Publications by authors named "Gen Yamada"

A 71-year-old man with silicosis was treated for infection. Antimycobacterial treatment for was terminated 1 year after a negative test result for the bacteria on sputum examination. One year following the treatment, the patient developed pneumonitis.

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Drug therapy for secondary lymphedema has not yet been established. Conventional oral and intravenous administration is difficult to administer in sufficient doses due to adverse events. Therefore, it is necessary to develop a transdermal delivery system that can deliver high concentrations of drugs to the edema area.

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Background: Recent progress in molecular and signal analyses revealed essential functions of cellular signals including androgen and related growth factors such as Wnt regulators for external genitalia (ExG) development and its pathogenesis. Accumulated data showed their fundamental functions also for erectile tissue (corporal body) development and its abnormalities. The current review focuses on such signals from developmental and functional viewpoints.

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  • - This study investigates how effective remdesivir is in helping noncritical COVID-19 patients with severe kidney issues, focusing on whether it can lower the chances of death or the need for invasive treatments.
  • - Researchers examined data from 1,449 patients with severe renal insufficiency and found that those who started remdesivir early (within 2 days) had significantly lower mortality or need for invasive mechanical ventilation compared to those who did not receive it.
  • - The results suggest that administering remdesivir soon after symptoms appear can be beneficial for noncritical COVID-19 patients facing severe renal problems, as it reduces the risk of serious outcomes.
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Objectives: We report a case of bacteremia with pyelonephritis in an adult male with an underlying disease caused by α-hemolytic streptococci. α-Hemolytic streptococci were isolated from blood, but it was challenging to identify its species. This study aimed to characterize the causative bacterium SP4011 and to elucidate its species.

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Acute kidney injury (AKI) secondary to severe falciparum malaria possesses a high mortality rate; however, a prognostic marker of renal dysfunction has not yet been identified. Thus, we reported a case of a patient with AKI secondary to falciparum malaria who underwent hemodialysis and a renal biopsy due to prolonged renal dysfunction. The male patient, in his 50 s, presented to our hospital with vomiting, diarrhea, fever, and decreased level of consciousness.

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Purpose: The pathophysiology of penis extends to erectile dysfunction (ED) to conditions including sexually transmitted diseases (STDs) and cancer. To date, there has been little research evaluating vascular drainage from the penis. We aimed to evaluate penile blood flow in vivo and analyze its possible relationship with the lymphatic maker.

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A 75-year-old male with diabetes mellitus was referred to our hospital with an abnormal shadow on chest radiography, based on which he was diagnosed with extensive-disease small-cell lung cancer (ED-SCLC; cT2bN2M1a). The first-line therapy comprised atezolizumab, carboplatin, and etoposide. After four cycles, the patient achieved complete response (CR), and maintenance therapy was initiated with atezolizumab.

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is shown to be located near super-enhancer (SE) in B-cell tumors, and this gene is frequently mutated and a target of translocation in B-cell tumors. These results suggest roles of the in tumorigenesis; however, its functional properties have been unclear. We found that two mature B-cell lymphoma cell lines expressed mRNA with segment.

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Background: Surgical treatments such as lymphaticovenular anastomosis (LVA) are widely used in addition to conservative treatment of secondary lymphedema. However, their indications and effectiveness for primary lymphedema are unclear. This study aims to objectively demonstrate the effectiveness of LVA for adult-onset primary lymphedema from various perspectives.

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  • - This study examined the safety and bleeding complications of unfractionated heparin (UFH) in COVID-19 patients, as previous research focused more on low-molecular-weight heparin. - Among 1,035 hospitalized patients, 516 received UFH, with a major bleeding incidence of 2.3% overall and 9.2% in those on therapeutic doses; older age and severity of COVID-19 were key risk factors for these complications. - Despite the occurrence of major bleeding, the 60-day mortality rates between patients who experienced bleeding and those who did not were not significantly different.
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  • Non-traumatic chronic skin lesions can lead to tetanus, which was the case for an 85-year-old woman who died from the infection after refusing treatment.
  • Many individuals born in Japan before 1968 are unvaccinated against tetanus, increasing their risk of severe outcomes.
  • The text emphasizes the importance of vaccinating older adults with chronic skin conditions in Japan to prevent tetanus, especially those who have never received the vaccine.
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Background: Lymphedema is an intractable disease that can be caused by injury to lymphatic vessels, such as by surgical treatments for cancer. It can lead to impaired joint mobility in the extremities and reduced quality of life. Chronic inflammation due to infiltration of various immune cells in an area of lymphedema is thought to lead to local fibrosis, but the molecular pathogenesis of lymphedema remains unclear.

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  • The study aimed to analyze changes in participant characteristics over time to improve convalescent plasma donation methods for COVID-19 patients.
  • Data from April 2020 to November 2021 showed a decrease in sample eligibility, initially below 20% after a year, with a shift toward enrolling more participants beyond 120 days post-infection.
  • The research concluded that monitoring eligibility rates and factors like vaccination and infection rates is crucial for effective plasma donation recruitment as pandemics evolve.
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Background: The corpus cavernosum (CC) containing sinusoids plays fundamental roles for erection. Analysis of pathological changes in the erectile system is studied by recent experimental systems. Various in vitro models utilizing genital mesenchymal-derived cells and explant culture systems are summarized.

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The post-surgical fluid leakage from the tubular tissues is a critical symptom after gastrointestinal or urinary tract surgeries. Elucidating the mechanism for such abnormalities is vital in surgical and medical science. The exposure of the fluid such as peritonitis due to urinary or gastrointestinal perforation has been reported to induce severe inflammation to the surrounding tissue.

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Background: This study aimed to assess the relationship between immune response adverse events (irAEs) and treatment efficacy in patients with extensive disease small cell lung cancer (ED-SCLC).

Methods: We retrospectively evaluated the clinical effects in 40 ED-SCLC patients who had received immune-checkpoint inhibitors (ICIs), platinum agents, and etoposide between September 2019 and September 2021. We identified and compared patients belonging to two groups: irAE and non-irAE.

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  • This study investigates the prevalence and impact of bacteremia in older adults (ages 65+) to understand their unique susceptibility to infections and the factors influencing their mortality rates.
  • A total of 1716 cases were analyzed, with different age groups (pre-old, old, and super-old) showing distinct patterns of infections and varying 7-day mortality rates (7.4%, 5.8%, and 14.2%, respectively).
  • Key findings indicate that super-old age and hospital-onset bacteremia significantly increase the risk of death, while consulting infectious disease specialists can help reduce mortality rates among these patients.
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Background: Methicillin-susceptible Staphylococcus aureus (MSSA) is the most common causative microorganism of pyogenic vertebral osteomyelitis (PVO). Although oral antimicrobial therapy with first-generation cephalosporins can treat MSSA infection, data on PVO are scarce. This study evaluated the treatment efficacy of cephalexin as oral antibiotic therapy for MSSA-induced PVO.

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Teleost fishes exhibit complex sexual characteristics in response to androgens, such as fin enlargement and courtship display. However, the molecular mechanisms underlying their evolutionary acquisition remain largely unknown. To address this question, we analyse medaka (Oryzias latipes) mutants deficient in teleost-specific androgen receptor ohnologs (ara and arb).

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Embryonic external genitalia (genital tubercle [GT]) protrude from the cloaca and outgrow as cloacal development progresses. Individual gene functions and knockout phenotypes in GT development have been extensively analyzed; however, the interactions between these genes are not fully understood. In this study, we investigated the role of p63, focusing on its interaction with the Shh-Wnt/Ctnnb1-Fgf8 pathway, a signaling network that is known to play a role in GT outgrowth.

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We analyzed 2462 episodes of suspected catheter-related bloodstream infection (CRBSI). The sensitivity, specificity, and positive and negative predictive values for detecting CRBSI by gram staining of catheter tips were 66.1%, 99.

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Aims/introduction: Although several noninvasive predictive markers for fatty liver and metabolic markers have been used for fatty liver prediction, whether such markers can also predict metabolic-associated fatty liver disease (MAFLD) remains unclear. We aimed to examine the ability of existing fatty liver or metabolic markers to predict MAFLD.

Materials And Methods: Participants in a high-volume center in Tokyo were classified into groups with and without MAFLD, based on the presence of metabolic abnormalities and fatty liver diagnosed through abdominal ultrasonography, between 2008 and 2018.

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