20,248 results match your criteria: "Medical University School[Affiliation]"

Article Synopsis
  • Hospital-associated disability (HAD) is a decline in the ability to perform daily activities during hospitalization, particularly affecting older adults. This study investigates how inpatient cardiac rehabilitation (CR) impacts the development of HAD in older patients undergoing transcatheter aortic valve implantation (TAVI).
  • Out of nearly 20,000 patients studied, those who participated in CR had a significantly lower prevalence of HAD (8.8%) compared to non-participants (14.2%), suggesting CR is beneficial in preventing this decline.
  • However, the positive effects were less pronounced in patients with low body mass index (BMI) or lower Barthel Index (BI) scores at admission, indicating some patients might not benefit as much from CR.
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  • - The study examined the role of programmed cell death-ligand 1 (PD-L1) expression and epidermal growth factor receptor (EGFR) mutations as biomarkers for lung adenocarcinoma, analyzing data from 847 patients across 21 centers in Japan from 2015 to 2018.
  • - Results showed that while PD-L1 expression was linked to shorter recurrence-free survival (RFS) in both EGFR-mutant and wild-type patients, it had no effect on overall survival (OS) in EGFR-mutant patients.
  • - The findings suggest that PD-L1 expression is a poor predictor of OS for EGFR-mutant patients and does not influence the effectiveness of post-relapse treatment with EGFR-
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Purpose: Periodontitis is a chronic inflammatory oral disease that causes defects in periodontal tissue. Conventional therapies are limited, and often lead to high recurrence rates. The emerging concept of medicinal food homology has shed light on the potential of ginger as a therapeutic adjuvant for periodontitis, given its antioxidant and anti-inflammatory properties.

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Aim: There are limited reports regarding psychotropic prescriptions in first-visit patients with major depressive disorder (MDD). The objective of this study is to clarify the prescription patterns of psychotropics and their association with symptoms among first-visit patients with MDD in Japan.

Methods: In this cross-sectional analysis, we examined 376 first-visit patients diagnosed with MDD.

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Enterocutaneous fistulas (ECFs) occurring in the setting of Crohn's disease (CD) are difficult to cure with medical treatment alone and affects a patient's quality of life. A 39-year-old man was diagnosed with an ileocolitis-type CD in 2007. His inflammation was insufficiently controlled despite the administration of an anti-tumor necrosis factor-alpha antibody.

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Purpose: To re-evaluate images recovered from JCOG0911, a randomized phase 2 trial for newly diagnosed glioblastoma (nGBM) conducted by the Japan Clinical Oncology Group (JCOG) Brain Tumor Study Group.

Methods: The correlation between tumor volumes and survival was evaluated, followed by progression-free survival (PFS) analysis by independent central review based on Response Assessment in Neuro-Oncology (RANO) criteria using MRI recovered from 118 nGBM patients enrolled in the JCOG0911 trial. A radiomic analysis was also performed to identify radiomic features predictive of nGBM prognosis.

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  • Bladder injuries during laparoscopic surgery are uncommon but can be serious, especially in patients with urachal remnants, which increase the risk during suprapubic port insertion.
  • A case of a 46-year-old man with cecal cancer experienced a bladder injury due to a urachal remnant during laparoscopic surgery, leading to a successful repair and uncomplicated recovery.
  • The case highlights the challenges in diagnosing asymptomatic urachal remnants preoperatively and suggests that sagittal CT scans can help identify them, recommending careful port placement to prevent bladder injuries.
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Background: The involvement of Mediterranean fever (MEFV) gene mutations in patients with inflammatory bowel disease unclassified (IBDU) remains unclear. This study aimed to determine the clinical characteristics and responsiveness to colchicine in Japanese patients with IBDU carrying MEFV mutations.

Methods: In this retrospective cohort study, we examined MEFV mutations using gene analysis, clinical information, and colchicine responsiveness.

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Objective: Behavioral interventions have been shown to ameliorate the electroencephalogram (EEG) dynamics underlying the behavioral symptoms of autism spectrum disorder (ASD), while studies have also demonstrated that mirror neuron mu rhythm-based EEG neurofeedback training improves the behavioral functioning of individuals with ASD. This study aimed to test the effects of a wearable mu rhythm neurofeedback training system based on machine learning algorithms for children with autism.

Methods: A randomized, placebo-controlled study was carried out on 60 participants aged 3 to 6 years who were diagnosed with autism, at two center-based intervention sites.

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  • - Acral and mucosal melanomas are more common in Asians compared to Caucasians, while cutaneous melanomas are mainly found in Caucasians; this study focuses on the genetic traits of melanomas in Japanese patients due to under-research in this area.
  • - Analysis of 104 Japanese melanoma samples revealed that 94% had driver mutations, with significant mutations differing among melanoma types: BRAF was notable in cutaneous, while acral exhibited mutations in KIT and others, and mucosal showed various driver mutations like NRAS and KRAS.
  • - The findings suggest a lower tumor mutational burden in East Asian cutaneous melanoma, potentially impacting the effectiveness of immune checkpoint inhibitors and emphasizing the necessity for personalized treatment strategies based on
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We retrospectively evaluated the impacts of using granulocyte colony-stimulating factor (G-CSF) and its timing on posttransplant outcomes for 9766 adults with acute myeloid leukemia (AML) between 2013 and 2022 using a Japanese database. We separately evaluated three distinct cohorts based on graft type: 3248 received bone marrow transplantation (BMT), 3066 received peripheral blood stem cell transplantation (PBSCT), and 3452 received single-unit cord blood transplantation (CBT). Multivariate analysis showed that G-CSF administration significantly accelerated neutrophil recovery after BMT, PBSCT, and CBT.

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Refining antipsychotic treatment strategies in schizophrenia: discovery of genetic biomarkers for enhanced drug response prediction.

Mol Psychiatry

November 2024

Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiao Tong University, Shanghai, China.

Schizophrenia (SCZ) is a severe mental disorder affecting around 1% of individuals worldwide. The variability in response to antipsychotic drugs (APDs) among SCZ patients presents a significant challenge for clinicians in determining the most effective medication. In this study, we investigated the biological markers and established a predictive model for APD response based on a large-scale genome-wide association study using 3269 Chinese schizophrenia patients.

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Background: Becker muscular dystrophy (BMD) is a dystrophinopathy caused by a pathological variant of the DMD gene. Urinary titin, a degradation product of the giant protein titin present in muscle sarcomeres, has been used as a biomarker to reflect muscle degradation in Duchenne muscular dystrophy, a more severe dystrophinopathy. However, the clinical significance of urinary titin levels in BMD remains unclear.

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The effect of prognostic nutritional indices on stroke hospitalization outcomes.

Clin Neurol Neurosurg

December 2024

Department of Critical Care Medicine, The Second Hospital of Tianjin Medical University, Tianjin 300211, China. Electronic address:

Objectives: Stroke is the second leading cause of death and the third leading cause of disability globally, so monitoring inflammation and nutritional levels is essential for the secondary prevention. The impact of the Prognostic Nutritional Index (PNI) on tumor and perioperative outcomes has been demonstrated as an optimal combination of immune and nutritional indicators. However, the role of PNI on hospitalized outcomes in stroke patients remains unknown.

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Objectives: To evaluate the effectiveness of super-resolution deep learning reconstruction (SR-DLR) in low-dose abdominal computed tomography (CT) imaging compared with hybrid iterative reconstruction (HIR) and conventional deep learning reconstruction (cDLR) algorithms.

Methods: We retrospectively analyzed abdominal CT scans performed using a low-dose protocol. Three different image reconstruction algorithms-HIR, cDLR, and SR-DLR-were applied to the same raw image data.

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The COMBO stent is a unique stent on which the CD34 antibody is mounted to capture CD34 + endothelial progenitor cells (EPCs) and from which sirolimus is eluted to suppress neointimal hyperplasia. The COMBO stent aims to induce early re-endothelialization and vascular healing and to prevent restenosis. In the clinical setting, however, the effects of the COMBO stent have not been validated in terms of EPC biology.

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Background: Radiotherapy is considered an alternative treatment for unresectable or pharmacologically resistant desmoid-type fibromatosis. While it results in relatively good local control, the risk of secondary malignancy remains a concern.

Case: We present a case of secondary osteosarcoma after carbon-ion radiation therapy (CIRT).

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Most patients with head and neck cancers struggle with their treatment, particularly those with recurrent cancer. However, there is no consensus on effective treatments for recurrent head and neck cancer. Recurrent cases are often challenging to treat because performing both reirradiation and surgical intervention can occasionally be difficult.

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Aims/introduction: To determine the association of irregular dietary habits with HbA1c and body mass index (BMI) in people with diabetes.

Materials And Methods: We included 4,421 people with diabetes aged 20-74 years (type 1 diabetes (T1D), 19.1%) who answered a questionnaire at mealtime.

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Nadolol is a hydrophilic β-adrenoceptor blocker with a relatively long half-life and negligible metabolism. It is a substrate of P-glycoprotein and organic anion transporting polypeptide 1A2, and may serve as an in vivo probe drug for the assessment of drug-drug and food-drug interactions mediated by these transporters. In the present study, we aimed to develop limited sampling strategy (LSS) models for predicting the area under the plasma concentration-time curve (AUC) of nadolol.

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Objectives: To investigate the association between patient activation and functional limitation among older adults living with multiple chronic conditions.

Methods: We performed a secondary analysis of a parent study, which examined the relationship between self-efficacy and both inflammatory biomarkers and frailty. We conducted multivariate logistic regression while controlling for the patients' sociodemographic variables and comorbidities to examine the association between self-reported functional limitation and patient activation as measured by the Patient Activation Measure (PAM-10).

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Urinary titin as a biomarker of sarcopenia in diabetes: a propensity score matching analysis.

J Endocrinol Invest

November 2024

Department of Nutrition and Metabolism, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.

Article Synopsis
  • The study aimed to assess urinary titin levels as a potential marker for muscle damage in individuals with type 2 diabetes mellitus (T2DM) and to explore its relationship with sarcopenia.
  • Urinary titin levels were significantly higher in the T2DM group compared to controls, indicating a link between diabetes and increased titin levels, particularly in older men.
  • The findings suggest that measuring urinary titin could help identify older men with T2DM who are at higher risk for developing sarcopenia.
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Synthesis of Eucommia ulmoides-derived carbon dots for anti-inflammatory and accelerated wound healing.

Int Immunopharmacol

December 2024

Shanxi Medical University School and Hospital of Stomatology, Taiyuan 030001, Shanxi, China; Shanxi Province Key Laboratory of Oral Diseases Prevention and New Materials, Taiyuan 030001, Shanxi, China. Electronic address:

Inflammation affects the pathology of wound healing and is strongly associated with many chronic wounds that do not heal. Natural herbs with anti-inflammatory effects have received much attention in clinical treatment because they are inexpensive, readily available, safe, and effective. In this study, EUO-NAC-CDs were prepared using a hydrothermal method in which Eucommia ulmoides (EUO) and n-acetylcysteine (NAC) were used as carbon sources.

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Background: Deep neck infections (DNIs) in the cervical fascial planes can cause severe complications such as airway obstruction, mediastinitis, and sepsis.

Aims/objectives: This study examines cervical abscess development, its relationship with postoperative swallowing function, and hospital stay duration.

Material And Methods: A retrospective case series of 55 DNI patients was divided by hospital stay (<30 days: Group A, ≥30 days: Group B) and swallowing recovery (<6 days: Group C, ≥6 days: Group D).

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  • Researchers identified Muse cells, a type of pluripotent stem cell, which play a role in tissue repair and are found in higher numbers in patients with acute myocarditis compared to controls.
  • In biopsies from 17 patients with fulminant myocarditis, there were significantly more Muse cells present, indicating their potential involvement in the severity of myocardial injury.
  • The study suggests that these Muse cells might help in healing damaged heart tissue and could correlate with clinical outcomes during both acute and recovery phases of myocarditis.
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