334 results match your criteria: "Yokohama City Minato Red Cross Hospital.[Affiliation]"

Background: Statins bring favourable effects on the clinical prognosis of patients with atherosclerotic disease partly through their anti-inflammatory properties. However, this effect has not been fully verified in patients with peripheral arterial disease (PAD). We aimed to test whether statins exert different prognostic effects depending on the degrees of inflammation in patients with PAD.

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Aim: Gastric cancer is one of the leading causes of cancer-related mortalities worldwide. According to the pathological TNM classification, T3N0M0, Stage IIA gastric cancer has been excluded from the S-1 adjuvant chemotherapy trials. Thus, the clinical impact of S-1 adjuvant chemotherapy in patients with pathological T3N0M0 cancer and the associated prognostic factors have not been elucidated.

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Primary intracranial sarcoma associated with DICER1 mutant: a case report and preclinical investigation.

Brain Tumor Pathol

November 2024

Department of Neurosurgery, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa, Yokohama, 2360004, Japan.

Primary intracranial sarcoma (PIS) is a rare and aggressive pediatric brain tumor, which is partially associated with DICER1 mutant. Although the molecular genetic characteristics of this tumor have previously been investigated, novel therapeutic targets remain unclear. Further, the lack of faithful preclinical models has hampered the development of novel therapeutic strategies.

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Patients with non-diabetic hypoglycemia have a poorer prognosis than those with diabetic hypoglycemia. However, the factors associated with prognosis remain unclear. Therefore, this study aimed to identify the prognostic factors for non-diabetic hypoglycemia.

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Article Synopsis
  • The study analyzed 107 patients undergoing balloon-occluded retrograde transvenous obliteration (BRTO) due to uncontrollable hepatic encephalopathy (HE) and assessed the impact of esophageal varices (EVs) on outcomes.
  • Patients were divided into two groups based on the presence of EVs, and results showed that those with EVs had significantly shorter event-free survival and overall survival compared to those without EVs.
  • The findings suggest that having EVs may indicate a higher risk of complications and mortality following the BRTO procedure in HE patients.
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Aims: Several algorithms can differentiate inferior axis premature ventricular contractions (PVCs) originating from the right side and left side on 12-lead electrocardiograms (ECGs). However, it is unclear whether distinguishing the origin should rely solely on PVC or incorporate sinus rhythm (SR). We compared the dual-rhythm model (incorporating both SR and PVC) to the PVC model (using PVC alone) and quantified the contribution of each ECG lead in predicting the PVC origin for each cardiac rotation.

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Objective: Serum C-reactive protein (CRP), as a reflection of early brain injury at onset, is a prognostic factor in aneurysmal subarachnoid hemorrhage (aSAH). However, in some severe cases, patients exhibit a good prognosis despite their elevated serum CRP level. Therefore, we examined the relationship between serum CRP transitions in the acute phase of aSAH and the prognosis.

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Article Synopsis
  • The study analyzed infection characteristics and the usefulness of inflammatory markers in patients with diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) across 21 hospitals in Japan.
  • It included 771 adult patients, finding that 70 had positive blood cultures, with higher mortality rates in those with bacteremia (14% vs. 3.3%).
  • C-reactive protein (CRP) was identified as a more reliable diagnostic marker for bacteremia than procalcitonin (PCT) in hyperglycemic emergencies.
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Background: Despite the possible occurrence of spontaneous movements during an apnea test, respiratory-like movements are rare.

Case Presentation: A 51-year-old man was transferred to our hospital when a sudden disturbance of consciousness developed into cardiac arrest. After spontaneous circulation returned, we diagnosed bilateral cerebellar hemorrhage.

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Background: Postoperative airway obstruction after anterior cervical spine surgery (ACSS) can be a fatal complication. Occasionally, it rapidly progresses to complete obstruction. There are no established standardized protocols on how medical staff should assess for signs and symptoms, seek help, or facilitate airway management after ACSS to prevent unfavorable events.

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Background: Catheter ablation is the curative treatment for paroxysmal supraventricular tachycardia (SVT). However, atrial tachycardia (AT) diagnosis is often challenging, especially when SVT is terminated by pacing.

Objectives: This study sought to develop a novel method for AT diagnosis.

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Article Synopsis
  • - A study was conducted in Japan to investigate the effects of chloride loading on hospitalized patients with diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) who experienced acute kidney injury (AKI).
  • - The researchers grouped patients based on the amount of chloride they received in the first 48 hours and looked at two main outcomes: recovery from AKI and major adverse kidney events (like mortality and prolonged renal failure) within 30 days.
  • - Results showed no significant difference in recovery rates or adverse kidney events between those receiving high or low chloride, suggesting that chloride loading does not affect recovery from AKI in these hyperglycemic emergency cases. !
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We report a case of an aneurysmal bone cyst (ABC) originating in a rib. A 34-year-old woman was admitted to our medical department for evaluation of left rib pain and an abnormal shadow in the left 7th rib observed on chest radiography. Computed tomography (CT) revealed an osteolytic lesion involving the left 7th rib.

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Aim: Obstructive colon cancer is locally advanced colon cancer with poor prognosis. However, the effect of neoadjuvant chemotherapy (NAC) on obstructive colon cancer remains unclear. Therefore, this study aimed to investigate the safety and efficacy of NAC in patients with obstructive colon cancer.

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Hemorrhagic changes in a dural arteriovenous fistula are typically associated with cortical venous reflux and occur as intracerebral or subarachnoid hemorrhages. A convexity dural arteriovenous fistula (DAVF) usually flows directly into the cortical veins and exhibits cortical venous reflux. Herein, we report a rare case of a convexity DAVF without cortical venous reflux presenting with a pure acute subdural hematoma.

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Aim: This study aimed to investigate the effects of diabetes care on periodontal inflammation.

Materials And Methods: This prospective cohort study included 51 Japanese patients with type 2 diabetes who underwent intensive diabetes care including educational hospitalization and regular outpatient treatment for 6 months. Dental prophylaxis without subgingival scaling was provided three times during the observational period.

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Article Synopsis
  • The study focuses on the issue of high recurrence rates of colorectal cancer liver metastasis (CRCLM) after surgery, assessing the effectiveness of adjuvant chemotherapy using S-1 and oxaliplatin (SOX).
  • Conducted as a multicenter, randomized phase II trial, the research compares low and high doses of oxaliplatin in patients who have undergone curative resection of CRCLM, monitoring toxicity and relapse-free survival.
  • Results indicated that both dose groups had similar rates of treatment discontinuation due to toxicity (around 60% in low-dose vs. 53.8% in high-dose), with common adverse events being neutropenia, diarrhea, and neuropathy, and a 3
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Background: Electroconvulsive therapy (ECT) is a safe treatment for treatment-resistant schizophrenia. However, it has some side effects, and Takotsubo cardiomyopathy is considered one of the minor complications. Several cases of patients developing Takotsubo cardiomyopathy during a course of ECT have been reported, but none have died.

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Vertebral osteomyelitis is a disc and vertebral infection that causes nonspecific symptoms such as back pain, fever, and weakness. The most common causative pathogen is , and () is an uncommon cause. An 88-year-old man presented to the emergency department with a fever and lower back pain.

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Background: Acute asthma exacerbation in children is often caused by respiratory infections. In this study, a coordinated national surveillance system for acute asthma hospitalizations and causative respiratory infections was established. We herein report recent trends in pediatric acute asthma hospitalizations since the COVID-19 pandemic in Japan.

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There are no clear criteria for selecting elderly patients with hematologic malignancies eligible for allogeneic hematopoietic stem cell transplantation (HSCT). This study aimed to evaluate inflammatory and nutritional status biomarkers as prognostic indicators of allogeneic HSCT in elderly patients. We compared the prognostic effects of 4 representative pretransplantation biomarkers: C-reactive protein-to-albumin ratio (CAR), Glasgow Prognostic Score (GPS), prognostic nutritional index (PNI), and albumin-to-globulin ratio (AGR).

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Subgaleal hematoma, characterised by blood accumulation between the galea aponeurosis and the periosteum, is rarely reported in adults. A man with liver cirrhosis experienced airway obstruction secondary to an extensive subgaleal hematoma due to superficial temporal artery injuries. Within 6 hours after injury, swelling of the patient's head and neck was noted, which was associating with inspiratory wheezing and paradoxical breathing, thus necessitating emergency intubation.

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Article Synopsis
  • TM5614, an inhibitor targeting plasminogen activator inhibitor (PAI)-1, showed potential benefits by reducing thrombosis, inflammation, and fibrosis in mouse models.
  • In a trial with 26 Japanese COVID-19 patients, TM5614 was administered daily, resulting in all patients being discharged without significant side effects.
  • A larger, randomized trial planned for 100 patients enrolled only 75, showing TM5614's effects on oxygenation and days of oxygen use were minimal compared to placebo, indicating the need for further research on its efficacy for treating COVID-19 pneumonia.
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Aim: C-reactive protein (CRP) is both an inflammatory and prognostic marker in various cancers. This study aimed to elucidate the characteristics of CRP and the prognostic factors in patients who were administered with atezolizumab plus bevacizumab (ATZ + BEV) for unresectable hepatocellular carcinoma (HCC).

Methods: A total of 213 patients who received ATZ + BEV for HCC from November 2020 to March 2023 at 15 hospitals were enrolled in this retrospective study.

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