Nazım geçmedi

Taha Toros Arşivi, Dosya Adı: Nazım Hikmetİstanbul Kalkınma Ajansı (TR10/14/YEN/0033) İstanbul Development Agency (TR10/14/YEN/0033

Relief of Chronic Shoulder and Neck Pain by Electro-Acupuncture and Transcutaneous Electrical Nervous Stimulation: A Randomized Crossover Trial

Abstract Background: Chronic neck and shoulder pain is common and disabling. Objective: The aim of this study was to compare the effectiveness of electro-acupuncture and transcutaneous electrical stimulation (TENS) for relief of shoulder and neck pain. Materials and Methods: Design: This was a randomized crossover trial. Subjects: Ninety patients were enrolled, with a mean age of 34 years, and with females slightly outnumbering males. All subjects completed the study. Intervention: For electro-acupuncture, acupuncture needles were placed in four different acupoints in the trapezius muscle and each subject underwent a 15-minute session of low-frequency electrical stimulation. TENS treatment was similar and used as an active comparator, with a 2-week washout period between treatments. Outcome Measures: The primary outcome was reduction in pain as measured by a 100?cm visual analogue scale. Secondary outcomes included quality-of-life (QoL) measures. Results: Electro-acupuncture produced significantly greater reduction in pain than TENS did the first 2 days after treatment (p=0.001 and p=0.003, respectively), with pain decreasing from 56 to 33 and 34 versus from 55 to 42 and 42. Electro-acupuncture also produced a significant improvement in the vitality subscale of the Short Form-36. No adverse effects or carryover effect were detected. Conclusions: The results of this study offer preliminary evidence for the comparative effectiveness of electro-acupuncture over TENS for the acute relief of chronic shoulder and neck pain in adults.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/98448/1/acu%2E2011%2E0824.pd

2D-Time of Flight MR Angiography in Intrathoracic Masses

正常ボランティア5例, 胸部腫瘤性病変の患者15例に対してMR Angiographyを施行した.MRAは, 6秒の息、止めでFLASH法(TR=20msec, TE=8msec, Flip angle=30°)を用いて撮像した像から作成した.全ての症例で胸部大動脈, 上大静脈, 下大静脈, 肺動脈及び肺静脈根部など太い血管の明瞭なMRA像が得られ, 腫瘤とそれら大血管系との関係が把握しやすく胸部腫瘤性病変の評価に有用と考えられた.MR Angiography of the thorax was performed in 5 healthy volunteers and 15 patients with intrathoracic masses. 2D-MRA was obtained sequentially by means of a fast low angle shot(FLASH)technique(TR=20msec.TE=8msec, Flip angle=30within a 6-second period of breath holding. MRA for great vessels was successfully completed in all volunteers and all patients. The relation between tumor and vasculature can be visualized so definitely that MRA may be thought to be a promising complement to MR imaging in the evaluation of intrathoracic masses

SDSSp J104433.04−-012502.2 at z=5.74z=5.74 is Gravitationally Magnified by an Intervening Galaxy

During the course of our optical deep survey program on L$\alpha$ emitters at $z \approx 5.7$ in the sky area surrounding the quasar SDSSp J104433.04$-$012502.2 at $z=5.74$, we found that a faint galaxy with $m_B$(AB) $\approx 25$ is located at \timeform{1".9} southwest of the quasar. Its broad-band color properties from $B$ to $z^\prime$ suggest that the galaxy is located at a redshift of $z \sim 1.5$ -- 2.5. This is consistent with no strong emission line in our optical spectroscopy. Since the counter image of the quasar cannot be seen in our deep optical images, the magnification factor seems not to be very high. Our modest estimate is that this quasar is gravitationally magnified by a factor of 2.Comment: 11 pages, 5 figures, PASJ, in pres

ヒダリガワ タンノウショウ ニ タイシ フククウキョウカ タンノウ テキシュツジュツ オ シコウ シタ 3レイ ノ ケントウ

We experienced a series of 370 cases of laparoscopic cholecystectomy (Lap-C) between January 1992 and December 2001, of which three cases (0.8%) were left-sided gallbladder. When we perform Lap-C to left-sided gallbladder, we have to recognize the anatomical specificity of this disease, and to avoid the complication like injury of arteries or bile ducts. In this study we performed Lap-C to three cases of left-sided gallbladder. In all cases, the gallbladder bed were located at the left side of the hepatic round ligament, and the cystic duct were connected to normal position of the common bile duct. And in all cases, there were no anomalies of the intrahepatic portal vein. One of these cases, falling of the hepatic round ligament was seen, then we tried to insert a trocar at the left side of the ligament and to pick up it by silk. Then we could get a good view and easily performed Lap-C. In all cases we could underwent Lap-C without complication. We considered that Lap-C was to be a standard operation method for malformation cases like a left-sided gallbladder

キュウセイ タンノウエン デ ハッショウシ ジュツゼン ニ DIC トナッタ タンノウセン ヘンペイ ジョウヒガン ノ 1レイ

We report a case of resected adonosquamous carcinoma of the gallbladder with acute cholecystitis and preoperative DIC. A 79-year-old woman was admitted to our hospital because of acute cholecystitis due to cystic duct obstruction by carcinoma of the gallbladder. There were high fever and henns ‘egg-sized tumor with severe tenderness on the right hypochondrium. Based on various examinations, a diagnosis advanced crcinoma of the gallbladder (Hinf3) was determined. Until the operation, because of exacerbation of acute cholecystitis, DIC occurred. The day before operation, percutaneus transhepatic gallbladder drainage was done. Then partial liver segmentectomy (S4a and S5) with cholecystectomy was carried out. Direct infiltration to the liver was observed. Histopathologically, the gallbladder tumor was adenosquamous carcinoma. After the operation, she recovered from DIC. But metastatic lymphnodes around common bile duct were enlarged rapidly, and obstructive jaundice appeared. On 55th day after the operation, she died because of peritonitis carcinomatosa 55 postoperative days. It was considered that preoperative acute cholecystitis, DIC and postoperative obstructive jaundice resulted from rapid growth of adenosquamous carcinoma

スイトウブ スイカンナイ ニュウトウ シュヨウ ニ タイシ スイトウ ジュウニシチョウ ダイ2ブ セツジョジュツ オ オコナッタ 1レイ

We report a case of IPMT (intraductal papillary-mucinous tumor) that was performed pancreatic head resection with segmental duodenectomy. A 42-year-old man was admitted to our hospital because he was pointed out a cystic tumor of the pancreas head by near doctor. Abdominal ultrasonography and intra ductal ultrasonography showed a multiple cystic tumor with hypertrophied septum. But there were no elevated tumors in the cystic mass. MRCP showed a racemose multiple cystic tumor. ERCP showed a big orifice of papilla Vater and mucinous discharge. Based on these various examinations a diagnosis IPMT was determined. Because of no elevated tumor in the cystic mass, we suspected it was adenoma or hyperplasia. Then we determined to perform a minimal invasive operation, and underwent pancreatic head resection with segmental duodenectomy. After the operation there were no stasis of stomach and no weight loss. To determine the surgical procedure of benign IPMT, we should try to preserve the organ function. It was considered that this procedure was a useful method for benign IPMT of the pancreas head