Publications by authors named "Chiaki Watanabe"

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  • Accurate assessment of left ventricular filling pressure in patients with atrial fibrillation is challenging, but a new scoring system called VMT score can visually assess valve opening timings to evaluate this pressure.
  • In a study with 119 patients, the VMT score showed a strong correlation with elevated pulmonary arterial wedge pressure and had a diagnostic accuracy of 87%, outperforming traditional Doppler methods.
  • The findings were validated in a separate group of 189 patients, confirming that a VMT score of 2 or higher indicates significant left ventricular filling pressure elevation, making it a potentially valuable tool in clinical settings.
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  • Mechanical irritation during skincare can harm the skin barrier in older adults, highlighting the need for proper skin assessments, though no validated methods have been available.
  • A study created a nomogram to predict skin barrier dysfunction in Japanese patients aged 65 and older, based on data from a randomized controlled trial, using a mechanical irritation test on their volar forearms.
  • The final nomogram includes factors like chronic kidney disease and body mass index, and it effectively identifies those at risk, aiming to enhance skincare strategies and reduce skin disorders among this population.
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Aim: Wiping pressure (WP [mmHg]) during bed baths is essential to maintain skin integrity and care quality for older adults. However, effects of different wiping pressures on skin barrier recovery over multiple days remain unclear. This study evaluated and compared the effects of consecutive bed bathing with weak pressure and that with ordinary pressure on skin barrier recovery of hospitalised older adults.

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The detection rate of multidrug-resistant in patients admitted to 2 wards and the intensive care unit decreased from 20.3% (129 of 636 isolates) to 4.2% (37 of 889 isolates) after the start of disinfection of hand washing sinks using alkyl diaminoethylglycine hydrochloride.

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Aim: The aim of this study was to determine the risk factors for household transmission of the omicron variant of SARS-CoV-2.

Background: The household infection rate has been reported to be higher for the omicron variant than for non-omicron variants of SARS-CoV-2. Determination of the risk factors for household transmission of the omicron variant is therefore important.

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Background And Aims: Patients with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) have elevated immunoglobulin E (IgE) concentration compared to that in healthy individuals, which suggests the occurrence of IgE-mediated allergic reactions. We have previously shown that IgG4 and IgE form a complex in some patients with IgG4-RD. However, it is currently unknown whether and how the presence of the IgG4-IgE complex affects IgE concentration measurements by different assays.

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Objective: Presence of autoantibodies against troponin I (cTnI) or T (cTnT) has been reported to interfere with troponin assays. However, the extent of the interference with the measurement has not been explored sufficiently. The aims of this study were to examine the frequencies of autoantibodies against troponin I and troponin T and how much these antibodies would affect the measurement.

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The Omicron emerged in November 2021 and became the predominant SARS-CoV-2 variant globally. It spreads more rapidly than ancestral lineages and its rapid detection is critical for the prevention of disease outbreaks. Antigen tests such as immunochromatographic assay (ICA) and chemiluminescent enzyme immunoassay (CLEIA) yield results more quickly than standard polymerase chain reaction (PCR).

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Background: IgG4-related disease (IgG4-RD) is an immune-mediated fibroinflammatory disease characterized by high IgE levels; however, the physiological significance of elevated IgE levels in patients with IgG4-RD is unclear. Previously, we reported the formation of IgG4-IgE complex in IgG4-RD patients with elevated IgE levels. In this study, we examined the frequency of this complex formation and its relationship with the clinical features in IgG4-RD patients.

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Background: IgE concentrations are occasionally elevated in patients with IgG4-related disease (IgG4-RD). In this report, we describe a novel case of IgG4-RD in which IgE concentrations were discordant between measuring reagents.

Case: An 81-year-old man was diagnosed with IgG4-RD and histological autoimmune pancreatitis, which ensued without treatment.

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  • Skin disorders and neuropathy are common side effects of chemotherapy, as seen in a 71-year-old man treated for sigmoid colon cancer, who initially experienced drug-induced skin symptoms.
  • After two months of chemotherapy with regorafenib, the patient's symptoms worsened, leading to hospitalization where a diagnosis of dermatomyositis—a muscle weakness condition—was made after consulting specialists.
  • The patient improved following treatment with steroid pulses and high-dose gamma globulin, highlighting the importance of correctly identifying symptoms that were initially misattributed to chemotherapy side effects.
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  • SCAP plays a crucial role in cholesterol metabolism by activating SREBP transcription factors in response to low cholesterol levels, leading to gene expression for cholesterol synthesis.
  • In cholesterol-rich conditions, SCAP interacts with the VAP-OSBP complex at ER-Golgi membrane contact sites to transport cholesterol and phosphatidylinositol 4-phosphate (PI4P), affecting lipid turnover.
  • Knocking down SCAP disrupts the distribution of the VAP-OSBP complex and hinders the formation of transport carriers (CARTS) necessary for Golgi function, which can be reversed by restoring SCAP function.
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A 65-year-old man was diagnosed with granulomatosis with polyangiitis (GPA) based on the detection of high myeloperoxidase anti-neutrophil cytoplasmic antibody (MPO-ANCA), vasculitis and granulomas in a lung biopsy specimen and crescentic glomerulonephritis in a kidney biopsy specimen. Soon after the initiation of intravenous methylprednisolone pulse therapy (mPSL pulse) and intravenous cyclophosphamide pulse therapy (IVCY), the patient experienced cough and hemoptysis. Based on emerging anemia and bilateral diffuse lung consolidation on computed tomography, we judged that diffuse alveolar hemorrhage (DAH) was complicated by GPA.

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Ion beam irradiation-induced nanoporous structure formation was investigated on GaSb, InSb, and Ge surfaces via controlled point defect creation using a focused ion beam (FIB). ‎This paper compares the nanoporous structure formation under the same extent of point defect creation while changing the accelerating voltage and ion dose. Although the same number of point defects were created in each case, different structures were formed on the different surfaces.

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Aim: This study aimed to evaluate the usefulness of early vascular phase images produced by contrast-enhanced ultrasonography (CE-US) with Sonazoid for the diagnosis of hypovascular hepatocellular carcinoma (HCC).

Methods: Four hundred and seventeen patients with 674 hepatic nodules were evaluated using CE-US with Sonazoid between January 2007 and March 2010. Retrospective analysis was conducted on 49 histologically confirmed nodules showing hypovascularity relative to the surrounding liver tissue in the early vascular phase and no enhancement defect in the Kupffer phase of CE-US with Sonazoid.

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Heat stroke is a severe illness characterized by a core temperature >40 °C (104 °F) and central nervous system abnormalities, such as delirium, convulsions, or coma, resulting from exposure to environmental heat or strenuous physical experience. We describe a case with high body temperature and coma, who also presented with wide QRS tachycardia and shock. He was initially treated for heat stroke and wide QRS tachycardia.

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  • Hair and teeth share a common ectodermal origin, and studies suggest that genetic variations, specifically in the WNT10A gene, influence their development.
  • Researchers analyzed DNA from 498 subjects (272 Japanese and 226 Koreans) to explore how specific single-nucleotide polymorphisms (SNPs) associated with hair characteristics relate to dental traits.
  • Results indicated a significant link between tooth crown size and the WNT10A SNP (rs10177996), with higher frequencies of the associated allele observed in Eurasian populations compared to Africans, highlighting the gene's role in both hair and tooth morphology.
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  • The Ryukyu Islands, located southwest of Japan, show prehistoric cultural differences between the northern islands (Amami and Okinawa) and southern islands (Miyako and Yaeyama).
  • Genetic analysis of the populations from these islands indicates distinct genetic differences, particularly between Okinawa and Miyako, primarily due to genetic drift rather than mixing with neighboring groups.
  • The study also suggests that the ancient inhabitants of the southern Ryukyu Islands had little to no genetic impact on the current populations, with divergence dating back to the Holocene era.
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Aim: Accurate assessment of the coagulated area is imperative to achieve an excellent outcome from percutaneous radiofrequency ablation (PRFA) for the treatment of hepatocellular carcinoma (HCC). We evaluated the efficacy of contrast-enhanced ultrasonography (CEUS) with the contrast-enhancing agent Sonazoid for precisely assessing the therapeutic effect of PRFA for HCC.

Methods: We enrolled 87 consecutive patients with solitary naïve HCC of less than 3 cm in diameter.

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