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| 1 | Influence of cognitive impairment on cardiac mortality after percutaneous coronary intervention in very elderly patients: a retrospective observational study显示文摘Background Cognitive impairment (CI) increases cardiac mortality among very elderly patients. Percutaneous coronary intervention (PCI) for ischemic heart disease (IHD) patients is considered a favorable strategy for decreasing cardiac mortality. Here, we investigated the influence of CI on cardiac mortality after PCI in very elderly patients. Methods We performed a retrospective observational analysis of patients who received PCI between 2012 and 2014 at the South Miyagi Medical Center, Japan. IHD patients over 80 years old who underwent the Mini-Mental State Examination for CI screening during hospitalization and/or who had been diagnosed with CI were included. Participants were divided into CI and non-CI groups, and cardiac mortality and incidence of adverse cardiac events in a 3-year follow-up period were compared between groups. Statistical analyses were performed using the t-test,χ^2 test, and multivariable Cox regression analysis, with major comorbid illness and conventional cardiac risk factors as confounders. Results Of 565 patients, 95 were included (41 CI, 54 non-CI). Cardiac mortality during the follow-up period was significantly higher in the CI group (36%) compared with the non-CI group (13%)(OR = 4.3, 95% CI: 1.56–11.82, P < 0.05). CI was an independent cardiac prognostic factor after PCI and, for CI patients, living only with a CI partner was an independent predictor of cardiac death within three years. Conclusions CI significantly affected cardiac prognosis after PCI in very elderly patients, particularly those living with a CI partner. To improve patients’ prognoses, social background should be considered alongside conventional medical measures. | Tomoko Tomioka Ryokichi Takahashi Yosuke Ikumi Shuhei Tanaka Yoshitaka Ito Hiroki Shioiri Jiro Koyama Kanichi Inoue | 2019 | Journal of Geriatric Cardiology2019，16，10： | 3 |
| 2 | An improved computer program for显示文摘 | Ryokichi Shimpo Osamu Ogawa Sakichi Goto | 1993 | Metallurgical Transactions A1993，，8： | 2 |
| 3 | Cop per Removal From Carbon-Saturated Molten Iron With Al2Sa- FeS Flux 显示文摘 | Ryokichi Shimpo Yuiehi Fukaya Takehiro Ishikawa | 1997 | Metallurgical and Materials Transactions1997，28，： | 1 |
| 4 | Copper removal from carbon-saturated molten iron with A12S3- FeS flux显示文摘 | Ryokichi Shimpo Yuichi Fnkaya Takehiro Isbikawa | 1997 | Metallurgical and Materials Transactions B1997，28，6： | 1 |
| 5 | Expression profile of human defensins in tonsils显示文摘 | Ryokichi Imai Motoyasu Hirao Hiroshi Tsubota | 2003 | International Congress Series2003，1257，： | 1 |
| 6 | Effect of Impurity Sulfur on the Stability of Cr Oxides Formed on both Austenitic and Ferritic Steels in a High-Temperature Steam-Atmosphere显示文摘 | Nakai Masaaki Murata Yoshinori Morinaga Masahiko Hashizume Ryokichi Sawaragi Yoshiatsu | 2003 | Materials Science Forum2003，，426： | 1 |
| 7 | 手术治疗大脑前动脉远端外伤性假性动脉瘤(附1例报告及文献复习)显示文摘目的探讨外伤性颅内假性动脉瘤的临床表现、病理特点、影像学特征、治疗及预后。方法患者男性,34岁,因车祸致重型闭合性颅脑损伤,表现为大量脑内血肿和脑室、蛛网膜下腔出血。经急诊头颅CT、CTA和DSA检查拟诊为左侧大脑前动脉远端假性动脉瘤,并行外科手术治疗。结果术中清除血肿后证实左侧大脑前动脉远端分叉处血管裂伤,用10-0的尼龙线缝合了裂伤的血管壁。术后DSA复查假性动脉瘤消失且胼胝体缘动脉主干供血良好。考虑为大脑前动脉分叉处的剪切力造成了动脉裂伤。结论外伤性颅内假性动脉瘤罕见,易频发再破裂,致残率高,在颅脑损伤的临床诊治上需引起神经外科医生足够的重视。 | 赵明珠 Sugie Akira Yagi Ryokichi Kobata Hikoshi 刘卫东 | 2010 | 中国临床神经外科杂志2010，15，10： | 1 |
| 8 | 亚洲环境执政理论与实践显示文摘发展中国家环境执政能力问题越来越引起人们的关注.在界定环境执政能力概念的基础上,分析了亚洲国家环境执政能力状况以解释这些国家面临的环境问题,并尝试分析亚洲国家环境管理从传统手段向市场手段转变的推动因素,最后提出了亚洲国家转向环境良治的扩大和加强区域、国家和地区机构网络,促进环境政策制定执行过程中权力的下放和向地方政府的转移,增加国家立法和其他政策制定机构中环境非政府组织和社区组织成员的比例,运用战略环境评价和战略环境管理理念,关注中小型企业遵守环境法规等政策、措施方面的建议. | Ryokichi Hirono | 2006 | 环境科学研究2006，19，B11： | 1 |
| 9 | 日本环境管理咨询体系研究显示文摘环境执政能力已成为亚洲发展中国家的主要议题之一.政府通过立法、政策、行政和制度手段,可确保实现良好的执政.作为经济、政治和社会现代化的制度手段之一,环境咨询体系(EAS)在日本得以建立.其针对公众不断增长的对环境净化和保护的需求,增加公众参与政府决策过程的力度.强化环境执政能力的经验教训:①EAS产生的背景,即日本工业化和城市化初期几十年的环境退化和环境立法的艰难历程表明,公众对国家和地方政府的环境保护压力与日俱增.②识别了从“防治污染措施咨询委员会”(ACAP)发展到“中央环境咨询委员会”(CEAC)和“内阁全球环境委员会”(CGEC)的主要变化因素、内容和作用.ACAP主要考虑制定污染防治政策,监测、评估和补偿环境污染(如水俣病、痛痛病、呼吸道疾病等)造成的损害.CEAC和CGEC越来越多地涉及到环境保护中,包括地方、国家及全球尺度的污染预防和环境应急准备. | Ryokichi Hirono | 2006 | 环境科学研究2006，19，B11： | 1 |
| 10 | Rosaceiform dermatitis associated with topical tacrolimus treatment显示文摘 | Shoko F Yukari O Ryokichi I | | 0，，06： | 1 |
| 11 | Influence of normal to high stroke volume on congestive heart failure development after transcatheter aortic valve implantation:case series显示文摘Aortic stenosis(AS)is the most common valvular disease in the older adults'population,and its prevalence will likely continue to increase with the aging society.[1]Surgical aortic valve replacement(SAVR)for elderly patients is known as a high-risk procedure.[2-4]Transcatheter aortic valve implantation(TAVI)is a reasonable alternative to SAVR for older and inoperable patients with AS,and TAVI significantly improves outcomes in elderly patients with severe AS and serious comorbidities,[5,6]TAVI achieves a 20%relative reduction in mortality compared with SAVR. | Tomoko Tomioka Tomohiro Ito Ryokichi Takahasi Shuhei Tanaka | 2021 | Journal of Geriatric Cardiology2021，18，1： | 0 |
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