Publications by authors named "H Komura"

Introduction: Repairing damaged cartilage poses significant challenges, particularly in cases of congenital cartilage defects such as microtia or congenital tracheal stenosis, or as a consequence of traumatic injury, as the regenerative potential of cartilage is inherently limited. Stem cell therapy and tissue engineering offer promising approaches to overcome these limitations in cartilage healing. However, the challenge lies in the size of cartilage-containing organs, which necessitates a large quantity of cells to fill the damaged areas.

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Aim: To investigate the attitudes and experiences of obstetricians and gynecologists in treating women with eating disorders (EDs) in Japan.

Methods: Members of the Japan Society of Obstetrics and Gynecology were invited to participate in a web-based survey from March 1 to 31, 2022. We asked about the attitudes of obstetricians and gynecologists toward women with weight loss-related amenorrhea and their experiences in treating EDs.

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A simple and robust method for veno-venous extracorporeal membrane oxygenation (V-V ECMO) involves a drainage cannula into the inferior vena cava via the femoral vein (FV) and a reinfusion cannula into the right atrium (RA) via the internal jugular vein (IJV) (F-J configuration). However, with this method, the arterial oxygen (PaO) is said to remain below 100 mmHg.Since recently, in our ICU, to prevent drainage failure, we apply a modification from the commonly practiced F-J configuration by advancing the tip of the drainage cannula inserted via the FV into the superior vena cava (SVC) and crossing the reinfusion cannula inserted via the IJV in the RA (F(SVC)-J(RA) configuration).

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Article Synopsis
  • The 5th Revised Edition of The Guideline for Gynecological Practice was published in 2023, updating the previous edition from 12 years ago.
  • This new edition addresses 5 additional clinical questions, totaling 103, categorized into areas like infectious disease, oncology, endocrinology, and women's healthcare.
  • The guidelines aim to provide consensus on appropriate diagnostic and treatment methods for gynecological outpatient care, with each answer rated by a Recommendation Level (A, B, C).
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  • This study analyzed the effectiveness of the HPV vaccine given in Japan from 2009 to 2013, focusing on 1,529 women aged 16-39 who underwent HPV testing and Pap smears.
  • Among participants, 19.6% had been vaccinated, with the highest uptake (53%) in women aged 22-27.
  • Results showed significant protection against various cervical lesions, notably a 49% reduction in low-grade issues and 100% against high-grade lesions, along with a major decrease in HPV16 and HPV18 infections.
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