Publications by authors named "Hideto Takahashi"

Article Synopsis
  • The COVID-19 pandemic significantly increased the rate of home deaths among cancer patients in Japan, rising from 11.6% pre-pandemic to 20.8% during the pandemic.
  • Analysis of vital statistics revealed that younger cancer patients were more likely to die at home during the pandemic, contrasting with older patients who had a higher proportion of home deaths before.
  • The findings highlight the need for improved resources for home and hospital end-of-life care to support patients' preferences during health crises.
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The precise organization of pre- and postsynaptic terminals is crucial for normal synaptic function in the brain. In addition to its canonical role as a neurotrophin-3 receptor tyrosine kinase, postsynaptic TrkC promotes excitatory synapse organization through interaction with presynaptic receptor-type tyrosine phosphatase PTPσ. To isolate the synaptic organizer function of TrkC from its role as a neurotrophin-3 receptor, we generated mice carrying TrkC point mutations that selectively abolish PTPσ binding.

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  • - The study analyzed thyroid cancer detection in children and adolescents in Fukushima after the 2011 nuclear disaster, involving over 253,000 participants with varying levels of radiation exposure.
  • - Utilizing Poisson regression, the research assessed the relationship between external radiation exposure and thyroid cancer, concluding that there was no significant association even at low radiation doses.
  • - The findings indicated that over 99.9% of participants experienced radiation exposure below 5 mSv, with an average follow-up period of 3.7 years, and thus, low radiation exposure was unlikely to increase thyroid cancer risk.
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  • The study investigates the effectiveness of advanced care management versus conventional care management in home-based long-term care for older adults in Japan.
  • It examines data from 856 care recipients, finding no significant difference in the progression of care needs between the two management types over four years.
  • However, recipients of advanced care management used fewer home-help and community-based day care services compared to those receiving conventional care.
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Contactin 2 (CNTN2) is a cell adhesion molecule involved in axon guidance, neuronal migration, and fasciculation. The ectodomains of CNTN1-CNTN6 are composed of six Ig domains (Ig1-Ig6) and four FN domains. Here, we show that CNTN2 forms transient homophilic interactions (K ∼200 nM).

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The prevalence of metabolic syndrome is increasing in children and adolescents. Although some diagnostic criteria for metabolic syndrome exist, further research is needed to determine appropriate age-, sex-, and race-specific cutoffs for each component. Health examinations were conducted in 1,679 children aged 6-15 years in 9 regions of Japan.

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  • This clinical trial aimed to assess the safety and effectiveness of a time-intensified treatment strategy for high-risk neuroblastoma, involving delayed local surgery following aggressive chemotherapy.
  • Seventy-five patients were enrolled, with a 3-year progression-free survival rate of 44.4% and an overall survival rate of 80.7%, indicating a significant response to therapy without any deaths during treatment.
  • However, there were high rates of adverse effects, with 48% experiencing severe complications and 25% facing major surgical issues, suggesting more research is needed to confirm findings and improve safety.
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The prevailing model behind synapse development and specificity is that a multitude of adhesion molecules engage in transsynaptic interactions to induce pre- and postsynaptic assembly. How these extracellular interactions translate into intracellular signal transduction for synaptic assembly remains unclear. Here, we focus on a synapse organizing complex formed by immunoglobulin superfamily member 21 (IgSF21) and neurexin2α (Nrxn2α) that regulates GABAergic synapse development in the mouse brain.

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Context: Examining how overweight/obesity impacts thyroid nodule development in children and adolescents by sex and age can speculate on the mechanism.

Objective: We examined whether overweight in children and adolescents are associated with thyroid nodule development by sex and age.

Design: Approximately 300,000 participants who underwent thyroid ultrasonography in the Fukushima Health Management Survey after a nuclear accident were enrolled.

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  • A study in Japan examined the impact of family caregiving on dental health, specifically focusing on recent dental visits among caregivers compared to non-caregivers.
  • Using data from the 2016 Comprehensive Survey of Living Conditions, researchers found that only a small percentage of participants were caregivers, and over half reported having dental visits.
  • The results showed that male family caregivers were less likely to visit the dentist compared to their non-caregiving counterparts, indicating a need to improve dental care accessibility for caregivers facing dental issues.
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Background: To examine workplace factors associated with willingness to undergo human immunodeficiency virus (HIV) testing during workplace health checkups.

Methods: This cross-sectional study used an Internet-based self-administered questionnaire to obtain data from a pool of 24,287 Japanese workers. Binary and multiple logistic regression analyses evaluated the association between workplace factors and HIV testing.

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  • - This study examines how Japanese residents use dental services, focusing on factors like age, sex, location, and reasons for visits based on health insurance data from April 2018 to March 2019.
  • - Findings revealed that only 18.6% of the population took advantage of preventive dental care, with the highest usage among children aged 5 to 9 years, and significant inequalities observed based on region, especially affecting specific age and gender groups.
  • - The study concludes that access to preventive dental care in Japan is limited and varies regionally, highlighting the need for policy improvements to enhance oral health services for residents.
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Synucleinopathies form a group of neurodegenerative diseases defined by the misfolding and aggregation of α-synuclein (α-syn). Abnormal accumulation and spreading of α-syn aggregates lead to synapse dysfunction and neuronal cell death. Yet, little is known about the synaptic mechanisms underlying the α-syn pathology.

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MDGAs (MAM domain-containing glycosylphosphatidylinositol anchors) are synaptic cell surface molecules that regulate the formation of trans-synaptic bridges between neurexins (NRXNs) and neuroligins (NLGNs), which promote synaptic development. Mutations in MDGAs are implicated in various neuropsychiatric diseases. MDGAs bind NLGNs in cis on the postsynaptic membrane and physically block NLGNs from binding to NRXNs.

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Article Synopsis
  • * Analysis revealed that symptom severity, particularly pain, exhibited a rebound effect starting around day 3 or 4, with significant differences in pain levels between those who recovered and those who did not.
  • * Pain severity on day 4 was found to be a strong predictor for early recovery, while the duration of symptoms contributed most to postoperative distress.
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Background: Breast screening services were suspended for several months owing to the coronavirus disease 2019 (COVID-19) pandemic. We estimated the potential impact on breast cancer mortality using long-term global observations. However, the magnitude of the impact may vary across countries; therefore, we conducted an analysis and modeling study of this impact in Japan.

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Amyloid-β oligomers (AβOs), toxic peptide aggregates found in Alzheimer's disease, cause synapse pathology. AβOs interact with neurexins (NRXs), key synaptic organizers, and this interaction dampens normal trafficking and function of NRXs. Axonal trafficking of NRX is in part regulated by its interaction with SorCS1, a protein sorting receptor, but the impact of SorCS1 regulation of NRXs in Aβ pathology was previously unstudied.

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Article Synopsis
  • The study examined the incidence of thyroid cancer in children and adolescents in Fukushima Prefecture after the 2011 nuclear disaster, using data from three rounds of ultrasound-based surveys.
  • A total of 252,502 individuals were included, and 99 cases of thyroid cancer were diagnosed during the second and third rounds of screenings.
  • Results showed no significant spatial clustering or correlation between thyroid cancer rates and radiation exposure, indicating no statistical support for a geographic link to radiation dose in thyroid cancer incidence.
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Background: The associations between developmental patterns (trajectories) in children and maternal factors have been widely investigated, but paternal effects on these trajectories are unclear. This study aimed to determine child and parental factors involved in developmental trajectories at high risk for causing adverse cardiovascular (CV) profiles in children.

Methods: We analyzed longitudinal anthropometric data from birth to the present and CV profiles of 1,832 healthy volunteers (51% girls) aged 3-15 years who participated in a nationwide study between July 2012 and January 2014.

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  • The study compared 1-year mortality rates of frail older adults in home- and community-based services (HCBS) versus various residential facilities in Japan.
  • It utilized data from 2007 to 2016, highlighting that nursing home and geriatric apartment residents had higher mortality rates compared to HCBS users, while group home residents had lower rates.
  • The findings suggest Japan's public health policy aimed at enhancing end-of-life care in residential facilities may have contributed to increased mortality rates due to accepting more seriously ill patients and prioritizing dignity over hospital transfers.
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Background: Health disparities according to marital status have been reported worldwide. Although spouses provide an important social network that influences heath behaviors, limited studies have examined the association between marital status and access to dental care. Therefore, this study aimed to analyze the association between marital status and access to dental care.

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Article Synopsis
  • * It analyzed data from 7205 hospitals to assess the prevalence of dentists, perioperative oral care, and collaboration between medical and dental teams.
  • * The findings revealed inadequate collaboration, particularly in hospitals lacking dentists, with certain factors like hospital type and ownership influencing the availability of dental services.
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