976 results match your criteria: "Jichi Medical University Saitama[Affiliation]"

Article Synopsis
  • Robot-assisted radical prostatectomy (RARP) is a surgery for prostate cancer that helps older patients, especially those with heart or brain problems, but it's unclear how antithrombotic (AT) medications affect recovery.
  • In a study with 394 patients, those on AT meds had a harder time recovering urinary control compared to those not on the medication.
  • The study found that patients taking AT agents had more complications and a lower chance of being completely pad-free after surgery, but there was no major difference in cancer recurrence between the two groups.
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  • Remifentanil is an opioid anesthetic known for its fast-acting effects, and this study investigates its use at high doses (0.5 mcg/kg/min or more) in neonatal surgeries to reduce sedation-related complications.
  • The study reviewed 15 cases of neonatal abdominal surgeries conducted between January 2016 and February 2022, noting that while hypotension occurred in 13% of patients, no bradycardia or serious post-operative complications were reported.
  • Although high-dose remifentanil maintained hemodynamic stability, concerns about respiratory depression remain, highlighting the need for further research into its long-term effects on neonates.
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  • Thromboembolism is a critical concern in patients undergoing endovascular treatment for ruptured cerebral aneurysms, and administering antiplatelet agents like aspirin before the procedure may lower this risk.
  • The study, called ASTOP, is a multicenter, randomized, double-blind trial involving 484 patients, comparing the effects of 200 mg of aspirin versus a placebo prior to treatment.
  • Primary outcomes will focus on measuring thromboembolic complications and ischemic lesions during the procedure, while secondary outcomes will assess cerebral ischemic events, bleeding incidents, and patient functional status after 90 days.
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  • * A study using data from the Japanese nationwide transplantation registry assessed 857 patients with relapsed or refractory non-Hodgkin lymphoma, with 169 receiving PTCY-haplo and 688 receiving uCBT, revealing no significant differences in overall survival, progression-free survival, or graft-versus-host disease-free/relapse-free survival between the two groups.
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Lung cancer has a poor prognosis, and further improvements in outcomes are needed. Radiotherapy plays an important role in the treatment of unresectable lung cancer, and there have been recent developments in the field of radiotherapy for the management of lung cancer. However, to date, there have been few reviews on the improvement in treatment outcomes associated with high precision radiotherapy for lung cancer.

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  • Polypharmacy, or the use of multiple medications, can increase the risk of adverse events in patients with chronic coronary syndrome (CCS), a group often prescribed many drugs.
  • A study involving 1,411 CCS patients found that those taking nine or more medications had a higher incidence of major adverse cardiovascular events (MACE) and overall mortality compared to those on fewer drugs.
  • The findings suggest that reducing the number of medications in CCS patients could potentially lower the risk of MACE and all-cause mortality, while still addressing other health conditions.
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The Japanese Society of Hypertension have established a blood pressure (BP) target of 130/80 mmHg for patients with coronary artery disease (CAD). We evaluated the data of 8793 CAD patients in the Clinical Deep Data Accumulation System database who underwent cardiac catheterization at six university hospitals and the National Cerebral and Cardiovascular Center (average age 70 ± 11 years, 78% male, 43% with acute coronary syndrome [ACS]). Patients were divided into two groups based on whether or not they achieved the guideline-recommended BP of <130/80 mmHg.

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Radiotherapy is one of the definitive treatments for head and neck squamous cell carcinoma, especially early-stage glottic squamous cell carcinoma. Although there are several studies on the initiation weekday of cancer treatment, there are very few studies in the radiotherapy field. Thus, the present study investigated whether the initiation weekday of radiotherapy affects the local control rate for stage 1 glottic squamous cell carcinoma.

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Azolato-Bridged Dinuclear Platinum(II) Complexes Exhibit Androgen Receptor-Mediated Anti-Prostate Cancer Activity.

Inorg Chem

November 2024

Laboratory of Biochemistry, Department of Bioscience and Engineering, College of Systems Engineering and Science, Shibaura Institute of Technology, Saitama, Saitama 337-8570, Japan.

Prostate cancer is an androgen-dependent malignancy that presents a marked treatment challenge, particularly after progression to the castration-resistant stage. Traditional treatments such as androgen deprivation therapy often lead to resistance, necessitating novel therapeutic approaches. Previous studies have indicated that some of the azolato-bridged dinuclear platinum(II) complexes (general formula: [{-Pt(NH)}(μ-OH)(μ-azolato)]X, where azolato = pyrazolato, 1,2,3-triazolato, or tetrazolato and X = nitrate or perchlorate) inhibit androgen receptor (AR) signaling.

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  • A 64-year-old man with advanced lung adenocarcinoma and a KRAS mutation was treated with immune checkpoint inhibitors and later started on sotorasib.
  • After one month on sotorasib, he developed severe anemia, indicated by low serum hemoglobin levels, high erythropoietin levels, and low reticulocyte counts.
  • Bone marrow tests showed pure red cell aplasia, leading to the conclusion that sotorasib was the likely cause of the anemia after it improved upon stopping the medication.
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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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Background: Limited data exist on the prognostic value of changes in pulse pressure (PP, the difference between systolic and diastolic blood pressure) during hospitalization for patients with coronary artery disease who have undergone percutaneous coronary intervention (PCI).

Methods: In the Clinical Deep Data Accumulation System (CLIDAS), we studied 8,708 patients who underwent PCI. We aimed to examine the association between discharge PP and cardiovascular outcomes.

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Cardiovascular imaging in cardio-oncology.

Jpn J Radiol

December 2024

Department of Diagnostic Imaging, Faculty of Medicine, Hokkaido University, Sapporo, Japan.

Advances in cancer treatment have improved in patient survival rate. On the other hand, management of cardiovascular complications has been increasingly required in cancer patients. Thus, cardio-oncology has attracted the attention by both oncologists and cardiologists.

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To investigate the safety of total body irradiation-based myeloablative conditioning (TBI-MAC) in adolescent and young adult (AYA) Philadelphia chromosome (Ph)-negative acute lymphoblastic leukemia (ALL) patients treated with pediatric protocols, treatment outcomes of 106 AYA patients aged 16-39 years old undergoing allogeneic stem cell transplant (allo-SCT) with TBI-MAC in the first remission were compared according to chemotherapy types before transplant. Pediatric and adult protocols were used in 56 and 50 of the patients, respectively. The cumulative incidence (CI) of non-relapse mortality (NRM) and the overall survival (OS) rates were not significantly different between the pediatric-protocol and adult-protocol group (NRM: 4 % vs.

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  • Autologous hematopoietic cell transplantation (AHCT) is an effective treatment for multiple myeloma, with real-world data collected from 61,725 patients revealing median overall survival of 90.2 months and median progression-free survival of 36.5 months.* -
  • Cumulative relapse incidence and non-relapse mortality rates at 24 months were found to be 33% and 2.5% respectively, with better outcomes linked to factors like younger age, certain disease subtypes, and high performance status.* -
  • Global variations were observed in patient outcomes based on registry data, influenced by differences in patient characteristics, use of maintenance treatments, and macroeconomic factors, highlighting the safety and effectiveness of AH
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  • The study examines clinical outcomes of two treatment options for distal anterior cerebral artery (DACA) aneurysms: microsurgery and endovascular treatment (EVT).
  • It analyzes data from 166 patients across 16 stroke centers, comparing the efficacy, complications, and recurrence rates of both treatments over a median follow-up of 15.3 months.
  • Findings suggest that while EVT may be a viable alternative to microsurgery, especially for unruptured aneurysms, it shows higher recurrence and retreatment rates, particularly in cases of ruptured aneurysms, highlighting the need for careful monitoring.
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  • This study investigates the long-term effects of adjuvant therapy on different melanoma subtypes, particularly focusing on acral and mucosal types, using anti-PD-1 antibody and a combination of BRAF and MEK inhibitors.
  • A total of 120 patients were analyzed, revealing a median time to relapse of 18.4 months, with acral and mucosal types having 3-year recurrence-free survival rates of 28.1% and 38.5%, respectively.
  • Results indicate that adjuvant therapy is more effective for non-acral cutaneous melanoma compared to acral and mucosal types, especially regarding time to relapse.
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The development of new treatment strategies to improve the prognosis of mucosal malignant melanoma of the head and neck (MMHN) after carbon ion radiotherapy (CIRT) is essential because of the risk of distant metastases. Therefore, our objective was to evaluate the outcomes of immune checkpoint inhibitor (ICI) treatment to justify its inclusion in the regimen after CIRT. Thirty-four patients who received CIRT as an initial treatment were included in the analysis and stratified into three groups: those who did not receive ICIs (Group A), those who received ICIs after recurrence or metastasis (Group B), and those who received ICIs as adjuvant therapy after CIRT (Group C).

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  • Research focused on the role of LTBP4 in the production of elastin fibers and its connection to emphysema and associated conditions like cutis laxa.
  • The study involved silencing LTBP4 in human lung fibroblasts to observe changes in cell behavior, elastin production, inflammation, and mitochondrial function.
  • Results showed that reduced LTBP4 leads to decreased elastin expression, increased cellular senescence, heightened inflammation, and mitochondrial dysfunction, suggesting LTBP4's involvement in the development of emphysema, alongside smoking and genetic factors.
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Background And Objectives: Although intraprocedural rupture (IPR) is rare, it is a devastating complication of endovascular treatment (EVT) for intracranial aneurysms. Very few studies have been conducted on IPR, and the safety and efficacy of management techniques of IPR have not been investigated.

Methods: Patients who experienced IPR during EVT between 2013 and 2022 were enrolled from a multicenter observational registry.

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  • A 76-year-old woman with ongoing diarrhea was hospitalized and found to have purpura, high eosinophil levels, and elevated IgG4 antibodies.
  • CT scans showed large amounts of fluid in her abdomen and swelling in her intestines.
  • Skin and gastrointestinal biopsies confirmed eosinophilic gastroenteritis and leukocytoclastic vasculitis but didn't meet criteria for IgG4-related disease, suggesting the connection between eosinophilic gastroenteritis and IgG4-related disease needs more research.
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  • The study aimed to evaluate the effectiveness of model-based deep learning reconstruction (DL-DWI) in improving prostate diffusion-weighted imaging (DWI) compared to traditional parallel imaging (PI-DWI).
  • Researchers analyzed 32 patients with prostate cancer and found that DL-DWI significantly outperformed PI-DWI in terms of image quality, as shown by both qualitative and quantitative measures.
  • The results indicated that DL-DWI provided better signal-to-noise ratio, contrast-to-noise ratio, and diffusion coefficient values for prostate tissues and lesions; however, the study lacked comparisons with other deep learning methods, highlighting a need for future research.
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  • This study compares two reduced-intensity conditioning regimens for allogeneic hematopoietic cell transplantation in adult patients with non-Hodgkin lymphoma: fludarabine plus reduced-dose busulfan (Flu/Bu2) and fludarabine plus low-dose melphalan (Flu/Mel80-100).
  • The results indicated a 5-year overall survival rate of 53.8% for the Flu/Bu2 group compared to 42.4% for the Flu/Mel80-100 group, showing a statistically significant difference (p=0.030).
  • Additionally, the study found that Flu/Bu2 was linked to better overall survival and lower non-relapse mortality, suggesting
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