Publications by authors named "Yoshikawa R"

Azide-alkyne cycloaddition of cyclooct-2-yn-1-ol and 2-(azidophenyl)boronic acid proceeded rapidly at room temperature with complete regioselectivity to afford a triazole having a boronate ester group. The secondary interaction to form a boronate ion contributed to cycloaddition rate acceleration and the control of regioselectivity. The interaction to form an imine or hemiaminal was also evaluated.

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The real-world treatment patterns at medical facilities and their physicians' specialties treating migraine have not been fully investigated in Japan. Therefore, a retrospective cohort study aimed to describe real-world clinical practice and treatment patterns in Japanese patients with migraine according to medical facilities and physicians' specialties. Anonymized claims data of patients with migraine was obtained from JMDC Inc (January 2018-June 2023).

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Recent advances in low-dimensional materials have enabled the synthesis of single-walled carbon nanotubes encapsulated in hexagonal boron nitride (BN) nanotubes (SWCNT@BNNT), creating one-dimensional van der Waals (vdW) heterostructures. However, controlling the quality and crystallinity of BNNT on the surface of SWCNTs using chemical vapor deposition (CVD) remains a challenge. To better understand the growth mechanism of the BNNT in SWCNT@BNNT, we conducted molecular dynamics (MD) simulations using empirical potentials.

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  • - Low-intensity pulsed ultrasound (LIPUS) and transcutaneous carbon monoxide (CO) therapy were tested in rats to determine if their combined use would enhance fracture healing more effectively than using either treatment alone.
  • - The study created femoral shaft fractures in rats and divided them into four groups: combination (LIPUS + CO), LIPUS only, CO only, and a control group, treating them regularly for four weeks and assessing bone healing through various methods.
  • - Results showed that the combination group had significantly better fracture healing scores, higher vascular density, and increased gene expression related to bone growth compared to the control and single therapy groups at multiple time points throughout the study.
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Background: PCI for aorto-ostial CTO remains challenging. The techniques for guidewire in aorto-ostial CTO may differ from those used in non-aorto-ostial CTOs, influenced by clinical and angiographic characteristics.

Objectives: This study aimed to assess the technical aspects and outcomes of percutaneous coronary intervention (PCI) in patients with aorto-ostial chronic total occlusion (CTO).

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  • - A multidisciplinary approach using Bone Metastasis Cancer Boards (BMCBs) has been utilized since 2013 to manage patients at risk of skeletal-related events (SREs), focusing on teamwork for the best treatment outcomes.
  • - A pregnant 41-year-old woman with breast cancer and multiple bone metastases received coordinated care through a BMCB, which led to a successful cesarean section and subsequent rehabilitation therapy.
  • - The BMCB not only addressed the patient’s immediate treatment needs but also helped improve her daily activities and overall well-being, highlighting the potential of BMCBs in preventing SREs and enhancing rehabilitation for similar patients.
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Surugamides are a group of non-ribosomal peptides produced by Streptomyces spp. Several derivatives possess acyl groups, which are proposed to be attached to a lysine side chain after backbone-macrocyclization during biosynthesis. To date, five different acyl groups have been identified in nature, yet their impacts on biological activity remain underexplored.

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  • Transcutaneous CO application was shown to enhance muscle fiber-type switching, fracture healing, and bone growth by increasing blood flow and new blood vessel formation.
  • In a rat study, transcutaneous CO treatment prevented muscle atrophy and bone loss that typically occur with inactivity, as seen in the hindlimb suspension model.
  • Results indicated that rats treated with CO had larger muscle fibers, healthier bone structure, and better expression of markers related to muscle and bone growth compared to those not receiving the treatment.
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The interconnected structures in a 3D scaffold allows the movement of cells and nutrients. Therefore, this study aimed to investigate the in-vivo bioactivity of 3D-printed β-tricalcium phosphate (β-TCP) and hydroxyapatite (HAP) scaffolds that replicate biological bone. This study included 24-week-old male New Zealand white rabbits.

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The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant exhibits high transmissibility with a strong immune escape ability and causes frequent large-scale global infections by producing predominant subvariants. Here, using human upper/lower airway and intestinal cells, we examined the previously dominant BA.1-BA.

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Objectives For patients with brain disorders, regaining the ability to drive is crucial to their reintegration into society. Despite the existence of numerous assessment methods for determining the ability to resume driving, the most effective approach remains unclear. This study evaluated patients with brain disorders who had received support for driving resumption.

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: Changes in activities of daily living (ADL) and quality of life (QOL) of patients with bone metastasis who underwent surgical treatment through Bone Metastasis Cancer Boards (BMCBs), a recent multidisciplinary approach for managing bone metastases, have been reported; however, no reports exist on patients who undergo conservative treatment. In this study, we aimed to evaluate these patients' ADL and QOL and examine the factors influencing changes in these parameters. : We retrospectively reviewed 200 patients with bone metastases who underwent conservative therapy through BMCBs between 2013 and 2021.

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  • * The primary outcome was target lesion revascularization (TLR), which occurred in 4.8% of patients, and the secondary outcome was major adverse cardiac and cerebrovascular events (MACCEs), occurring in 14.3%.
  • * Key risk factors for TLR included in-stent occlusion, hemodialysis, and diabetes mellitus, while MACCEs were notably associated with hemodialysis and arteriosclerosis obliterans, highlighting the
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  • The study introduced a new method called tip detection (TD) combined with a special wire (CP12ST) to enhance the effectiveness of treating chronic total occlusion (CTO) in coronary procedures.
  • Researchers compared the success rates and procedural times of the TD method with an existing technique (Stingray) using a different wire (CP20) in 54 total cases.
  • The findings showed that the TD method led to a significantly higher success rate (100% vs 67%) and shorter procedural times (145 minutes vs 185 minutes), with few complications in both groups.
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Background: Despite the effectiveness of the retrograde approach for chronic total occlusion (CTO) lesions, there are no standardized tools to predict the success of retrograde percutaneous coronary intervention (PCI).

Objectives: The aim of this study was to develop a prediction tool to identify CTO lesions that will achieve successful retrograde PCI.

Methods: This study evaluated data from 2,374 patients who underwent primary retrograde CTO-PCI and were enrolled in the Japanese CTO-PCI Expert Registry between January 2016 and December 2022 (NCT01889459).

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Sufficient dose reduction may not be achieved if radioprotective curtains are folded. This study aimed to evaluate the scattered dose rate distribution and physician eye lens dose at different curtain lengths. Using an over-couch fluoroscopy system, dH*(10)/dt was measured using a survey meter 150 cm from the floor at 29 positions in the examination room when the curtain lengths were 0% (no curtain), 50%, 75%, and 100%.

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  • * Data from 4,088 lesions were analyzed, revealing that PRA was used in 19.2% of cases, with high success rates for both guidewire (93.6%) and technical procedures (91.3%).
  • * Key characteristics linked to the use of PRA included previous coronary artery bypass surgery, chronic kidney disease, and specific lesion features like blunt stumps and distal runoff under 1 mm, providing insights for choosing PCI strategies in clinical practice.
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  • Continuous local antibiotic perfusion (CLAP) involves high concentrations of gentamicin (1,200 μg/ml) infused directly into the bone marrow to treat orthopedic infections, but its effects on bone cells are not well understood.
  • In vitro experiments showed that high levels of gentamicin significantly reduced live cell rates and alkaline phosphatase (ALP) activity while increasing apoptosis rates in bone-derived cells, particularly at concentrations of 500 μg/ml and above.
  • The study indicates that the concentration and duration of antibiotic exposure during CLAP can impact bone cell functions, suggesting a need for further research to find the optimal dosage for clinical use.
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Background: Regional lymph node recurrence after radical surgery for non-small cell lung cancer (NSCLC) is an oligo-recurrent disease; however, no treatment strategy has been established. In the present study we aimed to determine the clinical outcomes of postoperative regional lymph node recurrence and identify prognostic predictors in the era of molecular-targeted therapy.

Methods: We retrospectively analyzed data on clinical characteristics and outcomes of patients with regional lymph node recurrence after surgery who underwent treatment for NSCLC between 2002 and 2022.

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Airway inflammation underlies cystic fibrosis (CF) pulmonary exacerbations. In a prospective multicenter study of randomly selected, clinically stable adolescents and adults, we assessed relationships between 24 inflammation-associated molecules and the future occurrence of CF pulmonary exacerbation using proportional hazards models. We explored relationships for potential confounding or mediation by clinical factors and assessed sensitivities to treatments including CF transmembrane regulator (CFTR) protein synthesis modulators.

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  • - The study investigated the effectiveness of acute rehabilitation, specifically physiotherapy (PT), for patients with severe COVID-19 in an ICU setting, comparing outcomes for those who received PT to those who did not.
  • - A total of 98 patients were analyzed, with findings showing that the PT group, who were generally older and had more severe health challenges, demonstrated significant improvements in their activities of daily living (ADL) by discharge compared to their initial state.
  • - Conclusions suggest that older patients with severe COVID-19, especially those with longer hospital stays or requiring mechanical ventilation, are likely to benefit from early physiotherapy intervention to mitigate declines in daily functioning.
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Background And Aim: Nonalcoholic fatty liver disease (NAFLD) is closely associated with metabolic syndrome. This study was performed to examine the association between NAFLD and each factor of metabolic syndrome and to identify the factors that are most strongly associated with NAFLD in participants undergoing health checkups.

Methods: We studied 6538 participants who underwent a health checkup from 2017 to 2018 in our institution.

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: Bone metastasis cancer boards (BMCBs) focusing on the management of bone metastases have been gathering much attention. However, the association of BMCBs with spinal surgery in patients with spinal metastases remains unclear. In this retrospective single-center observational study, we aimed to clarify the effect of a BMCB on spinal metastasis treatment.

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Metabolic diseases, including obesity, diabetes, and fatty liver disease, are dramatically increasing around the world. Seaweed is low in calories and rich in many active ingredients that are necessary for maintaining good health, and is expected to be effective for preventing metabolic diseases. The purpose of this study was to examine the effects of a traditional Japanese edible seaweed () on obesity, using a mouse model.

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