Association between the prognosis and comorbidity of active cancer in chronic thromboembolic pulmonary hypertension.

Background: Prognosis of chronic thromboembolic pulmonary hypertension (CTEPH) has improved after the availability of balloon pulmonary angioplasty (BPA) and approved drugs. However, the clinical effects of cancer, which is one of the associated medical conditions of CTEPH, remain unclear. We aimed to investigate prognosis in patients with CTEPH and comorbid cancer.

Ultrasound irradiation in the presence of microbubbles may enhance the antitumor effect of chemotherapeutic agents against bladder cancer.

Intravesical instillation of chemotherapy has been performed to reduce the risk of intravesical recurrence of bladder cancer. However, its antitumor effect is not necessarily sufficient, which may be partially due to inadequate delivery of intravesically administered chemotherapeutic agents to bladder tumors. Ultrasound irradiation to target tissues in the presence of microbubbles is a technique to transiently enhance cell membrane permeability and achieve efficient drug delivery to the desired sites without damage to non-target areas; this technique has been used in chemotherapy, immunotherapy, gene therapy, and radiotherapy for the treatment of various cancers.

Early prediction of functional impairment at hospital discharge in patients with osteoporotic vertebral fracture: a machine learning approach.

Although conservative treatment is commonly used for osteoporotic vertebral fracture (OVF), some patients experience functional disability following OVF. This study aimed to develop prediction models for new-onset functional impairment following admission for OVF using machine learning approaches and compare their performance. Our study consisted of patients aged 65 years or older admitted for OVF using a large hospital-based database between April 2014 and December 2021.

A Pilot Study on Developed Shoes That Enhance Gait Parameters Without Increasing Muscle Activity.

This pilot study investigated the potential of a newly developed shoe design to improve gait parameters without altering muscle activity in healthy women. The shoe design features a V-shaped heel and a high-elasticity midsole, which are intended to enhance stability during heel contact and promote efficient load transfer throughout the gait cycle. Ten study participants underwent a randomized crossover design, wearing developed and general shoes during the trials.