Publications by authors named "Hirakawa S"

Background: Following COVID-19, dietary habits have been altered frequently along with other societal lifestyle modifications. However, changes in the dietary habits of maintenance hemodialysis patients (MHPs) before and during COVID-19 have not been investigated.

Methods: A total of 132 MHPs were assessed for changes in their dietary habits before and during the pandemic and their association with COVID-19 prevention.

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Spitz melanoma is extremely rare, and only a few cases of distant metastases have been reported. Herein, we describe a case of Spitz melanoma with multiple distant metastases. A 37-year-old woman presented with a 5.

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  • Heavy rainfall disasters due to climate change have increased concerns over chemical contamination from factories, necessitating a swift evaluation method for hazardous contaminants.
  • This study introduces a "toxicity screening" method that integrates biological response testing and chemical analysis in three steps to evaluate water quality, including measuring metal content and identifying organic contaminants.
  • Testing the method with industrial wastewater revealed that seven samples were toxic, primarily due to residual chlorine and metals, while contributing factors like tri-n-octyl phosphate (TNOP) were found to have negligible effects on toxicity; results can be obtained within 12 days.
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  • The study aimed to assess the health risks and death rates associated with liver surgery in Japan and create a predictive risk model using national data.
  • Researchers analyzed data from 73,861 patients who underwent liver surgery from 2014 to 2019, focusing on short-term outcomes like mortality and complications.
  • Key findings showed low mortality rates of 0.9% in 30 days and 1.7% in hospitals, with certain surgery types and patient conditions significantly increasing the risk of complications and death; the newly developed risk model effectively predicts these outcomes.
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  • A study was conducted to create a severity scale for perforated peptic ulcers (PPU) with generalized peritonitis to help guide surgical decisions based on patient risk.
  • Researchers analyzed a large database of patients who underwent surgery for PPU from 2013 to 2020, identifying key predictors of severe postoperative complications.
  • The final scoring system ranged from 0-11 with a cutoff of 5 suggesting minimal risk of complications, requiring further validation for clinical use.
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Human adenovirus (HAdV) infections present diverse clinical manifestations upon infecting individuals, with respiratory infections predominating in children. We surveyed pediatric hospitalizations due to respiratory HAdV infections across 18 hospitals in Hokkaido Prefecture, Japan, from July 2019 to March 2024, recording 473 admissions. While hospitalizations remained below five cases per week from July 2019 to September 2023, a notable surge occurred in late October 2023, with weekly admissions peaking at 15-20 cases from November to December.

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Aim: The existing predictive risk models for the surgical outcome of acute diffused peritonitis (ADP) need renovation by adding relevant variables such as ADP's definition or causative etiology to pursue outstanding data collection reflecting the real world. We aimed to revise the risk models predicting mortality and morbidities of ADP using the latest Japanese Nationwide Clinical Database (NCD) variable set.

Methods: Clinical dataset of ADP patients who underwent surgery, and registered in the NCD between 2016 and 2019, were used to develop a risk model for surgical outcomes.

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Sediment microbial fuel cells (SMFCs) represent a technology that can enhance sediment quality through processes such as nutrient suppression while simultaneously generating electricity from microorganisms. Despite its importance in elucidating the principles of nutrient suppression, the complex behavior of various ions within this context has been rarely explored. Herein, we applied an SMFC and systematically evaluated alterations in ion concentrations in interstitial and overlying waters.

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  • Intractable lymphatic anomalies (LAs) include conditions like cystic lymphatic malformations and Gorham-Stout disease, which can cause severe symptoms, necessitating studies on potential treatments.
  • A clinical trial conducted in Japan assessed the effectiveness of sirolimus, where 11 patients received daily doses and were monitored for changes in their conditions over 52 weeks.
  • Results showed that 54.5% of patients experienced a partial response to treatment, with sirolimus proving to be safe and potentially improving symptoms and quality of life, although no complete responses were achieved.
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  • * Tumor size and clinical stage at diagnosis showed no significant changes between pre-COVID (2018-2019) and during COVID (2020-2021) periods, although the proportion of patients with a single tumor and those treated with systemic therapy increased.
  • * A notable rise in cases with non-viral causes of HCC was observed, suggesting a need for improved surveillance, especially for non-B, non-C cases, to facilitate earlier detection.
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Following the coronavirus disease 2019 (COVID-19) outbreak in February 2020, incidences of various infectious diseases decreased notably in Hokkaido Prefecture, Japan. However, Japan began gradually easing COVID-19 infection control measures in 2022. Here, we conducted a survey of children hospitalized with human metapneumovirus (hMPV), influenza A and B, and respiratory syncytial virus infections in 18 hospitals across Hokkaido Prefecture, Japan, spanning from July 2019 to June 2023.

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Background: The aim of this study was to analyze the nationwide surgical outcome of a left trisectionectomy (LT) and to identify the perioperative risk factors associated with its morbidity.

Methods: Cases of LT for hepato-biliary malignancies registered at the Japanese National Clinical Database between 2013 and 2019 were retrospectively reviewed. Statistical analyses were performed to identify the perioperative risk factors associated with a morbidity of Clavien-Dindo classification (CD) ≥III.

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  • Researchers updated risk models for mortality and morbidity after low anterior resection surgery in Japan, focusing on short-term postoperative outcomes.
  • They analyzed data from over 120,000 patients using logistic regression to create predictive models based on preoperative factors like TNM stage.
  • The new models showed improved accuracy for predicting various complications, including in-hospital and 30-day mortality, as well as surgical site infections and reoperations.
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Sediment microbial fuel cells (SMFCs) represent a burgeoning technology that allows the remediation of sediments, such as nutrient suppression, while concurrently generating electricity. However, there is a limitation in that the nutrient suppression effect is restricted to a narrow range near the electrode. To address this issue, we developed an SMFC-aeration system, which intermittently aerates the overlying water with the power of SMFCs, thereby enhancing the nutrient suppression effect of SMFCs.

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Background: Many reports have reported a reduction in respiratory infectious diseases and infectious gastroenteritis immediately after the coronavirus disease 2019 (COVID-19) pandemic, but data continuing into 2022 are very limited. We sought to understand the current situation of various infectious diseases among children in Japan as of July 2022 to improve public health in the post-COVID-19 era.

Methods: We collected data on children hospitalized with infectious diseases in 18 hospitals in Japan from July 2019 to June 2022.

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Purpose: Radiation dermatitis (RD) is a common side effect of radiation therapy, affecting a majority of breast and head and neck cancer patients with a negative impact on quality of life. Currently, no consensus exists regarding the prevention of RD.

Methods: PubMed, Embase and Cochrane databases (1946 to December 2022) were searched using PRISMA guidelines to identify randomized controlled trials (RCTs) that investigated the use of topical non-steroidal agents in the prevention of RD in patients undergoing radiotherapy.

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Identification of antisynthetase syndrome (ASS) could be challenging due to inaccessibility and technical difficulty of the serology test for the less common non-Jo-1 antibodies. This study aimed to describe ASS antibody-specific myopathology and evaluate the diagnostic utility of myofiber HLA-DR expression. We reviewed 212 ASS muscle biopsies and compared myopathologic features among subtypes.

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Background: Centralization of complex surgeries has made little progress when it only considers the minimum number of surgical procedures. We aim to assess the impact of certification system of Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS) on centralization and surgical quality of advanced hepato-pancreatic-biliary (HPB) surgery.

Methods: The National Clinical Database was used to review 20 111 patients who underwent pancreatoduodenectomy (PD) and 9666 who underwent advanced hepatectomy defined as hepatectomy of more than one section during 2019 and 2020.

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We isolated the rare G3P[9] rotavirus strain RVA/Human-wt/JPN/R11-035/2015/G3P[9] from a 2-year-old girl presenting with vomiting and diarrhea who had daily contact with cats in Japan, 2015. Full-genome analysis revealed that the R11-035 strain had an AU-1-like genetic constellation, except for the NSP3 (T) gene: G3-P[9]-I3-R3-C3-M3-A3-N3-T1-E3-H6. Phylogenetic analysis showed that strain R11-035 is closely related to human/feline-like human strains, and only the NSP3 (T1) gene was clustered together with Taiwanese porcine strains.

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The blood and lymphatic vasculature networks are not yet fully understood even in mouse because of the inherent limitations of imaging systems and quantification methods. This study aims to evaluate the usefulness of the tissue-clearing technology for visualizing blood and lymphatic vessels in adult mouse. Clear, unobstructed brain/body imaging cocktails and computational analysis (CUBIC) enables us to capture the high-resolution 3D images of organ- or area-specific vascular structures.

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Secondary lymphedema (LE) occurs due to the disruption of lymphatic circulation. Lymphatic fluid accumulation in subcutaneous tissues induces adipocyte proliferation. Obesity is an important risk factor for the occurrence and deterioration of LE.

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Aim: No effective pharmacological interventions have been developed for patients with methamphetamine use disorder. Ifenprodil is a blocker of G protein-activated inwardly rectifying potassium channels, which play a key role in the mechanism of action of addictive substances. We conducted a randomized, double-blind, exploratory, dose-ranging, placebo-controlled trial to examine the clinical efficacy of ifenprodil for the treatment of methamphetamine use disorder.

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Introduction: The epidemic of coronavirus disease 2019 (COVID-19) rapidly spread worldwide, and the various infection control measures have a significant influence on the spread of many infectious diseases. However, there have been no multicenter studies on how the number of hospitalized children with various infectious diseases changed before and after the outbreak of COVID-19 in Japan.

Methods: We conducted a multicenter, prospective survey for hospitalized pediatric patients in 18 hospitals in Hokkaido Prefecture, Japan, from July 2019 to February 2021.

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A microwave digestion method for the analysis of tin, arsenic and lead in soft drinks was studied and its performance was evaluated. The trueness, repeatability (RSD) and Intralaboratory reproducibility (RSD) of the method were estimated to be in the ranges of 93-100, 0.7-6.

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