Publications by authors named "Ohyama N"

The placenta is a critical organ for fetal development and a healthy pregnancy, and has multifaceted functions (e.g., substance exchange and hormone secretion).

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Background: Total arch replacement using elephant trunk (ET) has been accepted as a standard technique for thoracic aortic dissection. However, there are few complications related to the ET, such as kinking of the ET, paraplegia, splitting of the anastomosis, and thromboembolic complications. We report a successful thoracic endovascular aortic repair (TEVAR) in a patient with ET entrapment in a new isolated dissecting aortic aneurysm.

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Purpose: Testicular Leydig cell tumor (LCT) is a rare subtype of testicular neoplasms that occurs in the interstitial tissue of testes, accounting for 1-3% of total testicular masses removed annually. We report a case of 70-year-old man diagnosed as testicular LCT. This report demonstrates a testicular LCT with intratumoral and non-tumorous testicular parenchymal enhancement in the affected testis, which should be considered characteristic findings of LCT.

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Previous studies have indicated that the expression levels of several transporters are altered during placental trophoblast differentiation. However, changes in the transport activities of therapeutic agents during differentiation must be comprehensively characterised. Antiepileptic drugs, including gabapentin (GBP), lamotrigine (LTG), topiramate, and levetiracetam, are increasingly prescribed during pregnancy.

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A 66-year-old man came to our department with the chief complaint of a right inguinal painless mass. He was diagnosed with a right spermatic cord tumor and underwent a right high orchiectomy with wide excision. The results of hematoxylin eosin staining and immunostaining procedures showed mucosa-associated lymphoid tissue (MALT) lymphoma originating from the lymphoid tissue of spermatic cord.

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Background/aim: Currently, there is no classification system specializing in recurrent inguinal hernia (RIH) after open-surgery. For this reason, in this study we proposed one so as to understand the causes of RIH.

Patients And Methods: Recurrence of IH after suture-repair was classified either as the tissue-loosening (TL) or the tissue-disruption (TD) type.

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Introduction: Postoperative refractory lymphocele is often difficult to treat. Recently, interventional radiology with -butyl-cyanoacrylate has been used by urologists and radiologists to treat lymphocele. This modality is an effective treatment with fewer complications.

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Valproate (VPA), an antiepileptic drug, is known to inhibit histone deacetylases (HDACs). Exposure to VPA during pregnancy increases several fetal risks. The maintenance of folate level during pregnancy is essential for adequate fetal development, and the placenta plays a critical role in supplying nutrients to the fetus.

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Objectives: Currently, patients' consent is essential to use their medical records for various purposes; however, most people give their consent using paper forms and have no control over it. Healthcare organizations also have difficulties in dealing with patient consent. The objective of this research is to develop a system for patients to manage their consent flexibly and for healthcare organizations to obtain patient consent efficiently for a variety of purposes.

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Extensive phytochemical work on the 1-BuOH-soluble fraction of a MeOH extract of the leaves of Symplocos cochinchinensis var. philippinensis resulted in the isolation of 14 new triterpenene saponins, along with four known ones. Their structures were elucidated by comparison of NMR spectroscopic data with related compounds reported in the literature.

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Introduction: A vertical penetration of the thread through the abdominal wall for the hernia defect closure in laparoscopic ventral/incisional hernia repair (LVIHR) is difficult especially in the large defect cases when applying the existing techniques.

Materials: Sixteen LVIHRs were performed using the suture technique for defect closure we newly developed.

Surgical Technique: With the subcutaneous switching, our technique only requires the suture-passer and easily enables the vertical penetration of the thread through the abdominal muscular wall even in the large defect cases.

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Surgeons tend to avoid performing completely laparoscopic repair (CLR) for recurrent inguinal hernia (RIH) that developed after the open posterior mesh repair (OPMR). For many, totally extraperitoneal repair or transabdominal preperitoneal repair after OPMR seems difficult because the previously placed mesh may pose an obstacle during the exfoliation of the parietal peritoneum. Moreover, these procedures could cause chronic pain if the "trapezoid of disaster" is injured.

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Backgrounds: The term "elderly" seems to have been used as "vulnerable to various stresses" but not well defined. To define the "elderly", we investigated whether the increased age causes unfavorable changes in several immunoinflammatory indices that indicate the increased vulnerability in the surgical field.

Patients And Methods: One-hundred forty-two patients undergoing an elective-uncomplicated laparoscopic cholecystectomy (within 60 min and without intraoperative-cholangiography, bile spillage, or open conversion) were retrospectively investigated.

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Article Synopsis
  • - Hypokalemic periodic paralysis (HypoPP) is an inherited disorder causing temporary muscle weakness and low potassium levels, often linked to mutations in the CACNA1S gene that affects calcium channels.
  • - A Japanese woman with HypoPP developed symptoms at age 6, exacerbated by high-carbohydrate diets; her children also began showing similar symptoms at young ages, and testing revealed a specific mutation in all three.
  • - Treatment with voglibose and acetazolamide helped manage her paralytic episodes, and the study suggests that the p.V876E mutation in CACNA1S is associated with both early onset and atypical manifestations of HypoPP.
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Objectives: Electronic Health Record (EHR) systems are increasingly used as an effective method to share patients' records among different hospitals. However, it is still a challenge to access scattered patient data through multiple EHRs. Our goal is to build a system to access patient records easily among EHRs without relying on a centralized supervisory system.

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This study investigates the classification performance of elastic and collagen fibers using H&E stained hyperspectral images. As many as 1200 sample pixels were trained by using Linear discriminant analysis (LDA) and support vector machine (SVM) methods for reduction and classification. The classification result both using LDA and SVM show that H&E stained hyperspectral images performed better classification than H&E stained RGB image by comparing the classification of EVG stained images visually and quantitatively.

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Introduction: Although thoracic endovascular aortic repair (TEVAR) has become a promising treatment for complicated acute type B dissection, its role in treating chronic post-dissection thoraco-abdominal aortic aneurysm (TAA) is still limited owing to persistent retrograde flow into the false lumen (FL) through abdominal or iliac re-entry tears.

Report: A case of chronic post-dissection TAA treatment, in which a dilated descending FL ruptured into the left thorax, is described. The primary entry tear was closed by emergency TEVAR and multiple abdominal re-entries were closed by EVAR.

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Article Synopsis
  • Children born small for gestational age (SGA) are at greater risk for metabolic disorders later in life, and this study focused on SGA children without catch-up growth and the effects of growth hormone (GH) treatment over one year.* -
  • The study included 26 SGA children and 26 control children, assessing various health parameters at multiple points after starting GH treatment, which resulted in a moderate increase in height and changes in blood markers.* -
  • The findings suggest that GH treatment may help improve certain metabolic indicators in SGA children, particularly with changes in serum apolipoproteins, indicating a potential reduction in cardiometabolic risk.*
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Article Synopsis
  • Botulism is a serious infection that leads to muscle weakness and other serious symptoms, and recent studies show that cancer treatment might make individuals more susceptible to it.
  • A 5-year-old boy undergoing chemotherapy for leukemia experienced muscle weakness and other symptoms, later diagnosed with botulism caused by Clostridium botulinum after multiple antibiotic treatments.
  • This case reinforces the idea that children receiving cancer therapies are at a higher risk for botulism, emphasizing the need for awareness in immunocompromised patients.
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It is important to ensure the security of biometric authentication information, because its leakage causes serious risks, such as replay attacks using the stolen biometric data, and also because it is almost impossible to replace raw biometric information. In this paper, we propose a secure biometric authentication scheme that protects such information by employing an optical data ciphering technique based on compressed sensing. The proposed scheme is based on two-factor authentication, the biometric information being supplemented by secret information that is used as a random seed for a cipher key.

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Objective: The image quality in whole slide imaging (WSI) is one of the most important issues for the practical use of WSI scanners. In this paper, we proposed an image quality evaluation method for scanned slide images in which no reference image is required.

Methods: While most of the conventional methods for no-reference evaluation only deal with one image degradation at a time, the proposed method is capable of assessing both blur and noise by using an evaluation index which is calculated using the sharpness and noise information of the images in a given training data set by linear regression analysis.

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Hybrid-resolution multispectral imaging is a framework to acquire multispectral images through a reconstruction procedure using two types of measurement data with different spatial and spectral resolutions. In this paper, we propose a new method for such a framework on the basis of a full-resolution RGB image and the data obtained from an image sensor with a multispectral filter array (MSFA). In the proposed method, a small region of each image band is reconstructed as a linear combination of RGB images, where the weighting coefficients are determined using MSFA data.

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Color enhancement of multispectral images is useful to visualize the image's spectral features. Previously, a color enhancement method, which enhances the feature of a specified spectral band without changing the average color distribution, was proposed. However, sometimes the enhanced features are indiscernible or invisible, especially when the enhanced spectrum lies outside the visible range.

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We have shown that the application of double random phase encoding (DRPE) to biometrics enables the use of biometrics as cipher keys for binary data encryption. However, DRPE is reported to be vulnerable to known-plaintext attacks (KPAs) using a phase recovery algorithm. In this study, we investigated the vulnerability of DRPE using fingerprints as cipher keys to the KPAs.

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