48 results match your criteria: "Tottori Prefectural Kousei Hospital[Affiliation]"

Impact of Lymphocyte/Monocyte Ratio on Outcomes in Patients with Remnant Gastric Cancer After Gastrectomy.

Yonago Acta Med

November 2024

Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan.

Background: The inflammatory response plays a crucial role in tumor development. Inflammatory markers are recognized prognostic factors in many types of cancer, including gastric cancer. However, the correlation between inflammatory markers and prognosis in remnant gastric cancer (RGC) remains unclear.

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Pembrolizumab is an anti-programmed cell death-1 (PD-1) antibody used to treat various cancer types. Treatments with such immune checkpoint inhibitors cause immune-related adverse events. However, airway inflammation caused by immune-related adverse events has rarely been reported.

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Purpose: This study investigated the prognostic value of the geriatric nutritional risk index (GNRI) in patients undergoing curative gastrectomy for remnant gastric cancer (RGC).

Methods: This multicenter retrospective study included 105 patients with RGC of ≥ 65 years of age who underwent curative gastrectomy at 10 institutions in Japan between January 2000 and December 2016. Postoperative complications, overall survival (OS), and disease-specific survival (DSS) were analyzed.

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Isolated superior mesenteric artery dissection (ISMAD) is a rare cause of acute abdominal conditions. Most cases of ISMAD have a favorable prognosis, and only a few cases of ISMAD-associated intestinal necrosis have been reported. A 75-year-old male was referred to our department because of abdominal pain and portal venous gas detected on imaging.

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Thyroid hormone may predict treatment failure in Kawasaki disease.

Pediatr Int

February 2024

Division of Pediatrics and Perinatology, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago, Japan.

Background: In systemic inflammatory conditions, inflammatory cytokines can cause low thyroid hormone levels. There are no reports discussing the relation between thyroid hormone levels and response to treatment for Kawasaki disease.

Methods: We investigated 67 patients who underwent treatment in the acute phase of Kawasaki disease.

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Article Synopsis
  • - A genetic variant in the PAX2 gene is linked to renal coloboma syndrome and conditions like focal segmental glomerulosclerosis, which affects kidney function and structure.
  • - An 8-year-old boy exhibited symptoms of kidney issues, including proteinuria and decreased function, with a family history of similar renal conditions affecting multiple relatives.
  • - Genetic testing revealed a specific PAX2 mutation in both the patient and his father, which may lead to defective kidney cells (podocytes) and contribute to abnormal changes in the kidney’s protective layer.
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Multiple Cyst-like Lesions of Cerebral Sulci in Brain Metastases.

Neurology

November 2023

From the Department of Neurology (K.Y., M.H.), Tottori Prefectural Kousei Hospital, Kurayoshi; Division of Neurology (T.M., R.H.), Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, Yonago; and Department of Neurosurgery (H.K.), Tottori Prefectural Kousei Hospital, Kurayoshi, Japan.

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Transbrachial Mechanical Thrombectomy for Acute Ischemic Stroke in Marfan's Syndrome: A Case Report.

J Neuroendovasc Ther

December 2022

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

Objective: Marfan's syndrome (MFS) is a systemic connective tissue disorder with autosomal dominant inheritance. Cardiovascular complications of MFS such as aortic root or valve disease and aortic aneurysm or dissection are potential cause of access route problems of mechanical thrombectomy (MT) for acute ischemic stroke (AIS). Here, we report a case of a patient with MFS who underwent MT for AIS.

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Article Synopsis
  • An 81-year-old man showed rapid muscle weakness and fever, along with tenderness and swelling in his limbs.
  • Nerve tests confirmed he had a type of nerve damage called demyelinating sensorimotor neuropathy, and his spinal fluid showed high protein levels without an increase in white blood cells.
  • Despite receiving immunological treatments, his symptoms fluctuated between worsening and improvement, leading to a diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) with acute onset, highlighted by pain and inflammation as key indicators.
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The Clinical Characteristics of Allergic Bronchopulmonary Mycosis Differ Among Pathogenic Fungi.

Yonago Acta Med

May 2023

Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and.

Background: Allergic bronchopulmonary mycosis (ABPM) occurs with fungi, other than . However, the clinical characteristics of ABPM caused by non- species are unspecified.

Methods: We retrospectively reviewed all patients with ABPM who visited to our hospital between April 2005 and December 2020.

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The prognostic impact of the lymphocyte-to-C-reactive protein ratio in patients with unresectable or recurrent advanced gastric cancer treated with first- and second-line treatment.

Surg Today

August 2023

Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, 36-1 Nishi-Cho, Yonago, 683-8504, Japan.

Purpose: The goal of this study was to determine which markers are the most useful as first- and second-line pre-treatment markers in patients with unresectable or recurrent gastric cancer (URGC).

Methods: This study included 101 URGC patients who were treated with first- and second-line chemotherapy. Several prognostic scores based on nutrition and inflammation were analyzed using a receiver operating characteristic (ROC) analysis to determine the most useful prognostic marker.

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Article Synopsis
  • - A 72-year-old man experienced a month-long fever, muscle weakness, and leg sensory issues, leading to abnormal blood tests and positive autoantibodies related to collagen diseases.
  • - Nerve conduction studies showed signs of severe nerve damage, and he received treatment, but unfortunately developed serious complications including intestinal necrosis, resulting in death 44 days after fever onset.
  • - Autopsy findings revealed vasculitis and rhabdomyolysis, indicating polyarteritis nodosa, but the patient was not correctly diagnosed, suggesting the need for quicker immunotherapy initiation in similar vasculitis cases.
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We present the case of a man in his 60s with bleeding esophagojejunal varices occurring after gastrectomy for gastric carcinoma. Percutaneous transhepatic portography depicted the esophagojejunal varices originated from the jejunal vein and drained into the azygos vein. A 5-French occlusion balloon catheter was wedged into the jejunal vein and a 3-French occlusion balloon catheter into one drainage channel of the esophagojejunal varices via the azygos vein.

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A 49-year-old woman presented with abdominal pain. A computed tomography scan revealed a left breast mass with suspected peritoneal dissemination. She had no notable family history of the disease.

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[Unilateral asterixis after hemiballism in a patient with acute cerebral infarction].

Rinsho Shinkeigaku

October 2022

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

Article Synopsis
  • An 88-year-old right-handed woman experienced episodes of hemiballism affecting the right side of her body, presenting with monoparesis and asterixis in her right arm.
  • Brain MRI showed acute cerebral infarctions in the left hemisphere's middle cerebral artery watershed area and occlusion of the left internal carotid artery.
  • After receiving IV treatment for her acute cerebral infarction, her symptoms improved; it was suggested that her involuntary movements were linked to motor loop dysfunction and blood flow issues in the affected brain regions.
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Background: High-grade neuroendocrine carcinoma (HGNEC) of the lung, which includes small cell lung cancer (SCLC) and large cell neuroendocrine carcinoma (LCNEC), is an aggressive form of lung cancer. Although lobectomy followed by adjuvant chemotherapy is regarded as the standard therapy for this disease, it would be an uphill struggle for HGNEC patients to receive that multidisciplinary therapy perfectly. This study aimed to examine recurrence and survival outcomes in surgically treated patients with HGNEC of the lung.

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Background: Several studies investigated the utility of inflammation and nutritional markers in predicting the prognosis in patients with gastric cancer; however, the markers with the best predictive ability remain unclear. This retrospective study aimed to determine inflammation and nutritional markers that predicted prognosis in elderly patients over 75 years of age undergoing curative gastrectomy for gastric cancer.

Methods: Between January 2005 and December 2015, 497 consecutive elderly gastric cancer patients aged over 75 years underwent curative gastrectomy in 12 institutions.

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Background: Immune-check point inhibitors (ICPIs) for treatment of cancer patients sometimes induce potentially life-threatening immune-related adverse events (irAEs), which predict ICPIs treatment efficacy. Prediction of irAEs would be useful for management of irAEs and prediction of ICPIs efficacy. This study aimed to determine predictors of irAEs in patients with recurrent or unresectable advanced gastric cancer (RUGC) treated with nivolumab.

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The objective of this study was to propose prognostic factors and optimal treatment strategies by analyzing the clinicopathological features and programmed death-ligand 1 (PD-L1) expression. We analyzed 31 patients diagnosed with uterine or ovarian melanoma between 1997 and 2017 in the Kansai Clinical Oncology Group/Intergroup. Twenty-four and seven patients with cervical and ovarian melanomas were included, respectively.

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Close observation of the local transmission of influenza A(H1N1) viruses enabled an estimate of the length of time the virus was transmitted without a mutation. Of 4,448 isolates from 11 consecutive years, 237 isolates could be categorized into 57 strain groups with identical hemagglutinin genes, which were monitored for the entire duration of an epidemic season. In addition, 35 isolates with identical sequences were identified at the study site and in other countries within 147 days.

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Bilateral asterixis in a patient with bilateral anterior cerebral artery infarction.

Clin Neurol Neurosurg

July 2021

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

Article Synopsis
  • An 83-year-old woman experienced muscular weakness in her left leg and trembling in her arms and legs, along with asterixis and apathy.
  • MRI scans revealed acute cerebral infarctions in the frontal lobes caused by a blockage in the anterior cerebral artery (ACA).
  • Anticoagulant treatment helped reduce brain damage and improved her symptoms, highlighting that bilateral ACA territory infarctions can lead to asterixis, which is usually associated with metabolic issues, although such cases are rare.
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A 86-year-old woman with left hemiparesis was admitted to our hospital. When visiting to our hospital, hemichorea appeared on her left extremities in an ambulance. She also had mild disturbance of consciousness, spatial disorientation, and sensory disturbance.

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The correlation of viral growth capability (n = 156) with the viral load in nasopharyngeal swabs (n = 76) was assessed. Epidemic influenza A/H1N1, A/H3N2, and B viruses showed a wide range of growth capability (10-10 copies/mL) in Madin-Darby canine kidney cells. The growth was correlated with the nasopharyngeal viral load (r = 0.

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Background: Theta burst stimulation (TBS) and quadripulse stimulation (QPS) are known to induce synaptic plasticity in humans. There have been no head-to-head comparisons of the efficacy and variability between TBS and QPS.

Objective: To compare the efficacy and interindividual variability between the original TBS and QPS protocols.

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Unusual Manifestation of Spinal Epidural Arteriovenous Fistula as Sudden Paraplegia.

World Neurosurg

December 2020

Division of Neurosurgery, Department of Neurological Sciences, Faculty of Medicine, Tottori University, Tottori, Japan.

Background: Spinal epidural arteriovenous fistulas (SEDAVFs) are a rare entity that cause gradual progression of neurological dysfunction. We present a case of SEDAVF with acute exacerbation of paraplegia that was successfully treated with emergency transarterial embolization.

Case Description: A 73-year-old man presented with low back pain, numbness in the lower extremities, and gait disturbance.

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