Publications by authors named "Sasa Y"

Article Synopsis
  • International guidelines recommend targeted temperature management (TTM) to prevent brain damage in patients who experience post-cardiac arrest syndrome (PCAS), but there's no agreement on the best temperature or cooling duration.
  • The study assessed the optimal cooling parameters based on how quickly patients returned to spontaneous circulation (ROSC) after cardiac arrest, using two temperature groups (34 °C vs. 35 °C) and different cooling durations (24-48 hours).
  • Results showed similar neurological outcomes at 30 days for patients cooled to either temperature group, indicating adjusting the target temperature and duration based on ROSC timing may benefit PCAS patients.
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The laser powder bed fusion (L-PBF) process provides the cellular microstructure (primary α phase surrounded by a eutectic Si network) inside hypo-eutectic Al-Si alloys. The microstructure changes to the particle-dispersed microstructure with heat treatments at around 500 °C. The microstructural change leads to a significant reduction in the tensile strength.

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To investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on myocardial infarctions (MIs), consecutive MI patients were retrospectively reviewed in a multi-center registry. The patient characteristics and 180-day mortality for both ST-segment elevation myocardial infarctions (STEMIs) and non-STEMIs (NSTEMIs) in the after-pandemic period (7 April 2020-6 April 2021) were compared to the pre-pandemic period (7 April 2019-6 April 2020). Inpatients with MIs, STEMIs, and NSTEMIs decreased by 9.

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Article Synopsis
  • Sleep apnea syndrome (SAS) causes nighttime breathing issues, leading to low oxygen levels and daytime sleepiness, and is linked to serious health problems like hypertension and heart disease.
  • Approximately 50% of those with sleep-disordered breathing experience arrhythmias, particularly in severe cases where the apnea-hypopnea index (AHI) is 30 or more, which can drastically increase the frequency of these heart irregularities during sleep.
  • Treatment with continuous positive airway pressure has been effective in reducing AHI and resolving severe cardiac issues in a case study of a 44-year-old patient experiencing bradyarrhythmias likely related to SAS.
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A few studies have reported on recurrent myocarditis occurring more than twice in one patient. In this study, we present a recurrent "third time" acute myocarditis in a young female Japanese patient with a history of a definitive diagnosis of lymphocytic myocarditis by endomyocardial biopsy, cardiac magnetic resonance imaging (CMR), and catheter examination twice in the past. Although chest pain and an increase in the cardiac enzymes were observed the third time, no significant changes were noted in the 12-lead electrocardiogram (ECG), and a definitive diagnosis could be achieved by CMR.

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There is currently no objective portable screening modality for narrow angles in the community. In this prospective, single-centre image validation study, we used machine learning on slit lamp images taken with a portable smartphone device (MIDAS) to predict the central anterior chamber depth (ACD) of phakic patients with undilated pupils. Patients 60 years or older with no history of laser or intraocular surgery were recruited.

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A 67-year-old woman with anemia was referred to us for further study. A colonoscopy exhibited multiple tumors(tub1)in the transverse and sigmoid colon(two regions)and rectum. Contrast-enhanced CT revealed no apparent distant and lymph node metastases.

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The International Commission on Radiological Protection (ICRP) revised a drastic decrease of the annual eye equivalent dose limit. The present study aimed to evaluate the amounts of radiation to which the eye lenses of radiological technologists (RT) become exposed and the effects of wearing lead glasses on dose reduction while assisting patients during radiographic assessments. Lens equivalent doses (Hp(3)) were measured at the neck using personal dosemeter.

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The present study aimed to determine doses delivered to the eye lenses of surgeons while using the inverted-C-arm technique and the protective effect of leaded spectacles during orthopedic surgery. The kerma in air was measured at five positions on leaded glasses positioned near the eye lens and on the neck using small optically stimulated luminescence (OSL) dosemeters. The lens equivalent dose was also measured at the neck using an OSL dosemeter.

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Building a covariate model is a crucial task in population pharmacokinetics. This study develops a novel method for automated covariate modeling based on gene expression programming (GEP), which not only enables covariate selection, but also the construction of nonpolynomial relationships between pharmacokinetic parameters and covariates. To apply GEP to the extended nonlinear least squares analysis, the parameter consolidation and initial parameter value estimation algorithms were further developed and implemented.

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The regioselective functionalization of non-activated carbon atoms such as aliphatic halogenation is a major synthetic challenge. A novel multifunctional enzyme catalyzing the geminal dichlorination of a methyl group was discovered in Aspergillus oryzae (Koji mold), an important fungus that is widely used for Asian food fermentation. A biosynthetic pathway encoded on two different chromosomes yields mono- and dichlorinated polyketides (diaporthin derivatives), including the cytotoxic dichlorodiaporthin as the main product.

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A 43-year-old woman recipient of a bare metal coronary stent during an acute anterior myocardial infarction was repeatedly hospitalized with recurrent stent thrombosis (ST) over the following 3 years. Emergent coronary angiography showed a thrombus in the in-stent segment of the proximal left anterior descending artery. We repeatedly aspirated the thrombus, which immediately reformed multiple times.

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Induction of cytochrome P450 3A4 (CYP3A4) expression is often implicated in clinically relevant drug-drug interactions (DDI), as metabolism catalyzed by this enzyme is the dominant route of elimination for many drugs. Although several DDI models have been proposed, none have comprehensively considered the effects of enzyme transcription/translation dynamics on induction-based DDI. Rifampicin is a well-known CYP3A4 inducer, and is commonly used as a positive control for evaluating the CYP3A4 induction potential of test compounds.

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Establishment of in vitro-in vivo correlation (IVIVC) accelerates optimization of desirable drug formulations and/or modification of the manufacturing processes in the scale-up and post-approval periods. This article presents a method of finding the optimal conversion function for establishing Level A point-to-point IVIVC, based on a computer-based evolutionary search technique. Gene expression programming (GEP) is a technique for optimizing a mathematical expression tree with the help of a genetic algorithm.

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Murine experimental autoimmune uveitis (EAU) is a model of human uveitis. Ocular-infiltrating macrophages play a crucial role in the generation of tissue damage in EAU. In fact, several chemokines are actually produced in the inflamed eye.

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Five acutely uremic dogs were treated for 9 hours by means of slow continuous hemodialysis using our newly developed machine. The blood concentrations of urea nitrogen (BUN) and creatinine were determined every hour and were compared to those calculated from a mathematical pool model. In order to assess the accuracy of volume control, the body weight of dogs was monitored continuously by scale bed, under simultaneous 200 ml/hour infusion and ultrafiltration.

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To assess the effect of hemodialysis on cardiac function, a change of preload due to water removal was considered. In order to keep the preload constant during hemodialysis, extracorporeal ultrafiltration was induced before hemodialysis (step 1), and then hemodialysis without water removal was achieved (step 2). Cardiac performance in 8 patients was evaluated before and at the end of each step using pulsed doppler echocardiography.

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