Publications by authors named "Shinohara S"

A 65-year-old man was admitted for a tissue biopsy of suspected right middle and lower lobe lung cancer with multiple bone metastases. During hospitalization, he started to cough up blood, which recurred after intubation. The patient experienced asphyxia, which led to cardiopulmonary arrest, but was successfully resuscitated.

View Article and Find Full Text PDF

This report presents a notable approach to treating a locally invasive maxillary ameloblastoma in a 46-year-old woman using an endoscopy-assisted total maxillectomy via a contralateral transmaxillary approach without a subciliary incision. Ameloblastomas, though benign, require radical surgical management due to their aggressive nature and high recurrence rates, especially in the maxilla. Traditional techniques often involve extensive facial incisions, leading to significant scarring and potential complications.

View Article and Find Full Text PDF

A 78-year-old male who was undergoing treatment for diabetes was referred to our department after a chest X-ray revealed an abnormal shadow in the left upper lung field. A chest contrast-enhanced CT showed a tumor in the left upper lobe and a cystic lesion in the left lower lobe. Two aberrant arteries branching from the aorta were identified near the cyst.

View Article and Find Full Text PDF
Article Synopsis
  • The study assessed the effects of prophylactic neck dissection and additional therapy on patients undergoing transoral surgery for hypopharyngeal cancer from 2015 to 2021.
  • Out of 221 patients, a high 3-year local recurrence-free survival rate of 89.1% was observed, but positive margins led to higher rates of regional recurrence and distant metastasis, though local recurrence did not affect overall survival.
  • The conclusion suggests that monitoring for recurrences is important and that prophylactic neck dissection might not be essential for all patients with positive margins.
View Article and Find Full Text PDF

Arylacetamide deacetylase (AADAC) catalyzes the hydrolysis of small molecules containing ester and amide bonds. Recently, it has been reported that AADAC can suppress reactive oxygen species production in cancer cells. This study aimed to elucidate the possibility that AADAC protects against drug-induced liver injury accompanied by oxidative stress and to explore its molecular mechanisms.

View Article and Find Full Text PDF
Article Synopsis
  • * Six surgeons participated in a cross-over study comparing their experiences with and without the wearable chair, using heart rate variations and a visual analog scale to gauge fatigue, comfort, balance, and localized pain.
  • * Results indicated no significant negative effects from using the wearable chair, suggesting that it could be smoothly integrated into surgical practices without major concerns regarding discomfort or strain for surgeons.
View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to analyze the electromyography (EMG) activity of the biceps femoris (BF) muscle during the Nordic hamstring exercise (NHE) before and after a critical angle known as the break-point angle (BPA), using data collected through a smartphone app.
  • - Researchers set out to validate the hypothesis that BF EMG activity would peak at the BPA and then gradually decline, measuring activity through specific knee flexion angles during the exercise.
  • - Findings indicated there was no significant difference in EMG activity at BPA compared to peak activity, but BF EMG significantly decreased 20-25° after BPA, emphasizing the need for knee flexion exercises to maintain higher BF EMG at certain angles
View Article and Find Full Text PDF
Article Synopsis
  • Primary bladder lymphoma is usually seen as a favorable condition due to low-grade lymphomas mostly found in the bladder, but cases with extravesical extension, especially diffuse large B-cell lymphoma (DLBCL), show varied clinical outcomes.
  • A detailed analysis of 47 patients, including one case of a 77-year-old man misdiagnosed with a severe urinary infection, revealed the complexities in diagnosing bladder lymphomas and highlighted that DLBCL is more common in extravesical cases.
  • The study emphasizes the need for careful diagnosis and tailored treatment strategies for patients with primary bladder lymphoma and extravesical extension due to their distinct clinical challenges and poor prognostic implications.
View Article and Find Full Text PDF

Background: The mechanism for memory T helper (Th) cell differentiation in malignant pleural effusion (MPE) of non-small cell lung cancer (NSCLC) is poorly understood. MicroRNAs (miRNAs), as small non-coding RNA that regulate gene expression, play a crucial role in the regulation of memory Th cell differentiation. However, whether miRNAs can inhibit the differentiation of memory Th cells in MPE of NSCLC has not been reported.

View Article and Find Full Text PDF

Objectives: Rheumatoid arthritis (RA) is sometimes complicated by interstitial lung disease (ILD) with a poor prognosis. A single nucleotide variant (SNV) in MUC5B was associated with ILD in European RA patients. However, associations of this SNV were not found in Japanese RA patients, because its frequency in Japanese populations is very low.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Objective: Detrusor underactivity (DU) is a common cause of lower urinary tract symptoms (LUTS). To date, no consensus has been reached on the urodynamic criteria for defining DU. We previously proposed the area under the curve of the Watts factor (WF-AUC) as a new parameter for diagnosing DU.

View Article and Find Full Text PDF
Article Synopsis
  • The study assessed the link between excessive maternal weight gain during pregnancy and the risk of prolonged labor among Japanese women, focusing on a large cohort from the Japan Environment and Children's Study (JECS).
  • It found that excessive weight gain significantly increased the likelihood of prolonged labor, with a notable incidence of 10.2% in first-time mothers and 6.1% in mothers who had given birth before.
  • Analysis showed that women with excessive weight gain had longer median labor durations compared to those with normal weight gain, indicating a clear association between weight gain and complications during labor.
View Article and Find Full Text PDF

Isolation of tumor-specific T cells and their antigen receptors (TCRs) from malignant pleural effusions (MPE) may facilitate the development of TCR-transduced adoptive cellular immunotherapy products for advanced lung cancer patients. However, the characteristics and markers of tumor-specific T-cells in MPE are largely undefined. To this end, to establish the phenotypes and antigen specificities of CD8 T cells, we performed single-cell RNA and TCR sequencing of samples from three advanced lung cancer patients.

View Article and Find Full Text PDF

Situs inversus complicates diagnosis and treatment due to the mirrored organ placement in relation to normal anatomy. This report describes a 78-year-old female patient with situs inversus totalis who underwent laparoscopic cholecystectomy and laparoscopic common bile duct exploration for cholecystolithiasis and choledocholithiasis. Utilizing the "French mirror technique" for port placement, the surgeon adeptly mirrored standard maneuvers with a 2-mm needle forceps in the left hand and a 5-mm forceps in the right in a reversed anatomical setting.

View Article and Find Full Text PDF

Background: Currently, there is no consensus regarding the relationship between neonatal transfer and duration of hospitalization in cases of impaired mother-infant bonding (MIB). This study aimed to determine whether neonatal transfer and duration of hospitalization of newborns increase the risk for impaired MIB.

Methods: The MIB Scale was used to assess impaired MIB 1 year after delivery, using data from the Japan Environment and Children's Study.

View Article and Find Full Text PDF

Objective: Transoral surgery is a minimally invasive treatment but may cause severe dysphagia at a lower rate than chemoradiotherapy.

Methods: We compared clinical information, surgical complications, and swallowing function in patients who underwent transoral nonrobotic surgery for laryngo-pharyngeal squamous cell carcinoma between 2015 and 2021 in a multicenter retrospective study.

Results: Six hundred and forty patients were included.

View Article and Find Full Text PDF

Purpose: Mucosal melanoma of the head and neck (MMHN) is a rare condition. This study aimed to investigate oncological outcomes of surgical intervention in patients with MMHN.

Materials And Methods: The study included 34 patients with MMHN who underwent surgical resection as initial treatment at 10 institutions in Japan between July 2005 and June 2015.

View Article and Find Full Text PDF

Background: Light transmission aggregometry (LTA) is the most widely used laboratory method for an initial screening of patients with a suspected platelet function defect (PFD), and its use has also been proposed for assessing the efficacy of antiplatelet treatment (APT). An automated LTA method has been developed by Sysmex (Kobe, Japan) on a routine coagulation analyzer (CS-2400), together with a new research parameter called PAL (platelet aggregation level) to evaluate patients on APT.

Materials And Methods: We evaluated the performance of CS-2400 compared to a stand-alone lumi-dual-aggregometer device in the diagnosis of PFD and in assessing the efficacy of APT.

View Article and Find Full Text PDF

Background: Hypopharyngeal carcinoma is likely to spread to the lymph nodes, but there is no established strategy for management in transoral surgery.

Methods: We compared oncologic and functional outcomes in a retrospective multicenter study of patients who underwent transoral surgery for hypopharyngeal carcinoma between 2015 and 2021.

Results: Two-hundred and thirty-two patients were included.

View Article and Find Full Text PDF
Article Synopsis
  • The study looks at a way to predict if certain lung nodules (called pGGNs) will grow using a computer program that analyzes chest CT images.
  • Researchers created different models to make these predictions based on images labeled by doctors.
  • The best model showed it could predict growth with decent accuracy, helping improve understanding of lung nodules over time.
View Article and Find Full Text PDF

Background: Emicizumab is a bispecific humanized monoclonal antibody that shortens the activated partial thromboplastin time (aPTT), making aPTT-based tests unreliable.

Objectives: To evaluate the efficacy of a mixture of 2 anti-idiotype monoclonal antibodies (anti-emi) in neutralizing emicizumab in samples from persons with hemophilia A treated with emicizumab.

Methods: Fifty samples from persons with hemophilia A treated with emicizumab were analyzed for aPTT and factor VIII procoagulant activity; FVIII inhibitor titer was measured using Nijmegen-Bethesda assay in 50 plasma samples of additional patients (positive for FVIII inhibitor) treated with emicizumab.

View Article and Find Full Text PDF

The first total synthesis of (-)-merrillianin (), which is a natural sesquiterpene with a tricyclic structure having a cyclopentane ring and five- and seven-membered lactone parts, is demonstrated. This asymmetric total synthesis enabled the absolute stereostructure determination of naturally occurring (-)-.

View Article and Find Full Text PDF

War is an extreme form of collective human behaviour characterized by coordinated violence. We show that this nature of war is substantiated in the temporal patterns of conflict occurrence that obey power law. The focal metric is the interconflict interval (ICI), the interval between the end of a conflict in a dyad (i.

View Article and Find Full Text PDF