A case of giant cavernous hemangioma of the liver complicated by intravascular coagulopathy.

A case of liver hemangioma complicated by intravascular coagulopathy is presented because of the rarity of the association. Hemangioma of the liver was suspected by palpation of the liver tumor, scintigraphy and x-ray examination, and confirmed by selective hepatic arteriography in combination with exploratory laparotomy. Intravascular coagulopathy was established by demonstrating secondary fibrinolysis and consumption of platelets and coagulation factors. Unconjugated hyperbilirubinemia due to micro-angiopathic hemolytic anemia was also present. The clinical course of the clotting abnormalities was basically a chronic one with an occasional acute or subacute defibrination process associated with further enlargement of the hepatic tumor. These provide sufficient evidence that the intravascular coagulopathy was closely related with the hemangioma in the liver. Neither ligation of a presumed nutritional artery of the hemangioma nor radiation therapy caused any demonstrable reduction in the tumor size.</p

Development of a Learning Model Effective for the Neck Spring Vault Exercise for Elementary School Children

本研究は，「首はね跳び」につなげるための学習モデルの開発を目的としている。本年度は，台上で行う「首はね跳び」の前段階として，頭越しの回転を含む腰の沈み込みのあるはね動作を獲得するための下位教材として，「前転ブリッジ」に焦点を当てて研究を行った。 本研究により，「首はね跳び」に必要な腰の沈み込みのあるはね動作を獲得するためには，アンテナブリッジで腰の沈み込みのあるはね動作を獲得した後に，前転ブリッジにおいて頭越しの回転を含む腰の沈み込みのあるはね動作を獲得する学習モデルが有効であることが分かった。また，前転ブリッジにおいて腰の沈み込みのあるはね動作を獲得するためには，前転のスピードコントロールを意識させる学習が必要になることが明らかとなった。This research aimed to develop a learning model effective for the neck spring. In the current academic year, we researched the preliminary step in the neck spring on the vault and focused on the forward roll bridge as the lower-level teaching material to allow children to acquire the ability to perform a spring motion with hip subduction, including a forward roll. In this research, we found a learning model that is effective for children to acquire the spring motion with hip subduction. This spring motion is necessary for neck spring vault exercise. Our model allows children to acquire this spring motion, which includes a forward roll bridge, after acquiring a similar spring motion with hip subduction and an antenna bridge. We also clarified that this learning model allows children to be conscious of controlling the speed of their forward roll. This is necessary for performing the spring motion with hip subduction in the forward roll bridge

Effects of lifestyle habits and eating meals together with the family on the prevalence of obesity among school children in Tokushima, Japan : a cross-sectional questionnaire- based survey

Obesity in children has become a major global public health concern. The prevention of obesity must start from early childhood in order to establish sound lifestyle habits and promote healthy adulthood. In this study, we evaluated factors associated with the prevention of obesity and the development of healthy lifestyle habits in children. A cross-sectional, questionnaire-based survey was performed in elementary and junior high school students in Tokushima Prefecture, Japan, during the summer of 2004. The questionnaire consisted of 30 items such as physique, sleep, eating habits, diet, exercise, free time, and attending after-school lessons. Our study revealed that eating meals as a family every day is associated with a lower rate of obesity as well as getting good lifestyle habits such as eating balanced meals and getting enough sleep. Of the 3,291 students who responded to the questionnaire, 2,688 (81.7%) reported that they eat meals with their family every day. The percentage of students who eat meals with their family every day decreased with increasing school grade, with the lowest percent in the junior high school students. However, the results regarding female junior high school students revealed a marked association between eating meals with the family every day and good lifestyle habits. We recommend that parents and school teaching staff encourage the establishment of sound, healthy lifestyle habits in children from early childhood as an effective measure for the prevention of obesity

Reducing salt intake for prevention of cardiovascular diseases in high-risk patients by advanced health education intervention (RESIP-CVD study), Northern Thailand: study protocol for a cluster randomized trial

BACKGROUND: Decreasing salt consumption can prevent cardiovascular diseases (CVD). Practically, it is difficult to promote people’s awareness of daily salt intake and to change their eating habits in terms of reducing salt intake for better cardiovascular health. Health education programs visualizing daily dietary salt content and intake may promote lifestyle changes in patients at high risk of cardiovascular diseases. METHODS/DESIGN: This is a cluster randomized trial. A total of 800 high-CVD-risk patients attending diabetes and hypertension clinics at health centers in Muang District, Chiang Rai province, Thailand, will be studied with informed consent. A health center recruiting 100 participants is a cluster, the unit of randomization. Eight clusters will be randomized into intervention and control arms and followed up for 1 year. Within the intervention clusters the following will be undertaken: (1) salt content in the daily diet will be measured and shown to study participants; (2) 24-hour salt intake will be estimated in overnight-collected urine and the results shown to the participants; (3) a dietician will assist small group health education classes in cooking meals with less salt. The primary outcome is blood pressure change at the 1-year follow-up. Secondary outcomes at the 1-year follow-up are estimated 24-hoursalt intake, incidence of CVD events and CVD death. The intention-to-treat analysis will be followed. Blood pressure and estimated 24-hour salt intake will be compared between intervention and control groups at the cluster and individual level at the 1-year follow-up. Clinical CVD events and deaths will be analyzed by time-event analysis. Retinal blood vessel calibers of CVD-risk patients will be assessed cross-sectionally. Behavioral change to reduce salt intake and the influencing factors will be determined by structured equation model (SEM). Multilevel regression analyses will be applied. Finally, the cost effectiveness of the intervention will be analyzed. DISCUSSION: This study is unique as it will recruit the individuals most vulnerable to CVD morbidity and mortality by applying the general Framingham CVD risk scoring system. Dietary salt reduction will be applied as a prioritized, community level intervention for the prevention of CVD in a developing country. TRIAL REGISTRATION: ISRCTN3941627

運動強度と血漿量の関係について

Observations on the change of plasma volume were made in two young healthy males before, during and after submaximal and maximal exercise. In submaximal test the subjects exercised on the bicycle ergometer for 60 minutes at 30, 50, and 70% of VO_2 max. In maximal bicycle test the work intensity was stepwise increased till exhaution. Hematocrit (Hct) was increased during exercise, however percentage change in plasma volume (Δ%PV) was decrased during test. The highest Hct was obtained immediately after exercise test. When (Δ%PV) was observed in relation to work intensity (% of VO_2 max), it was gradually decreased and sudden decrease was observed above 50% of VO_2 max

Annotated record of the detailed examination of Mn deposits from R/V Bosei Maru Cruise GH72-2 stations

In 1972, the five years program 'Basic investigations for exploration of deep sea mineral resources' was laid out by the Agency of Industrial Science and Technology, Ministry of International Trade and Industry. The Geological Survey of Japan and the National Research Institute of Pollution and Resources undertook the first survey project. The survey team consisted of four geologists and a surveyor of the Geological Survey of Japan, and a mechanical, engineer and four mining engineers of National Research Institute of Polution and Resources. The survey started on November 11 using the "Bosei Maru" survey vessel (1100 tons) chartered from Tokai University. The cruise departed from Shimizu harbor to the Ponape and Guam islands, and terminated at the harbor of departure on December 11. The surveyed area was mainly covered the Mariana basin and the Magellan seamounts, and fifteen bottom samples were collected during the cruise. Ferromanganese nodules were obtained at several stations at a depth over 5000m

Randomised controlled pilot study in Japan comparing a home visit program using a Functioning Improvement Tool with a home visit with conversation alone

Objective: This study aimed to determine the effect of a home visit program using a Functioning Improvement Tool (FIT) compared with a home visit using conversation alone. Methods: Twenty-eight participants (mean age, 78.6±7.5 years) were randomly assigned to an intervention (n = 13) or control (n = 15) group for 3 months. The intervention group received a 60-minute FIT home visit program; the control group received a 30-minute home visit using common conversational techniques. Mini-Mental State Examination (MMSE), Frontal Assessment Battery (FAB), and Geriatric Depression Scale (GDS) scores were evaluated. Results: The FAB score was significantly improved in the intervention group compared with the control group (2.5 vs -0.5, P = 0.02). Conclusions: Our FIT home visit program may help prevent dementia. Further studies with larger samples and longer follow-up periods are needed to assess the long-term effectiveness of an FIT home visit program on dementia prevention (UMIN-CTR number, UMIN000004767.