Publications by authors named "Tamaki Y"

Background: Recently, the number of patients with metabolic dysfunction-associated steatotic liver disease (MASLD) and its more advanced condition, metabolic dysfunction-associated steatohepatitis (MASH), has been increasing. These patients are at a higher risk of cardiovascular events and thromboembolism. However, the direct impact of high-fat diet (HFD), a cause of MASLD, on liver coagulation function is not well understood.

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  • Malignant psoas syndrome is caused by tumor infiltration of the psoas muscle, leading to severe, challenging pain management with no established definitive treatments.
  • A case study of a Japanese man in his 60s showed ineffective pain relief with various medications, prompting the use of palliative radiation therapy.
  • Radiation therapy effectively reduced pain early on and showed no adverse effects, suggesting it should be considered as a viable treatment option for malignant psoas syndrome.
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Thoracic re-irradiation has a high risk of severe adverse events, and re-irradiation with curative intent has rarely been performed. However, in recent years, with the introduction of intensity-modulated radiation therapy (IMRT) and stereotactic body radiation therapy, it has become possible to deliver high doses to the target lesions while minimizing the doses to surrounding tissues. The patient in this case had a history of definitive radiation therapy for esophageal cancer.

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  • Accurate assessment of left ventricular filling pressure in patients with atrial fibrillation is challenging, but a new scoring system called VMT score can visually assess valve opening timings to evaluate this pressure.
  • In a study with 119 patients, the VMT score showed a strong correlation with elevated pulmonary arterial wedge pressure and had a diagnostic accuracy of 87%, outperforming traditional Doppler methods.
  • The findings were validated in a separate group of 189 patients, confirming that a VMT score of 2 or higher indicates significant left ventricular filling pressure elevation, making it a potentially valuable tool in clinical settings.
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Recent progress in materials chemistry has resulted in the development of several ceramic materials that are now being used in dental implants. The advantages of ceramic materials over conventional metallic materials are that they do not induce allergic reactions in individuals with metal allergies, they do not interfere with magnetic resonance imaging, and they provide improved esthetics. In addition, some ceramic materials are tougher than metallic materials and less brittle.

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Photocatalysts can use visible light to convert CO into useful products. However, to date photocatalysts for CO conversion are limited by insufficient long-term stability and low CO conversion rates. Here we report hybrid photocatalysts consisting of conjugated polymers and a ruthenium(ii)-ruthenium(ii) supramolecular photocatalyst which overcome these challenges.

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We established a compact machine perfusion system for whole blood perfusion of rat liver by making use of oxygenation filters as an artificial lung. Livers removed from rats were divided into Krebs-Henseleit (control), 50% blood (hemoglobin: 7 g/dL), and whole blood (hemoglobin: 14 g/dL) groups, then perfused (total perfusate volume: 25 ml) with a small oxygenation filter at 37 °C for 120 min. Blood or perfusate was collected over time, and blood gas and blood cell were measured.

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  • Most heart failure patients show signs of congestion, which can impact prognosis differently based on their left ventricular ejection fraction (LVEF).
  • This study analyzed data from 3,787 patients to evaluate how varying levels of congestion affect outcomes like death and rehospitalization, revealing that severe congestion on admission is linked to worse outcomes in those with LVEF ≥ 40%.
  • The results suggest that while clinical congestion severity affects patients with higher LVEF, it does not have the same effect on those with lower LVEF, indicating a need for further research into congestion's role across different LVEF levels.
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  • Atrial fibrillation (AF) and heart failure with preserved ejection fraction (HFpEF) often occur together, but there's limited guidance on managing patients with both conditions, prompting the need for this study.
  • The study used data from the Fushimi AF Registry in Japan to identify factors predicting serious outcomes (like cardiac death or HF hospitalization) in AF patients with HFpEF, while also testing these predictors in another patient registry.
  • Among 755 patients analyzed, critical risk factors for adverse outcomes included being aged 75 or older and having non-cardiovascular diseases like anemia and diabetes; cardiovascular diseases did not show a significant link to these adverse outcomes.
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Progressive encephalomyelitis with rigidity and myoclonus (PERM) is a rare disease associated with the presence of anti-glycine receptor (GlyR) antibodies. We herein report an autopsy case of an 80-year-old man diagnosed with anti-GlyR antibody-positive PERM who presented with symptoms of oculomotor dysfunction and autonomic failure. Despite intensive immunotherapy, the neurological symptoms showed almost no improvement, and the patient succumbed to aspiration pneumonia and bacterial translocation.

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Inclisiran sodium (Brand name: LEQVIO for s.c. injection syringe 300 ‍mg, hereinafter referred to as inclisiran), a small interfering ribonucleic acid (siRNA) product that targets the mRNA that encodes the proprotein convertase subtilisin/kexin type 9 (PCSK9) protein was approved on September 25, 2023 for the indication of "Familial hypercholesterolemia, hypercholesterolemia" in Japan.

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  • Patients with spinal meningiomas often experience neurological symptoms like paralysis and sensory deficits, but there's little consensus on which imaging findings predict these issues.
  • A study involving 55 patients surveyed their pre-surgery symptoms, such as muscle weakness and sensory disturbances, using medical records and imaging results to categorize them based on severity and tumor characteristics.
  • Results showed that tumor size and length in the sagittal plane were linked to paralysis, while other factors like symptom duration also correlated with sensory disturbances, highlighting the importance of tumor evaluation before treatment.
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Chronic endometritis (CE), an inflammatory condition characterized by plasma cell infiltration within the endometrial stroma, is prevalent among women experiencing unexplained infertility or recurrent miscarriages. CE is traditionally diagnosed by endometrial biopsy using CD138 immunohistochemistry staining. Despite some studies suggesting hysteroscopy as an alternative diagnostic tool, its reliability compared with biopsy remains controversial.

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  • - The study aimed to assess which Doppler profile (hepatic vein systolic filling fraction or SVC peak systolic/diastolic ratio) better indicated elevated right atrial pressure (RAP) in patients with cardiovascular diseases.
  • - It involved 193 patients, measuring Doppler profiles alongside cardiac catheterization, revealing that both profiles inversely correlated with RAP; however, SVC-S/D provided significantly better diagnostic accuracy than HV-SFF.
  • - Findings indicate that SVC-S/D is a more reliable measure for diagnosing elevated RAP compared to HV-SFF, with SVC-S/D showing additional diagnostic value beyond estimated RAP from inferior vena cava morphology.
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Study Design: A retrospective multicenter case series was conducted.

Purpose: This study aimed to investigate survival and prognostic factors after surgery for a metastatic spinal tumor.

Overview Of Literature: Prognostic factors after spinal metastasis surgery remain controversial.

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Aims: In recent years, there has been remarkable development in machine learning (ML) models, showing a trend towards high prediction performance. ML models with high prediction performance often become structurally complex and are frequently perceived as black boxes, hindering intuitive interpretation of the prediction results. We aimed to develop ML models with high prediction performance, interpretability, and superior risk stratification to predict in-hospital mortality and worsening heart failure (WHF) in patients with acute heart failure (AHF).

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Background: Sprengel's deformity is a congenital abnormality of the shoulder girdle. Because scapular retraction, such as the Green procedure, is usually performed during childhood to improve esthetics and shoulder function, Sprengel's deformity is rarely found in older patients.

Case Presentation: We presented a unique case of a Japanese female cadaver with Sprengel's deformity at the age of 80 years.

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Objective: CD19-targeted chimeric antigen receptor T (CAR-T) cell therapy provides a durable response in patients with relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL). The role of fluorine-18-fluorodeoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) for early evaluation of response in patients with that immunotherapy was evaluated.

Subjects And Methods: Three separate F-FDG PET/CT examinations of 53 patients (29 males, 24 females; median 62 years old) with R/R DLBCL were conducted; before bridging therapy [time of decision (TD)], before CAR-T (tisagenlecleucel, n=37; lisocabtagenemaraleucel, n=16) infusion [time of CAR-T infusion (IT)], and one month (M1) after CAR-T infusion.

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Background: The assessment of left ventricular (LV) filling pressure (FP) is important for the management of aortic stenosis (AS) patients. Although, it is often restricted for predict LV FP in AS because of mitral annular calcification and a certain left ventricular hypertrophy. Thus, we tested the predictive ability of the algorithm for elevated LV FP in AS patients and also applied a recently-proposed echocardiographic scoring system of LV FP, visually assessed time difference between the mitral valve and tricuspid valve opening (VMT) score.

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  • The E/e' ratio, which indicates heart filling pressure, is a critical prognostic factor for long-term outcomes in STEMI patients with preserved left ventricular ejection fraction (LVEF).
  • A study divided patients based on their E/e' levels at discharge, revealing that those with high E/e' (>14) had significantly worse outcomes over a median follow-up of 3.9 years compared to those with normal E/e' (≤14).
  • Although E/e' levels in the high group decreased over time, they remained elevated compared to the normal group at one year post-STEMI, further linking high E/e' to adverse health events.
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Vaccines against Shiga toxin (Stx)-producing Escherichia coli (STEC) have not yet been developed. Two immunologically distinct serotypes of Stx (Stx1 and Stx2) are the main virulence factors of STEC. Thus, blocking their B subunits (StxB) from binding to the cell surface receptor globotriaosylceramide (Gb3) efficiently prevents the action of these toxins.

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  • - Rhenium(i) complexes, particularly c-[Re(diimine)(CO)(L)], are commonly researched as photocatalysts for CO reduction, but their selective reduction mechanisms are not fully understood despite various studies.
  • - A new supramolecular photocatalyst, RuC2Re, shows exceptional efficiency and selectivity in producing CO during photocatalytic reactions, with key intermediates identified through time-resolved infrared spectroscopy and steady-state irradiation.
  • - The study clarifies the mechanistic steps in the CO reduction process involving RuC2Re and its intermediate RuC2Re(COOH), including kinetics of recovery processes and the formation of side reaction products that may also participate in CO formation.
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