiyo Takayama,Takashi Tsuji,Nobuyuki Fujita,Masaya Nakamura 대한척추신경외과학회 2021 Neurospine Vol.18 No.1
Objective: Diffuse idiopathic skeletal hyperostosis (DISH) causes spinal ankylosis, which can result in patients suffering specific spinal fractures that lead to a reduction in the activities of daily life in older patients. Currently, DISH is associated with diabetes mellitus and cardiovascular disease; however, the association between DISH and metabolic syndrome has not been established. The purpose of this study was to investigate a potential association between DISH and metabolic syndrome. Methods: We retrospectively reviewed clinical data from consecutive subjects undergoing the musculoskeletal health medical checkups, and enrolled 327 subjects (174 men and 153 women; mean, 63.4±13.7-years). Subjects who had spinal ankylosis at least 4 contiguous vertebral bodies were classified as the DISH group (n=39) while the others were part of the non-DISH group (n=288). The definition of the metabolic syndrome comes from diagnostic criteria used by the Japanese Society for Internal Medicine. Age, sex, body max index (BMI), hematological evaluation, blood pressure, presence of metabolic syndrome, the visceral fat area on abdominal computed tomography, and spinal epidural lipomatosis (SEL) on magnetic resonance imaging were evaluated. Results: Compared to the non-DISH group, in the DISH group, mean age (DISH group, 74.3 years; non-DISH group, 1.9 years; p<0.001), male prevalence were higher (DISH group, 82.1%; non-DISH group, 49.3%; p<0.001), and BMI was greater (DISH group, 24.8; non-DISH group, 23.0; p=0.006). the metabolic syndrome was more frequently observed in DISH group (28.9%) than in the non-DISH group (16.0%) (p=0.045). The visceral fat area was significantly larger in the DISH group than in the non-DISH group (DISH group, 130.7±58.2 cm2; Non-DISH group, 89.0±48.1 cm2; p<0.001). The prevalence of SEL was similar between the 2 groups (10.3% in the DISH group vs. 8.7% in the non-DISH group; p=0.464). Poisson regression analysis revealed that the metabolic syndrome was significantly associated with DISH with odds ratio of 2.0 (95% confidence interval, 1.0–3.7; p=0.004). Conclusion: Metabolic syndrome was significantly associated with DISH. Our data showed metabolic syndrome is potentially related to DISH.
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Soichi Murakami,Kazuyuki Hirose,Yo Kurashima,Nagato Sato,Saseem Poudel,Kimitaka Tanaka,Aya Matsui,Yoshitsugu Nakanishi,Toshimichi Asano,Takehiro Noji,Yuma Ebihara,Toru Nakamura,Takahiro Tsuchikawa,Kaz 대한외상중환자외과학회 2023 Journal of Acute Care Surgery Vol.13 No.2
Purpose: General surgeons at regional hospitals should have the primary trauma care skills necessary to treat critically ill trauma patients to withstand transfer. This study was conducted to identify a consensus on primary trauma care skills for general surgeons. Methods: An initial list of acute care surgical skills was compiled, and revised by six trauma experts (acute care surgeons); 33 skills were nominated for inclusion in the Delphi consensus survey. Participants (councilors of the Japanese Society for Acute Care Surgery) were presented with the list of 33 trauma care skills and were asked (using web-based software) to rate how strongly they agreed or disagreed (using a 5-point Likert scale) with the necessity of each skill for a general surgeon. The reliability of consensus was predefined as Cronbach’s α ≥ 0.8, and trauma care skills were considered as primarily required when rated 4 (agree) or 5 (strongly agree) by ≥ 80% participants. Results: There were 117 trauma care specialists contacted to participate in the Delphi consensus survey panel. In the 1st round, 85 specialists participated (response rate: 72.6%). In the 2nd round, 66 specialists participated (response rate: 77.6%). Consensus was achieved after two rounds, reliability using Cronbach’s α was 0.94, and 34 items were identified as primary trauma care skills needed by general surgeons. Conclusion: A consensus-based list of trauma care skills required by general surgeons was developed. This list can facilitate the development of a new trauma training course which has been optimized for general surgeons.
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