Publications by authors named "Toshiaki Sato"

Article Synopsis
  • Anaemia can occur in patients with polycythemia vera (PV) due to iron deficiency from phlebotomy and the effects of treatment.
  • In recent studies involving 78 patients treated with ropeginterferon alfa-2b, there was no significant occurrence of severe anaemia, with only minor cases reported that resolved.
  • Ropeginterferon alfa-2b effectively manages PV while maintaining healthy haemoglobin levels, indicating it does not significantly impact normal red blood cell production.
View Article and Find Full Text PDF

Introduction: The clinical efficacy of left bundle branch area pacing (LBBAP) has not been fully elucidated in patients with atrioventricular block and mild to moderately reduced left ventricular ejection fraction (LVEF). This study evaluated the impact of LBBAP on patients with an LVEF of ≤50% and dependent on ventricular pacing.

Methods And Results: Thirty-seven patients with atrioventricular block underwent successful LBBAP.

View Article and Find Full Text PDF

Ropeginterferon alfa-2b (Ropeg) is approved for the treatment of adults with polycythemia vera (PV). This report aims to analyze the ethnic sensitivity of Ropeg for the treatment of PV, comparing the pharmacokinetics (PK), efficacy, and safety profiles across diverse ethnic groups. We conducted a relevant review of PV and analysis of data obtained from clinical studies involving Ropeg.

View Article and Find Full Text PDF

Ropeginterferon alfa-2b (ropegIFN), a new-generation interferon-based agent, has been approved in Japan for patients with polycythemia vera (PV) who are ineligible for or respond inadequately to conventional treatment. However, long-term outcomes with ropegIFN in Japanese patients have not been reported. This extension of a phase 2 study of ropegIFN in Japanese patients with PV aimed to determine its long-term safety/efficacy, and changes over time in JAK2 V617F allele burden.

View Article and Find Full Text PDF

Primary myelofibrosis (PMF) is the most aggressive of the myeloproliferative neoplasms and patients require greater attention and likely require earlier therapeutic intervention. Currently approved treatment options are limited in their selective suppression of clonal proliferation resulting from driver- and coexisting gene mutations. Janus kinase inhibitors are approved for symptomatic patients with higher-risk PMF.

View Article and Find Full Text PDF

Background: Inertial measurement unit (IMU)-based motion sensors are affordable, and their use is appropriate for rehabilitation. However, regarding the accuracy of estimated angle information obtained from this sensor, it is reported that it is likely affected by velocity.

Objective: The present study investigated the reliability and validity of the angle information obtained using IMU-based sensors compared with a three-dimensional (3D) motion analyzer.

View Article and Find Full Text PDF

Background: Bending the trunk forward and backward while standing are common daily activities and can have various patterns. However, any dysfunction in these movements can considerably affect daily living activities. Consequently, a comprehensive evaluation of spinal motion during these activities and precise identification of any movement abnormalities are important to facilitate an effective rehabilitation.

View Article and Find Full Text PDF

Background: Polycythemia vera (PV) is a myeloproliferative neoplasm. Ropeginterferon alfa-2b is a new-generation polyethylene glycol-conjugated proline-interferon. It is approved for the treatment of PV at a starting dose of 100 µg (50 µg for patients receiving hydroxyurea (HU)) and dose titrations up to 500 µg by 50 µg increments.

View Article and Find Full Text PDF

Aim: To examine how supporters working at after-school daycare centres, who are involved in the lives of children with profound intellectual and multiple disabilities in the community, pay attention to the sensory characteristics of these children and provide support.

Design: A qualitative descriptive design.

Methods: Data were collected through semi-structured interviews with 20 supporters in after-school daycare centres.

View Article and Find Full Text PDF

Background: Left bundle branch area pacing (LBBAP) is a novel conduction system pacing technique. In this multicenter study, we aimed to evaluate the procedural success, safety, and preoperative predictors of procedural failure of LBBAP.

Methods: LBBAP was attempted in 285 patients with pacemaker indications for bradyarrhythmia, which were mainly atrioventricular block (AVB) (68.

View Article and Find Full Text PDF

Aims: Left bundle branch area pacing (LBBAP) is a potential alternative to His bundle pacing. This study aimed to investigate the impact of different septal locations of pacing leads on the diversity of QRS morphology during non-selective LBBAP.

Methods And Results: Non-selective LBBAP and left ventricular septal pacing (LVSP) were achieved in 50 and 21 patients with atrioventricular block, respectively.

View Article and Find Full Text PDF

Ropeginterferon alfa-2b represents a new-generation pegylated interferon-based therapy and is administered every 2-4 weeks. It is approved for polycythemia vera (PV) treatment in the United States and Europe with a starting dose of 100 µg (50 µg for patients receiving hydoxyurea) and intra-patient dose titrations up to 500 µg at 50 µg increments, which took approximately 20 or more weeks to reach a plateau dose level. This study aimed to assess ropeginterferon alfa-2b at an alternative dosing regimen with a higher starting dose and quicker intra-patient dose titrations, i.

View Article and Find Full Text PDF

Introduction: Neuromuscular electrical stimulation (NMES) induces neural plasticity of the central nervous system (CNS) and improves motor function in patients with CNS lesions. However, the extended stimulus duration of NMES reduces its clinical applicability. Transcutaneous spinal direct current stimulation (tsDCS), which increases afferent input, may enhance the effects and reduce the stimulus duration of NMES.

View Article and Find Full Text PDF
Article Synopsis
  • Conduction system pacing (CSP), featuring His bundle pacing (HBP) and left bundle branch area pacing (LBBAP), is a more natural method for controlling heartbeats and may be a better option than traditional right ventricular pacing.
  • CSP improves electrical activity and helps synchronize the heart, which is crucial for preventing issues like heart failure and arrhythmias.
  • While HBP has shown benefits for patients with bradycardia, challenges like high capture thresholds exist, but LBBAP offers a promising alternative that addresses these limitations and might enhance treatment effectiveness for heart failure patients.
View Article and Find Full Text PDF
Article Synopsis
  • A study evaluated a wristwatch-type continuous pulse wave monitor (PWM) for detecting asymptomatic atrial fibrillation in high-risk patients and those with known atrial fibrillation.
  • The PWM's detection accuracy was high; it had a sensitivity of 98.0% and specificity of 90.6%, diagnosing 48 out of 55 known cases and two in the high-risk group.
  • The findings suggest that the wristwatch PWM is a practical tool for screening atrial fibrillation in everyday life, potentially benefiting older patients who struggle with more complex devices.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to understand the real-world adoption and outcomes of conduction system pacing (CSP), specifically His bundle pacing (HBP) and left bundle branch area pacing (LBBAP), through an online survey conducted from November 2020 to February 2021.
  • Out of 140 institutions across five continents, 127 reported experience with CSP lead implantation, revealing low but increasing adoption rates of CSP compared to traditional pacing methods in 2019.
  • The study concluded that while CSP lead implantation is growing in popularity, it is not yet the standard practice at many institutions, indicating a need for further education and promotion of this technique.
View Article and Find Full Text PDF

Patients diagnosed with high-risk essential thrombocythemia (ET) have limited treatment options to reduce the risk of thrombosis and lessen the progression of the disease by targeting the molecular source. Hydroxyurea is the recommended treatment, but many patients experience resistance or intolerance. Anagrelide is an approved second-line option for ET, but concerns of a higher frequency of disease transformation may affect its role as a suitable long-term option.

View Article and Find Full Text PDF

Objective: In this study, age, endothelial function as flow-mediated dilation (FMD), occlusal force, grip strength, and advanced glycation end products (AGEs) were obtained. AGEs were measured as indicators of aging, while grip strength was measured as an indicator of muscle strength. This study aimed to explain the relationship between occlusal force and endothelial function and determine whether occlusal force can be a new indicator in community preventative care projects.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how multisurface pacemapping can help identify critical sites related to scar-associated ventricular tachycardia (VT) in patients undergoing ablation.
  • Researchers analyzed pacemap parameters in 26 patients, comparing those with and without critical sites, and found significant differences in Δs-QRS and distance between good pacemap sites on surfaces with critical sites.
  • The study concludes that specific temporal and spatial parameters from pacemapping are reliable indicators for detecting the critical site surface in scar-related VT, offering potential for improved ablation outcomes.
View Article and Find Full Text PDF

Ropeginterferon alfa-2b is a novel, site-selective, monopegylated recombinant human interferon alfa-2b. Safety and efficacy of ropeginterferon alfa-2b for the treatment of polycythemia vera were demonstrated in clinical studies conducted in European countries, but clinical studies in Japanese patients are lacking. This phase 2, open-label, multicenter, single-arm study investigated the safety and efficacy of ropeginterferon alfa-2b in 29 Japanese patients with polycythemia vera including young patients and patients with low thrombosis risk who are difficult to receive guideline-based standard treatments.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates predictors of an acceptable capture threshold for the Micra transcatheter pacing system (Micra TPS) prior to its deployment in patients.
  • Researchers assessed the angles of the catheter's gooseneck appearance and the orientation of the device cup using fluoroscopic imaging, finding that specific angles were associated with successful implantation.
  • Results indicated that a deflection angle of ≥6° and an elevation angle of ≤30° were key predictors for achieving a low capture threshold, emphasizing the importance of evaluating catheter shape from multiple views before deployment.
View Article and Find Full Text PDF
Article Synopsis
  • Esophageal injury is a rare but serious risk during atrial fibrillation (AF) ablation, and a specific protocol involving complete isolation of the left atrial posterior wall and pulmonary veins was implemented to minimize this risk.
  • A study evaluated 105 patients undergoing this ablation approach, finding that 72% were free of arrhythmia after an average follow-up of about 22 months.
  • Results showed significant reductions in left atrial size and volume six months post-ablation, even in patients with recurrent AF, indicating that extensive isolation can safely lead to heart remodeling without esophageal complications.
View Article and Find Full Text PDF

This study aimed to investigate the effects of pre-bedtime blue-light exposure on ratio of deep sleep and sleep quality. In this study, 11 healthy young men were exposed to three conditions for 1 h before bedtime: 1) incandescent light, 2) blue-light, or 3) blue light-blocking glasses on. The following morning, subjective sleep quality was measured using the Oguri-Shirakawa-Azumi Sleep Inventory.

View Article and Find Full Text PDF

Objectives: This study investigates the effect of stellate ganglion (SG) phototherapy in healthy participants and assesses its efficacy in suppressing electrical storm (ES) refractory to antiarrhythmic drugs and catheter ablation.

Background: Modulation of the autonomic nervous system has been shown to be an effective adjunctive therapy for ES.

Methods: Ten-minute SG phototherapy was performed twice weekly for 4 weeks in 20 healthy volunteers.

View Article and Find Full Text PDF