Publications by authors named "Iwasa T"

The Women's Health Care Committee was established in 2010 to improve the health of women. In the current academic year, this committee established seven subcommittees aimed at understanding diseases related to various age groups of women, including adolescence, sexual maturity, and menopause, and promoting research to improve the quality of life. Additionally, socially significant research has focused on infections, particularly resistant bacteria.

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Background: Selexipag, an oral prostacyclin (PGI) receptor agonist, is approved for adult patients with pulmonary arterial hypertension (PAH). This study evaluated the efficacy and safety of selexipag for Japanese pediatric patients with PAH.

Methods And Results: The study enrolled 6 patients who received selexipag twice daily at an individualized dose based on body weight; maintenance doses were determined for each patient by 12 weeks after starting administration.

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Introduction: A simple risk stratification model to predict aneurysm sac shrinkagein patients undergoing endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAA) was developed using machine learning-based decision tree analysis.

Methods: One hundred nineteen patients with AAA who underwent elective EVAR at Tokyo Medical University Hospital between November 2013 and July 2019 were included in the study. Predictors of aneurysm sac shrinkage identified in univariable analysis (P < 0.

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Purpose: Trastuzumab-pertuzumab (HP) plus taxane is a current standard first-line therapy for recurrent or metastatic human epidermal growth factor 2 (HER2)+ breast cancer (BC). We investigated noninferiority of eribulin to a taxane when combined with dual HER2 blockade as first-line systemic treatment for locally advanced/metastatic HER2+ BC.

Methods: In the phase III EMERALD trial (target sample size, 480; ClinicalTrials.

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Purpose: This descriptive analysis evaluated the 2022 assisted reproductive technology (ART) data collected by the Japan Society of Obstetrics and Gynecology registry.

Methods And Results: In 2022 (cutoff date 30 November 2023), 634 of 635 registered ART facilities participated; 602 implemented ART treatment, with 543 630 registered cycles and 77 206 neonates (9.1% and 10.

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Objectives: Underweight or obesity is associated with infertility in women, but large cohort studies with a life course perspective are rare. We explored the association between body mass index (BMI) at age 18 and subsequent infertility among Japanese women.

Study Design: In total, 15,907 married women aged 30-44 years who participated in a prospective cohort baseline survey during 2001-2007 were cross-sectionally analyzed.

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Background: Endovascular aneurysm repair (EVAR) has revolutionized the treatment of abdominal aortic aneurysms by offering a less invasive alternative to open surgery. Understanding the factors that influence patient outcomes, particularly for high-risk patients, is crucial. The aim of this study was to determine whether machine learning (ML)-based decision tree analysis (DTA), a subset of artificial intelligence, could predict patient outcomes by identifying complex patterns in data.

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Japanese patients with polycystic ovary syndrome (PCOS) exhibit distinct body type characteristics, such that the rate of overweight/obese women is remarkably low. In addition, hyperandrogenism is relatively rare among Japanese PCOS patients. Therefore, these factors are considered in PCOS diagnostic criteria used in Japan.

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Background: This study aimed to determine the actual working conditions, including working hours and desired future working styles of hospital pediatricians and obstetricians/gynecologists (OB/GYNs) in Tokushima Prefecture.

Method: This cross-sectional study used a self-administered questionnaire. Pediatricians and OB/GYNs (n = 96) working at 14 hospitals in Tokushima Prefecture were surveyed.

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Background: Japanese dietary patterns have traditionally focused on vegetables, legumes, and fish; however, in the last few quarters of the century, the consumption of meat, processed food, and ultra-processed food has become popular. It is anticipated that these changes in the Japanese dietary environment will increase the risk of developing psychosomatic disorders.

Methods: In this study, we examined the relationship between dietary habits, psychosomatic disorders, and a sense of achievement.

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Article Synopsis
  • * Data from a nationwide survey included 986 PCOS cases and 965 controls, revealing that 75% of Japanese PCOS patients were non-obese/overweight, with differing hormone levels and incidence rates of symptoms when compared to obese/overweight patients.
  • * The findings suggest that including hirsutism in diagnostic criteria could improve the accuracy of PCOS diagnoses, particularly aligning with international standards, and highlight the importance of measuring basal luteinizing hormone (LH) levels for understanding the hormonal profile of these patients.
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  • * The findings revealed a significant decline in multiple pregnancy rates over the 10-year span, with 2021 rates being 3.8% for ovarian stimulation, 2.3% for ovulation induction, and 1.9% for ART compared to higher rates in 2011.
  • * Despite the decrease in multiple pregnancies, some adverse neonatal outcomes persisted, showing 40.9% low birth weight and 22.7% neonatal intensive care admissions in 2021, although there were no neonatal deaths reported in
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  • * The study compared levels of OT in the hypothalamus and serum of young versus middle-aged perimenopausal female rats, finding that older rats had higher body weight and fat but similar serum OT levels.
  • * The research indicates that while estrogen (E2) helps maintain serum OT levels, other factors influence OT/OT receptor levels, suggesting OT alone may not prevent weight gain or metabolic issues in perimenopausal women.
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  • Coronary artery issues can arise after cardiac surgery and may lead to serious heart problems, such as ischemia and infarction, particularly in children.
  • This study discusses six cases where children underwent balloon angioplasty to treat coronary artery stenosis, with ages ranging from 1 month to 14 years and a median age of 3 years.
  • The procedure showed improvements in stenosis without complications in most patients, though one experienced restenosis; it suggests that angioplasty is a safe and effective option for post-surgical coronary issues in pediatric patients.
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Optical trapping is an effective tool for manipulating micrometer-sized particles, although its application to nanometer-sized particles remains difficult. The field of optical trapping has advanced significantly, incorporating more advanced techniques such as plasmonic structures. However, single-molecule trapping remains a challenge.

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  • Nausea and vomiting are frequent side effects of trastuzumab deruxtecan (T-DXd) treatment, prompting a study to evaluate an olanzapine-based regimen to prevent these symptoms in breast cancer patients.
  • A phase II clinical trial involved 168 patients with HER2-positive metastatic breast cancer; results showed a significantly higher complete response rate in the group receiving olanzapine compared to placebo (70% vs. 56.1%) during the delayed phase.
  • The olanzapine group also experienced a higher rate of no nausea and reported better outcomes regarding appetite loss, indicating its effectiveness in managing side effects related to T-DXd treatment.*
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Objectives: Pelvic organ prolapse (POP) is a significant health-care problem for older women. We have treated POP surgically using laparoscopic sacrocolpopexy (LSC) or robotic-assisted sacrocolpopexy (RSC). The original LSC and RSC procedures were done with anterior and posterior meshes; however, the use of the single mesh procedure is increasing because of its simplicity and safety.

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  • Palbociclib combined with tamoxifen was tested in a phase 3 study involving 184 women with HR+/HER2- advanced breast cancer to evaluate its efficacy and safety compared to tamoxifen alone.
  • The results showed a significant improvement in progression-free survival (PFS), with a median of 24.4 months for the palbociclib-tamoxifen group versus 11.1 months for the placebo-tamoxifen group.
  • While overall survival (OS) data is still being gathered, there is a trend suggesting palbociclib-tamoxifen may also reduce mortality risk, though neutropenia was a common severe side effect.
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Objective: Prevention of subsequent primary cancer (SPC) is crucial for cancer survivors, particularly those who developed the disease during childhood, adolescence, and young adulthood (CAYA). The aim of this study was to assess the current status of SPC prevention among female CAYA cancer survivors.

Methods: A survey regarding long-term health issues after cancer treatment was conducted using questionnaires that targeted women aged ≥20 years who had developed cancer before the age of 40 years.

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  • Previous studies indicate that androgen effects on body weight and appetite vary based on estrogen levels in females, but the exact mechanisms remain unknown.
  • The research tested the hypothesis that androgens influence oxytocin levels, an anorectic factor, in ovariectomized female rats with and without estradiol supplementation.
  • Findings revealed that testosterone increased oxytocin levels and reduced appetite in estrogen-deficient rats, while having no effect in those with estradiol, suggesting a link between androgens, oxytocin, and appetite regulation influenced by estrogen levels.
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Electron dynamics of the Na10 chain and the Na10-N2 complex locally excited by an atomistic optical near-field are investigated using real-time time-dependent density functional theory calculations on real-space grids. Ultrafast laser pulses were used to simulate the near-field excitation under on- and off-resonance conditions. Off-resonance excitation did not lead to the propagation of the excitation through the Na10 chain.

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Implantation cyst is often reported to be a delayed complication after colorectal surgery. This report presents a 70-year-old man undergoing gastrectomy 33 years earlier for an acute gastric ulcer. His endoscopic finding showed a submucosal tumor about 20 mm in diameter at the gastro-jejunal anastomosis.

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  • Identifying deep infiltrating endometriosis (DIE) through preoperative MRI is crucial for assessing surgical difficulty before hysterectomy in patients with adenomyosis.
  • *In a study of 54 patients, specific MRI findings were evaluated for their effectiveness in predicting DIE, with intestinal tethering and faint strands proving to be the most reliable indicators.
  • *Although some findings, like a retroflexed uterus, were not helpful, others demonstrated varying levels of sensitivity and specificity, emphasizing the importance of thorough preoperative imaging.
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Aim: To establish cut-off values for anti-Müllerian hormone (AMH) and antral follicle count (AFC) in the diagnostic criteria for polycystic ovary syndrome (PCOS) applicable to the Japan Society of Obstetrics and Gynecology (JSOG) 2024 criteria and the Rotterdam/International Evidence-Based Guideline for the assessment and management of PCOS (IEBG) 2023 criteria based on a nationwide survey, respectively, taking into account age, assays, and structure of the diagnostic criteria.

Methods: Data were collected for 986 PCOS cases and 965 control cases using a national survey in Japan and used to establish cut-off values for AMH and AFC.

Results: Serum AMH levels were significantly higher in the PCOS group compared to the control group.

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The near field is a highly localized light field that is present in the vicinity of materials. It holds considerable potential for manipulating molecular excitation through the design of nanostructures. To that end, a simple yet applicable computational method is required.

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