Dr. Satoshi Furukawa has completed PhD at the age of 32 years from Shiga University of Medical Science. He has published more than 15 papers in reputed journals and presented 10 times in the international conferences majorly in Internal medicine, Emergency medicine and forensic medicine.
Background; Most patients with end-stage renal disease on maintenance hemodialysis receive treatment on a thrice-weekly pattern. Almost all outside-clinic deaths are examined in the medical examiner’s office. Method; We examined outside-clinic death cases in hemodialysis patients for three years (2013-2015) in Osaka city. Results; The number of dialysis patients who died was 44 (male; 37, female; 7) in 2013, was 70 (male; 48, female; 22) in 2014, and was 47 (male; 33, female; 14) in 2015. The mean age of 161 patients was 69.6 years in male and 71.0 years in female. First discoverer of the deceased was family (50.3%), clinic worker (13.0%), care taker (11.2%) and others. Hemodialysis patients have to attend their scheduled treatment. The deceased were increased Sundays and Mondays associated with about 43.4% in the Mon-Wed-Fri schedule, and Mondays and Tuesdays with 47.6% in the Tue-Thu-Sat schedule. 24.2% deceased were found because they didn’t come to the hemodialysis clinic. The common cause of death was chronic renal failure and ischemic heart disease. The number of suicide death was 9. Conclusion; We showed statistic investments about unexpected death of regular hemodialysis patients.
Hui Shan has completed his MA from Capital Medical University, Beijing, China. He is the teaching secretary of Department of Urology, Beijing Chaoyang Hospital Affiliated to Capital Medical University(western campus) Beijing 100020, China. , He has more than 5 years experiences of LP and published more than 5 papers in Chinese
Objective:To evaluate safety, clinical efficacy, and cosmetic results after pyeloplasty using mini-laparoscopic instruments(MLP) compared with standard laparoscopic pyeloplasty (SLP)in patients with ureteropelvic junction obstruction (UPJO).Method:From September 2011 to September 2014,29 extroperitoneal MLPs were performed, while 22 extroperitoneal SLPs were conducted in patients with UPJO in our hospitals. The data of two groups were reviewed and studied Result: Operations of two groups were successful without conversion to open surgery. There was no difference in operative duration, blood loss ,duration in dwelling catheter, time for starting normal diet, or perioperative complications between two groups(P>0.05).However, the average postoperative hospital stay, postoperative analgesics required and the pain numerical rating scale (NRS) at first postoperative day were less or lower in group MLP than that in group SLP(p<0.05).Mean follow-up time was 23(range,6-36)months. The value of anteroposterior pelvic diameter on ultrasound within each group decreased significantly(p<0.05),but were similar between the two groups one year after surgery(P>0.05).The GFRs of impaired split renal function in both groups significantly elevated, whereas there was no significant difference in mean value of GFR between the two groups one year postoperatively[MLP:(45±18)ml/min vs SLP：(47±16)ml/min, P>0.05].The questionnaires showed that patients in group MLP were significantly more satisfied with their cosmetic result.Conclusion: Our initial experience may suggest that pyeloplasty using MLP instruments provide similar therapeutic effects but better minimal invasion and cosmetic satisfaction than pyeloplasty using SLP instruments.