56 results match your criteria: "Okaya City Hospital[Affiliation]"

Purpose: The color of Papanicolaou-stained specimens is a crucial feature in cytology diagnosis. However, the quantification of color using digital images is challenging due to the variations in the staining process and characteristics of imaging equipment. The dye amount estimation of stained specimens is helpful for quantitatively interpreting the color based on a physical model.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the prevalence and factors related to primary radiographic and symptomatic osteoarthritis of the thumb carpometacarpal joint in a cohort of 1297 residents aged 50 to 89 from a rural town in Japan.
  • The findings show a prevalence of 17.3% for radiographic osteoarthritis and 3.1% for symptomatic osteoarthritis, with higher rates observed in females.
  • Key associated factors for radiographic osteoarthritis include older age, the presence of finger joint osteoarthritis, and female gender, while factors like manual labor and smoking were not significant.*
View Article and Find Full Text PDF

Background: Spontaneous anterior interosseous nerve (AIN) palsy is characterized by the sudden onset of upper limb pain followed by weakness of muscles mainly innervated by the AIN. Although this palsy is conventionally treated conservatively, interfascicular neurolysis to release hourglass-like fascicular constrictions has been recommended. The present study aimed to establish the clinical characteristics and treatment strategy for this condition.

View Article and Find Full Text PDF

Elevated Fulminant Index (FI), [plasma glucose (PG)/glycosylated hemoglobin A1c (HbA1c)], was reportedly a sensitive index to differentiate fulminant type 1 diabetes (FT1D) from non-fulminant T1D (nFT1D). Aim of this study was to describe a better, but simpler index of FT1D. 49 and 52 patients with FT1D and nFT1D, respectively, were registered, and the discriminating ability of the rounded, normalized ratio, [PG (mmol/L) - 5.

View Article and Find Full Text PDF

Purpose: Endometrial cancer (EC) is one of the most common types of cancer affecting women. While the hematoxylin-and-eosin (H&E) staining remains the standard for histological analysis, the immunohistochemistry (IHC) method provides molecular-level visualizations. Our study proposes a digital staining method to generate the hematoxylin-3,3'-diaminobenzidine (H-DAB) IHC stain of Ki-67 for the whole slide image of the EC tumor from its H&E stain counterpart.

View Article and Find Full Text PDF

Background: Lower limb artery disease (LEAD) is accompanied by multiple comorbidities; however, the effect of hyperpolypharmacy on patients with LEAD has not been established. This study investigated the associations between hyperpolypharmacy, medication class, and adverse clinical outcomes in patients with LEAD.

Methods: This study used data from a prospective multicenter observational Japanese registry.

View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted on the MiniMed 770G hybrid closed-loop (HCL) system to evaluate its impact on glycemic control in Japanese individuals with type 1 diabetes over a 24-week period.
  • Results showed a significant increase in time spent within the target glucose range (70-180 mg/dL) and a decrease in overall glycated hemoglobin levels, indicating better diabetes management.
  • Despite improvements in glycemic metrics, patient-reported outcomes regarding treatment burden, satisfaction, and quality of life remained unchanged, suggesting that while the system is effective, it did not impact the patients' perceived experience.
View Article and Find Full Text PDF
Article Synopsis
  • Hip fractures often lead to osteoporosis-related risks and are treated with anti-osteoporotic drugs; however, the impact of strong drugs like denosumab on fracture healing is not well studied.
  • This prospective study compared early administration of denosumab with ibandronate in patients post-surgery for intertrochanteric femoral fractures to evaluate healing outcomes.
  • Results indicated no significant differences in pain levels or healing rates between the two groups, suggesting that denosumab does not delay fracture healing compared to ibandronate.
View Article and Find Full Text PDF
Article Synopsis
  • Lobular endocervical glandular hyperplasia (LEGH) is a benign lesion but can lead to gastric-type adenocarcinoma, highlighting the need for early diagnosis using specialized staining techniques and assays.
  • Researchers analyzed the nuclei of LEGH and endocervical (EC) cells using Gabor filter features to distinguish between them, achieving high accuracy with a linear support vector machine (LSVM).
  • Results showed that LEGH cell nuclei have milder gradient features compared to EC cell nuclei, suggesting a clear morphological distinction that aids in their classification.
View Article and Find Full Text PDF
Article Synopsis
  • * A study involving 366 PAD patients in Japan found that those who underwent CR had a significantly lower rate of major adverse cardiovascular events (MACE) compared to those with incomplete revascularization (ICR) after five years (66.7% vs. 46.0%).
  • * The research indicates that CR is an independent predictor of better clinical outcomes for PAD patients, suggesting that it may be beneficial for their long-term health after endovascular treatment.
View Article and Find Full Text PDF

We assessed the prognostic ability of several inflammation-based scores and compared their long-term outcomes in patients with peripheral artery disease (PAD) following endovascular treatment (EVT). We included 278 patients with PAD who underwent EVT and classified them according to their inflammation-based scores (Glasgow prognostic score [GPS], modified GPS [mGPS], platelet to lymphocyte ratio [PLR], prognostic index [PI], and prognostic nutritional index [PNI]). Major adverse cardiovascular events (MACE) at 5 years were examined, and C-statistics in each measure were calculated to compare their MACE predictive ability.

View Article and Find Full Text PDF
Article Synopsis
  • Lower third molar extraction is a common dental surgery, and while the procedures are routine, their difficulty and associated complications can vary based on individual patient factors.
  • A study involving 1,826 extractions in Japan found that the overall prevalence of postoperative complications was 10.0%.
  • Key risk factors for complications included older age (over 32 years), radiographic relationships of tooth roots with the mandibular canal, and the depth of tooth impaction, indicating that older patients with deeply impacted teeth may face higher risks after surgery.
View Article and Find Full Text PDF

Current Methods in the Study of Nanomaterials for Bone Regeneration.

Nanomaterials (Basel)

April 2022

Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.

Nanomaterials show great promise as bone regeneration materials. They can be used as fillers to strengthen bone regeneration scaffolds, or employed in their natural form as carriers for drug delivery systems. A variety of experiments have been conducted to evaluate the osteogenic potential of bone regeneration materials.

View Article and Find Full Text PDF

Introduction: Cognitive function is an important factor that affects functional recovery after hip fracture (HipFx) surgery. The literature on the pathophysiology of dementia in HipFx patients is scarce. We performed a differential diagnosis of dementia in HipFx patients using clinical and brain MRI findings.

View Article and Find Full Text PDF

Purpose: Information on the relationship between frailty and the outcome of endovascular therapy (EVT) in elderly patients with lower extremity peripheral artery disease (PAD) is scarce. This study aimed to reveal the impact of frailty on the prognosis of super-elderly patients who underwent EVT.

Materials And Methods: From August 2015 to August 2016, 335 consecutive patients who underwent EVT were enrolled in the I-PAD registry from 7 institutes in Nagano prefecture.

View Article and Find Full Text PDF

Purpose: Advanced-stage trapeziometacarpal (TMC) osteoarthritis of the thumb often presents with concomitant hyperextension deformity of the metacarpophalangeal (MCP) joint. Although several studies have reported simultaneous procedures to correct this deformity, the indication for these procedures remains controversial. The purpose of this study was to evaluate changes in the range of motion (ROM) of the thumb MCP joint before and after TMC arthrodesis.

View Article and Find Full Text PDF

PurposeWe aimed to evaluate the extent of collagenase clostridium histolyticum (CCH) diffusion in Dupuytren's contracture (DC) for tissues outside of the contracture cord using Magnetic Resonance Imaging (MRI) immediately after CCH injection. 10 male patients aged 57-79 with DC of the metacarpophalangeal (MCP) joints were examined. Extension deficits were 10-60°(mean, 34.

View Article and Find Full Text PDF

Introduction: Occupational therapy often involves handwriting acquisition practices that include the non-dominant hand when improvements in the dominant hand function are not possible because of trauma or stroke. This study explored whether character tracing and using a pegboard can effectively improve the handwriting of the non-dominant hand.

Methods: A randomised controlled trial involving 60 healthy university students aged ≥18 years was conducted.

View Article and Find Full Text PDF

An inverse correlation between body mass index and mortality in patients with peripheral artery disease (PAD) has been reported. However, little information is available regarding the impact of body composition on the clinical outcomes in patients with PAD. This study evaluated the relationships between the lean body mass index (LBMI), body fat % (BF%), and mortality and major amputation rate in patients with PAD.

View Article and Find Full Text PDF

Objective Despite reports on the effects of ankle-brachial index (ABI) improvement following endovascular therapy (EVT) on the limb prognosis, studies evaluating cardiovascular events are limited. We investigated whether or not ABI improvement 1 year following EVT was associated with cardiovascular events. Methods The I-PAD NAGANO registry is an observational multicenter cohort study that enrolled 337 patients with peripheral artery disease (PAD) who underwent EVT between August 2015 and July 2016.

View Article and Find Full Text PDF

Carbon nanotube-based biomaterials for orthopaedic applications.

J Mater Chem B

October 2020

Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, Matsumoto, 3-1-1 Asahi, Nagano 390-8621, Japan.

Carbon nanotubes (CNTs) are cylindrical tubular nanomaterials made of carbon with excellent electrical conductivity, thermal conductivity, and mechanical strength. The material is applied to improve performance in various industrial products. CNTs have been widely researched and developed as biomaterials that can offer high function, performance, and durability in orthopedic applications.

View Article and Find Full Text PDF

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy worldwide, but there are few reports investigating its prevalence using subjects diagnosed by both clinical symptoms and nerve conduction studies (NCSs) in a population-based cohort. This study aimed to determine the epidemiology of CTS diagnosed by sensory disturbance findings and NCSs using a randomly sampled resident population. Subjects aged between 50 and 89 years were randomly sampled from the basic resident registry of a rural Japanese town.

View Article and Find Full Text PDF