Publications by authors named "Kosuke Sakai"

A 50-year-old woman presented to our hospital in May2021 with a fever of approximately39 °C and abdominal pain. A contrast-enhanced computed tomography (CT) scan revealed an 88 mm right renal tumor. Two weeks later, a follow-up CT scan demonstrated rapid tumor growth, with the major axis measuring 100 mm.

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Objective: Occupational health has been influenced by societal and industrial changes. This study aimed to clarify topic trends in occupational health research in 1990-2022.

Methods: We conducted a text-mining-adjusted bibliometric study using research titles in occupational health.

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Immune checkpoint inhibitors (ICIs) have been widely used as standard therapies for various cancers. However, in 20-30% of cases, ICIs can lead to immune-related adverse events (irAEs), which sometimes require discontinuation of treatment. Due to the increased risk of irAEs, patients with pre-existing autoimmune diseases (AI) are often advised against receiving ICIs.

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This study aims to determine the factors that encourage older workers to continue working. This study had an exploratory sequential design using a mixed-methods approach, including interviews and questionnaire surveys. In the interview survey, we targeted 30 workers aged between 60-65 across three manufacturing companies.

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A 62-year-old male presenting with gross hematuria and right renal mass was referred to our Urology Department. Computed tomography revealed a right renal mass, with multiple pulmonary lesions. He underwent right nephrectomy for highly suspected renal cell carcinoma with pulmonary metastases (cT3aN0M1).

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Objectives: Occupational future time perspective (OFTP) is important concept for a successful career in older workers. The purpose of this study was to examine the associations between individual and work-related factors and OFTP.

Methods: We conducted a cross-sectional study via an online questionnaire survey.

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Background: In Japan, over 450 public health centers played a central role in the operation of the local public health system in response to the COVID-19 pandemic. This study aimed to identify key issues for improving the system for public health centers for future pandemics.

Methods: We conducted a cross-sectional study using an online questionnaire.

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Article Synopsis
  • Immune checkpoint inhibitors (ICIs) are standard treatment for advanced non-small cell lung cancer (NSCLC), and this study investigates the impact of upfront radiotherapy for brain metastases (BMs) in patients treated with either ICI alone or ICI plus chemotherapy.
  • An analysis of 591 patients across multiple institutions revealed that those receiving upfront radiotherapy alongside ICI alone had significantly longer overall survival compared to those who did not receive radiotherapy.
  • However, in the group treated with ICI-chemo, the addition of upfront radiotherapy did not show any significant survival benefit, suggesting different responses to treatment strategies.
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Objectives: This study investigates the association between workaholism and headaches causing presenteeism among Japanese employees.

Methods: Used data from self-reporting questionnaire and annual health checkups. Workaholism was assessed using the Dutch Workaholic Scale and headaches causing presenteeism were identified as the symptom hindering work.

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Airway complications that occur after anterior cervical spine surgery pose a life-threatening risk, which encompasses complications including prolonged intubation, unplanned reintubation, and/or necessity of tracheostomy. The present study aimed to identify the surgical risks associated with postoperative airway complications in neurosurgical training institutes. A retrospective, multicenter, observational review of data from 365 patients, who underwent anterior cervical spine surgery between 2018 and 2022, at three such institutes was carried out.

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A 72-year-old female presented with bilateral pulmonary nodules before undergoing surgery for hysteroptosis. Transbronchial biopsy did not lead to a definitive diagnosis. The right mass in the upper lobe was resected through video-assisted thoracic surgery.

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Background/aim: The treatment of brain metastases in patients with non-small cell lung cancer (NSCLC) typically involves surgery, irradiation, and chemotherapy (single or combination therapy). However, the impact of these therapies on the survival of patients with NSCLC with multiple extrathoracic metastases has not yet been determined. Therefore, in the present study, we examined the prognostic effect of multimodal treatment for brain metastases in patients with NSCLC with multiple extrathoracic metastases in the absence of driver mutations.

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Objectives: The purpose of this study was to examine, by sex, whether precarious workers in Japan receive less support in the workplace than permanent workers.

Methods: We conducted a cross-sectional study using an online questionnaire in 2022. We stratified participants by sex and performed modified Poisson regression analysis.

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Objective: This study aimed to clarify the differences in the perioperative data of patients with extramedullary and intramedullary tumors and estimate the impact of surgery on medical costs.

Methods: This single-center retrospective study included consecutive patients who underwent spinal tumor resection between September 2020 and December 2022. The perioperative medical information and medical costs for individual patients were obtained from their medical records.

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A critical issue in the study of scientific communication from a systems theoretical perspective is its role in multiple intersystem relationships. During COVID-19, politics has adopted scientific findings to inform political decisions. However, science has in response actively coordinated its operations for providing desired stimuli to politics.

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Article Synopsis
  • - The study focused on understanding how supervisors' work engagement impacts the support they provide to their subordinates in a manufacturing setting.
  • - Researchers collected open-ended survey responses from supervisors, analyzed these using text mining, and organized the results into three main categories and 11 subcategories of supervisory support.
  • - Findings indicated that as supervisors became more engaged in their work, their tendencies to offer information and show carefulness in supporting their subordinates also increased.
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Objective: The objective of this study was to verify that spine surgery for late-stage elderly (LSE) (age 65-74 years) is as safe as that for early-stage elderly (ESE) (age 65-74 years).

Methods: This retrospective multicenter study included elderly patients aged ≥65 years who underwent spine surgery between 2018 and 2021. The medical information for individual patients was obtained from medical records.

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Objectives: Labor and social security attorneys (LSSAs) are involved in various positions in harmonizing work with disease treatment; however, their qualification requirements do not include knowledge about the same. Expectations of their involvement in harmonizing work with disease treatment are insufficient. This study aimed to identify the competencies expected of the labor and social security LSSAs in harmonizing work with disease treatment.

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Nintedanib is a multi-tyrosine kinase inhibitor widely used to treat progressive fibrosing interstitial lung diseases because it slows the reduction in forced vital capacity. However, the prognosis for patients treated with nintedanib remains poor. To improve nintedanib treatment, we examined the effects of nintedanib on gene expression in the lungs of induced-rheumatoid arthritis-associated interstitial lung disease model mice, which develop rheumatoid arthritis and subsequent pulmonary fibrosis.

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Article Synopsis
  • Immune-checkpoint inhibitors (ICIs) are used for treating non-small cell lung cancer (NSCLC), with programmed death-ligand 1 expression as a common but insufficient predictor of their effectiveness.
  • This study evaluated tumor growth rate, specifically the initial rapidity of tumor progression (IRP), as a simpler predictor of ICI treatment response among NSCLC patients treated with drugs like nivolumab, pembrolizumab, or atezolizumab.
  • Results showed a negative correlation between IRP and time to treatment failure, indicating that faster initial tumor growth is linked to poorer therapeutic outcomes with ICIs.
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Objectives: The aim of the present study was to clarify the relationship between work functional impairment levels and three coping behaviors of workers with low back pain, which were about seeking medical attention, taking over-the-counter drugs, and taking self-care.

Methods: We conducted a cross-sectional study on 14 Japanese companies in 2016. Work function impairment was measured using the Work Functioning Impairment Scale.

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Background: Pleural mesothelioma, a devastating asbestos-associated malignancy, urgently requires a novel effective therapy. Heat shock protein 70 (HSP70), which is synthesized in the cell response to protein damage, is expected to be a new target for antitumor treatment. In addition to its well-known protein refolding function, HSP70 regulates cell proliferation through different pathways, including PI3K/AKT/mTOR, and autophagy in malignant cells.

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Article Synopsis
  • Osteoclasts are specialized cells that break down bone, and the protein SH3P2 plays a crucial role in regulating their formation and activity.
  • Research shows that when SH3P2 is knocked out in mice, there is a decrease in bone mass and an increase in the number of osteoclasts, indicating that SH3P2 usually acts to suppress bone resorption.
  • The study suggests that SH3P2 prevents osteoclast differentiation by influencing the localization of the motor protein Myo1E, which is important for osteoclast cell fusion and function.
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Recovery of the organics in industrial wastewaters/liquid wastes as polyhydroxyalkanoate (PHA) and/or glycogen (GLG) in waste activated sludge is a useful strategy to not only improve the resource value of waste activated sludge but also reduce the energy and cost of waste disposal and wastewater treatment. This study aimed to evaluate the potential of activated sludge to accumulate PHA and GLG using complex substrates (actual and simulated industrial wastewaters/liquid wastes) in addition to various simple organic substrates (organic acids, saccharides, and glycerol). The 24 h PHA and GLG accumulation experiments resulted in the accumulation of up to 25.

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