Publications by authors named "Sasaki T"

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  • Risk factors for alcohol withdrawal delirium include heavy drinking, previous episodes of delirium, and various health issues like infections and tachycardia.
  • A 76-year-old man with a history of heavy drinking and diabetes faced serious health issues after a typhoon, leading to severe alcohol withdrawal symptoms and delirium.
  • The case highlights the necessity of a team-based approach for treatment in emergency situations and stresses the importance of ongoing care for elderly individuals with alcohol dependence after disasters.
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  • Polydoctoring, or seeing multiple healthcare providers, can lead to fragmented care in older adults with multiple health issues, but its effects on health outcomes are not well understood.
  • A study from the Kawasaki Aging and Wellbeing Project focused on patients aged 85-89 with two or more chronic conditions, assessing the link between the number of medical facilities involved in their care and mortality rates.
  • Results indicated that older adults with 2-4 chronic conditions who regularly visited three or more facilities had lower mortality rates, while those with five or more conditions did not see a similar benefit from seeing multiple doctors.*
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  • A study in Norway found that many patients had local recurrence of rectal cancer after transanal total mesorectal excision, possibly due to cancer cells spilling during surgery.
  • The research involved 40 patients, whose surgical field was monitored for cancer cells through washing cytology at different stages of the operation.
  • Initial samples revealed a high presence of malignant cells, but significantly fewer were found later on, with no cancer cells detected in the final sample, suggesting the need for more in-depth studies.
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  • Porokeratosis is a skin disorder caused by genetic alterations in the mevalonate pathway and can be hereditary or non-hereditary based on specific gene involvement.
  • This study identified non-hereditary porokeratosis linked to epigenetic changes in the FDFT1 gene, which affects keratinocyte growth and leads to distinct skin lesions.
  • Treatment with topical statins showed improvement in lesions, highlighting the potential for targeted therapies based on genetic and epigenetic factors in porokeratosis.
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  • - This study aimed to compare the effectiveness of two first-line treatments for Helicobacter pylori eradication: a triple therapy featuring vonoprazan, amoxicillin, and metronidazole (VAM) versus another using vonoprazan, amoxicillin, and clarithromycin (VAC).
  • - Conducted in Japan with 124 participants, the trial showed that both treatments yielded similar success rates for eradication, around 91% for VAM and 89% for VAC, without significant differences between them.
  • - The results indicate that VAM can be considered an effective first-line treatment and suggests its classification as a grade B regimen, indicating a good potential for national insurance approval in Japan.
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  • * Researchers analyzed data from two groups of patients—those who were able to withdraw from insulin therapy and those who were not—finding that a higher CPI at 2 hours post-meal strongly correlated with successful withdrawal.
  • * The study concluded that the CPI after eating is an effective predictor of a patient's ability to stop insulin therapy, and the developed machine learning models showed a prediction accuracy between 78.3% and 82.6%.
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Several artificial intelligence (AI) systems have been developed for glomerular pathology analysis in clinical settings. However, the application of AI systems in nonclinical fields remains limited. In this study, we trained a convolutional neural network model, which is an AI algorithm, to classify the severity of Tensin 2 (TNS2)-deficient nephropathy into seven categories.

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Objective: We previously reported that CD14+ dendritic-shaped cells exhibit a dendritic morphology, engage in pseudo-emperipolesis with lymphocytes, and express CD90 in the perivascular areas of rheumatoid arthritis (RA) synovial tissues. However, it remains unclear whether these CD14CD90 cells function as dendritic cells. In this study, we investigated the dendritic cell-differentiation potential of CD14CD90 cells.

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Background: Drug-eluting stents (DES) are the major treatment option in percutaneous coronary intervention (PCI). Recently, drug-coated balloon (DCB) utilization has been increasing globally, leading to the expected new strategy of "stent-less PCI." This study aimed to evaluate the one-year outcome of DCB compared to DES.

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In this study, we investigate the effectiveness of noise reduction in electron holography, based on the wavelet hidden Markov model (WHMM), which allows the reasonable separation of weak signals from noise. Electron holography observations from a NdFeB thin foil showed that the noise reduction method suppressed artificial phase discontinuities generated by phase retrieval. From the peak signal-to-noise ratio, it was seen that the impact of denoising was significant for observations with a narrow spacing of interference fringes, which is a key parameter for the spatial resolution of electron holography.

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Small nerve fibres located in the epidermis sense pain. Dysfunction of these fibres decreases the pain threshold known as small fibre neuropathy. Diabetes mellitus is accompanied by metabolic changes other than glucose, synergistically eliciting small fibre neuropathy.

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  • Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive cancer with a 5-year survival rate below 10%, and drug resistance complicates treatment efforts.
  • The study developed MIA-GEM cells, a gemcitabine-resistant PDAC cell line, and found increased expression of AKT3 and dysregulated AKT signaling, which contributed to the cells' resistance.
  • Elevated nuclear expression of AKT3 in GEM-resistant PDAC cases is linked to poorer patient prognosis, indicating its potential as a therapeutic target and a marker for drug resistance in PDAC.
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Objective: Preservation of visual function is important in surgery for suprasellar tumors. Visual evoked potentials (VEPs) are expected to play an important role in monitoring visual function during surgery. Given the lack of information in this field, the authors aimed to investigate the effects of optic nerve compression caused by suprasellar tumors to understand the possible usefulness of VEP monitoring using off-response (OFR) VEP.

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The Ras homology (Rho) family of GTPases serves various functions, including promotion of cell migration, adhesion, and transcription, through activation of effector molecule targets. One such pair of effectors, the Rho-associated coiled-coil kinases (ROCK1 and ROCK2), induce reorganization of actin cytoskeleton and focal adhesion through substrate phosphorylation. Studies on ROCK knockout mice have confirmed that ROCK proteins are essential for embryonic development, but their physiological functions in adult mice remain unknown.

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Objectives: Manual rolling of heavy objects remains in the workplace. The Health and Safety Executive (HSE) in the United Kingdom recommends load weights of <400 kg in the rolling task. However, the association of rolling weights <400 kg with work-related low back pain (LBP) has not been sufficiently investigated.

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Background: 10-mm self-expandable metal stents (SEMSs) are commonly used for preoperative biliary drainage in pancreatic cancer. However, smaller diameter SEMSs have attracted attention with the attempt to reduce stent-related adverse events (AEs).

Methods: We retrospectively analyzed consecutive borderline resectable pancreatic cancer patients who underwent neoadjuvant therapy and fully covered SEMS (FCSEMS) placement from April 2015 to May 2023.

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Most studies on fat appetite have focused on long-chain triglycerides (LCTs) due to their obesogenic properties. Medium-chain triglycerides (MCTs), conversely, exhibit antiobesogenic effects; however, the regulation of MCT intake remains elusive. Here, we demonstrate that mice can distinguish between MCTs and LCTs, and the specific appetite for MCTs is governed by hepatic β-oxidation.

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Glucose transporter isoform 1 (GLUT1), which is upregulated in a variety of malignant tumors, facilitates cellular glucose uptake to boost rapid tumor growth and progression. In several types of cancer, inhibition of GLUT1 suppresses tumor proliferation and metastasis, indicating that GLUT1 is a potential target of anticancer therapy. The present study performed immunohistochemistry to analyze GLUT1 expression levels in 51 patients with extramammary Paget's disease (EMPD), including 23 with only intraepidermal lesions and 28 with dermal-invasive lesions.

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  • The study compared the efficacy and safety of two cryoballoon systems used for pulmonary vein isolation in patients with atrial fibrillation, involving 2,555 subjects across 19 centers over nearly two years.
  • Results showed that the newer POLARx cryoballoon had a lower touch-up ablation rate compared to the conventional Arctic Front Advance cryoballoon, but also a higher incidence of right phrenic nerve injury (PNI).
  • Specifically, PNI occurred more frequently with POLARx (3.8%) compared to AFA (1.3%), and recovery from PNI was faster using AFA-CB.
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Background: Vortioxetine, known for its efficacy in treating depression through its effects on various neurotransmitters, has not been previously reported to induce syndrome of inappropriate secretion of antidiuretic hormone (SIADH).

Case Presentation: This case report describes a 74-year-old man with major depressive disorder who developed SIADH 1 week after starting treatment with vortioxetine. SIADH is characterized by symptoms such as headache, nausea, disorientation, and seizures, stemming from hyponatremia (123 mEq/L), without dehydration or edema.

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Introduction: Catheter ablation of ectopy originating from the vicinity of the His bundle can be challenging.

Methods And Results: We report a case of a 33-year-old man with narrow QRS ectopy with preferential conduction from a para-Hisian origin to the proximal left fascicles, which was successfully eliminated by radiofrequency ablation in the right coronary cusp, guided by ultrahigh-resolution mapping of the His bundle, bundle branch, and fascicular electrograms.

Conclusion: Some narrow QRS ectopy may originate from the vicinity of the conduction system, instead of the "true" conduction system, and have concealed connections from its origin to the conduction system.

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  • Low skeletal muscle mass, specifically measured by psoas muscle parameters, is linked to worse outcomes in patients with advanced prostate cancer undergoing hormone therapy.
  • A study of 121 patients found that those with lower psoas muscle index had significant correlations with progression to castration-resistant prostate cancer and overall survival rates.
  • The psoas muscle index serves as an independent predictor of survival, indicating that assessing muscle mass could be crucial in managing treatment for metastatic castration-sensitive prostate cancer.
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Objective: Panic disorder is a modestly heritable condition. Currently, diagnosis is based only on clinical symptoms; identifying objective biomarkers and a more reliable diagnostic procedure is desirable. We investigated whether people with panic disorder can be reliably diagnosed utilizing combinations of multiple polygenic scores for psychiatric disorders and their intermediate phenotypes, compared with single polygenic score approaches, by applying specific machine learning techniques.

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  • The anterior transpetrosal approach has evolved with a new endoscopic technique (eATPA) that offers a less invasive option for removing lesions in the petrous apex region.
  • Between May 2022 and May 2023, eATPA was performed on 10 patients, predominantly involving meningiomas and trigeminal schwannomas, with 8 achieving complete tumor removal.
  • The results showed that eATPA produced similar surgical effectiveness to the traditional microscopic approach (mATPA), with a low incidence of nerve palsy and maintained postoperative quality of life scores.
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A lot of research on liquid crystal polarization gratings (LCPGs) that can separate circularly polarized light with 100% diffraction efficiency has been conducted in the visible and near-infrared wavelength regions. In this paper, we tried to design and fabricate the LCPGs that are available for use in the mid- and far-infrared (MIR and FIR) wavelength regions. The materials for making LCPGs were selected in view of low absorption characteristics measured by the use of a Fourier-transform infrared (FT-IR) spectrometer.

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