Publications by authors named "Yasuda R"

Objective: A Leonis Mova (LM; SB Kawasumi, Kanagawa, Japan), one of the steerable microcatheters, has a remote-controlled flexible catheter tip manipulated with a dial in the hand grip, which enables operators to overcome complicated branching in endovascular surgeries. We report a case of a pituitary tumor in which the LM worked effectively as a distal access catheter (DAC) in tumor embolization.

Case Presentation: A female patient in her 70s complained of bitemporal hemianopsia, and an MRI revealed a pituitary tumor that appeared hypervascular.

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Deciphering the complex interplay between neuronal activity and mitochondrial function is pivotal in understanding brain aging, a multifaceted process marked by declines in synaptic function and mitochondrial performance. Here, we identified an age-dependent coupling between neuronal and synaptic excitation and mitochondrial DNA transcription (E-TC), which operates differently compared to classic excitation-transcription coupling in the nucleus (E-TC). We demonstrated that E-TC repurposes molecules traditionally associated with E-TC to regulate mitochondrial DNA expression in areas closely linked to synaptic activation.

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A 63-year-old previously healthy man participated in a longitudinal epidemiologic study of dementia and aging. Although he initially showed no subjective symptoms and a normal motor function, verbal fluency test scores gradually declined, and progressive atrophy of the frontal lobes was observed on magnetic resonance imaging of the head. At 71 years old, progressive supranuclear palsy (PSP) was diagnosed after supranuclear gaze palsy, and gait disturbance developed.

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Aging affects virtually all organs of the body, but perhaps it has the most profound effects on the brain and its neurotransmitter systems, which influence a wide range of crucial functions, such as attention, focus, mood, neuroendocrine and autonomic functions, and sleep cycles. All of these essential functions, as well as fundamental cognitive processes such as memory, recall, and processing speed, utilize neuronal circuits that depend on neurotransmitter signaling between neurons. Glutamate (Glu), the main excitatory neurotransmitter in the CNS, is involved in most neuronal excitatory functions, including release of the neurotransmitter norepinephrine (NE).

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Long-term memory (LTM) consolidation is thought to require the prior establishment of short-term memory (STM). Here we show that optogenetic or genetic CaMKII inhibition impairs STM for an inhibitory avoidance task at 1 h but not LTM at 1 day in mice. Similarly, cortico-amygdala synaptic potentiation was more sensitive to CaMKII inhibition at 1 h than at 1 day after training.

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  • The study evaluated the effectiveness of a 30-second additional observation using either linked color imaging (LCI) or narrow band imaging (NBI) for detecting adenomas in the right-sided colon, finding both methods improve detection rates.
  • Researchers analyzed data from over 2,000 cases, comparing the performance of LCI and NBI after initial white light imaging.
  • Results showed no significant difference in adenoma detection between the two imaging techniques, but both significantly enhanced the adenoma detection rate (ADR) in the right colon.
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Behavioural time scale plasticity (BTSP) is non-Hebbian plasticity induced by integrating presynaptic and postsynaptic components separated by a behaviourally relevant time scale (seconds). BTSP in hippocampal CA1 neurons underlies place cell formation. However, the molecular mechanisms that enable synapse-specific plasticity on a behavioural time scale are unknown.

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Tau is a microtubule-associated protein implicated in Alzheimer's disease (AD) and other neurodegenerative disorders termed tauopathies. Pathological, aggregated forms of tau form neurofibrillary tangles (NFTs), impairing its ability to stabilize microtubules and promoting neurotoxicity. Indeed, NFTs correlate with neuronal loss and cognitive impairment.

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Delayed cerebral ischemia (DCI) is one of the most important outcome determinants for aneurysmal subarachnoid hemorrhage (aSAH). VASOGRADE, which combines World Federation of Neurological Surgeons grade and modified Fisher grade, is a useful scale for predicting DCI after aSAH. However, no studies have investigated whether VASOGRADE influences the treatment options.

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This study aimed to introduce a three-dimensional (3D) images fusion method for preoperative simulation of aneurysm clipping. Consecutive unruptured aneurysm cases treated with surgical clipping from March 2021 to October 2023 were included. In all cases, preoperative images of plain computed tomography (CT), CT angiography, magnetic resonance imaging (MRI) 3D fluid-attenuated inversion recovery, 3D heavily T2-weighted images, and 3D rotational angiography were acquired and transported into a commercial software (Ziostation2 Plus, Ziosoft, Inc.

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Long noncoding RNAs (lncRNAs) play crucial roles in maintaining cell homeostasis and function. However, it remains largely unknown whether and how neuronal activity impacts the transcriptional regulation of lncRNAs, or if this leads to synapse-related changes and contributes to the formation of long-term memories. Here, we report the identification of a lncRNA, SLAMR, which becomes enriched in CA1-hippocampal neurons upon contextual fear conditioning but not in CA3 neurons.

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  • This study compares the effectiveness of alcohol septal ablation (ASA) and septal myectomy (SM) in treating obstructive hypertrophic cardiomyopathy (HCM) for patients unresponsive to medication.
  • *Researchers analyzed data from the New York Statewide Planning and Research Cooperative System (SPARCS) between 2005 and 2016, focusing on all-cause mortality within one year after treatment.
  • *Results showed that patients who underwent ASA had a significantly lower mortality rate compared to those who received SM, indicating ASA may be a more effective option for reducing mortality in HCM patients.
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  • - Acute kidney injury (AKI) has a high fatality rate (8.6%) and is commonly seen in ICU patients; early diagnosis and intervention are crucial, with urinary L-FABP potentially useful for diagnosing AKI.
  • - A study involving 100 trauma patients measured urinary L-FABP levels at 6 and 12 hours post-injury, using two protocols to evaluate the results and identify AKI cases.
  • - Out of the patients studied, 15 were diagnosed with AKI, showing a strong correlation between L-FABP levels and AKI diagnosis, suggesting that taking measurements at both time points improves accuracy compared to just one measurement at 6 hours.
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  • Biological sex significantly affects the heart failure (HF) patient phenotype, influencing how each gender experiences heart issues.
  • Women tend to exhibit concentric remodeling and diastolic dysfunction, while men show eccentric remodeling and systolic dysfunction, impacting their overall health outcomes.
  • Factors like coronary microvascular dysfunction, estrogen levels, body composition, and guidelines for treatment show distinct differences between sexes, which are crucial for developing personalized care strategies in heart failure management.
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  • Sodium-glucose cotransporter-2 inhibitors (SGLT-2is) benefit cardiovascular health, reducing adverse events in both diabetic and heart failure (HF) patients.
  • Recent guidelines endorse SGLT-2is for HF patients, but concerns about weight loss and adverse effects, particularly in those with frailty or sarcopenia, persist.
  • There's no clear consensus on the best methods to assess frailty or the appropriate criteria for safely prescribing SGLT-2is to HF patients, prompting a review of assessment techniques and treatment efficacy.
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Head-mounted miniscopes have allowed for functional fluorescence imaging in freely moving animals. However, current capabilities of state-of-the-art technology can record only up to two, spectrally distinct fluorophores. This severely limits the number of cell types identifiable in a functional imaging experiment.

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Synaptic plasticity underlies learning and memory processes as well as contributes, in its aberrant form, to neuropsychiatric disorders. One of its major forms is structural long-term potentiation (sLTP), an activity-dependent growth of dendritic spines that harbor excitatory synapses. The process depends on the release of brain-derived neurotrophic factor (BDNF), and activation of its receptor, TrkB.

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The meta-reinforcement learning (meta-RL) framework, which involves RL over multiple timescales, has been successful in training deep RL models that generalize to new environments. It has been hypothesized that the prefrontal cortex may mediate meta-RL in the brain, but the evidence is scarce. Here we show that the orbitofrontal cortex (OFC) mediates meta-RL.

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Primary cilia act as antenna receivers of environmental signals and enable effective neuronal or glial responses. Disruption of their function is associated with circuit disorders. To understand the signals these cilia receive, we comprehensively mapped cilia's contacts within the human cortical connectome using serial-section EM reconstruction of a 1 mm cortical volume, spanning the entire cortical thickness.

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  • The study focuses on the treatment of elderly patients (≥75 years) with aneurysmal subarachnoid hemorrhage (aSAH) and investigates factors influencing their outcomes.
  • It analyzed 202 patients from nine stroke centers, highlighting that older age, pre-existing health conditions, and severe neurological status at admission correlate with poorer outcomes, while cilostazol treatment showed a positive effect.
  • Cilostazol is linked to better recovery rates and reduced instances of delayed cerebral infarction, indicating its potential as a beneficial treatment for elderly aSAH patients.
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  • This study investigates benign recurrent intrahepatic cholestasis (BRIC) in seven Japanese patients, focusing on clinicopathologic features, genetics, treatment, and outcomes.
  • The patients included in the study were diagnosed with either BRIC type 1 or type 2, with varying ages of onset and intermittent cholestatic attacks over an 11-year follow-up period.
  • Treatment with rifampicin and cholestyramine was effective in managing symptoms, and none of the patients developed cirrhosis, indicating overall satisfactory long-term outcomes.
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A wide range of anti-myocardial autoantibodies have been reported since the 1970s. Among them, autoantibodies against the β-adrenergic receptor (βAR-AAb) have been the most thoroughly investigated, especially in dilated cardiomyopathy (DCM). ΒAR-Aabs have agonist effects inducing desensitization of βAR, cardiomyocyte apoptosis, and sustained calcium influx which lead to cardiac dysfunction and arrhythmias.

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  • A randomized controlled trial studied the effects of lactotripeptide (LTP) and physical activity (PA) on fatigue in middle-aged and older adults over eight weeks.
  • The 78 participants were divided into four groups: placebo, LTP, placebo with PA, and LTP with PA, with measurements taken before and after the interventions.
  • Results showed no significant changes in fatigue from LTP or physical activity alone, but the PA intervention improved mood and depression scores, with better results when combined with LTP ingestion.
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