Publications by authors named "Stephen Kimura"

Background: Inflammation and immune dysregulation have been associated with adverse outcomes in cardiovascular disease. There is limited understanding of the association of different profiles of white blood cell (WBC) subsets and red cell distribution width (RDW) in patients with chronic limb-threatening ischemia (CLTI).

Methods: Patients with CLTI undergoing endovascular revascularization in our single-center, tertiary care hospital from 2017 to 2019, who had a preceding complete blood count (CBC) with WBC differentials ( =213), were included in the analysis.

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Although severe vitamin B12 deficiency is rare in the United States, recent increases in the adoption of vegan lifestyles have led to a significant rise in the rates of B12 deficiency, along with its hematologic and neurologic sequelae, the latter of which is often irreversible. We describe a case of a 39-year-old male who presented with a several-month history of progressively worsening word-finding difficulties, shortness of breath, and a four-day history of bilateral hand numbness and tingling. Laboratory data revealed pancytopenia with profound anemia.

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Article Synopsis
  • The study aimed to evaluate the geriatric nutritional risk index (GNRI) in patients with chronic limb-threatening ischemia (CLTI) and its association with adverse outcomes.
  • Researchers analyzed data from 255 patients who underwent endovascular interventions for CLTI and found that lower GNRI scores were linked to higher rates of major adverse limb events, mortality, and major amputations.
  • The results suggest that GNRI can be a valuable indicator of frailty and risks in this patient population, prompting the need for better identification and management strategies to improve long-term health outcomes.
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Background: Allergic rhinoconjunctivitis patients are often treated with nasal or systemic allergy therapy, forgoing therapy for ocular symptoms. This treatment regimen leaves important aspects of the allergic reaction untreated and affects quality of life (QoL). The Rhinoconjunctivitis Quality of Life Questionnaire and the Allergic Conjunctivitis Quality of Life Questionnaire quantify separate aspects of QoL.

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