777 results match your criteria: "The University of Tokyo Graduate School of Medicine[Affiliation]"

Article Synopsis
  • The study evaluates the safety and feasibility of gastrectomy in patients aged 85 and older with gastric cancer.
  • It analyzed data from over 10,000 patients who underwent distal or total gastrectomy to identify risks for serious postoperative complications.
  • Key risk factors included physical health indicators like body mass index, daily living activities, and past medical history, highlighting the need for careful assessment beyond just tumor characteristics.
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Purpose: To assess the effects of modifying head position and of static ocular counter-rolling (OCR) on abduction and adduction in saccadic eye movements using a head-mounted video-oculographic device.

Study Design: A clinical observational study.

Methods: The peak velocities and amplitude gains of visually guided 12° saccades were binocularly measured in 21 healthy volunteers with their heads in the upright vertical (0°) and horizontal (± 90°, bilateral side-lying) postures, and in 6 participants with their head positions bilaterally tilted by 30°.

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A nationwide questionnaire study evaluated kidney injury associated with Beni-koji tablets in Japan.

Kidney Int

December 2024

Department of Nephrology, Graduate School of Medicine, Osaka University, Suita, Japan. Electronic address:

Red yeast rice, traditionally used in Asian cuisine and increasingly marketed as a dietary supplement for cholesterol management, has recently been linked to kidney dysfunction in Japan. In late 2023 to early 2024, multiple cases involving specific Beni-koji (red yeast rice) tablets from three different Beni-koji preparations, prompted a safety reevaluation. Although citrinin, a known nephrotoxin of red yeast rice, was not produced by the implicated strains, new safety concerns emerged.

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Vulnerable populations, such as the elderly, children, displaced people, and refugees, often encounter challenges in accessing healthcare. In this study, we used data from the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) to describe kidney care access and delivery to vulnerable populations across countries and regions. Using data from an international survey of clinicians, policymakers, and patient advocates, we assessed the funding and coverage of vulnerable populations on all aspects of kidney replacement therapies (KRT).

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Study Objectives: Sleep apnea syndrome (SAS) is potentially linked to life-threatening conditions. Decline in kidney function is involved in the development of various diseases; however, it remains unclear whether it is implicated in the onset of SAS. Therefore, this study aimed to investigate the relationship between kidney function and the incidence of SAS.

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Aims: Blood levels of N-terminal pro-brain natriuretic peptide (NT-proBNP) may be modified by low renal clearance and anaemia. The aim of this study was to investigate the impact of the blood NT-proBNP level on cardiovascular and renal outcomes in patients with these two manifestations.

Methods: This post hoc analysis stemmed from the oBservational clinical Research In chronic kidney disease patients with renal anemia: renal proGnosis in patients with Hyporesponsive anemia To Erythropoiesis-stimulating agents, darbepoetiN alfa (BRIGHTEN) trial, a large prospective study involving patients with non-dialysis kidney disease experiencing anaemia.

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Introduction: Cleft lip and cleft palate are congenital disorders resulting from abnormal facial development. Current treatments require multiple surgeries, which have risks of scar formation and facial deformities. Recently, fetal treatments utilizing "scarless healing" have gained attention, as early intervention shows potential to suppress scarring.

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Background: This study was designed to evaluate the long-term durability, oxygenation, and pressure loss of newly developed, methacryloyloxyethyl phosphorylcholine (MPC)-polymer-coated, nonporous silicone hollow fiber-membrane lungs in vivo using a pulmonary artery-to-left-atrium paracorporeal configuration.

Methods: An extracorporeal circuit from the pulmonary artery (device inflow) to the left atrium (device outflow) was established using dedicated composite vascular grafts in three healthy female goats for the prototype lung testing.

Results: Duration of testing the prototype lungs was 52, 57, or 100 days.

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Regional hotspots for chronic kidney disease: A multinational study from the ISN-GKHA.

PLOS Glob Public Health

December 2024

Division of Nephrology, Department of Medicine, Stanford University School of Medicine, Stanford, California, United States of America.

Chronic kidney disease (CKD) disproportionately affects certain populations as demonstrated by well-established subnational geographic hotspots of CKD in Central America and South Asia. Using data from the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA), we aimed to systematically identify sub-national geographic or population clusters with high prevalence of CKD. The ISN-GKHA survey was conducted from July to September 2022, and included questions regarding whether a regional CKD hotspot existed in the respondents' country and possible contributors.

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In low- and lower-middle-income countries (LLMICs), delivering equitable kidney care presents substantial challenges, resulting in significant disparities in disease management and treatment outcomes for people with kidney failure. This comprehensive report leveraged data from the International Society of Nephrology-Global Kidney Health Atlas (ISN-GKHA), to provide a detailed update on the landscape of kidney replacement therapy (KRT) in LLMICs. Among the 65 participating LLMICs, reimbursement for KRT (publicly funded by the government and free at the point of delivery) was available in 28%, 15%, and 8% for hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation (KT), respectively.

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Article Synopsis
  • Recurring utterances (RUs) are a language symptom seen in severe aphasia, particularly in global or Broca's aphasia, but their underlying neural mechanisms are not well understood.
  • A novel technique called the super-selective Wada test (ssWada) was used on a 49-year-old man with drug-resistant epilepsy, targeting specific brain regions to induce Broca's aphasia with RUs through localized anesthetic administration.
  • This case highlights that RUs can occur without affecting the posterior language area or basal ganglia, suggesting ssWada's value in exploring brain-function connections related to language and cognition.
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Article Synopsis
  • Telemedicine enhances medical practice by using technology to provide care remotely, complementing traditional in-person visits and making healthcare more accessible and efficient for patients.
  • Clinical studies in nephrology show that telemedicine can improve patient satisfaction and adherence to treatment, but its potential remains underutilized in this field.
  • The paper explores innovative methods for remote health assessments, such as analyzing saliva for kidney function and using smartphone imaging for blood analysis, highlighting the need for further research in telenephrology to optimize patient care.
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Background: National strategies to address chronic kidney disease (CKD) are crucial to support kidney health. Lack of political support in the form of policy decisions and funding leads to fragmentation of kidney care and catastrophic health expenditure. This study used data from the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) to obtain a global overview of the existence and reach of national strategies for kidney care.

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Article Synopsis
  • The study explores how respiratory sarcopenia, or reduced respiratory muscle strength, can help improve risk assessment for patients undergoing surgery for non-small cell lung cancer (NSCLC).
  • Researchers analyzed data from 806 patients in Tokyo who had surgical treatment for NSCLC between 2009 and 2018, focusing on outcomes based on their levels of respiratory strength and muscle mass.
  • Findings indicate that respiratory strength is a better predictor of patient outcomes than the traditional metric of muscle radiodensity, suggesting that factoring in respiratory sarcopenia could enhance postoperative care strategies.
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The principal causes of death among 68,555 patients with diabetes and 164,621 patients without diabetes who died in 208 hospitals throughout Japan between 2011 and 2020 were determined based on a survey of hospital records. 1. The most frequent cause of death in patients with diabetes was malignant neoplasms (38.

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Even though chronic kidney disease (CKD) is a significant comorbidity in individuals with diabetes, there appears to be worldwide confusion regarding the terminology used to describe it, including diabetic nephropathy, diabetic kidney disease (DKD), CKD with diabetes, diabetes and CKD, etc. In Japan, we have encountered similar confusion regarding the terminology used to describe kidney disease in individuals with diabetes, especially when written in Japanese due to terminological similarities in Chinese characters. The primary issue in Japan was deciphering the significance of "Diabetic," specifically whether it is an essential attribute of the condition itself.

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Background/objectives: The efficacy of lung metastasectomy in patients with urothelial carcinoma remains inconclusive, as there is only limited evidence from small studies. In this study, we aimed to assess the prognostic outcomes of excising pulmonary metastases from urothelial carcinoma.

Methods: In this study, we utilized data from the Metastatic Lung Tumor Study Group of Japan database, a multi-institutional prospective database of pulmonary metastasectomies.

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Acute kidney injury (AKI) is a significant cause of morbidity and mortality, especially in low and lower-middle income countries. Data from the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) were used to evaluate the organization of structures and services for the provision of AKI care in world countries and ISN regions. An international survey of key stakeholders (clinicians, policymakers, and patient advocates) from countries affiliated with the ISN was conducted from July to September 2022 to assess structures and services for AKI care across countries.

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Article Synopsis
  • The study aims to assess the quality of kidney failure care across various countries by analyzing data from the ISN Global Kidney Health Atlas survey conducted in 2022.
  • Out of 167 participating countries, a majority provided standard care for dialysis, but significant disparities were found between high and low-income countries regarding quality monitoring and medication management.
  • The findings indicate that standardization of care quality is crucial, especially in low-income countries, to enhance health outcomes for patients with kidney failure.
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