Internal medicine
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Obstructive sleep apnea syndrome (OSAS) often accompanies obesity and diabetes mellitus. This study was performed to investigate the prevalence of glucose intolerance and to determine independent predictors for insulin resistance in patients with OSAS. ⋯ Glucose intolerance was more common in patients with OSAS. Insulin resistance was associated not with AHI but rather with BMI.
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Case Reports
Concurrent pheochromocytoma, ventricular tachycardia, left ventricular thrombus, and systemic embolization.
An obese 43-year-old female with a right adrenal pheochromocytoma is described. The clinical manifestations of this case included ventricular tachycardia, left ventricular thrombus, and elevation of serum myocardial enzymes. During the hospitalization, the left ventricular thrombus was detached, leading to renal infarction and embolic occlusion of the femoral arteries bilaterally.
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To investigate the relationship between homeostasis model assessment for insulin resistance (HOMA-R) and urinary albumin excretion in Japanese and clarify gender difference in albuminuria-related insulin resistance. ⋯ Microalbuminuria is associated with insulin resistance in Japanese, where central obesity might play an essential role. This association is gender-specific suggesting the involvement of sex hormones in the pathogenesis of albuminuria-related insulin resistance.
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Multicenter Study
Survey on the handling of chronic obstructive pulmonary disease by annual health check in Japan.
Since mild COPD can be detected in the annual health check by lung function tests, we conducted a questionnaire survey on how such examinations are used to assess chronic obstructive pulmonary disease (COPD). ⋯ At most facilities performing a comprehensive medical check-up, there was not a sufficient number of respirologists to ensure early diagnosis of COPD and this may have compromised COPD diagnosis. The newly proposed Japan Society of Comprehensive Medical Check-up (Ningen-dock) Standards based on the Japanese Respiratory Society may be useful to reveal early stages of COPD.