241 results match your criteria: "Tokyo Metropolitan Ohtsuka Hospital.[Affiliation]"

Background: Magnesium sulfate (MgSO) is a tocolytic agent used to treat gestational hypertension and to prevent preterm labor. Neonatal hypocalcemia is a well-known side effect of maternal MgSO use. Cases of neonatal hypercalcemia after maternal MgSO have been reported.

View Article and Find Full Text PDF

Background: Strabismus surgery, which is commonly performed in children, poses a high risk of postoperative vomiting. The current anesthesia guidelines for the prevention of postoperative vomiting in children are based on heterogeneous populations involving different types of surgery, and risk factors for postoperative vomiting in, specifically, the pediatric strabismus surgery population are unclear. Moreover, the effects of manipulating the deeply attached extraocular muscles and the oculocardiac reflex on this risk remain inconclusive.

View Article and Find Full Text PDF

Background: Comprehensive data on pediatric anesthesia outcomes, particularly severe critical events (SCEs), are scarce in Asia. This highlights the need for standardized research to assess anesthesia safety and quality in the diverse settings.

Aims: The PEACH in Asia pilot study aimed to test the feasibility of a standardized protocol for investigating SCEs in anesthesia practices across Asia, evaluate the data acquisition processes, and determine the sample size for a main study.

View Article and Find Full Text PDF

Postpartum hair loss is associated with anxiety.

J Obstet Gynaecol Res

December 2024

Department of Obstetrics and Gynecology, Institute of Science Tokyo, Tokyo, Japan.

Aim: This study examined the relationship between postpartum hair loss and psychological symptoms.

Methods: This questionnaire-based, cross-sectional study included postpartum women who had delivered at two facilities and completed the questionnaire 10-18 months after delivery. Study protocols were sent by mail in two parts.

View Article and Find Full Text PDF

Aim: Gamma-glutamyltransferase (GGT) is known as an oxidative stress marker, induced by alcohol consumption and metabolic disorders, and is reported as a predictor of hepatocellular carcinoma (HCC) development after hepatitis C virus (HCV) elimination. However, it is not clear whether GGT serves simply as a surrogate marker for overlapping metabolic diseases or reflects HCV-specific carcinogenicity. We investigated the association between GGT and hepatocarcinogenesis after achieving a sustained viral response (SVR), accounting for drinking habits or diabetes, and examined predisposing factors associated with GGT levels after SVR.

View Article and Find Full Text PDF

Objectives: To evaluate the clinical characteristics of oligometastatic disease (OMD) in metastatic urothelial carcinoma (mUC) with visceral metastases when classified into synchronous and metachronous metastases.

Methods: Of 957 cases of de novo mUC treated between 2008 and 2023, 374 with visceral metastases were analyzed. Cases were classified into OMD with up to three metastatic lesions and polymetastatic disease (PMD), and into synchronous and metachronous metastases.

View Article and Find Full Text PDF

Background: This study aimed to investigate the prognostic value of the Gustave Roussy Immune score (GRIm-score) in platinum-refractory metastatic urothelial carcinoma (UC) treated with pembrolizumab.

Methods: This multicenter retrospective study (YUSHIMA study) evaluated 331 patients with metastatic UC treated with pembrolizumab after platinum-based chemotherapy between January 2018 and June 2023 at 13 institutions. We collected pretreatment variables, including the GRIm-score based on serum albumin, lactate dehydrogenase, and neutrophil-to-lymphocyte ratio.

View Article and Find Full Text PDF
Article Synopsis
  • * In an experiment using wild-type and CRTH2-knockout mice sensitized with ovalbumin (OVA) without an adjuvant, it was found that CRTH2 KO mice exhibited significantly reduced airway hyperresponsiveness (AHR) and lower levels of eosinophils and type-2 cytokines in comparison to wild-type mice.
  • * The study concludes that CRTH2 plays a critical role in the development of asthma responses in models of airway
View Article and Find Full Text PDF
Article Synopsis
  • The study examines postpartum hair loss, which is common among women but lacks reliable data on its causes and effects.
  • The research involved a questionnaire completed by 331 women who delivered at two facilities, revealing that 91.8% experienced hair loss, typically starting around 3 months after delivery, peaking at about 5 months.
  • Independent factors influencing hair loss included earlier delivery, lower birth weight, higher preterm labor rates, and notably, longer-term breastfeeding, indicating a significant correlation between breastfeeding duration and hair loss risk.
View Article and Find Full Text PDF

A male patient in his 60s at the time of the first medical examination had a smoking history of 50 years with 25 cigarettes a day. He was diagnosed with double urothelial cancers. In 200a, total left pelvic ureterectomy(pT2N0M0, Stage Ⅱ)and transurethral bladder tumorectomy(pTisN0M0, Stage Ⅰ)were performed.

View Article and Find Full Text PDF
Article Synopsis
  • Shared decision making (SDM) is essential in discussing treatment options for pregnant women diagnosed with breast cancer, as it involves joint decision-making between the patient and healthcare providers.
  • A pregnant woman in her 30s with Stage I breast cancer opted for conservative surgery instead of a total mastectomy after thorough risk discussions, leading to a partial mastectomy and lymph node sampling.
  • Although the recommended radiotherapy was delayed to allow for breastfeeding, SDM was important in navigating her treatment choices, highlighting the need for a balance between patient preferences and optimal health practices in pregnancy-related breast cancer cases.
View Article and Find Full Text PDF

Orbital fat herniation is often accompanied by orbital floor fractures. Furthermore, herniation through the inferior orbital fissure (IOF) is rare, and its pathophysiology remains largely unknown. Here, the authors report a case of a patient with IOF herniation and diplopia caused by orbital trauma.

View Article and Find Full Text PDF

The post-acute sequelae of SARS-CoV-2 (PASC) pose a threat to patients' health-related quality of life (HRQOL). Here, the impact of COVID-19 on HRQOL and the clinical factors associated with impaired HRQOL were examined. Discharged COVID-19 patients were assessed at 3 and 6 months after disease onset.

View Article and Find Full Text PDF

Purpose: To investigate corneal refractive power (CR) and astigmatism (AS) in 6- to 18-year-old children with a history of retinopathy of prematurity (ROP) and birth weight of <1500 g who either did or did not undergo retinal photocoagulation (PC).

Study Design: Retrospective study.

Methods: We examined 143 eyes of 77 children in 2021.

View Article and Find Full Text PDF

We report a case of a 73-year-old man who developed nonconvulsive status epilepticus as a complication of cerebral hyperperfusion syndrome after carotid endarterectomy for carotid artery stenosis. On postoperative day 1, the patient experienced headaches and vomiting. Resting -isopropyl--[I] iodoamphetamine single-photon emission computed tomography showed increased cerebral blood flow to the entire right hemisphere, and the patient was diagnosed with cerebral hyperperfusion syndrome.

View Article and Find Full Text PDF

Idiopathic pleuroparenchymal fibroelastosis (PPFE) is a rare type of idiopathic interstitial pneumonia, which is characterised by pleural fibrosis and subjacent parenchymal fibroelastosis of the upper lobes. Herein, we present a case of microscopic polyangiitis (MPA) following PPFE. The patient had abnormal shadows on chest radiographs 15 years before the onset of MPA, and the patient was diagnosed with PPFE.

View Article and Find Full Text PDF

Purpose: To investigate whether even a minimally invasive diagnostic procedure for the upper tract such as ureteral catheterization (UCath) may substantially increase the risk of intravesical recurrence (IVR) in patients with upper tract urothelial carcinoma (UTUC) treated with radical nephroureterectomy (RNU).

Methods: The present, retrospective study enrolled 163 patients undergoing RNU for UTUC between 2010 and 2021 at two, tertiary care hospitals. The primary endpoint was the association between UCath and IVR-free survival (IVRFS).

View Article and Find Full Text PDF

The aim of this study is to examine stone-event-free survival after ureteroscopic lithotripsy (URSL) and risk factors for stone events by age. We retrospectively collected data of all URSL cases at our institution from 2008 to 2021. A total of 1334 cases were included and divided into young (< 65 years, 792 cases), young-old (65-74 years, 316 cases), old-old (75-84 years, 172 cases), and oldest-old (≥ 85 years, 54 cases) groups.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to find out which factors might lead to a relapse of rheumatoid arthritis (RA) symptoms when patients reduce their methotrexate (MTX) dose while on a combination therapy with golimumab (GLM).* -
  • Researchers analyzed data from 304 RA patients, noting that 16.8% of those who reduced their MTX dosage experienced a relapse; factors such as history of cardiovascular disease, gastrointestinal disease, and liver disease were found to increase the odds of relapse.* -
  • The findings suggest that doctors should carefully consider these health histories, along with previous use of non-steroidal anti-inflammatory drugs (NSAIDs), before deciding to reduce MTX doses in RA patients to minimize the risk
View Article and Find Full Text PDF
Article Synopsis
  • * A study of 86 colorectal cancer patients showed that those aged 75 and older or who underwent open surgeries were more likely to experience muscle loss and decreased physical performance after their surgeries.
  • * Monitoring muscle volume, strength, and physical performance is crucial for preventing sarcopenia; personalized rehabilitation programs are recommended, particularly for older patients and those undergoing open surgical procedures.
View Article and Find Full Text PDF

Nucleophosmin1 (NPM1) mutations are the most frequently detected gene mutations in acute myeloid leukemia (AML) and are considered a favorable prognostic factor. We retrospectively analyzed the prognosis of 605 Japanese patients with de novo AML, including 174 patients with NPM1-mutated AML. Although patients with NPM1-mutated AML showed a high remission rate, this was not a favorable prognostic factor for overall survival (OS); this is contrary to generally accepted guidelines.

View Article and Find Full Text PDF

Introduction: Pneumocystis pneumonia (PCP) is an opportunistic lung infection and has been reported among patients with rheumatoid arthritis (RA). An animal study revealed that sulfasalazine enhances Pneumocystis clearance from the lung by accelerating macrophage activity.

Methods: The self-controlled case series (SCCS) method was used to investigate the association between sulfasalazine use and PCP development in patients with RA without the effect of time-invariant, interpatient confounders.

View Article and Find Full Text PDF

Background: Recently, cranial shape measurements of preterm infants have been performed using handheld three-dimensional (3D) scanners and can now be objectively quantified.

Aims: To measure the cranial shapes of Japanese preterm infants at one month of age using a 3D scanner, compare these values with those of healthy term infants, and examine the risk factors for dolichocephaly.

Study Design: A multicenter, retrospective cohort study.

View Article and Find Full Text PDF

Adiposity rebound (AR), which is defined as a situation in which the body mass index (BMI) starts to increase after infancy, is a predictive marker of future development of type 2 diabetes. The patient was a 20-year-old male. He was born at 28 gestational weeks with a birthweight of 642 g (-3.

View Article and Find Full Text PDF