128 results match your criteria: "Ohara General Hospital[Affiliation]"

Background: Nonpharmaceutical interventions for coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, during the pandemic altered the epidemiology of respiratory viruses. This study aimed to determine the changes in respiratory viruses among children hospitalized from 2018 to 2023.

Methods: Nasopharyngeal specimens were collected from children aged under 15 years with fever and/or respiratory symptoms admitted to a medical institution in Fukushima Prefecture between January 2018 and December 2023.

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Background: Opioid-induced rigidity is typically observed during rapid administration of fentanyl. Herein, we present a case in which rigidity occurred after reversal of rocuronium during emergence from anesthesia.

Case Presentation: A 73-year-old man underwent video-assisted partial lung resection.

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Article Synopsis
  • 5-Aminolevulinic acid (5-ALA) is given before surgery to help identify tumors but can sometimes cause low blood pressure (hypotension).
  • A case involving an 83-year-old man showed that after taking 5-ALA and his usual medications, he experienced hypotension, leading to muscle weakness and paralysis from a cerebral infarction.
  • While 5-ALA may have contributed to his condition, the authors suggest that other factors, like the doses of his medications, could also be involved in the development of the infarction.
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  • Esophageal cancers that penetrate the muscularis mucosa or submucosa can have a risk of lymph node metastasis after endoscopic resection, but the patterns of metastatic recurrence post-treatment are not well-studied.
  • Researchers analyzed data from 220 patients in Japan who received additional treatments (esophagectomy, chemoradiotherapy, or radiation) after endoscopic resection between 2006 and 2017 to identify risk factors for metastatic recurrence.
  • They found that lymphatic invasion is a key risk factor for recurrence, and while both esophagectomy and chemoradiotherapy show similar risks for metastasis, esophagectomy tends to have higher locoregional recurrence but better survival rates for patients who do experience
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DOATS score and DOAT score, COVID-19 progression prediction tools we have developed, utilize clinical information such as presence of diabetes/obesity (DO), age (A), body temperature (T), and oxygen saturation (S). They showed good predictive power, but their scoring calculation was slightly complex, leading us to develop simplified versions. This report discusses the ability of the simplified versions to assess deterioration risk in unvaccinated, mild/moderate COVID-19 patients aged <65 years.

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  • Anti-MDA5 antibody-positive clinically amyopathic dermatomyositis (CADM) is a form of dermatomyositis that primarily features skin symptoms and severe lung disease without significant muscle inflammation.
  • Joint issues can arise in these patients, but effective treatment methods, particularly involving ultrasound, are not well established.
  • This report discusses an 85-year-old man with anti-MDA5 antibody-positive CADM who experienced improved joint inflammation after receiving medium-dose corticosteroid treatment, confirmed by ultrasound.
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Background: Proprioceptive impairment contributes to gait and balance impairments in patients with stroke. Diagnosis functional impairments and evaluation treatment efficacy require quantitative proprioception assessment. However, proprioception assessment has remained limited to ordinal scale measurement, with a lack of ratio scale measurements.

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  • Paravalvular leakage (PVL) is a complication that can occur after transcatheter aortic valve implantation (TAVI), negatively affecting patient outcomes.
  • A study assessed the relationship between preoperative aortic valve calcium volume (Ca-Vol) and the occurrence of PVL in 59 patients who underwent TAVI, finding higher Ca-Vol in those with PVL.
  • The research indicated that total and specific cusp Ca-Vols were significant predictors of PVL, with specific cut-off values established for predicting the risk of leakage post-surgery.
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Human metapneumovirus (hMPV) is genetically classified into two major subgroups, A and B, based on attachment glycoprotein (G protein) gene sequences. The A2 subgroup is further separated into three subdivisions, A2a, A2b (A2b1), and A2c (A2b2). Subgroup A2c viruses carrying 180- or 111-nucleotide duplications in the G gene (A2c or A2c ) have been reported in Japan and Spain.

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The aims of this study were to determine the prevalence and predictors of nocturnal polyuria (NP) in Japanese patients. This multicentral, observational study enrolled patients with the chief complaint of nocturia at 17 Japanese institutions between January 2018 and December 2022. The frequency of daily voiding and volume of urination were evaluated using bladder diaries.

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Purpose: Several reporting systems have been proposed for providing standardized language and diagnostic categories aiming for expressing the likelihood that lung abnormalities on CT images represent COVID-19. We developed a machine learning (ML)-based CT texture analysis software for simple triage based on the RSNA Expert Consensus Statement system. The purpose of this study was to conduct a multi-center and multi-reader study to determine the capability of ML-based computer-aided simple triage (CAST) software based on RSNA expert consensus statements for diagnosis of COVID-19 pneumonia.

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  • - The study focused on identifying risk factors for COVID-19 deterioration in unvaccinated individuals under 65 years old during Japan's fifth wave, as many cases occurred in this demographic.
  • - Researchers analyzed data from 1,675 patients in Fukushima and created predictive scores to estimate deterioration risk using logistic regression, highlighting significant factors like age, body temperature, oxygen saturation, and comorbidities (diabetes, obesity).
  • - The findings indicated that 8.6% of patients experienced deterioration, with predictors including older age, male gender, and various health issues; two risk scores were developed, DOATS and DOAT, to assess patient risk.
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Human respiratory syncytial viruses (HRSVs) are divided into subgroups A and B, which are further divided based on the nucleotide sequence of the second hypervariable region (HVR) of the attachment glycoprotein (G) gene. Understanding the molecular diversity of HRSV before and during the coronavirus disease 2019 (COVID-19) pandemic can provide insights into the effects of the pandemic on HRSV dissemination and guide vaccine development. Here, we analyzed HRSVs isolated in Fukushima Prefecture from September 2017 to December 2021.

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  • There is currently no standard definition for early antibiotic treatment failure (EATF), which complicates the assessment of antibiotic effectiveness in clinical settings.
  • This scoping review aims to extract and summarize common elements from various studies that address EATF, using a systematic approach based on established guidelines.
  • The review identified 61 studies as relevant, highlighting five essential components of EATF definitions: mortality, vital signs, fever, symptoms, and the need for additional treatment, suggesting the need for further research in this area.
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Purpose: Drug-induced interstitial lung disease (ILD) is not a rare adverse event in the current chemotherapy strategy for pancreatic ductal adenocarcinoma (PDAC). Thus, we aimed to find the optimal management for PDAC patients with a history of ILD induced by a gemcitabine-based regimen.

Methods: We conducted a multicenter retrospective study.

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Background: The guidelines recommend additional gastrectomy after noncurative endoscopic resection for early gastric cancers (EGCs). However, no additional treatment might be acceptable in some patients aged ≥ 85 years. We aimed to identify this patient group using the data in a highly aged area.

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  • A study was conducted to evaluate the efficacy of molnupiravir in hospitalized patients with mild-to-moderate COVID-19 during the Omicron variant surge in Fukushima, Japan, by comparing outcomes between those who used the drug and those who did not.
  • After matching molnupiravir users with non-users based on similar characteristics, results showed that the clinical deterioration rate was significantly lower for users (3.90%) compared to non-users (8.40%).
  • Multivariate analysis indicated that treatment with molnupiravir independently reduced the risk of deterioration in COVID-19 patients after hospitalization during the Omicron variant phase.
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Background: Although additional treatment is considered for patients with esophageal squamous cell carcinoma (ESCC) invading into the muscularis mucosa (pT1a-MM) or submucosa (pT1b-SM) after endoscopic submucosal dissection (ESD), the actual benefits of this method remain to be elucidated.

Aims: We aimed to evaluate the prognostic benefits of additional treatment in such patients.

Methods: Between 2006 and 2017, we enrolled patients with pT1a-MM/pT1b-SM ESCC after ESD at 21 institutions in Japan.

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