221 results match your criteria: "Chugoku Rosai Hospital[Affiliation]"

Background: This study aimed to investigate the association between a new biomarker that incorporates albumin (Alb) and butyrylcholinesterase (BCHE) levels, as well as the prognosis of hepatocellular carcinoma (HCC) after hepatectomy.

Methods: The study enrolled 1712 patients who underwent primary hepatectomy for HCC between January 2003 and December 2019 at seven institutions belonging to the Hiroshima Surgical Study Group of Clinical Oncology. The entire dataset was randomly split into discovery and validation cohorts in a 7:3 ratio.

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Objective: This study aimed to investigate the relationship between clinical findings and the trabecular microstructure of the subchondral bone in patients with hip osteoarthritis (OA) due to developmental dysplasia of the hip (DDH) using multidetector row computed tomography (MDCT).

Design: A total of 63 patients (69 hips) with OA due to DDH were retrospectively reviewed, with 12 healthy controls being included for comparison. Clinical evaluation was performed using the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ).

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Predictors of tolerability for postoperative adjuvant S1 plus docetaxel chemotherapy for gastric cancer: a multicenter retrospective study.

Gastric Cancer

November 2024

Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Background: Adjuvant docetaxel plus S1 (DS) chemotherapy after gastrectomy with D2 lymph node dissection is the standard treatment for stage III gastric cancer in Japan; however, some patients are unable to receive adequate drug administration because of the deterioration of their conditions. This study aimed to investigate the correlation between tolerability for postoperative adjuvant DS chemotherapy and prognosis, and the factors affecting tolerability.

Methods: This retrospective study involved patients with stage III gastric cancer who underwent curative resection between 2018 and 2021 from a multicenter database.

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After developing job-exposure matrices (JEMs) for screen and sedentary time, we aimed to assess the associations between the JEM-derived exposures and various ocular diseases. We collected data from patients hospitalized from 2005 to 2021. JEMs were developed from 41,718 patients with occupational information and screen and sedentary times.

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Sarcopenia's Impact Defined by Grip Strength and Muscle Mass on Post-hepatectomy Outcomes: A Multicenter Analysis.

In Vivo

October 2024

Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Article Synopsis
  • Sarcopenia, characterized by decreased grip strength and skeletal muscle mass, is linked to worse outcomes in patients undergoing liver surgery for hepatocellular carcinoma (HCC).
  • A study analyzed 253 patients, finding that 14.2% had sarcopenia, and this group faced higher complications, particularly older patients with comorbid conditions.
  • The findings suggest that sarcopenia is an independent risk factor for severe postoperative issues, highlighting the need for assessment before surgery.
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  • A job-exposure matrix was created to analyze sedentary behavior in relation to non-communicable diseases, using data from over 41,000 individuals.
  • The matrix was applied to a large cohort in a case-control study, revealing a connection between higher sedentary time and increased risks of diabetes, heart attacks, and endometrial cancer, while suggesting lower stroke risks.
  • The findings emphasize the need to address sedentary behavior in workplace settings due to its significant health implications.
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  • Severe acute cholecystitis (AC) is a serious condition that can cause systemic infections and organ dysfunction, prompting a study on the best timing and effectiveness of surgery and pre-operative drainage methods.
  • The research involved 142 patients who were divided into early cholecystectomy (EC) within 72 hours of symptoms and delayed cholecystectomy (DC), along with their surgical outcomes compared.
  • Findings showed that patients eligible for EC had better surgical results, while preoperative percutaneous cholecystostomy (PC) reduced intraoperative bleeding and hospital stays but was linked to higher rates of complications in those with cardiovascular issues or taking warfarin.
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Background: Hepatocellular carcinoma (HCC) ranks third in cancer-related deaths globally. Despite treatment advances, high post-hepatectomy recurrence rates (RR), especially with liver fibrosis and hepatitis C virus infection, remain challenging. Key prognostic factors include vascular invasion and perioperative blood loss, impacting extrahepatic recurrence.

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  • The study explored changes in the infrapatellar fat pad (IFP) during walking among 17 healthy young participants, using ultrasonography to measure its thickness in different positions: supine, standing, and walking.
  • Results showed that the IFP was thicker while walking compared to other positions, and its thickness changed dynamically throughout the gait cycle.
  • The findings also indicated a significant correlation between the IFP’s morphological changes during walking and the knee flexion moment (KFM), suggesting that IFP dynamics are linked to knee mechanics.
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The purpose of this study was to identify the relationship between scapula morphology and rotator cuff tears (RCT). Hundred seventeen shoulders with and 87 shoulders without RCTs were included in this retrospective study. The critical shoulder angle (CSA) and lateral acromion angle in the coronal view, and the acromial coverage angle (ACA) and coracoid and scapular spine angle (CSSA) in the sagittal view were evaluated using 3-dimensional computed tomography.

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Article Synopsis
  • - The study focused on identifying risk factors for fluoroquinolone (FQ) resistance and understanding the clinical features of acute bacterial prostatitis (ABP) in Japan, involving 124 patients across 13 medical centers during 2017.
  • - Key findings indicated that severe dysuria, urinary retention, and transrectal prostate biopsy (TRBx) were common medical conditions for patients, with Escherichia coli being the most prevalent organism, and notable resistance to FQ antibiotic treatment was found in 33% of cases.
  • - The research concluded that patients with a history of TRBx and those admitted to the hospital had significantly higher rates of FQ-resistant bacteria, emphasizing the need for specific management strategies for ABP cases
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Purpose: To investigate whether the pivot-shift test reflects patient-reported outcomes 1 year after anterior cruciate ligament (ACL) reconstruction based on a multicentre prospective cohort study.

Methods: This study included patients who underwent primary ACL reconstruction using the hamstring tendons. The pivot-shift test grades were determined according to the International Knee Documentation Committee (IKDC) form as 0, 1+, 2+ or 3+.

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The purpose of this study was to investigate factors that influence clinical outcomes after anterior cruciate ligament (ACL) reconstruction in patients aged ≥40 years. We studied 264 patients aged ≥40 and 154 patients aged ≤20 years who underwent ACL reconstruction at several surgical centers. A logistic regression analysis was conducted to identify factors that influenced the Knee Injury and Osteoarthritis Outcome Score (KOOS) at 1 year post-ACL reconstruction.

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Reply to letter to the editor by Li et al.

J Orthop Sci

September 2024

Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan.

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Article Synopsis
  • * 553 patients, aged around 71, were monitored and divided into groups based on how many days it took them to walk at least 100 meters after surgery.
  • * Results indicated that those who walked sooner had a lower risk of heart failure readmissions, suggesting that achieving walkability quickly can be an important predictor for post-surgery cardiovascular health.
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  • Immune-mediated necrotizing myopathy (IMNM) is an inflammatory muscle disease that typically doesn't present with skin rashes, but patients with the specific HMGCR antibody may exhibit atypical skin conditions.
  • A study of 100 IIM patients revealed that 34% had skin conditions, with 42% of those with HMGCR-IMNM showing atypical lesions, which were distinct from typical IIM-related rashes.
  • Skin biopsies from HMGCR-IMNM patients revealed similar microscopic features, specifically Bcl-2-positive lymphocyte infiltrations, suggesting that these atypical skin manifestations could be a clue for diagnosing HMGCR-IMNM.
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  • The study analyzed antimicrobial susceptibility patterns of 793 bacterial strains from patients with complicated urinary tract infections across eight species, using national surveillance data collected in Japan from July 2020 to December 2021.
  • Fluoroquinolone resistance, particularly among Escherichia coli and Pseudomonas aeruginosa, has risen over the years, with levofloxacin resistance in E. coli increasing from 28.6% in 2008 to 44.5% in 2021, while MRSA vancomycin susceptibility decreased significantly.
  • Extended-spectrum β-lactamase-producing strains were identified in notable proportions, with E. coli (24.8%) and Klebsiella pneumoniae (16
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Article Synopsis
  • A nationwide surveillance in Japan studied the antimicrobial susceptibility of bacteria in acute uncomplicated cystitis, focusing on E. coli, K. pneumoniae, and S. saprophyticus, between April 2020 and September 2021.
  • The study isolated 823 bacterial strains from urine samples of 848 patients, with a majority being E. coli (92.9%), and determined susceptibility to 18 antibacterial agents.
  • Results showed a concerning increase in fluoroquinolone-resistant E. coli and extended-spectrum β-lactamase (ESBL)-producing E. coli, especially in postmenopausal women, highlighting the need for clinicians to adapt their antibiotic choices due to rising resistance rates.
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Background: In this phase I study, we aimed to examine the safety of a triple combination (TAS-102/irinotecan/bevacizumab) therapy in patients with previously treated metastatic colorectal cancer (mCRC).

Methods: In the TAS-102 dose-escalation phase, we determined dose-limiting toxicity (DLT), estimated the maximum tolerated dose (MTD), and determined the recommended dose (RD); in the expansion phase, we evaluated safety. The RD was administered in advance for 10 patients.

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We analyzed the intraoperative kinematics of total knee arthroplasty (TKA) using a navigation system to investigate the influence of different inserts on kinematics. This was a retrospective observational study. The Vanguard individualized design (33 patients, 33 knees) XP and anterior-stabilized (AS) inserts were used in TKA for osteoarthritis.

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Purpose: Adjuvant chemotherapy is recommended following colorectal cancer resection based on risk of recurrence. In older patients, treatment decisions should consider recurrence rates and tolerability, as well as functional prognosis, residual disease, and social factors. This study aims to investigate factors, including social background, influencing implementation of postoperative adjuvant chemotherapy in older patients undergoing curative resection for colorectal cancer.

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Comparison of postoperative outcomes in cases achieving sustained virological response with direct-acting antiviral and interferon therapy.

J Hepatobiliary Pancreat Sci

May 2024

Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Background/purpose: The effect of direct-acting antiviral agents (DAAs) on hepatocellular carcinoma (HCC) recurrence after curative hepatectomy remains uncertain. This retrospective study aimed to evaluate the effect of sustained virological response (SVR) with DAAs or interferon (IFN) therapy on recurrence and overall survival (OS) after hepatectomy.

Methods: We enrolled 593 patients who underwent curative resections between January 2010 and December 2017.

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Survival outcomes of patients with stage III colorectal cancer aged ≥ 80 years who underwent curative resection: the HiSCO-04 prospective cohort study.

Int J Clin Oncol

February 2024

Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, Japan.

Article Synopsis
  • The study explored the effectiveness of adjuvant chemotherapy in elderly patients (≥80 years) with stage III colorectal cancer, focusing on survival outcomes.
  • Conducted across 17 institutions in Hiroshima, the research involved 214 patients and aimed to analyze 3-year disease-free, overall, and relapse-free survival rates.
  • Results suggested that completing adjuvant chemotherapy improved disease-free survival, with rates of 80% for those who completed treatment, highlighting its potential benefit despite limitations in patient numbers.
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Background: Few reports exist on the long-term outcomes of midshaft clavicle fracture conservative treatments. Therefore, this study investigated the long-term outcome of this treatment in patients with midshaft clavicle fractures.

Methods: Patients were treated conservatively for midshaft clavicle fractures with a figure-of-eight bandage between 10 and 30 years ago.

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