221 results match your criteria: "Asahi University Hospital[Affiliation]"

Background: Early detection of gastric cancer can play a key role in improving prognosis. Recently, light-emitting diodes (LED) have been developed as novel endoscopic systems. However, the differences in the visibility of gastric neoplastic lesions between LED and laser endoscopy remains unclear.

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  • * After initial success with crizotinib, she developed renal complications; by April 202Y, a cystic lesion in her left kidney was found, leading to multiple renal abscesses.
  • * Despite antibiotic treatment and drainage procedures, her condition worsened, resulting in a left open nephrectomy, which showed renal abscesses but no signs of cancer, highlighting crizotinib's rare side effects.
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Introduction: Vonoprazan has been known to have a high () eradication rate since its launch in 2015. Yet, the risk factors for eradication failure and development of post-eradication gastric cancer (GC) using VPZ regimen remain unclear.

Methods: This single-center cohort study included 934 consecutive patients who underwent eradication using VPZ between February 2015 and June 2017 and were followed up for five years by the end of 2022.

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Overall assessment of KEYNOTE-164 study, KEYNOTE-158 study and CheckMate 142 study demonstrated the clinical benefits of immune checkpoint inhibitors(ICIs)among patients with mismatch repair deficient(dMMR)/high microsatellite instability(MSI-H)cancer. As a result, ICIs have been approved for treatment of MSI-H solid tumor regardless of the tumor type. However, the frequency of real-world diagnosed dMMR gastrointestinal cancer were rarely reported.

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Propriospinal myoclonus at sleep onset (PSM-S) is a sudden myoclonic jerk that occurs during the transition from wakefulness to sleep. It is a sleep-related movement disorder that causes difficulty falling asleep due to involuntary movements that spread caudally and rostrally through the propriospinal tract. Diagnosis requires observation of movements and polysomnography (PSG), and there are few reports.

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  • Recent advancements in chemotherapy have improved survival rates for head and neck cancer patients, leading to the development of totally implantable venous access devices for chemotherapy use.
  • A study investigated 210 patients who had these devices implanted in their upper arms over a decade, examining their effectiveness for treatment and any associated adverse events.
  • The results showed a low adverse event rate, with certain factors like non-ultrasound-guided puncture increasing risks, suggesting that using ultrasound guidance may enhance safety in these procedures.*
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  • Researchers conducted a study to explore the connection between thyroid autoantibodies (Tabs) and the clinical profiles of young patients (ages 3-29) with thyroid nodules, using data from 3,018 participants in the Fukushima Health Management Survey.
  • The study discovered that Tabs were found in 13.9% of participants, with higher rates in females, those with diffuse goiter, and those diagnosed with papillary thyroid carcinoma.
  • Findings indicate that Tab positivity is linked to larger thyroid sizes, the presence of diffuse goiter and papillary thyroid carcinoma, and high TSH levels, suggesting that testing for Tabs could enhance assessment methods for thyroid function and cancer detection in younger patients with nodules.
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Aims/introduction: The 2023 Delphi consensus recommended the use of new term, metabolic dysfunction-associated steatotic liver disease (MASLD), aiming conceptual shift from the conventional non-alcoholic fatty liver disease (NAFLD). The association between NAFLD and type 2 diabetes mellitus (T2DM) development is well known. This study aimed to examine the correlation between MASLD and T2DM development, comparing their utility as predictors.

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  • Researchers focused on identifying new serum extracellular vesicle (EV)-based biomarkers for detecting resistance to androgen receptor signaling inhibitors (ARSIs) in metastatic prostate cancer (PC) and castration-resistant prostate cancer (CRPC).
  • They used RNA-sequencing on serum EVs from CRPC patients before and after developing ARSI-resistance to analyze changes in gene expression, particularly looking at mitochondrial oxidative phosphorylation (OXPHOS)-related genes.
  • The study found that SDHB mRNA levels were significantly higher in EVs from ARSI-resistant CRPC patients, suggesting that EV-SDHB could serve as a novel biomarker for early diagnosis of ARSI-resistance.
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The mesothelium is a non-adhesive protective surface that lines the serosal cavities and organs within the body. The glycocalyx is a complex structure that coats the outer layer of the mesothelium. However, due to the limitations of conventional fixation techniques, studies on glycans are limited.

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Hemostatic palliative radiotherapy for gastric cancer: A literature review.

Tech Innov Patient Support Radiat Oncol

September 2024

Asahi University Hospital, Department of Radiation Oncology, Gifu, 500-8523, Japan.

Background: Gastric cancer has a high prevalence in Asia and may only be diagnosed in advanced stages. Therefore, patients with gastric cancer may experience fatal symptoms, such as bleeding or stenosis at the time of consultation. In this review, we aimed to describe the effectiveness and toxicity of hemostatic radiotherapy (RT).

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  • The study aims to enhance the detection of non-polypoid colorectal polyps using artificial intelligence (AI) powered by blue laser imaging (BLI) and linked color imaging (LCI), as previous methods with white light imaging (WLI) showed insufficient results and high false positive rates.
  • Researchers developed three AI models finetuned with specific learning sets (LS) composed of various WLI, BLI, and LCI images, and tested their accuracy against videos containing small lesions.
  • Results indicated that the AI using LCI showed the highest sensitivity (83%) and the lowest false positive rate (6.5%) compared to other AI models and human trainees, demonstrating its effectiveness for detecting
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Increased Waist Circumference after One-Year Is Associated with Poor Chewing Status.

Healthcare (Basel)

July 2024

Department of Community Oral Health, School of Dentistry, Asahi University, 1851-1 Hozumi, Mizuho, Gifu 501-0296, Japan.

Background: This study aimed to investigate the relationship between an increase in waist circumference (WC) after 1 year and self-reported chewing status in 10,870 Japanese adults who had received health checkups. Subsequently, 8068 participants were included in the final analysis.

Methods: We defined an increase in WC ≥ 5 cm after 1 year as an unhealthy increase; in total, 613 (7.

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Background And Aim: There are no previous studies in which computer-aided diagnosis (CAD) diagnosed colorectal cancer (CRC) subtypes correctly. In this study, we developed an original CAD for the diagnosis of CRC subtypes.

Methods: Pretraining for the CAD based on ResNet was performed using ImageNet and five open histopathological pretraining image datasets (HiPreD) containing 3 million images.

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Background: Linked color imaging (LCI) is a new image enhancement technology that facilitates the recognition of subtle differences in mucosal color. In the large-scale, multicenter randomized controlled trial LCI-FIND, LCI demonstrated good diagnostic performance for the detection of tumor lesions in the upper gastrointestinal tract. The aim of the present study was to exploratively evaluate the diagnostic performance of LCI according to H.

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Objective: This study aimed to reveal the prevalence and characteristics of individuals at risk of dysphagia in patients with chronic liver disease (CLD) and its association with health-related quality of life (HRQOL).

Methods: This cross-sectional study included 335 outpatients with CLD. Dysphagia risk, sarcopenia risk, malnutrition risk, and HRQOL were assessed using the Eating Assessment tool-10 (EAT-10), SARC-F, Royal Free Hospital-Nutrition Prioritizing Tool (RFH-NPT), and Chronic Liver Disease Questionnaire (CLDQ), respectively.

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Background/aim: A three-dimensional network constructed using glycocalyx (GCX) extends throughout the cancer cell nest in human colorectal cancer (CRC). GCX was found to be closely related to cancer. We examined the prognostic correlation and potential of syndecan-1 (SDC1), a representative proteoglycan of GCX, as a biomarker.

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  • Researchers studied how foot shape affects quality of life for people who had knee surgery.
  • They looked at patients who had special foot X-rays before their surgery and divided them into groups based on foot alignment.
  • The study found that people with a high arch in their feet had more difficulty with physical function after surgery, suggesting they may need extra foot and ankle therapy to help recover better.
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Introduction: Granulocyte and monocyte adsorption apheresis (GMA) is usually performed weekly for refractory skin diseases, such as generalized pustular psoriasis and psoriatic arthritis (PsA).

Methods: Four patients with PsA who were refractory to previous treatments were enrolled. They received five or ten sessions of GMA.

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Background/aim: A genomic analysis based on next-generation sequencing is important for deciding cancer treatment strategies. Cancer tissue sometimes displays intratumor heterogeneity and a pathologic specimen may contain more than two tumor grades. Although tumor grades are very important for the cancer prognosis, the impact of higher tumor grade distribution in a specimen used for a genomic analysis is unknown.

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Background And Aim: There has been no report on a direct comparison between linked color imaging (LCI) and second-generation narrow-band imaging (2G-NBI) for surveillance of epithelial neoplasms in the upper gastrointestinal tract (UGIT). The aim of this study was to verify the superiority of LCI to 2G-NBI for surveillance esophagogastroduodenoscopy and to clarify how each endoscopic system should be used.

Methods: This study was conducted as an open-label, two-arm-parallel (1:1), multicenter, randomized controlled trial at six institutions.

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Animal naming test stratifies the risk of falls and fall-related fractures in patients with cirrhosis.

Sci Rep

February 2024

Department of Gastroenterology/Internal Medicine, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

This study aimed to determine the relationship between animal naming test (ANT), falls, and fall-related fractures in patients with cirrhosis. Cognitive impairment and frailty were assessed using ANT and Karnofsky performance status (KPS), respectively. Factors stratifying the risk of previous falls and fall-related fractures within 1 year were assessed using a logistic regression model.

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Helicobacter pylori (H. pylori) infection is a cause of gastric disorders and is treated mainly by pharmacotherapy with antimicrobial agents. An association has been reported between dental caries and H.

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