Publications by authors named "Muraoka K"

Introduction: Prostate cancer is incidentally diagnosed in 6%-11% of benign prostatic hyperplasia surgeries.

Case Presentation: A 79-year-old man was diagnosed with benign prostatic hyperplasia. The prostate volume was 54.

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Renorrhaphy is often performed after tumor resection during robotic-assisted laparoscopic partial nephrectomy (RAPN). This study aimed to investigate the association between renorrhaphy performance and inflammatory markers. A retrospective cohort study was conducted including patients with renal cell carcinoma who underwent RAPN at eight institutions in Japan between April 2016 and November 2023.

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Simple models can help reduce nitrogen (N) loss from land and protect water quality. However, the complexity of primary production systems may impair the accuracy of simple models. A tool was developed that assessed the risk of N loss as the product of N source inputs and relative transport by leaching and runoff.

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Cerium oxide (CeO) exhibits prominent catalytic activity in various organic reactions owing to its unique acid-base and redox properties. One of the most interesting applications of pure CeO-catalyzed organic reactions is the hydration of nitriles in water. The experimental results showed that the hydration of 2-cyanopyridine to picolinamide in water using CeO catalysts proceeds readily at low temperatures (30-100 °C) in high yields and that this reaction occurs exclusively on CeO among various metal-oxide catalysts.

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Metanephric adenoma is an extremely rare disease. We describe two cases of metanephric adenoma. Case 1 : A 17-year-old male adolescent developed gross hematuria, and urinalysis revealed positive protein and occult blood.

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Renal and ovarian clear cell carcinoma (CCC) are both characterized by a clear cytoplasm and exhibit similar genomic alterations and clinical characteristics. We hypothesized that both CCCs may share clinical biomarker. Tissue factor pathway inhibitor 2 (TFPI2), a serine protease inhibitor, has emerged as a promising serum biomarker for ovarian CCC, and we evaluated the efficacy of TFPI2 as a biomarker for renal cell carcinoma (RCC).

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This study investigated the effect of mannitol administration on postoperative renal function during robot-assisted partial nephrectomy (RAPN) in patients with renal cell carcinoma (RCC). Patients with RCC who underwent RAPN at eight Japanese facilities between March 2016 and November 2023 were enrolled. In this study, patients were categorized into two groups according to those who received mannitol during RAPN (Group I) and those who did not receive mannitol (Group II).

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Periodontal maintenance is crucial for long-term periodontal stability, but some patients do not undertake maintenance following their initial treatment. To date, the motivations, backgrounds, and concerns of patients who underwent maintenance have not been researched. Therefore, we analyzed the subject's intentions and the behavior of the patient affected by periodontal maintenance using Step for Coding and Theorization (SCAT).

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A regulatory mechanism for SLC family transporters, critical transporters for sodium and glucose reabsorptions in renal tubule, is incompletely understood. Here, we report an important regulation of SLC family transporter by SETD2, a chromatin remodeling gene whose alterations have been found in a subset of kidney cancers. Kidney-specific inactivation of Setd2 resulted in hypovolemia with excessive urine excretion in mouse and interestingly, RNA-sequencing analysis of Setd2-deficient murine kidney exhibited decreased expressions of SLC family transporters, critical transporters for sodium and glucose reabsorptions in renal tubule.

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Article Synopsis
  • Large language models (LLMs), including ChatGPT and others, were analyzed for their effectiveness as educational tools in the dental field by using questions from a Japanese national examination.
  • The study found that GPT-4 had the highest accuracy at 75.3%, with various models performing differently across question categories, particularly excelling in disease mechanism-related questions.
  • The overall results indicate that while GPT-4 stands out as the most effective tool currently, the abilities of these LLMs are continually evolving, suggesting a promising future for their use in education.
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Article Synopsis
  • The study aimed to compare the effects of artery and vein (AV) clamps versus artery-only (AO) clamps on renal function and blood loss during robot-assisted partial nephrectomy (RAPN) in patients with high RENAL nephrometry scores (RNS).
  • Researchers analyzed records from 500 patients and matched them based on various factors, ultimately focusing on 340 patients with malignancies who received either type of clamp.
  • Findings showed no significant differences in blood loss, acute kidney injury rates, or renal function between the two groups, suggesting that AV clamps are safe for patients with moderate-to-high complexity.
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Martensitic transformation with volume expansion plays a crucial role in enhancing the mechanical properties of steel and partially stabilized zirconia. We believe that a similar concept could be applied to unexplored nonoxide materials. Herein, we report the stress-induced martensitic transformation of monoclinic NaYCl with an ∼3.

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Article Synopsis
  • Failure to retrieve a distal filter-based embolic protection device (EPD) during carotid artery stenting can occur if the device gets trapped, requiring careful monitoring of the space between the stent and EPD.* -
  • The study tested different combinations of stents and EPDs to see how often they got stuck, with four physicians rating the force needed for entrapment on a 5-point scale.* -
  • The Casper stent-Spider FX EPD was found to be particularly difficult to disengage if trapped, highlighting the importance of understanding device features to avoid serious complications.*
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Treatment-related neuroendocrine prostate cancer (tNEPC) occurs after androgen deprivation therapy and has a poor prognosis; however, there are few effective treatments for tNEPC. Therefore, tNEPC management is often challenging. This is a case of a 65-year-old Asian male patient with prostate adenocarcinoma who had metastases at initial presentation.

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Background: Upper urinary tract urothelial carcinoma (UTUC) is uncommon. In advanced cases, radical nephroureterectomy (RNU) alone is not curative, and recurrence and metastasis are likely to occur. Adjuvant chemotherapy (AC) is an evidence-based treatment.

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Objective: We investigated preoperative patient factors associated with prognosis in 263 bladder cancer (BC) patients undergoing radical cystectomy (RC). We also developed new risk stratification models for prognosis.

Methods: This retrospective study included patients treated at Tottori University Hospital and affiliated hospitals between January 2010 and December 2019.

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Aim: Malnutrition is a prevalent health issue among hemodialysis patients. Oral frailty, a condition characterized by impairments in multiple oral health aspects and functions, has been associated with nutritional status in the general population. We aimed to determine whether oral frailty was associated with nutritional status in hemodialysis patients aged ≥50 years.

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Background/purpose: There are reports on the relationship between periodontal treatment and the whole body. The purpose of the present study was to investigate the effect of periodontal initial treatment on brain function activity by improving periodontal tissue and the occlusal status of subjects with periodontitis.

Materials And Methods: The subjects were 13 patients with periodontitis.

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Background/purpose: Rapid advancements in AI technology have led to significant interest in its application across various fields, including medicine and dentistry. This study aimed to assess the capabilities of ChatGPT-4V with image recognition in answering image-based questions from the Japanese National Dental Examination (JNDE) to explore its potential as an educational support tool for dental students.

Materials And Methods: The dataset used questions from the JNDE, which was conducted in January 2023, with a focus on image-related queries.

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Alternative strategies to design sustainable-element-based electrocatalysts enhancing oxygen evolution reaction (OER) kinetics are demanded to develop affordable yet high-performance water-electrolyzers for green hydrogen production. Here, it is demonstrated that the spontaneous-spin-polarized 2D π-d conjugated framework comprising abundant elements of nickel and iron with a ratio of Ni:Fe = 1:4 with benzenehexathiol linker (BHT) can improve OER kinetics by its unique electronic property. Among the bimetallic NiFe-BHTs with various ratios with Ni:Fe = x:y, the NiFe-BHT exhibits the highest OER activity.

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We develop an adaptive scheme in the kinetic Monte Carlo simulations, where the adsorption and activation energies of all elementary steps, including the effects of other adsorbates, are evaluated "on-the-fly" by employing the neural network potentials. The configurations and energies evaluated during the simulations are stored for reuse when the same configurations are sampled in a later step. The present scheme is applied to hydrogen adsorption and diffusion on the Pd(111) and Pt(111) surfaces and the CO oxidation reaction on the Pt(111) surface.

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Background: Although secondary normal pressure hydrocephalus (sNPH) can occur in various central nervous system diseases, there are no reports of sNPH caused by pituitary lesions. Herein, we present a unique case of sNPH caused by pituitary apoplexy.

Case Description: A 70-year-old man was transferred to our hospital because of a sudden onset of headache and loss of consciousness.

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Video-assisted thoracic surgery esophagectomy (VATS-E) may increase the risk of postoperative nausea and vomiting (PONV) because it uses a high dosage of anesthesia through a long operative duration. However, no study has examined the risk factors for PONV after VATS-E. Therefore, we investigated the risk factors for PONV to support the appropriate risk management of PONV after VATS-E.

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Article Synopsis
  • * Researchers reviewed data from 408 patients treated at Yokohama City University Hospital, finding that higher CKD stages were linked to factors like older age and comorbidities, with significant renal-function loss occurring more in stages 4-5.
  • * Although CKD stages didn't largely impact surgical parameters, patients with stage 3 CKD achieved better outcomes (pentafecta). Preoperative hemoglobin levels and tumor size were key predictors of significant renal function loss post-surgery.
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Objective: In December 2021, enfortumab vedotin (EV), an antibody-drug conjugate directed against nectin-4, was approved in Japan as a new treatment after platinum-containing chemotherapy and PD-1/PD-L1 inhibitors. This study evaluated, using real-world data, the efficacy and safety of EV therapy in patients with metastatic urothelial carcinoma (mUC).

Materials And Methods: Fifty-five patients with mUC who discontinued pembrolizumab therapy due to disease progression between June 2018 and April 2023 at Yokohama City University Hospital were evaluated retrospectively.

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