40 results match your criteria: "Kameda Medical Centre[Affiliation]"

Prognostic Value of Sarcopenia Definitions and Outcomes Consortium Criteria in Older Patients with Heart Failure.

J Am Med Dir Assoc

January 2025

Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan; Japan Agency for Medical Research and Development-Core Research for Evolutionary Medical Science and Technology (AMED-CREST), Tokyo, Japan.

Objectives: The Asian Working Group for Sarcopenia in 2019 (AWGS 2019) emphasized muscle mass measurements. In contrast, the Sarcopenia Definitions and Outcomes Consortium (SDOC) prioritizes functional strength and mobility. Therefore, this study aimed to compare the prognostic utility of the SDOC and AWGS 2019 criteria for all-cause mortality in older patients with heart failure.

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Aims: The 6-min walk test (6MWT) is a widely accepted tool for evaluating exercise tolerance and physical capacity, and the 6-min walk distance (6MWD) is an established prognostic factor in patients with heart failure (HF). However, the prognostic implications of post-6MWT dyspnoea remain unknown. We aimed to investigate the prognostic value of Borg scores after the 6MWT in patients with HF.

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Prognostic Impact of Sarcopenia Assessed Using Modified Asian Working Group for Sarcopenia 2019 Criteria in Heart Failure.

Can J Cardiol

December 2024

Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan; Japan Agency for Medical Research and Development-Core Research for Evolutionary Medical Science and Technology (AMED-CREST), Tokyo, Japan.

Article Synopsis
  • The study evaluated the validity of the AWGS 2019 criteria for diagnosing sarcopenia in heart failure patients and proposed a modified model incorporating the 6-minute walk test (6MWT) for better risk stratification.
  • The modified model identified sarcopenia and severe sarcopenia differently than the original, detecting more cases, and showed a stronger link to 2-year mortality rates.
  • Findings suggest that using the 6MWT enhances the ability to assess risk in patients with heart failure, indicating a need to revise current criteria for timely treatment decisions.
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The Effects of Corticosteroids on Survival in Pediatric and Nonelderly Adult Patients Undergoing Cardiac Surgery: A Meta-analysis of Randomized Studies.

J Cardiothorac Vasc Anesth

November 2024

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy. Electronic address:

Objective: Cardiac surgery can be complicated by the development of a systemic inflammatory response syndrome related to cardiopulmonary bypass. This potentially contributes to the occurrence of postoperative morbidity and mortality. Corticosteroids can be used to reduce such inflammation, but the overall balance between potential harm and benefit is unknown and may be age-dependent.

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Aims: In heart failure (HF), inflammation is linked to malnutrition and impaired physical function. In this study, we aimed to assess how novel nutritional-inflammatory markers and lymphocyte-to-C-reactive protein ratio (LCR) and score (LCS) are associated with the nutritional status, physical function, and prognosis of patients with HF.

Methods And Results: This study was a secondary analysis of the FRAGILE-HF study, a prospective observational study conducted across 15 hospitals in Japan.

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Article Synopsis
  • The study examines Japan's shift from hospital-based mental healthcare to community-focused treatment, highlighting the critical role of mental health social workers (MHSWs) in coordinating care for patients post-discharge.
  • A survey was conducted with 82 psychiatric emergency wards, analyzing factors like staffing and services, and how they relate to patient hospitalization duration and community integration.
  • Findings indicate that heavy MHSW caseloads are linked to longer hospital stays and less community integration, suggesting that reducing these caseloads to 20 cases or fewer could enhance patient outcomes.
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Background: Social factors encompass a broad spectrum of nonmedical factors, including objective (social isolation [SI]) and perceived (loneliness) conditions. Although social factors have attracted considerable research attention, information regarding their impact on patients with heart failure is scarce. We aimed to investigate the prognostic impact of objective SI and loneliness in older patients with heart failure.

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Article Synopsis
  • The study examined how common bendopnea is in older heart failure patients and its impact on their prognosis.
  • Bendopnea was found in 2.5% of patients in the main study group and 4.4% in the validation group, with a higher risk of death over two years for those with this condition.
  • The results indicate that bendopnea is a meaningful predictor of all-cause mortality, even when accounting for other risk factors.
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Impact of Multidomain Frailty on the Mode of Death in Older Patients With Heart Failure: A Cohort Study.

Circ Cardiovasc Qual Outcomes

May 2024

Japan Agency for Medical Research and Development-Core Research for Evolutionary Medical Science and Technology, Japan Agency for Medical Research and Development, Tokyo, Japan (T.M.).

Article Synopsis
  • Frailty in elderly heart failure patients correlates with overall mortality, but specific causes of death remain underexplored, prompting further investigation into multidomain frailty's role.
  • The study analyzed 1,181 hospitalized patients, finding that as frailty increased (measured across physical, social, and cognitive domains), so did the risk of death, particularly from noncardiovascular causes.
  • Results indicated that patients with higher frailty scores (2 or 3 domains) had a significantly increased risk of noncardiovascular death, while the association was not as strong for heart failure or other cardiovascular deaths.
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Background: In flexible bronchoscopy, endobronchial ultrasonography using a guide sheath (EBUS-GS) has varying diagnostic yield depending on the findings of radial-endobronchial ultrasonography (R-EBUS). The diagnosis rate is lower when the ultrasound probe is "adjacent to", than when it is "within" the lesion. However, these findings are inconsistent, and the imaging status may change from "adjacent to" to "within" as examination progresses.

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Association and Prognostic Value of Multidomain Frailty Defined by Cumulative Deficit and Phenotype Models in Patients With Heart Failure.

Can J Cardiol

April 2024

Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan; Japan Agency for Medical Research and Development-Core Research for Evolutionary Medical Science and Technology (AMED-CREST), Japan Agency for Medical Research and Development, Tokyo, Japan.

Background: Frailty is associated with a poor prognosis in older patients with heart failure (HF). However, multidomain frailty assessment tools have not been established in patients with HF, and the association between the frailty phenotype and the deficit-accumulation frailty index in these patients is unclear. We aimed to understand this relationship and evaluate the prognostic value of the deficit-accumulation frailty index in older patients with HF.

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Article Synopsis
  • Researchers aimed to evaluate the Ishii score, which considers age, grip strength, and calf circumference, to predict sarcopenia and its potential impact on 1-year mortality in heart failure patients.
  • In a study with 1262 participants, 936 were assessed for sarcopenia, finding that 184 had the condition, with the Ishii score demonstrating good predictive accuracy, especially for men (0.87) compared to women (0.73).
  • The results indicated that a higher Ishii score was linked to increased 1-year mortality rates, making it a valuable tool for identifying at-risk older heart failure patients.
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Article Synopsis
  • The study investigated the overlap between cachexia and sarcopenia in older heart failure patients, finding that 32.7% had cachexia and 22.7% had sarcopenia, with 11% experiencing both conditions.* -
  • Among the participants, those with both cachexia and sarcopenia had the highest death rates (17.5% over two years) and were identified as an independent risk factor for mortality.* -
  • The findings indicate that while both conditions are common in older heart failure patients, the degree of overlap is less significant than expected, highlighting the need for patient awareness and targeted interventions.*
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Article Synopsis
  • The study investigates the predictive power of the six-minute walking test in patients with heart failure and preserved ejection fraction (HFpEF), focusing on its significance beyond traditional risk factors.
  • It involved 513 older patients, with a follow-up period of two years, revealing that those who walked less than 166 meters had the highest mortality rate.
  • The findings indicate that the six-minute walking distance is a valuable prognostic tool, improving the accuracy of survival predictions in HFpEF patients.
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Fatal thrombotic microangiopathy with rhabdomyolysis as an initial symptom after the first dose of mRNA-1273 vaccine: A case report.

Int J Infect Dis

April 2022

Division of Hematology/Oncology, Department of Internal Medicine, Kameda Medical Centre, 929 Higashi-cho, Kamogawa-shi, Chiba, 296-8602, Japan. Electronic address:

We report a case of a Japanese man with severe rhabdomyolysis and multiple thrombosis of arterioles after the first dose of mRNA-1273 vaccine. He developed rapidly progressive rhabdomyolysis and infarctions of multiple organs. Antiplatelet factor 4 antibody test was negative.

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Objective: There is a need for small diameter vascular substitutes in the absence of available autologous material. A small diameter, long tissue engineered vascular graft was developed using a completely autologous approach called "in body tissue architecture technology (iBTA)". The aim of this pilot study was to evaluate "Biotubes", iBTA induced autologous collagenous tubes, for their potential use as small diameter vascular bypass conduits.

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Recipient Venule Selection and Anastomosis Configuration for Lymphaticovenular Anastomosis in Extremity Lymphedema: Algorithm Based on 1,000 Lymphaticovenular Anastomosis.

J Reconstr Microsurg

July 2022

Unità Operativa Complessa (UOC) Chirurgia Plastica, Dipartimento per la Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Università Cattolica del "Sacro Cuore", Rome, Italy.

Background:  The lymphaticovenular anastomosis (LVA) has three components, lymphatics, venules, and anastomosis, and all of them influence the anastomotic pressure gradient. Although it has been demonstrated that venule flow dynamics has an independent impact on the outcomes regardless the degeneration status of lymphatic vessels, recipient venules (RV) have been mainly neglected in literature.

Methods:  From January 2016 to February 2020, 232 nonconsecutive patients affected by extremity lymphedema underwent LVA, for a total of 1,000 LVAs.

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Objectives: Safe and efficient methods for introducing clozapine to patients with treatment-resistant schizophrenia (TRS) are needed. We investigated risk factors for clozapine discontinuation in the early phase of its introduction.

Methods: We conducted a nested case-control study at 14 psychiatric hospitals in Chiba, Japan.

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Total diffusion volume in MRI vs. total lesion glycolysis in PET/CT for tumor volume evaluation of multiple myeloma.

Eur Radiol

August 2021

Division of Haematology/Oncology, Department of Internal Medicine, Kameda Medical Centre, 929 Higashi-chou, Kamogawa, 296-8602, Japan.

Objective: This study compared the tumor burden and prognostic impact of total diffusion volume (tDV) and total lesion glycolysis (TLG) in the same patients with newly diagnosed multiple myeloma (NDMM) simultaneously. We also examined the relationship between these imaging tumor volumes (TVs) and plasma cell (PC) TV in bone marrow (BM) specimens.

Methods: We retrospectively reviewed the data of 63 patients with newly diagnosed multiple myeloma (NDMM) from April 2016 to March 2018.

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Background: Intravascular large B-cell lymphoma (IVLBCL) is a rare form of diffuse large B-cell lymphoma (DLBCL) arising in extranodal sites. PD-L1 expression of tumor cells has been reported in IVLBCL cells, but its clinicopathological relevance remains to be elucidated.

Aims: This study was aimed to reveal the characteristics of PD-L1 IVLBCL.

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Metabolic tumour volume (MTV) and total lesion glycolysis (TLG) are positron-emission tomography/computed tomography (PET/CT) variables for predicting multiple myeloma's (MM) outcome. We retrospectively investigated and compared the predictive value of MTV, TLG and high-risk PET/CT variables in clinical practice in 185 patients with newly diagnosed symptomatic MM. High-risk PET/CT findings were defined as the presence of at least one of the following: more than three focal lesions, maximum standardised uptake value (SUV ) >4·2 and extramedullary disease.

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Preoperative planning of lymphaticovenular anastomosis in patients with iodine allergy: A multicentric experience.

J Plast Reconstr Aesthet Surg

April 2020

Centre for Surgical Treatment of Lymphedema, Dipartimento Salute della Donna, del Bambino e di Sanità Pubblica, UOC Chirurgia Plastica, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Largo Agostino Gemelli, 8, 00169 Rome, Italy.

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Osteoarthritis is one of the most common degenerative conditions affecting knee joint. As our understanding in the disease pathogenesis is evolving, so do the treatment modalities. One of the postulated mechanisms suggests the production of inflammatory cytokines secondary to repeated micro trauma than in turn lead to cartilage damage overtime.

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Objectives: Low back pain (LBP) is a common cause of disability among nursing personnel. Although many studies regarding the risk factors for LBP among nursing staff have focused on the physical load at work, multidimensional assessments of risk factors are essential to identify appropriate preventive strategies. We aimed to investigate the association of multidimensional factors (individual, physical, psychological and occupational) with disabling LBP among nursing personnel in Japan.

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