129 results match your criteria: "Nagasaki Rosai Hospital[Affiliation]"

Intussusception of the appendix secondary to endometriosis: a case report.

Surg Case Rep

November 2024

Department of Surgery, Japan Organization of Occupational Health and Safety, Nagasaki Rosai Hospital, Nagasaki, Japan.

Background: Intussusception of the appendiceal endometriosis is rare. Although approximately 200 cases of appendiceal intussusception have been reported in the literature, very few have ever been diagnosed preoperatively. Here, we report the case of intussusception of the appendiceal endometriosis with laparoscopic ileocecal resection.

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Japanese spotted fever (JSF) is a tick-borne rickettsial disease prevalent in western Japan, with an increasing incidence and geographical distribution. This retrospective study aimed to describe the clinical features of JSF and identify factors associated with its severe form. We included adult patients with laboratory confirmed JSF in Nagasaki prefecture from 2010 to 2021.

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  • A multicenter phase III trial is being conducted to evaluate a dexamethasone-based mouthwash for preventing chemotherapy-induced stomatitis in early breast cancer patients.
  • The study will involve 230 patients, randomly assigned to either the dexamethasone mouthwash group or a control group using tap water as mouthwash.
  • The main goal is to measure the effectiveness of the mouthwash in reducing the incidence of stomatitis, tracked through electronic patient-reported outcomes.
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Introduction: Segmental spinal deformity results from vertebral compression fracture (VCF) and progressive collapse of the fractured vertebral body (VB). The VB stenting (VBS) system comprises a balloon-assisted, expandable, intrasomatic, metal stent that helps maintain the restored VB during balloon removal and cement injection, which minimizes cement leakage. We performed a prospective, multicenter, clinical trial of the VBS system in Japanese patients with acute VCF owing to primary osteoporosis.

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  • - This fourth edition of the Japanese Clinical Practice Guidelines for Prostate Cancer 2023 was developed by the Japanese Urological Association and involved experts from various related organizations, ensuring a comprehensive approach to prostate cancer management.
  • - The guidelines emphasize the use of systematic reviews to inform recommendations for 14 specific clinical questions, with decisions made based on the collective input of 24 guideline development members.
  • - A general statement outlines findings from literature searches on areas not covered by systematic reviews, with a focus on updates and changes since the last guidelines published in 2016.
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The magnitude of the effect of human T-lymphotropic virus 1 (HTLV-1) infection on uveitis remains unclear. We conducted a cross-sectional study in a highly endemic area of HTLV-1 in Japan. The study included 4265 residents (men, 39.

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  • The study analyzes mortality rates in patients who achieved sustained virological response (SVR) after receiving interferon-free direct-acting antiviral (IFN-free DAA) therapy, emphasizing the significance of non-liver-related deaths.
  • Three cohorts were examined: those without advanced fibrosis or prior hepatocellular carcinoma (HCC), those with advanced fibrosis but no prior HCC, and those with a history of HCC after curative treatment.
  • Findings indicated that while both non-HCC cohorts had comparable mortality rates to the general population, the cohort with a history of HCC had higher overall mortality, highlighting the need to address non-liver-related health issues in all SVR patients.
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This study assessed the risk perceptions among disaster relief nurses (DRNs) in Japan by focusing on 15 risk factors associated with frequent natural disasters and the ongoing coronavirus disease 2019 (COVID-19) pandemic. We conducted a cross-sectional study that targeted DRNs across six prefectures in Japan and explored nurses' perceptions of risks including radiation exposure, volcanic eruptions, and mass infections. The findings indicated a heightened perception of radiation and nuclear-related risks.

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  • * A 2021 survey of 1,181 spine surgeons revealed that approximately 73% discontinued antithrombotic drugs before surgery, with about 80% also stopping anticoagulants, while very few opted to continue antiplatelet or anticoagulant medications.
  • * Complications were reported, including instances of cerebral and myocardial infarctions for those who discontinued antiplatelet drugs, and an increase in intraoperative bleeding for those who continued their use, indicating the
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Introduction: Controlling pulmonary complex (MAC) disease is difficult because there is no way to know the clinical stage accurately. There have been few attempts to use cell-mediated immunity for diagnosing the stage. The objective of this study was to characterize cytokine profiles of CD4+T and CD19+B cells that recognize various -associated antigens in different clinical stages of MAC.

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Background: Staphylococcus aureus is a global pathogen that is frequently responsible for healthcare-associated infections, including surgical site infections (SSIs). Current infection prevention and control approaches may be limited, with S. aureus antibiotic resistance remaining problematic.

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Sphenoid sinus schwannoma with adhesion to the carotid canal.

Radiol Case Rep

May 2023

Department of Otolaryngology-Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.

Few reports have been made on the presentation and treatment of schwannomas originating in the sphenoid sinus due to their rarity. We report the case of a 60-year-old woman who presented with a cyst-like mass in the right sphenoid sinus on magnetic resonance imaging. Computed tomography showed a bone defect in the internal carotid artery (ICA) and enlargement of the round foramen on the affected side.

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Objective: To assess the relationship of the infrapatellar plica (IPP) with femoral trochlear chondrosis (FTC) using radiographs and 3.0-T MRI.

Materials And Methods: Four hundred eighty-three knees of 476 patients undergoing radiography and MRI were reviewed, and 280 knees of 276 patients were included.

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Introduction: Efforts are being made to reduce doctors' working hours and implement reforms in the way doctors work. This study aims to determine the associations between depressive symptoms and work environment/lifestyle among <40-year-old male orthopedic physicians in Japan.

Methods: Participants were 1,343 male orthopedic physicians selected from a survey ( = 25,139) of all regular members conducted in 2019 by the Japanese Orthopaedic Association.

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Introduction And Importance: Compressed air is used to apply paint, wash vehicles or machines, and remove water droplets after washing the precision instrument. Barotrauma due to high-pressure compressed air is extremely rare.

Case Presentation: We report a case of transverse colon perforation caused by a compressed air gun in a 20-year-old male.

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Article Synopsis
  • Severe fever with thrombocytopenia syndrome (SFTS) and Japanese spotted fever (JSF) are tick-borne diseases posing rising public health challenges in Japan and East Asia.
  • A study analyzed data from 23 SFTS and 38 JSF patients to identify clinical characteristics useful for differentiating the two diseases, focusing on symptoms, exams, and lab findings.
  • Key indicators to differentiate SFTS from JSF included leukopenia (WBC < 4000/μL) and altered mental status, while absence of skin rash also supported the diagnosis in suspected cases.
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Background: Pediatric pneumococcal conjugate vaccines (PCVs) introduction has directly and indirectly reduced pneumococcal pneumonia and invasive disease caused by PCV-covered serotypes among children and adults globally. In Japan, both PCV7 and PCV13 were introduced into the national immunization program (NIP) for children in 2013. However, the long-term impact of PCV use in children on adult pneumococcal pneumonia in Japan remains unclear.

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Objective: To clarify the safety and efficacy of pre-operative embolization using Onyx liquid embolic agent (Onyx; ev3) compared with -butyl cyanoacrylate (NBCA; Cordis Neurovascular, Inc.) or coils in cerebral arteriovenous malformation (AVM) surgery.

Methods: This was a retrospective review of a prospectively collected clinical database of brain AVMs treated at our institute from January 2005 to March 2021.

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Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by the SFTS virus. It involves multiple organ systems, including the lungs. However, the significance of the lung involvement in SFTS remains unclear.

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Article Synopsis
  • The study analyzed 20,547 cases of hepatocellular carcinoma (HCC) over 24 years, focusing on trends in sex, age, and disease causes, divided into four 6-year periods.
  • The data revealed that a significant majority (68.2%) of HCC patients were male, with the average age of newly-diagnosed patients increasing over time, particularly in the elderly population.
  • HCC cases associated with hepatitis C virus (HCV) declined, while cases with non-B viral causes and hepatitis B virus (HBV) infections rose, indicating a shift in the epidemiological profile of HCC patients.
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Purpose: Regarding epidemiological studies, the role of vitamin D in musculoskeletal functionality (muscle weakness and physical performance) among elderly people is still controversial. The purpose of the present study was to investigate the associations between 25-hydroxyvitamin D [25(OH)D] and physical performance among community-dwelling middle-aged and old Japanese men and women.

Methods: The subjects were community-dwelling 297 men and 415 women aged 50 years and over.

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Background: Laboratory facilities for etiological diagnosis of central nervous system (CNS) infection are limited in developing countries; therefore, patients are treated empirically, and the epidemiology of the pathogens is not well-known. Tubercular meningitis is one of the common causes of meningitis, which has high morbidity and mortality, but lacks sensitive diagnostic assays. The objectives of this study were to determine the causes of meningitis in adult patients by using molecular assays, to assess the risk factors associated with them, and to explore whether biomarkers can differentiate tubercular meningitis from bacterial meningitis.

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Attenuation of the secondary injury of spinal cord injury (SCI) can suppress the spread of spinal cord tissue damage, possibly resulting in spinal cord sparing that can improve functional prognoses. Granulocyte colony-stimulating factor (G-CSF) is a haematological cytokine commonly used to treat neutropenia. Previous reports have shown that G-CSF promotes functional recovery in rodent models of SCI.

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  • Severe fever with thrombocytopenia syndrome (SFTS) is a serious bunyavirus infection linked to high mortality, prompting a trial to examine favipiravir as a treatment.
  • A study involving 26 SFTS patients found a 28-day mortality rate of 17.3%, with oral favipiravir tolerated well by survivors and leading to improved clinical symptoms.
  • The trial indicated promising results with favipiravir, as surviving patients showed a significant decrease in viral load, though adverse effects like liver dysfunction were noted.
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