Publications by authors named "Takuji Adachi"

Background And Aims: Although the phase angle (PhA), a measure of frailty and sarcopenia, determined by bioelectrical impedance analysis has been reported as a prognostic factor after cardiovascular surgery, few studies have reported the trajectory of the PhA after discharge. In this study, we examined the trajectory of the PhA along with conventional physical function measures and explored the factors associated with recovery for 6 months after hospital discharge in patients who had undergone cardiovascular surgery.

Methods: We included 116 patients who underwent elective cardiovascular surgery and cardiac rehabilitation after discharge.

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  • The study focused on the rate of force development (RFD) in older patients with cardiovascular disease (CVD) to assess its reliability and validity as a measure of muscle contraction during rehabilitation.
  • It involved 30 outpatients and 30 inpatients over the age of 76, measuring quadricep RFD at three different time intervals and evaluating physical performance with the Short Physical Performance Battery (SPPB).
  • Results showed excellent reliability for RFD in older patients and a positive correlation between RFD values and physical function indicators, indicating RFD's potential effectiveness for assessing physical rehabilitation in this population.
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Natural Killer (NK) cells are pivotal in immune responses to viral infections, malignancies, autoimmune diseases, and transplantation. Assessment of NK cell adhesion, migration, and cytotoxicity is fundamental for in vitro studies. We propose a novel live-cell tracking method that addresses these three major aspects of NK cell function using human NK cells and primary porcine aortic endothelial cells (PAECs) in two-dimensional (2D) static assays and an in-house cylindrical 3D microfluidic system.

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Correlation functions are nowadays routinely computed using time-tagged photon information instead of a hardware autocorrelator. The algorithm developed by Laurence et al. [Opt.

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  • The study focused on the prognostic value of phase angle (PhA), a measure of cellular health, in predicting long-term mortality among older patients undergoing cardiovascular surgery.
  • Researchers conducted a retrospective analysis of 858 patients who underwent surgery from October 2016 to March 2021, measuring PhA and various physical function metrics like gait speed and grip strength before the surgeries.
  • Results indicated that higher PhA levels correlated with better physical function and were linked to improved survival rates after surgery, emphasizing the potential use of PhA as a valuable prognostic indicator.
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Objective: To investigate the association of nutritional risk with gait function and activities of daily living (ADLs) in older adult patients with hip fractures.

Methods: The retrospective data of older adult patients diagnosed with hip fractures who visited the recovery-phase rehabilitation ward between January 2019 and December 2022 were reviewed. Nutritional risk was evaluated using the Geriatric Nutritional Risk Index; gait function and ADLs were assessed using the modified Harris Hip Score subitem and Functional Independence Measure, respectively.

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Morphology governs function. Yet, understanding and controlling the emergence of morphology at the molecular level remains challenging. The difficulty in studying the early stage of morphology formation is due to its stochastic nature both spatially and temporally occurring at the nanoscale.

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Objectives: Currently available questionnaires have limited ability to measure physical activity (PA) using accelerometers as a gold standard. This study aimed to develop a PA questionnaire for middle-aged Japanese workers and propose a PA scoring system for predicting low moderate-to-vigorous PA (MVPA).

Methods: A total of 428 participants (median age 49 years; 75.

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Background: Despite the prognostic importance of walking speed (WS) and handgrip strength (HGS) in patients with heart failure (HF), no study has reported the prognostic impact of changes in these parameters. This study aimed to examine the association between changes after discharge and the subsequent prognosis.

Methods: This study included 881 elderly patients hospitalized for HF.

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  • Cognitive decline in older heart failure patients significantly increases the risk of cardiovascular events after discharge, potentially doubling the incidence.
  • The study involved 146 hospitalized patients with heart failure, where cognitive decline was measured using a Rapid Dementia Screening Test score.
  • Findings suggest that cognitive assessments are valuable for predicting worsening cardiovascular conditions in heart failure patients.
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Objectives: Cardiac rehabilitation (CR) is a class I recommendation in the treatment guidelines for cardiovascular disease; however, its postoperative prognostic effects after surgery are not fully understood. Therefore, this study aimed to examine the effect of multidisciplinary outpatient CR on postdischarge all-cause mortality in patients who underwent cardiovascular surgery.

Methods: This retrospective cohort study included consecutive patients who underwent elective cardiovascular surgery between April 2015 and March 2021.

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Aims: Malnutrition is prevalent among patients with heart failure (HF); however, the effects of coexisting malnutrition and frailty on prognosis are unknown. This study examines the impact of malnutrition and frailty on the prognosis of patients with HF.

Methods And Results: We examined 1617 patients with HF aged 65 years or older (age: 78.

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Carbamate is an emerging class of a polymer backbone for constructing sequence-defined, abiotic polymers. It is expected that new functional materials can be designed by controlling the primary polycarbamate sequence. While amino acids have been actively studied as building blocks for protein folding and peptide self-assembly, carbamates have not been widely investigated from this perspective.

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Dynamic light scattering (DLS) is a widely applied technique in multiple scientific and industrial fields for the size characterization of nanoscale objects in solution. While DLS is typically applied to characterize systems under static conditions, the emerging interest in using DLS on temporally evolving systems stimulates the latent need to improve the time resolution of measurements. Herein, we present a DLS microscopy setup (micro-DLS) that can accurately characterize the size of particles from autocorrelation functions built from sub-100 ms time windows, several orders of magnitude faster than previously reported.

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  • Physical frailty negatively impacts the use of life-saving medications in patients with heart failure, with less frail patients being more likely to receive recommended therapies.
  • In a study of 1,041 hospitalized heart failure patients, as frailty increased, the prescription rates for essential drugs like ACE inhibitors and β-blockers dropped significantly.
  • Patients receiving fewer heart failure medications faced a higher risk of death or rehospitalization, emphasizing the importance of proper treatment regardless of frailty status.
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Background: Research regarding cardiac rehabilitation (CR) in the prognosis of heart failure (HF) patients and frailty remains lacking. Here, the effects of CR on the 2-year prognosis of HF patients were examined according to their frailty status.

Methods: This multicenter prospective cohort study enrolled patients hospitalized for HF.

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Background: This study aimed to clarify factors affecting changes in moderate to vigorous physical activity (MVPA) in patients 1 to 3 months after undergoing percutaneous coronary intervention (PCI).

Methods: In this prospective cohort study, we enrolled patients aged <75 years who underwent PCI. MVPA was objectively measured using an accelerometer at 1 and 3 months after hospital discharge.

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Background: Elderly patients with acute myocardial infarction (AMI) are a high-risk population for heart failure (HF), but the association between physical frailty and worsening prognosis, including HF development, has not been documented extensively.

Methods and results: As part of the FLAGSHIP study, we enrolled 524 patients aged ≥70 years hospitalized for AMI and capable of walking at discharge. Physical frailty was assessed using the FLAGSHIP frailty score.

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The redox state of human serum albumin (HSA) is reported to be an oxidative stress biomarker; however, its clinical use in cardiac disease has not yet been examined. This study aimed to investigate the relation between the redox state of HSA and exercise capacity, which is a robust prognostic factor, in patients with cardiovascular disease. This cross-sectional study included outpatients with cardiac disease.

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The correlation between personality traits and health outcomes of primary prevention has been examined. However, there is a lack of evidence on the association between the assessment of personality traits and medication adherence for secondary prevention of cardiovascular disease. Thus, this study aimed to explore the association between personality traits and medication adherence, including compliance to prescribed medications and attitudes toward taking medications among patients with cardiovascular disease.

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  • * It reveals that full 2-electron photoreduction of PDI can be accomplished using UVC light, either through direct photoreduction in anaerobic conditions or indirect photoreduction in aerobic conditions via acetone ketyl radicals.
  • * Additionally, this efficient photoreduction method can be extended to other dyes like naphthalenediimide (NDI) and methylviologen (MV), and it is particularly promising for future use in light-driven systems and materials.
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We have investigated the biomineralisation of barite ‒a useful proxy for reconstructing paleoproductivity‒ in a freshwater alga, Spirogyra, by combining in vitro and in vivo approaches to unveil the nature of its barite microcrystals. Scanning electron microscope (SEM) and energy-dispersive X-ray spectroscopy (EDXS) observations on simply dried samples revealed that the number and size of barite crystals were related to the barium concentration in the media. Additionally, their morphology showed a crystallographic face (011), which is not normally observed, suggesting the influence of organic molecules on the growth kinetics.

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