Publications by authors named "Yutoku Shi"

Article Synopsis
  • - The study investigates factors affecting postoperative C-reactive protein (CRP) levels in patients without complications after laparoscopic and robotic total hysterectomies, which are linked to higher complication risks if elevated.
  • - A total of 180 patients were analyzed, and various factors such as age, body mass index (BMI), operative time, blood loss, and uterine weight were assessed to determine their impact on CRP levels on the first postoperative day.
  • - Results showed that higher body mass index and longer operative time significantly correlated with increased CRP levels post-surgery, indicating these factors might help predict recovery outcomes in uncomplicated cases.
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Aims/introduction: To evaluate the efficacy of sensor-augmented pump (SAP) for improving obstetric and neonatal outcomes among pregnant women with type 1 diabetes mellitus by comparing it with continuous subcutaneous insulin infusion plus self-monitoring of blood glucose (continuous subcutaneous insulin infusion [CSII]/SMBG).

Materials And Methods: This retrospective cohort study included 40 cases of pregnancy complicated by type 1 diabetes mellitus treated with SAP (SAP group), and 29 cases of pregnancy complicated by type 1 diabetes mellitus treated with CSII/SMBG (CSII/SMBG group). The obstetric and neonatal outcomes were compared between the two groups.

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Regulatory B cells (Bregs) may play a pivotal role in maintaining human pregnancy. For the first time, to the best of our knowledge, this study noted that cell percentages of CD24CD38 Bregs and CD24CD27 Bregs, which can potentially produce IL-10, are increased in human decidua compared with the mid-luteal phase endometrium. In each case of decidua, the correlation between Bregs and dendritic cell (DC) or natural killer (NK) cell expression was further explored.

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Article Synopsis
  • The study investigates the link between uterine endometrium microbiota (UEM) and pregnancy outcomes in women who have experienced recurrent pregnancy loss (RPL).
  • It involved 67 women with a history of two or more RPL, with UEM analyzed through endometrial biopsy and sequencing, ultimately tracking 63 women's pregnancies over 14 months.
  • Findings revealed that higher levels of Ureaplasma species in UEM and a greater number of previous miscarriages are significant risk factors for normal karyotype miscarriages and preterm deliveries in future pregnancies.
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Article Synopsis
  • Placental mesenchymal dysplasia (PMD) is a rare condition linked to serious pregnancy risks, including fetal growth issues and complications like placenta previa.
  • A 27-year-old woman was diagnosed with fetal growth restriction and placenta previa at 22 weeks of pregnancy, where ultrasounds suggested twins, including a hydatidiform mole and a healthy fetus.
  • Tragically, at 27 weeks, she suffered a sudden intrauterine fetal death after bleeding, leading to the confirmation of PMD post-delivery; this case highlights the high risk of IUFD in patients with both PMD and placenta previa.
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Introduction: Placenta accreta spectrum (PAS) is a life-threating obstetric complication, and prenatal prediction of PAS can decrease maternal morbidity and mortality. The aim of this prospective cohort study was to determine the clinical factors associated with PAS.

Methods: Pregnant women who delivered at a university hospital were enrolled.

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Infants with symptomatic congenital cytomegalovirus infection (cCMV) suffer from long-term sequelae. This study aimed at evaluating the efficacy of combining immunoglobulin (Ig) fetal therapy (FT) and neonatal therapy (NT) with antiviral drugs to improve neurological outcomes of affected infants. Women whose fetuses had symptomatic cCMV received Ig injection into the fetal peritoneal cavity and/or maternal blood as FT, while affected newborns received oral valganciclovir or intravenous ganciclovir as NT.

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This prospective cohort study aimed to determine clinical factors associated with congenital cytomegalovirus (CMV) infection in pregnancy. Newborns born at a perinatal medical center received PCR analyses for CMV-DNA in their urine with informed consent. Clinical data, including age, maternal fever or flu-like symptoms, complications, ultrasound fetal abnormality, gestational weeks at delivery, and birth weight, were collected.

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Objectives: The aim of this study was to evaluate whether vaginal microbiota is associated with threatened premature labor and preterm delivery.

Methods: This prospective study enrolled 64 pregnant women who underwent vaginal microbiome analyses using 16S ribosomal RNA sequence method with informed consent. The 64 pregnant women consisted of 47 women with threatened premature labor and 17 women with other diseases (non-threatened premature labor) in a case-control study.

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