Publications by authors named "Makoto Akashi"

The more science progresses, the more life and society change. Medicine also changes with the times and the culture. This is also true for radiation emergency medicine, which includes dose-assessment leading to diagnosis, treatment, medical follow-up and prognosis of persons who have developed acute injury or illness due to radioactive contamination or radiation exposure.

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In the current model, the auto-negative feedback action of Period (Per) and Cryptochrome (Cry) on their own transcription is the hallmark mechanism driving cell-autonomous circadian rhythms. Although this model likely makes sense even if Per and Cry undertake this action in a mutually independent manner, many studies have suggested the functional significance of direct physical interaction between Per and Cry. However, even though the interaction is a biochemical process that pertains to the fundamentals of the circadian oscillator, its in vivo contribution to circadian rhythm generation remains undefined.

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To identify environmental factors that accelerate hair loss, we focused on modern artificial and aberrant light environments which cause circadian dysfunction. We examined the effect of aberrant light environments on hair growth by exposing mice to repetitive light-dark reversal at three-day intervals, inducing chronic circadian misalignment. Dorsal hair-sheared male mice showed impaired hair growth under this light condition.

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The circadian clock is adjusted by light inputs via the retinohypothalamic tract. Because environmental light is controllable for modern humans at the individual's preference although under social schedules, individual differences in time-related psychology and behavior may be associated with morningness-eveningness preference (M-E preference). To examine this hypothesis, we used the Time Management Scale and Time Anxiety Scale to quantify time-related psychology and behavior.

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Accidental inhalation intake of plutonium isotopes and 241Am occurred at a Pu research facility in Japan in 2017, and the five workers involved in this accident were treated by the administration of Ca/Zn-diethylenetriaminepentaacetic acid (DTPA). For the worker who was most internally exposed, the therapy was continued over 1 y after the accident. Urinary samples collected before and after each administration were subject to bioassay to evaluate the efficacy of the dose reduction.

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  • A national project in Japan, called NEWS, was established in 2014 to study the health effects of radiation on workers involved in the Fukushima disaster response in 2011.
  • In 2018, researchers collected blood samples from 62 workers to assess chromosome damage and estimated radiation doses using a specialized assay.
  • The results showed that biological dose estimates were significantly higher than measured doses, potentially due to factors like smoking and medical treatments, suggesting that past assessments may have overestimated actual radiation exposure for these workers.
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Ceasium-137 and Sr are major artificial radionuclides that have been released into the environment. Soil-to-plant transfer of radionuclides is an important route to food contamination. The radionuclide activity concentrations in crops must be quantitatively predicted for estimating the internal radiation doses from food ingestion.

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Detection of endogenous circadian rhythms in clock gene mRNA expression requires that mice be sacrificed at regular time intervals over one or more days. This protocol uses culture tissue slices obtained from a single mouse to collect time-course samples. We describe the procedure from preparation of lung slices to rhythmicity analysis of mRNA expression, including details to create handmade culture inserts.

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  • Total parenteral nutrition (TPN) is used for patients who can't eat, but it may disrupt circadian rhythms due to constant feeding.
  • A study comparing clock gene expression in aged subjects showed that those on continuous TPN exhibited abnormal circadian rhythms, while non-TPN subjects did not.
  • This suggests that TPN should be administered at specific times rather than continuously, to avoid negatively impacting the body's natural rhythms.
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The current model of the mammalian circadian clock describes cell-autonomous and negative feedback-driven circadian oscillation of Cry and Per transcription as the core circadian rhythm generator. However, the actual contribution of this oscillation to circadian rhythm generation remains undefined. Here we perform targeted disruption of cis elements indispensable for cell-autonomous Cry oscillation.

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Aims/introduction: Understanding morning-evening variation in metabolic state is critical for managing metabolic disorders. We aimed to characterize this variation from the viewpoints of insulin secretion and insulin sensitivity, including their relevance to the circadian rhythm.

Materials And Methods: A total of 14 and 10 people without diabetes were enrolled, and underwent a 75-g oral glucose tolerance test (OGTT) and hyperinsulinemic-euglycemic clamp study, respectively.

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  • - The study examined the status of Nuclear Emergency Core Hospitals (NECHs) in Japan, which were established for radiation disaster management following the 2011 Great East Japan Earthquake and nuclear accident.
  • - Conducted in October 2018, the research involved 36 hospitals and revealed that only 31% had plans for a radiation disaster, highlighting the need for improved business continuity and risk communication strategies.
  • - Key areas for healthcare improvement were identified, including media responses, internal communications, regional planning, and addressing public rumors during radiation emergencies.
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A criticality accident occurred at the uranium conversion plant in Tokaimura, Ibaraki Prefecture, Japan on 30 September 1999. When uranyl nitrate was overloaded to a critical mass level, uncontrolled fission reaction occurred. A procedure was carried out according to the JCO manual, although not an officially approved manual.

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  • Diethylenetriaminepentaacetate (DTPA) is an effective chelating agent for removing plutonium (Pu) and americium (Am) from the body, with calcium (CaDTPA) and zinc (ZnDTPA) variations utilized in different administration methods.
  • Studies showed that CaDTPA injections and inhalations led to increased excretion of essential metals like zinc and manganese, while also reducing their serum levels, indicating a potential risk of essential metal deficiency.
  • The findings suggest that CaDTPA is more effective than ZnDTPA for metal removal, positioning DTPA as a promising treatment for acute heavy metal poisoning from substances like lead (Pb), cad
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Background: In resource-limited settings, where rubella is endemic, it is difficult to determine which sporadic case should be tested for rubella. The study aimed to provide useful evidence to help screen rubella cases for real-time reverse transcriptase-polymerase chain reaction (RT-PCR) examination for rubella in resource-limited settings.

Method: Suspected rubella patients identified by a physician and brought to the notice of the Ryugasaki public health center or the Tsuchiura public health center were enrolled from April 2018 through December 2019.

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culture assays of biopsy specimens are advantageous for the experimental evaluation of human circadian characteristics. We developed a simple and non-invasive experimental evaluation method for monitoring the expression of circadian clock genes in an culture assay using human hair follicles. This method imposes little burden on subjects.

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  • Determining the internal thyroid doses for Fukushima residents, especially children, is critical but difficult due to insufficient direct measurements of 131I, the main contributor to thyroid doses.
  • The study utilized late whole-body counter measurements of 134Cs and 137Cs to estimate thyroid doses by evaluating the intake ratios of 131I to 137Cs.
  • Results for residents in Iwaki city showed a 131I/137Cs intake ratio of 4.2-4.3, aligning with previous studies, but further research is necessary to accurately assess intake ratios from the early days of the nuclear accident.
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Background: Individuals with typical circadian rhythm sleep-wake disorders (CRSWDs) have a habitual sleep timing that is desynchronized from social time schedules. However, it is possible to willfully force synchronisation against circadian-driven sleepiness, which causes other sleep problems. This pathology is distinguishable from typical CRSWDs and is referred to here as latent CRSWD (LCRSWD).

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Characteristics of the chronotypes of patients with gastrointestinal disease are unknown. We evaluated chronotypes of patients with upper gastrointestinal diseases with the Munich ChronoType Questionnaire (MCTQ). A total of 2027 subjects from 29 institutions in Japan who had undergone esophagogastroduodenoscopy were asked to answer the MCTQ.

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  • Parkinson's disease (PD) is a common brain disorder that can cause sleep problems, especially in people taking certain medications.
  • Researchers found that bright light therapy (BLT) helps improve sleep for PD patients who are on these medications.
  • The improvement in sleep may be related to fixing the body's natural sleep-wake cycles, which can be messed up in PD patients taking medication.
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  • Estimating the internal thyroid dose from the Fukushima nuclear accident has been difficult due to a lack of direct measurements for iodine, the primary radioactive element affecting residents.
  • The study analyzed whole-body counter (WBC) data from 1,639 individuals in Namie town, revealing that late evacuees had significantly higher cesium detection rates compared to those who evacuated earlier, likely due to exposure to radioactive plumes on March 12.
  • The findings suggest that early intakes of radiation were detectable in WBC measurements, providing valuable information for understanding early exposure levels and their implications for public health.
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Lithium has been used as a mood stabilizer to treat human bipolar disorders for over half a century. Several studies have suggested the possibility that the efficacy of lithium treatment results in part from the amelioration of circadian dysfunction. However, the effect of lithium on clock gene expression has not yet been investigated in vivo because continuous measurement of gene expression in organs with high time resolution over a period of several days is difficult.

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  • The assessment of thyroid radiation doses for Fukushima residents after the 2011 nuclear accident is crucial but challenging due to limited direct data, with only about 1,300 iodine (I) measurement points available from post-accident screenings.* -
  • Researchers reassessed doses for 1,080 individuals aged 15 or younger using updated conversion factors, finding that most thyroid doses were less than 30 mSv, indicating a similar iodine intake across different age groups in three municipalities.* -
  • Results revealed that despite varying iodine concentrations in tap water, the thyroid doses for residents in Iitate Village and Iwaki City were comparable, suggesting ingestion was the main intake route rather than inhalation, although the exact intake method remains
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  • * Researchers conducted numerical simulations using individual voxel phantoms based on MRI scans of six of the seven workers, focusing on their thyroid sizes which were generally smaller than standard reference values.
  • * The study found that individual thyroid size significantly impacts dose estimation, with results showing absorbed doses could vary widely, and confirmed the accuracy of direct thyroid measurements from the National Institute for Radiological Sciences.
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