Publications by authors named "Ishitake T"

Purpose: Displacement minimization of seeds is crucial during surgery in brachytherapy; however, only a few reports have compared the operability of different seeds. TheraStrand-SL is a seed, in which TheraAGX100 is wrapped in polyglactin 910 thread, and intra-prostatic displacement is expected to be reduced compared with that of Thera-AGX100, owing to the complex shape of TheraStrand-SL. We conducted a prospective study on the operability and treatment outcomes of TheraAGX100 and TheraStrand-SL placement by a single operator.

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  • * Results showed an increase in mental health issues, with the average K6 score rising from 3.13 to 3.86, and the percentage of trainees with poor mental health increasing significantly between surveys.
  • * Key findings revealed that insomnia and increased years of training were linked to higher K6 scores, highlighting the need for better support regarding sleep conditions and training experiences for these trainees.
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Introduction: Limited information is available on the biological effects of whole-body exposure to quasi-millimeter waves (qMMW). The aim of the present study was to determine the intensity of exposure to increase body temperature and investigate whether thermoregulation, including changes in skin blood flow, is induced in rats under whole-body exposure to qMMW.

Methods: The backs of conscious rats were extensively exposed to 28 GHz qMMW at absorbed power densities of 0, 122, and 237 W/m for 40 minutes.

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Background/aim: The widespread use of fifth-generation 5G millimeter-waves (MMW) generates concern about potential adverse health effects. The latest international guidelines for MMW exposure adopt an absorbed power density (APD) of 200 W/m to avoid a local temperature rise of 5°C in human tissues as an operational adverse health effect threshold. However, because APD is estimated by simulations using human tissue models, it is unknown whether a similar value can be confirmed for living tissues.

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Aim: The aim of this study was to identify factors that influence changes in resilience among workers with mental health disorders, leading to effective treatment and support.

Methods: Among the new patients at an institution, 81 who were working and had the ICD-10 diagnoses F3 and F4 were included. Resilience was measured at the initial visit and 3 months later using the S-H resilience test.

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Objectives: To evaluate the effects of sarcopenia and excess visceral fat accumulation on early urinary function after I-125 low-dose-rate brachytherapy for prostate cancer.

Methods: We retrospectively reviewed consecutive patients who underwent brachytherapy for prostate cancer. Pre-treatment computed tomography was used to measure skeletal muscle index at the L3 level to assess sarcopenia and visceral fat area at the umbilical level.

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  • The 2014 amendment of Japan's "Ordinance on Safety and Health of Work under High Pressure" has exposed new challenges in regulating health for workers in high-pressure jobs, specifically for underwater and hyperbaric workers.
  • Current regulations lack adequate provisions for health management and risk reduction, potentially leading to legal issues and worker health problems.
  • Effective health checkups and safety measures must consider the unique aspects of hyperbaric environments to prevent serious health issues and ensure that regulations are based on scientific evidence.
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Purpose: To evaluate the oncological outcomes and genitourinary and gastrointestinal adverse events in acute and late-phases of iodine-125 low-dose-rate brachytherapy for localized prostate cancer.

Material And Methods: We retrospectively evaluated 334 patients treated for localized prostate cancer with low-dose-rate brachytherapy. Bio-chemical relapse-free survival, cause-specific survival, and overall survival were evaluated using Kaplan-Meier method and log-rank test.

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The global spread of 5th generation (5G) wireless systems causes some concern about health effects of millimeter waves (MMW). To investigate biological effects of local exposure to 5G-MMW on human body, a novel 60 GHz band exposure setup was developed, and its performance was validated. A spatial synthetic beam-type exposure setup using two dielectric lens antennas was proposed to achieve high intensity 60 GHz irradiation to the target area of human skin.

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Unlabelled: Unmarried people often have disorderly lifestyles, and sleep problems (e.g., insomnia, short sleep duration, social jetlag) are becoming more complex due to the modern 24-h society.

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Background: There are no reports of immersion pulmonary edema induced by excessive alcohol intake. We describe the case of a novice scuba diver who developed apnea due to immersion pulmonary edema during scuba diving after heavy alcohol intake.

Case Presentation: A 71-year-old hypertensive man, without regular antihypertensive therapy, performed diving after excessive alcohol intake (total amount, approximately 253 g) until the night before.

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Nitrogen (N) accumulation in the blood and tissues can occur due to breath-hold (BH) diving. Post-dive venous gas emboli have been documented in commercial BH divers (Ama) after repetitive dives with short surface intervals. Hence, BH diving can theoretically cause decompression illness (DCI).

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Decompression illness (DCI) is well known in compressed-air diving but has been considered anecdotal in breath-hold divers. Nonetheless, reported cases and field studies of the Japanese Ama, commercial or professional breath-hold divers, support DCI as a clinical entity. Clinical characteristics of DCI in Ama divers mainly suggest neurological involvement, especially stroke-like cerebral events with sparing of the spinal cord.

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Decompression illness (DCI), a syndrome following inadequate reduction in environmental pressure, has two forms: decompression sickness and arterial gas embolism after pulmonary barotrauma. Recompression therapy using oxygen, a kind of hyperbaric oxygen therapy, has been considered the gold standard treatment for DCI, although there is no randomized controlled trial evidence for its use. We evaluated the effectiveness of recompression therapy in treating DCI by reviewing the reported therapeutic results of serious DCI, especially neurological disorders.

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Hyperbaric medicine includes two different medical fields: hyperbaric oxygenation (HBO) as emergency and intensive care, and diving medicine. Recent topics in hyperbaric therapy include radiation oncology and regenerative medicine. Of special interest are clinical studies of radiotherapy after HBO that were conducted at some institutes to evaluate its therapeutic effects for cancer patients.

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Background/aim: The factors associated with longitudinal changes in health-related quality of life (HRQOL) are unclear. In this study we aimed to evaluate the longitudinal changes and predictors of HRQOL after I low-dose-rate brachytherapy (LDB) for localised prostate cancer (PCA).

Patients And Methods: We evaluated 180 patients with localised PCA treated with LDB.

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Decompression illness in breath-hold diving is a rare dysbaric disease mainly characterized by stroke-like neurological disorders. The early use of DWI-MRI combined with ADC map in suspected cases can help in the early diagnosis and treatment.

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Diving accident in breath-hold (BH) divers (Ama) is a stroke-like neurological condition involving the brain. Ama divers are at a risk of ischemic brain injuries which are situated in watershed or terminal zones of cerebral arteries, and/or corticomedullary junctional area of cerebral arteries. The underlying mechanisms of brain damage in BH diving remains to be elucidated.

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We present a pulmonary sarcoidosis patient with specific elevation of serum Krebs von den lungen-6 (KL-6) levels, who was successfully treated with inhaled corticosteroids. Pulmonary sarcoidosis was initially identified as a chest radiograph abnormality during a routine medical examination, and subsequently confirmed by a high serum level of soluble interleukin 2 receptor. The patient was started on high-dose inhaled budesonide because of high serum levels of angiotensin-converting enzyme (ACE) and KL-6.

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Article Synopsis
  • The Japanese government's Healthy Parents and Children 21 project highlighted an alarming increase in low birth weight infants, prompting a study in Kurume City to investigate potential risks and interventions.
  • The study analyzed data from 2,986 pregnant women, linking pregnancy notifications to birth weight records, and identified specific maternal factors—such as age, height, BMI, and physical abnormalities—that significantly contribute to low birth weight, miscarriages, and stillbirths.
  • To mitigate these risks, especially for women aged 35 and older, the study recommends regular checkups and support classes to detect complications early and promote healthier pregnancies.
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