Publications by authors named "Yuki Itagaki"

Background: Death in the early phase of trauma is primarily attributable to uncontrolled bleeding exacerbated by trauma-induced coagulopathy (TIC). A comprehensive synthesis of the available evidence on interventions for TIC is needed.

Methods: We conducted a systematic review and meta-analysis of blood component products and tranexamic acid administrations for severe trauma patients with TIC.

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Impalement injuries are rare and complex problems, often involving multiple organ injuries. An 18-year-old male was admitted to our emergency department after a car accident. Positioned in the right-side recumbent position, he had a 4.

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Article Synopsis
  • Trauma-induced coagulopathy (TIC) is a serious medical condition resulting from traumatic injuries, leading to abnormal blood clotting and increased bleeding, but there's little clarity on the best treatments available.
  • The objective of the study is to systematically review and analyze the effectiveness and safety of various treatments for TIC, focusing on interventions like coagulation factor concentrates and tranexamic acid.
  • The research will include a thorough review of existing studies, assessing outcomes like in-hospital mortality, and using established tools to evaluate the quality and bias of the studies included.
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Pseudoaneurysms of the cystic artery are a rare but significant complication of acute cholecystitis. Laparoscopic cholecystectomy may be a safe alternative to open cholecystectomy in such cases. We report the case of a female patient in her seventies, who presented with anaemia, jaundice, and hepatic dysfunction during hospitalisation for right knee pyogenic arthritis.

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Introduction: The occurrence of massive haemorrhages in various emergency situations increases the need for blood transfusions and increases the risk of mortality. Fibrinogen concentrate (FC) use may increase plasma fibrinogen levels more rapidly than fresh-frozen product or cryoprecipitate use. Previous several systematic reviews and meta-analyses have not effectively demonstrated FC efficacy in significantly improving the risk of mortality and reducing transfusion requirements.

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An 80-year-old man presented to our emergency department complaining of a mass on the right side of his chest and pain in the right flank of his back. A chest computed tomography (CT) scan showed a relatively heterogenous oval-shaped tumor measuring 7.5 × 6.

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Background: A shortage of donor organs amid high demand for transplantable organs is a worldwide problem, and an increase in organ donation would be welcomed by the global healthcare system. Patients with brain death (BD) are potential organ donors, and early prediction of patients with BD may facilitate the process of organ procurement. Therefore, we developed a model for the early prediction of BD in patients who survived the initial phase of out-of-hospital cardiac arrest (OHCA).

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  • Hypoalbuminemia in patients can lead to fluid overload and severe complications, but combining albumin with diuretics might improve patient outcomes by increasing urine output and lung function.
  • A systematic review of randomized trials was conducted to examine the effects of this combination treatment in mechanically ventilated hypoalbuminemic patients, focusing on hypotensive events, mortality, and ventilation length.
  • Results from three studies indicated that albumin did not significantly lower hypotensive events or mortality, but showed potential benefits in improving oxygen levels; however, the overall evidence was rated as low certainty, and more studies are needed.
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  • Koumparou et al. conducted a randomized controlled trial assessing the impact of stress management training (SMT) on women undergoing in vitro fertilization (IVF), finding that while SMT had limited effectiveness on IVF outcomes, it notably reduced stress levels in these patients.
  • * The study emphasizes the importance of SMT to support the mental health and motivation of women facing infertility, highlighting the prevalent psychological stress in this group.
  • * However, concerns about the trial's reliability are raised, including unclear registration, lack of participant background data, potential selection bias, and insufficient details about the IVF process, which all undermine the study's conclusions.
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Introduction: The occurrence of massive hemorrhages in various emergency situations increases the need for blood transfusions and the risk of mortality. Use of fibrinogen concentrate (FC) may increase plasma fibrinogen levels more rapidly than the use of fresh-frozen product or cryoprecipitate. However, thus far, the efficacy of FC in significantly improving the risk of mortality and significantly reducing transfusion requirements has not been effectively demonstrated in several systematic reviews and meta-analyses.

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The ongoing spread of coronavirus disease (COVID-19) is a worldwide crisis. Hokkaido Prefecture in Japan promptly declared a state of emergency following the rapid increase of COVID-19 cases, and the policy became an example to mitigate the spread of COVID-19. We herein report 15 cases of COVID-19 including 3 cases requiring mechanical ventilation.

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This study examined changes in the proportions of ryanodine receptor mutations (G4946E and I4790K) for populations in the field. Results show that the proportion of G4946E decreased during the survey years without diamide application and that insects with I4790K were observed less frequently during the survey period. This study also examined the biotic performances of diamide-resistant strains.

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Background: Fibrinogen plays an important role in haemostasis during the early phase of trauma, and low fibrinogen levels after severe trauma are associated with haemostatic impairment, massive bleeding, and poor outcomes. Aggressive fibrinogen supplementation may improve haemostatic function, as fibrinogen levels deteriorate before other routine coagulation parameters in this setting. Therefore, we evaluated whether early administration of fibrinogen concentrate (FC) was associated with improved survival in severe trauma patients.

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This study examined the seasonal proportion change of ryanodine receptor mutation (G4946E) for populations using quantitative sequencing. Results showed that the proportions of G4946E generally increased from spring through summer, but then decreased in autumn. Furthermore, the proportions in late autumn were similar to those in early spring of the subsequent year.

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