Publications by authors named "Tsuzuki S"

Background: Despite its demonstrated efficacy in prolonging overall survival (OS) and delaying skeletal-related events in the ALSYMPCA trial, the optimal timing of radium-223 initiation remains unclear. This study investigated factors influencing radium-223 treatment outcomes, including completion rates and survival.

Methods: This retrospective, multi-institutional study included 164 patients with metastatic castration-resistant prostate cancer (CRPC) who received radium-223 therapy.

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Background: The JAVELIN Bladder 100 trial demonstrated improved overall survival (OS) with maintenance avelumab in patients with locally advanced or metastatic urothelial carcinoma UC (la/mUC) who achieved disease control following first-line platinum-based chemotherapy (1 L-PBC). However, real-world data on eligibility, utilization, and outcomes of maintenance avelumab therapy remain limited.

Methods: This retrospective study included patients with la/mUC who received 1 L-PBC.

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Background: The social contact data for Japan as of 2022 showed a substantially decreased number of contacts compared with before the COVID-19 pandemic. However, it is unclear whether social contact continues to be depressed following the end of countermeasures against the pandemic. There is also scarce evidence regarding the influence of influenza-like illnesses (ILIs) on social contacts in Japan.

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Overconsumption of fat contributes to obesity and low adherence to dietary therapy in patients with obesity. The frequency of consuming soup dishes containing "dashi" (Japanese broth), a characteristic element of the Japanese diet, is negatively associated with obesity indicators. The use of dashi is considered one of the reasons why the low-fat Japanese diet is popular; however, whether and how dashi controls the selection and intake of fat is unknown.

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Background: Despite the availability of advanced imaging technologies, it remains difficult to achieve sufficient staging accuracy to ensure a tailored treatment strategy for patients with upper tract urothelial carcinoma (UTUC). The aim of the study was to identify preoperative risk factors for tumor upstaging in patients with UTUC initially staged as clinical T2 or lower and to analyze these factors separately for renal pelvic cancer and ureteral cancer.

Methods: This retrospective study included data from patients with UTUC who underwent nephroureterectomy.

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Article Synopsis
  • The EF-14 clinical trial confirmed the safety and efficacy of tumor-treating fields (TTFields) in glioblastoma, prompting this study to assess its status among Japanese patients meeting the same criteria.
  • A multicenter retrospective analysis was conducted with data from 607 patients, ultimately focusing on 537, where 39% received TTField treatment, highlighting factors like younger age and having a caregiver as key determinants for usage.
  • Results showed that despite high compliance rates (over 75%) and a median usage duration of 11 months, TTFields did not significantly impact progression-free survival or overall survival in patients with glioblastoma.
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The challenge in developing molecule-based electronic materials lies in the uncontrollable or unpredictable nature of their crystal structures, which are crucial for determining both electrical properties and thin-film formability. This review summarizes the findings of a research project focused on the systematic development of crystalline organic semiconductors (OSCs) and organic ferroelectrics by integrating experimental, computational, and data sciences. The key outcomes are as follows: 1) Data Science: We developed a method to identify promising materials from crystal structure databases, leading to the discovery of unique molecule-based ferroelectrics.

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Objectives: The COVID-19 pandemic was associated with a global decrease in antimicrobial consumption (AMC) in 2020. However, the persistence of this downwards trend is not known at a global level. This study examined the global and longer-term trends in AMC after the emergence of COVID-19.

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Purpose: To re-evaluate images recovered from JCOG0911, a randomized phase 2 trial for newly diagnosed glioblastoma (nGBM) conducted by the Japan Clinical Oncology Group (JCOG) Brain Tumor Study Group.

Methods: The correlation between tumor volumes and survival was evaluated, followed by progression-free survival (PFS) analysis by independent central review based on Response Assessment in Neuro-Oncology (RANO) criteria using MRI recovered from 118 nGBM patients enrolled in the JCOG0911 trial. A radiomic analysis was also performed to identify radiomic features predictive of nGBM prognosis.

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The attraction between π-conjugated planar electron donor and acceptor molecules that form many stable charge-transfer (CT) complexes has been explained by quantum chemical CT interactions, although the fundamental origin remains unclear. Here, we demonstrate the mechanism of CT complex formation by potential energy map analysis for TTF-CA and BTBT-TCNQ, using energy decomposition of intermolecular interaction by symmetry-adapted perturbation theory (SAPT) combined with coupled cluster calculation. We find that the source of attraction between donor and acceptor molecules is ascribed primarily to the dispersion force and also to the electrostatic force.

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Purpose: To investigate the effect of studying abroad on catch-up vaccination coverage for measles, rubella, mumps, varicella, and tetanus during the pretravel consultation among young adult travelers.

Methods: This retrospective cohort study analyzed data from the Japan Pretravel Consultation Registry (J-PRECOR) on individuals aged 18-21 years with childhood vaccination records. Propensity score weighting was used to estimate the average treatment effect on the proportion of participants receiving catch-up vaccination.

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Background: Multiparametric magnetic resonance imaging (mpMRI) is increasingly used for the early detection of clinically significant prostate cancer (csPCa). However, the achievement of accurate detection rates, particularly for transition zone (TZ) lesions, remains challenging. We investigated the relationship between apparent diffusion coefficient (ADC) values in Prostate Imaging Reporting and Data System (PI-RADS) 3-5 lesions and csPCa within the TZ.

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Objective: We determined the optimal timing for initiating androgen receptor signaling inhibitor (ARSI) therapy in patients with nonmetastatic castration-resistant prostate cancer (nmCRPC) and assessed its impact on oncological outcomes.

Materials And Methods: This retrospective study included 145 nmCRPC patients who received enzalutamide, apalutamide or darolutamide at the Jikei University Hospital or its affiliated institutions between May 2014 and November 2022. Patients were stratified based on prostate-specific antigen (PSA) doubling time (PSADT) at CRPC diagnosis and PSA levels at ARSI initiation.

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Gelation of sulfolane-based highly concentrated electrolytes using a partially fluorinated polymer enhances the Li-ion transference number of the electrolytes because acidic protons surrounded by fluorine atoms in the polymer network trap anions, and the high Li transference number is effective in suppressing the concentration polarization in Li batteries.

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Article Synopsis
  • Renal cell carcinoma (RCC) can spread to unusual sites, with a rare case reported of metastasis to the area behind the seminal vesicles in a 44-year-old male patient with clear cell RCC.
  • After identifying the metastases during follow-up post-surgery, the patient underwent a unique treatment combining immune-oncology therapy and tyrosine kinase inhibitors (IO-TKI) that effectively reduced the lesions.
  • The subsequent laparoscopic surgery removed all metastases, which were confirmed as clear cell RCC, and no further disease progression was observed two months after the operation, showcasing this treatment's potential for atypical metastatic cases.
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  • A 2020 survey by Japanese health organizations examined doctors' prescribing habits for antimicrobials, focusing on changes after the National Action Plan on Antimicrobial Resistance (NAPAR) was implemented.
  • Out of 3,000 clinics surveyed, 632 responses showed that greater familiarity with antimicrobial stewardship guidelines and awareness of NAPAR correlated with reduced antimicrobial prescriptions.
  • The study suggests that while educational interventions may help lower prescriptions, additional targeted strategies are needed for high-prescription groups to effectively combat antimicrobial resistance.
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Resection of a glioma from the dorsomedial frontal lobe, including the supplementary motor area (SMA), can result in postoperative SMA syndrome. SMA syndrome may occur during awake craniotomies. However, it is often difficult to intraoperatively distinguish between motor dysfunction due to pyramidal tract damage from that due to SMA syndrome.

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  • Streptococcal toxic shock syndrome (STSS) is a severe condition mainly caused by beta-hemolytic streptococci (BHS), with the study investigating other BHS species' roles in STSS development.
  • The study analyzed medical records from 2002 to 2022, identifying 43 STSS cases and examining their clinical features compared to 285 non-STSS cases, while factoring in age and diabetes.
  • Results showed a high mortality rate of about 35% in STSS cases, with certain BHS species being more strongly associated with STSS than others, highlighting the need for further understanding of these infections.
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  • Co-infection with other viruses can worsen the severity of COVID-19 in children, but research on this topic is still limited, particularly in the context of the Omicron variant.
  • A study of 245 hospitalized pediatric COVID-19 patients found that 31.8% had co-infections, mainly with enterovirus/rhinovirus, and these patients exhibited more respiratory symptoms and a higher need for oxygen support.
  • The analysis identified co-infection and existing comorbidities as significant risk factors for requiring oxygen therapy in these pediatric patients.
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Although the role of peripheral nerves in cancer progression has been appreciated, little is known regarding cancer/sensory nerve crosstalk and its contribution to bone metastasis and associated pain. In this study, we revealed that the cancer/sensory nerve crosstalk plays a crucial role in bone metastatic progression. We found that (i) periosteal sensory nerves expressing calcitonin gene-related peptide (CGRP) are enriched in mice with bone metastasis; (ii) cancer patients with bone metastasis have elevated CGRP serum levels; (iii) bone metastatic patient tumor samples express elevated calcitonin receptor-like receptor (CRLR, a CGRP receptor component); (iv) higher CRLR levels in cancer patients are negatively correlated with recurrence-free survival; (v) CGRP induces cancer cell proliferation through the CRLR/p38/HSP27 pathway; and (vi) blocking sensory neuron-derived CGRP reduces cancer cell proliferation in vitro and bone metastatic progression in vivo.

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The stability of adsorbed molecules on surfaces is fundamental and important for various applications, such as coating, lubrication, friction, and self-assembled structure formation. In this study, we investigated the structures and interaction energies () of propane, -pentane, -heptane, perfluoropropane, -perfluoropentane, and -perfluoroheptane adsorbed on the surface of CH (a model surface of graphite). The changes in (Δ = - (0)) associated with the horizontal displacement from the stable position were calculated using dispersion-corrected density functional theory (DFT; B3LYP-D3), where (0) is the at the stable position.

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  • The study investigates treatment options and costs for malignant brain tumors (GBM and PCNSL) in Japan through a survey of 47 institutions.
  • For GBM, the most common treatment is 'Surgery + radiotherapy with temozolomide', costing approximately 7.50 million JPY, with additional treatments raising costs significantly.
  • PCNSL treatments, especially R-MPV therapy, also incur high costs, with some regimens exceeding 1 million JPY per month, highlighting the need for better cost-effectiveness assessments in future health studies.
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  • The rise of antimicrobial-resistant organisms (AROs) is a significant concern for health in Japan, mainly driven by infections from methicillin-resistant Staphylococcus aureus (MRSA), leading to a high rate of disability-adjusted life years (DALYs).
  • Factors such as age, mortality rates in MRSA bacteremia patients, and lengthy hospital stays contribute to this issue, with Japan experiencing longer MRSA bacteremia onset times compared to Western countries.
  • The findings call for better strategies to reduce hospital stays and highlight the need for larger studies to assess the full economic and health impacts of MRSA bacteremia in Japan.
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Background: Two randomized trials demonstrated that the survival benefits afforded by triplet therapy were greater than those of doublet therapy, thus changing the treatment paradigm for metastatic castration-sensitive prostate cancer (mCSPC). This is the first study to assess the real-world use, performance, and safety of triplet therapy in Japanese patients.

Methods: This retrospective multicenter study included 45 consecutive mCSPC patients who received triplet therapy composed of androgen deprivation therapy (ADT), docetaxel, and darolutamide between January 2023 and June 2024.

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