Publications by authors named "Kawada A"

Diabetes mellitus increases oxidative stress due to hyperglycemia, resulting in the degeneration of rotator cuff tissue. Currently, there is no established method to non-invasively assess the extent of this oxidative stress. To address this, we aimed to investigate the relationship between the accumulation of advanced glycation end-products (AGEs), a marker of oxidative stress, and transcutaneous autofluorescence intensity in rotator cuff tissue harvested from diabetic rats.

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  • A systematic review examined the impact of interdisciplinary home healthcare services, involving at least two providers (like nurses and physiotherapists), on the quality of life and health outcomes in older adults with chronic conditions.
  • The review included 13 randomized controlled trials (RCTs) with 4,709 participants, finding that these services significantly reduced hospital admissions in the first 6 months of care, though certainty around quality of life and mortality outcomes was low.
  • The study concluded that while interdisciplinary home care may lower hospital admissions, more thorough research is needed to assess its overall effectiveness on other health outcomes.
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Objective: Telenursing e-learning courses have been shown to enhance nurses' skills and knowledge; however, the subjective learning experience is unclear. In this study, we identified meta-inferences to quantitatively and qualitatively understand this experience, as well as the types of knowledge gained through an e-learning course and how they are linked to each other, in order to enhance nurses' confidence in their understanding of telenursing.

Methods: We employed a single-arm intervention with a mixed-methods convergent parallel design.

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  • CCR4 is identified as an important receptor for T-helper 2 (Th2) and Th17 cells and is a potential target for treating atopic dermatitis (AD).
  • In a mouse model of AD induced by MC903 (a TSLP inducer), increased levels of Th2 and Th17-related cytokines and immune cell infiltration were observed, leading to skin lesions.
  • Using a CCR4 inhibitor, Compound 22, showed promise in reducing Th2 and Th17 cells and improving AD-like symptoms, suggesting CCR4 antagonists could help manage allergic reactions in AD.
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Purpose: To retrospectively review locally advanced cervical cancer (CC) cases treated with three-dimensional image-guided brachytherapy (3D-IGBT) and two-dimensional (2D)-IGBT.

Materials And Methods: Patients with Stage IB-IVa CC who underwent intracavitary irradiation between 2007 and 2021 were divided into the 3D-IGBT and 2D-IGBT groups. Local control (LC), distant metastasis-free survival (DMFS), progression-free survival (PFS), overall survival (OS), and gastrointestinal toxicity (G3 or more) were investigated at 2/3 years post-treatment.

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  • IVIg is used to treat inflammatory demyelinating diseases like Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy, but its exact mechanisms are not fully understood.
  • In a mouse model study, IVIg treatment after lysolecithin injection led to significantly reduced demyelination in the sciatic nerve compared to untreated mice.
  • Further analysis revealed that IVIg interacts with a specific myelin protein (large myelin protein zero, or L-MPZ) in the peripheral nervous system, suggesting it may help modulate demyelination by targeting this protein on myelin debris.
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T helper 17 (Th17) cells express CC chemokine receptor 4 (CCR4) and secrete cytokines such as interleukin-17A (IL-17A) and granulocyte macrophage colony-stimulating factor (GM-CSF), while dendritic cells (DCs) produce CC chemokine ligand 22 (CCL22), a CCR4 ligand, upon stimulation with GM-CSF. Th17 cells are known to play a critical role in the pathogenesis of rheumatoid arthritis (RA). CCL22 has also been shown to be up-regulated in the synovial tissues of RA patients.

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Atopic dermatitis (AD) is the most common inflammatory skin disease, which is characterized by excessive Th2 immune responses. In AD patients, the expression of the chemokines CCL17 and CCL22 is increased in skin lesions, leading to the infiltration of Th2 cells. In addition, typical pro-inflammatory cytokines, including TNF-α, IL-1β and IL-6, have also been shown to be associated with the pathogenesis of AD.

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Liver damage affects the prognosis of patients with erythropoietic protoporphyria (EPP). However, there is no radical cure for EPP patients with severe liver damage. This study aims to investigate the effectiveness of phlebotomy in patients with severe liver damage.

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To determine the characteristics of the early phase of psoriatic arthritis (PsA), we conducted a subanalysis of a retrospective survey of Japanese patients. In this study, we enrolled patients with early onset within either 2 years or 1 year from onset among the 1282 patients with PsA that had previously been reported. Among the total reported PsA patients, 304 (23.

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The onset of autoimmune hepatitis (AIH) during pregnancy is rare and often poses a diagnostic challenge. A 29-year-old Japanese woman experienced epigastric pain and nausea during the third trimester of her third pregnancy. Three days after the symptom onset, an emergency Caesarean section was performed because of suspected acute fatty liver of pregnancy; however, the patient's liver dysfunction worsened afterward.

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Psoriasis is a chronic skin disease associated with T helper (Th)17-mediated inflammation. Because CCR4 is a major chemokine receptor expressed on Th17 cells, we investigated the role of CCR4 in a modified imiquimod-induced psoriasis model that showed enhanced skin infiltration of Th17 cells. CCR4-deficient mice had less severe skin disease than wild-type mice.

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Article Synopsis
  • The Japanese Society for Psoriasis Research (JSPR) has been studying psoriasis patients through annual surveys since 1982, with a recent analysis covering 15,287 cases from 2013 to 2018.
  • The patient demographic shows a predominance of males (65.3%), with about half having a history of comorbidities such as hypertension and diabetes.
  • treatment trends indicate an increase in the use of corticosteroids and biologics for psoriasis management, while phototherapy usage has decreased, reflecting a significant shift in treatment approaches over the past decade.
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Objectives: Ultrasonic scalers often cause an uncomfortable feeling to patients during the procedure. This study was conducted to compare patient complaint levels between magnetostrictive (M-USSC) and piezoelectric ultrasonic scalers (P-USSC) during supragingival scaling.

Methods: This study enrolled 82 subjects who received supportive periodontal therapy for at least 2 years.

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Extracellular ATP is known to promote Th17 cell differentiation in the intestinal lamina propria by stimulating CD70+CD11clow dendritic cells (DCs) via P2X receptors (P2XRs). Recent studies have also shown that Th17 cells enhance antitumor immunity by directly promoting proliferation of cytotoxic T lymphocytes (CTLs). These finding led us to test a P2XR agonist, αβ-methylene ATP (αβ-ATP), as a mucosal vaccine adjuvant to promote CTL responses through Th17 induction.

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