Publications by authors named "Masashi Ono"

Introduction: We investigated the hemostatic effect and safety of a hemostatic peptide solution for the treatment of gastrointestinal bleeding requiring emergency endoscopy.

Methods: We retrospectively examined the patient backgrounds, hemostatic results, and procedural safety in patients who were treated with a hemostatic peptide solution for hemostasis during emergency endoscopies for gastrointestinal bleeding. All hemostatic procedures were performed by nonexpert physicians with less than 10 years of endoscopic experience.

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Superior vena cava (SVC) syndrome refers to a constellation of symptoms secondary to obstruction of blood flow through the SVC. In this condition, venous blood that usually drains into the SVC is diverted into the inferior vena cava (IVC) via collateral veins. Reconstructive surgery is challenging in such cases owing to the anomalous venous system.

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  • The study aimed to determine how many cases of peroral endoscopic myotomy (POEM) are needed for proficiency among nonexperts compared to endoscopic submucosal dissection (ESD) experts.
  • Analysis of 1,121 POEM cases showed nonexperts needed 41-60 cases to reach proficiency, while experts needed only 21-40 cases, with operation times significantly decreasing as experience increased in both groups.
  • There were high clinical success rates for both groups (96.2-100%), but nonexperts experienced slightly higher adverse events and rates of gastroesophageal reflux disease (GERD), highlighting the need for tailored training programs.
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  • The endoscopic pressure study integrated system (EPSIS) is a new diagnostic tool for assessing gastroesophageal reflux disease (GERD) by measuring intragastric pressure during endoscopy.
  • A study investigated the link between EPSIS results and lower esophageal sphincter (LES) function, comparing EPSIS with high-resolution manometry (HRM).
  • The findings revealed that EPSIS parameters, such as pressure difference and pressure gradient, are significantly correlated with LES pressures, supporting its effectiveness as a diagnostic tool for GERD.
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  • - POEM (Peroral Endoscopic Myotomy) has proven to be a safe and effective minimally invasive treatment for achalasia, even in patients with situs inversus totalis, a rare condition where internal organs are mirrored.
  • - In a reported case, the procedure was successfully carried out despite the reversed anatomy, with the operator maintaining awareness of the anatomical landmarks and performing the submucosal tunneling from a 10 o'clock position.
  • - Follow-up results revealed significant improvement in symptoms and esophageal function, demonstrating that POEM can be effectively adapted for patients with situs inversus totalis without major procedural changes.
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  • This study investigates the relationship between the lower esophageal sphincter (LES) and a new endoscopic sign called the scope holding sign (SHS) in patients with gastroesophageal reflux disease (GERD).
  • Researchers performed high-resolution manometry (HRM) and endoscopy on GERD patients to measure resting LES pressure while observing SHS, comparing pressures when the lower esophagus held or released the endoscope.
  • Results showed that LES pressure was significantly higher when SHS was positive, suggesting the sphincter can be visualized during endoscopy, paving the way for better evaluation of LES function in GERD patients.
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  • Killian-Jamieson diverticulum (KJD) is a less common type of esophageal diverticulum compared to Zenker's diverticulum (ZD), and endoscopic treatments for these conditions are advancing rapidly.
  • The first-line treatment for symptomatic ZD is flexible endoscopic septum division, but it has a recurrence rate over 10%; a newer technique called Z-POEM is now being used for ZD as a minimally invasive option.
  • A case report shows that performing Z-POEM for KJD via a submucosal tunnel approach led to complete resolution of difficulty swallowing without complications, suggesting this technique may be a promising option for treatment even though more studies are needed for confirmation.
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  • Endoscopic balloon dilatation is a recognized method for treating benign gastrointestinal strictures, but it's challenging to safely achieve widths over 30 mm with current commercial products.
  • Two new methods have been developed: the single-barrel method uses one balloon for precise dilatation, while the double-barrel method employs two balloons for larger dilation over 30 mm.
  • These techniques can help treat strictures like esophageal achalasia or those resulting from surgeries like Nissen fundoplication, allowing for safe and controlled dilatation under direct visualization.
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Active control of optical properties, particularly in the infrared (IR) regime, is critical for the regulation of thermal emission. However, most photonic structures and devices are based on a sophisticated design, making the dynamic control of their IR properties challenging. Here, we demonstrate self-adaptive control of IR absorptivity/emissivity in a simple stacked structure that consists of an oxide plasmonic nanocrystal layer and a phase change material (VO) layer, both fabricated via a solution process.

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The purpose of this study was to assess the correlation between tissue volume and blood flow of the flap in an animal model. Using animal model, tissue volume can be attenuated, and precise change of blood flow could be evaluated. We further investigate the relationship between blood flow and vascular density in the tissue.

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Horizontal transmission of the microbiota between different individuals is widely used to normalize the microbiota in laboratory mice. However, little is known about the dynamics of microbial communities and the level of microbiota transmission after cohousing. We extensively analyzed the fecal microbiota in Jackson and Taconic C57BL/6 mice to study horizontal transmission after weaning.

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With the ability of harvesting the coldness of universe as a thermodynamic resource, radiative cooling technology is important for a broad range of applications such as passive building cooling, refrigeration, and renewable energy harvesting. However, all existing radiative cooling technologies utilize static structures, which lack the ability of self-adaptive tuning based on demand. Here we present the concept of self-adaptive radiative cooling based on phase change materials such as vanadium dioxide.

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A 30-year-old woman with proteinuria first noted at 26 weeks of gestation was admitted to undergo further evaluation. A renal biopsy revealed membranous nephropathy (MN). There was no evidence of any secondary MN.

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 A successful free flap transfer is achieved, in part, by having a thorough understanding of vascular anatomy and blood flow dynamics. We previously reported that vascular resistance differs by type of free flap. To test the hypothesis that the difference reflects the proportion of tissue components within free flaps, we calculated blood flow and vascular resistance for free flaps in which we determined the volume of each tissue component.

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Exciton decay dynamics in chemically treated PbS quantum-dot (QD) films have been studied using femtosecond transient-absorption (TA) spectroscopy. In photoconductive QD films, a decay component with a lifetime of a few nanoseconds appeared in the TA signals because of exciton dissociation under weak excitation. Increasing excitation fluence resulted in additional fast-decay components corresponding to the lifetimes of multiple excitons, which decreased with increasing photoconductivity of the closely packed QD films.

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Purpose: We analyzed whether axillary nodal irradiation could control clinically node-negative disease, including those patients with a positive sentinel lymph node biopsy (SLNB), most of whom received regional nodal irradiation. We also evaluated toxicity profiles that resulted from nodal irradiation.

Patients And Methods: From 1988 to 2011, 2107 patients with cT1-T2N0M0 breast cancer underwent breast conservation therapy in the absence of axillary dissection: nx group (n = 1548), without any axillary surgery; the sn(-) group (n = 518), with a negative SLNB; and sn(+) group (n = 104), with a positive SLNB.

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Esophageal squamous cell carcinoma (ESCC) is considered one of the most aggressive cancers with poor prognosis. The high molecular weight cytokeratin 34βE12 (CK34βE12) is recognized by the antibody, that is expressed in the cytoplasm of epithelial basal cells, and has been considered as a potential marker for prostate cancer, breast cancer, and basaloid carcinoma of the lung. However, there are no clinicopathological studies investigating CK34βE12 expression at the invasive front of ESCC.

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Background And Objectives: Pancreatic ductal adenocarcinoma (PDAC) is one of the most extremely aggressive cancers with a poor prognosis after curative resection. L1 cell adhesion molecule (L1CAM) is a 200-220 kDa type I transmembrane glycoprotein of the immunoglobulin superfamily, which has been shown to affect the prognosis of several cancers. No clinicopathological significance of L1CAM expression has been examined at the invasive front of PDAC.

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The scattered cell clusters that can differentiate into hepatocytes or biliary epithelial cells have been isolated from primary cultures of adult porcine livers. We have generated 11 clonal cell lines from this system and identified liver progenitor cells (LPCs) among the clonal lines. These clonal lines expressed c-kit, HNF-1, HNF-6, and/or CK19 mRNA.

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A new method to assay alkaline and acid phosphatases assay using ascorbic acid 2-phosphate (AsA-P) and ditetrazolium salt nitroblue tetrazolium chloride (NBT) was developed. AsA-P is hydrolyzed in the presence of phosphatase to yield ascorbic acid. In turn, the ascorbic acid reduces NBT directly or indirectly, opening the tetrazole ring to produce an insoluble formazan as a colored precipitate.

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A chiral ligand, a catalytic amount of lithium cation, and no chiral proton source: These are features of the present asymmetric addition-protonation of propenoates with 2-trimethylsilylbenzenethiol. The reaction is catalyzed by a combination of lithium 2-trimethylsilylbenzenethiolate and the chiral ligand 1. Desulfurization of the product affords 2-substituted propanoates with high ee values and without racemization.

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