Publications by authors named "Kei Morishita"

Purpose: Japanese traditional (Kampo) medicines are often used for pregnant women in Japan. However, no comprehensive studies have been conducted regarding the self-reported use of these medicines during pregnancy. This study investigated the use of Kampo medicines during pregnancy in Japan using the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study (TMM BirThree Cohort Study).

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Zero-gap-type reactors with gas diffusion electrodes (GDE) that facilitate the CO reduction reaction (CORR) are attractive due to their high current density and low applied voltage. These reactors, however, suffer from salt precipitation and anolyte flooding of the cathode, leading to a short lifetime. Here, using a zero-gap reactor with a transparent cathode end plate, we report periodic voltage oscillations under constant current operation.

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Objective: To evaluate the association between exposure to atypical antipsychotics during pregnancy and risk of miscarriage.

Material And Methods: This nested case-control study used a large Japanese administrative database. Pregnancy onset and outcomes were estimated using previously reported algorithms, classifying cases as women becoming pregnant between 2013 and 2022 and ending in a miscarriage.

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Cardiopulmonary resuscitation (CPR) is essential for the survival of cardiac arrest patients, but it can cause severe traumatic complications. In the catheterization laboratory, various physical constraints complicate the appropriate performance of CPR. However, we are not aware of reports of CPR complications in this setting.

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Purpose: To elucidate the status of medication use among pregnant women in Japan, by means of a multigenerational genome and birth cohort study: the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study (TMM BirThree Cohort Study).

Methods: Questionnaires were distributed to pregnant women participating in the TMM BirThree Cohort Study (from July 2013 to March 2017) around 12 weeks (early pregnancy) and 26 weeks (middle pregnancy). We analysed medication use over three periods: (1) 12 months prior to pregnancy diagnosis, (2) the period between pregnancy diagnosis and around week 12 of pregnancy, and (3) post around week 12 of pregnancy.

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Background: Japanese traditional (Kampo) medicines containing ephedra may be used to treat colds during pregnancy. There are reports that ephedrine, a component of ephedra, has a risk of teratogenicity; however, the evidence remains equivocal.

Objective: This study aimed to evaluate the risk of major congenital malformations (MCMs) associated with exposure to Kampo medicines containing ephedra during the first trimester of pregnancy using the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study (TMM BirThree Cohort Study).

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Article Synopsis
  • Contact dermatitis can be a serious issue for patients with metal allergies who undergo cardiac-device implantation, such as ICDs.
  • Wrapping the metal parts of the ICD with expanded polytetrafluoroethylene (ePTFE) sheets has shown promise in preventing this skin condition, with a successful case reported.
  • The inserted ICD initially displayed high shock impedance, which decreased significantly over two weeks, and the patient experienced no skin problems during a 20-month follow-up, though infection risks must still be considered.
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Objective: When using administrative data, validation is essential since these data are not collected for research purposes and misclassification can occur. Thus, this study aimed to develop algorithms identifying pregnancy and to evaluate the validity of administrative claims data in Japan.

Methods: All females who visited the Tohoku University Hospital Department of Obstetrics in 2018 were included.

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This study aimed to develop and validate claims-based algorithms for identifying live birth, fetal death, and cesarean section by utilizing administrative data from a university hospital in Japan. We included women who visited the Department of Obstetrics at a university hospital in 2018. The diagnosis, medical procedures, and medication data were used to identify potential cases of live birth, fetal death, and cesarean section.

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Purpose: To evaluate the risk of major congenital malformations (MCMs) associated with first-trimester exposure to propulsives with a special focus on domperidone using a large administrative database in Japan.

Methods: A large claims database was used from January 2005 to August 2016. The dates of pregnancy onset and delivery were estimated using the developed algorithms.

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Article Synopsis
  • - The study evaluated the accuracy of congenital malformation diagnoses from claims data at a Japanese university hospital by comparing them to medical records, focusing on infants diagnosed within a specific timeframe.
  • - Out of 227 infants analyzed, the positive predictive values (PPVs) for any congenital malformation were 90.7%, and for major congenital malformations (MCMs), it was 91.5%, with specific types like cleft lip showing a 100% PPV.
  • - The findings suggest that the claims data are reliable for research purposes in perinatal health, but the authors stress the need for further validation across different centers.
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