Publications by authors named "R Sunami"

Objectives: We aimed to determine whether a high ratio of soluble fms-like tyrosine kinase-1 (sFlt-1) to placental growth factor (PlGF) would be associated with serious negative consequences and shorter pregnancy duration in cases of early-onset preeclampsia (PE).

Study Design: This retrospective cohort study included women (n = 65) diagnosed with PE at <34.0 weeks of gestation and recruited from a single primary and tertiary medical centre in Japan.

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Article Synopsis
  • The study examined predictive factors for asthma exacerbation in severe asthma patients enrolled in the Okayama Severe Asthma Research Program over a one-year period.
  • A total of 85 patients, mostly older adults, were analyzed, with many requiring advanced treatments according to GINA guidelines and over half treated with biologics.
  • Key findings indicated that past exacerbation, low asthma control test scores, low lung function measures, and high IL-10 levels were significant predictors of future asthma exacerbation events.
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Aim: This study aimed to clarify the factors influencing preeclampsia (PE) development in nulliparous Japanese women and to develop a PE prediction model using second trimester sonographic and clinical data readily available to obstetricians.

Methods: This historical cohort study examined the obstetric records of nulliparous women who delivered at Yamanashi Prefectural Central Hospital from January 2019 to May 2023. A model was constructed to predict the PE development rate, with a focus on 796 nulliparous women.

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Aim: Pouch of Douglas obliteration, which prevents exteriorization of the uterus, increases surgical morbidity in patients with placenta previa. We aimed to identify magnetic resonance imaging features that can predict pouch of Douglas obliteration preoperatively.

Methods: We retrospectively assessed 39 women with posterior placenta previa who underwent magnetic resonance imaging for the preoperative assessment of placenta accreta spectrum.

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