Publications by authors named "Hamanaka Y"

Background: The primary prevention of atrial fibrillation (AF), which increases mortality through complications including stroke and heart failure, is important. Excessive salt intake and low potassium intake are risk factors for cardiovascular disease; however, their association with AF remains inconclusive. This study investigated the association between sodium- and potassium-related urinary markers and AF prevalence.

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  • A 66-year-old man experienced chills, difficulty breathing, and palpitations, which escalated to fever; he was diagnosed with acute myocarditis based on medical tests.
  • His condition worsened, requiring an intra-aortic balloon pump and later venoarterial extracorporeal membrane oxygenation due to a serious heart rhythm issue; tests revealed elevated lactate levels and an aortic thrombus.
  • After identifying heparin-induced thrombocytopenia, treatment was adjusted to argatroban, and surgical intervention successfully restored blood flow, leading to the patient's stabilization and eventual discharge after 47 days.
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Highly emissive Zn-Ag-In-S nanocrystals have attracted attention as derivatives of I-III-VI-type nanocrystals without the use of toxic elements. The wide tunability of their luminescence wavelengths is attributed to the controllable bandgap of the solid solution between ZnS and AgInS. However, enhancement of the photoluminescence quantum yield (PL-QY) depending on the chemical composition has not been elucidated.

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  • Distributed Acoustic Sensing (DAS) is used for monitoring sound from perforation holes during hydraulic fracturing, and it can help estimate perforation erosion caused by proppant injection.
  • The research employed a Computational Fluid Dynamics (CFD) acoustic simulator to examine the acoustic response of fluid flow through perforations of varying sizes and established a linear relationship between sound pressure levels and flow rates.
  • The findings indicate that as the perforation diameter increases, the DAS signal decreases, providing crucial insights for fracture design and evaluating perforation diameter growth during hydraulic treatment.
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  • - The study aimed to explore how genetic risk, healthy lifestyle habits, and susceptibility to hyperuricaemia (high uric acid levels) are interconnected in a group of over 7,200 participants aged 20 and above.
  • - Results showed that 3% of participants developed hyperuricaemia over 3.5 years, with those having both high genetic risk and poor lifestyle choices significantly more likely to develop the condition (odds ratio: 5.34).
  • - The findings suggest that maintaining a healthy lifestyle can lower the risk of hyperuricaemia despite genetic predispositions, indicating that both genetic and lifestyle factors are important for identifying individuals at risk.
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Background: Ehlers-Danlos syndrome (EDS) is a rare inherited connective tissue disease characterized by hyperextensibility of the skin and joints and tissue fragility of the skin and blood vessels, Vascular EDS is the most severe form of EDS, with abnormal arterial fragility. There have been no reports of breast cancer occurring in patients with vascular EDS. Here, we report here a very rare case of breast cancer in a patient with vascular EDS.

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This study aimed to investigate the association of combination of birth weight and current body mass index (BMI) with the risk of hypertension in adulthood. This cross-sectional study used data from the Tohoku Medical Megabank Community-based Cohort Study conducted in Japan. A total of 10,688 subjects aged ≥20 years were eligible.

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Introduction: The Tohoku Medical Megabank (TMM) was established for creative reconstruction from the Great East Japan Earthquake and tsunami in 2011. Two prospective genome cohort studies in Miyagi prefecture have successfully recruited approximately 127,000 participants. The health status of these individuals was evaluated at the initial recruitment, and follow-up health checkups have been conducted every 5 years.

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Depression is comorbid with somatic diseases; however, the relationship between depressive symptoms and hypertension (HT), a risk factor for cardiovascular events, remains unclear. Home blood pressure (BP) is more reproducible and accurately predictive of cardiovascular diseases than office BP. Therefore, we focused on home BP and investigated whether depressive symptoms contributed to the future onset of home HT.

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No study, to our knowledge, has constructed a polygenic risk score based on clinical blood pressure and investigated the association of genetic and lifestyle risks with home hypertension. We examined the associations of combined genetic and lifestyle risks with hypertension and home hypertension. In a cross-sectional study of 7027 Japanese individuals aged ≥20 years, we developed a lifestyle score based on body mass index, alcohol consumption, physical activity, and sodium-to-potassium ratio, categorized into ideal, intermediate, and poor lifestyles.

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  • The study assessed how genetic risk factors and lifestyle choices influence the likelihood of developing diabetes in a group of over 11,000 individuals aged 20 and older.
  • Results showed that both genetic risk and lifestyle played significant roles in diabetes development, with an increased risk for those with low genetic risk but poor lifestyle habits.
  • The findings emphasize the importance of maintaining a healthy lifestyle for diabetes prevention, regardless of genetic predisposition, and suggest that genetic data can enhance risk stratification beyond lifestyle and family history.
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Background: Upper and lower extremity muscle strength can be used to predict health outcomes. However, the difference between the relation of upper extremity muscle and of lower extremity muscle with physiological factors is unclear. This study aimed to evaluate the association between physiological data and muscle strength, measured using grip and leg extension strength, among Japanese adults.

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  • The study examined the relationship between various risk factors for hypertension and systolic blood pressure (BP) in a large Japanese population, using a cohort of nearly 63,000 participants.
  • Key findings indicate that higher body mass index, daily salt intake, and gamma-glutamyl transferase levels were associated with increased systolic blood pressure, while current smoking showed an inverse effect.
  • The results suggest the importance of lifestyle changes, such as diet and alcohol consumption adjustments, to help prevent hypertension among individuals.
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  • The study aimed to profile participants from Miyagi Prefecture during the second phase of the Tohoku Medical Megabank Community-Based Cohort Study, focusing on their characteristics based on their initial survey participation types.
  • Conducted between June 2017 and March 2021, the survey involved questionnaire data as well as blood, urine, and physiological tests, with three participation types identified in the baseline survey.
  • Results showed a 57.7% participation rate, with an 80% participation rate among those visiting community support centers, revealing similar traits among Type 1 and Type 2 respondents, ultimately aiding in understanding the long-term health impacts of disasters.
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  • This study explored the link between body composition, measured through fat mass index (FMI) and fat-free mass index (FFMI), and lipid levels, specifically low-density lipoprotein cholesterol (LDL-C).
  • The research involved over 18,000 participants without heart disease or diabetes, categorizing them into groups based on their FMI and FFMI to analyze their LDL-C levels.
  • Results showed that higher FMI often correlated with increased LDL-C levels, while higher FFMI tended to lower LDL-C levels, suggesting complex interactions between different body compositions regarding cholesterol levels.
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Key Clinical Message: Left atrial posterior wall on the vertebra is often difficult to obtain stable tissue contact with ablation-catheter. Laser balloon ablation is effective because the compression from the vertebra can be visualized through endoscopy.

Abstract: When performing pulmonary vein isolation (PVI) with radiofrequency, left atrial posterior wall on the vertebra is often difficult to obtain stable tissue contact with ablation-catheter because of the movement of the ablation point.

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Objective: Age-related changes in the fiber structure around adipocytes were investigated via scanning electron microscopy (SEM) of excised skin tissues. In addition, the viscoelasticity of the subcutaneous fat layer was evaluated via elastography, and the association between the fiber structure and the viscoelastic properties was assessed.

Methods: Skin tissues excised from the facial cheek area were used.

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  • * This study from Japan explored the link between depressive symptoms and masked hypertension, analyzing data from 6705 participants who were normotensive in clinical settings but had varying home blood pressure readings.
  • * Findings revealed that individuals with depressive symptoms had higher instances of masked hypertension, with odds ratios indicating a stronger association in males (1.72) compared to females (1.30), suggesting that mental health may influence blood pressure management.
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This study aimed to examine whether risk of withdrawal from HTTx was higher in coastal areas that were severely damaged by tsunami than in inland areas. We conducted a cross-sectional study of 9218 participants aged ≥20 years in Miyagi, Japan. The odds ratios (ORs) and confidence interval (CI) for withdrawal from HTTx in coastal and inland groups were compared using multivariate logistic regression analysis, adjusting for potential confounders.

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  • The study aimed to explore how family history of diabetes, alongside genetic and lifestyle factors, impacts the risk of developing diabetes in a large cohort of participants.
  • The research involved 9,681 individuals, using a lifestyle score and polygenic risk scores to assess the relationship between family history, genetic risks, and lifestyle choices in relation to diabetes incidence.
  • Results indicated that family history and poor lifestyle choices significantly increased diabetes risk, emphasizing that maintaining a healthy lifestyle can help prevent diabetes even for those with a genetic predisposition.
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It is known that estrogen receptor (ER) has extranuclear signaling functions in addition to classical genomic pathway, and estrogenic actions have been reported in ER-negative breast carcinoma cells. However, significance of cytoplasmic-ER immunoreactivity has not been reported in ER-negative breast carcinoma tissues. We immunolocalized cytoplasmic ER in 155 ER-negative breast carcinoma tissues and evaluated its clinicopathological significance including the prognosis.

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A recent study showed that thoracic epidural block (TEB) suppressed the occurrence of major complications after pleurectomy/decortication (P/D) for malignant pleural mesothelioma (MPM) under general anesthesia. To investigate the mechanisms underlying the correlation, both acute inflammatory status and intraoperative nociception were evaluated in the present study. In a single-institutional observational study, consecutive adult patients undergoing P/D were enrolled from March 2019 to April 2022.

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The photoperiodic mechanism distinguishes between long and short days, and the circadian clock system is involved in this process. Although the necessity of circadian clock genes for photoperiodic responses has been demonstrated in many species, how the clock system contributes to photoperiodic mechanisms remains unclear. A comprehensive study, including the functional analysis of relevant genes and physiology of their expressing cells, is necessary to understand the molecular and cellular mechanisms.

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High-density assemblies or superlattice structures composed of colloidal semiconductor nanocrystals have attracted attention as key materials for next-generation photoelectric conversion devices such as quantum-dot solar cells. In these nanocrystal solids, unique transport and optical phenomena occur due to quantum coupling of localized energy states, charge-carrier hopping, and electromagnetic interactions among closely arranged nanocrystals. In particular, the photoexcited carrier dynamics in nanocrystal solids is important because it significantly affects various device parameters.

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