215 results match your criteria: "Graduate School of Biomedical and Health Science.[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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External validation of the performance of commercially available deep-learning-based lung nodule detection on low-dose CT images for lung cancer screening in Japan.

Jpn J Radiol

November 2024

Department of Diagnostic Radiology, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.

Article Synopsis
  • The study assessed the effectiveness of a deep-learning algorithm for detecting lung nodules in low-dose CT images from lung cancer screenings in Japan.
  • The algorithm achieved a high sensitivity of 96.0% for detecting lung nodules, meaning it accurately identified most of them, but had a low positive predictive value (PPV) of 24.2%, indicating many false positives.
  • Despite its strong performance in sensitivity, the algorithm's tendency to produce a high number of false positives poses a significant challenge for its use in clinical settings.
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  • Completion of postoperative adjuvant chemotherapy (AC) is crucial for improving the prognosis of patients with pathological stage III colorectal cancer (CRC), making it essential to identify those who may not tolerate AC.
  • The study analyzed 161 patients and found that a higher volume of abdominal aortic calcification (AAC) was significantly associated with older age, male sex, hypertension, and a greater likelihood of not completing AC.
  • Results indicated that while the frequency or severity of adverse events was similar between high and low AAC groups, both high AAC and older age were strong predictors of AC incompletion, suggesting that AAC could be a risk marker for assessing patients before starting AC treatment.
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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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Identification of novel sub-phenotypes of severe ARDS requiring ECMO using latent class analysis.

Crit Care

October 2024

Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.

Background: Sub-phenotyping of acute respiratory distress syndrome (ARDS) could be useful for evaluating the severity of ARDS or predicting its responsiveness to given therapeutic strategies, but no studies have yet investigated the heterogeneity of patients with severe ARDS requiring veno-venous extracorporeal membrane oxygenation (V-V ECMO).

Methods: We conducted this retrospective multicenter observational study in adult patients with severe ARDS treated by V-V ECMO. We performed latent class analysis (LCA) for identifying sub-phenotypes of severe ARDS based on the radiological and clinical findings at the start of ECMO support.

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Activation of platelet-derived growth factor receptors regulate connective tissue growth factor protein levels via the AKT pathway in malignant mesothelioma cells.

J Biochem

December 2024

Department of Genomic Oncology and Oral Medicine, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi Minami-ku, Hiroshima 734-8553, Japan.

Article Synopsis
  • Malignant mesothelioma (MM), linked to asbestos exposure, is increasingly prevalent and resistant to treatment, making the study of its underlying mechanisms crucial.
  • Researchers found that the platelet-derived growth factor receptor (PDGFR) ligand, PDGF-BB, boosts CTGF protein levels in MM cells without changing CTGF mRNA levels, indicating a unique regulation mechanism.
  • PDGFR activation triggers the AKT pathway, which is vital for increasing CTGF protein expression, suggesting that targeting these pathways could be key in addressing MM malignancy.
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Background: The authors hypothesized that small ribonucleic acid (sRNA) obtained from blood samples after neoadjuvant therapy from patients treated with neoadjuvant chemoradiation therapy (NACRT) could serve as a novel biomarker for predicting pathologic complete response (pCR).

Methods: This study included 99 patients treated with esophagectomy after NACRT between March 2010 and October 2021 whose blood samples were collected between the end of NACRT and surgery. Next-generation sequencing (NGS) was used to analyze sRNAs from the blood samples.

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  • A healthy gut environment is linked to better mental health, with dietary fiber playing a key role in maintaining this environment; however, previous studies focused mainly on soluble fiber.
  • A new study found that mice fed a cellulose-rich diet (insoluble fiber) displayed increased anxiety and intestinal issues, such as lower short-chain fatty acid levels and increased gut permeability.
  • The observed increase in anxiety was connected to changes in brain signaling through the gut-brain axis, with specific effects on dopamine signaling in the amygdala, highlighting the potential negative impact of consuming only insoluble fiber like cellulose on mental health.
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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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  • The study assesses the effects of Japan's 2021 Ordinance revision on radiation safety practices, particularly in hospitals and the role of radiology technologists.
  • A two-phase web-based survey was conducted among hospitals to gather data on radiation worker management and facility resources.
  • Results showed an increase in use of lens-specific dosimeters but only minor improvements in protective eyewear availability and consistent involvement of technologists, with larger hospitals generally following better safety protocols.
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Background: Immune checkpoint inhibitors (ICIs) occasionally cause immune-related adverse events (irAEs) in various organs. However, predictors of irAEs remain unidentified.

Objectives: We evaluated the predictors of irAEs and compared the outcomes of ICIs with and without irAEs in patients with recurrent/metastatic head and neck cancers (R/M HNCs).

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Intermediate hepatitis C virus (HCV) endemicity and its genotype distribution in Myanmar: A systematic review and meta-analysis.

PLoS One

September 2024

Department of Epidemiology, Infectious Disease Control and Prevention, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan.

Background: Comprehensive details on Hepatitis C virus (HCV) infection in Myanmar are lacking. This study determined the prevalence of HCV antibodies and ribonucleic acid (RNA) and the distribution of HCV genotypes across different populations in Myanmar from 1990 to 2023.

Material And Methods: A systematic search in PubMed, Web of Science, Scopus, and local journals identified studies reporting on HCV antibodies, RNA, and genotypes, excluding clinical research related to liver disease prognosis.

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Successful outcome achieved with adjuvant chemotherapy with irinotecan plus cisplatin in rectal neuroendocrine carcinoma: a case report.

Surg Case Rep

September 2024

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

Article Synopsis
  • Rectal neuroendocrine carcinomas (NECs) are rare tumors with a worse prognosis compared to common adenocarcinomas, and the role of adjuvant chemotherapy after surgery is not well-established.
  • A 48-year-old woman diagnosed with rectal NEC following a laparoscopic resection received postoperative chemotherapy with irinotecan and cisplatin, showing no recurrence after three years.
  • This case emphasizes the need for a combination of surgical and chemotherapy treatments in managing aggressive rectal NECs effectively.
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Clinical significance and biological role of claudin-1 in oral squamous cell carcinoma cells.

Oral Surg Oral Med Oral Pathol Oral Radiol

January 2025

Department of Oral Oncology, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan.

Objectives: Claudin (CLD), a major component of tight junctions, is a four-transmembrane protein, and 24 subtypes have been reported in humans. CLD expression is highly tissue-specific; CLD1 has been reported to be expressed in the skin and mucosa. There have been few reports on CLD1 expression and its function in oral cancer.

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Mucinous Cystic Neoplasm of the Liver in a Teenager: A Case Report.

Cureus

July 2024

Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, JPN.

Mucinous cystic neoplasms of the liver (MCN-Ls) are rare cystic liver tumors. Herein, we report a case of MCN-L wherein complete surgical resection was successful. A 17-year-old girl initially presented to the referring hospital with a chief complaint of upper abdominal pain.

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Background: Persons with dementia in nursing homes often experience cognitive decline (e.g., memory and visuospatial/construction problems), behavioural and psychological symptoms of dementia (BPSD), and impaired activities of daily living.

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Article Synopsis
  • Neuroimaging databases for neuro-psychiatric disorders provide valuable data for researchers to explore diseases, develop machine learning models, and redefine understanding of these conditions.* ! -
  • A review identified 42 global MRI datasets totaling 23,293 samples from patients with various disorders, including mood, developmental, schizophrenia, Parkinson's, and dementia.* ! -
  • Improved governance and addressing technical issues of these databases are essential for sharing data across borders, aiding in understanding, diagnosing, and creating early interventions for neuro-psychiatric disorders.* !
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Exploratory study on the impact of intraesophageal pressure on quality of life in patients following total gastrectomy: a retrospective cohort study.

BMC Surg

July 2024

Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.

Article Synopsis
  • - The study investigated how intraesophageal pressure impacts quality of life in patients who had total gastrectomy with Roux-en-Y anastomosis, using high-resolution impedance manometry (HRIM) on 12 participants post-surgery.
  • - Most patients exhibited normal esophageal motility, and factors like integrated relaxation pressure and lower esophageal sphincter residual pressure correlated with specific symptoms, such as diarrhea and indigestion.
  • - The findings suggest that HRIM is a valuable tool for assessing esophageal function and its effects on quality of life following total gastrectomy.
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RadImageNet and ImageNet as Datasets for Transfer Learning in the Assessment of Dental Radiographs: A Comparative Study.

J Imaging Inform Med

July 2024

Department of Medical Systems Engineering, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Transfer learning (TL) is an alternative approach to the full training of deep learning (DL) models from scratch and can transfer knowledge gained from large-scale data to solve different problems. ImageNet, which is a publicly available large-scale dataset, is a commonly used dataset for TL-based image analysis; many studies have applied pre-trained models from ImageNet to clinical prediction tasks and have reported promising results. However, some have questioned the effectiveness of using ImageNet, which consists solely of natural images, for medical image analysis.

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Effects of novel lactoferrin peptides on LPS-induced alveolar bone destruction in a rat model.

Chem Biol Drug Des

July 2024

Department of Oral and Maxillofacial Pathobiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

To develop novel bovine lactoferrin (bLF) peptides targeting bLF-tumour necrosis factor (TNF) receptor-associated factor 6 (TRAF6) binding sites, we identified two peptides that could target bLF-TRAF6 binding sites using structural analysis. Moreover, another peptide that could bind to the TRAF6 dimerization area was selected from the bLF sequence. The effects of each peptide on cytokine expression in lipopolysaccharide (LPS)-stimulated osteoblasts (ST2) and on osteoclastogenesis were examined using an LPS-treated co-culture of primary bone marrow cells (BMCs) with ST2 cells and a single culture of osteoclast precursor cells (RAW-D) treated with soluble receptor activator of NF-κB ligand.

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Advancements in diagnostic modalities, such as enhanced magnetic resonance imaging, provide increased opportunities for identifying small hepatocellular carcinoma that is undetectable on preoperative ultrasonography. Whether it is acceptable to leave these lesions untreated is uncertain. This study aimed to evaluate the safety and efficacy of intraoperative magnetic resonance imaging-guided hepatectomy using new navigation systems.

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Serum Calcification Propensity T50 Is Associated with Soluble Thrombomodulin in Patients on Hemodialysis.

J Clin Med

June 2024

Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima City 734-8551, Hiroshima, Japan.

Levels of circulating soluble thrombomodulin (sTM), an anticoagulant factor, are associated with the severity and progression of arteriosclerotic diseases. However, the role of elevated sTM levels remains to be clarified in patients on dialysis. As the calcification propensity time T50 is a novel marker of arterial calcification, we aimed to determine the association between sTM and T50 in patients on hemodialysis (HD).

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Analysis of Oral and Gut Microbiome Composition and Its Impact in Patients with Oral Squamous Cell Carcinoma.

Int J Mol Sci

May 2024

Department of Molecular Oral Medicine and Maxillofacial Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima 734-8553, Japan.

The impact of gut and oral microbiota on the clinical outcomes of patients with oral squamous cell carcinoma (OSCC) is unknown. We compared the bacterial composition of dental plaque and feces between patients with OSCC and healthy controls (HCs). Fecal and dental plaque samples were collected from 7 HCs and 18 patients with OSCC before treatment initiation.

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