63 results match your criteria: "Nagoya City University Graduate School of Medical Sciences Nagoya Japan.[Affiliation]"

Article Synopsis
  • This study aimed to assess long-term chronic pain and complications after a specific hernia repair method (C-TAPP) and compare the outcomes of unilateral versus bilateral cases.
  • A questionnaire was distributed to over 1500 patients to evaluate satisfaction, pain levels, and complications, with noteworthy return rates indicating strong participation.
  • The results showed low frequencies of pain and complications for both groups, with no significant differences in long-term pain or complication rates, suggesting that both unilateral and bilateral repairs yield similar outcomes.
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  • The prognosis for patients with unresectable adrenocortical carcinoma is generally poor, with mitotane as the primary treatment and combination chemotherapy recommended for resistant cases.
  • A 49-year-old woman with advanced disease experienced progression on mitotane, but showed significant improvement and complete disappearance of liver metastases after 9 months of chemotherapy using paclitaxel and carboplatin alongside mitotane.
  • This case highlights the potential for long-term survival in advanced adrenocortical carcinoma through effective treatment combining chemotherapy and mitotane, as the patient has thrived for 20 years post-diagnosis.
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Aim: Parenting styles are determinants of psychosocial maladjustment in the subsequent generation. Modifiable factors that positively impact intergenerational transmission should be identified. Thus, this study investigated the mediating effects of adult attachment on the transmission of child-rearing styles and the combined impact of fathers' and mothers' styles on their offspring's parenting.

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We report a 44-year-old woman who presented with bilateral weakness of the hands and distal paresthesia of the arms on the next day of the second COVID-19 vaccine, and gradually progressed ascending weakness of the arms and legs, and sensory ataxia beyond 2 months. She was diagnosed as a chronic inflammatory demyelinating polyneuropathy (CIDP) following COVID-19 vaccine on the basis of clinical and electrophysiological findings. This is a first case diagnosed as a CIDP following COVID-19 vaccine alone.

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Background: Contrary to pure cases, the influence of comorbid argyrophilic grain disease (AGD) in progressive supranuclear palsy (PSP) has not been sufficiently evaluated.

Objectives: We compared the clinicoradiological features of 12 patients with PSP with (PSPw/AG) and 8 patients without AGD (PSPw/oAG).

Methods: Medical records and magnetic resonance imaging were checked retrospectively from a single brain bank database.

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Identifying risk factors for cancer therapeutics-related cardiac dysfunction (CTRCD) is essential for the early detection and prompt initiation of medial therapy for CTRCD. No study has investigated whether the sigmoid septum is a risk factor for anthracycline-induced CTRCD. We enrolled 167 patients with malignant lymphoma who received a CHOP-like regimen from January 2008 to December 2017 and underwent both baseline and follow-up echocardiography.

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  • The traditional approach for reimplanting an ectopic ureter is open surgery, but newer minimally invasive methods like laparoscopic surgery are becoming more common for treating pediatric urological issues.
  • A 15-day-old boy with hydronephrosis was diagnosed with ureteral duplication and had recurrent urinary tract infections, leading to a surgical intervention at 2 years and 5 months to address the dilated ectopic ureter.
  • The surgery was successfully performed using a transvesicoscopic technique, highlighting the benefits of minimally invasive methods in reimplanting ureters in complex cases.
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Background: The prevalence of multimorbidity and polypharmacy and its association with all-cause mortality in older patients with pacemakers are largely unknown. We aimed to clarify the prevalence of multimorbidity and polypharmacy, and its association with all-cause mortality in patients ≥75 years of age with pacemakers.

Methods: We retrospectively investigated 256 patients aged ≥75 years (mean age 84.

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Background Prognoses and long-term cardiac function of patients with fulminant myocarditis have not been fully elucidated. Therefore, we clarified the prognoses and long-term cardiac function according to required percutaneous mechanical circulatory support and histological findings among patients with fulminant myocarditis. Methods and Results We conducted a multicenter retrospective medical record review of 216 patients with fulminant myocarditis requiring percutaneous mechanical circulatory support.

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Long-duration spaceflight is associated with an increased risk of urolithiasis, and the pain caused by urinary calculi could result in loss of human performance and mission objectives. The present study investigated the risk of urolithiasis in astronauts during 6 months on the International Space Station, and evaluated whether the suppression of bone resorption by the bisphosphonate, alendronate (ALN), can reduce the risk. A total of 17 astronauts were included into the analysis: exercise using the advanced resistive exercise device (ARED) plus weekly oral 70 mg alendronate (ARED+ALN group,  = 7) was compared to resistive exercise alone (ARED group,  = 10).

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Interstitial pneumonia with autoimmune features (IPAF) was proposed to describe patients with interstitial lung disease who do not meet the classification criteria for a defined connective tissue disease. Here, we report a spontaneous improvement case of IPAF. A 58-year-old man developed dry cough and dyspnoea.

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Chronic elevation of left ventricular (LV) diastolic pressure (DP) or chronic elevation of left atrial (LA) pressure, which is required to maintain LV filling, may determine LA wall deformation. We investigated this issue using transthoracic 3-dimensional speckle tracking echocardiography (3D-STE). We retrospectively enrolled 75 consecutive patients with sinus rhythm and suspected stable coronary artery disease who underwent diagnostic cardiac catheterization and 3D-STE on the same day.

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The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020), a Japanese-specific set of clinical practice guidelines for sepsis and septic shock created as revised from J-SSCG 2016 jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in September 2020 and published in February 2021. An English-language version of these guidelines was created based on the contents of the original Japanese-language version. The purpose of this guideline is to assist medical staff in making appropriate decisions to improve the prognosis of patients undergoing treatment for sepsis and septic shock.

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In the management of patients with type 1 von Willebrand disease, supplementation with Con Facto F as well as hemodynamic stabilization with appropriate analgesia and sedation may be important to reduce the risk of bleeding.

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Durvalumab, an anti-programmed cell death-ligand 1 (PD-L1) antibody, is currently used in the maintenance therapy for patients with stage III non-small cell lung cancer after platinum-based chemoradiotherapy. A 69-year-old male with lung adenocarcinoma, clinical stage IIIA, was treated with chemoradiotherapy. As the treatments progressed, his dry cough gradually subsided.

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A female nurse in her 40s caring for a patient with severe coronavirus disease 2019 (COVID-19) pneumonia treated with a high-flow nasal cannula (HFNC) presented with fever, cough and dyspnoea. Based on imaging findings and a positive reverse transcription-polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), COVID-19 pneumonia was diagnosed, although her cohabiting family had similar symptoms and their RT-PCR tests were negative. Laboratory results showed Mycoplasma antigen (+).

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Risk stratification of normal-flow, low-gradient (NFLG) severe aortic stenosis (SAS) with preserved left ventricular (LV) ejection fraction (EF) remains unclear. Of 289 consecutive patients diagnosed with SAS by aortic valve area <1.0 cm, 66 with NFLG-SAS (stroke volume index >35 mL/m, mean pressure gradient <40 mmHg, LVEF ≥50%) were enrolled in this study; patients with bicuspid aortic valve, acute coronary syndrome, hemodialysis, or a history of aortic valve replacement (AVR) were excluded.

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Remote monitoring of cardiac implantable electronic devices improves clinical outcomes, but data on the association between the transmission rate (TR) of the remote monitoring, calculated in percentage as the ratio between days of transmission and days of follow-up after remote monitoring introduction, and death in patients with a pacemaker are limited. In this single-center retrospective observational study, we investigated 180 patients with a newly implanted pacemaker capable of using a specific remote monitoring system with daily transmission (79.5±8.

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Thyroglossal duct on the dorsum of the tongue in the pediatric patient can cause a difficult airway due to the large mass and risk of airway obstruction associated with a swollen tongue after surgery.

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A 15-year-old male was diagnosed with acute myeloid leukemia with t(6;9)(p23;q34), a chimeric - fusion gene. He underwent allogeneic bone marrow transplantation (allo-BMT) from an unrelated volunteer donor at first molecular remission. Approximately 5 years after allo-BMT, multiple bone marrow aspirations showed increased blasts to 63%, which were positive for myeloperoxidase, CD13, CD33, CD56, and CD34.

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Article Synopsis
  • A study followed up on patients who had distal gastrectomy for gastric cancer, comparing Billroth I and Roux-en-Y reconstructions, focusing on body weight, nutritional status, complications, and quality of life five years post-surgery.
  • Results showed no significant difference in body weight loss or nutritional status between the two methods, but the Billroth I group experienced more reflux esophagitis (19% vs 4.9% for Roux-en-Y) and had worse outcomes on the diarrhea quality of life scale.
  • Overall, while both reconstruction methods were similar in many respects, Roux-en-Y had advantages in preventing complications related to reflux and diarrhea.
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Background Right ventricular (RV) dysfunction is a prognostic factor for cardiovascular disease. However, its mechanism and pathophysiology remain unknown. We investigated RV function using RV-specific 3-dimensional (3D)-speckle-tracking echocardiography (STE) in patients with chronic thromboembolic pulmonary hypertension.

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We investigated the incidence of cardiotoxicity, its risk factors, and the clinical course of cardiac function in patients with malignant lymphoma (ML) who received a cyclophosphamide, doxorubicin, vincristine, and prednisolone (CHOP) regimen. Among all ML patients who received a CHOP regimen with or without rituximab from January 2008 to December 2017 in Nagoya City University hospital, 229 patients who underwent both baseline and follow-up echocardiography and had baseline left ventricular ejection fraction (LVEF) ≥50% were analyzed, retrospectively. Cardiotoxicity was defined as a ≥10% decline in LVEF and LVEF < 50%; recovery from cardiotoxicity was defined as a ≥5% increase in LVEF and LVEF ≥50%.

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