Publications by authors named "R Takemura"

Introduction: The supraclavicular flap (SCF) is pliable and suited for various reconstructions but faces drawbacks like distal flap necrosis and size constraints. This study assesses SCF perfusion using laser-assisted angiography and SPY-Q software, marking the first to describe the analysis achievable with indocyanine green (ICG) angiography in SCF reconstructions. We hypothesized that SPY-Q can enhance surgical precision and improve SCF design for head and neck reconstruction.

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Background: Neoadjuvant therapy is recommended for treating resectable pancreatic ductal adenocarcinoma (PDAC); however, its appropriate use in patients with resectable PDAC remains debatable.

Objective: This study aimed to identify independent poor prognostic factors and evaluate the clinical significance of neoadjuvant therapy in patients with resectable PDAC.

Methods: We retrospectively reviewed consecutive patients diagnosed with resectable PDAC at our institute between January 2003 and December 2022.

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Objective Switching from one anti-calcitonin gene-related peptide monoclonal antibody (CGRP mAb) to another can be beneficial for treating patients with migraine who do not respond well to the first CGRP mAb. However, detailed and long-term follow-up reports of both efficacy and safety remain insufficient. We conducted a case-series analysis of patients with migraine who switched from galcanezumab to erenumab, both belonging to the class of CGRP mAbs.

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Article Synopsis
  • The study analyzed outcomes for pediatric patients with blunt liver and spleen injuries (BLSI) treated at hospitals with and without pediatric intensive care units (PICUs) between 2008 and 2019.
  • Among the 1401 patients, 30-day mortality rates were lower in hospitals with PICUs (0.7%) compared to those without (1.3%), and also compared to adult ICUs.
  • Overall, while adverse events were infrequent, the findings suggested that treatment in hospitals with PICUs may lead to better outcomes for pediatric patients with BLSI.
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Background: Arm-lifting movements (shoulder flexion) are essential for upper extremity rehabilitation after a stroke. Abnormal flexor synergy (elbow flexion) is frequently observed during shoulder flexion, impeding functional improvement. However, no quantitative method exists for assessing abnormal flexor synergy.

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