Publications by authors named "Murakami R"

Introduction: This study aimed to determine the association between the baseline magnetic resonance imaging (MRI) findings and clinical outcomes after articular injection of adipose-derived mesenchymal stem cells (ASCs) for knee osteoarthritis (KOA).

Methods: This retrospective study included 149 patients with varus-type KOA treated with a single intraarticular ASC injection. All patients underwent a MRI evaluation before treatment.

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Background: In 2018, the International Federation of Gynecology and Obstetrics (FIGO) revised its cervical cancer staging system to enhance clinical relevance, notably by categorizing lymph node metastases (LNM) as an independent stage IIIC. This multicenter study evaluates the prognostic implications of the FIGO 2018 classification within a Japanese cohort.

Methods: This study included 1468 patients with cervical cancer.

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Introduction: Uterine carcinosarcoma (UCS) and uterine sarcomas (US) are rare but aggressive cancer with poor prognoses. The prognostic value of systemic inflammatory response (SIR) indicators, including the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and monocyte-to-lymphocyte ratio (MLR), in predicting outcomes of UCS and US remains unclear. This study investigated the prognostic significance of SIR indicators for UCS and US.

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The combination therapy of lenvatinib plus pembrolizumab (LP) is increasingly recognized as an important second-line regimen for advanced or recurrent endometrial cancer (EC). However, the safety and efficacy of conversion surgery with low anterior rectal resection for unresectable EC following LP therapy is unknown. A 37-year-old woman was referred with unresectable EC with pleural fluid, peritoneal dissemination, and ascites.

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Background: Nonanatomical anterior cruciate ligament (ACL) reconstruction occasionally induces ACL failure without an evident injury episode, necessitating revision surgery. Although the in vivo kinematics of ACL deficiency before primary ACL reconstruction are well documented, the kinematics of ACL failure after nonanatomical reconstruction remain unexplored. The aim of this study is to investigate ACL failure kinematics following nonanatomical reconstruction.

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Background: Although physical activity (PA) is recommended for patients with cancer, changes in PA across cancer diagnosis and treatment have not been objectively evaluated.

Objective: This study aimed to assess the impact of cancer diagnosis and treatment on PA levels.

Methods: This was a retrospective cohort study using a Japanese claims database provided by DeSC Healthcare Inc, in which daily step count data, derived from smartphone pedometers, are linked to the claims data.

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(-)-Exiguolide is a marine macrolide natural product with potent anticancer activity. In this study, the total synthesis of exiguolide stereoisomers, (9)-exiguolide, (9,13)-exiguolide, and (9,13,19)-exiguolide, was achieved by capitalizing on our macrocyclization/transannular pyran cyclization strategy. The impact of the stereochemical permutation on the reactivity of advanced intermediates, the conformation of the macrocyclic skeleton, and the antiproliferative activity against human cancer cells were investigated in detail.

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Purpose: The efficacy of medial pivot total knee arthroplasty (MP TKA) in treating valgus knees that may cause medial instability is unknown. The purpose of this study was to investigate the in vivo kinematics of MP TKA for the valgus knees and compare them to those for the varus knees.

Methods: The kinematics of 19 valgus knees and 19 varus knees operated in the MP TKA were investigated under fluoroscopy during squatting using a two- to three-dimensional registration technique.

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Fatty acids are known to have significant effects on the properties of cancer cells. Therefore, these compounds have been incorporated into therapeutic strategies. However, few studies have examined the effects of individual fatty acids and their interactions in depth.

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  • The choroid plexus plays a vital role in producing cerebrospinal fluid and regulating circadian rhythms, which can be affected by neurodegenerative diseases like Alzheimer's.
  • A study analyzed brain samples from patients with Alzheimer's, vascular dementia, Parkinson's disease, and multiple system atrophy, focusing on the morphology of choroid plexus epithelial cells.
  • Results showed no significant changes in epithelial cell measurements across the different disease groups, but age was positively correlated with cell size, suggesting that aging affects these cells regardless of neurodegenerative conditions.
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Improved cancer treatment outcomes have increased the demand for medical care that considers the quality of life of patients with cancer. Patient-reported outcomes (PROs) help assess the quality of life because they involve direct evaluation of the patients. Recently, electronic PROs (ePROs) have been used in clinical cancer care settings in Europe and the United States.

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  • - This study investigated how the size of the bone tunnel in the tibia (part of the knee) affects clinical outcomes after ACL reconstruction, focusing on changes in tunnel size over time in relation to the patient's body size.
  • - A group of 131 patients underwent ACL surgery with a specific technique, and researchers assessed changes in the bone tunnel's shape and size using 3D imaging right after surgery and one year later, along with clinical evaluations two years post-surgery.
  • - Results showed that the tibial tunnel expanded mostly in the mediolateral direction and shifted position, but overall size didn't significantly impact clinical recovery, suggesting that the relationship between tunnel size and ACL outcomes is more complex than previously thought.
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  • A case study highlights a rare infection caused by an endemic mycoplasma after a hysterectomy in a 29-year-old woman with cervical cancer, leading to complications like peritonitis and bowel obstruction.
  • The patient's symptoms included fever, ascites, and paralytic ileus, but traditional cultures failed to identify the pathogen.
  • Polymerase chain reaction (PCR) testing ultimately detected the mycoplasma, allowing for effective treatment with levofloxacin and leading to the resolution of both the infection and bowel obstruction.
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  • Rituximab (RIT) is commonly used to help kidney transplant recipients (KTRs) who are ABO-incompatible, but the effectiveness of valganciclovir (VGCV) in preventing cytomegalovirus (CMV) infection after RIT is uncertain.
  • A study of 213 KTRs showed that those receiving VGCV had a significantly higher rate of CMV disease (23.5%) compared to those not receiving it (5.5%), though both groups experienced similar rates of CMV infection.
  • The results suggest that insufficient VGCV dosage does not effectively lower CMV disease incidence post-RIT, but following a standard VGCV protocol may be beneficial
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Background: The lateral portion of the levator aponeurosis transforms into fibrous tissue called the lateral horn. Conventional levator advancement surgery for involutional blepharoptosis preserves the integrity of the lateral horn. The impact of incising the lateral horn has not been thoroughly studied.

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  • Chiral inorganic nanomaterials (CINMs) are gaining attention for their unique properties that can enhance areas like energy conversion, data storage, catalysis, and biomedicine.
  • Traditional methods for studying CINMs primarily focus on their overall characteristics, but advances in transmission electron microscopy (TEM) are now allowing for detailed structural analysis at the atomic level.
  • This review discusses recent improvements in TEM technologies for analyzing CINMs, highlighting both qualitative and quantitative techniques, and outlines future directions to further advance the understanding and application of chiral nanomaterials.
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  • Mucinous borderline ovarian tumors (MBOTs) generally have a low chance of recurrence and a favorable outlook, although some can progress to mucinous ovarian carcinomas (MOCs).
  • A specific case is discussed where an MBOT recurred as an invasive MOC within three years.
  • Whole-exome sequencing revealed similar genetic mutations in both the original MBOT and the recurrent MOC, with the latter showing a higher burden of copy number alterations, suggesting that these genetic changes may drive the progression from MBOT to MOC.
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Follicular lymphoma is a common hematologic malignancy; however, it is less common among all malignant diseases and is difficult to suspect in advance due to the lack of specific clinical findings. Here, we report a case in which a late recurrence of corpus cancer was first suspected and finally diagnosed as follicular lymphoma. A 67-year-old female presented to our department with enlarged pelvic lymph nodes.

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Unlabelled: SMARCA4-deficient tumors have been reported in various organs and are associated with a poor prognosis. SMARCA4-deficient undifferentiated uterine sarcoma (SDUS) was first described in 2018. Conversely, loss of SMARCA4 (BRG1) expression, as observed by immunostaining, has been observed in several cases of undifferentiated endometrial carcinoma.

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  • The study aimed to identify intrinsic risk factors for noncontact ACL injuries specifically in young female Asian soccer players, a topic that has been under-researched compared to other populations.
  • A cohort of 145 Japanese female soccer players was evaluated for various potential risk factors during preseason assessments, and they were monitored for noncontact ACL injuries throughout the season.
  • The results showed that a lower hamstring-to-quadriceps ratio, greater knee extension muscle strength, and longer playing experience were significantly linked to new-onset noncontact ACL injuries, highlighting the need for targeted prevention strategies.
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  • A study conducted in Japan examined the use of comprehensive genomic profiling (CGP) in patients with gynecological cancers, involving nine cancer hospitals and a total of 450 patients.
  • The CGP group had fewer cases of cervical cancer and included younger patients compared to the control group, with significant differences in median ages (54 vs. 65 years).
  • Although only 12.7% of CGP patients received recommended treatments (mostly not covered by insurance), those who did experienced improved survival rates (median 21 months) compared to others in the CGP group (median 11 months).
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Background/objective: This study aimed to clarify the kinematics of bi-cruciate-retaining (BCR) total knee arthroplasty (TKA) by comparing the mechanical alignment (MA) and functional alignment (FA) methods and to evaluate differences between the two alignment methods.

Methods: The kinematics of 20 MA TKA and 20 FA TKA knees were investigated under fluoroscopy during squatting using a two-to three-dimensional registration technique. Accordingly, knee flexion angle, axial rotational angle, varus-valgus angle, anteroposterior translation of the medial and lateral low contact points of the femoral component relative to the tibial component and kinematic pathway were evaluated.

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Primary peritoneal cancer has characteristics similar to high-grade serous carcinomas of ovarian and fallopian tube origin. However, the relationship between endometriosis and primary peritoneal cancer is not well understood. This study focuses on a case of peritoneal cancer in a patient who had undergone hysterectomy and bilateral salpingo-oophorectomy 5 yr before.

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Background And Aims: The increasing prevalence of obesity has significantly contributed to the global burden of colorectal cancer and the precancerous colorectal adenoma (CRA). Gut microbiota vary at each stage of colorectal carcinogenesis and participate in energy homeostasis. Elucidating gut microbiotal characteristics in obesity-related CRA may help prevent and treat colorectal tumors; however, this remains unclarified.

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