3,357 results match your criteria: "Yamagata university School of Medicine[Affiliation]"

Objective: Primary salivary gland squamous cell carcinoma (SCC) is extremely rare, accounting for 0.3-10.4 % of all salivary gland malignancies.

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Macrocytic anemia, kidney dysfunction, and mortality in general population: Japan specific health checkup study.

Sci Rep

December 2024

Steering Committee of Research on Design of the Comprehensive Health Care System for Chronic Kidney Disease (CKD) Based on the Individual Risk Assessment by Specific Health Check, Fukushima, Japan.

Anemia and chronic kidney disease (CKD), which worsen bidirectionally, are associated with mortality in older adults. This study aimed to examine the association between CKD and the type of anemia and its impact on mortality in the general population. Data from a nationwide database of 203,280 individuals who participated in the annual "Specific Health Check and Guidance in Japan" evaluation between 2008 and 2011 were used.

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Background: Doxorubicin-induced cardiotoxicity is still an important medical problem associated with a high mortality rate in cancer survivors. p53 plays a key role in doxorubicin-induced cardiotoxicity. Diacylglycerol kinase ζ (Dgkζ), a 130-kDa enzyme abundant in cardiomyocytes, regulates the p53 protein expression level in neurons.

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Extracellular fluid volume, rather than body weight, should guide chronic heart failure management in home-care patients. Enhancing muscle mass through pharmacotherapy, nutrition, and exercise is essential to prevent heart failure exacerbation.

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Objectives: Salivary gland cancer is a rare disease composed of more than 20 histological types with different grades of malignancy. The aim of this multicenter, retrospective study was to identify the most important predictors affecting recurrence and survival after surgery.

Material And Methods: A total of 543 patients with salivary gland cancers that underwent curative surgery between 2012 and 2022 in 13 institutions in northern Japan were evaluated in this study.

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Article Synopsis
  • Managing psychiatric symptoms in dementia with Lewy bodies (DLB) is challenging due to poor responses to antipsychotic medications, prompting the investigation of electroconvulsive therapy (ECT) as a treatment option despite limited prior studies.
  • A retrospective study on 25 patients (12 DLB, 13 MCI with LB) showed that ECT significantly improved psychiatric symptoms, with many reporting varying degrees of improvement after treatment.
  • While ECT was effective in reducing symptoms and did not worsen cognitive function, some patients experienced side effects like delirium and amnesia.
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  • Phyllodes tumors are rare breast tumors with limited treatment options, and this study aimed to explore their genomic changes and associate them with treatment outcomes using Japan's C-CAT clinical genomic registry.
  • A retrospective analysis of 60 cases revealed common genetic mutations, like TERT promoter variants and TP53 mutations, and showed that some alterations might predict treatment resistance, although the results weren't statistically significant.
  • The study highlights unique molecular characteristics of phyllodes tumors, suggesting these genetic insights could inform personalized treatment strategies and identify potential targets for therapy.
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A 63-year-old man, previously diagnosed with multiple autoimmune diseases, developed life-threatening bleeding after gastrectomy for stomach cancer. He survived due to treatment with factor XIII (FXIII) concentrates immediately after his FXIII antigen (Ag) level was reported to be < 5% of normal. Detailed examination by the Japanese Collaborative Research Group on autoimmune coagulation factor deficiencies revealed the presence of anti-FXIII-A and anti-FXIII-B subunit autoantibodies on immunoblot analyses, and thus autoimmune FXIII deficiency (AiF13D) was diagnosed based on the Japanese and international diagnostic criteria.

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Right heart failure (HF) is a poor prognostic factor in patients with HF. The right atrial (RA) function has attracted less attention than the right ventricular (RV) function. The association of RA reservoir strain evaluated by 2D speckle-tracking echocardiography (2DSTE) with clinical outcomes in patients with HF remains unclear.

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Article Synopsis
  • - The study investigated the significance of residual hyperintense areas on T2-weighted MRI in glioblastoma patients after initial treatment, involving surgery, radiotherapy, and temozolomide.
  • - Out of 150 cases, 77 were analyzed, revealing that 71.4% had residual hyperintense areas post-treatment, with a median progression-free survival of 12.4 months and overall survival of 27.4 months; however, these areas were not indicative of prognosis.
  • - Results showed that local recurrences aligned with residual hyperintense areas, while the T2D group (without these areas) experienced more distant recurrences, highlighting the need for targeted monitoring of both groups based on their
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Background: PCI for aorto-ostial CTO remains challenging. The techniques for guidewire in aorto-ostial CTO may differ from those used in non-aorto-ostial CTOs, influenced by clinical and angiographic characteristics.

Objectives: This study aimed to assess the technical aspects and outcomes of percutaneous coronary intervention (PCI) in patients with aorto-ostial chronic total occlusion (CTO).

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Pathological gait in patients with Hakim's disease (HD, synonymous with idiopathic normal-pressure hydrocephalus; iNPH), Parkinson's disease (PD), and cervical myelopathy (CM) has been subjectively evaluated in this study. We quantified the characteristics of upper and lower limb movements in patients with pathological gait. We analyzed 1491 measurements of 1 m diameter circular walking from 122, 12, and 93 patients with HD, PD, and CM, respectively, and 200 healthy volunteers using the Three-Dimensional Pose Tracker for Gait Test.

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Cells functioning at a specific zone by clustering according to gene expression are recognized as zonated cells. Here, we demonstrate anatomical and functional zones in the zebrafish heart. The cardiomyocytes (CMs) at the atrioventricular canal between the atrium and ventricle could be grouped into three zones according to the localization of signal-activated CMs: Wnt/β-catenin signal, Bmp signal, and Tbx2b zones.

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Article Synopsis
  • Researchers analyzed the characteristics and outcomes of 22,236 patients with myocardial infarction, focusing on the 286 diagnosed with non-obstructive coronary arteries (MINOCA) from the Japan Acute Myocardial Infarction Registry.
  • MINOCA patients were generally younger and had fewer risk factors compared to those with obstructive coronary artery disease (MI-CAD), but in-hospital mortality rates were similar between the two groups.
  • The study found higher non-cardiac mortality in MINOCA patients, especially among the elderly, indicating a need for better overall management and care for younger patients to improve their health outcomes.
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Heme deficiency in skeletal muscle exacerbates sarcopenia and impairs autophagy by reducing AMPK signaling.

Sci Rep

September 2024

Department of Functional Genomics, Major of Innovative Medical Science Research, Yamagata University School of Medicine/Research Center for Molecular Genetics, Institute for Promotion of Medical Science Research, Yamagata University Faculty of Medicine, Iida-Nishi 2-2-2 Yamagata, Yamagata, 990-9585, Japan.

Heme serves as a prosthetic group in hemoproteins, including subunits of the mammalian mitochondrial electron transfer chain. The first enzyme in vertebrate heme biosynthesis, 5-aminolevulinic acid synthase 1 (ALAS1), is ubiquitously expressed and essential for producing 5-aminolevulinic acid (ALA). We previously showed that Alas1 heterozygous mice at 20-35 weeks (aged-A1s) manifested impaired glucose metabolism, mitochondrial malformation in skeletal muscle, and reduced exercise tolerance, potentially linked to autophagy dysfunction.

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Development and Epitope Mapping of Seven Mouse Anti-Human Coagulation Factor XIII-B Subunit Monoclonal Antibodies.

Monoclon Antib Immunodiagn Immunother

October 2024

Department of Molecular Patho-Biochemistry and Patho-Biology, School of Medicine, Yamagata University, Yamagata, Japan.

Article Synopsis
  • Coagulation factor XIII (FXIII) is crucial for clot stability, and a deficiency can lead to severe bleeding risks, prompting researchers to immunize mice to create monoclonal antibodies against its B subunit (FXIII-B).
  • Seven mouse monoclonal antibodies were identified, with one (mAb 5-6C) inhibiting fibrin cross-linking while maintaining FXIII's activity, targeting a specific domain that facilitates FXIII-A's interaction with fibrin.
  • The study also introduced a prototype immunochromatography test for measuring FXIII-B levels and detection of autoantibodies, indicating that these antibodies could have significant clinical applications, including potential thrombosis treatment.
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Background: Schizophrenia often involves persecutory delusions, which cause psychological distress. Some patients use online gaming as a coping tool. However, excessive online gaming has raised concerns about internet gaming disorders (IGD), while any soothing effects of online gaming on psychological distress remain unclear.

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Parkinson's disease (PD) is an age-related progressive neurodegenerative disease. Previously, we identified midnolin () as a genetic risk factor for PD. Although copy number loss increases the risk of PD, the molecular function of MIDN remains unclear.

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Purpose: Inborn errors of metabolism (IEM) are known with poor long-term health concerns; however, the health-related quality of life (HRQoL) and the burden placed on families remain unclear. This study investigated the self- and proxy-reported HRQoL of pediatric patients with IEM with or without developmental disabilities and the burden placed on their caregivers.

Methods: Patients with IEM aged 8-15 years and their caregivers were asked to respond to the Pediatric Quality of Life Inventory (PedsQL), EuroQoL five-dimension questionnaire for younger populations (EQ-5D-Y), and Japanese version of the Zarit Caregiver Burden Interview (J-ZBI).

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Background/aim: Glioblastoma is the most aggressive form of brain tumor and has a dismal prognosis; therefore, novel therapeutic approaches based on the mechanisms underlying its aggressive nature are urgently required. A growing body of evidence suggests that neurotransmitters play a key role in modulating the biology of glioblastoma; however, the role of melanocortins remains unclear.

Materials And Methods: The effects of bremelanotide, a melanocortin receptor agonist, alone or in combination with chemotherapeutic agents, on survivin expression and cell viability were investigated in human glioblastoma cell lines.

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Background: Kidney transplantation (KT) in children and adolescents with severe motor and intellectual disabilities (SMID) has been a topic of controversy. A multicenter study in Japan showed that KT was not contraindicated for children with multiple handicaps, but no consensus has been reached on KT for patients with SMID. This study aimed to determine whether KT is a viable treatment option for children and adolescents with SMID.

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Displacement of the Tongue Base and Soft Palate Because of Breathing Patterns During Radiation Therapy for Head and Neck Cancer.

Pract Radiat Oncol

August 2024

QST Hospital, National Institute for Quantum Science and Technology (QST), Chiba, Japan; Department of Radiation Oncology, Yamagata University School of Medicine, Yamagata, Japan.

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An inter-hospital heart team conference based collaborative follow-up (FU) may facilitate outpatient cardiac rehabilitation (CR) programs, especially in hospitals without an outpatient CR center. Consecutive 145 patients with cardiovascular disease who received inpatient treatment at Yamagata University Hospital were divided into collaborative (n = 76) and same-hospital (n = 69) FU groups. In the collaborative FU group, patients received outpatient care at a university hospital and outpatient CR at different hospitals.

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