Publications by authors named "Gosho M"

Urorchis Ozaki, 1927 and Neoplagioporus Shimazu, 1990 (Digenea: Opecoelidae: Sphaerostomatinae) comprise species parasitic in freshwater fishes of eastern Asia, although the status of these genera is questionable. We revised these genera, primarily using evidence from a molecular phylogeny based on nuclear ribosomal DNA, including new sequences of four known and one new species. Urorchis was part of the clade of Neoplagioporus species, rendering the genus Neoplagioporus paraphyletic.

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When multiple historical controls are available, it is necessary to consider the conflicts between current and historical controls and the relationships among historical controls. One of the assumptions concerning the relationships between the parameters of interest of current and historical controls is known as the "Potential biases." Within the "Potential biases" assumption, the differences between the parameters of interest of the current control and of each historical control are defined as "potential bias parameters.

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Background: The generalized estimating equation (GEE) method is widely used for analyzing longitudinal and clustered data. Although the GEE estimate for regression coefficients and sandwich covariance estimate are consistent regardless of the choice of covariance structure, they are generally biased for small sample sizes. Various researchers have proposed modified GEE methods and covariance estimators to handle small-sample bias.

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The mixed model for repeated measures (MMRM) analysis is sometimes used as a primary statistical analysis for a longitudinal randomized clinical trial. When the MMRM analysis is implemented in ordinary statistical software, the standard error of the treatment effect is estimated by assuming orthogonality between the fixed effects and covariance parameters, based on the characteristics of the normal distribution. However, orthogonality does not hold unless the normality assumption of the error distribution holds, and/or the missing data are derived from the missing completely at random structure.

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  • The article discusses the effectiveness of modified Poisson and least-squares regression analyses for binary outcomes in clinical studies, emphasizing the lack of evidence on their performance in small or sparse data situations.
  • It reveals that while modified Poisson regression can yield biased estimates in these conditions, modified least-squares regression provides unbiased estimates.
  • The authors propose Firth-type penalized methods and an improved robust variance estimator to enhance accuracy and stability in analyzing risk ratios, demonstrating their effectiveness through simulations and an epilepsy study.
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Purpose: A normal pressure extubation technique (no lung inflation before extubation), proposed by the Japanese Society of Anesthesiologists to prevent droplet infection during the coronavirus disease 2019 (COVID-19) pandemic, could theoretically increase postoperative pneumonia incidence compared with a positive pressure extubation technique (lung inflation before extubation). However, the normal pressure extubation technique has not been adequately evaluated. This study compared postoperative pneumonia incidence between positive and normal pressure extubation techniques using a dataset from the University of Tsukuba Hospital.

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Objectives: Remote work (ie, teleworking) may adversely affect physical activity (PA) among workers, but no strategies have been effectively implemented to address this issue. We aimed to test whether a multicomponent intervention program could promote the PA of remote workers.

Methods: This study was an 8-week pilot open-label randomized controlled trial.

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  • The integration of AI in anesthesiology is on the rise, but its practical application in clinical settings is still limited; this study aims to highlight the existing gap between research and real-world use.
  • A systematic review of randomized controlled trials revealed eight studies involving AI-assisted anesthetic management, totaling 568 patients, but most trials had small sample sizes and produced inconclusive results on hypotension-related outcomes.
  • The findings indicate that research on AI in anesthesiology is still developing, suggesting the need for future studies that consider the complexities of clinical practice for effective implementation.
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Background: Intra-articular platelet-rich plasma (PRP) injections have been proposed for the treatment of knee osteoarthritis (OA); however, their effectiveness in Japanese patients remains unclear.

Purpose: To investigate whether 3 intra-articular injections of leukocyte-poor PRP (LP-PRP) improve symptoms and joint function in symptomatic Japanese patients with mild to moderate knee OA.

Study Design: Randomized controlled trial; Level of evidence, 1.

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  • The study evaluates the relationship between frailty and clinical outcomes in elderly Japanese patients with non-valvular atrial fibrillation (NVAF) undergoing catheter ablation (CA) to determine the impact of CA on frailty and assess outcomes based on frailty status.
  • A total of 213 elderly patients (average age of 72.8 years) were analyzed, revealing that 12.8% were frail, 53.7% pre-frail, and 33.5% robust, with frail patients experiencing more cardiovascular and bleeding events; however, most did not have AF recurrence after 3 or 6 months post-CA.
  • The findings suggest that CA can improve factors related to frailty, indicating that
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  • There is a need for additional safety assessments for drugs after they hit the market, focusing on both adverse drug reactions (ADRs) from individual drugs and those resulting from drug-drug interactions (DDIs).
  • A new Bayesian method is introduced to enhance sensitivity in detecting potential DDIs using data from the spontaneous reporting system (SRS) by borrowing information from similar drugs.
  • Simulation results show that this new method increases detection sensitivity by about 20 points compared to existing methods, allowing for earlier identification of potential DDIs, especially when similar drugs show comparable observed-expected ratios.
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  • - The study investigated the safety of proton beam therapy (PBT) for localized prostate cancer using a shortened treatment plan of 70 Gy in 28 fractions, which had been previously well-researched for conventional radiotherapy.
  • - A total of 102 men participated, with risk classifications ranging from low to high, and toxicity effects were monitored throughout the study using standardized criteria.
  • - The results showed a low occurrence of serious side effects after 5 years, with only 1% experiencing grade 2 gastrointestinal issues and 4% facing grade 2 genitourinary issues, confirming the safety of the hypofractionated PBT approach.
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Background: The success of liver resection relies on the ability of the remnant liver to regenerate. Most of the knowledge regarding the pathophysiological basis of liver regeneration comes from rodent studies, and data on humans are scarce. Additionally, there is limited knowledge about the preoperative factors that influence postoperative regeneration.

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  • A new method for assessing drug safety has been developed, utilizing a generalized mixed-effects model to analyze multiple adverse drug reactions (ADRs) and their relationship with specific drugs in one go.
  • This approach simplifies the traditional process by allowing researchers to calculate the proportional reporting rate (PRR) and reporting odds ratio (ROR) for various ADRs simultaneously, rather than analyzing each one separately.
  • The effectiveness of this method was validated through simulations, showing comparable false-positive rates and sensitivities to traditional methods, and it successfully detected known ADRs in the FDA Adverse Event Reporting System database.
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Objectives: The use of cardiopulmonary bypass (CPB) in cardiac surgery is a major risk factor for postoperative bleeding. We hypothesized that consumptive coagulopathy and haemodilution influence the coagulation factors; therefore, we aimed to estimate the activity profiles of coagulation factors II, VII and X during CPB circulation.

Methods: A 120-min bypass was surgically established in cynomolgus monkeys (n = 7).

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  • * 600 participants underwent CGM and carotid artery imaging at the start and after 104 weeks to assess changes in atherosclerosis, primarily measuring intima-media thickness (IMT) and grey-scale median (GSM).
  • * Results showed slight increases in mean IMT and thickened-lesion GSM over the study period, with significant associations found between baseline CGM-derived metrics (time in range and coefficient of variation) and changes in mean GSM over time.
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  • About 70% of chronic stroke patients deal with upper extremity functional issues, which are key indicators of their quality of life.
  • The study aimed to determine minimal clinically important difference (MCID) values for upper extremity outcome measures in stroke patients with moderate to severe hemiplegia, using data from the ReoGo-J study.
  • Findings showed significant differences in the Amount of Use and Quality of Movement in patients, with MCID values of 0.89 and 0.77 respectively, helping to better interpret score changes during rehabilitation.
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A gorgoderid species, Phyllodistomum cyprini Feng et Wang, 1995 obtained from ureters of common carp, Cyprinus carpio in Japan is described both morphologically and molecularly. Its larval stage is a macrocercous cercaria found in a unionid mussel, Nodularia nipponensis first described by Urabe et al. (2015).

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We previously reported in the study of preventive effects of alogliptin on diabetic atherosclerosis (SPEAD-A) that alogliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor, attenuated the progression of carotid atherosclerosis in subjects with type 2 diabetes and no history of cardiovascular disease. This extension study of the SPEAD-A trial investigated whether early alogliptin initiation improved long-term cardiovascular outcomes. The SPEAD-A trial randomized 341 subjects with type 2 diabetes to either alogliptin or conventional treatment to investigate the effects of alogliptin on atherosclerosis.

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  • Network meta-analysis is crucial for comparing treatment effectiveness, but standard methods like REML often underestimate statistical errors in confidence intervals.
  • Recent improvements using higher-order asymptotic approximations offer better accuracy for these analyses, particularly with covariance matrix estimators.
  • Simulation studies showed that new Kenward-Roger-type methods provide more reliable coverage compared to traditional REML-based confidence intervals, as demonstrated in real dataset applications.
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Cardiac transcription factors (TFs) directly reprogram fibroblasts into induced cardiomyocytes (iCMs), where MEF2C acts as a pioneer factor with GATA4 and TBX5 (GT). However, the generation of functional and mature iCMs is inefficient, and the molecular mechanisms underlying this process remain largely unknown. Here, we found that the overexpression of transcriptionally activated MEF2C via fusion of the powerful MYOD transactivation domain combined with GT increased the generation of beating iCMs by 30-fold.

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Purpose: To investigate the relationship between changes in pulmonary function (PF) and patient-reported outcomes (PROs) of lung cancer surgery.

Methods: We recruited 262 patients who underwent lung resection for lung cancer, to evaluate the PROs, using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-C30 and the Lung Cancer 13-question supplement (LC13). The patients underwent PF tests and PRO assessments preoperatively (Pre) and 1 year after surgery (Y1).

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Using a generalized estimating equation (GEE) can lead to a bias in regression coefficients for a small sample or sparse data. The bias-corrected GEE (BCGEE) and penalized GEE (PGEE) were proposed to resolve the small-sample bias. Moreover, the standard sandwich covariance estimator leads to a bias of standard error for small samples; several modified covariance estimators have been proposed to address this issue.

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Early renal function after living-donor kidney transplantation (LDKT) depends on the "nephron mass" in the renal graft. In this study, as a possible donor-recipient size mismatch parameter that directly reflects the "nephron mass," the cortex to recipient weight ratio (CRWR) was calculated by CT-volumetric software, and its ability to predict early graft function was examined. One hundred patients who underwent LDKT were enrolled.

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Mobile applications are increasingly used in healthcare. We have developed a smartphone healthcare application, , that can register daily diet, exercise, mood, and sleep quality, calculate dietary intake, and provide advice using artificial intelligence technology. This 3-month randomized controlled trial tested the hypothesis that could promote body weight reduction in Japanese adults with overweight or obesity.

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