Publications by authors named "Yuri Yoshida"

Article Synopsis
  • In Japan, there are different inhaler combinations for treating chronic obstructive pulmonary disease (COPD), including single-inhaler and multiple-inhaler triple therapies, but there is limited information about how patients are actually treated in real-life scenarios.
  • This study reviewed data from COPD patients in Japan from May 2018 to December 2021, categorizing them into four groups based on the triple therapy they started, including early adopters of a specific therapy and users of other available combinations.
  • The findings revealed that a high percentage of patients had asthma as a comorbidity, and around 14% to 18% experienced moderate to severe exacerbations in the year before starting treatment, indicating significant healthcare resource utilization
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Introduction: Symptom status and treatment changes among patients with chronic obstructive pulmonary disease (COPD) using inhaler treatment in real-world clinical settings are not well understood, particularly according to class of treatment. We investigated the proportion of symptomatic patients among those with COPD using inhaler treatment, based on COPD Assessment Test (CAT) scores in clinical practice, and changes in inhaler treatments and symptoms at 1-year follow-up.

Methods: This was a retrospective analysis of data from a multicenter, prospective cohort study conducted at medical institutions with respiratory specialists in Japan.

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Introduction: Severe exacerbations of chronic obstructive pulmonary disease (COPD) are known to increase the risk of cardiovascular events. However, this association has not been investigated specifically in patients with COPD in Japan, whose characteristics may differ from those of Western patients (i.e.

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  • Pseudo-Kaposi sarcoma (PKS) is a benign vascular condition resembling Kaposi's sarcoma, caused by arteriovenous malformation (AVM) and chronic venous insufficiency, characterized by reddish-brown papules and requiring histopathological differentiation for diagnosis.
  • A case study presents an 83-year-old man with diabetes, who suffered from an ulcer on his second toe due to severe ischemia linked to an AVM and occlusion of the dorsalis pedis artery, resulting in a pathological diagnosis of PKS after skin biopsy.
  • Although the initial ulcer healed, it recurred two years later, leading to infection; attempts to manage blood flow through procedures
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  • The study examines the effect of different temperature settings during hypothermic circulatory arrest (HCA) on coagulation in a pig model for thoracic aortic surgery.
  • Two groups of pigs were subjected to moderate (28 °C) and low (20 °C) temperature HCA, with blood samples analyzed before and after surgery.
  • Results showed that while coagulation capacity decreased in both groups after HCA, there were no significant differences in coagulation parameters between the moderate and lower temperature settings.
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Background: Assistive devices (ADs) for ambulation are commonly provided to improve safety and independence in older adults. Despite the common use of these devices, there are no standard prescribing guidelines, and non-health care providers, including caregivers and family members, often make decisions about the need for ADs. Identifying factors or a single screening test associated with AD use would benefit clinicians and non-health care caregivers in making decisions to adopt an AD for patients, clients, and family members.

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The Indigo Aspiration System (Penumbra Ltd., Alameda, CA, USA), a catheter-based device intended for the endovascular removal of clots from peripheral arteries and veins, was launched in Japan to treat acute limb ischemia after the cessation of urokinase sales. The initial application of this system in Japan was on a 96-year-old male patient.

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Background: Superior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction by extrinsic compression between the SMA and the aorta (SMA-Ao). Although the left lateral recumbent position is considered effective in the treatment of SMA syndrome, individual variations in the optimal patient position have been noted. In this report, we present two elderly cases of SMA syndrome that exhibited rapid recovery due to ultrasonographic dynamic evaluation of the optimal position for each patient.

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To improve the eating quality of chicken, the physicochemical properties were examined, which serve as indicators for breeding. Thigh meat was collected from 384 chickens from seven and nine types of the jidori (free-range local traditional pedigree chickens) or broiler chickens, respectively. The principal component analysis of the physicochemical values of the jidori and broilers were arranged as different groups in the score plot.

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Superior mesenteric artery (SMA) syndrome (also known as Wilkie's syndrome, cast syndrome, or aorto-mesenteric compass syndrome) is an obstruction of the duodenum caused by extrinsic compression between the SMA and the aorta. The median age of patients is 23 years old (range 0-91 years old) and predominant in females over males with a ratio of 3:2. The symptoms are variable, consisting of postprandial abdominal pain, nausea and vomiting, early satiety, anorexia, and weight loss and can mimic anorexia nervosa or functional dyspepsia.

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Introduction: Acute kidney injury requiring renal replacement therapy (AKI-RRT) is common in the intensive care unit (ICU) and is associated with significant morbidity and mortality. Continuous RRT (CRRT) non-selectively removes large amounts of amino acids from plasma, lowering serum amino acid concentrations and potentially depleting total-body amino acid stores. Therefore, the morbidity and mortality associated with AKI-RRT may be partly mediated through accelerated skeletal muscle atrophy and resulting muscle weakness.

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Article Synopsis
  • * A case involved an 80-year-old man misdiagnosed with an infected internal iliac artery aneurysm; treatment was delayed, leading to complications before discovering the correct diagnosis of diffuse large B-cell lymphoma.
  • * The case emphasizes that distinguishing between malignant lymphoma and infected aneurysms is difficult and suggests that histological exams should be conducted for atypical presentations to avoid misdiagnosis and unnecessary surgeries.
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Objectives: is the most prevalent sexually transmitted parasite worldwide. However, no surveillance system exists to monitor cases and drug resistance in Japan.

Methods: Cervical cytology vaginal swabs were collected from women with and without suspected symptoms of infection; these swabs were used for the detection of , human papillomavirus (HPV), and using specific polymerase chain reaction.

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  • Variations in seed size and number in plants are linked to different reproductive strategies and are influenced by environmental factors related to maternal resources.
  • The wild rice Oryza rufipogon utilizes a mechanism involving the gene FT-like 9 (FTL9) to sense maternal resources, which helps coordinate grain size and number.
  • When resources are plentiful, FTL9 promotes a higher number of smaller seeds, aiding survival in variable environments; however, a common loss-of-function allele for FTL9 is found in both wild and cultivated rice, reshaping the understanding of rice domestication.
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Introduction: The ACO Japan Cohort Study, a multicenter observational study, investigated the proportion of patients with chronic obstructive pulmonary disease (COPD) who met the Japanese Respiratory Society (JRS) asthma-COPD overlap (ACO) diagnostic criteria, characteristics of ACO and non-ACO patients, and the patient transitions between ACO/non-ACO diagnosis over 2 years.

Patients And Methods: Patients with COPD were consecutively enrolled between June and December 2018 and followed up continuously for 2 years. All participating study sites were medical institutions where respiratory specialists routinely conducted medical examinations/tests required for ACO diagnosis.

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The turnover of kindergarten teachers has drastically increased in the past 10 years. Reducing the turnover rates among preschool workers has become an important issue worldwide. Parents have avoided enrolling children in preschools due to insufficient care, which affects their ability to work.

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Seeds are continuously exposed to a wide variety of microorganisms in the soil. In addition, seeds contain large amounts of carbon and nitrogen sources that support initial growth after germination. Thus, seeds in the soil can easily promote microbial growth, and seeds are susceptible to decay.

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Chronic limb-threatening ischemia (CLTI) is an important issue for elderly patients with peripheral artery disease. Here, we present the case of a 91-year-old man with CLTI, residing in a rural district. The onset of CLTI rapidly deprived him of ambulation because of a foot infection.

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Article Synopsis
  • * Results show that burnout is connected to stress from working conditions, time constraints, and the effectiveness of coping strategies, with a significant impact from interpersonal relationships at work.
  • * The findings indicate a need for better support from superiors to help teachers manage stress and improve their understanding of how to interact with children, which could help reduce burnout.
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Background And Purpose: Standardized screening tests that detect early mobility decline, regardless of etiology, are needed for healthy aging. The locomotive syndrome (LS) tests are designed to identify stages of mobility decline and inform appropriate levels of intervention. The long-term goal of this research is to develop standardized mobility screening tests that can be used across health care settings and throughout a patient's lifespan to guide appropriate medical care.

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Bypass to the peroneal artery has sometimes been effective for pedal gangrene. However, the difficulty of approaching the terminal segment of the peroneal artery because of its anatomic features has been a clinical issue. Surgical access to this area can be achieved via a lateral approach with fibular resection.

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Post-traumatic arteriovenous fistula (AVF) is a vascular injury complication and can present with vessel dilation, forming pulsatile varices, venous hypertension, distal ischemia, and congestive heart failure. We present a case of only pulsatile mass and leg pain caused by a 60-year-old post-traumatic AVF. Computed tomography angiography showed an AVF between the superficial femoral artery and superficial femoral vein.

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Article Synopsis
  • The study aimed to evaluate outcomes of cardiac surgery in patients with chronic limb threatening ischemia (CLTI) and identify risk factors based on the severity of their condition.
  • A total of 33 patients were analyzed, divided into two groups based on the Wound, Ischemia, and foot Infection (WIfI) classification, revealing a significant difference in in-hospital mortality and postoperative complications between the low and high WIfI groups.
  • The findings suggest that cardiac surgery carries a high risk for patients with advanced CLTI, and that addressing their limb issues before surgery could improve outcomes.
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Biological resources are the basic infrastructure of bioscience research. Rice ( L.) is a good experimental model for research in cereal crops and monocots and includes important genetic materials used in breeding.

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  • The study investigates the relationship between the reactive hyperemia index (RHI), fatigue, and sleep in healthy hospital workers, noting that low RHI is linked to cardiovascular (CV) risks.
  • Measurements taken included RHI via peripheral arterial tonometry (PAT), reported fatigue levels using a visual analog scale (VAS), and hours of sleep, with notable differences observed before and after work shifts.
  • Results showed fatigue levels were higher after duty and sleep duration was longer before duty, yet RHI remained similar; low RHI correlated with higher fatigue scores, but no significant relationship was found when controlling for blood pressure and heart rate variability.
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