3,438 results match your criteria: "Hirosaki University Graduate school of medicine[Affiliation]"

Article Synopsis
  • - This study aimed to create a prognostic model to estimate the risk of cancer-specific mortality in bladder cancer patients after radical cystectomy (RC), using data from 36 institutions in Japan.
  • - Researchers analyzed patient data without adjuvant chemotherapy, splitting it into training and validation sets, and used a multivariable Cox regression model to predict outcomes based on 25 variables.
  • - The final model, which included eight key variables, outperformed the existing CheckMate 274 classification, correctly reclassifying a significant portion of high-risk patients into a better prognosis group, enhancing potential treatment decisions.
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Purpose: To ascertain the characteristics of achromatopsia (ACHM) in Japan by analyzing the genetic and phenotypic features of patients with ACHM.

Methods: The medical records of 52 patients from 47 Japanese families who were clinically diagnosed with ACHM were reviewed in this retrospective observational study.

Results: Thirty-six causative variants of ACHM were identified in 26 families via whole-exome sequencing: PDE6C (12 families), CNGA3 (10 families), CNGB3 (two families), and GNAT2 (two families).

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  • The study investigates the effectiveness of durvalumab combined with chemoradiotherapy (CRT) versus CRT alone in treating locoregional recurrence of non-small-cell lung cancer (NSCLC) after complete resection.
  • Using propensity score analysis to adjust for confounding variables, the research involved 119 patients in the CRT-D group and 111 in the CRT group, noting differences in gender distribution and adenocarcinoma rates.
  • Results indicated that the median progression-free survival was significantly longer in the CRT-D group (25.4 months) compared to the CRT group (11.5 months), suggesting that the combination treatment could be a beneficial strategy for these patients.
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  • This study examined how different Japanese dietary patterns affect metabolic dysfunction-associated steatotic liver disease (MASLD) and liver fibrosis in 727 adults.
  • Participants' diets were categorized into rice, vegetable, seafood, and sweet groups, revealing that those in the vegetable group had lower indicators of liver fibrosis compared to the rice group.
  • The research identified body mass index ≥ 25 kg/m and HOMA-IR ≥ 1.6 as risk factors for liver fibrosis, while a vegetable-based diet, high in α-tocopherol (an antioxidant), was associated with a lower risk of developing liver fibrosis.
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Background: One of the causes of tubulointerstitial nephritis is viral infection, with innate immune responses affecting its pathogenesis. Toll-like receptor 3 (TLR3) recognizes viral infections and acts antivirally by activating signaling to produce inflammatory cytokines/chemokines, including C-C motif chemokine ligand 5 (CCL5) and interferon-β (IFN-β). Although cylindromatosis lysine 63 deubiquitinase (CYLD) is known to be associated with tubulointerstitial nephritis and renal function, its role in the antiviral innate immune response in tubular epithelial cells remains unknown.

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  • Development of chemotherapy-induced peripheral neuropathy (CIPN) can complicate cancer treatment, leading to dose reductions or stopping therapy; Goshajinkigan (GJG), a traditional Japanese medicine, may help reduce these symptoms.
  • A study with 55 ovarian cancer patients tested two groups: one started GJG after experiencing grade 2 neuropathy, while the other took it a week before chemotherapy; the main goals were to assess sensory neuropathy severity and pain levels.
  • Results showed that patients starting GJG early (Group B) had fewer pain complaints, lower reliance on pain medications, and less persistent neuropathy six months later, suggesting that preventive use of GJG could be beneficial, but more research is needed for confirmation
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Background: Pulsed field ablation (PFA), a novel treatment for atrial fibrillation (AF), has yet to be evaluated in a Japanese cohort.

Methods: In this sub-analysis of the PULSED AF trial, 12-month outcomes of paroxysmal AF (PAF) and persistent AF (PsAF) patients treated with PFA in four Japan centers were assessed. After a 90-day blanking period, primary efficacy was determined via freedom from a composite endpoint of acute procedural failure, arrhythmia recurrence, or antiarrhythmic drug escalation over 1 year.

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  • Study aimed to assess the impact of intraoperative lavage cytology on patient outcomes in colorectal cancer surgeries, specifically focusing on stages II-III.
  • Out of 1378 patients, lavage revealed positive cytology in only 54 cases, with significant differences in 5-year relapse-free survival and overall survival rates between positive and negative cytology in stage II patients.
  • The findings indicate that negative cytology correlates with better outcomes and highlights the effectiveness of lavage cytology in predicting peritoneal recurrence in these cancer patients.
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  • * Analyzing data from 1183 patients, it found that completing 6 months of postoperative adjuvant therapy significantly improved overall, disease-specific, and recurrence-free survival, especially for high-risk patients.
  • * Additionally, neoadjuvant therapy showed benefits for those with borderline resectable IPMC, and any treatment for recurrence after surgery was linked to longer survival compared to no treatment.
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  • The study investigates treatment options and costs for malignant brain tumors (GBM and PCNSL) in Japan through a survey of 47 institutions.
  • For GBM, the most common treatment is 'Surgery + radiotherapy with temozolomide', costing approximately 7.50 million JPY, with additional treatments raising costs significantly.
  • PCNSL treatments, especially R-MPV therapy, also incur high costs, with some regimens exceeding 1 million JPY per month, highlighting the need for better cost-effectiveness assessments in future health studies.
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  • This study focused on developing a high-performance AI model to detect osteosarcoma from X-ray images, aiming to enhance early diagnosis and treatment in pediatric and young adult populations.
  • Traditional models had lower sensitivity (60%-70%), while the new model achieved a sensitivity of 95.52% and specificity of 96.21% by using carefully annotated data from an experienced oncologist.
  • The study emphasizes the importance of high-quality training data and suggests that data-centric AI could revolutionize diagnostic processes in oncology, with potential applications for other rare cancers as well.
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Functional dyspepsia is distinguishable from -associated dyspepsia. However, distinguishing -associated dyspepsia from functional dyspepsia before eradication is difficult. Therefore, in the present study, we aimed to investigate whether serum pepsinogen levels before eradication are associated with the amelioration of dyspepsia after successful eradication.

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Hemiplegic migraine is a rare form of migraine characterized by aura with unilateral paralysis; however, studies on its treatment are limited. A 39-year-old man with migraine headaches and myofascial pain syndrome was referred to our hospital with transient right hemiplegia, after presenting to an outside emergency department with headache and right hemiplegia 2 days prior. Computed tomography, magnetic resonance imaging, and blood test results revealed no abnormalities.

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The patient was a 35-year-old man who saw his first doctor with the chief complaint of painful urination. A contrast- enhanced CT scan of the abdomen revealed a diagnosis of abscess-forming appendicitis with inflammatory spread to the bladder, and conservative treatment was decided. Since antibiotic treatment failed to reduce the size of the abscess, he underwent surgery.

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Article Synopsis
  • The Delphi consensus study, conducted by IHPBA-APHPBA, aimed to create global practice guidelines for managing gallbladder cancer (GBC).
  • Experts from 17 countries participated in a four-round consensus process, where 68 clinical questions were posed and a consensus was reached if more than 75% of participants agreed.
  • The study achieved consensus on 92.6% of the questions, covering important aspects of GBC management, but noted that further research is needed on unresolved issues such as the definitions of borderline resectable and locally advanced GBC.
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Atypical antipsychotics are considered to be better tolerated than typical antipsychotics; however, the risk of drug-induced movement disorders needs to be considered. Aripiprazole, a dopamine partial agonist, is one of the most frequently used atypical antipsychotics in children. In this report, we describe withdrawal dyskinesia after aripiprazole discontinuation in a child with autism spectrum disorder.

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Background: Biallelic variants in , which encodes protein-nucleic acid deglycase DJ-1, can cause early-onset Parkinson's disease (PD). Although many patients with variants have been identified from European and Middle Eastern ethnic groups, there have been no reports in the Japanese population.

Objectives: To determine the prevalence and clinical features of patients with PD harboring variants in Japan.

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Abnormal α-synuclein (αSyn), including an oligomeric form of αSyn, accumulates and causes neuronal dysfunction in the brains of patients with multiple system atrophy. Neuroprotective drugs that target abnormal αSyn aggregation have not been developed for the treatment of multiple system atrophy. In addition, treating diseases at an early stage is crucial to halting the progress of neuronal damage in neurodegeneration.

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  • * A total of 149,417 patients were analyzed, with significant numbers reported for each type of surgery between 2018 and 2021, such as 22,692 radical prostatectomies performed in 2021 alone.
  • * Findings indicate a shift from open surgery to robot-assisted or laparoscopic techniques, highlighting the NCD's role in monitoring trends in urological surgeries.
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Association between endometriosis and perinatal complications: a case-control study.

BMC Pregnancy Childbirth

August 2024

Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

Article Synopsis
  • A study investigated the link between endometriosis and perinatal complications, specifically focusing on the incidence of placenta previa in women with a history of the condition.* -
  • It compared 133 deliveries from mothers with endometriosis to 2,648 without endometriosis, finding that those with endometriosis had a significantly higher risk of placenta previa.* -
  • The findings suggested that women with more complete surgical treatment for endometriosis had a lower incidence of placenta previa, indicating that treatment may reduce complications before pregnancy.*
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This study aims to evaluate the feasibility of using a commercially available boron neutron capture therapy (BNCT) dose calculation program (NeuCure Dose Engine) in terms of calculation accuracy and computation time. Treatment planning was simulated under the following calculation parameters: 1.5-5.

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Breast cancer is the most common cancer globally in terms of incidence. This cancer is classified into subtypes based on histological or immunological characteristics. HER2-positive cases account for 15-25% of breast cancer cases, and one of the first events in breast carcinogenesis is HER2 upregulation.

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Downhill esophageal varices often develop because of venous hypertension caused by either superior vena cava obstruction or compression. We herein present a case of downhill esophageal varices caused by a giant goiter in a patient with postoperative Graves' disease. A 66-year-old man presented with an enlarged goiter.

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