1,555 results match your criteria: "Shizuoka Hospital.[Affiliation]"

We report the first large-scale retrospective cohort study on adolescent and young adult (AYA) polycythemia vera (PV) and essential thrombocythemia (ET) in Japan, a subgroup analysis using Japanese multicenter registry data (JSH-MPN-R18). This study included patients with PV (n = 31) or ET (n = 141) aged 20 to 39 years at the initial visit. Hemorrhage-free survival (HFS) was better in AYA ET than in non-AYA ET (5-year HFS: 100% vs.

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Background: We developed a novel method to measure the angle of subjective postural vertical (SPV) and showed that the SPV may be related to the exacerbation of the forward flexed posture.

Objectives: The present study prospectively tested the effects of the subjective postural vertical on the exacerbation of the forward flexion of trunk (FFT) through long-term observation of Parkinson's disease patients.

Methods: Evaluation of the posture included measuring FFT, the angle of lateral flexion of trunk, and the angle at the position that the patient subjectively perceived as the vertical position at a stationary upright position immediately after standing up at the time of initial observation, 6 months later, and 1 year later.

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  • - Migraine affects many people aged 20-50 and has serious social and economic consequences, but its underlying causes are still largely unknown; this review focuses on the role of cortical spreading depolarization (CSD) related to migraine aura and potential therapies.
  • - The article outlines how CSD, which leads to significant neuronal changes, is linked to the visual symptoms of migraines and is also found in other neurological disorders, emphasizing its cellular characteristics and effects on the trigeminal nervous system.
  • - Current treatments include prevention strategies and drugs targeting the calcitonin gene-related peptide (CGRP) involved in migraine pain, while new therapies like intranasal insulin-like growth factor 1 and vagus nerve stimulation show promise in reducing
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Aims: Safety of aspirin-free strategy immediately after percutaneous coronary intervention (PCI) for cardiovascular events in patients with diabetes was unknown.

Methods And Results: We conducted the prespecified subgroup analysis on diabetes in the STOPDAPT-3 trial, which randomly compared prasugrel (3.75 mg/day) monotherapy (2984 patients) to dual antiplatelet therapy (DAPT) with prasugrel and aspirin (2982 patients) in patients with acute coronary syndrome or high bleeding risk.

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  • Elevated white blood cell (WBC) counts are identified as a risk factor for adverse outcomes in patients with venous thromboembolism (VTE) who do not have active cancer.
  • In a study involving 5,197 patients, those with the highest WBC counts (Q4) were more likely to experience severe forms of VTE like pulmonary embolism and had a significantly higher risk of death and major bleeding over five years.
  • The findings suggest that monitoring WBC counts at VTE diagnosis can help in assessing patient risk and potential outcomes.
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  • A multicenter study in Japan analyzed the clinical characteristics, headache types, severity, and psychiatric comorbidities of 2,378 patients visiting headache clinics.
  • The predominant headache type among the patients was migraine (78.8%), with tension-type headaches (12.2%) and secondary headaches (5.5%) being less common.
  • Patients with trigeminal autonomic cephalalgias reported the highest levels of headache severity and psychiatric symptoms compared to those with other headache types.
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  • * The COMMAND VTE Registry-2 study tracked 5,197 patients with venous thromboembolism in Japan, finding that 2.3% of those with acute PE developed CTEPH over an average follow-up of 747 days.
  • * Identified risk factors for developing CTEPH included being female, longer time from symptom onset to PE diagnosis, experiencing hypoxemia, having right heart load, lower D-dimer levels, and having
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Ex vivo cultivated oral mucosal epithelial cell transplantation (COMET) was first introduced in Japan in June 2021. This technique is used to treat limbal stem cell deficiency (LSCD). This article provides a detailed description of one of the most critical steps in COMET, which is the harvesting of oral mucosa, along with accompanying videos.

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Correction: Radiological assessment of the dissection area in supraomohyoid neck dissection.

Surg Radiol Anat

December 2024

Department of Oral and Maxillofacial Radiology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.

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Several factors influence the onset of acute aortic dissection (AAD). However, few studies have examined AAD onset, weather conditions, and meteorological factors in Japan. This study aimed to identify meteorological factors associated with the onset of AAD in Japan.

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  • Spondyloarthritis is an inflammatory condition that can cause tendon adhesions and sacroiliitis, and this case focuses on reactive arthritis (ReA) triggered by a Chlamydia infection.
  • The patient experienced pain in the hip, lower back, and right shoulder, with MRI results showing inflammation at various tendon sites, but without sacroiliitis.
  • Notably, this case is the first to report shoulder lesions in ReA linked to infection and highlights that these lesions can show both adhesive inflammation and bone marrow edema along with rotator cuff issues.
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  • Immune-related pneumonitis (irP) is a significant side effect of immune checkpoint inhibitors, often relapsing after corticosteroid treatment, which complicates cancer therapy.* -
  • A study analyzed 56 patients with irP and found that 39.3% experienced relapses post-prednisolone therapy; significant risk factors included a radiographic pattern of organizing pneumonia and an onset of irP more than 100 days after starting treatment.* -
  • Identifying these risk factors is crucial for better managing irP in patients undergoing treatment, as it could lead to improved outcomes.*
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A 63-year-old male with high myopia developed sudden visual loss, eyelid swelling, eye pain, discharge, and tearing in his left eye while wearing soft contact lenses (CLs) during the day and orthokeratology lenses at night. At the initial visit, his corrected visual acuity in the left eye was 20/1000, with a ring-shaped ulcer in the central cornea, corneal infiltration across the entire cornea, and conjunctival hyperemia. was detected from corneal scrapings, and after antibiotic treatment, the ulcer healed with corneal opacity remaining.

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This study aims to delineate the unique learning curve for fenestrated endovascular aortic repair (FEVAR) at our institution. We measured the FEVAR-specific procedure time (FSPT) as the duration from device deployment to bridging stent completion. To maintain consistency in technical complexity, the study focused on 38 cases with four-fenestration FEVAR for juxtarenal abdominal aortic aneurysms, selected from 103 of all FEVAR procedures between June 2011 and February 2024.

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  • The study aimed to explore how doctor helicopters (DHs) and disaster medical assistance teams (DMATs) differ in their roles during emergencies in Shizuoka Prefecture from 2014 to 2023.
  • Eight incidents with multiple DH deployments for mass casualties were noted, while DMATs were only activated once during a landslide disaster and were on standby two additional times.
  • The findings emphasize that DHs are effective for immediate patient transport in short-term crises, while DMATs are better suited for longer-term medical care following larger-scale disasters.
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Migraine is a multifactorial brain disorder characterized by recurrent disabling headaches and their associated features. Several studies have suggested that these features are related to headache impact, pain intensity, and psychiatric conditions. However, differences in the relationship between each associated feature and headache impact, pain intensity, or psychiatric conditions remain unclear.

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  • The simplified Pulmonary Embolism Severity Index (sPESI) score helps identify low-risk patients for home treatment of pulmonary embolism, but its use with direct oral anticoagulants hasn't been thoroughly studied.
  • A study of 2,496 patients with stable pulmonary embolism found that only 25% had an sPESI score of 0, and among those, only 17% were treated at home, though their 30-day mortality was notably low (0% vs. 4.8% in higher risk groups).
  • Factors promoting home treatment included the absence of temporary risk factors, no elevated cardiac biomarkers, and the use of direct oral anticoagulants during the acute phase.
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  • This study investigates interstitial pneumonia with autoimmune features (IPAF) in patients with idiopathic interstitial pneumonia (IIP), aiming to identify serum biomarkers related to autoimmune characteristics and prognosis.
  • An analysis of 222 newly diagnosed IIP patients over three years revealed that high serum levels of CXCL10 were significantly associated with better lung function metrics and acute onset of symptoms, as well as a higher likelihood of IPAF classification.
  • The findings suggest that CXCL10 could serve as a valuable biomarker for evaluating the clinical course of IIP patients, highlighting its potential role in understanding disease progression and patient outcomes.
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Cardiovascular diseases (CVDs) are a major cause of death in patients undergoing hemodialysis (HD). Blood pressure (BP) and uremic toxins are well-known risk factors for CVDs, which are influenced by diet. Dietary fiber supplementation in patients undergoing HD may reduce the risk of CVDs by improving lipid profiles and inflammatory status and lowering the levels of the uremic toxin indoxyl sulfate (IS).

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Efficacy of galcanezumab in migraine central sensitization.

Sci Rep

September 2024

Headache Center, Department of Neurology, Tominaga Hospital, 1-4-48 Minatomachi, Naniwa Ward, Osaka, Japan.

Galcanezumab, a monoclonal antibody targeting the calcitonin gene-related peptide pathway (CGRP mAb), acts peripherally due to its large size. However, recent studies have suggested that CGRP mAbs may also have a central mode of action. This study aimed to evaluate the central effects of galcanezumab on migraine central sensitization.

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Acute airway obstruction, whether partial or complete, requires immediate intervention to prevent fatal outcomes. An 81-year-old man with a history of pneumonia experienced respiratory distress after attempting to swallow a large piece of meat. Despite attempts by his daughter, back blows and abdominal thrusts failed to dislodge the obstruction, and he collapsed, prompting an emergency call.

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Introduction: Venous thromboembolism (VTE) remains a major complication after total hip arthroplasty (THA), irrespective of the surgical approach. This study investigated the incidence of VTE in patients undergoing THA through intermuscular minimally invasive surgical techniques, which included a direct anterior approach (DAA), an anterolateral approach (AL), and an anterolateral supine approach (ALS), at a single institution.

Methods: A hundred consecutive patients treated with each surgical approach were evaluated.

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: Sudden volcanic eruptions can lead to volcanic ash entering the eyes, causing severe discomfort and complicating evacuation efforts. The specific effects of volcanic ash on ocular tissues, especially when wearing soft contact lenses (SCLs), are not well documented, prompting this experimental investigation. : White rabbits with normal eyes were randomly divided into three groups: (1) a bare eye group: bare eye + volcanic ash exposure + eye washing, (2) an SCL group: SCL-wearing eye + volcanic ash exposure + eye washing, and (3) a control group: eye washing only.

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