Publications by authors named "S Shirane"

Purpose: The "out-of-hours effect," which indicates hospital admittance during weekends or nighttime, has poorer outcomes for patients than for those admitted on weekdays and is widely documented in various medical conditions. However, this effect remains understudied in pediatric trauma cases, including blunt liver and spleen injuries (BLSIs).

Methods: This was a secondary analysis of a nationwide multicenter retrospective study, focusing on pediatric patients with trauma (≤ 16 years old) with BLSI admitted from 2008 to 2019.

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Objectives: Hemorrhagic events are a rare but potentially fatal complication in patients with polycythemia vera (PV).

Methods: We analyzed the characteristics of hemorrhagic events in 267 patients with PV.

Results: A median follow-up of 4.

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Article Synopsis
  • Hyponatremia is a condition marked by low sodium levels and can occur during the acute phase of many illnesses, but its prevalence and severity in various medical situations is not fully understood.
  • A study at Tokyo Metropolitan Children's Medical Center reviewed 2,717 urgent pediatric admissions and found that 260 (13.8%) had hyponatremia, with type 1 diabetes being the most common associated condition (69%).
  • The research highlighted significant hyponatremia in conditions like Kawasaki disease and acute infectious encephalopathy, but noted that conditions like acute bronchial asthma or fractures rarely showed low sodium levels upon arrival.
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