Publications by authors named "H Kashiwagi"

Recent trends in the treatment of primary immune thrombocytopenia (ITP) were investigated using a claims database that included data from 16,161 Japanese patients with ITP collected from April 2014 to August 2022. Of the 4144 adult patients analyzed, 1276 received corticosteroids. The mean and median durations of corticosteroid use were 115.

View Article and Find Full Text PDF

Microsomal prostaglandin E synthase-1 (mPGES-1) is an isozyme of the prostaglandin (PG) E synthase that acts downstream of cyclooxygenase and catalyzes the conversion of PGH to PGE. The impact of genetic deletion of mPGES-1 on the development of 2,4,6-trinitrobenzene sulfonic acid (TNBS)-induced colitis, a well-established model of inflammatory bowel disease (IBD), was investigated in this study. After administration of TNBS, mice deficient in mPGES-1 (mPGES-1 mice) showed more severe colitis than did wild-type (WT) mice.

View Article and Find Full Text PDF
Article Synopsis
  • Psychopharmacotherapy is crucial for treating mentally disordered offenders (MDOs) with schizophrenia in Japan, highlighting a lack of large-scale research in forensic settings.
  • The study analyzed data from 362 MDOs across 32 forensic psychiatric wards, focusing on the use of antipsychotic medications, particularly clozapine and long-acting injections (LAIs).
  • Findings showed that clozapine and LAIs were used in about 23% and 25% of cases, respectively, with clozapine linked to higher seclusion rates and longer hospital stays, indicating a need for further research on medication impacts in this population.
View Article and Find Full Text PDF

Background: Augmented renal clearance (ARC) decreases the therapeutic concentration of drugs excreted by the kidneys in critically ill patients. Several ARC prediction models have been developed and validated; however, their usefulness in Japan has not been comprehensively investigated. Thus, we developed a unique ARC prediction model for a Japanese mixed intensive care unit (ICU) population and compared it with existing models.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the frequency and complications of falls in palliative care units (PCUs) for advanced cancer patients and how these relate to independence and quality of dying.
  • Among 1,633 patients observed, 150 (9.2%) experienced falls in the last month of life, primarily due to needing to use the toilet, with serious injuries being very rare.
  • The findings suggest that while falls can be common, they are not necessarily harmful and may reflect a patient's independence, indicating that healthcare providers should balance fall prevention with supporting patient autonomy.
View Article and Find Full Text PDF