Publications by authors named "A Futamura"
Rationale: Anti-mitochondrial antibodies (AMA) M2-positive myositis can lead to severe respiratory failure. Traditional immunotherapies sometimes fail to address respiratory failure. Herein, this CARE-compliant case report described a patient with AMA-M2-positive myositis who recovered from ventilation with tracheostomy owing to immunotherapy-resistant respiratory failure to spontaneous breathing after modified lung volume recruitment (mLVR) therapy.
View Article and Find Full Text PDFObjectives: Patients with terminal cancer tend to have an increased frequency of a variety of clinical symptoms, including anorexia, at 1 month of life expectancy. This study examined clinical symptoms affecting anorexia in patients with terminal cancer.
Methods: Of 1068 patients with terminal cancer who died and were discharged from our hospital between April 2014 and March 2016, we included 471 patients whose clinical symptoms could be subjectively assessed within 4 weeks before death.
Article Synopsis
- - This study investigated how effective nutrition support teams (NST) are in preventing central line-associated bloodstream infections (CLABSI) in healthcare facilities.
- - Researchers analyzed CLABSI rates from 47 facilities between 2019 and 2021, noting significant differences before and during the COVID-19 pandemic, with lower rates found in facilities with NST support.
- - Results showed that although CLABSI rates increased during the pandemic for both groups, the NST group consistently had lower infection rates, highlighting their effectiveness in infection prevention.
Article Synopsis
- Catheter-related bloodstream infections (CRBSI) can be life-threatening, and this study aimed to identify factors contributing to mortality in these patients, with a focus on nutritional aspects.
- The study analyzed data from 453 in-patients diagnosed with CRBSI across 33 hospitals between January 2019 and December 2021, utilizing logistic regression to determine mortality risk factors.
- Key findings indicated that factors like Candida presence in blood cultures, earlier CRBSI onset after catheter insertion, concurrent infections, low serum albumin, and high C-reactive protein levels increased mortality risk, while using a peripherally inserted central catheter (PICC) decreased it.
Article Synopsis
- Autoimmune encephalitis is a rapidly progressive brain disease; the GABA receptor subtype has unique symptoms that make diagnosis difficult, especially when typical signs are missing.
- A 59-year-old man's case illustrates that cerebellar symptoms like gait disturbances occurred without cognitive decline, and initial tests were inconclusive, delaying effective treatment.
- Successful treatment with immunosuppressive therapies led to improvement, emphasizing the need for awareness of autoimmune causes in cases with normal imaging results and highlighting how early intervention can positively affect patient outcomes.