54 results match your criteria: "Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.[Affiliation]"

Aims: Liver fibrosis predisposes patients to liver failure and hepatocellular carcinoma. Various markers, which can be calculated easily from serum parameters, have been reported to predict liver fibrosis accurately. This study investigated the prognostic factors, including blood-based markers for liver fibrosis of patients with hepatocellular carcinoma following initial curative hepatectomy.

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  • The study aimed to validate the simplified intubated COVID-19 predictive (sICOP) score for predicting outcomes in mechanically ventilated patients with COVID-19.
  • It analyzed data from 146 patients across 66 hospitals in Japan, showing the sICOP score accurately predicted 28-day and in-hospital mortality with an AUC of 0.81 and 0.74, respectively.
  • The sICOP score outperformed the SOFA score in both mortality predictions, indicating its potential usefulness prior to the availability of vaccines and antivirals, while suggesting that further validation with recent data is necessary.
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Key Clinical Message: Chin augmentation by hyaluronic acid filler injection rarely causes abnormal bone resorption in the mentum. Thus, when taking the history of a patient with jaw deformity, it is imperative to check the history of treatment of the mentum.

Abstract: Hyaluronic acid (HA) filler injection is a common procedure in nonsurgical cosmetic chin augmentation.

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  • This study compares two endoscopic techniques, endoscopic submucosal dissection (ESD) and endoscopic laryngo-pharyngeal surgery (ELPS), for treating superficial pharyngeal carcinomas to assess their effectiveness.
  • A review of 93 patients showed that ELPS had significantly shorter procedure times and led to less laryngeal edema compared to ESD, although long-term survival outcomes were similar for both methods.
  • The findings suggest that while ELPS is quicker and less damaging, it has limitations in treating narrow areas; therefore, combining ELPS with ESD may enhance treatment efficacy.
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  • A multicenter study assessed the safety and mid-term outcomes of classical laparoscopic and endoscopic cooperative surgery (LECS) for treating gastric submucosal tumors (G-SMTs) following national health insurance coverage.
  • The study involved 201 patients across 21 institutions from April 2014 to March 2016, identifying classical LECS as the most common procedure performed, with a good resection rate and manageable complications.
  • Results indicated that while most surgeries had favorable outcomes, postoperative complications occurred in 5% of cases, emphasizing the general effectiveness of these methods in clinical practice.
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Introduction: Fungal balls in the urinary tract are rare but dangerous complications of candiduria. Here, we report a case of a urinary tract fungal ball in a single kidney after total nephroureterocystectomy.

Case Presentation: The patient was an 80-year-old male.

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The treatment method of placing a small number of implants in the mandible as a removable implant-supported overdenture (IOD) enables implant placement and denture stability, even in cases with severe residual ridge resorption. In this case report, a new implant placement technique was performed using a three-dimensionally (3D)-printed duplicate denture fabricated by a 3D printer, resulting in the restoration of masticatory function through IOD.

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  • High-resolution computed tomography (HRCT) is essential for diagnosing Idiopathic Pulmonary Fibrosis (IPF), but it can be confused with other interstitial lung diseases (ILDs) due to similar radiologic patterns.
  • Researchers used mass spectrometry to analyze plasma extracellular vesicles (EVs) from different patient groups, identifying a five-protein signature that distinguishes IPF from other ILDs and healthy individuals.
  • The study validated these biomarkers in independent cohorts, showing high accuracy but emphasizes the need for further large-scale studies to confirm their clinical application.
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Objectives: We aimed to evaluate the usefulness and acceptability of CapsoCam Plus (CapsoCam) in Japanese patients.

Methods: This retrospective single-center study enrolled 930 patients with suspected small-bowel bleeding (SSBB) who underwent capsule endoscopy. Thirty-three patients using CapsoCam and PillCam SB3 (SB3) were matched using propensity score matching.

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Background: Periodontitis has not been recognized as a modifiable risk factor for atrial fibrillation (AF). This prospective nonrandomized study investigated whether periodontal treatment improves the AF ablation outcome.

Methods And Results: We prospectively enrolled 288 AF patients scheduled to undergo initial radiofrequency catheter ablation.

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Sturge-Weber syndrome (SWS) is a neurocutaneous syndrome characterized by angiomas. This report presents airway management using submental intubation in sagittal split ramus osteotomy under general anesthesia and aimed to explore better anesthetic management for avoiding the rupture of angiomas in a patient with SWS.

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We had included only the patients with cardiac tamponade, excluded those coded for pericardial effusion. The feasibility of comparison of the databases of two regions needs to be evaluated. There are some inherent limitations for the studies carried out from the National In-patient Samples (NIS) database.

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Colorectal adenomas with squamoid morules are rare; however, colorectal adenocarcinomas are even rarer. Herein, we present a case of colorectal adenocarcinoma with squamoid morules arising from the transverse colon. A 60-year-old Japanese man underwent a colonoscopy, and a Type 0-Is polyp was detected in the transverse colon.

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  • The study explores characteristics of adult ambulance users in Japan who are diagnosed with minor injuries or nonurgent medical conditions, highlighting that about 60% of such cases don't require hospitalization.
  • Utilizing data from ambulance requests in Higashihiroshima from 2016 to 2020, researchers applied a soft clustering method to identify six distinct segments of these users based on various factors.
  • The findings reveal specific patterns among groups, such as those involved in nighttime neurological issues or fire accidents, indicating a need for tailored approaches in addressing the needs of different segments of nonurgent ambulance users.
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Background: Cardiac tamponade (CT) can be a complication following invasive cardiac procedures. We assessed CT following common cardiac electrophysiology (EP) procedures to facilitate risk prediction of associated morbidity and in-hospital mortality.

Methods: Patients who underwent various EP procedures in the cardiac catheterization lab (ablations and device implantations) were identified using the International Classification of Diseases, Ninth and Tenth Edition, Clinical Modification (ICD-9-CM and ICD-10-CM, respectively) from the Nationwide Inpatient Sample (NIS) database.

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Aim: Multisystem inflammatory syndrome in adults (MIS-A) is a hyperinflammatory multisystem condition associated with coronavirus disease (COVID-19). Critically ill COVID-19 patients may develop multiorgan damage and elevated inflammatory responses, thus making it difficult to differentiate between progression to organ damage due to COVID-19 itself or MIS-A. This study aimed to explore the characteristics and complications of MIS-A in critical COVID-19 patients.

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Key Clinical Message: Endodontists should be aware that some maxillary second molars can have more than three roots. If any unusual anatomical features are detected during dental radiography or endodontic procedures, it is necessary to conduct cone-beam computed tomography (CBCT) scanning to prevent procedural mishaps.

Abstract: CBCT can provide three-dimensional reconstructed images of the root canal system.

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Aim: To investigate an association between failure of initial peripheral intravascular catheter (PIVC) insertion and adverse events in patients admitted to the intensive care unit (ICU) from the emergency room (ER).

Methods: This study was a post hoc analysis of the AMOR-VENUS study, a multicenter cohort study that included 22 institutions and 23 ICUs in Japan between January and March of 2018. Study participants included consecutive adult patients admitted to the ICU with PIVCs inserted in ICU during the study period exclusively from the ER.

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COVID-19 is a life-threatening disease complicated by hyperinflammation followed by multi-organ failure. Although refractory hyperthermia in COVID-19 contributes to an unfavorable prognosis, little is known about effective interventions. We present a case of successful temperature management using an intravascular cooling device in a patient with COVID-19 who developed refractory hyperthermia.

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Background Angiotensin II type 1 receptor blockers (ARBs) have been shown to limit the growth of abdominal aortic aneurysm (AAA), but their efficacy is controversial. This study aimed to investigate the molecular mechanism underlying the protective effect of ARBs against AAA progression. Methods and Results Olmesartan, an ARB, was administered to wild-type and -knockout (-KO) mice starting 2 weeks before direct application of CaCl to aortas to induce AAA.

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Cone-beam computed tomography and clinical examinations including pulp vital testing and pocket probing depth showed a cemental tear with a severe labial alveolar bony defect, but no endodontic lesions, in #25, which had a sinus tract at the labial site, in a 75-year-old woman.

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Background: Coronavirus disease (COVID-19), an infectious disease caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread worldwide since early 2020, and there are still no signs of resolution. The Japanese Clinical Practice Guidelines for the Management of Sepsis and Septic Shock (J-SSCG) 2020 Special Committee created the Japanese Rapid/Living recommendations on drug management for COVID-19 using the experience of creating the J-SSCG.

Methods: The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach was used to determine the certainty of the evidence and strength of recommendations.

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  • The sarcomatoid variant of urothelial carcinoma is a rare but aggressive cancer that infiltrates surrounding tissues, with limited case reports available.
  • A 75-year-old woman had a left kidney tumor that spread to nearby organs, leading to the surgical removal of multiple affected areas.
  • After surgery, she underwent chemotherapy but unfortunately passed away five months later, marking the first known instance of this cancer variant invading the pancreas and descending colon.
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Background And Aim: The relationship between the characteristics of hepatocellular carcinoma (HCC) diagnosed after sustained virological response (SVR) with direct-acting antiviral (DAA) therapy and surveillance status has not been sufficiently investigated. This study investigated the clinical risk factors for HCC development and HCC characteristics according to which type of physician performed follow-up after SVR.

Methods: A total of 1070 patients in whom hepatitis C virus (HCV) was eradicated with DAA therapy were evaluated.

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