984 research outputs found
Comparison of risk assessment approaches for adverse drug reactions in the post-marketing study
Open House, ISM in National Center of Sciences Building, 2019.6.05統計数理研究所オープンハウス(学術総合センター)、R1.6.5ポスター発
Sample size estimation using negative binomial distribution for determining the risk of adverse drug reaction.
Open House, ISM in Tachikawa, 2018.6.15統計数理研究所オープンハウス(立川)、H30.6.15ポスター発
A Preliminary Study on Susceptibility of Mice of Various Strain to Hymenolepis nana Eggs
Mice of various strain were given orally eggs of Hymenolepis nana maintained by ddY mice and sacrificed for the adult worm recovery 2 weeks after the administration of the eggs. The mice of ddY, ICR, C3H and BALB/C were highly susceptible to the eggs while those of DBA/2 and C57BL/6 were less susceptible
Efficacy of shear wave elastography for assessment of liver function in patients with heart failure
Aims
Liver dysfunction is important for prognosis in heart failure (HF). Shear wave elastography (SWE), which is a novel ultrasound technique for charactering tissues, has been used in liver diseases. However, clinical implication of SWE, including dispersion slope, remains unknown in heart diseases. This study aimed to evaluate the efficacy of SWE assessing liver function in the severity of HF.
Methods and results
We enrolled 316 consecutive patients with or suspected heart diseases, who were classified according to the American College of Cardiology Foundation/American Heart Association stage of HF, including 37 with Stage A, 139 with Stage B, 114 with Stage C, and 26 with Stage D, and 45 normal subjects. Elasticity and dispersion slope of shear wave were assessed according to the HF stage. Elasticity and dispersion slope were not elevated in normal subjects and patients with Stage A. Elasticity was slightly increased from Stage A to Stage C and was remarkably elevated in Stage D (normal: 5.2 ± 1.1 kPa, Stage A: 5.4 ± 1.2 kPa, Stage B: 6.4 ± 1.8 kPa, Stage C: 7.8 ± 3.5 kPa, and Stage D: 17.7 ± 12.7 kPa), whereas dispersion slope was gradually increased from Stage A to Stage D (normal: 9.7 ± 1.7m/s/kHz, Stage A: 10.4 ± 1.6m/s/kHz, Stage B: 11.7 ± 2.4m/s/kHz, Stage C: 13.2 ± 3.4m/s/kHz, and Stage D: 17.6 ± 5.6 m/s/kHz). In the early HF stage, dispersion slope was elevated. In the advanced HF stage, both elasticity and dispersion slope were elevated. Liver function test abnormalities were observed only from Stage C or Stage D.
Conclusions
Dispersion slope could detect early liver damage, and the combination of elasticity and dispersion slope could clarify the progression of liver dysfunction in HF. SWE may be valuable to manage therapeutic strategies in patients with HF
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