135 results match your criteria: "Kawasaki municipal Ida hospital[Affiliation]"

Purpose: Chemical chelation with ethylenediaminetetraacetic acid (EDTA) is an established treatment for calcific band keratopathy (CBK), whereas removal of calcium deposits from the subepithelial layer of the cornea may cause corneal irregularity. Using Fourier harmonic analysis, we analyzed the corneal topography in eyes with CBK treated by EDTA chelation.

Study Design: Retrospective, single-center study.

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Utility values of responders and nonresponders are essential inputs in cost-effectiveness studies of radiation therapy for painful bone metastases but, to our knowledge, they have not been reported separately. We sought to determine the utility values of responders and nonresponders using data from a prospective observational study on bone metastases. The original prospective observational study was conducted at 26 centers in Japan.

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We experienced a case of a patient with a history of pacemaker implantation who was found to have lung cancer just behind the pacemaker. She was an 80-year-old woman with a history of valve replacement, pacemaker implantation, and sarcoidosis. Computed tomography showed a ground-glass opacity of 1.

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Objectives: We examined shifts in labor productivity and their economic ramifications among adult patients with long COVID in Japan.

Methods: A total of 396 patients were categorized into three groups based on symptom progression: non-long COVID, long COVID recovered, and long COVID persistent. Patient-reported outcomes were assessed at three time intervals: 3, 6, and 12 months after COVID-19 diagnosis.

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Article Synopsis
  • This study aimed to evaluate the real-world impact of radiotherapy for bone metastases on patients' quality of life (QOL) using data from 26 centers in Japan.
  • Out of 333 patients receiving treatment, 232 were included, and their QOL was assessed at enrollment and followed up at two and six months using standardized questionnaires.
  • Results showed significant improvements in several QOL areas, especially pain and insomnia, indicating that radiotherapy can positively affect some aspects of patient well-being in practice.
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We sought to identify potential evidence-practice gaps in palliative radiotherapy using quality indicators (QIs), previously developed using a modified Delphi method. Seven QIs were used to assess the quality of radiotherapy for bone metastases (BoM) and brain metastases (BrM). Compliance rate was calculated as the percentage of patients for whom recommended medical care was conducted.

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Background: No comprehensive analysis of the pulmonary sequelae of coronavirus disease 2019 (COVID-19) in Japan based on respiratory function tests and chest computed tomography (CT) has been reported. We evaluated post-COVID-19 conditions, especially focusing on pulmonary sequelae assessed by pulmonary function tests and chest CT.

Methods: For this prospective cohort study, we enrolled 1069 patients who presented pneumonia at the time of admission in 55 hospitals from February 2020 to September 2021.

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Article Synopsis
  • The mortality rate for cancer patients is declining, but many experience heart issues linked to cancer treatments, prompting increased interest in cardio-oncology.
  • The European Society of Cardiology's recent guidelines address these concerns, highlighting the challenges breast cancer patients face with echocardiography due to physical limitations.
  • A study comparing myocardial scintigraphy with echocardiography in 114 breast cancer patients found no significant correlation between the two diagnostic methods, indicating that scintigraphy may not effectively replace echocardiography in these cases.*
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Undifferentiated cancer is a rapidly progressing cancer with poor prognosis. Sometimes, it is diagnosed at an advanced stage, and its origin is difficult to detect. A very unusual cancer was revealed by autopsy.

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We experienced a patient after pacemaker (PM) implantation who had lung cancer of the left upper lobe that developed just behind the PM. The patient was an 81-year-old man with many complications. Radiation was the only treatment option.

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Article Synopsis
  • * A study of 1656 Japanese patients identified rapid worsening of CXR findings—as indicated by increased lung infiltrates within 48 hours of hospital admission—as a significant risk factor for severe complications.
  • * Factors contributing to this rapid deterioration include existing health conditions, elevated body temperature, and specific genetic variants, highlighting the importance of early detection and monitoring.
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A 51-year-old man presented with severe hydrocele testis, dyspnea on exertion, and systemic edema. He had a history of surgery for tetralogy of Fallot (TOF). On the second day of admission, he presented with severe nose bleeding followed by CO narcosis.

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Article Synopsis
  • * The patient had severe mobility issues due to large tumors throughout his body, necessitating multiple surgeries which ultimately improved his ability to perform daily activities.
  • * Although he eventually developed an unresectable dedifferentiated liposarcoma that led to his death at 79, this case highlights that surgical intervention can significantly benefit patients even with multiple large tumors.
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  • * A study involving hospitalized COVID-19 patients revealed asthma, younger age, and female sex as specific risk factors for persistent fatigue over time, with asthma being particularly significant.
  • * The findings suggest that asthma may heighten the risk for long-lasting fatigue after COVID-19, highlighting the need for targeted preventive measures to reduce fatigue and its associated impacts.
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Comprehensive analysis of long COVID in a Japanese nationwide prospective cohort study.

Respir Investig

November 2023

Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. Electronic address:

Article Synopsis
  • * Data from 1200 enrolled patients showed a decline in symptoms over time, from 93.9% during hospitalization to 33.0% at 12 months, with those experience long COVID symptoms reporting lower quality of life and higher anxiety and depression.
  • * Identified risk factors for long COVID included being female, middle-aged, requiring oxygen, and being in critical condition during hospitalization, providing valuable insights for future research in Japan.
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Association between ABO blood group/genotype and COVID-19 in a Japanese population.

Ann Hematol

November 2023

Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Article Synopsis
  • The study investigates the relationship between COVID-19 and ABO blood group/genotype in a large Japanese population, including 1,790 patients and 611 healthy controls.
  • Blood group A was found to be more common and blood group O less common among COVID-19 patients, while genotype OO was also less frequent in this group.
  • Blood group AB was identified as a significant risk factor for severe disease, while blood group O appeared to provide some protective effect against infection.
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Objectives: This study aimed to evaluate the prognostic treatment outcome of non-operative management of medication-related osteonecrosis of the jaw (MRONJ), particularly regarding the relationship between image findings and treatment outcomes.

Methods: This single-center, retrospective observational study included patients with MRONJ who were conservatively treated between 2010 and 2020. All patients were evaluated in terms of MRONJ treatment outcomes, time to healing, and prognostic factors, including sex, age, underlying disease, antiresorptive drug type, discontinuation of antiresorptive treatment, chemotherapy, corticosteroid treatment, diabetes mellitus, location of MRONJ, clinical stage of MRONJ, and computed tomography image findings.

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  • The study examined the link between complete blood count metrics, especially the neutrophil-to-lymphocyte ratio (NLR), and the outcomes of COVID-19 patients in Japan from February 2020 to November 2021.* -
  • Out of 2425 patients analyzed, 19.5% faced severe complications, and NLR emerged as the best predictor for these outcomes, with a good area under the curve (AUC) of 0.81.* -
  • Combining NLR with patients' oxygen requirements at admission provided an even better prediction (AUC of 0.88) for identifying those at risk of severe disease progression.*
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Objectives: One primary concern about receiving care at home is that survival might be shortened because the quality and quantity of treatment provided at home will be inferior to that given in the hospital. Although our previous study demonstrated a longer survival of those with home-based palliative care (PC), it lacked adjustment for some potential confounders including symptoms and treatments during the stay. We aimed to compare the survival times among advanced cancer patients receiving home-based and hospital-based PC with adjusting for symptoms and treatments.

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Objectives: Smoking and chronic obstructive pulmonary disease (COPD) are risk factors for severe COVID-19. However, limited literature exists on the effect of COPD and smoking on COVID-19 outcomes. This study examined the impact of smoking exposure in pack-years (PY) and COPD on COVID-19 outcomes among smokers in Japan.

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Article Synopsis
  • The study analyzed 3,261 hospitalized COVID-19 patients in Japan across five waves of the pandemic to understand differences in their characteristics.
  • Patients admitted during the second and fifth waves were younger, while those in the first wave had longer hospital stays and more post-hospitalization complications, including bacterial infections.
  • The fifth wave showed higher disease severity at admission and more patients needing oxygen, whereas the first wave had the highest mechanical ventilation rates and the third wave had the highest mortality.
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Impact of upper and lower respiratory symptoms on COVID-19 outcomes: a multicenter retrospective cohort study.

Respir Res

November 2022

Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-Ku, Tokyo, 160-8582, Japan.

Background: Respiratory symptoms are associated with coronavirus disease 2019 (COVID-19) outcomes. However, the impacts of upper and lower respiratory symptoms on COVID-19 outcomes in the same population have not been compared. The objective of this study was to characterize upper and lower respiratory symptoms and compare their impacts on outcomes of hospitalized COVID-19 patients.

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(1) Background: The mortality of breast cancer has decreased due to the advancement of cancer therapies. However, more patients are suffering from cancer-therapeutics-related cardiac dysfunction (CTRCD). Diagnostic and treatment guidelines for CTRCD have not been fully established yet.

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Purpose: Patients' values and priorities in their lives should be appreciated from an early phase of incurable diseases such as advanced cancer. However, studies examining these characteristics have been lacking. This study attempted to determine what patients with advanced lung cancer valued most, once they had been diagnosed, and any associated factors.

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