Publications by authors named "Kyoko Tanebe"

Article Synopsis
  • The 5th Revised Edition of The Guideline for Gynecological Practice was published in 2023, updating the previous edition from 12 years ago.
  • This new edition addresses 5 additional clinical questions, totaling 103, categorized into areas like infectious disease, oncology, endocrinology, and women's healthcare.
  • The guidelines aim to provide consensus on appropriate diagnostic and treatment methods for gynecological outpatient care, with each answer rated by a Recommendation Level (A, B, C).
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Article Synopsis
  • The 2020 4th Revised Edition of The Guideline for Gynecological Practice was published nine years after the first edition, featuring updates from The Japan Society of Obstetrics and Gynecology and The Japan Association of Obstetricians and Gynecologists.
  • The new guidelines incorporate four additional clinical questions, totaling 99 clinical questions across various categories such as infectious disease, oncology, endocrinology, and women's healthcare.
  • The report aims to outline general policies for diagnostic and treatment methods deemed appropriate for standard gynecological outpatient care, complete with a Recommendation Level for each answer (A, B, or C).
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The effect of blood cadmium (Cd), which reflects not only Cd body burden but also recent Cd exposure and communicates with fetal blood in the placenta, on newborn size at birth was investigated. Blood Cd of 55 mothers from Toyama, Japan, at 30-32 gestational weeks was measured using a flameless atomic absorption spectrophotometer. The relationship between blood Cd and newborn size was analyzed after adjustment for gestational age and maternal build.

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It has been reported that many types of stresses, which caused physiological and psychological alterations in dams as prenatal maternal stress, affected behavioral and emotional traits of their offspring. However, effects of environmental temperature changes, which induce various stress responses in both animals and humans, have not been assessed as prenatal maternal stress. Repeated cold stress (RCS) is a type of chronic cold stress in which environmental temperature changes rapidly and frequently several times within a day.

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A study to clarify the food composition and nutritional factors that contribute to the levels of blood and urinary cadmium (Cd) was conducted on 50 pregnant Japanese women with mean age of 29 years. The mean iron (Fe) intake of subjects was 9.2 mg, which is much lower than the recommended level of 20 mg for pregnant women.

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The interrelations of the seven elements, calcium (Ca), magnesium (Mg), sodium (Na), potassium (K), phosphorus (P), copper (Cu), zinc (Zn), and cadmium (Cd) in human breast milk were examined in Japanese mothers to clarify the effects of Cd exposure on these important elements for infant growth. Breast milk and urine samples were obtained from 68 mothers, aged 19-38 years, at 5-8 days postpartum. The concentrations were determined by inductively-coupled plasma atomic emission spectrometry for Ca, Mg, Na, K, P, by flame atomic absorption spectrophotometry for Cu and Zn, and by flameless atomic absorption spectrophotometry for Cd.

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Objective: To compare the preterm labor index with the biochemical marker fetal fibronectin in predicting preterm delivery.

Methods: In 185 women with preterm labor and intact membranes, the preterm labor index was determined based on clinical findings of uterine contractions, bleeding, and cervical dilatation. An immunosorbent assay was used to measure oncofetal fibronectin.

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Problem: A chemokine receptor, CCR4 preferentially expressed on type 2 helper T (Th2-type) cells, and its ligand, thymus and activation regulated chemokine--(TARC/CCL)--play important roles in the recruitment of Th2-type cells. We examined the distribution of CCR4 expressing CD4+ and CD8+-T cells in human decidua at early pregnancy, and localized TARC in the decidual tissue and chorionic tissue.

Method Of Study: Decidual tissue was obtained by legal abortion.

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Problem: Implication of cytokines in pregnancy suggested but remains to be established. We studied the effect of cytokines on reproductive functions such as ovulation and pregnancy, with mutant mice lacking interleukin 2 receptor gamma (IL-2Rgamma), the so-called common gamma chain (gamma(c)), which is shared among receptors for multiple cytokines such as IL-2, IL-4, IL-7, IL-9 and IL-15.

Method Of Study: Regularities of estrous cycles were observed by vaginal smear.

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Problem: It has been reported that T-helper (Th) 2 dominance in normal pregnancy shifts to Th1 dominance in preeclampsia. Peripheral blood mononuclear cell (PBMC) production of interleukin (IL)-12, which induce Th1 responses, has not been compared between these clinical states.

Method Of Study: Peripheral blood mononuclear cell from 35 non-pregnant women, 35 healthy pregnant women, 12 mildly preeclamptic patients, and 15 severely preeclamptic patients were cultured for 24 hr.

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