366 results match your criteria: "Tsuchiya General Hospital.[Affiliation]"

To evaluate the use of noncontrast-enhanced coronary magnetic resonance angiography (NC-CMRA) for long-term follow-up in patients with Kawasaki disease (KD). In total, 40 (77 aneurysms) patients with KD who underwent NC-CMRA were retrospectively analyzed. Coronary artery aneurysms and dilations observed during the acute phase were classified into three groups according to their diameter based on the American Heart Association criteria.

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Dilated cardiomyopathy (DCM) is a progressive myocardial disorder characterized by impaired cardiac contraction and ventricular dilation. However, some patients with DCM improve when experiencing left ventricular reverse remodeling (LVRR). Currently, the detailed association between genotypes and clinical outcomes, including LVRR, particularly among children, remains uncertain.

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Key Points: CKD-associated pruritus is highly prevalent among peritoneal dialysis patients. Pruritus is associated with reduced health-related quality of life, and the composite of mortality and transfer to hemodialysis for peritoneal dialysis patients. Efforts to better identify and manage pruritus in this population are needed.

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Effects of the initial peritoneal dialysis (PD) prescription on clinical outcomes are unknown in Japan. We conducted a cohort study using data from Peritoneal Dialysis Outcomes and Practice Patterns Study. The patients were divided into two groups by the volume of the initial PD prescription (≤ 4 L/day or > 4 L/day).

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A 46-year-old man with a known case of Crohn's disease, which developed in August 2010, had been in remission since then with infliximab treatment. However, in November 2023, he developed photosensitivity, followed by joint pain and general fatigue in December. Blood tests revealed positive antinuclear antibodies, leading to a diagnosis of drug-induced lupus.

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Purpose: The objective of this study is to elucidate the current status of procedural radiation doses for endovascular treatment (EVT) of lower extremity artery disease (LEAD) in Japan and to validate the diagnostic reference level (DRL) quantity.

Methods: Survey requests were mailed to 493 facilities across Japan. The study targeted cases of EVT for LEAD performed between April 1, 2020, and March 31, 2022, with a maximum of 10 cases collected per facility.

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Effectiveness of the air-gap method for reducing radiation dose in neonate CT examinations.

Radiol Phys Technol

November 2024

Department of Diagnostic Radiology, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.

Article Synopsis
  • The air-gap method is a technique used in medical imaging that creates a space of air between the radiation source and the patient to minimize radiation scattering and improve dose distribution.
  • This study focused on evaluating the effectiveness of the air-gap method in reducing radiation exposure for pediatric patients undergoing computed tomography (CT) scans, using a specific neonate phantom and a 64 detector-row CT scanner.
  • Results showed that the air-gap method reduced exposure dose and image noise by approximately 10% and 15%, respectively, compared to conventional methods, indicating its potential benefits in pediatric imaging (p < 0.05).
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  • Left ventricular noncompaction (LVNC) is a hereditary heart condition marked by unusual heart muscle structure, and this study specifically focused on biventricular noncompaction (BiVNC) in children to understand its clinical characteristics and genetic factors.
  • The research involved 234 pediatric patients and revealed that BiVNC often leads to serious complications, including a higher incidence of congenital heart disease and reduced survival rates compared to other heart conditions.
  • Findings indicated that patients with BiVNC frequently exhibited left ventricular dysfunction and a notable percentage had genetic variants linked to mitochondrial and developmental issues, emphasizing the need for thorough genetic screening for better patient outcomes.
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Article Synopsis
  • - Pruritus, or itchiness, is a common issue affecting 43% of peritoneal dialysis patients, with prevalence varying by country, being notably higher in Thailand (50%) and lower in the U.S. (33%).
  • - Factors like diabetes, low protein levels, and high phosphorus levels are linked to moderate to severe pruritus, while increased urine output appears to reduce itchiness.
  • - Patients suffering from severe pruritus report poorer mental and physical health, and they also have a higher risk of death or needing to switch to hemodialysis (HD), with a 12% increased risk associated with moderate to extreme itching.
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Predictors of encapsulated peritoneal sclerosis in patients undergoing peritoneal dialysis using neutral-pH dialysate.

Clin Exp Nephrol

October 2024

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Background: Encapsulated peritoneal sclerosis (EPS) is a serious complication in patients undergoing peritoneal dialysis (PD). Neutral-pH dialysate is associated with less peritoneal damage and a lower incidence of EPS than conventional PD solution. However, monitoring for peritoneal damage and predicting EPS remain important during PD therapy.

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There is considerable uncertainty regarding the safety and efficacy of biological therapies during pregnancy. We report a case of a 46-year-old female, diagnosed with ulcerative colitis over 30 years ago, who was successfully managed with infliximab and ustekinumab. She experienced no exacerbation of her condition during two pregnancies, demonstrating the safety of biologic therapy in maintaining disease remission during pregnancy.

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Background: Peritoneal dialysis (PD)-related peritonitis is a major complication of PD. Wide variations in peritonitis prevention, treatment strategies and consequences are seen between countries. These between-country differences may result from modifiable risk factors and clinical practices.

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Equivalent doses for the eye lenses, thyroid, and mammary glands were measured and compared between one adult and three pediatric anthropomorphic phantoms during chest computed tomography (CT) using 40 mm volume helical scan on the Aquilion ONE GENESIS Edition CT equipment. Placing an optically stimulated luminescence dosemeter (OSLD) on the eye lenses, thyroid, and mammary gland, we measured and compared the equivalent dose of OSLD among different phantoms during chest CT using a helical scan. Compared with adults, the equivalent doses to the eye lens, thyroid, and mammary glands were ~81%, 77%, and 63% lower in newborns, 1-year-olds, and 5-year-olds using comparable image noise during chest CT.

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Background: Endovascular treatment (EVT) is recommended for superficial femoral artery (SFA) lesions, and good results have been reported after implantation of drug-eluting stents (DES) for SFA. However, the major concern after implantation is acute thrombosis during the follow-up period, resulting in major amputation and major adverse limb events. In this study, we examined the incidence and outcome of acute thrombosis after DES implantation in the SFA.

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Background: Reports comparing field lens doses between helical scans with a 40-mm detector width and axial scans with a 160-mm detector width using different computed tomography (CT) scanners are currently scarce.

Objective: To compare scatter doses for lenses between a helical scan with a 40-mm detector width and an axial scan with a 160-mm detector width when using different CT scanners in the context of pediatric chest examinations.

Materials And Methods: Two different CT machines were used: Revolution CT (GE Healthcare, Waukesha, WI) with a 256-row, 0.

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Article Synopsis
  • Researchers used machine learning techniques to predict the likelihood of endoleaks following thoracic endovascular aneurysm repair (TEVAR) by analyzing patient data and vessel features from pre-operative CT scans.
  • The study trained an extreme Gradient Boosting (XGBoost) system on data from 145 patients—14 with endoleaks and 131 without—and compared its efficacy to traditional measurement methods.
  • Results showed that machine learning significantly outperformed conventional methods in predicting post-TEVAR endoleaks, achieving a higher correlation with patient and vascular characteristics.
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Background: In this study, we aimed at clarifying the usefulness of drug-coated balloon catheters (DCBs) for arteriovenous fistulas (AVFs) that repeatedly undergo restenosis over a short period and to examine the factors that influence the patency period after DCB use.

Methods: This retrospective observational study was conducted using IN.PACT AV in 29 cases of AVFs with repeated restenosis within approximately 3 months, and temporary patency before and after DCB use in the same patients was compared.

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Type 1a Endoleak after Fenestrated Frozen Elephant Trunk Technique.

Ann Vasc Dis

March 2024

Department of Cardiovascular Surgery, Cardiovascular Center, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Hiroshima, Japan.

The patient was a 48-year-old man who had undergone fenestrated frozen elephant trunk (FET) technique for acute type A aortic dissection. Postoperative enhanced computed tomography (CT) imaging revealed a type 1a endoleak from the fenestration. Nevertheless, the stented portion of the FET exhibited circular expansion.

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Background: Endovascular treatment (EVT) for aortoiliac (AI) occlusive lesions is now conducted worldwide, but there are challenges in EVT for complex AI lesions. The VIABAHN VBX (W.L.

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Article Synopsis
  • This study evaluated the effectiveness of a patient-specific contrast enhancement optimizer simulation software (p-COP) in reducing contrast material (CM) dosage during TAVI-CTA in patients with aortic stenosis.
  • Two groups were compared: one used p-COP with an individualized CM protocol, while the other followed a conventional body weight-tailored protocol, analyzing CM amounts, injection rates, and CT values.
  • Results indicated a significant reduction in CM dose and injection rate in the p-COP group, although both groups achieved similar CT values and visualization scores, suggesting the potential of p-COP to optimize contrast use without compromising imagery quality.
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Peritoneal membrane dysfunction in peritoneal dialysis (PD) is primarily attributed to angiogenesis; however, the integrity of vascular endothelial cells can affect peritoneal permeability. Hyaluronan, a component of the endothelial glycocalyx, is reportedly involved in preventing proteinuria in the normal glomerulus. One hypothesis suggests that development of encapsulating peritoneal sclerosis (EPS) is triggered by protein leakage due to vascular endothelial injury.

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Background: Mineral bone disorder (MBD) in chronic kidney disease (CKD) is associated with high symptom burden, fractures, vascular calcification, cardiovascular disease and increased morbidity and mortality. CKD-MBD studies have been limited in peritoneal dialysis (PD) patients. Here, we describe calcium and parathyroid hormone (PTH) control, related treatments and mortality associations in PD patients.

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Article Synopsis
  • Benign lymphoid polyps of the rectum, also known as "Rectal tonsil" or "Pseudolymphoma," are benign growths that can be mistaken for other tumors due to similar appearance during colonoscopy.
  • A 72-year-old woman with a positive fecal occult blood test had a 10-mm rectal tumor resembling a neuroendocrine tumor, which was successfully removed via endoscopic submucosal resection with a ligation device (ESMR-L).
  • Histopathological analysis confirmed the benign nature of the lesion, highlighting the challenges in differentiating it from more serious conditions like carcinoid tumors and malignant lymphomas.
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Article Synopsis
  • The document in question addresses corrections made to the original article identified by DOI: 10.3389/fcvm.2023.1212882.
  • The corrections aim to address inaccuracies or errors found in the previously published research.
  • These revisions ensure the integrity and reliability of the findings presented in the article.
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Middle Molecular Uremic Toxin and Blood Purification Therapy.

J Clin Med

January 2024

Tsuchiya General Hospital, 3-30 Nakajima-cho Naka-ku, Hiroshima 730-8655, Japan.

The purpose of blood purification therapy is to remove uremic toxins, and middle molecules (MMs) are a specific target. An MM is defined as a solute that passes through the glomerulus with a molecular weight in the range of 0.5-58 kDa, and new classifications of "small-middle 0.

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