Publications by authors named "K Akaji"
Article Synopsis
- - Heart failure can reduce blood flow to the brain, potentially affecting recovery after mechanical thrombectomy (MT) in stroke patients, and this study examined the relationship between brain natriuretic peptide (BNP) levels and recovery outcomes.
- - Data from 169 stroke patients showed that those with favorable outcomes (score of 0-2 on the modified Rankin scale at 3 months) had lower median BNP levels compared to those with unfavorable outcomes, suggesting that higher BNP levels are linked to poorer recovery.
- - The analysis indicated that patients with BNP levels above 186 pg/mL had a significantly lower rate of favorable outcomes, even when considering other factors like atrial fibrillation, reinforcing the idea that high BNP concentration correlates with
[Diagnostic yield and utility of boring biopsy for subepithelial lesions of the stomach and esophagus].
Nihon Shokakibyo Gakkai Zasshi
August 2024
Article Synopsis
- The study assessed the effectiveness of boring biopsy in diagnosing subepithelial lesions (SEL) in the stomach and esophagus, involving 52 patients.
- The diagnostic yield was found to be 50% for gastric SELs and 80% for esophageal SELs, with higher success rates for smaller lesions (less than 10mm).
- Complications occurred in 10% of stomach biopsies, including two perforations and two cases of bleeding, while gastrointestinal stromal tumors were identified in 43% of gastric cases and all esophageal SELs were leiomyomas.
Article Synopsis
- Aneurysmal subarachnoid hemorrhage (aSAH) is a serious condition that can happen during sleep, but it wasn't thought to be caused by sleep itself until now.
- A study looked at 623 patients and found that those who had aSAH while sleeping were more likely to have diabetes and use blood-thinning medications than those who had it while awake.
- The researchers want to learn more about how health conditions like diabetes and sleep troubles could impact aSAH during sleep to understand the problem better.
Article Synopsis
- The study investigates long-term retention rates of biologic treatments for psoriatic arthritis, finding retention rates of about 70% for adalimumab, 50% for ixekizumab, and 40% for secukinumab after 10 years.
- It analyzes 146 prescriptions from a hospital since March 2010, focusing on why patients discontinued their treatments, with secondary inefficacy being the main reason for discontinuation.
- A notable finding was that the severity of arthritis at the start of adalimumab treatment was associated with higher chances of it becoming ineffective over time.
Article Synopsis
- The study investigates the effect of subarachnoid haemorrhage (SAH) on clinical outcomes in patients who underwent mechanical thrombectomy for acute large-vessel occlusion.
- Conducted as the SKIP trial in Japan, it included 197 patients, analyzing the relationship between SAH detected on CT within 36 hours post-procedure and outcomes at 90 days.
- Results showed that while there was a trend towards lower favorable outcomes in patients with SAH, particularly isolated SAH, it was not statistically significant, suggesting SAH may not adversely affect long-term recovery post-thrombectomy.