10,501 results match your criteria: "Kansai Medical University; 2-5-1 Shin-machi[Affiliation]"

Purpose: The study aimed to evaluate the efficacy of the Biologically Transparent Illumination (BTI) device for confirming the correct placement of nasogastric (NG) tubes in children, as an alternative to X-ray, which exposes patients to radiation.

Methods: In this prospective observational study, 106 pediatric patients (ages 0-16) undergoing NG-tube insertion after general anesthesia were evaluated. The BTI catheter was used to emit bio-permeable red light from the NG tube, which was then visually confirmed in the cervical, thoracic, and epigastric regions.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to explore the connection between the gut microbiome and the effectiveness of PARP inhibitors in treating ovarian cancer.
  • Researchers analyzed fecal samples and blood for circulating tumor DNA from ovarian cancer patients on PARP inhibitor therapy, comparing microbiome composition and progression-free survival (PFS) between mutation-positive and mutation-negative patients.
  • Findings indicated that in mutation-negative patients, higher levels of certain gut microbes correlated with longer PFS, while no specific gut bacteria showed this association for mutation-positive patients, suggesting different microbiome influences based on genetic mutation status.
View Article and Find Full Text PDF
Article Synopsis
  • * The study identified a protein called SHARPIN, located on an amplified chromosome in CRC, which is overexpressed in tumor cells and linked to poor patient prognosis due to its influence on lymphatic invasion.
  • * SHARPIN affects the progression of CRC by regulating the proteins MDM2 and p53, leading to changes in cell cycle and apoptosis, thus presenting SHARPIN as a potential new target for therapeutic interventions in colorectal cancer.
View Article and Find Full Text PDF

In patients with non-small cell lung cancer (NSCLC) who present with radiologically undetermined malignant pleural dissemination or incidental surgical diagnosis of the same, surgery is generally not the preferred option; systemic therapy is favoured. However, there is no consensus on incorporating primary site resection into the treatment plan. Retrospective analyses hint at potential benefits of combining systemic therapy with primary site resection, but prospective studies have yet to confirm these findings.

View Article and Find Full Text PDF
Article Synopsis
  • Elevated white blood cell (WBC) counts are identified as a risk factor for adverse outcomes in patients with venous thromboembolism (VTE) who do not have active cancer.
  • In a study involving 5,197 patients, those with the highest WBC counts (Q4) were more likely to experience severe forms of VTE like pulmonary embolism and had a significantly higher risk of death and major bleeding over five years.
  • The findings suggest that monitoring WBC counts at VTE diagnosis can help in assessing patient risk and potential outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • Major hepatectomy (MH) can lead to a higher risk of adverse events due to reduced liver function and surgical impact, prompting an analysis within the JCOG1113 trial focused on gemcitabine-based treatments for advanced biliary tract cancer.* -
  • Among 354 patients, 76 were evaluated post-surgery for recurrence; results indicated that while platelet counts fell more in patients who underwent MH, anemia and white blood cell count decreases were less frequent compared to those who did not have MH.* -
  • Overall survival rates were similar between MH and non-MH patients receiving gemcitabine with both S-1 and cisplatin, suggesting that gemcitabine-based chemotherapy maintains its safety and efficacy
View Article and Find Full Text PDF

Deoxyuridine triphosphate pyrophosphatase (DUT) suppresses incorporation of uracil into genomic DNA during replication. Thermostable DUTs from hyperthermophilic archaea such as Thermococcus pacificus enhance PCR amplification by preventing misincorporation of dUTP generated by spontaneous deamination of dCTP. However, it is necessary to elucidate whether DUTs do not cause dNTP imbalances during PCR by unwanted side activity.

View Article and Find Full Text PDF
Article Synopsis
  • Psoriasis, a complicated skin condition linked to inflammation, has unclear connections between its severity, related cytokine levels, and heart disease risk.
  • This study aimed to identify serum markers to help monitor cardiovascular disease (CVD) risk in psoriasis patients by examining relationships between cytokines and coronary artery health.
  • Key findings highlight that specific cytokines (IL-17A, IL-19, IL-36) correlate with psoriasis severity, while markers like CD31 and resistin show promise for tracking coronary atherosclerosis progression, particularly in patients with psoriasis vulgaris.
View Article and Find Full Text PDF
Article Synopsis
  • * The COMMAND VTE Registry-2 study tracked 5,197 patients with venous thromboembolism in Japan, finding that 2.3% of those with acute PE developed CTEPH over an average follow-up of 747 days.
  • * Identified risk factors for developing CTEPH included being female, longer time from symptom onset to PE diagnosis, experiencing hypoxemia, having right heart load, lower D-dimer levels, and having
View Article and Find Full Text PDF
Article Synopsis
  • - The study analyzed how changes in chemotherapy based on CA19-9 levels during neoadjuvant therapy (NAT) impact outcomes for patients with pancreatic ductal adenocarcinoma (PDAC).
  • - Results from 283 patients showed that those who received a chemotherapy change (particularly those who achieved the desired CA19-9 reduction) had significantly better overall survival compared to those who did not have a chemotherapy change.
  • - The findings suggest that adjusting chemotherapy based on CA19-9 levels can enhance treatment outcomes for patients with resectable or borderline resectable PDAC, highlighting the importance of personalized treatment approaches.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to investigate subclinical cognitive damage after surgical clipping (SC) and endovascular coiling (EC) for unruptured cerebral aneurysms, using cerebral blood flow (CBF) measurements as an indicator of potential issues not detected by standard cognitive tests.
  • Participants included 14 patients in the SC group and 33 in the EC group, with assessments conducted preoperatively, at 6 months, and 2 years post-surgery, revealing no significant changes in cognitive function over time.
  • Results showed a notable decrease in ipsilateral CBF in the SC group, which did not recover within 2 years, while CBF levels in the EC group returned to normal,
View Article and Find Full Text PDF
Article Synopsis
  • A study explored the use of high-dose-rate interstitial brachytherapy (HDR-ISBT) as palliative treatment for an 81-year-old male with base of tongue cancer, following prior radiation and treatment.
  • The patient underwent a lower-dose external beam radiotherapy (ERT) followed by a single-fraction HDR-ISBT booster, with precautions taken to minimize infection and bleeding.
  • Post-treatment results showed significant tumor reduction, pain relief, and no complications after nearly three years, indicating HDR-ISBT could be an effective palliative care option for patients in similar situations.
View Article and Find Full Text PDF

Aim: To explore the optimal dose of blonanserin transdermal patch (BNS-P) based on baseline psychiatric symptomatic characteristics during acute schizophrenia.

Methods: A post hoc cluster analysis was conducted using data from a 6-week randomized, double-blind, placebo-controlled study of BNS-P (40 or 80 mg/day) in acute schizophrenia. We classified patients into three clusters based on baseline psychiatric symptoms.

View Article and Find Full Text PDF
Article Synopsis
  • Maternal preconception overweight is linked to a higher risk of having overweight children, but previous studies didn’t use comprehensive methods to measure offspring body fat like dual-energy X-ray absorptiometry (DXA).
  • A study in Japan analyzed data from 1,244 fifth-grade students, focusing on 964 who had complete maternal BMI information, to assess the relationship between maternal weight at conception and the body fat of their children at age 11.
  • Results showed that children of overweight mothers had significantly higher odds of excess body fat compared to those of non-overweight mothers, indicating that maternal BMI at conception can be a useful predictor of offspring body fat.
View Article and Find Full Text PDF
Article Synopsis
  • Higher levels of hope in patients with chronic kidney disease (CKD) are linked to lower distress from fluid and dietary restrictions, especially in the first year of dialysis.
  • The study included 444 CKD patients undergoing various types of dialysis in Japan and measured hope using a specific health-related hope scale.
  • While increased hope positively affected patient distress levels at one year, it showed no significant effect on distress at the two-year mark, suggesting that hope may have a short-term impact on managing restrictions.
View Article and Find Full Text PDF

Background And Objective: Inadequate response to antidepressant monotherapy is common among patients with major depressive disorder (MDD). The efficacy and safety of adjunctive brexpiprazole 2 mg/day has recently been confirmed during the 6-week, randomized, placebo-controlled phase 2/3 (BLESS) study, which evaluated brexpiprazole at 1 mg/day and 2 mg/day versus placebo as adjunctive therapy to antidepressant therapies in 740 Japanese patients with MDD and an inadequate response to antidepressant monotherapy. This study evaluated the long-term safety and efficacy of adjunctive fixed-dose brexpiprazole 2 mg/day in Japanese patients with MDD.

View Article and Find Full Text PDF

Distraction lengthening of digits enhances hand function in patients with congenital phalangeal defects or traumatic hand amputations. Although callotasis is a useful distraction lengthening method, it is challenging and often results in various complications and prolonged fixation. Based on our experiences, we attempted to develop innovations to reduce the fixation period.

View Article and Find Full Text PDF
Article Synopsis
  • This study compared the effectiveness of two surgical procedures, anterior spinal fusion (ASF) and posterior cervical foraminotomy (PCF), in helping patients recover motor function after surgery for cervical spondylotic radiculopathy (CSR).
  • A total of 227 patients were evaluated, with 106 focusing specifically on those with upper-limb motor deficits, and their recovery was monitored for at least 12 months post-surgery.
  • Results indicated that while the overall recovery rates were similar (74% for ASF and 86% for PCF), the PCF group recovered motor function significantly faster at 3, 6, and 12 months compared to the ASF group, suggesting PCF may be the better option for quicker recovery
View Article and Find Full Text PDF
Article Synopsis
  • Extracellular vesicles (EVs) are being researched for potential cancer therapies and diagnostic tools, but current methods for loading therapeutic proteins into EVs are not efficient.
  • The main technique, electroporation, damages the EVs and complicates purification, highlighting the need for better natural protein transfer methods for clinical use.
  • A new approach using a short CD9 (sCD9)-INF/TAT tag enhances protein transfer into EVs and improves escape from degradation inside cells, particularly when producer and receptor cells are cocultured.
View Article and Find Full Text PDF

Renal cell carcinoma (RCC) affects 10%-20% of patients annually, often with metastases present. This study evaluated the impact of systemic therapy before nephrectomy in patients with unresectable or metastatic renal cell carcinoma (RCC). Patients receiving upfront immune checkpoint inhibitor (ICI) combination therapy showed significantly improved progression-free survival (PFS) compared to nephrectomy alone (2-year PFS: 62.

View Article and Find Full Text PDF

Introduction: Human color vision exhibits significant diversity that cannot be fully explained by categorical classifications. Understanding how individuals with different color vision phenotypes perceive, recognize, and react to the same physical stimuli provides valuable insights into sensory characteristics. This study aimed to identify behavioral and neural differences between different color visions, primarily classified as typical trichromats and anomalous trichromats, in response to two chromatic stimuli, blue-green and red, during an attention-demanding oddball task.

View Article and Find Full Text PDF
Article Synopsis
  • Postoperative pancreatic fistula (POPF) is a common complication after distal pancreatectomy (DP), prompting a study (WRAP study) to assess new prevention strategies during minimally invasive DP (MIDP).
  • The trial involves 172 patients at 14 centers in Japan, randomly assigning them to either a control group or an intervention group that uses polyglycolic acid (PGA) mesh and fibrin glue to reinforce the pancreatic stump.
  • The primary goal is to evaluate whether this reinforcement can reduce the occurrence of clinically relevant POPF, potentially establishing a new best practice in MIDP surgery.
View Article and Find Full Text PDF