Publications by authors named "Oshiro N"

Rationale: Although the mortality of severe coronavirus disease 2019 (COVID-19) has decreased after the emergence of the Omicron variant, it remains high in patients on hemodialysis (HD). Remdesivir (RDV) is considered as the first line drug for hospitalized COVID-19 patients, however the evidence regarding the usage in HD patients is lacking because clinical trials of RDV have excluded HD patients for safety reasons. Thus, accumulation of knowledge on the regimen, efficacy, and tolerability of RDV in HD patients is important.

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  • Hypertension and aging lead to vascular changes in the kidneys, known as nephrosclerosis, which can contribute to chronic kidney disease (CKD) but aren't always directly linked to renal decline.
  • Afferent arteriolopathy, characterized by thickening of blood vessel walls, disrupts kidney blood flow and can cause glomerular hypertension and ischemia, worsening kidney damage over time.
  • Recent studies suggest that combining two types of medications—renin-angiotensin system inhibitors (RASis) and sodium-glucose transporter 2 inhibitors (SGLT2is)—is more effective than RASis alone for slowing kidney function decline, highlighting the importance of blood pressure management in CKD treatment.
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Ciguatera poisoning (CP) is one of the most frequent seafood poisonings across the globe. CP results from the consumption of fish flesh that has accumulated principal toxins known as ciguatoxins (CTXs), and it mainly occurs in tropical and subtropical regions. In Japan, incidents of CP have been reported primarily from Okinawa and Amami Islands in the subtropical area.

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  • Tetrodotoxin (TTX) is a harmful toxin associated with pufferfish poisoning, predominantly in East and Southeast Asia, and traditional detection methods have limitations.
  • Researchers developed a new analytical method for TTX using pre-column derivatization with a compound called NBD-H-DAB and reversed-phase high-performance liquid chromatography (RP HPLC) for quicker assessments.
  • The new method showed effective sensitivity, achieving a detection limit of 0.06 mg/kg in fish samples, demonstrating the potential for improved TTX analysis.
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The COVID-19 pandemic presents unique requirements for accessible, reliable testing, and many testing platforms and sampling techniques have been developed over the course of the pandemic. Not all test methods have been systematically compared to each other or a common gold standard, and the performance of tests developed in the early epidemic have not been consistently re-evaluated in the context of new variants. We conducted a repeated measures study with adult healthcare workers presenting for SARS-CoV-2 testing.

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Objective: This study aimed to assess anxiety levels among women with metastatic breast cancer undergoing palliative chemotherapy.

Methods: A descriptive, prospective study was conducted at an oncology hospital in southern Brazil from September 2021 to October 2022. A total of 123 adult women receiving outpatient palliative chemotherapy were included in the study.

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Ciguatera poisoning (CP) is the most common type of marine biotoxin food poisoning worldwide, and it is caused by ciguatoxins (CTXs), thermostable polyether toxins produced by dinoflagellate and spp. It is typically caused by the consumption of large fish high on the food chain that have accumulated CTXs in their flesh. CTXs in trace amounts are found in natural samples, and they mainly induce neurotoxic effects in consumers at concentrations as low as 0.

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Ciguatoxins (CTXs) stand as the primary toxins causing ciguatera fish poisoning (CFP) and are essential compounds distinguished by their characteristic polycyclic ether structure. In a previous report, we identified the structures of product ions generated via homolytic fragmentation by assuming three charge sites in the mass spectrometry (MS)/MS spectrum of ciguatoxin-3C (CTX3C) using LC-MS. This study aims to elucidate the homolytic fragmentation of a ciguatoxin-3C congener.

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Objective: to evaluate and correlate the quality of life and financial toxicity of adult patients undergoing hematopoietic stem cell transplantation during the COVID-19 pandemic.

Method: observational, analytical study, carried out with 35 patients in a reference hospital for transplantation in Latin America. For data collection, the Functional Assessment Cancer Therapy Bone Marrow Transplantation and COmprehensive Score for Financial Toxicity questionnaires were used.

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The combination effects of smoking (SMK) and hyperuricemia (HU) on renal arteriolosclerosis in patients with IgA nephropathy remain unknown. We examined the cross-sectional association between smoking (current or former) and renal arteriolar hyalinosis and wall thickening with or without HU [uric acid (UA) level ≥ 7 and ≥5 mg/dL in men and women] in 87 patients with IgA nephropathy who underwent renal biopsy. Arteriolar hyalinosis and wall thickening were assessed by the semiquantitative grading of arterioles.

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This study aimed to investigate the effect of hyperuricemia (HU) on the association of systolic blood pressure (SBP) with the prevalence of proteinuria and low estimated glomerular filtration rate (eGFR) in the general population. This cross-sectional study enrolled 24,728 Japanese individuals (11,137 men and 13,591 women) who underwent health checkups in 2010. The prevalence of proteinuria and low eGFR (< 60 mL/min/1.

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Ciguatera fish poisoning (CFP) is recognized as the most frequent seafood poisoning due to the consumption of fish containing the principal toxins, ciguatoxins (CTXs). In Japan, CFP events have been reported annually from Okinawa and Amami Islands, locating subtropical regions. In addition, there have been reported several outbreaks due to consumption of the fish caught from the Pacific coast of the Mainland and they were often caused by the matured spotted knifejaw, Oplegnathus punctatus.

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  • Autoimmune factor V deficiency (AiFVD) is a rare bleeding disorder caused by inhibitors that target factor V, affecting blood clotting ability.
  • In this case, an 89-year-old man experienced excessive bleeding during a surgical procedure for hemodialysis, which was linked to prolonged clotting times and the presence of factor V inhibitors and autoantibodies.
  • Treatment with oral prednisolone led to improvement in his bleeding symptoms and normalization of his coagulation tests after 34 days, highlighting the importance of diagnosing AiFVD in similar patients undergoing hemodialysis.
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  • The study investigates the relationship between the renal renin-angiotensin system (RAS) and renal arteriolar remodeling in patients with chronic kidney disease (CKD).
  • It analyzes data from patients who underwent renal biopsy, measuring urinary angiotensinogen levels and the wall/lumen ratio of arterioles to assess the effects of RAS on kidney function.
  • Findings indicate that a higher level of urinary angiotensinogen is significantly linked to increased arteriolar remodeling and a decline in kidney function over time, especially in patients with IgA nephropathy.
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Ciguatoxins (CTXs) are marine neurotoxins produced by microalgae of the genera Gambierdiscus and Fukuyoa. CTXs may reach humans through food webs and cause ciguatera fish poisoning (CFP). An immunosensor for the detection of Pacific CTXs in fish was developed using multiwalled carbon nanotube (MWCNT)-modified carbon electrodes and a smartphone-controlled potentiostat.

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Background: We hypothesized that old patients could increase skeletal muscle mass after fractures by exercise rehabilitation, even if they have a low initial muscle mass.

Aim: This study aimed to evaluate the relationship between skeletal muscle mass and skeletal muscle changes in older patients after fractures.

Methods: This case-control study took place in rehabilitation wards and included 807 patients aged ≥ 65 years with fractures.

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Ciguatera poisoning (CP) is one of the most abundant seafood poisonings in the world. CP frequently occurred in the tropical and subtropical Indo-Pacific Ocean and the Caribbean Sea. In Japan, CP cases have been reported annually, from the subtropical regions, including Okinawa Prefecture and Amami Islands, Kagoshima Prefecture.

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Article Synopsis
  • Ciguatera fish poisoning (CFP) presents significant public health risks due to toxins found in fish from warm regions, necessitating methods for effective detection.
  • The study aimed to develop and validate a new LC-MS/MS method for quantifying major ciguatoxins (CTX1B and CTX3C) in Pacific Ocean fish using a series of extraction and cleanup techniques.
  • Validation results demonstrated the method's effectiveness, as it surpassed international safety levels for toxin detection, making it suitable for ensuring food safety standards.
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Ciguatera fish poisoning (CFP) is one of the most frequently encountered seafood poisoning syndromes; it is caused by the consumption of marine finfish contaminated with ciguatoxins (CTXs). The majority of CFP cases result from eating fish flesh, but a traditional belief exists among people that the head and viscera are more toxic and should be avoided. Unlike the viscera, scientific data to support the legendary high toxicity of the head is scarce.

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  • * A study using LC-MS/MS detected ciguatoxins in fish specimens, including Lutjanus bohar and Variola louti, with potentially dangerous levels that could cause CFP if consumed.
  • * The analysis revealed that specific toxic congeners, CTX1B and CTX3C, were present in the fish from Japan, marking the first report of such profiles found off Honshu island.
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Herein, we describe a rare case of Corynebacterium jeikeium endocarditis that silently progressed in a 65-year-old man undergoing hemodialysis. Because routine monthly blood examination revealed high C-reactive protein levels, blood cultures were collected, although he had no symptom and was afebrile. After 2 days, a Gram-positive rod was detected in one set of the blood culture.

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Microcystins (MCs) are a group of cyclic heptapeptide hepatotoxins produced by and several other genera of cyanobacteria. Many structural variants have been characterized using various methods such as liquid chromatography-mass spectrometry (LC-MS) analysis, enzyme-linked immunosorbent assay (ELISA) and protein phosphatase 2A (PP2A) inhibition assay. The representative MC, MC-LR, and related cyanobacterial toxins strongly inhibit PP2A activity and can therefore be assayed by measuring the extent of PP2A inhibition.

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A 73-year-old male was referred to our hospital for acute congestive heart failure. His cardiac and respiratory conditions were worsening with cardiogenic shock requiring intubation. Coronary angiography revealed severe triple vessel disease, and echocardiography showed severe left ventricular dysfunction.

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Skeletal muscle fiber subtypes are differentially sensitive to diabetes-related pathology; For example, fast-twitch muscles exhibit severe decreases in contraction force while slow-twitch muscles demonstrate prolonged half-relaxation time. However, such alterations have only been examined after a relatively short period following diabetes onset, with no information available regarding muscle damage caused by longer disease periods (>20 weeks). This study examined alterations in the contractile properties of the medial gastrocnemius (fast-twitch) and soleus (slow-twitch) muscles, as well as morphological changes in their motor neurons 12 and 22 weeks after diabetes onset.

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