Publications by authors named "Baba E"

We prepared a cellulose nanofiber (CNF)-based porous membrane with three dimensional cellular structures. CNF was concentrated a surfactant-induced assembly by mixing CNF with a cationic surfactant, domiphen bromide (DB). Furthermore, they were accumulated by centrifugation to obtain a CNF-DB sol.

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Background: Pembrolizumab, an immune checkpoint inhibitor (ICI), shows significant survival benefits in patients with microsatellite instability-high (MSI-H) metastatic colorectal cancer (mCRC), but its efficacy in microsatellite-stable (MSS) mCRC is limited. Although ICIs are effective in tumor mutational burden-high (TMB-H) solid tumors, the impact on MSS-TMB-H mCRC, a rare subset within MSS mCRC, remains unclear.

Materials And Methods: We conducted a retrospective analysis using clinical and genomic data from the Center for Cancer Genomics and Advanced Therapeutics (C-CAT) repository in Japan.

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: Understanding movement development in children with autism spectrum disorder (ASD) is critical for creating effective intervention strategies. This study aims to explore parental perspectives on the movement development of children with ASD, focusing on identifying common challenges and successful strategies. The objective is to analyze the experiences of parents to highlight the most effective approaches to support motor, communication, and social skills development in these children.

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A 75-year-old man diagnosed with esophageal cancer and lung metastasis received a combination of fluorouracil, cisplatin, and pembrolizumab. During pembrolizumab maintenance therapy, lymphoproliferative lesions at the lips and mouth and multiple lymph node swellings appeared. Histologically, Epstein-Barr virus (EBV)-encoded RNA was positive, and EBV-DNA was detected in the blood.

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  • Researchers studied immune cells in patients with esophageal squamous cell cancer undergoing immune checkpoint blockade (ICB) therapy to understand what makes the treatment effective.
  • They found a specific group of CD39PD-1CD8 T cells, particularly the TCF1 subset known as precursor exhausted T (CD39 Tpex) cells, which were linked to better treatment outcomes.
  • These CD39 Tpex cells are mostly found in the tumor's supportive tissue and are recruited from tertiary lymphoid structures (TLS), indicating a significant role in the immune response against tumors during ICB therapy.
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This phase 1, open-label, dose-escalation, multi-center study (NCT05477186) assessed the safety and immunogenicity of a booster dose of an mRNA COVID-19 vaccine (CV0501) encoding the SARS-CoV-2 Omicron BA.1 spike protein. Participants aged ≥ 18 years previously vaccinated with ≥ 2 doses of an mRNA COVID-19 vaccine received CV0501 doses ranging from 12 to 200 μg.

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  • - The study analyzed records of 47 patients with primary cardiac tumors from Kyushu University Hospital, finding that 13 (28%) were diagnosed with malignant tumors, including various sarcomas and lymphomas, highlighting the rarity of such cases.
  • - Cardiovascular complications were prevalent, with 77% of patients experiencing issues like heart dysfunction, arrhythmias, and right heart failure, often linked to the aggressive multimodal treatment involving surgery, chemotherapy, and radiotherapy.
  • - Two cases exemplified severe complications: one patient faced significant heart failure post-treatment, while another developed a heart block due to tumor placement, indicating the need for careful management to improve patient outcomes.
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  • - The study evaluated the effectiveness and safety of adding adjuvant S-1 chemotherapy after surgery in patients with locally advanced esophageal squamous cell carcinoma (ESCC) who previously received neoadjuvant chemotherapy followed by surgery (NAC-S).
  • - A total of 52 patients participated, with a reported 3-year relapse-free survival rate of 72.3% and overall survival rate of 85.0%, indicating successful outcomes for the primary endpoint.
  • - The treatment had some side effects, with the most common grade ≥3 adverse events being neutropenia, anorexia, and diarrhea; however, no treatment-related deaths occurred, suggesting it is a safe option worth exploring further.
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  • FOLFOXIRI plus bevacizumab is a first-line chemotherapy for metastatic colorectal cancer, but is rarely used due to severe side effects, with limited real-world efficacy and safety data available.
  • A study analyzed clinical data from 104 patients, finding that 63% required dose reductions and that treatment discontinuation was primarily due to toxicities, with 45% completing the planned therapy cycles.
  • Results showed promising outcomes with a median progression-free survival of 12.8 months and overall survival of 27.9 months, along with a high disease control rate of 98.9%, and no treatment-related deaths reported.
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Neuromuscular electrical stimulation (NMES) is widely used for improving muscle strength, preventing muscle atrophy, and decreasing pain. Recently, NMES has become a substitute for exercise therapy for metabolism improvement and functional capacity improvement. However, NMES has several disadvantages.

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Background/aim: Physical decline is accompanied with malnutrition in advanced cancer patients, thus nutritional care is often provided with cancer rehabilitation. However, a limited number of studies have focused on which nutritional index serves as an important marker to provide more intensive nutritional support for patients.

Patients And Methods: We retrospectively reviewed advanced cancer patients who received chemotherapy and rehabilitation during hospitalization.

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Background: Multidrug chemotherapy for Ewing sarcoma can lead to severe myelosuppression. We proposed two clinical questions (CQ): CQ #1, "Does primary prophylaxis with G-CSF benefit chemotherapy for Ewing sarcoma?" and CQ #2, "Does G-CSF-based intensified chemotherapy improve Ewing sarcoma treatment outcomes?".

Methods: A comprehensive literature search was conducted in PubMed, Cochrane Library, and Ichushi web databases, including English and Japanese articles published from 1990 to 2019.

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Introduction: Chemotherapy for breast cancer can cause neutropenia, increasing the risk of febrile neutropenia (FN) and serious infections. The use of granulocyte colony-stimulating factors (G-CSF) as primary prophylaxis has been explored to mitigate these risks. To evaluate the efficacy and safety of primary G-CSF prophylaxis in patients with invasive breast cancer undergoing chemotherapy.

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  • G-CSF is a supportive treatment used to prevent severe complications from chemotherapy in patients with non-round cell soft tissue sarcomas (NRC-STS), with two key clinical questions raised about its effectiveness.
  • A literature review found a limited number of studies that addressed these questions, resulting in only a few articles being included for analysis.
  • The conclusion suggests that there is insufficient scientific evidence to confirm the benefits of G-CSF prophylaxis in improving treatment outcomes for NRC-STS, indicating the need for further research.
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  • Relapsed or refractory acute myeloid leukemia (AML) has poor outcomes, and the impact of granulocyte colony-stimulating factor (G-CSF) combined with chemotherapy is still debated.
  • A systematic literature review and meta-analysis were conducted, assessing 11 studies, which suggested that G-CSF priming did not significantly improve response rates or overall survival for AML patients, although there was a slight trend towards lower relapse rates.
  • Certain groups, particularly those with intermediate cytogenetic risk and those receiving high-dose cytarabine, showed prolonged overall survival with G-CSF priming, indicating the need for further research to find the most suitable patients for this treatment approach.*
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Purpose: The impact of genomic alterations on response and resistance to trastuzumab deruxtecan (T-DXd) has not been elucidated. Thus, we sought to identify factors predicting sensitivity to T-DXd in gastric or gastroesophageal junction (G/GEJ) cancer.

Methods: We conducted a retrospective study using real-world clinical data and next-generation sequencing-based comprehensive genomic profiling (CGP) data from patients with advanced G/GEJ cancers, collected by the nationwide database in Japan.

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Background: Febrile neutropenia represents a critical oncologic emergency, and its management is pivotal in cancer therapy. In several guidelines, the use of granulocyte colony-stimulating factor (G-CSF) in patients with chemotherapy-induced febrile neutropenia is not routinely recommended except in high-risk cases. The Japan Society of Clinical Oncology has updated its clinical practice guidelines for the use of G-CSF, incorporating a systematic review to address this clinical question.

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  • Granulocyte colony-stimulating factor (G-CSF) is used to prevent febrile neutropenia (FN) in cancer patients, with two types available in Japan: long-lasting PEG G-CSF and short-term non-PEG G-CSF.
  • A systematic review of studies found that PEG G-CSF significantly reduces the incidence of FN compared to non-PEG G-CSF, based on a thorough analysis of 23 articles.
  • The study concludes that a single dose of PEG G-CSF is preferred for primary prevention of FN, as it shows stronger evidence compared to multiple doses of non-PEG G-CSF.
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  • Metastatic cardiac tumors are more common than primary cardiac tumors and are often asymptomatic; cancers like mesothelioma, melanoma, lung, and breast cancer frequently spread to the heart, while esophageal cancer metastasis to the heart is rare.
  • A case of a 60-year-old male with esophageal sarcoma presenting with dysphagia revealed significant complications: the tumor compressed the left atrium, and he also had liver and lung metastases, leading to a rapid disease progression.
  • Despite receiving nivolumab due to his high Combined Positive Score, the patient ultimately died, with autopsy results confirming spindle cell carcinoma of the esophagus and cardiac metastasis with similar histological features, marking a rare
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  • Granulocyte colony-stimulating factor (G-CSF) is used to reduce the risk of neutropenia and infections during cancer chemotherapy, but its effectiveness for digestive system tumors is still uncertain.
  • A systematic review was conducted to evaluate the effectiveness of G-CSF as primary prophylaxis and its impact on the intensity of chemotherapy for various digestive system tumors.
  • The findings indicated that while G-CSF's use in colorectal cancer chemotherapy is inappropriate, there wasn't enough data to make strong recommendations for other types of digestive cancers.
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Epithelioid hemangioendothelioma (EHE) is a remarkably rare tumor arising from endothelial cells that is classified as a vascular tumor in the WHO classification. The tumor is predominantly characterized by the presence of fusion genes, such as WWTR1-CAMTA1 or YAP1-TFE3, with a minority of cases exhibiting other rare fusion genes. EHE exhibits a broad age of onset, typically presenting at ~50 years, but it is not uncommon in pediatric populations.

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Background: Docetaxel (DTX) is commonly used as a primary chemotherapy, and cabazitaxel (CBZ) has shown efficacy in patients who are DTX resistant. Primary prophylactic granulocyte colony stimulating factor (G-CSF) therapy is currently used with CBZ treatment in routine clinical care in Japan.

Methods: In this study, we performed a systematic review following the Minds guidelines to investigate the effectiveness and safety of primary prophylaxis with G-CSF during chemotherapy for prostate cancer and to construct G-CSF guidelines for primary prophylaxis use during chemotherapy.

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  • The review examines the optimal timing for administering prophylactic pegylated granulocyte colony-stimulating factor (G-CSF) during cancer chemotherapy, focusing mainly on Day 2 versus Days 3-5.
  • Out of 300 studies initially reviewed, only four met the criteria, suggesting a potential increase in febrile neutropenia when G-CSF is given on Days 3-5 compared to Day 2, but no significant differences in overall survival or infection-related mortality were found.
  • The findings indicate weak recommendations for both timing options and emphasize the need for more research to make clearer guidelines for pegylated G-CSF administration.
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Granulocyte colony-stimulating factor (G-CSF) decreases the incidence, duration, and severity of febrile neutropenia (FN); however, dose reduction or withdrawal is often preferred in the management of adverse events in the treatment of urothelial cancer. It is also important to maintain therapeutic intensity in order to control disease progression and thereby relieve symptoms, such as hematuria, infection, bleeding, and pain, as well as to prolong the survival. In this clinical question, we compared treatment with primary prophylactic administration of G-CSF to maintain therapeutic intensity with conventional standard therapy without G-CSF and examined the benefits and risks as major outcomes.

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Although granulocyte colony-stimulating factor (G-CSF) reduces the incidence, duration, and severity of neutropenia, its prophylactic use for acute myeloid leukemia (AML) remains controversial due to a theoretically increased risk of relapse. The present study investigated the effects of G-CSF as primary prophylaxis for AML with remission induction therapy. A detailed literature search for related studies was performed using PubMed, Ichushi-Web, and the Cochrane Library.

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