Publications by authors named "Shiraiwa T"

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  • Distant recurrence of non-muscle invasive bladder cancer is a rare and challenging condition to detect during follow-up.
  • A 73-year-old woman with a history of bladder cancer developed tumors in her axilla, lungs, lymph nodes, and adrenal glands, initially misdiagnosed as metastatic breast cancer.
  • The diagnosis was corrected to metastatic urothelial carcinoma after a biopsy, emphasizing the need to consider bladder cancer as a potential source of distant metastases even when there's no sign of recurrence in the urinary tract.
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  • - Choriocarcinoma syndrome with lung metastases often leads to severe respiratory issues and a poor prognosis, but extracorporeal membrane oxygenation (ECMO) can help maintain oxygen levels until chemotherapy starts working.
  • - A case involved a 35-year-old man with a testicular tumor and lung metastases who required ECMO due to significant breathing difficulties; his condition improved after chemotherapy reduced the lung tumors.
  • - Although ECMO was successful temporarily, the patient ultimately succumbed to brain metastases four months later, highlighting the dire outcomes associated with advanced choriocarcinoma syndrome.
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  • * Researchers tested 1,000 patients and found that those with lower chewing and motor skills had significantly higher rates of serious health issues over a median follow-up of about 36.6 months.
  • * Results showed a clear inverse relationship: better masticatory and tongue-lip function corresponded with lower incidences of adverse health events, such as death and diseases, highlighting the importance of oral motor skills in overall health for these patients.
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  • * A high-throughput proteome analysis identified 4947 proteins in Brassica, with 370 showing significant changes in abundance linked to essential processes like energy metabolism, photosynthesis, and heavy metal detoxification.
  • * Key proteins involved in Cd detoxification, such as glutathione S-transferase and ATP sulfurylase, suggest potential pathways for improving Cd tolerance, which could aid breeders in developing safer oilseed crops to enhance global food security.
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The separation of P, K, and Mg from surplus activated sludge (SAS) was investigated using existing sludge treatment facilities and the thickened primary sludge (TPS). The addition of the TPS to the SAS storage tank accelerated the anaerobic release of the three elements from SAS with maximum efficiencies of about 60%. The efficiency of P release showed a significant correlation with the oxidation-reduction potential.

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Background: Sodium-glucose cotransporter 2 (SGLT2) inhibitors reduce the urinary albumin-to-creatinine ratio (UACR) in patients with elevated levels of albuminuria in the presence or absence of heart failure (HF) or type 2 diabetes mellitus (T2D). However, these effects have not yet been reported in the presence of both HF and T2D. This lack of evidence prompted us to conduct a clinical trial on the effects of dapagliflozin on UACR in patients with HF and T2D.

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  • The study explored the link between COVID-19 vaccination history and symptoms at diagnosis among 2,566 individuals suspected of having the virus in Japan from January to September 2022.
  • While vaccination did not significantly impact symptoms in those who tested negative, it showed an inverse relationship with body temperature in COVID-19-positive individuals, indicating that those vaccinated more recently (within 2 months) had lower fevers.
  • Additionally, individuals who were vaccinated more than 10 months prior or not vaccinated at all reported higher rates of fatigue and headaches, while recently vaccinated individuals reported more common cold symptoms like rhinorrhea, sore throat, and cough.
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Cadmium (Cd) is a toxic substance that is uptake by plants from soils, Cd easily transfers into the food chain. Considering global food security, eco-friendly, cost-effective, and metal detoxification strategies are highly demandable for sustainable food crop production. The purpose of this study was to investigate how citric acid (CA) alleviates or tolerates Cd toxicity in Brassica using a proteome approach.

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  • * 600 participants underwent CGM and carotid artery imaging at the start and after 104 weeks to assess changes in atherosclerosis, primarily measuring intima-media thickness (IMT) and grey-scale median (GSM).
  • * Results showed slight increases in mean IMT and thickened-lesion GSM over the study period, with significant associations found between baseline CGM-derived metrics (time in range and coefficient of variation) and changes in mean GSM over time.
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We previously reported in the study of preventive effects of alogliptin on diabetic atherosclerosis (SPEAD-A) that alogliptin, a dipeptidyl peptidase-4 (DPP-4) inhibitor, attenuated the progression of carotid atherosclerosis in subjects with type 2 diabetes and no history of cardiovascular disease. This extension study of the SPEAD-A trial investigated whether early alogliptin initiation improved long-term cardiovascular outcomes. The SPEAD-A trial randomized 341 subjects with type 2 diabetes to either alogliptin or conventional treatment to investigate the effects of alogliptin on atherosclerosis.

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  • This study evaluated the long-term impacts of tofogliflozin, an SGLT2 inhibitor, on atherosclerosis and key health markers in type 2 diabetes patients without cardiovascular disease.
  • Over a 2-year period, both tofogliflozin and conventional treatments reduced carotid intima-media thickness, but with no notable difference between the two groups.
  • Tofogliflozin showed advantages in improving blood sugar, cholesterol, BMI, waist circumference, and blood pressure compared to conventional treatment, while safety metrics were not significantly different between groups.
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  • - This study investigated how changing from injectable semaglutide to oral semaglutide affects daily blood sugar levels in patients with type 2 diabetes.
  • - After the switch, average glucose levels increased by 9 mg/dL, and there was greater variation in glucose levels among patients.
  • - Treatment satisfaction varied widely, with 48% of participants preferring the oral version, while 35% stuck with the injectable, and 17% had no preference.
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There is limited evidence on the blood pressure (BP)-lowering effect of esaxerenone on home BP, including nighttime BP. Using two newly developed nocturnal home BP monitoring devices (brachial and wrist), this multicenter, open-label, prospective study investigated the nighttime home BP-lowering effect of esaxerenone in patients with uncontrolled nocturnal hypertension being treated with an angiotensin receptor blocker (ARB) or calcium-channel blocker (CCB). In total, 101 patients were enrolled.

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  • The study aimed to develop a simple, non-invasive method to measure how well soybean seedlings heal from wounds by analyzing their fluorescence characteristics.
  • The researchers created wounds on the stems of soybean seedlings and recorded changes in fluorescence over 96 hours, noting a decline in fluorescence intensity as healing progressed.
  • Observations indicated that the presence of substances like lignin or suberin increased during healing, suggesting that UV fluorescence could serve as a new way to assess plant wound healing ability.
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The 7075 aluminum alloy is a promising material for the aerospace industry due to its combination of light weight and high strength. This study proposed a method for predicting fatigue crack initiation of the 7075 aluminum alloy by crystal plasticity finite element analysis considering microstructures. In order to accurately predict the total fatigue life, it is necessary to calculate the number of cycles for fatigue crack initiation, small crack growth, and long crack growth.

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Photosynthetic induction, which is the response of the CO assimilation rate to a stepwise increase in light intensity, potentially affects plant carbon gain and crop productivity in field environments. Although natural variations in photosynthetic induction are determined by CO supply and its fixation, detailed factors, especially CO supply, are unclear. This study investigated photosynthesis at steady and non-steady states in three rice (Oryza sativa L.

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The culmination of conventional yield improving parameters has widened the margin between food demand and crop yield, leaving the potential yield productivity to be bridged by the manipulation of photosynthetic processes in plants. Efficient strategies to assess photosynthetic capacity in crops need to be developed to identify suitable targets that have the potential to improve photosynthetic efficiencies. Here, we assessed the photosynthetic capacity of the Japanese soybean mini core collection (GmJMC) using a newly developed high-throughput photosynthesis measurement system "MIC-100" to analyze physiological mechanisms and genetic architecture underpinning photosynthesis.

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Green stem disorder (GSD) of soybean is characterized by delayed leaf and stem maturation despite normal pod maturation. Previous studies have suggested that GSD occurrence is promoted by a high source-sink ratio, which is produced by thinning or shade removal at the R5 growth stage (the beginning of seed filling). Here the effects of different times and durations of shade removal after the R5 stage on GSD severity were analyzed.

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Background: The current study aimed to reveal the correlation of beta-cell function and insulin sensitivity with glycemic control and weight control before and after medical nutrition therapy (MNT) in patients with newly-diagnosed type 2 diabetes mellitus.

Methods: We retrospectively analyzed consecutive 68 patients with newly-diagnosed type 2 diabetes mellitus who started MNT without antihyperglycemic medications and underwent a 75-g oral glucose tolerance test (OGTT) before and after the therapy. Beta-cell function was evaluated by the OGTT-derived disposition index, whereas insulin sensitivity was evaluated by Matsuda's insulin sensitivity index.

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Objective This study aimed to reveal the screening performance of a color-changeable chewing gum test for a decreased masticatory function in the assessment of oral hypofunction in patients with metabolic diseases. Methods We analyzed 1,000 patients with metabolic diseases, including diabetes, dyslipidemia, hypertension, and hyperuricemia. A decreased masticatory function was diagnosed by a gummy jelly test.

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Introduction: Treatment-related quality of life (QOL) is an important aspect of diabetes management. We evaluated the influence of a sodium-glucose cotransporter 2 (SGLT2) inhibitor, tofogliflozin, on treatment-related QOL in Japanese patients with type 2 diabetes mellitus (T2DM).

Methods: This is the prespecified subanalysis study of the "Using TOfogliflozin for Possible better Intervention against Atherosclerosis for type 2 diabetes patients (UTOPIA)" trial.

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Citric acid (CA), as an organic chelator, plays a vital role in alleviating copper (Cu) stress-mediated oxidative damage, wherein a number of molecular mechanisms alter in plants. However, it remains largely unknown how CA regulates differentially abundant proteins (DAPs) in response to Cu stress in L. In the present study, we aimed to investigate the proteome changes in the leaves of L.

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Background: The association between glucose variability and the progression of atherosclerosis is not completely understood. We aimed to evaluate the associations of glucose variability with the progression of atherosclerosis in the early stages.

Methods: We conducted a cross-sectional analysis to investigate the associations of glucose variability, assessed by continuous glucose monitoring, with intima-media thickness (IMT) and gray-scale median (GSM) of the carotid arteries, which are different indicators for the progression of atherosclerosis.

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Introduction: Preventing the development and progression of diabetic microvascular complications through optimal blood glucose control remains an important challenge. Whether metrics based on continuous glucose monitoring are useful for the management of diabetic microvascular complications is not entirely clear.

Research Design And Methods: This is an exploratory analysis of an ongoing prospective, multicenter, 5-year follow-up observational study.

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Aims/introduction: This study aimed to reveal lifestyle changes and their impact on glycemic control and weight control in patients with diabetes during the coronavirus disease 2019 (COVID-19) pandemic in Japan.

Materials And Methods: We retrospectively analyzed 1,402 outpatients with diabetes at a clinic in Osaka, Japan, who responded to an interview sheet regarding lifestyle changes during the COVID-19 pandemic between 28 March and 30 May 2020. The association of lifestyle changes with hemoglobin A1c (HbA1c) and weight changes from February to May 2020 was investigated using the linear regression model.

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