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  1. Article ; Online: Refund: a defense of luck egalitarian policy in healthcare.

    Yoshida, Masahiro / Inoue, Akira

    Theoretical medicine and bioethics

    2023  Volume 45, Issue 1, Page(s) 25–40

    Abstract: Luck egalitarianism assigns a central role to personal responsibility in egalitarian justice. In the context of healthcare, luck egalitarianism is the view that the distribution of medical and healthcare resources-or common resources in general-should ... ...

    Abstract Luck egalitarianism assigns a central role to personal responsibility in egalitarian justice. In the context of healthcare, luck egalitarianism is the view that the distribution of medical and healthcare resources-or common resources in general-should respond to the (im)prudence of individuals. Recently, Joar Björk, Gert Helgesson, and Niklas Juth have argued that it is impractical to use luck egalitarianism as a normative framework in healthcare because it has no reasonable way of dealing with the imprudent. In response to their argument, this paper first suggests that the epistemic problems of applying luck egalitarianism to the healthcare context raised by Björk et al. can be circumvented by using the exemption system as a policy application of luck egalitarian healthcare justice. This paper then shows that an ex ante policy, a tax system with refunds, can reasonably be adopted as a luck egalitarian institutional design of healthcare policy. We argue that the proposed conception of luck egalitarianism can deal with the problem of differential option luck. Finally, we show that the threshold problem for the definition of imprudence does not refute the proposed ex ante policy.
    MeSH term(s) Humans ; Delivery of Health Care ; Health Policy ; Social Justice
    Language English
    Publishing date 2023-10-30
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1418481-3
    ISSN 1573-0980 ; 1573-1200 ; 1386-7415
    ISSN (online) 1573-0980 ; 1573-1200
    ISSN 1386-7415
    DOI 10.1007/s11017-023-09649-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Critical swallowing functions contributing to dysphagia in patients with recurrent laryngeal nerve paralysis after esophagectomy.

    Takatsu, Jun / Higaki, Eiji / Abe, Tetsuya / Fujieda, Hironori / Yoshida, Masahiro / Yamamoto, Masahiko / Shimizu, Yasuhiro

    Esophagus : official journal of the Japan Esophageal Society

    2024  Volume 21, Issue 2, Page(s) 111–119

    Abstract: Background: Recurrent laryngeal nerve paralysis (RLNP) after esophagectomy can cause aspiration because of incomplete glottis closure, leading to pneumonia. However, patients with RLNP often have preserved swallowing function. This study investigated ... ...

    Abstract Background: Recurrent laryngeal nerve paralysis (RLNP) after esophagectomy can cause aspiration because of incomplete glottis closure, leading to pneumonia. However, patients with RLNP often have preserved swallowing function. This study investigated factors that determine swallowing function in patients with RLNP.
    Methods: Patients with esophageal cancer who underwent esophagectomy and cervical esophagogastric anastomosis were enrolled between 2017 and 2020. Videofluoroscopic examination of swallowing study (VFSS) and acoustic voice analysis were performed on patients with suspected dysphagia including RLNP. Dysphagia in VFSS was defined as score ≥ 3 of the 8-point penetration-aspiration scale VFSS and acoustic analysis results related to dysphagia were compared between patients with and without RLNP.
    Results: Among 312 patients who underwent esophagectomy, 74 developed RLNP. The incidence of late-onset pneumonia was significantly higher in the RLNP group than in the non-RLNP (18.9 vs. 8.0%, P = .008). Detailed swallowing function was assessed by VFSS in 84 patients, and patients with RLNP and dysphagia showed significantly shorter maximum diagonal hyoid bone elevation (10.62 vs. 16.75 mm; P = .003), which was a specific finding not seen in patients without RLNP. For acoustic voice analysis, the degree of hoarseness was not closely related to dysphagia. The length of oral intake rehabilitation for patients with and without RLNP was comparable if they did not present with dysphagia (8.5 vs. 9.0 days).
    Conclusions: Impaired hyoid bone elevation is a specific dysphagia factor in patients with RLNP, suggesting compensatory epiglottis inversion by hyoid bone elevation is important for incomplete glottis closure caused by RLNP.
    MeSH term(s) Humans ; Deglutition Disorders/epidemiology ; Deglutition Disorders/etiology ; Deglutition/physiology ; Esophagectomy/adverse effects ; Recurrent Laryngeal Nerve ; Vocal Cord Paralysis/epidemiology ; Vocal Cord Paralysis/etiology ; Pneumonia ; Respiratory Aspiration
    Language English
    Publishing date 2024-01-31
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2133367-1
    ISSN 1612-9067 ; 1612-9059
    ISSN (online) 1612-9067
    ISSN 1612-9059
    DOI 10.1007/s10388-023-01041-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: [Overview of the JPN practice guidelines for management of acute pancreatitis 2021].

    Mayumi, Toshihiko / Takada, Tadahiro / Yoshida, Masahiro

    Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology

    2022  Volume 119, Issue 8, Page(s) 697–703

    MeSH term(s) Acute Disease ; Humans ; Pancreatitis/diagnosis ; Pancreatitis/therapy ; Practice Guidelines as Topic
    Language Japanese
    Publishing date 2022-08-06
    Publishing country Japan
    Document type Journal Article ; Review
    ZDB-ID 708695-7
    ISSN 1349-7693 ; 0446-6586
    ISSN (online) 1349-7693
    ISSN 0446-6586
    DOI 10.11405/nisshoshi.119.697
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Gold-Catalyzed Nucleophilic Ring-Opening Reaction of 2-Alkynylazetidines with Alcohols.

    Hirokane, Tsukasa / Kariya, Touya / Takata, Misa / Matsumoto, Kenji / Yoshida, Masahiro

    The Journal of organic chemistry

    2022  Volume 87, Issue 18, Page(s) 12455–12459

    Abstract: The reaction of 2-alkynylazetidines and alcohols with a gold catalyst is described. A variety of substituted δ-amino-α,β-unsaturated ketones were synthesized via gold-promoted nucleophilic attack of alcohols followed by ring-opening of azetidine ring. ...

    Abstract The reaction of 2-alkynylazetidines and alcohols with a gold catalyst is described. A variety of substituted δ-amino-α,β-unsaturated ketones were synthesized via gold-promoted nucleophilic attack of alcohols followed by ring-opening of azetidine ring.
    Language English
    Publishing date 2022-08-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 123490-0
    ISSN 1520-6904 ; 0022-3263
    ISSN (online) 1520-6904
    ISSN 0022-3263
    DOI 10.1021/acs.joc.2c01325
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Factors Affecting Delay in Initial Treatment of Patients with Soft Tissue Sarcomas.

    Fujihara, Nasa / Hamada, Shunsuke / Yoshida, Masahiro / Tsukushi, Satoshi / Fujihara, Yuki

    The journal of hand surgery Asian-Pacific volume

    2022  Volume 27, Issue 1, Page(s) 135–140

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Female ; Humans ; Liposarcoma ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Sarcoma/diagnosis ; Sarcoma/epidemiology ; Sarcoma/therapy ; Soft Tissue Neoplasms/epidemiology ; Soft Tissue Neoplasms/pathology ; Soft Tissue Neoplasms/therapy
    Language English
    Publishing date 2022-02-09
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 2848651-1
    ISSN 2424-8363 ; 2424-8355
    ISSN (online) 2424-8363
    ISSN 2424-8355
    DOI 10.1142/S2424835522500163
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Novel hydrophobically modified agarose cryogels fabricated using dimethyl sulfoxide.

    Evans, Courtney / Morimitsu, Yuto / Nishi, Rikako / Yoshida, Masahiro / Takei, Takayuki

    Journal of bioscience and bioengineering

    2022  Volume 133, Issue 4, Page(s) 390–395

    Abstract: Drug delivery systems (DDS) are devices able to adsorb therapeutic drugs in vitro before being either injected or surgically implanted into the body before releasing the drugs in vivo. Hydrogels are interesting for DDS researchers as they mimic soft ... ...

    Abstract Drug delivery systems (DDS) are devices able to adsorb therapeutic drugs in vitro before being either injected or surgically implanted into the body before releasing the drugs in vivo. Hydrogels are interesting for DDS researchers as they mimic soft tissue and can absorb large quantities of liquid. This research reported the successful fabrication of hydrophobically modified agarose (HMA) as well as the creation of a novel approach to the formation of hydrophobically modified agarose cryogels. By activating the hydroxyl groups in agarose, hydrophobic modification could occur through the bonding of the activated hydroxyl groups and the amines in fatty aldehydes. It was found that HMA was insoluble in water, and as such a new method of cryogel creation was produced using dimethyl sulfoxide. Further testing of HMA cryogels showed that cell adhesiveness and cytotoxicity were low. Adsorption tests showed that HMA cryogels had the ability to adsorb larger amounts of hydrophobic dye than unmodified agarose cryogels and that the release of the hydrophobic dye from HMA cryogels could be controlled. These results showed that the HMA cryogels made using this novel approach have the potential to be used as drug delivery systems.
    MeSH term(s) Cryogels/chemistry ; Dimethyl Sulfoxide ; Drug Delivery Systems ; Hydrophobic and Hydrophilic Interactions ; Sepharose
    Chemical Substances Cryogels ; Sepharose (9012-36-6) ; Dimethyl Sulfoxide (YOW8V9698H)
    Language English
    Publishing date 2022-01-11
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 1465387-4
    ISSN 1347-4421 ; 1389-1723
    ISSN (online) 1347-4421
    ISSN 1389-1723
    DOI 10.1016/j.jbiosc.2021.12.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Autoclaving-Triggered Hydrogelation of Chitosan-Gluconic acid Conjugate Aqueous Solution for Wound Healing.

    Yamashita, Yusuke / Ohzuno, Yoshihiro / Saito, Yoichi / Fujiwara, Yukio / Yoshida, Masahiro / Takei, Takayuki

    Gels (Basel, Switzerland)

    2023  Volume 9, Issue 4

    Abstract: Moist wound healing is known to heal wounds faster than dry wound healing. Hydrogel wound dressings are suitable for moist wound healing because of their hyperhydrous structure. Chitosan, a natural polymer, promotes wound healing by stimulating ... ...

    Abstract Moist wound healing is known to heal wounds faster than dry wound healing. Hydrogel wound dressings are suitable for moist wound healing because of their hyperhydrous structure. Chitosan, a natural polymer, promotes wound healing by stimulating inflammatory cells and releasing bioactive compounds. Therefore, chitosan hydrogel has great potential as a wound dressing. In our previous study, physically crosslinked chitosan hydrogels were successfully prepared solely by freeze-thawing of chitosan-gluconic acid conjugate (CG) aqueous solution without using any toxic additives. Furthermore, the CG hydrogels could be sterilized by autoclaving (steam sterilization). In this study, we showed that autoclaving (121 °C, 20 min) of a CG aqueous solution simultaneously achieved gelation of the solution and sterilization of the hydrogel. Hydrogelation of CG aqueous solution by autoclaving is also physically crosslinking without any toxic additives. Further, we showed that the CG hydrogels retained favorable biological properties of the CG hydrogels prepared by freeze-thawing and subsequent autoclaving. These results indicated that CG hydrogels prepared by autoclaving were promising as wound dressings.
    Language English
    Publishing date 2023-03-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2813982-3
    ISSN 2310-2861 ; 2310-2861
    ISSN (online) 2310-2861
    ISSN 2310-2861
    DOI 10.3390/gels9040280
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Recurrent giant cell tumour of the distal ulna after en bloc resection with preoperative denosumab use.

    Fujihara, Nasa / Hamada, Shunsuke / Yoshida, Masahiro / Tsukushi, Satoshi

    BMJ case reports

    2021  Volume 14, Issue 11

    Abstract: In recent years, denosumab has been used to treat giant cell tumour of bone (GCTB) not only in cases where surgery is complicated but also preoperatively to decrease the preoperative grade or to facilitate surgery for Campanacci grade II and III cases. ... ...

    Abstract In recent years, denosumab has been used to treat giant cell tumour of bone (GCTB) not only in cases where surgery is complicated but also preoperatively to decrease the preoperative grade or to facilitate surgery for Campanacci grade II and III cases. However, there are no clear protocols regarding the preoperative use of denosumab before en bloc resection. There are a few reports of recurrent cases after en bloc resection; however, the association with the use of denosumab is unknown. We present the clinical, radiological and histopathological findings of a case of Campanacci grade III GCTB at the distal end of the ulna, which resulted in soft tissue recurrence after en bloc resection with the preoperative use of denosumab.
    MeSH term(s) Bone Density Conservation Agents/therapeutic use ; Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/drug therapy ; Bone Neoplasms/surgery ; Denosumab/therapeutic use ; Giant Cell Tumor of Bone/diagnostic imaging ; Giant Cell Tumor of Bone/drug therapy ; Giant Cell Tumor of Bone/surgery ; Humans ; Neoplasm Recurrence, Local ; Retrospective Studies ; Ulna/diagnostic imaging ; Ulna/surgery
    Chemical Substances Bone Density Conservation Agents ; Denosumab (4EQZ6YO2HI)
    Language English
    Publishing date 2021-11-11
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-245022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Early prediction of cytokine release syndrome by measuring phosphate and magnesium levels following chimeric antigen receptor T cell therapy.

    Yoshida, Masahiro / Matsuoka, Yoshinori / Mitsuyuki, Satoshi / Yonetani, Noboru / Kawai, Junichi / Kondo, Tadakazu / Ishikawa, Takayuki

    Blood cell therapy

    2023  Volume 6, Issue 4, Page(s) 129–134

    Abstract: Introduction: Cytokine release syndrome (CRS) is a life-threatening side effect of chimeric antigen receptor T (CAR-T) cell therapy. This study investigated whether serum inorganic phosphate (IP) and magnesium (Mg) levels are predictive markers of CRS ... ...

    Abstract Introduction: Cytokine release syndrome (CRS) is a life-threatening side effect of chimeric antigen receptor T (CAR-T) cell therapy. This study investigated whether serum inorganic phosphate (IP) and magnesium (Mg) levels are predictive markers of CRS development.
    Methods: This single-center retrospective cohort study enrolled 16 consecutive patients with diffuse large B-cell lymphoma who had received CAR-T cell therapy. Logistic regression models with generalized estimating equations were used to evaluate whether changes in IP and Mg levels from their baseline values were associated with the development of CRS within 48 hours.
    Results: Decreased IP and Mg levels from baseline (per 10% change) were associated with an increased CRS incidence (adjusted odds ratio 2.18 [95% confidence interval (CI), 1.31-3.62], 3.18 [95% CI, 1.57-6.44], respectively).
    Conclusions: Changes in IP and Mg concentrations within 48 hours may be useful predictive markers of CRS onset.
    Language English
    Publishing date 2023-11-25
    Publishing country Japan
    Document type Journal Article
    ISSN 2432-7026
    ISSN (online) 2432-7026
    DOI 10.31547/bct-2023-021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Usefulness of High-resolution Computed Tomography for Macrolide Therapy of Idiopathic Bronchiectasis.

    Saito, Zenya / Yoshida, Masahiro / Uchiyama, Shota / Nishioka, Saiko / Tamura, Kentaro / Tamura, Nobumasa

    The open respiratory medicine journal

    2023  Volume 17, Page(s) e187430642307250

    Abstract: Background: High-resolution computed tomography (HRCT) correlates with clinical symptoms, respiratory function, and quality of life in bronchiectasis.: Objective: We aimed to investigate the relationship between macrolide and acute exacerbation (AE) ... ...

    Abstract Background: High-resolution computed tomography (HRCT) correlates with clinical symptoms, respiratory function, and quality of life in bronchiectasis.
    Objective: We aimed to investigate the relationship between macrolide and acute exacerbation (AE) in idiopathic bronchiectasis classified by the Bronchiectasis Radiologically Indexed CT Score (BRICS).
    Methods: We retrospectively reviewed the medical records of patients diagnosed with idiopathic bronchiectasis between April 2014 and December 2020 at a single hospital. Overall, 115 patients with idiopathic bronchiectasis were selected and divided into three groups, according to the BRICS. Each group was divided into subgroups with and without macrolide therapy, and the number of patients with AE in each group was retrospectively compared.
    Results: About 45, 48, and 22 patients were included in the mild, moderate, and severe groups, respectively. In the mild group, the subgroup with macrolide therapy had significantly fewer patients with single AE than those without macrolide (
    Conclusion: HRCT severity assessment might be useful in predicting treatment efficacy in patients with idiopathic bronchiectasis without previous AEs. Further large-scale clinical trials are required on the usefulness of HRCT in the future.
    Language English
    Publishing date 2023-08-29
    Publishing country United Arab Emirates
    Document type Journal Article
    ZDB-ID 2395996-4
    ISSN 1874-3064
    ISSN 1874-3064
    DOI 10.2174/18743064-v17-230822-2022-27
    Database MEDical Literature Analysis and Retrieval System OnLINE

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