134 results match your criteria: "The Jikei University Katsushika Medical Center[Affiliation]"

Nodular-bronchiectatic pattern in pulmonary nocardiosis: Immune status and treatment outcomes in a multicenter retrospective study.

Respir Med

December 2024

Division of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo, 105-8471, Japan. Electronic address:

Background: Pulmonary nocardiosis is a rare opportunistic infection, with approximately 15 % of patients being immunocompetent. The isolation rate of Nocardia spp. has recently increased, indicating rising clinical concern.

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Distinctive features of bimanual coordination in idiopathic normal pressure hydrocephalus.

Acta Neurochir (Wien)

November 2024

Department of Health Promotion Science, Tokyo Metropolitan University, 1-1 Minami-Ohsawa, Hachioji, Tokyo, 192-0397, Japan.

Background: Idiopathic normal pressure hydrocephalus (iNPH) is characterized by cerebrospinal fluid circulation disorders, and presents as gait and balance disturbances similar to those observed in other incurable neurological diseases. Although previous studies have reported deficits in bimanual coordination among patients with iNPH, these potential pathological characteristics have not received much attention to date. This study investigated the temporal characteristics of a bimanual finger-tapping task in patients with iNPH, focusing on within- and between-hand coordination.

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Article Synopsis
  • * The present study validated the score's effectiveness by comparing 116 patients with L. pneumophila CAP to 947 patients with SARS-CoV-2 Omicron CAP, finding that L. pneumophila scores were significantly higher (4 vs 1).
  • * Diagnostic sensitivity and specificity for L. pneumophila CAP were notably high (90.5% sensitivity and 90.8% specificity) when using a cutoff score of ≥3 points, emphasizing the score's reliable diagnostic potential during
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Background: Primary solitary fibrous tumors (SFTs) of the gallbladder are rare. Here, we report the case of a patient who underwent surgical treatment for a primary SFT originating in the gallbladder.

Case Presentation: A 48-mm gallbladder tumor was detected in a 70-year-old man using abdominal ultrasonography at a primary hospital, and he was subsequently referred to our department.

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Background And Aim: The risk of colorectal cancer among fecal immunochemistry test-positive individuals who had undergone previous colonoscopies remains unclear. Therefore, this study aimed to determine the differences in the risk of colorectal cancer among fecal immunochemistry test-positive individuals according to the timing of their previous colonoscopies.

Methods: This multicenter, retrospective, observational study was conducted in Japan as a subgroup analysis of the J-SCOUT study (UMIN000040690), which integrated and analyzed a database comprising all colonoscopies performed at participating Japanese institutions between 2010 and 2020.

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Introduction: is a member of the Gram-positive anaerobic cocci group and constitutes the flora of the skin and other parts of the body. It sometimes colonizes diabetic foot and rarely infects skin or soft tissue of non-immunocompromised patients.

Case Presentation: Here, we report the case of a severe subcutaneous abscess on the back caused by .

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  • * A total of 82,005 colonoscopy cases were analyzed, revealing 71 identified colorectal NENs, which corresponds to a detection rate of 0.087%. Most cases were small lesions in the rectum.
  • * Findings suggest that the detection rate of colorectal NENs during colonoscopy is higher than previously anticipated, indicating the importance of thorough screening.
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Histopathologic examinations of primary central nervous system lymphoma (PCNSL) reveal concentric accumulation of lymphocytes in the perivascular area with fibrosis. However, the nature of this fibrosis in "stiff" PCNSL remains unclear. We have encountered some PCNSLs with hard masses as surgical findings.

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Anti-amphiphysin antibody is a rare paraneoplastic autoantibody. A case of a 74-year-old man with anti-amphiphysin antibody and multiple symptoms, including bulbar palsy along with cerebellar ataxia, who responded to treatment with intravenous cyclophosphamide is reported. The patient presented with progressive unsteady gait and difficulty in swallowing food and water for three months.

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  • - The study assessed the effectiveness and satisfaction of a new test called the chronic constipation-therapeutic efficacy and satisfaction test (CC-TEST) for patients with chronic constipation using a 4-week remedy.
  • - A total of 110 out of 201 patients completed the study, showing good internal reliability for the CC-TEST with significant reductions in symptoms and daily life dissatisfaction after treatment.
  • - The CC-TEST proved to be a reliable and valid tool for measuring treatment outcomes in chronic constipation, suggesting it could be a useful patient-reported outcome measure.
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The management of oral mucosal pain in Stevens-Johnson syndrome (SJS), known for its severe mucocutaneous reactions, is a significant challenge due to the paucity of effective treatments reported in the literature. This case report aims to help fill this gap by describing the effective use of continuous intravenous fentanyl for the relief of severe oral mucosal pain in a patient with SJS. A patient with postoperative recurrence of cervical cancer developed SJS following chemotherapy.

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  • The study analyzed antimicrobial susceptibility patterns of 793 bacterial strains from patients with complicated urinary tract infections across eight species, using national surveillance data collected in Japan from July 2020 to December 2021.
  • Fluoroquinolone resistance, particularly among Escherichia coli and Pseudomonas aeruginosa, has risen over the years, with levofloxacin resistance in E. coli increasing from 28.6% in 2008 to 44.5% in 2021, while MRSA vancomycin susceptibility decreased significantly.
  • Extended-spectrum β-lactamase-producing strains were identified in notable proportions, with E. coli (24.8%) and Klebsiella pneumoniae (16
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  • * Roux-en-Y gastric bypass (RYGB) is usually better for severe obesity linked to GERD, but it's not ideal for Japanese patients due to their higher gastric cancer risk and challenges with observing the stomach during endoscopies.
  • * A new method combining LSG and Toupet fundoplication (called T-sleeve) was tested and showed promising results in a patient, suggesting it could be a viable treatment for Japanese patients with severe obesity and GERD
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  • - The study examines the effectiveness and safety of using intermediate catheters (IMCs) in triaxial systems for coil embolization of unruptured cerebral aneurysms (UCAs) by comparing two patient groups—those with IMC and those without.
  • - A total of 2430 UCAs from 2259 patients were reviewed, revealing that patients with IMCs had a higher rate of complete occlusion and better coil packing density, with significant statistical differences noted.
  • - Overall, using IMCs during the procedure resulted in improved outcomes without increasing the risk of complications, showing IMCs provide beneficial support in treating UCAs.
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  • A nationwide surveillance in Japan studied the antimicrobial susceptibility of bacteria in acute uncomplicated cystitis, focusing on E. coli, K. pneumoniae, and S. saprophyticus, between April 2020 and September 2021.
  • The study isolated 823 bacterial strains from urine samples of 848 patients, with a majority being E. coli (92.9%), and determined susceptibility to 18 antibacterial agents.
  • Results showed a concerning increase in fluoroquinolone-resistant E. coli and extended-spectrum β-lactamase (ESBL)-producing E. coli, especially in postmenopausal women, highlighting the need for clinicians to adapt their antibiotic choices due to rising resistance rates.
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  • The study investigates how colonoscopy insertion and withdrawal times affect the adenoma detection rate (ADR), which is important for cancer screening effectiveness.
  • Using data from a large sample of colonoscopies performed by various endoscopists in Japan, researchers found that longer cecal insertion times were linked to lower ADRs, while longer withdrawal times were associated with higher ADRs.
  • The findings suggest that both insertion and withdrawal times should be considered as quality indicators for colonoscopy procedures.
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Silver-Mixed Port Reduces Venous Access Port Related Infection Rate Compared to Non-Silver-mixed Port: A Single-center Retrospective Analysis.

Cardiovasc Intervent Radiol

December 2023

Department of Radiology, The Jikei University School of Medicine, The Jikei University of Second Building 14F, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-0003, Japan.

Purpose: Totally implantable venous access ports (TIVAPs) are increasingly used as safe and convenient central venous access devices. However, several TIVAP-related complications occur, with port/catheter infection being most common. Silver-mixed ports have recently been introduced in anticipation of reducing TIVAP infection.

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Atopic dermatitis itch may cause sleep disturbance and impair quality of life. For patients finding topical therapy difficult to continue, it is important to control itch and reduce scratching. This study developed algorithms to measure nocturnal sleep and scratch, using an actigraph device worn on the back of the hand, and assessed smartphone application feedback to improve adherence with therapy.

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Background: Orthostatic hypotension (OH) is a potential modifiable risk factor for cognitive impairment in patients with Parkinson's disease (PD). Although other risk factors for dementia, hyposmia and REM sleep behavior disorder (RBD), are closely associated with autonomic dysfunction in PD, little is known about how these risk factors influence cognitive function and cerebral pathology.

Objective: We investigated how these three factors contribute to gray matter atrophy by considering the interaction of OH with hyposmia and RBD.

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Neisseria gonorrhoeae is one of the important pathogens of sexually transmitted infections. N. gonorrhoeae is rapidly becoming antimicrobial resistant, and there are few drugs that are effective in the initial treatment of gonorrhea.

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Background: The predictive ability of the Frontal Assessment Battery (FAB) for postoperative cognitive improvement in idiopathic normal pressure hydrocephalus (iNPH) is unstudied.

Objective: To compare the predictive ability of the FAB and the Mini-Mental State Examination (MMSE) for postoperative cognitive improvement in individuals with iNPH after shunt surgery.

Method: We retrospectively reviewed the medical records of individuals with iNPH who had shunt surgery between January 2016 and October 2018.

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Background: Sporadically occurring vestibular schwannomas (VSs) are the most frequent tumors in the cerebellopontine cistern and internal meatus and are commonly associated with hearing loss. These tumors have demonstrated spontaneous shrinkage rates of 0-22%; however, the relationship between tumor shrinkage and changes in hearing remains unclear.

Case Description: We report a case of a 51-year-old woman with a diagnosis of a left-sided VS and accompanying moderate hearing loss.

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Background: mRNA vaccination is an effective, safe, and widespread strategy for protecting pregnant women against infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. However, information on factors such as perinatal outcomes, safety, and coverage of mRNA vaccinations among pregnant women is limited in Japan. Therefore, this study aimed to investigate the perinatal outcomes, coverage, adverse effects, and short-term safety of mRNA vaccination as well as vaccine hesitancy among pregnant women.

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