Publications by authors named "Kawabata R"

Objective: To elucidate the current state of coping flexibility and associated factors in gastric cancer patients after gastrectomy.

Methods: A cross-sectional multisite study was conducted with 142 patients with gastric cancer who completed questionnaires on coping flexibility, postgastrectomy dysfunction, health literacy, and perceived social support. Coping flexibility was measured using the Coping Flexibility Scale-Revised, which includes three subscales: Abandonment Coping (i.

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Immunohistochemistry for keratins 5, 8, 14, and 18 was performed on Japanese Black calf thymuses at various stages of acute thymic involution. Keratins 5 and 14 were predominantly localized in the thymic medulla, while keratins 8 and 18 were broadly distributed throughout the parenchyma. Despite thymic involution, the distribution patterns of these keratins remained consistent.

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This study aims to elucidate the biomechanical characteristics of turning in daily life by analyzing the three-step process of approach, turn, and departure phases. The research involved ten healthy young individuals performing straight walking and 90° turns, categorized into Side-Step (SS) and Cross-Step (CS) turns. Using a 17-camera motion capture system and force plates, the study measured joint angles, moments, and center of mass (COM) variations.

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Background: The prognosis of advanced gastric cancer (GC) with extensive lymph node (LN) metastasis treated with surgery alone remains poor. We conducted a multicenter phase II study to evaluate the efficacy and safety of perioperative capecitabine plus oxaliplatin (CapeOx) therapy in patients with advanced GC with extensive LN metastases.

Patients And Methods: Patients with histologically proven HER2-negative or unknown gastric adenocarcinoma with paraaortic LN (PALN) metastases and/or bulky LN metastases located at the celiac axis, common hepatic artery, and/or splenic artery were included in the study.

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Background: In schizophrenia (SZ), impairments in cognitive functions, such as working memory, have been associated with alterations in certain types of inhibitory neurons that utilize the neurotransmitter -aminobutyric acid (GABA) in the dorsolateral prefrontal cortex (DLPFC). For example, GABA neurons that express parvalbumin (PV) or somatostatin (SST) have more prominent gene expression alterations than those that express vasoactive intestinal peptide (VIP). In bipolar disorder (BD) and major depression (MD), which exhibit similar, but less severe, cognitive impairments than SZ, alterations of transcript levels in GABA neurons have also been reported.

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Objective: Potential benefit of surgical resection for liver metastasis from gastric cancer (LMGC) remains controversial because most previous studies were retrospective. We evaluated the outcomes of surgical resection following chemotherapy for LMGC in a prospective single-arm multicenter interventional study.

Methods: Patients with synchronous or metachronous LMGC received 2-4 cycles of standard chemotherapy and proceeded to surgical resection if restaging showed a non-progressive disease with a chance of R0 resection.

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There are various forms of stress including; physical, psychological and social stress. Exposure to physical stress can lead to physical sensations (e.g.

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Article Synopsis
  • - Angioimmunoblastic T-cell lymphoma (AITL) is a rare type of T-cell lymphoma that can be hard to diagnose because it often looks like other conditions, especially when it presents with skin rashes.
  • - A case study of a 74-year-old man showed how AITL can be misdiagnosed as pure red cell anemia, showing symptoms like direct Coombs-positive anemia and recurrent rashes.
  • - The case highlights the importance of considering lymphoma in patients with specific symptoms and the need for thorough evaluation of medical histories to ensure accurate diagnoses, as early treatment can significantly improve outcomes.
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Transcriptome analysis was performed on the thymus of Japanese Black calves that were necropsied due to poor prognosis, to characterize changes associated with acute thymic involution. Gene expression profiles obtained by DNA microarray analysis of eight calf thymuses were classified into three patterns that correlated with the histopathological stage of acute thymic involution. Using principal component analysis, the first principal component of the global gene expression levels in the calf thymus was associated with the stage of acute thymic involution, suggesting that histopathological changes greatly influence the gene expression profile.

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  • Robotic distal gastrectomy (RDG) with Billroth I (BI) reconstruction is enhanced by the Intracorporeal Triangular Anastomotic Technique (INTACT), which aims to minimize ischemic areas and improve surgical consistency and safety.
  • The surgical process involves precise dissection and anastomosis techniques using robotic arms to ensure a stable and effective reconstruction.
  • In a study of 81 patients, the procedure showed promising results with no significant complications, including no blood loss and a median hospital stay of 8 days, highlighting the technique's effectiveness and reliability.
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  • The study talks about how people with schizophrenia have problems with visuospatial working memory, which is the ability to remember visual information and how things relate to each other in space.
  • Researchers found that certain brain cells called PV and SST neurons don't work as well in people with schizophrenia, and this affects other brain cells called pyramidal neurons.
  • The scientists measured specific transcripts (kind of like instructions for how cells work) in different brain areas and found that people with schizophrenia had lower levels, which could cause the memory problems they experience.
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Background: Weight loss (WL) after gastrectomy for gastric cancer is associated with both decreased compliance with adjuvant chemotherapy and impaired survival. This study examined the effects of administering oral nutritional supplements (ONS) for 3 months after gastrectomy in terms of compliance with adjuvant chemotherapy and survival outcomes.

Methods: This large-scale, multicenter, open-label, randomized controlled trial enrolled 1,003 gastric cancer patients undergoing curative gastrectomy.

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  • As gastric cancer rates rise among older populations, the CPAS program aims to improve surgical outcomes for elderly patients through comprehensive preoperative assessments, focusing on frailty and sarcopenia.
  • In a study of 127 elderly patients who underwent surgery with CPAS, results showed less blood loss, fewer serious complications, and shorter hospital stays compared to a historical control group, particularly highlighting the benefits in managing infections and respiratory issues.
  • The findings indicate that personalized preoperative care through CPAS significantly increases surgical safety and lowers complication rates for elderly gastric cancer patients, suggesting a need for broader implementation.
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Objectives: Our goal was to review our surgical experiences in patients with complex pathologies of the aortic arch who have undergone anterolateral thoracotomy with a partial sternotomy (ALPS).

Methods: From October 2019 to November 2023, a total of 23 patients underwent one-stage repairs of complex pathologies of the aortic arch through the ALPS approach. The mean age was 61.

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Background: This prospective observational study evaluated the real-world effectiveness of nivolumab monotherapy in previously treated advanced gastric cancer (GC). A preplanned 2-year final analysis was performed to confirm survival and tumor behavior with nivolumab monotherapy.

Patients And Methods: The primary endpoint was overall survival (OS).

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Background: Occupational cholangiocarcinoma is associated with exposure to organic solvents, such as dichloromethane (DCM) and 1,2-dichloropropane (DCP). This report describes a case of occupational cholangiocarcinoma detected through regularly imaging following the discovery of elevated serum γ-glutamyl trans peptidase (γ-GTP) levels revealed during regular checkup.

Case Presentation: A 43-year-old man who had been working in a printing company with 15 years of exposure to organic solvents presented to our hospital owing to abnormalities found during a routine checkup.

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Purpose: The NY-ESO-1 antigen is highly immunogenic and often spontaneously induces an immune response in patients with cancer. We conducted a large-scale multicenter cohort study to investigate the utility of serum NY-ESO-1 and p53 antibodies as predictive markers for the postoperative recurrence of gastric cancer. Here, we examined the usefulness of pre-treatment NY-ESO-1 and p53 antibodies as tumor markers for the diagnosis of gastric cancer in combination with carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9).

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Background: The increasing incidence of gastric cancer in the elderly underscores the need for an in-depth understanding of the challenges and risks associated with surgical interventions in this demographic. This study aims to investigate the risk factors and prognostic indicators for non-cancer-related mortality following curative surgery in elderly gastric cancer patients.

Methods: This retrospective analysis examined 684 patients with pathological Stage I-III gastric cancer who underwent curative resection between January 2012 and December 2021.

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Background: No reliable marker has been identified to predict postoperative recurrence of gastric cancer. We designed a clinical trial to investigate the utility of serum NY-ESO-1 antibody responses as a predictive marker for postoperative recurrence in gastric cancer.

Methods: A multicenter prospective study was conducted between 2012 and 2021.

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A 51-year-old woman presented to our hospital complaining of a lower abdominal mass and dysuria. She was diagnosed with advanced sigmoid colon cancer. The tumor was large, involving the bladder, and occupying the pelvic cavity.

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Aim: To compare the effects of open (OG) and laparoscopic gastrectomy (LG) on body composition and muscle strength.

Methods: This study performed a propensity score matching analysis using cases from a large-scale, multicenter, phase III randomized controlled trial concerning oral nutritional supplements after gastrectomy and analyzed both the whole and matched cohorts. Measurements of body composition and hand grip strength (HGS) were performed at baseline (preoperatively) and at 1, 2, 3, 6, and 12 months after gastrectomy.

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  • A study assessed the impact of a daily elemental diet (ED) on skeletal muscle mass loss in gastric cancer patients after surgery, following previous findings that it reduced body weight loss postoperatively.
  • The analysis utilized data from patients undergoing total or distal gastrectomy and compared changes in skeletal muscle mass index (%SMI) between those on the ED and control groups one year later.
  • Results showed that while the ED group had a lower median %SMI loss than the control group, the difference was not statistically significant, indicating no clear benefit of the diet in preventing muscle loss post-gastrectomy.
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Background: Although there is insufficient evidence for the treatment of older patients with advanced gastric cancer, fluorouracil combined with platinum chemotherapy has been recognized as a standard first-line treatment for such populations in Japan despite the lack of efficacy and toxicity data.

Methods: Patients aged 75 years or older with advanced gastric cancer were enrolled. S-1 plus docetaxel (docetaxel: 40 mg/m, day 1; S-1: 80 mg/m, days 1-14; q21 days) was repeated every 3 weeks.

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Flexible imagers are currently under intensive development as versatile optical sensor arrays, designed to capture images of surfaces and internals, irrespective of their shape. A significant challenge in developing flexible imagers is extending their detection capabilities to encompass a broad spectrum of infrared light, particularly terahertz (THz) light at room temperature. This advancement is crucial for thermal and biochemical applications.

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