Publications by authors named "Yutaka Ueda"

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  • Unintended pregnancies are associated with increased mental health risks, particularly for women, who experience higher levels of psychological distress, chronic pain, and death fantasies compared to those with intended pregnancies.
  • The study analyzed responses from over 7,000 women and 1,700 men, examining various conception methods and their impact on mental health before and after childbirth.
  • Additionally, men undergoing fertility treatments, especially those using scheduled intercourse or insemination, also exhibited significant mental health challenges, highlighting the need for support in these populations.
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Ovarian hemorrhage during antithrombotic therapy is sometimes difficult to manage. A 38-year-old woman, diagnosed with Marfan syndrome and implanted with a left ventricular assist device (LVAD) and taking aspirin and warfarin potassium, had a history of right adnexal oophorectomy via open surgery for a right ovarian hemorrhage at the age of 35 years. Thereafer, she had been treated with dienogest to suppress ovulation as much as possible.

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Objective: The aim of this study was to assess the effect of postoperative chemotherapy on the survival of surgically treated patients with T1b uterine cervical cancer.

Methods: Overall, 1687 patients with T1b cervical cancer who received concurrent chemoradiotherapy (CCRT) or chemotherapy as postoperative adjuvant therapy were retrospectively analyzed using the Japan Society of Obstetrics and Gynecology cancer registry program data from 2015 to 2016. After propensity score matching, overall survival (OS) was compared between 643 patients treated with CCRT and 643 patients treated with chemotherapy.

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  • Eosinophil inflammation in severe asthma often persists despite high-dose corticosteroid treatment, leading to the development of biologics targeting type 2 cytokines for corticosteroid-resistant cases.* -
  • This study investigated the direct effects of type 2 cytokines (IL-4, IL-5, IL-13, TSLP) on eosinophils from healthy individuals, measuring indicators like adhesiveness and superoxide production.* -
  • Results indicated that IL-5 significantly enhanced eosinophil functions, whereas IL-4, IL-13, and TSLP did not show such direct effects at clinical concentrations, implying limited eosinophil involvement in the action of certain biologics.*
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  • Cervical cancer screening rates in Japan are low, making prenatal visits an important opportunity for women to undergo cervical cytology tests during pregnancy, according to this study.
  • The study analyzed data from 2,725 participants, revealing that certain factors such as smoking, younger age, lower education levels, and specific sampling methods were linked to higher rates of abnormal cervical results (ASC-US).
  • Results showed that nearly 40% of participants with abnormal results thought they had “no abnormalities,” highlighting the need for better patient education and follow-up for those with detected issues.
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  • * A nationwide case-control study aimed to estimate the vaccine's effectiveness against advanced cervical lesions (like CIN3+) among women aged 20-26 from 2013 to 2020, revealing a significant risk reduction for vaccinated individuals.
  • * Results showed that vaccinated women had an odds ratio of 0.14 for developing CIN3 or higher compared to unvaccinated women, indicating an 86% effectiveness of the HPV vaccine; notably, none of the squamous cell carcinoma cases were from vaccinated women.
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  • * A total of 12,036 visitations occurred at SACHICO, including 3,100 initial medical examinations, with a concerningly low reporting rate of 31.3% for these cases; victims under 19 years made up 60% of the initial medical exams.
  • * The findings indicate that support for sexual assault victims in Japan remains inadequate, highlighting the need for an improved system of rape crisis centers to provide comprehensive support for victims
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Aim: The purpose of this study was to examine the trend in human papillomavirus (HPV) vaccination rates in Japan before and after a policy change in 2022, involving resumption of active recommendation and start of catch-up vaccination.

Methods: From 2021 to 2023, a web-based questionnaire survey was administered to newly enrolled female college students in Yokohama, Japan. The questionnaire included items such as age, HPV vaccination status, HPV vaccine awareness, and awareness of catch-up vaccination.

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Importance: The Ministry of Health, Labour, and Welfare (MHLW) of Japan aggregates human papillomavirus (HPV) vaccination data across Japan for each fiscal year (FY) by age at vaccination. Birth FY (BFY)-specific vaccination coverage remains unknown.

Objective: To calculate the BFY-specific vaccination coverage for each FY and the cumulative first-dose coverage for each BFY in Japan, to understand the generation-specific vaccination coverage, and to estimate the cumulative first-dose coverage of each BFY that would be achieved by FY 2028 vs World Health Organization (WHO) targets.

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Precise vaccination data is essential to accurately estimate the effectiveness of the human papillomavirus (HPV) vaccine against HPV-related cancers. In Japan, the number of subsidized HPV vaccinations can be tracked through registries, but the number of self-funded vaccinations has not been tracked. The number of individuals who chose to receive the vaccine at their own expense, despite being ineligible for public subsidies due to their age, is unknown and has been nominally considered to be zero.

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Japan has a particularly critical situation surrounding its collapsed HPV vaccination program for preventing HPV-caused cervical cancers, a problem exacerbated by the lack of a national immunization database. We have determined the year-to-year HPV vaccination uptake by Japanese females and analyzed by birth fiscal year (FY) the monthly number of people receiving initial HPV vaccination. Our analysis covers the period from the start of public subsidies in 2010 to September 2023, using data provided by local governments.

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In Japan, subsidies from local and national government programs for HPV vaccination of girls aged 13-16 began in 2010. By 2013, HPV vaccines were being used routinely for vaccinating girls aged 12-16 as part of its national immunization program. However, in June of 2013, in response to reports of possible adverse reactions to the vaccine, Japan's Ministry of Health, Labor, and Welfare (MHLW) announced a 'temporary suspension' of its governmental recommendation for HPV vaccination.

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Cancer will continue to be a major source of morbidity and mortality globally during the foreseeable future. Human papillomavirus (HPV)-related cancer is now a serious problem in both women and men. The most common HPV-related cancer is cervical cancer in females and oropharyngeal cancer in males.

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  • Olaparib and niraparib, PARP inhibitors used in ovarian cancer treatment, are effective but cause high rates of nausea and vomiting in patients, with no established antiemetic guidelines.
  • A study involving 134 patients aimed to monitor the incidence of nausea and vomiting over 21 days, finding that only 21.7% received preventive antiemetic therapy.
  • The overall vomiting incidence was 16.3%, with lower rates for niraparib (10.3%) compared to olaparib (18.6%), suggesting they pose a low risk for emesis and may not require routine prophylactic antiemetics.
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Purpose: The coronavirus disease of 2019 (COVID-19) pandemic has increased public awareness of infectious diseases and interest in vaccines, including the human papilloma virus (HPV) vaccine. We investigated differences between parental gender and intentions to vaccinate their child for HPV and COVID-19.

Methods: We analyzed data from Japan's COVID-19 and Society Internet Survey (JACSIS), a web-based cross-sectional survey of 2,444 respondents in 2021.

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Background: Acute asthma exacerbation in children is often caused by respiratory infections. In this study, a coordinated national surveillance system for acute asthma hospitalizations and causative respiratory infections was established. We herein report recent trends in pediatric acute asthma hospitalizations since the COVID-19 pandemic in Japan.

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In 2013, the national human papillomavirus (HPV) immunization program began. However, in June 2013, Japan's Ministry of Health, Labor and Welfare (MHLW) announced a "temporary" suspension of its recommendation for the human papillomavirus vaccine. Finally, in November 2021, the MHLW ended its suspension of the recommendation of the HPV vaccine.

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  • * Researchers developed organoid lines from SCNEC patients, focusing on one line that displayed mixed tumor characteristics, showing various differentiation in lab tests and animal models.
  • * Single-cell analysis showed distinct tumor cell clusters, linked to cancer markers and differentiation states; drug treatments affected marker expression, suggesting these mixed tumors share a common origin with flexible cancer cell identities.
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  • Japan suspended HPV vaccination recommendations in 2013, leading to a significant decline in vaccination rates among those born from 2000 onward, but resumed catch-up vaccinations in 2022.
  • An internet survey conducted in February 2022 found that 41.6% of unvaccinated women (born 1997-2004) intended to get the catch-up vaccine, with various factors influencing their decisions, such as gynecological visit history and knowledge about cervical cancer.
  • The study concluded that vaccination intentions varied between the "vaccinated generation" and the "vaccine-suspended generation," highlighting the need for tailored recommendations from health organizations based on these differences.
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  • * After reviewing 15 studies, the most common chemotherapy regimen used was bleomycin, etoposide, and cisplatin for one to three cycles.
  • * Comparisons between NACT and traditional primary surgery showed similar outcomes in response rates, overall survival, and disease-free survival, but more research is needed to determine the best candidates for NACT and optimal cycle numbers.
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Lipolysis-stimulated lipoprotein receptor (LSR) is known as a lipoprotein receptor. LSR is expressed in various solid tumors, including epithelial ovarian, gastric, and colon cancers. High LSR expression is significantly associated with poor prognosis, but its role in cancer has not been fully elucidated.

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BRCA1/2 mutations are robust biomarkers for platinum-based chemotherapy in epithelial ovarian cancers. However, BRCA1/2 mutations in clear cell ovarian carcinoma (CCC) are less frequent compared with high-grade serous ovarian cancer (HGSC). The discovery of biomarkers that can be applied to CCC is an unmet need in chemotherapy.

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Background: Adding bevacizumab to first-generation epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) prolonged the progression-free survival (PFS), but limited data are available for second-generation EGFR-TKIs. AfaBev-CS is a randomized, phase II trial comparing afatinib plus bevacizumab and afatinib alone as first-line treatment.

Patients And Methods: Untreated patients with non-squamous non-small cell lung cancer (NSCLC) harboring EGFR mutations (Del19 or L858R) were enrolled and randomly assigned to receive either afatinib (30 mg) plus bevacizumab (AfaBev group) or afatinib (40 mg) monotherapy (Afa group).

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The Japanese Ministry of Health, Labor and Welfare (MHLW) temporarily suspended recommendation for HPV vaccinations for girls in June 2013. It resumed its recommendation in November 2021. To compensate for eight years of lost overage, a 'catch-up HPV vaccination' program began in April 2022.

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Introduction: Tumor cell spillage during the colpotomy has been suspected as one reason for poor oncologic outcomes in laparoscopic radical hysterectomy (LRH) for cervical cancer. To prevent such tumor spillage in LRH, we focused on use of a Gutclamper which is a device originally designed to clamp the colon and rectum during colorectal resections.

Materials And Surgical Technique: A woman with stage IB1 cervical cancer underwent LRH using the Gutclamper.

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