Publications by authors named "Osawa Y"

The growth of periacetabular osteophytes with developmental dysplasia of the hip (DDH) remains unclear. This study aimed to perform a three-dimensional assessment of periacetabular osteophytes and the effects of superiorization (SP) and lateralization (LT) of the femoral head on osteophyte formation. Female (n = 105) with unilateral hip osteoarthritis due to DDH who underwent total hip arthroplasty between 2016 and 2022 were included.

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Purpose: The Japanese Investigation Committee (JIC) classification for osteonecrosis of the femoral head (ONFH) is based on the necrotic area relative to the weight-bearing surface on anteroposterior (AP) radiographs or central coronal MRI. Discrepancies exist between these methods, potentially related to the AP necrosis area. This study evaluated these discrepancies and the extent of AP necrotic lesions.

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Increased fear of falling (FOF) increases the risk of falling and is an important issue for living an independent life. Patients undergoing hemodialysis (HD) frequently fall, and this may be attributed to increased FOF due to common fall risk factors as well as severe chronic kidney disease and HD-related factors. The purpose of this narrative review was to summarize the current knowledge on the mechanisms of increased FOF leading to falls in patients undergoing HD.

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Background: The COVID-19 pandemic had a significant impact on healthcare systems and the general population. However, it remains unclear to what extent these major societal changes have had an impact on the management of hip fractures in older people in Japan. Therefore, we investigated the effect of the COVID-19 pandemic on the number of patients with hip fractures, their characteristics, and their perioperative management as a retrospective multicentre study.

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  • The study evaluates the conjoined tendon-preserving posterior (CPP) approach in total hip arthroplasty (THA) for its clinical outcomes and complications compared to the standard posterior approach (PA).
  • A total of 83 patients were analyzed, showing that the CPP approach resulted in longer surgery times and more blood loss, but did not significantly differ in hip function scores or complication rates.
  • Both approaches had comparable success regarding complications and implant alignment, suggesting CPP could lower dislocation rates, but caution is needed due to potential nerve issues.
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  • Japan has over 8,000 species of wild vascular plants, with more than 1,000 considered edible, yet there are fewer studies on their traditional use compared to other regions.
  • This research reviews the traditional food use of wild plants in Japan, using a comprehensive database of Japanese foodways focused on the year 1930, before economic changes affected plant usage.
  • The study identifies 268 plant taxa used for food, with a focus on vegetables and unique local practices, and notes that while the preference for vegetables is common in Asia, Japan notably includes significant consumption of ferns.
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Purpose: This study aimed to clarify the association between preoperative physical function and discharge destination after total hip arthroplasty (THA).

Methods: This retrospective study included patients who underwent primary unilateral THA for hip osteoarthritis. Preoperative physical function was assessed via maximal isometric muscle strength (hip abduction and knee extension) and comfortable walking speed.

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In this communication we reported a bacterial system that over-expressed full-length wild-type (WT) human CYP3A4 in Escherichia coli (E. coli) at a level of 495 nmol/L culture. This level of expression was achieved by cloning the cDNA sequence of CYP3A4 WT to a pLW01-P450 vector and co-expressing it with chaperones GroEL/ES in bacterial C41(DE3) cells.

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Atherosclerosis, a major contributor to cardiovascular diseases (CVD), remains a leading cause of global mortality and morbidity. The pathogenesis of atherosclerosis involves a complex interplay of endothelial dysfunction, chronic inflammation, lipid accumulation, and arterial stiffness. Among the various preventive strategies, physical activity has emerged as a highly effective, non-pharmacological intervention.

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  • This study investigates how knee alignment (varus or valgus) is influenced in patients with dysplastic hip arthritis (DHA) on the opposite side of the affected hip.
  • A total of 123 patients were categorized based on their hip-knee-ankle angle into neutral, varus, and valgus groups, revealing distinct radiographic features and functional differences among them.
  • Results showed that both varus and valgus alignments were linked to poorer functional scores compared to the neutral group, with specific hip characteristics identified for each alignment type.
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  • The study compares the effectiveness of a pelvic alignment guide (PAG) and a portable navigation system (PNS) for placing acetabular cups in total hip arthroplasty (THA) performed on patients lying on their sides.
  • Both methods displayed similar accuracy for the inclination angle, but the PAG outperformed the PNS in terms of anteversion angle accuracy.
  • Additionally, the PAG group had shorter surgical times and less blood loss, indicating that conventional methods can be as effective or even better than computer-assisted techniques in certain scenarios.
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The availability of yeast surface display nanobody (Nb) libraries offers a convenient way to acquire antigen-specific nanobodies that may be useful for protein structure-function studies and/or therapeutic applications, complementary to the conventional method of acquiring nanobodies through immunization in camelids. In this study, we developed a general approach to select nanobodies for cytochrome P450 enzymes from a highly diverse yeast display library. We tested our method on three P450 enzymes including CYP102A1, neuronal nitric oxide synthase (nNOS), and the complex of CYP2B4:POR, using a novel streamlined approach where biotinylated P450s were bound to fluorescent-labeled streptavidin for Nb screening.

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  • The study explores the effects of pelvic obliquity (PO) after total hip arthroplasty (THA) on clinical outcomes, comparing patients with less than 2° of PO (NT group) to those with 2° or more (O group).
  • Results showed that the O group had significantly lower postoperative hip function scores and larger preoperative PO and poorer lumbar flexibility.
  • The research identifies younger age, larger preoperative PO, and decreased lumbar mobility as key risk factors for residual PO after surgery.
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Purpose: Factors affecting direction of pelvic obliquity (PO) in dysplastic hip osteoarthritis (DHOA) remains unclear. This retrospective cohort study evaluates morphological characteristics, spinal alignment, and hip function in patients with unilateral DHOA.

Methods: Between 2018 and 2022, 104 patients with unilateral DHA were enrolled.

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  • The study investigates how preoperative sarcopenia (muscle loss) affects recovery after total hip arthroplasty (THA) in patients with severe hip arthritis.
  • Severe sarcopenia was found in about 10.6% of patients and was linked to a higher risk of delayed functional recovery post-surgery.
  • Patients with severe sarcopenia experienced worse hip function and lower satisfaction levels six months after the surgery compared to those without sarcopenia.
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  • Eccentric rotational acetabular osteotomy is used to prevent hip osteoarthritis from developmental dysplasia (DDH), but the differences in acetabular coverage between genders in DDH patients are poorly understood.
  • The study aimed to identify these differences in acetabular coverage and pelvic morphology between males and females, as well as how the rotation of certain pelvic bones relates to acetabular coverage.
  • The research involved analyzing the preoperative data of 100 patients who underwent the surgery, focusing on various measurements from radiographs and CT scans to compare the anatomical features of male and female patients with DDH.
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Introduction: Gastric cancer has been reported to occur with mild to moderate mucosal atrophy, particularly after the eradication of () more than 10 years previously. However, no conclusion has been reached on how many years of esophagogastroduodenoscopy should be performed after eradication.

Presentation Of Case: This was a case of gastric carcinoma of the fundic gland type (GCFGT) 32 years after the eradication of , which is the longest posteradication period reported.

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Advanced glycation end products (AGEs) have been reported to be associated with osteoporosis, aging, sarcopenia, and frailty. This study aimed to investigate the association AGEs with locomotive syndrome (LS). Participants were Japanese individuals aged 39 years or older who participated in the Yakumo Study (n=230).

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  • * Research showed that Pro-Hyp treatment led to smaller fat cells and increased expression of genes important for brown fat function, without affecting PPARγ levels, while also boosting mitochondrial activity, indicating improved cell functionality.
  • * The findings suggest that Pro-Hyp promotes brown adipocyte differentiation, highlighting its potential as a treatment for obesity, but more research is necessary to confirm these effects and explore its impact on other types of fat cells.
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Purpose: This study aimed to identify factors related to collapse progression in Japanese Investigation Committee classification type B osteonecrosis of the femoral head (ONFH) and to identify patients who would benefit from surgical treatment.

Methods: This study included 41 patients (56 hips) with type B ONFH with a minimum follow-up of three years. Based on a ≥ 3 mm collapse progression in ONFH, we categorised patients into two groups: collapse progression and no collapse progression.

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Introduction: Early surgery for hip fracture, within 48 hours of hospital admission, is effective in reducing mortality. However, the average preoperative waiting time for hip fractures in Japan is 4.5 days and the 1-year mortality rate after a hip fracture is 10% in Japan.

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Aim: Metabolic dysfunction-associated steatohepatitis (MASH) is one of the most prevalent liver diseases and is characterized by steatosis and the accumulation of bioactive lipids. This study aims to understand the specific lipid species responsible for the progression of liver fibrosis in MASH.

Methods: Changes in bioactive lipid levels were examined in the livers of MASH mice fed a choline-deficient diet (CDD).

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Background: The use of portable navigation systems (PNS) in total hip arthroplasty (THA) has become increasingly prevalent, with second-generation PNS (sPNS) demonstrating superior accuracy in the lateral decubitus position compared to first-generation PNS. However, few studies have compared different types of sPNS. This study retrospectively compares the accuracy and clinical outcomes of two different types of sPNS instruments in patients undergoing THA.

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Aim: Advanced glycation end-products (AGEs) are irreversibly and heterogeneously formed compounds during the non-enzymatic modification of macromolecules, such as proteins. Aging and lifestyle habits, such as high-fat and high-protein diets, and smoking, promote AGEs accumulation. This study aimed to investigate the relationship between fall risk and AGEs in community-dwelling older adults.

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