Publications by authors named "Yunoki T"

Thoracic endovascular aortic repair (TEVAR) is widespread. We report a case of graft migration and dissecting aneurysm rupture after trauma. An 82-year-old man with a history of TEVARs for chronic type B aortic dissection had sudden dyspnea and hemoptysis after falling from a stationary bicycle.

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We developed an AI system capable of automatically classifying anterior eye images as either normal or indicative of corneal diseases. This study aims to investigate the influence of AI's misleading guidance on ophthalmologists' responses. This cross-sectional study included 30 cases each of infectious and immunological keratitis.

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  • * An 87-year-old man on apixaban presented to the ER with facial trauma that led to significant bleeding and airway obstruction, prompting the need for tracheal intubation.
  • * After realizing the bleeding was life-threatening and challenging to control, andexanet alfa was administered, resulting in successful hemostasis and suggesting its potential effectiveness for managing extracranial bleeding in trauma cases.
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The therapeutic potential of suppressing polypyrimidine tract-binding protein 1 (Ptbp1) messenger RNA by viral transduction in a post-stroke dementia mouse model has not yet been examined. In this study, 3 days after cerebral ischemia, we injected a viral vector cocktail containing adeno-associated virus (AAV)-pGFAP-mCherry and AAV-pGFAP-CasRx (control vector) or a cocktail of AAV-pGFAP-mCherry and AAV-pGFAP-CasRx-SgRNA-(Ptbp1) (1:5, 1.0 × 10 viral genomes) into post-stroke mice via the tail vein.

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  • The study evaluated eyelid sebaceous gland carcinoma (SGC) by analyzing 27 patients diagnosed at Toyama University Hospital from 2016 to 2022, emphasizing the importance of immunohistochemistry for accurate diagnosis.!
  • Five patients misdiagnosed initially with other cancers (including squamous cell carcinoma) were correctly identified as having SGC through additional immunostaining for adipophilin and androgen receptor.!
  • The research highlights that SGC may be misdiagnosed as other malignancies, and that immunostaining is essential for a definitive diagnosis, particularly in cases of less differentiated cancers like SCC.!
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  • - Anti-IgLON5 disease is a rare autoimmune condition that can mimic symptoms of various neurodegenerative disorders, notably progressive supranuclear palsy and multiple system atrophy (MSA).
  • - In a study of 35 patients suspected of having MSA, anti-IgLON5 antibodies were found in three individuals who exhibited similar clinical features, such as parkinsonism and severe orthostatic hypotension, along with some atypical symptoms.
  • - The research suggests that anti-IgLON5 disease should be considered when diagnosing MSA, emphasizing the need for thorough physical examinations to differentiate between these conditions effectively.
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Purpose: To compare endonasal dacryocystorhinostomy (EN-DCR) with sheath-guided dacryoendoscopic probing and bicanalicular intubation (SG-BCI) by evaluating tear meniscus area (TMA) and total high-order aberrations (HOAs) for primary acquired nasolacrimal duct obstruction (PANDO).

Method: We retrospectively reviewed 56 eyes of 42 patients (7 men, 35 women; age, 72.7±13.

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A strong relationship between Alzheimer's disease (AD) and vascular dysfunction has been the focus of increasing attention in aging societies. In the present study, we examined the long-term effect of scallop-derived plasmalogen (sPlas) on vascular remodeling-related proteins in the brain of an AD with cerebral hypoperfusion (HP) mouse model. We demonstrated, for the first time, that cerebral HP activated the axis of the receptor for advanced glycation endproducts (RAGE)/phosphorylated signal transducer and activator of transcription 3 (pSTAT3)/provirus integration site for Moloney murine leukemia virus 1 (PIM1)/nuclear factor of activated T cells 1 (NFATc1), accounting for such cerebral vascular remodeling.

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Purpose: This study aimed to examine the changes in lower eyelid position after blepharoptosis surgery and the factors that influence the outcome.

Methods: We conducted a retrospective study of 155 eyes of 89 patients who underwent blepharoptosis surgery between June 2019 and October 2022. The margin reflex distance (MRD)-1 and MRD-2 were examined preoperatively and 3 months postoperatively in two groups: one with lower scleral show (LSS) ( = 37) and one without LSS ( = 118).

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Amyotrophic lateral sclerosis (ALS) is characterized by progressive loss of motor neurons. Multilineage-differentiating stress-enduring (Muse) cells are unique endogenous stem cells that show therapeutic effects on motor function in ALS mouse models. We conducted a single-center open phase II clinical trial to evaluate the safety and clinical effects of repeated intravenous injections of an allogenic Muse cell-based product, CL2020, in patients with ALS.

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  • * The research evaluated the effects of hCB-EPCs on endothelial health after stent-induced arterial damage, observing different repair outcomes based on the presence or absence of these cells and varying recovery times (3 and 28 days).
  • * Results indicated that while stroke volume didn't differ significantly, hCB-EPC treatment reduced intimal hyperplasia and improved beneficial factors like VEGF and eNOS, ultimately promoting better healing and less inflammation in artery walls.
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To determine whether disturbances of CO homeostasis alter force output characteristics of lower limb muscles, participants performed four isometric knee extension trials (MVC, 10 s each with 20-s rest intervals) in three CO conditions (normocapnia [NORM], hypercapnia [HYPER], and hypocapnia [HYPO]). Respiratory frequency and tidal volume were matched between CO conditions. In each MVC, the participants exerted a constant force (30 % of maximum voluntary contraction [MVC]).

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Purpose: This study aimed to analyze saccades in patients with orbital-wall fractures with little or no ocular motor impairment.

Methods: We included 7 eyes of 7 patients with unoperated orbital-wall fractures (3 cases of orbital-floor fractures and 4 cases of medial orbital-wall fractures) with mild or no diplopia who presented to our hospital between August 2019 and March 2021. Eye movements were assessed at the first visit and after 1 month using the Hess area ratio according to the Hess screen test, binocular single vision (BSV) scores (total 59 points) obtained using Goldman perimetry, and maximum velocity and amplitude of saccades within 15 degrees obtained using an eye tracker system.

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  • The case discusses a 66-year-old woman with lung cancer who developed myelopathy symptoms including double vision, nausea, spasticity, and impaired sensation, raising diagnostic challenges.
  • MRI and cerebrospinal fluid analysis revealed abnormalities, leading to a diagnosis of sarcoid-associated myelopathy rather than meningeal metastasis from her cancer.
  • Treatment with intravenous methylprednisolone, oral prednisolone, and methotrexate stabilized her condition, highlighting the diagnostic importance of clinical assessment and thorough testing in cancer patients.
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Background: Salmonella species are a leading cause of diarrheal diseases worldwide. Recent epidemiological studies have shown that Salmonella schwarzengrund (S. schwarzengrund) is highly prevalent in various regions.

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Carnosine (β-alanyl-L-histidine) is a natural dipeptide with multiple neuroprotective properties. Previous studies have advertised that carnosine scavenges free radicals and displays anti-inflammatory activity. However, the underlying mechanism and the efficacies of its pleiotropic effect on prevention remained obscure.

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This study investigated the origins and maintenance of biodiversity by integrating ecological and evolutionary mechanisms into a spatially-explicit synthesis between niche-based processes and neutral dynamics (ND). An individual-based model on a two-dimensional grid with periodic boundary conditions was used to compare a niche-neutral continuum induced in contrasting spatial and environmental settings while characterizing the operational scaling of deterministic-stochastic processes. The spatially-explicit simulations revealed three major findings.

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Purpose: To investigate the incidence of postoperative blepharoptosis and clinical risk factors for blepharoptosis after pars plana Baerveldt 350 glaucoma implantation (BGI) by a single surgeon for refractory glaucoma.

Methods: Twenty-four patients (30 eyes) who underwent pars plana BGI for refractory glaucoma at Toyama University Hospital between November 2019 and February 2021 were included. Patients with a preoperative margin reflex distance-1 (MRD-1) of ≥2 mm were included in the study, and a decrease in MRD-1 of ≥2 mm at 6 months postoperatively was defined as blepharoptosis.

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  • Anti-HMGCR immune-mediated necrotizing myopathy (IMNM) is a rare neuromuscular disorder characterized by muscle weakness and elevated creatine kinase levels, but it can occur without symptoms in young patients.
  • A unique case involved a 17-year-old woman who was asymptomatic but discovered to have elevated CK levels, leading to her diagnosis after further testing including a muscle biopsy.
  • Initial treatment with methotrexate and intravenous immunoglobulin was effective, highlighting the importance of early antibody testing as a diagnostic tool for similar conditions like rhabdomyolysis.
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Background: NADPH oxidase 2 (NOX2) is an important source of reactive oxygen species (ROS). Activated NOX2 may contribute to Alzheimer's disease (AD). Our previous studies showed that a novel vitamin E mixture, Tocovid, had potential neuroprotective effects in a stroke mice model and an AD cell model.

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  • A study was conducted to understand the needs for telemedicine among Japanese patients with neurological disorders during the COVID-19 pandemic, focusing on their experiences with hospital visits and their interest in online medical consultations.
  • Out of the participants, 29.6% expressed interest in using telemedicine, with higher interest levels noted among patients with headaches (60.0%) and epilepsy (38.1%) compared to those with Parkinson's disease and stroke.
  • The results showed that while nearly 90% of patients had access to digital devices, younger patients were more motivated to use telemedicine, highlighting its potential to enhance healthcare access during challenging times like a pandemic.
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Purpose: To analyze the relationship between tear meniscus dimensions and higher-order aberrations (HOAs) in patients with lacrimal passage obstruction using anterior segment optical coherence tomography (AS-OCT).

Methods: This study was a retrospective observational study of 71 eyes of 49 patients with lacrimal passage obstruction. These patients received sheath-guided dacryoendoscopic probing and bicanalicular intubation (SG-BCI) at Toyama University Hospital between August 2020 and October 2021.

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Purpose: We report the case of a 32-year-old woman with orbital myositis prior to onset of Behcet's disease (BD).

Observations: A 32-year-old woman was referred to our hospital for a complaint of right eyelid swelling, eye pain, and diplopia. Her best-corrected visual acuity was 20/32 on the right, and 20/16 on the left.

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Purpose: To examine the usefulness and safety of cryotherapy for residual tarsus and free tarsal graft implantation for eyelid reconstruction after excision of malignant eyelid tumor.

Methods: Fifteen patients with 17 eyelid malignancies (10 sebaceous gland carcinomas and 7 basal cell carcinomas) who underwent eyelid reconstruction between June 2017 and February 2021 were included in the study. In these patients, the tumors were resected in the entire eyelid layer including the safety margin.

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Introduction: The Halabi model predicts the overall survival (OS) of patients with metastatic castration-resistant prostate cancer (mCRPC) treated with second-line therapy after docetaxel. We aimed to validate this model externally with an independent cohort, outside the setting of a clinical trial.

Methods: In a multi-institutional study, we included 66 patients treated with cabazitaxel after docetaxel for mCRPC.

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