13 results on '"Masaya Tsuji"'
Search Results
2. Complications of chest wall around malignant tumors: differences based on reconstruction strategy
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Kunihiro Asanuma, Masaya Tsujii, Tomohito Hagi, Tomoki Nakamura, Takeshi Kataoka, Teruya Uchiyama, Ryohei Adachi, and Akihiro Sudo
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Chest wall ,Malignant ,Surgical complication ,Respiratory complication ,Reconstruction ,Flap ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Malignant chest wall tumors need to be excised with wide resection to ensure tumor free margins, and the reconstruction method should be selected according to the depth and dimensions of the tumor. Vascularized tissue is needed to cover the superficial soft tissue defect or bone tissue defect. This study evaluated differences in complications according to reconstruction strategy. Methods Forty-five patients with 52 operations for resection of malignant tumors in the chest wall were retrospectively reviewed. Patients were categorized as having superficial tumors, comprising Group A with simple closure for small soft tissue defects and Group B with flap coverage for wide soft tissue defects, or deep tumors, comprising Group C with full-thickness resection with or without mesh reconstruction and Group D with full-thickness resection covered by flap with or without polymethyl methacrylate. Complications were evaluated for the 52 operations based on reconstruction strategy then risk factors for surgical and respiratory complications were elucidated. Results Total local recurrence-free survival rates in 45 patients who received first operation were 83.9% at 5 years and 70.6% at 10 years. The surgical complication rate was 11.5% (6/52), occurring only in cases with deep tumors, predominantly from Group D. Operations needing chest wall reconstruction (p = 0.0016) and flap transfer (p = 0.0112) were significantly associated with the incidence of complications. Operations involving complications showed significantly larger tumors, wider areas of bony chest wall resection and greater volumes of bleeding (p
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- 2024
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3. Pedicled flap transfer after chest wall malignant tumor resection and potential risk of postoperative respiratory problems for patients with low FEV1.0%
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Kunihiro Asanuma, Masaya Tsujii, Tomohito Hagi, Tomoki Nakamura, Teruya Uchiyama, Ryohei Adachi, Kenta Nakata, Takeshi Kataoka, and Akihiro Sudo
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chest wall ,malignant tumor ,pedicle flap ,respiratory complication ,FEV1.0% ,Surgery ,RD1-811 - Abstract
IntroductionMusculoskeletal transfer for chest wall tissue defects is a crucial method, and pedicled flaps around the chest wall are preferred in terms of location and simplicity of transfer. These require special care because of complications such as partial necrosis, fistula, wound dehiscence, infection, hematoma and restricted function of the arm or shoulder. However, studies of respiratory function are rare. In the present study, we investigated the complications including respiratory problems after wide resection for malignant chest wall tumors with musculoskeletal pedicle transfer.MethodsA total of 13 patients (15 operations) who underwent wide resection of primary, recurrent, or metastatic malignant chest wall tumors and musculoskeletal pedicle transfer for coverage of tissue defects were enrolled in the present study. A retrospective review of all patients was performed using data collected from hospital records and follow-up information. The complications of musculoskeletal transfer after chest wall wide resection, including respiratory problems, are evaluated.ResultsRib or sternal resection was performed in 12 operations, and only soft tissue resection was performed in 3 operations. Latissimus dorsi (LD) pedicle transfer was performed in 13 operations, and pectoralis major (PM) pedicle transfer was performed in 2 operations; basically, wounds were closed primarily. Surgical complications were observed following 5 of the 15 operations (33.3%). Respiratory complications were seen in 7 of the 15 operations (46.7%). Patients with respiratory complications showed significantly lower preoperative FEV1.0% values than those without respiratory complications (p = 0.0196). Skin resection area tended to be higher in the complication group than in the no complication group (p = 0.104).DiscussionPedicled myocutaneous flap transfers such as LD, PM, and rectus abdominus can be used following multiple resections. After harvesting LD or PM, the wound can be closed primarily for an 8–10-cm skin defect in patients with normal respiratory function. However, for patients with low FEV1.0%, after primary closure of LD or PM transfer for wide soft tissue defects, attention should be paid to postoperative respiratory complications.
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- 2024
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4. Full-thickness chest wall resection for malignant chest wall tumors and postoperative problems
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Kunihiro Asanuma, Masaya Tsujii, Tomohito Hagi, Tomoki Nakamura, Kouji Kita, Akira Shimamoto, Takeshi Kataoka, Motoshi Takao, and Akihiro Sudo
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chest wall ,reconstruction ,local control ,pulmonary function ,scoliosis ,complication ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
BackgroundChest wall malignant tumor (including primary and metastatic lesions) is rare, representing less than 5% of all thoracic malignancies. Local control of chest wall malignancies requires wide resection with tumor-free margins. These requirements increase the risk of thoracic cavity failure and subsequent pulmonary failure. The restoration strategy for chest wall defects comprises chest wall reconstruction and soft-tissue coverage. Various reconstruction methods have been used, but both evidence and guidelines for chest wall reconstruction remain lacking. The purposes of this study were to collate our institutional experience, evaluate the outcomes of full-thickness chest wall resection and reconstruction for patients with chest wall malignant tumor, and identify problems in current practice for chest wall reconstruction with a focus on local control, complications, pulmonary function and scoliosis.MethodsParticipants comprised 30 patients with full-thickness chest wall malignant tumor who underwent chest wall resection and reconstruction between 1997 and 2021 in Mie University Hospital. All patients underwent chest wall resection of primary, recurrent or metastatic malignant tumors. A retrospective review was conducted for 32 operations.ResultsRecurrence was observed after 5 operations. Total 5-year recurrence-free survival (RFS) rate was 79.3%. Diameter ≥5 cm was significantly associated with poor RFS. The postoperative complication rate was 18.8%. Flail chest was observed with resection of ≥3 ribs in anterior and lateral resections or with sternum resection without polyethylene methylmethacrylate reconstruction. Postoperative EFV1.0% did not show any significant decrease. Postoperative %VC decreased significantly with resection of ≥4 ribs or an area of >70 cm2. Postoperative scoliosis was observed in 8 of 28 patients. Posterior resection was associated with a high prevalence of scoliosis (88.9%).ConclusionWith chest wall reconstruction, risks of pulmonary impairment, flail chest and scoliosis were significantly increased. New strategies including indications for rigid reconstruction are needed to improve the outcomes of chest wall reconstruction.
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- 2023
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5. Development of carbon nanotube paste for dye-sensitized solar cells
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Masaya Tsuji, Seiichi Sugiyama, and Takahide Oya
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Materials science ,Electromotive force ,business.industry ,Nanotechnology ,Carbon nanotube ,Electrolyte ,law.invention ,Metal ,Dye-sensitized solar cell ,Adsorption ,law ,visual_art ,Solar cell ,Electrode ,visual_art.visual_art_medium ,Optoelectronics ,business - Abstract
We propose a new type of dye-sensitized solar cell (DSC) using carbon nanotubes (CNTs). Recently, global warming due to CO2 generated from power plants, cars, and so on has received much attention. Therefore, clean power, e.g., solar power, is gaining in importance. In this study, we focused on a DSC that uses CNTs. Generally, sensitized dyes on semiconducting and metallic electrodes are used for constructing DSCs. In contrast, CNTs have many excellent properties. In particular, they have metallic and semiconducting properties that are used for the electrodes of DSCs. Therefore, we applied CNTs for fabricating a new “painting-type” DSC with semiconducting and metallic electrodes. CNTs are dispersed in water with surfactant to prepare CNT-paste for painting. This resulting CNT-paste has the same properties as a normal CNT. A DSC is comprised of two electrodes. One is a semiconducting electrode with a sensitized dye and another is a metallic one, as mentioned above. We fabricated the two electrodes by painting the CNT-paste onto substrates. Thus, this type of DSC can be applied to various objects, for example, the wall and car and housetop. An electrolyte is required and must be put between the electrodes. The method for fabricating a painting type DSC is very simple. First, two versions of the paste are used. One is a semiconducting CNT-paste that adsorbs a dye and the other is a CNT-paste without a dye. Second, we paint each paste onto two substrates. Finally, the two substrates are stacked. We drip about 10μl of an electrolyte onto the stacked substrates and irradiate them with solar light (1300 W/m2). An electromotive force (EMF) is generated by excited electrons from the dye, which are adsorbed on the semiconducting electrode. The maximum EMF reached about 250 mV and the current reached about 10 μA. These results indicate that the proposed painting-type DSC can be used a new type of solar cell.
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- 2012
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6. Preparation of the PVA film with gold fine particles by a counter diffusion method: Effect of diffusion on the distribution of gold fine particles in the film
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Masakatsu Yonese, Masaya Tsuji, Tsuyoshi Shiono, Hirotoshi Sato, and Shizuko Sato
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Materials science ,Distribution (number theory) ,Chemical engineering ,Diffusion (business) - Published
- 2001
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7. Effect of a change in amplitude at sound onset on activities of auditory cortical neurons in the Mongolian gerbils
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Masaya Tsuji
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geography ,geography.geographical_feature_category ,Amplitude ,General Neuroscience ,General Medicine ,Cortical neurons ,Biology ,Neuroscience ,Sound (geography) - Published
- 2007
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8. Endoscopic resection of scar tissues and bone graft with an intramedullary nail left in situ for distal femoral nonunion after nailing: A case report
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Masaya Tsujii, Kazuya Odake, Akinobu Nishimura, Makoto Nishimura, and Akihiro Sudo
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Orthopedic surgery ,RD701-811 - Abstract
Femoral shaft nonunion after the intramedullary nailing has been successfully treated with advances in surgical technique. Nonetheless, the techniques cause morbidity to periosteum at the fracture site. We report the case of a 67-year-old man who underwent endoscopic surgery for refractory nonunion following the fracture of the distal femoral shaft, despite two fixations using an interlocking nail. In addition, the patient had uncontrolled diabetic mellitus. Endoscopy allowed us to acquire a clear view of the nonunion site, in which the resection of scar tissues and the packing of the cancellous bone were performed. At the final follow-up, bone healing was observed, and the patient was able to return to normal daily and social activity.
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- 2020
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9. Arthroscopic resection of a loose body in the inextensible metacarpophalangeal joint of the middle finger complicated with osteoarthritis: A case report
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Tetsuya Hattori, Masaya Tsujii, Takeshi Uemura, and Akihiro Sudo
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Medicine (General) ,R5-920 - Abstract
Arthroscopic surgery is a standard technique for removal of loose bodies in large joints. By contrast, there were a few reports of arthroscopic surgery for loose bodies in small joints. We herein report a case of a 70-year-old woman with an inextensible metacarpophalangeal joint in the right middle finger due to an intra-articular loose body that developed after osteoarthritis. Surgery proceeded under vertical traction using traction tower. Two portals were developed at dorsal aspect on the metacarpophalangeal joints. The loose body was removed under arthroscopy with a small incision of both skin and sagittal band, thereby resolving clinical symptoms, including pain and limitations to metacarpophalangeal joint motion.
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- 2020
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10. Protective Effect of Edaravone Against Oxidative Stress in C2C12 Myoblast and Impairment of Skeletal Muscle Regeneration Exposed to Ischemic Injury in Ob/ob Mice
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Takuya Nakanishi, Masaya Tsujii, Takahiro Asano, Takahiro Iino, and Akihiro Sudo
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skeletal muscle ,obesity ,oxidative stress ,myoblast ,free radical scavenger ,edaravone ,Physiology ,QP1-981 - Abstract
BackgroundThe aims of this study were to analyze the effects of the administration of edaravone on C2C12 myoblasts exposed to oxidative stress; to evaluate the skeletal muscles in ob/ob mice; and to analyze the effect of the administration of edaravone in the regeneration of skeletal muscle after ischemic injury.MethodsIn C2C12 myoblasts, oxidative stress was induced by the exposure to 250 μM H2O2 for 4 h with or without pretreatment of 100 μM edaravone. Thereafter, the viability and expression of TNF-α were analyzed by MTS assay and PCR, respectively. Furthermore, an in vivo study was performed on male C57/BL6-ob/ob mice (10 weeks old) and the respective control mice. The skeletal muscles of tibialis anterior and gastrocnemius were excised for histological analysis and TBARS assay after the measurement of blood flow. In addition, the regeneration of the skeletal muscles was analyzed for the expression of MyoD 7 days after the ligation of the right femoral artery.ResultsEdaravone significantly inhibited the reduction of the viability as well as upregulation of TNF-α expression by treatment with H2O2. In ob/ob mice, wet weight of muscles was significantly lower than that in control mice. In histology, ob/ob mice had significantly less multi-angle shaped myofibers and a significantly high level of MDA. Furthermore, MyoD expression was lower in ob/ob mice than in control mice after the ischemic injury, while edaravone (3 mg/kg) increasingly enhanced MyoD expression.ConclusionEdaravone attenuated the oxidative stress on C2C12 myoblasts, and was effective to regeneration of skeletal muscles after ischemia in ob/ob mice.
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- 2020
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11. Inhibitory effect of edaravone on systemic inflammation and local damage in skeletal muscles following long-term ischemia to murine hind limb
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Hirokazu Yokoyama, Masaya Tsujii, Takahiro Iino, Tomoki Nakamura, and Akihiro Sudo
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Orthopedic surgery ,RD701-811 - Abstract
Purpose: The purpose of this study was to evaluate local and systemic pathology in a murine model of ischemia–reperfusion (I/R) injury induced by long-term application of a tourniquet on the hind limbs and to assess the protective effects of edaravone, a potent systemic scavenger of free radicals, using this model. Methods: Sixty C57BL6 mice were divided in two groups, with one group receiving a 3 mg/kg intraperitoneal injection of edaravone and the other group receiving an identical amount of saline 30 min before ischemia under deep anesthesia. The left thigh of each animal was constricted for 4 h with a 4.5-oz. orthodontic rubber band to induce ischemia; 4 h was the critical duration for skeletal muscles. After ischemia, specimens of skeletal muscles, both kidneys, and plasma were collected at 0, 2, 12, 24, 48, and 72 h. Injury to the skeletal muscles and vacuolar degeneration of the kidneys were histologically assessed. Additionally, apoptosis of skeletal muscle cells was assessed by analysis of caspase 3/7 activity and TUNEL staining. Plasma tumor necrosis factor (TNF)-α levels were measured using an enzyme-linked immunosorbent assay kit. Results: Skeletal muscles exhibited prominent injury of myofibers at 12 h after I/R injury, with clear upregulation of plasma TNF-α expression and histologic evidence of tubular dysfunction of the kidneys. Plasma TNF-α levels declined and histologic renal damage was ameliorated in edaravone-treated mice, but treatment did not protect skeletal muscle following ischemia for 4 h. Nonetheless, compared with group S, expression of the apoptosis marker caspase 3/7 was significantly inhibited in the skeletal hind limb muscles of Ed-group mice affected by reperfusion injury following ischemia for 4 h. Conclusion: The present study demonstrated that edaravone is a potentially useful drug for systemic or local treatment of reperfusion injury resulting from long-term ischemia.
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- 2019
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12. BMP-7/Smad expression in dedifferentiated Schwann cells during axonal regeneration and upregulation of endogenous BMP-7 following administration of PTH (1-34)
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Naoki Kokubu, Masaya Tsujii, Koji Akeda, Takahiro Iino, and Akihiro Sudo
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Orthopedic surgery ,RD701-811 - Abstract
Purpose: To determine the expression and distribution of bone morphogenetic protein (BMP)-7 and related molecules during peripheral nerve regeneration and to assess whether administration of parathyroid hormone (PTH) drug (1-34) potentiates the intrinsic upregulation of BMP-7/Smad signaling. Methods: The rat sciatic nerves were crushed with an aneurysm clip resulting in axonal degeneration. In the normal nerve, and at 1, 2, 4, and 8 weeks after injury, BMP-7, BMP receptors, p-Smad 1/5/8, and Noggin, the endogenous BMP antagonist, were evaluated. Additionally, the distribution of BMP-7 was assessed by fluorescent double immunostaining. In vitro studies were also performed to examine the effect of BMP-7 and PTH (1-34) administration on rat Schwann cells (SCs). Results: Aneurysm clip made reliable animal model of the nerve injury with recovery at 8 weeks after the injury. BMP-7/Smad protein and mRNA were significantly upregulated on axon-SCs units at 1 week after injury, and this upregulated expression was maintained for 4 weeks. Besides, significant upregulation of Noggin’s expression was observed on axon-SCs units at 2 weeks after injury. Moreover, fluorescent double immunostaining showed co-localization between expression of BMP-7 and p75NTR during axonal regeneration. In the in vitro study, administration of BMP-7 induced significant proliferation of SCs. Application of PTH (1-34) upregulated BMP-7 on SCs. Discussion/conclusion: BMPs were reported to be involved in protection and recovery after injury as well as in neurogenesis. Our current study showed that BMP/Smad signaling molecules were upregulated on dedifferentiated SCs after peripheral nerve injury and that administration of BMP-7 increased SC viability in vitro. These results suggested that axonal regeneration could be induced via upregulation of endogenous BMP-7 on SCs by PTH (1-34) administration.
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- 2018
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13. Analysis of polishing a flat plate by using a data acquisition tool for metal-mould polishing
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Kiyoshi IOI, Yoshikazu OHTSUBO, and Masaya TSUJIAI
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metal-mold polishing ,skill ,data acquision tool ,phase trajectory ,dynamic model ,Mechanical engineering and machinery ,TJ1-1570 ,Engineering machinery, tools, and implements ,TA213-215 - Abstract
This paper analyzes metal-mold polishing by human hands. The metal-mold polishing generally requires long experiences about polishing works. Although experienced persons have many excellent skills, it is a little difficult to evidently teach them to beginners in words because most skills are considered to depend on their physical and intuitive memories. Thus we attempt to bring out the characteristic skills about metal-mold polishing by human hands. This paper mainly discusses the difference of polishing skills between experienced persons and beginners. First, a new data acquisition tool is developed to obtain polishing data, which is designed similar to old tools used by experienced persons. The tool basically consists of a small grasping spatula, a grindstone chip, a force sensor, and a 3D motion sensor. Second, basic data acquired from the developed tool are explained, and the estimation method about some kinds of data is proposed, which are not directly obtained from the sensors attached to the tool. Third, the characteristics between experienced persons and beginners are carefully compared from the view of the tool angle, the polishing velocity, the pressing force, and the mean power of polishing. Then, we focus on the phase trajectories between the polishing position and velocity, and the resistant forces appeared in forward and backward polishing. In order to understand the interesting phenomena about the phase trajectories and resistant forces, a simple dynamical model is newly assumed, and the model evidently explains the phenomena. Finally, the main results and future works are summarized.
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- 2017
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