Publications by authors named "Kumada K"

Background: Adiposity rebound (AR) is the point when the body mass index (BMI) begins to rise again during early childhood. Early AR (before age 5) is associated with a higher risk of lifelong obesity and metabolic disorders and may be influenced by breastfeeding. Although human milk oligosaccharides (HMOs) in breast milk are crucial for child growth, their association with AR status has not been studied.

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Large-scale population cohort studies that collect genomic information are tasked with returning an assessment of genetic risk for hereditary cancers to participants. While several studies have applied to return identified genetic risks to participants, comprehensive surveys of participants' understanding, feelings, and behaviors toward cancer risk remain to be conducted. Here, we report our experience and surveys of returning genetic risks to 100 carriers of pathogenic variants for hereditary cancers identified through whole genome sequencing of 50 000 individuals from the Tohoku Medical Megabank project, a population cohort study.

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  • Erythromelalgia is a rare condition that causes severe pain, redness, and hot flashes in the legs.
  • A 40-year-old woman with 15 years of persistent symptoms found relief through Kampo medicine and acupuncture after failing to respond to several conventional treatments.
  • The case suggests that combining traditional therapies like Kampo medicine with acupuncture could enhance the quality of life for those suffering from erythromelalgia, as there is currently no standard treatment available.
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  • The study aims to evaluate the effectiveness of dexamethasone-sparing strategies in breast cancer treatment using anthracycline-cyclophosphamide therapy, focusing on the combination of first-generation 5-HT3 receptor antagonists and neurokinin-1 receptor antagonists.
  • A literature search found randomized controlled trials that compared the efficacy of different antiemetic regimens; the primary measure was the proportion of patients achieving complete response during the delayed phase.
  • Results indicated that using palonosetron was more effective than a single dose of first-generation 5-HT3 receptor antagonists in achieving patient responses, leading to a recommendation for palonosetron in these treatment strategies.
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The gastrointestinal (GI) tract harbors trillions of microorganisms known to influence human health and disease, and next-generation sequencing (NGS) now enables the in-depth analysis of their diversity and functions. Although a significant amount of research has been conducted on the GI microbiome, comprehensive metagenomic datasets covering the entire tract are scarce due to cost and technical challenges. Despite the widespread use of fecal samples, integrated datasets encompassing the entire digestive process, beginning at the mouth and ending with feces, are lacking.

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Understanding the physiological changes associated with aging and the associated disease risks is essential to establish biomarkers as indicators of biological aging. This study used the NMR-measured plasma metabolome to calculate age-specific metabolite indices. In doing so, the scope of the study was deliberately simplified to capture general trends and insights into age-related changes in metabolic patterns.

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Background: Measurement of fractional exhaled nitric oxide (Feno) has been used in the diagnosis and management of asthma. Understanding the distribution of Feno in a larger resident population and its "healthy" subpopulation would contribute to the interpretation of Feno in clinical practice.

Objective: This study aimed to investigate the distribution and its associated factors in the adult population and its healthy subpopulations.

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  • Medication errors during hospitalization are often caused by incorrect pre-admission medication histories, and medication reconciliation (MR) by pharmacists can help identify these discrepancies to enhance patient safety.!* -
  • A study was conducted involving orthopedic surgery patients from 2012 to 2020, comparing medication error rates before and after the implementation of pharmacist-led MR starting in 2017.!* -
  • Results showed that MR significantly reduced medication errors from 1.83% to 0.85% and increased the likelihood that physicians continued patients' pre-admission medications, demonstrating its effectiveness in improving medication safety during hospital admissions.!*
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Subclavian artery injuries during internal jugular vein puncture when attempting central venous catheter insertion are rare. A 60-year-old man undergoing treatment for neuromyelitis optica with paralysis and sensory loss developed a complication during catheter placement into his right internal jugular vein for plasmapheresis. His previous physician felt resistance and discontinued the procedure.

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  • The study aimed to profile participants from Miyagi Prefecture during the second phase of the Tohoku Medical Megabank Community-Based Cohort Study, focusing on their characteristics based on their initial survey participation types.
  • Conducted between June 2017 and March 2021, the survey involved questionnaire data as well as blood, urine, and physiological tests, with three participation types identified in the baseline survey.
  • Results showed a 57.7% participation rate, with an 80% participation rate among those visiting community support centers, revealing similar traits among Type 1 and Type 2 respondents, ultimately aiding in understanding the long-term health impacts of disasters.
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  • A patient in his 40s with severe COVID-19 pneumonia was given acupuncture to help improve his breathing and reduce reliance on mechanical ventilation after extensive medical treatments failed.
  • Acupuncture sessions, administered four times a week, resulted in improved respiratory metrics and enabled a gradual transition from more invasive ventilation modes to less invasive support.
  • The treatment ultimately led to complete discontinuation of mechanical ventilation after eight acupuncture sessions, suggesting that acupuncture may be a helpful adjunctive therapy for patients with respiratory failure from severe pneumonia.
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  • Whole blood transcriptome analysis offers valuable insights for medical research, primarily due to easy sample collection and the detailed information it provides about gene expression influenced by factors like age and gender.
  • A study was conducted on 576 participants from the Tohoku Medical Megabank, stratifying by age (20-30s and 60-70s) and gender, including pregnant women, to analyze RNA sequencing data and investigate gene expression differences.
  • Findings revealed associations between gene expression and age/gender differences, as well as the impact of immune response status (neutrophil-to-lymphocyte ratio) on gene diversity, resulting in a significant data set for future research in the Japanese population.
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  • The Tsuruoka Metabolomics Cohort Study (TMCS) is a large-scale, ongoing research project in rural Japan aiming to improve disease prevention strategies for complex illnesses by analyzing risk factors and predictors.
  • The study includes 11,002 participants aged 35-74 from Tsuruoka City, who provide extensive health and lifestyle data and undergo molecular profiling to identify potential disease-linked biomarkers.
  • TMCS focuses on outcomes related to cardiovascular diseases, cancer, and aging effects, utilizing a multi-omics approach to capture comprehensive biological, behavioral, and social data, and boasts a high participation rate and robust study design.
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With the number of samples increasing in many biobanks, one of the most pressing tasks is recording the correct relationships between information and the specimens. Genomic information is useful in determining the identity of these specimens. The Tohoku Medical Megabank Organization is running one of the largest biobanks in Japan.

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  • The Tohoku Medical Megabank Brain MRI Study aimed to assess the cognitive function and mental health of residents affected by the Great East Japan Earthquake and tsunami through neuroimaging and psychological evaluations.
  • Participants were recruited starting in July 2014, with a total of 12,164 individuals involved in the baseline survey, utilizing various MRI techniques and questionnaires to gather comprehensive data.
  • The study emphasizes personalized healthcare advancements in mental health and is currently conducting its first follow-up survey after establishing a substantial database of neuroimaging and psychological assessment data.
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Background: In patients with acute severe ulcerative colitis with concomitant severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the treatment strategy should consider the presence of pneumonia, respiratory status, and the severity of the ulcerative colitis (UC). We report a case of a 59-year-old man with SARS-CoV-2 infection who was diagnosed with toxic megacolon caused by UC.

Case Presentation: Preoperative computed tomography scanning of the chest showed ground-glass opacities.

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Accurate chromosome segregation requires timely activation of separase, a protease that cleaves cohesin during the metaphase-to-anaphase transition. However, the mechanism that maintains the inactivity of separase prior to this event remains unclear. We provide evidence that separase autocleavage plays an essential role in this process.

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  • IBD patients have lower immunity levels against certain viruses (measles, rubella, mumps, varicella) compared to healthy control subjects, indicating a potential risk when starting immunosuppressive therapy.
  • The study included 437 IBD patients (with ulcerative colitis and Crohn's disease) and 225 healthy individuals, finding significant differences in seropositivity, particularly for patients with ulcerative colitis.
  • Screening for immunity to these viruses in IBD patients is recommended before they begin immunosuppressive treatment to prevent potential complications.
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  • Long-read sequencing technology enhances the analysis of structural variants (SVs), but requires high-quality genomic DNA for large-scale population studies.
  • The study utilized activated T lymphocytes from a biobank to collect high-molecular-weight genomic DNA and sequenced samples from 333 individuals across 111 family trios, uncovering 74,201 SVs.
  • Results indicated that over 95% of the identified SVs followed Mendelian inheritance patterns and associated with specific clinical traits, providing valuable data for exploring genetics in the Japanese population.
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  • The cover features a research team from Yamagata University, led by H. Sasabe and J. Kido.
  • The image showcases molecular structures of N-B-O embedded MR-TADF emitters.
  • These emitters demonstrate ultra-pure deep-blue/green light emission with high efficiency in OLED applications.
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In this study, we synthesized and characterized multiresonant thermally activated delayed fluorescent (TADF) materials embedded with nitrogen-boron-oxygen (N-B-O), exhibiting color-tunability between blue and green, namely NBO, m-DiNBO, and p-DiNBO. The three emitter materials showed a high photoluminescence quantum yield (PLQY) and a state-of-the-art narrow full width at half maximum (FWHM) of 96 %/25 nm, 87 %/17 nm, and 99 %/19 nm, respectively. For m-DiNBO and p-DiNBO, the emission color could be tuned from blue to green by regulating the nonbonding/bonding molecular orbital characters.

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Atrial enlargement is thought to provide arrhythmogenic substrates, leading to the induction of atrial fibrillation (AF). In this study, we investigated the anatomical, molecular biological, and electrophysiological characteristics of remodeled atria in an animal model with chronic volume overload. We used rats that underwent abdominal aorto-venocaval shunt (AVS) surgery.

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Anthracene derivatives are one of the most promising blue emitters employed in organic light-emitting devices (OLEDs) because of their electrochemical and thermal stabilities. However, their high crystallinity owing to their large π-planar structures severely impedes the progress in the development of solution-based systems. In this work, we developed two types of highly soluble multifunctional anthracene derivatives terminated with ortho-biphenyl and triphenylamine moieties and showed high solubility in general organic solvents such as toluene, tetrahydrofuran, and cyclohexanone at high concentrations (>10 mg mL ), and showed blue emission with a peak wavelength of ∼465 nm and a high photoluminescence quantum yield that ranges up to 81 %.

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