1,140 results match your criteria: "Seirei-Hamamatsu General Hospital[Affiliation]"

Article Synopsis
  • - This study reviews outcomes of fetuses with sacrococcygeal teratoma (SCT) based on different prenatal intervention methods: open fetal surgery, percutaneous intervention, or no intervention at all.
  • - The study found that survival rates were highest in patients who did not undergo surgery (71.0%), while open surgery had a 56.2% survival rate and percutaneous intervention had 45.8%.
  • - It concluded that gestational age at delivery impacts prognosis and highlights the importance of monitoring complications like polyhydramnios to avoid premature delivery, regardless of the intervention type.
View Article and Find Full Text PDF

Pulmonary sclerosing pneumocytoma mimicking a low-grade primary malignancy: A case report.

Int J Surg Case Rep

June 2024

Department of General Thoracic Surgery, Seirei Hamamatsu General Hospital, 2-12-12, Sumiyoshi, Naka-ku, Hamamatsu-city, Shizuoka 430-8558, Japan. Electronic address:

Introduction: Pulmonary sclerosing pneumocytoma (PSP) is a rare benign tumor classified as a pulmonary adenoma. It presents as a solitary pulmonary nodule without any specific findings, often posing a diagnostic challenge. We herein present a case of a PSP with a short volume doubling time (VDT) comparable to low-grade pulmonary malignancies.

View Article and Find Full Text PDF

Background: Despite the effectiveness of the retrograde approach for chronic total occlusion (CTO) lesions, there are no standardized tools to predict the success of retrograde percutaneous coronary intervention (PCI).

Objectives: The aim of this study was to develop a prediction tool to identify CTO lesions that will achieve successful retrograde PCI.

Methods: This study evaluated data from 2,374 patients who underwent primary retrograde CTO-PCI and were enrolled in the Japanese CTO-PCI Expert Registry between January 2016 and December 2022 (NCT01889459).

View Article and Find Full Text PDF
Article Synopsis
  • - The study aims to create a consensus in the Asia-Pacific region on long-term management and sequential therapy for osteoporosis, focusing on effective fracture prevention through individualized treatment strategies.
  • - A panel of experts analyzed current literature and expert opinions, resulting in 12 key recommendations, such as using anabolic agents for high fracture risk patients and switching to antiresorptive agents post-anabolic therapy if needed.
  • - The findings offer a cost-effective framework for osteoporosis management, emphasizing shared decision-making and integration of local healthcare systems to enhance patient care in the Asia-Pacific region.
View Article and Find Full Text PDF

Chronic granulomatous disease (CGD) is a primary immunodeficiency disease caused by molecular defects in nicotinamide adenine dinucleotide phosphate (NADPH) oxidase. p67-CGD is an autosomal recessive CGD, which is caused by a defect in the cytosolic components of NADPH oxidase, p67, encoded by NCF2. We previously established a flow cytometric analysis for p67 expression, which allows accurate assessment of residual protein expression in p67-CGD.

View Article and Find Full Text PDF

Background: A recent large real-world study conducted in the United States reported the effectiveness of palbociclib plus aromatase inhibitor in HR+/HER2- advanced breast cancer (ABC). However, local clinical practice and available medical treatment can vary between Japan and Western countries. Thus, it is important to investigate Japanese real-world data.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the safety of long-term use of ritodrine hydrochloride, a tocolytic agent used in Japan for treating threatened preterm labor, particularly its link to maternal deaths.
  • It analyzed data from 390 maternal death cases from 2010 to 2020, revealing that 32 involved the administration of ritodrine, with specific doses and routes documented.
  • The findings indicated higher instances of serious health issues like perinatal cardiomyopathy and pulmonary edema in patients who received ritodrine, suggesting a potential risk associated with its long-term use during pregnancy.
View Article and Find Full Text PDF

Purpose: To assess the impact of glaucoma on perceiving three-dimensional (3D) shapes based on monocular depth cues.

Study Design: Clinical observational study.

Methods: Twenty glaucoma patients, subjected to binocular visual-field sensitivity (binocular-VFS) tests using a Humphrey Visual Field Analyzer, and 20 age-matched healthy volunteers, underwent two tasks: identifying the nearest vertex of a 3D shape using monocular shading (3D-SfS), texture (3D-SfT), or motion (3D-SfM) cues, and distinguishing elementary one-dimensional (1D) features of these cues.

View Article and Find Full Text PDF

Background: Hypertrophic cardiomyopathy (HCM) is often concomitant with sleep-disordered breathing (SDB), which can cause adverse cardiovascular events. Although an appropriate approach to SDB prevents cardiac remodelling, detection of concomitant SDB in patients with HCM remains suboptimal. Thus, we aimed to develop a machine learning-based discriminant model for SDB in HCM.

View Article and Find Full Text PDF

Traumatic asphyxia (TA) is a rare condition due to severe crush injury to the upper abdomen or chest region. Elevated intrathoracic pressure causes impaired venous return, which damages the small vessels. Consciousness is reportedly lost in many TA cases.

View Article and Find Full Text PDF

Three Patients of the Early Onset Epileptic Spasms without Hypsarrhythmia.

Neuropediatrics

August 2024

Division of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, Yonago, Japan.

Article Synopsis
  • The study discusses three patients with early onset epileptic spasms who did not show hypsarrhythmia on EEG results and had other types of seizures.
  • These patients, who were between 1 and 3 months old, showed no abnormalities on neurometabolic tests or brain imaging, but long-term monitoring revealed varying seizure patterns.
  • All three patients achieved seizure freedom through treatment primarily with topiramate, suggesting this medication could be a viable option for managing early onset epileptic spasms without hypsarrhythmia.
View Article and Find Full Text PDF

Rationale: Chronic inflammatory demyelinating polyneuropathy (CIDP) is an autoimmune disorder that affects the peripheral nerves, leading to weakness and sensory symptoms. CIDP is a rare disease, and few studies have reported on anesthetic management in patients with this condition, especially the peripheral nerve block (PNB). Therefore, a safe and standardized anesthetic approach remains to be established.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates how cavernous malformations (CM) can lead to epilepsy, particularly focusing on cases where the seizure onset location doesn't match findings from scalp EEG, known as false lateralization (FL).
  • - Analyzed 32 patients with CM-associated epilepsy, finding FL in about 10% of cases for interictal and ictal discharges, and those with FL had a significantly higher occurrence of CM located in medial and deep brain areas.
  • - The research suggests that neurologists should be cautious when deciding on surgical resection areas based solely on EEG results, especially in cases with deep and medial CM, as they can present misleading information.
View Article and Find Full Text PDF

A case of fetal duodenal atresia suspected to be lower urinary tract obstruction.

J Med Ultrason (2001)

July 2024

Division of Perinatology, Fetal Diagnosis and Therapy, Maternal and Perinatal Care Center, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka, Hamamatsu , Shizuoka, 430-8558, Japan.

View Article and Find Full Text PDF
Article Synopsis
  • This study investigates prognostic factors for patients with pathological Grade Group 5 prostate cancer after robot-assisted radical prostatectomy, focusing on a cohort of 217 men from ten Japanese medical centers.
  • The research found that the rates of biochemical recurrence-free survival (BCRFS) at 3 and 5 years were 66.1% and 57.7%, respectively, with positive surgical margins (PSMs) and the percentage of positive cancer cores (PPCC) identified as key independent predictors of survival outcomes.
  • Ultimately, the study suggests that monitoring PSMs and PPCC could significantly aid in predicting overall survival and disease progression in this high-risk patient group.
View Article and Find Full Text PDF
Article Synopsis
  • A study evaluated the effect of levodopa on gait disturbances in individuals with Dravet syndrome (DS), using a three-dimensional gait analysis (3DGA) in a crossover design with nine participants aged 6-20 years.
  • The results showed significant improvements in gait metrics, including a 4.2-point increase in the Gait Deviation Index (GDI), a 52-meter improvement in the 6-minute walking distance, and enhanced balance.
  • The findings suggest that levodopa may effectively improve gait disturbances in younger individuals with better initial gait performance, with no serious side effects noted, except for one case of fever.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how axial compressive loads affect the fixation properties of pedicle screws in spinal fusion surgery, specifically looking at the stress and strain experienced by the spinal instrumentation.
  • Results showed that bending stress in the fixation rod was significantly higher than the compression stress when only axial loads were applied, indicating a tendency for stress to concentrate on a single rod and lead to kyphotic deformation.
  • The findings provide essential data for creating numerical simulations to better understand and predict the failure mechanisms of spinal implants in order to improve surgical outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • Japan faces a rising challenge with hip fractures due to an aging population, prompting the health ministry to implement a new reimbursement scheme in April 2022 to improve care.
  • The Japan National Hip Fracture Database (JNHFD), launched by Fragility Fracture Network-Japan in 2017, aimed to gather data on hip fracture care across hospitals, revealing delays in surgery and inadequate post-fracture treatment.
  • The new reimbursement scheme emphasizes timely surgery and effective secondary fracture prevention, which is expected to enhance both immediate and follow-up care for hip fracture patients in Japan.
View Article and Find Full Text PDF

Background: To investigate the outcomes of Pneumocystis jirovecii pneumonia (PCP) between patients with rheumatoid arthritis (RA) treated with and without biologics before PCP onset.

Patients And Methods: We retrospectively included rheumatoid arthritis (RA) patients with PCP treated with and without biologics before PCP onset. The primary endpoints were 30-day and 180-day survival rates, and the secondary endpoint was severe PCP, including in-hospital death, intensive care unit admission, and requirement of respiratory support during hospitalization.

View Article and Find Full Text PDF
Article Synopsis
  • * Data from 4,088 lesions were analyzed, revealing that PRA was used in 19.2% of cases, with high success rates for both guidewire (93.6%) and technical procedures (91.3%).
  • * Key characteristics linked to the use of PRA included previous coronary artery bypass surgery, chronic kidney disease, and specific lesion features like blunt stumps and distal runoff under 1 mm, providing insights for choosing PCI strategies in clinical practice.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates different types of hamate hook fractures, which are commonly linked to direct impacts from sports equipment, but also occur from other causes.
  • A total of 50 patients were analyzed, revealing fractures in athletes from sports like baseball, as well as injuries from falls and industrial accidents, with variations in fracture morphology based on the cause.
  • The findings suggest that many hamate hook fractures may result from repetitive stress rather than direct trauma, indicating a different underlying mechanism for these injuries.
View Article and Find Full Text PDF

A solitary pulmonary nodule in a former glass blower mimicking a primary lung adenocarcinoma.

Int J Surg Case Rep

March 2024

Department of General Thoracic Surgery, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu-city, Shizuoka 430-8558, Japan. Electronic address:

Introduction: Inhalation of silicon dioxide causes silicosis, a condition that may occur in various industries and work settings. Radiologic findings typically show numerous nodular opacities, while solitary pulmonary nodules are atypical for silicosis.

Presentation Of Case: A 68-year-old woman, a former glassblower, presented with a left solitary pulmonary nodule (13 mm) on chest computed tomography.

View Article and Find Full Text PDF

Introduction: The Mt. FUJI multicenter trial demonstrated that a delivery catheter system had a higher rate of successful right ventricular (RV) lead deployment on the RV septum (RVS) than a conventional stylet system. In this subanalysis of the Mt.

View Article and Find Full Text PDF