149 results match your criteria: "Enshu Hospital[Affiliation]"

Background: Progressive pulmonary fibrosis (PPF) is a critical concern in interstitial lung disease (ILD) management. The HAL score, which incorporates honeycombing (H), age >75 years (A), and serum lactate dehydrogenase >222 U/L (L), can predict acute exacerbations in patients with idiopathic interstitial pneumonia (IIP). This study aims to evaluate the predictive utility of the HAL score for PPF development.

View Article and Find Full Text PDF

The fibrosis-4 index, a noninvasive method for evaluating liver fibrosis, is closely associated with cardiovascular events. In this study, we tested the hypothesis that the fibrosis-4 index is associated with new-onset hypertension in the general population. A total of 15,502 individuals (51.

View Article and Find Full Text PDF

Background: Despite the development of biologics for severe asthma, individuals with uncontrolled status persist, posing a significant social problem. This multicenter prospective study aimed to identify factors associated with the uncontrolled status of patients with severe asthma in the biologic era assessed using the Asthma Control Questionnaire (ACQ).

Methods: Subjects with severe asthma diagnosed by respiratory specialists were enrolled from 11 hospitals.

View Article and Find Full Text PDF
Article Synopsis
  • Enfortumab Vedotin (EV) is an effective treatment for advanced urothelial carcinoma (UC) patients who have already undergone other therapies, but there’s limited understanding of the factors that impact patient outcomes.
  • A retrospective study was conducted to identify clinical factors affecting progression-free survival (PFS) and overall survival (OS) in these patients, leading to the development of a new risk classification model based on identified prognostic factors.
  • The study found that high levels of C-reactive protein and hypercalcemia were significant predictors of patient outcomes, allowing for the classification of patients into three distinct risk groups, which showed notable differences in survival rates.
View Article and Find Full Text PDF
Article Synopsis
  • This study investigates interstitial pneumonia with autoimmune features (IPAF) in patients with idiopathic interstitial pneumonia (IIP), aiming to identify serum biomarkers related to autoimmune characteristics and prognosis.
  • An analysis of 222 newly diagnosed IIP patients over three years revealed that high serum levels of CXCL10 were significantly associated with better lung function metrics and acute onset of symptoms, as well as a higher likelihood of IPAF classification.
  • The findings suggest that CXCL10 could serve as a valuable biomarker for evaluating the clinical course of IIP patients, highlighting its potential role in understanding disease progression and patient outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • A double-check process in quality control can prevent errors but may reduce personal accountability and quality checks.
  • The study presents an AI-integrated workflow for cervical cytology screening that boosts efficiency and lessens the workload for cytologists by prioritizing cases.
  • This AI model enhances the identification of high-risk cases and streamlines the screening process, showcasing the transformative potential of AI in medical diagnostics, especially in critical areas like cervical cancer screening.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to identify preoperative factors that predict poor outcomes from holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH).
  • Out of 159 patients, 33.3% exhibited poor therapeutic efficacy three months post-surgery, with factors like high intravesical prostatic protrusion (IPP), overactive bladder (OAB), and other symptoms linked to worse outcomes.
  • The findings suggest that assessing the presence of OAB and measuring IPP is crucial for determining which BPH patients are likely to benefit from HoLEP.
View Article and Find Full Text PDF
Article Synopsis
  • * A comparison of two patient groups over a period from April 2020 to February 2022 showed that SNB significantly alleviated headache intensity, particularly after the first sonication reaching 52.5°C and during moderate energy doses (10,000 to 29,999 J).
  • * The results indicate that scalp nerves may contribute to headache mechanisms during MRgFUS, revealing SNB's potential benefits for patient comfort during this procedure.
View Article and Find Full Text PDF

Background: Hypertrophic cardiomyopathy (HCM) is often concomitant with sleep-disordered breathing (SDB), which can cause adverse cardiovascular events. Although an appropriate approach to SDB prevents cardiac remodelling, detection of concomitant SDB in patients with HCM remains suboptimal. Thus, we aimed to develop a machine learning-based discriminant model for SDB in HCM.

View Article and Find Full Text PDF

Purpose: This study aims to measure job satisfaction among interventional radiology physicians in Japan and analyze the factors affecting job satisfaction.

Material And Methods: A web-based survey was conducted among the members of the Japanese Society of Interventional Radiology between October and December 2021. Participants were questioned regarding their job satisfaction, workplace, work status, and demographic information.

View Article and Find Full Text PDF

Purpose: Visit-to-visit blood pressure variability is a strong predictor of the incidence of cardiovascular events and target organ damage due to hypertension. The present study investigated whether year-to-year blood pressure variability predicts the risk of hypertension in the Japanese general population.

Materials And Methods: This study analysed 2806 normotensive individuals who participated in our physical check-up program for five years in a row from 2008 to 2013.

View Article and Find Full Text PDF

Purpose: The long-term prognosis of stapled and hand-sewn ileal pouch-anal anastomoses in familial adenomatous polyposis patients in Japan remains unknown. This study aimed to compare the overall survival in familial adenomatous polyposis patients who underwent stapled or hand-sewn ileal pouch-anal anastomosis.

Methods: This multicenter retrospective study was conducted at 12 institutions in Shizuoka Prefecture, Japan.

View Article and Find Full Text PDF

Background: Patients with idiopathic interstitial pneumonia (IIP) have a favourable prognosis when they have interstitial pneumonia with autoimmune features (IPAF). However, precise IPAF-related findings from high-resolution computed tomography (HRCT) and lung histopathological specimens and the treatment response have not been fully determined. Therefore, this study was conducted to evaluate the relationship between findings on HRCT or lung histopathological specimens and the progression of interstitial pneumonia in patients with IPAF.

View Article and Find Full Text PDF

Background: Bone metastases are frequently observed in advanced cancer, and bone modifying agents are used to prevent or treat skeletal-related events. Zoledronic acid is contraindicated in patients with severe renal impairment (Ccr < 30 mL/min), but it is not completely known whether denosumab can be used in them. We aimed to determine the association between renal function and hypocalcemia development during denosumab treatment.

View Article and Find Full Text PDF

Background: Washing with water is not inferior to washing with soaps and detergents in children with atopic dermatitis (AD) in remission during the fall-winter seasons. We investigated whether this finding varies during summer based on the type of cleanser (soaps and detergents).

Methods: This evaluator-blinded, pragmatic, randomized, and non-inferiority study enrolled patients with AD whose eczema was controlled following regular steroid ointment application 2 days/week.

View Article and Find Full Text PDF

Aims: Higher left ventricular (LV) ejection fraction (EF) is related to unfavourable prognosis in patients with heart failure (HF) with preserved ejection fraction (HFpEF). The cause of this finding needs to be haemodynamically explained. Thus, we investigated this crucial issue from the perspective of LV-arterial (A) and right ventricular (RV)-pulmonary arterial (PA) coupling.

View Article and Find Full Text PDF

Medical checkups play a role in the identification of individuals at increased cardiovascular risk. However, the impact of each medical examination parameter on the incidence of major adverse cardiovascular events (MACE) has not been intensively studied. Here we assessed the predictors of MACE among parameters examined during medical checkups in the general Japanese population.

View Article and Find Full Text PDF

Background: Sodium-glucose cotransporter 2 (SGLT2) inhibitors reduce the urinary albumin-to-creatinine ratio (UACR) in patients with elevated levels of albuminuria in the presence or absence of heart failure (HF) or type 2 diabetes mellitus (T2D). However, these effects have not yet been reported in the presence of both HF and T2D. This lack of evidence prompted us to conduct a clinical trial on the effects of dapagliflozin on UACR in patients with HF and T2D.

View Article and Find Full Text PDF
Article Synopsis
  • Serum IFNλ3 levels were significantly higher in patients with polymyositis/dermatomyositis (PM/DM)-associated interstitial lung disease (ILD) compared to healthy controls, particularly in those with anti-MDA5 antibodies.
  • High serum IFNλ3 levels (>120 pg/mL) were linked to lower survival rates among anti-MDA5 antibody-positive DM-ILD patients, alongside factors like older age and low Pao.
  • This study suggests that serum IFNλ3 could serve as an important biomarker to identify high-risk patients with anti-MDA5 antibody-positive DM-ILD for poorer outcomes.
View Article and Find Full Text PDF

We report three Japanese patients with Sotos syndrome accompanied by marked overgrowth, i.e., a 2 8/12-year-old boy with a height of 105.

View Article and Find Full Text PDF

Chronic kidney disease (CKD) is a major risk factor for cardiovascular diseases as well as end-stage kidney disease. Increased dietary sodium (Na) or decreased dietary potassium (K) deteriorates kidney function; however, findings regarding the association of dietary Na/K ratio with kidney function are limited and conflicting. Therefore, the present study investigated the impact of urinary Na/K ratio on the development of CKD, defined as estimated glomerular filtration rate (eGFR) < 60 mL/min/1.

View Article and Find Full Text PDF

Background: Patient motivation is an important determinant of rehabilitation outcomes. Differences in patients' and clinicians' perceptions of motivational factors can potentially hinder patient-centered care. Therefore, we aimed to compare patients' and clinicians' perceptions of the most important factors in motivating patients for rehabilitation.

View Article and Find Full Text PDF

Background: Osteoporosis is a multifactorial disorder in which nutrition is associated with its onset and progression. Excessive salt intake is closely associated with the onset and progression of various diseases, such as osteoporosis and hypertension. We investigated the effects of dietary salt intake on bone density in the general female population.

View Article and Find Full Text PDF

Background/aim: Maxillary sinus cancer is a relatively rare disease, and treatment is still evolving. We compared the efficacy of superselective intra-arterial infusion of high-dose cisplatin (CDDP) with concomitant radiotherapy (RADPLAT) using three-dimensional conformal radiotherapy (3DCRT) or intensity-modulated radiotherapy (IMRT) and analyzed the relationship between the total radiation dose and the treatment outcome in localized maxillary sinus cancer.

Patients And Methods: We reviewed the cases of 58 patients with localized maxillary sinus cancer treated with RADPLAT at our institution from March 2004 to November 2020.

View Article and Find Full Text PDF