Publications by authors named "Kawauchi A"

Since abdominal adhesion are quite problematic in abdominal and pelvic surgery, the conventional HA/CMC film are commonly used as an anti-adhesive material. However, such types are difficult to be rolled and delivered through the port of laparoscopic surgical devices due to adherence to the laparoscopic port or other parts of the films. To create an anti-adhesion film with more favorable handling properties and anti-adhesive effect, we developed a novel punctate uneven gelatin film (PU GF).

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Introduction: Nutritional therapy is an important component of intensive care. We investigated the associations of nutritional therapy in the acute phase of severe COVID-19 with the long-term outcomes of post-intensive care syndrome (PICS) and post-COVID-19 conditions.

Methods: A questionnaire on the health status after COVID-19 was sent to patients 1 year after infection and PICS was evaluated.

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  • Previous studies suggest that women have better outcomes than men when undergoing extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA), but detailed research on this is limited.
  • This study analyzed data from the SAVE-J II registry, examining the sex differences and outcomes in ECPR patients, focusing on neurological recovery at hospital discharge.
  • Findings showed that while there were more male patients, women had a higher adjusted odds ratio for favorable neurological outcomes (1.60), indicating better recovery compared to men, especially given the differences in cardiac rhythms presented at the time of treatment. *
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  • * A study in Japan on November 1 and December 1, 2023, found that 69% of 187 eligible ICU patients faced oral intake restrictions, with only about half screened for swallowing disorders.
  • * Notably, few received necessary rehabilitation, and most ICUs lack trained speech therapists or established protocols, highlighting a need for better clinical practices in dysphagia management.
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  • A study in Kochi Prefecture, Japan, observed a decrease in emergency transportations for acute alcohol intoxication during the early COVID-19 pandemic and aimed to track changes over the next four years.
  • The analysis of 107,013 emergency cases showed a consistent decline in such transportations from 2019 (1.8%) to 2023 (1.3%), with significant reductions noted each year compared to 2019.
  • These findings suggest that even as social activities resumed post-pandemic, the number of alcohol-related emergencies remained lower than pre-pandemic levels.
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  • The study investigated how changes in disease severity within the first 48 hours of ICU admission affect physical function more than the severity at admission itself.
  • Researchers analyzed data from 199 adult ICU patients across seven hospitals in Japan, using the Barthel Index to assess physical independence at discharge.
  • Results showed that a rise in the Sequential Organ Failure Assessment (SOFA) score during the first 48 hours was strongly linked to lower physical function scores at discharge, while the initial SOFA score at admission was not significantly related.
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  • Neuromuscular blocking agents (NMBAs) may help control shivering during targeted temperature management (TTM) for cardiac arrest patients, but their impact on neurological outcomes was unclear, prompting this study.* -
  • Conducted from 2019 to 2021, the study analyzed 516 out-of-hospital cardiac arrest patients; 337 received NMBAs during TTM, showing higher rates of favorable neurological outcomes compared to those who did not.* -
  • The results indicated that NMBAs were linked to better neurologic outcomes, especially in patients with initial shockable rhythms and no signs of severe brain damage, suggesting potential benefits in specific patient groups.*
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Background: Nitrogen dioxide (NO) is known to cause lung injury, but there is no established treatment for acute respiratory distress syndrome (ARDS) caused by NO inhalation.

Case Presentation: A 35-year-old man was accidentally exposed to NO fumes and presented to the emergency department. On admission, his oxygen saturation was 87% on ambient air and he was diagnosed with ARDS caused by NO inhalation and immediately intubated; however, hypoxemia and hypercapnia were not ameliorated.

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Aim: Selecting the appropriate candidates for extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA) is challenging. Previously, the Extracorporeal Life Support Organization (ELSO) guidelines suggested the example of inclusion criteria. However, it is unclear whether patients who meet the inclusion criteria of the ELSO guidelines have more favorable outcomes.

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Patients with advanced cancer are frequently burdened with a severe sensation of fatigue called cancer-related fatigue (CRF). CRF is induced at various stages and treatments, such as cachexia and chemotherapy, and reduces the overall survival of patients. Objective and quantitative assessment of CRF could contribute to the diagnosis and prediction of treatment efficacy.

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Aim: This study aimed to assess the association between gasping and survival among out-of-hospital cardiac arrest (OHCA) patients requiring extracorporeal cardiopulmonary resuscitation (ECPR).

Methods: This prospective, multicenter, observational study was conducted between 2019 and 2021. We categorized adult patients requiring ECPR into those with or without gasping prior to hospital arrival.

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  • Post-intensive care syndrome (PICS) refers to lasting physical, cognitive, and mental health issues that occur after a patient leaves intensive care, highlighting the need for effective long-term follow-up.
  • The PICS follow-up system comprises various methods including clinics, home visits, and telemedicine, with a recommended initiation of follow-up services within three months of discharge.
  • Despite the establishment of PICS clinics since 1993, there is no consensus on their effectiveness; a multidisciplinary approach addressing nutrition and rehabilitation is emphasized for better management of symptoms.
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  • The article is a translated version of the 2023 Clinical Practice Guidelines for Upper Tract Urothelial Carcinoma (UTUC) by the Japanese Urological Association (JUA), aiming to guide clinicians in evidence-based management.
  • The updated guidelines were developed following a structured approach, reviewing various aspects of UTUC, including epidemiology, diagnosis, treatment, and follow-up, while addressing seven key clinical questions.
  • The guidelines also emphasize the importance of balancing benefits and harms in medical decisions and call for ongoing evaluation and refinement based on new evidence and clinical issues.
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Regenerative medicine would benefit from a safe and efficient cryopreservation method to prevent the structural disruption caused by ice-crystal formation in cells and tissue. Various attempts have been made to overcome this problem, one of which is the use of an oscillating magnetic field (OMF). However, the underlying mechanism is unclear.

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  • The study aimed to address the challenges of assessing post-intensive care syndrome (PICS) in ICU survivors by identifying effective assessment instruments through a scoping review and consensus process.
  • A total of 6972 records were reviewed, leading to 20 recommended instruments spanning various domains, including physical health, cognition, and mental health.
  • The findings provide a structured approach to evaluating PICS, highlighting tools like the 6-min walk test and MoCA, ensuring comprehensive assessment for ICU survivors and their families.
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The ongoing coronavirus disease 2019 (COVID-19) pandemic has had a broad effect on social, economic, educational, and political systems. We investigated the effect of COVID-19 on emergency transportation due to acute alcohol intoxication in the Kochi Prefecture in Japan, a region with high alcohol consumption. This retrospective observational study was conducted using the data of 62,138 patients from the Kochi-Iryo-Net database, Kochi Prefecture's emergency medical and wide-area disaster information system.

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A 46-year-old woman was referred for hypertension and a right adrenal tumor. Primary aldosteronism (PA) was suspected because of the high plasma aldosterone concentration-to-plasma renin activity ratio. However, a subsequent evaluation revealed coexistent PA and pheochromocytoma.

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Pembrolizumab has been widely used to treat advanced urothelial carcinoma that has progressed after first-line platinum-based chemotherapy. Because its clinical benefits are limited, biomarkers that can predict a good response to pembrolizumab are required. The prognostic nutritional index (PNI), calculated using the serum albumin level and peripheral lymphocyte count, has been evaluated as a predictive biomarker in cancer immunotherapy.

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A 76-year-old woman was referred to our department because of high fever and bladder irritative symptoms. Computed tomography revealed the presence of a heterogeneous mass with indistinct borders on the left anterior wall of the bladder. The lesion contained a linear hyperdense shadow.

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Fibrosis is an important pathological mechanism in heart failure (HF) and is associated with poor prognosis. We analyzed fibrosis in HF patients using transcriptomic data. Genes differentially expressed between normal control and congestive HF (CHF) dogs included P3H1, P3H2, P3H4, P4HA2, PLOD1 and PLOD3, which belong to the 2-oxoglutarate-dependent dioxygenases (2OGD) superfamily that stabilizes collagen during fibrosis.

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Prostate cancer is the most common genitourinary cancer in men. Population-based serum prostate-specific antigen (PSA) testing is used to screen men for the early detection of asymptomatic prostate cancer. The present study compared the features of patients with prostate cancer in Kusatsu City, the only municipality in Shiga Prefecture of Japan to implement organized PSA screening, with those in other municipalities.

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Metabotropic glutamate receptor subtype 7 (mGluR7) is a member of the group III mGluRs, which localize to presynaptic active zones of the central nervous system. We previously reported that mGluR7 knockout (KO) mice exhibit ejaculatory disorders, although they have normal sexual motivation. We hypothesized that mGluR7 regulates ejaculation by potentiating the excitability of the neural circuit in the lumbosacral spinal cord, because administration of the mGluR7-selective antagonist into that region inhibits drug-induced ejaculation.

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  • Post-intensive care syndrome (PICS) is a growing concern for critically ill COVID-19 patients, but its prevalence and risk factors are not well understood.
  • A multicenter study surveyed ventilated COVID-19 patients about their cognitive and emotional health, finding that around 60% experienced PICS months after leaving the ICU.
  • Key risk factors identified included the presence of delirium and the length of time on mechanical ventilation, highlighting the need for further support for these patients post-ICU.
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Long-term bladder regeneration has not been successful instead of augmentation with gastrointestinal segments, as is commonly performed for bladder reconstruction. To evaluate whether or not cell-seeded bioabsorbable materials regenerate half-resected bladder in a rabbit model. Female Japanese white rabbits were divided two groups: cell-seeded material (CSM) group and Control ( = 6 each).

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Background/aim: γ-Glutamylcyclotransferase (GGCT) is up-regulated in a broad range of cancers, including breast cancer, and GGCT inhibition has been shown to be a promising strategy for therapy. Herein, we evaluated the efficacy and mechanism of action of pro-GA, a GGCT enzymatic inhibitor, in MCF7 breast cancer cells.

Materials And Methods: Proliferation was evaluated by WST-8 and trypan blue dye exclusion assays.

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