A5054868849- Pancreatic and Hepatic Oncology Research
- Semantic Web and Ontologies
- Neuroendocrine Tumor Research Advances
- Pancreatitis Pathology and Treatment
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Gallbladder and Bile Duct Disorders
- Liver Disease Diagnosis and Treatment
- Biomedical Text Mining and Ontologies
- Hepatocellular Carcinoma Treatment and Prognosis
- Liver Disease and Transplantation
- Nutrition and Health in Aging
- Electronic Health Records Systems
- Image Retrieval and Classification Techniques
- Urban and spatial planning
- Abdominal vascular conditions and treatments
- Renal cell carcinoma treatment
- Sentiment Analysis and Opinion Mining
- Metabolism, Diabetes, and Cancer
- Clinical Laboratory Practices and Quality Control
- Abdominal Trauma and Injuries
- Migration, Aging, and Tourism Studies
- Liver physiology and pathology
- Esophageal and GI Pathology
- Urban Transport and Accessibility
- Inflammatory Biomarkers in Disease Prognosis
Nara Medical University
2018-2025
The University of Tokyo
2025
University of Tokyo Hospital
2017-2024
Nara Medical University Hospital
2024
Nara Prefecture General Medical Center
2022
Nara Prefectural Institute of Public Health Research Center
2022
Yamato Municipal Hospital
2021
Kagawa University
2017-2019
Chiba University Hospital
2011-2018
Chiba University
2012-2016
Management of gastrointestinal perforation in patients with vascular Ehlers-Danlos syndrome (vEDS) is clinically challenging. A male his 40s vEDS presented right lower abdominal pain. Computed tomography revealed a foreign body the ileum bowel perforation. detailed inquiry that he had consumed codfish six days prior. Based on these findings, was diagnosed small caused by fish bone. Emergency laparotomy performed and intraoperative findings showed bone penetrating mesentery. We resected ~5 cm...
Objective In Japan, home-visit programs for newborns and infants have been implemented based on the Maternal Child Health Act Welfare Act. However, these vary widely across municipalities. This study aimed to examine current state challenges of scientifically designed standardized in Republic Korea obtain practical implications Japan.Methods Information was collected through collaboration with individuals affiliated Seoul National University College Medicine from publicly available...
This study retrospectively investigated the prognostic impact of geriatric nutritional risk index (GNRI) in colorectal cancer (CRC). reviewed medical records 329 CRC patients who underwent curative surgery. The GNRI was calculated from serum albumin level and body weight. cutoff value for set at 98. One hundred ninety (57.8%) had a ≥98, 139 (42.9%) <98. with lower significantly overall survival (OS) rate than those higher (p < 0.001). multivariate analysis demonstrated that an independent...
Abstract Background Ehlers–Danlos syndrome (EDS) is a genetic disorder that causes fragility of the systemic connective tissues. Of 13 subtypes, vascular EDS (vEDS) associated with abnormalities in collagen production, resulting arterial rupture and intestinal perforation. Herein, we report case man confirmed vEDS who survived ruptured dissected splenic artery aneurysm triggered by perforation sigmoid colon. Case presentation A 48-year-old presented to our hospital sudden severe lower...
Abstract Background Delta check is widely used for detecting specimen mix-ups. Owing to the inadequate specificity and sparseness of absolute incidence mix-ups, positive predictive value (PPV) delta considerably low as it labor consuming identify true mix-up errors among a large number false alerts. To overcome this problem, we developed new accurate detection model through machine learning. Methods Inspired by check, decided conduct comparisons with past examinations broaden time range....
This study aimed to evaluate the prognostic impact of total neoadjuvant therapy (TNT) for borderline resectable pancreatic cancer with arterial involvement (BR-A) cancer.
Accessibility to healthcare service providers, the quantity, and quality of them are important for national health. In this study, we focused on geographic accessibility estimate evaluate future demand supply services. We constructed a simulation model called patient access area (PAAM), which simulates patients' time institutions using information system (GIS). Using model, balance services in small areas, estimated number inpatients every five years each compared it with hospital beds...
Splenic artery aneurysms usually rupture into the free peritoneal space and rarely gastrointestinal tract. We report case of a patient with giant splenic aneurysm that ruptured in to stomach hemorrhagic shock was successfully treated emergency surgery.A 59-year-old man presented department chest pain syncope. Contrast-enhanced computed tomography showed active contrast extravasation. He developed upper (UGI) bleeding hypovolemic shock. diagnosed stomach, performed distal splenopancreatectomy...
To investigate the impact of COVID-19 pandemic and its preventive measures on glycemic lipid control in people with diabetes mellitus (DM).We conducted this retrospective cohort study from April 2019 to March 2021; we termed period 2020 as pre-COVID-19 period, 2021 divided each these two periods into four quarters.In 1st quarter COVID when Japanese government declared first public health emergency, 3,465 were receiving treatment, which was 10.4% lower than that pre-COVID period. The annual...
There is an urgent need to establish biomarkers for the treatment of pancreatic ductal adenocarcinoma (PDAC). The aim this study was investigate usefulness combined assessment carbohydrate antigen 19-9 (CA19-9), carcinoembryonic (CEA), and duke monoclonal type 2 (DUPAN-2) in PDAC.We retrospectively investigated impact three tumor markers on overall survival (OS) recurrence-free (RFS). Patients were classified into two groups: upfront surgery (US) neoadjuvant chemoradiation (NACRT) groups.In...
Abstract Nesidioblastosis is defined as the neoformation of islets Langerhans from pancreatic ductal epithelium and recognized most common cause hyperinsulinemic hypoglycemia in infants. We herein report an extremely rare case adult-onset focal nesidioblastosis with unusual feature hyperplastic nodular formation. A 55-year-old woman was admitted to our hospital for a tumor detected body pancreas by magnetic resonance imaging screening. Laboratory examinations showed high insulin level blood....
ABSTRACT Aims/Introduction To evaluate the impact of COVID‐19 pandemic on glycemic control, eating habits, and body composition people with diabetes mellitus; to identify determinants worsening control in mellitus. Materials methods This retrospective, longitudinal observational study was performed outpatients mellitus who visited our hospital between April 2019 March 2020 (pre‐COVID‐19 period) continued for follow up from 2021 (COVID‐19 period). We compared nutritional intakes, two periods....
An esophageal neuroendocrine carcinoma arising in Barrett's esophagus is extremely rare. Here, we report a case of an with well-differentiated adenocarcinoma component and review the literature.A 71-year-old man no symptoms was admitted to our hospital because detection esophagogastric junction tumor on regular upper endoscopy screening. Endoscopy revealed sliding hiatal hernia approximately 10 mm elevated mass at junction. Biopsy showed moderately differentiated tubular adenocarcinoma....
The uneven geographical distribution of physicians in Japan is a result those electing to work certain locations. In order understand this phenomenon, it necessary analyze the geographic movement across Japanese landscape. We obtained individual data on from 1978 2012 detailing their attributes, institutions, and are governmental sources (the Survey Physicians, Dentists, Pharmacists). total sample size was 122 150 physicians, with 77.5% being male 22.5% female. After obtaining data, we...
Objectives The prevalence of electronic medical record in Japan varies according to the size hospital which is 62.5% major hospitals, 21.7% medium, 9.1% small and 16.5% clinics. complete paperless system very limited, though some hospitals are aiming at this system. Several regional network systems connect different platforms EMRs, have been developing many districts, while final picture a has not clearly proposed. To develop whole health or personal records from data, we several obstacles...