442 results on '"Kaoru Kubota"'
Search Results
402. 298 Feasibility study of concurrent cisplatin/etoposide (PE) and thoracic radiotherapy (TRT) followed by weekly dose intensive regimen (CODE) with human granulocyte-colony stimulating factor (G-CSF) for limited stage (LS) small cell lung cancer (SCLC): Report of a Japan clinical oncology group study (JCOG-9509)
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Nagahiro Saijo, Yutaka Nishiwaki, Kaoru Kubota, Minoru Takada, Y. Kurita, Masahiro Fukuoka, Yutaka Ariyoshi, and Kiyoyuki Furuse
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Pulmonary and Respiratory Medicine ,Clinical Oncology ,Limited Stage ,Oncology ,Cancer Research ,medicine.medical_specialty ,Group study ,business.industry ,Thoracic radiotherapy ,Granulocyte colony-stimulating factor ,Regimen ,Internal medicine ,medicine ,Cisplatin/etoposide ,Non small cell ,business - Published
- 1997
403. 879 Monitoring serum KL-6: A useful indicator for interstitial pneumonia due to radiotherapy and chemotherapy in patients with lung cancer
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Ikuo Sekine, Yutaka Nishiwaki, Koichi Goto, Tetsuro Kodama, Taketoshi Matsumoto, Kaoru Kubota, Fumihiko Hojo, Ryutaro Kakinuma, and Hironobu Ohmatsu
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Pulmonary and Respiratory Medicine ,Oncology ,Cancer Research ,Chemotherapy ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,medicine.disease ,Radiation therapy ,Internal medicine ,medicine ,Interstitial pneumonia ,In patient ,Diffuse alveolar damage ,business ,Lung cancer - Published
- 1997
404. 303 Phase II study of alternating radiotherapy (RT) and chemotherapy (CT) for locally advanced non-small-cell lung cancer (NSCLC). JCOG study 9306
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Ikuo Sekine, Yutaka Nishiwaki, Kaoru Kubota, Mari Saito, Nagahiro Saijo, Satoshi Tsuchiya, Kazushige Hayakawa, Kiyoshi Mori, Fumihiko Hojo, Ryutaro Kakinuma, Iwao Tsukiyama, Akira Yokoyama, and H. Ogino
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Pulmonary and Respiratory Medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,Chemotherapy ,business.industry ,medicine.medical_treatment ,Locally advanced ,Phases of clinical research ,non-small cell lung cancer (NSCLC) ,medicine.disease ,Radiation therapy ,Internal medicine ,medicine ,business - Published
- 1997
405. Combination chemotherapy for elderly patients with non-small cell lung cancer
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S. Negoro, M. Masuda, Masaaki Kawahara, Kodama N, Kiyoyuki Furuse, M Ogawara, Kaoru Kubota, Minoru Takada, and Masahiro Fukuoka
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Pulmonary and Respiratory Medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,business.industry ,Cancer ,Combination chemotherapy ,medicine.disease ,Internal medicine ,medicine ,Non small cell ,business ,Lung cancer - Published
- 1994
406. Long-term follow-up of patients with roentgenographically occult lung cancer treated with photodynamic therapy (PDT)
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Kiyoyuki Furuse, Kaoru Kubota, Masaaki Kawahara, Kodama N, and M Ogawara
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Pulmonary and Respiratory Medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,Long term follow up ,business.industry ,medicine.medical_treatment ,Photodynamic therapy ,medicine.disease ,Occult ,Internal medicine ,medicine ,Lung cancer ,business - Published
- 1994
407. Weekly chemotherapy with cisplatin, vincristine, doxorubicin, and etoposide is an effective treatment for advanced thymic carcinoma.
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Kiyotaka Yoh, Koichi Goto, Gen-ichiro Ishii, Seiji Niho, Hironobu Ohmatsu, Kaoru Kubota, Ryutaro Kakinuma, Kanji Nagai, Moritaka Suga, and Yutaka Nishiwaki
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- 2003
408. A late phase II study of navelbine (vinorelbine), a new vinca alkaloid derivative, in non small cell lung cancer
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Kaoru Kubota, Kiyoyuki Furuse, and Hisanobu Niitani
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Pulmonary and Respiratory Medicine ,Cancer Research ,medicine.drug_class ,business.industry ,Vinorelbine ,medicine.disease ,Vinca alkaloid ,chemistry.chemical_compound ,Oncology ,chemistry ,Late phase ,medicine ,Cancer research ,Non small cell ,business ,Lung cancer ,Derivative (chemistry) ,medicine.drug - Published
- 1991
409. Preliminary report of a randomized multi-center controlled study of immuno-chemotherapy versus chemotherapy in small cell lung cancer
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K. Ohta, T. Uchiyama, K. Nanba, Masahiro Fukuoka, Masaaki Kawahara, S Yoneda, Saotome K, E. Kinuwaki, Kaoru Kubota, S. Ryu, Yamamoto M, N. Ogawa, Yutaka Nishiwaki, Jiro Fujita, Kiyoyuki Furuse, S. Hayasaka, Hiroyoshi Nishikawa, S. Tamura, K. Genga, M. Nakano, K. Yoshinaga, and H. Bando
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Pulmonary and Respiratory Medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,Chemotherapy ,business.industry ,medicine.medical_treatment ,Immuno-Chemotherapy ,Preliminary report ,Internal medicine ,medicine ,Non small cell ,business - Published
- 1991
410. The Short-Term Effects of Inorganic Phosphate on the Levels of Metabolites in Suspension-Cultured Catharanthus roseus Cells
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Hiroshi Ashihara, Kaoru Kubota, and Xiao-Ni Li
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chemistry.chemical_classification ,biology ,RNA ,Catharanthus roseus ,biology.organism_classification ,Pyrophosphate ,General Biochemistry, Genetics and Molecular Biology ,Uridine ,Amino acid ,chemistry.chemical_compound ,chemistry ,Biochemistry ,Pi ,Glycolysis ,Incubation - Abstract
In order to analyze the effects of inorganic phosphate (Pi) on the energy metabolism of suspension-cultured cells of Catharanthus roseus, short-term changes in levels of glycolytic metabolites were monitored after the addition of 1.25 mм Pi to cultures of cells previously cultured in a Pi-free Murashige-Skoog medium for 24 h. The levels of all phosphorylated intermediates of glycolysis examined were found to increase after addition of Pi. The most striking increases were observed in levels of glucose-6-phosphate and fructose-6-phosphate which rose to approximately 8 (after 30 min) and 15 times (after 120 min) their initial values. The levels of ATP and pyrophosphate doubled during the first 30 min of incubation. In contrast, the level of pyruvate decreased significantly during the initial 30 min and then began to increase again for the next 90 min. The short term effects of Pi on the rates of synthesis of proteins and RNA were estimated from the rates of incorporation of 14C-labelled amino acids and uridine into the macromolecules. No appreciable stimulation of the synthesis of proteins and RNA was induced by Pi within 120 min after the addition of Pi. Possible mechanisms are discussed that may be involved in the changes in metabolism initiated by the addition of Pi to the cultures.
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- 1989
411. [Untitled]
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Seiichi UENO, Noritaka OYAMADA, Kaoru KUBOTA, and Mutsuo ISHIZAKI
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General Medicine - Published
- 1984
412. Five-year-survival of small cell lung carcinoma
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Yamamoto M, Masaaki Kawahara, Kodama N, Rokuro Arai, M Ogawara, Kiyoyuki Furuse, Kaoru Kubota, and Ryoichi Nakai
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Pulmonary and Respiratory Medicine ,Pathology ,medicine.medical_specialty ,Oncology ,business.industry ,medicine ,Small Cell Lung Carcinoma ,business - Abstract
1975年から1982年までの間, 国立療養所近畿中央病院で入院加療を受けた肺小細胞癌144例における7例の5年生存例について検討した.男性3例女性4例で, 全て限局型であり, 多剤併用化学療法及び放射線療法により, 早期に安全寛解を得, その後再発をみていない.予後因子として進展度, PS, 治療効果が生存に有意に寄与していた.多剤併用化学療法及び放射線療法により, 早期に完全寛解に導入する事が長期生存例を得る為に重要であると考えられた
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- 1989
413. Determination of total bromine in foods by gas chromatography
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Kaoru Kubota, Noritaka Oyamada, Seiichi Ueno, and Mutsuo Ishizaki
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Bromine ,Chromatography ,Chemistry ,chemistry.chemical_element ,Organic chemistry ,General Medicine ,Gas chromatography - Published
- 1985
414. [Untitled]
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Kaoru Kubota, Mutsuo Ishizaki, Noritaka Oyamada, and Seiichi Ueno
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chemistry.chemical_compound ,chemistry ,business.industry ,Natural food ,Flavoring Agents ,General Medicine ,Food science ,Biology ,business ,DNA ,Biotechnology - Published
- 1984
415. [Untitled]
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Mutsuo ISHIZAKI, Seiichi UENO, Fujio KATAOKA, Noritaka OYAMADA, Ritsuko MURAKAMI, Kaoru KUBOTA, Kaoru KATSUMURA, and Yutaro HOSOGAI
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General Medicine - Published
- 1975
416. Trends in chemotherapy for elderly patients with advanced non-small-cell lung cancer
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Kaoru Kubota, Koichi Goto, Young Hak Kim, Seiji Niho, Yutaka Nishiwaki, Kiyotaka Yoh, and Hironobu Ohmatsu
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Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Lung Neoplasms ,medicine.medical_treatment ,Second-line ,Drug Administration Schedule ,Group B ,Carboplatin ,Third-generation ,Elderly ,Carcinoma, Non-Small-Cell Lung ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,Chemotherapy ,Stage (cooking) ,Lung cancer ,Survival rate ,Aged ,Neoplasm Staging ,Performance status ,business.industry ,Age Factors ,Cancer ,Combination chemotherapy ,Prognosis ,medicine.disease ,Surgery ,Survival Rate ,Treatment Outcome ,Quality of Life ,Female ,Cisplatin ,business ,Non-small-cell lung cancer - Abstract
Summary Background In approximately the year 2000, the results of a number of important studies of non-small-cell lung cancer (NSCLC) were published. Methods Between July 1992 and December 2003, 223 patients with NSCLC aged ≥70 years received chemotherapy alone as their initial treatment at the National Cancer Center Hospital East. These patients were divided into 2 groups: those that began treatment between 1992 and 1999 (group A) and between 2000 and 2003 (group B). The details of chemotherapy regimens and outcomes were compared. Results In group A, 83% of patients received platinum-based chemotherapy, two-thirds of these regimens comprised platinum plus second-generation combination chemotherapy. In contrast, although 55% of patients received platinum-based chemotherapy in group B, 41% of patients received non-platinum-based chemotherapy. Among patients in group B, performance status was significantly associated with the selection of platinum-based or non-platinum-based chemotherapy; age was marginally associated with this selection. Median survival time (MST), 1-year survival rate, and 2-year survival rate were 6.7 months, 14%, and 7%, respectively, in group A, and 8.1 months, 35%, and 20% in group B (p = 0.0109). Multivariate analysis revealed that clinical stage and administration of salvage chemotherapy were independent prognostic factors. Conclusions In and after the year 2000, chemotherapy regimens changed greatly and survival of elderly patients significantly improved in our institute, and this improvement appears to be attributable mostly to the effect of salvage chemotherapy. These results suggest that even elderly patients should be offered salvage chemotherapy regardless of age, if possible.
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417. Control of nausea with palonosetron versus granisetron, both combined with dexamethasone, in patients receiving cisplatin- or anthracycline plus cyclophosphamide-based regimens
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Ikuo Sekine, Yasuhiro Yanagita, Kaoru Kubota, Kenjiro Aogi, Takashi Ogura, Kenichi Inoue, Mitsue Saito, Hiroshi Sakai, Hirohisa Yoshizawa, and Chiyoe Kitagawa
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Male ,Quinuclidines ,Highly emetic chemotherapy ,Anthracycline ,Cyclophosphamide ,Nausea ,Vomiting ,5-HT3 receptor antagonist ,Phases of clinical research ,Granisetron ,Dexamethasone ,03 medical and health sciences ,0302 clinical medicine ,Antineoplastic Combined Chemotherapy Protocols ,parasitic diseases ,medicine ,Humans ,Anthracyclines ,030212 general & internal medicine ,business.industry ,Palonosetron ,Middle Aged ,Isoquinolines ,humanities ,Oncology ,030220 oncology & carcinogenesis ,Anesthesia ,Chemotherapy-induced nausea and vomiting ,Antiemetics ,Original Article ,Female ,medicine.symptom ,Cisplatin ,business ,medicine.drug - Abstract
Purpose In a comparative phase 3 study involving 1114 Japanese patients receiving highly emetogenic chemotherapy (HEC), palonosetron (PALO) was found to be superior to granisetron (GRA) for the prophylaxis of chemotherapy-induced nausea and vomiting (CINV) in the delayed phase. This post hoc analysis of the phase 3 study evaluated the efficacy of PALO for the control of nausea. Methods The proportion of patients without nausea was assessed at 24-h intervals during the acute phase (0–24 h), delayed phase (24–120 h), and overall (0–120 h). No nausea rates were also evaluated by sex, type of chemotherapy (cisplatin or doxorubicin/epirubicin plus cyclophosphamide [AC/EC]), and age (
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418. [Untitled]
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Mutsuo Ishizaki, Kaoru Kubota, Katsunori Kurosawa, Seiichi Ueno, and Noritaka Oyamada
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food.ingredient ,food ,Chemistry ,Food additive ,Food science ,Natural (archaeology) ,Spore - Published
- 1983
419. The Effect of Fructose-2,6-bisphosphate on 6-Phosphogluconate Dehydrogenase from Cultured Cells of Catharanthus roseus
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Yūko Yamashita, Hiroshi Ashihara, Kaoru Kubota, and Sarami Ishida
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biology ,Physiology ,Dehydrogenase ,Plant Science ,Pentose phosphate pathway ,Catharanthus roseus ,Carbohydrate ,biology.organism_classification ,Isozyme ,chemistry.chemical_compound ,Fructose 2,6-bisphosphate ,chemistry ,Biochemistry ,In vivo ,Phosphogluconate dehydrogenase ,Agronomy and Crop Science - Abstract
Summary The activities of two isoenzymes of 6-phosphogluconate dehydrogenase from suspension-cultured cells of Catharanthus roseus were not inhibited by 10 μM fructose-2,6-bisphosphate, which has been reported to be a potent inhibitor of 6-phosphogluconate dehydrogenase from castor beans. Slight inhibition was observed when the concentration of this compound was increased to 1 mM. However, this concentration of fructose-2,6-bisphosphate is more than 100 times higher than the estimated concentration in vivo. The activity of the isoenzymes of 6-phosphogluconate dehydrogenase from Catharanthus roseus was inhibited competitively by glucose- 1,6-bisphosphate. The Ki values of two isoenzymes were 190 μM and 175 μM, respectively. These data suggest that inhibition of 6-phosphogluconate dehydrogenase by fructose-2,6bisphosphate is not of great importance in the regulation of the pentose phosphate pathway in Catharanthus roseus cells in vivo .
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- 1988
420. Arginase activity in peripheral erythrocytes in developing individuals
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Makoto Yoshino, Shuichi Aramaki, Yasutoshi Koga, Fumio Yamashita, and Kaoru Kubota
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Male ,medicine.medical_specialty ,Erythrocytes ,Adolescent ,Child Development ,Age groups ,Internal medicine ,medicine ,Humans ,Child ,chemistry.chemical_classification ,Venipuncture ,biology ,Arginase ,Significant difference ,Infant, Newborn ,Infant ,General Medicine ,Enzyme assay ,Peripheral ,Endocrinology ,Enzyme ,chemistry ,Child, Preschool ,Immunology ,biology.protein ,Human erythrocytes ,Female - Abstract
The arginase activity in peripheral erythrocytes from individuals of various age groups was studied. The mean arginase activity was highest in the neonates, but there was no statistically significant difference between the infants and children or adults. There was no difference in the enzyme activities of males and females. A comparison was made between arginase activities in blood specimens obtained by venipuncture and those collected in capillary tubes, which revealed a high correlation. This method permits measurement of arginase activity in small amounts (approximately 250 μl) of blood, which renders determination of the enzyme activity easily applicable to neonates.
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- 1983
421. Argininemia: Report of a New Case and Mechanisms of Orotic Aciduria and Hyperammonemia
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Kaoru Kubota, Makoto Yoshino, Fumio Yamashita, Ichiro Yoshida, and Tatsuo Murakami
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medicine.medical_specialty ,Orotic acid ,Arginine ,Chemistry ,Ornithine transcarbamylase ,Hyperammonemia ,medicine.disease ,Argininemia ,Arginase ,Endocrinology ,Internal medicine ,Urea cycle ,medicine ,Orotic aciduria ,medicine.drug - Abstract
Arqininemia is a rare inborn error of ureagenesis due to a deficiency of arginase activity (Terheggen et al., 1969; Terheggen, et al., 1970a; Terheggen et al., 1970b; Terheggen et al., 1975; Cederbaum et al., 1976; Snyderman et al., 1977; Cederbaum et al., 1977; Michels and Beaudet, 1978; Snyderman et al., 1979). Despite the apparent defect in enzyme activity, hyperammonemia is only intermittently observed in this disease, unlike other enzymopathies of the urea cycle. Increase in orotic acid excretion is also another biochemical characteristic of this disease (Snyderman et al., 1977; Bachmann and Colombo, 1980). However, the mechanisms of hy-perammonemia and orotic aciduria have not been thoroughly explained. The purpose of this communication is to describe clinical features at 2 hours of testing. Concentration of arginine was elevated also in cerebrospinal fluid (1.91 mg/dl, normal range; 0.15–0.55 mg/dl), orotic aciduria.
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- 1982
422. Quality of life and its associations with illness perceptions over a 3-month follow-up period in patients with non-small cell lung cancer: A prospective longitudinal study.
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AYAKO MATSUDA, KUNIHIKO KOBAYASHI, KAORU KUBOTA, YUKARI TSUBATA, KENICHI INOUE, RAJEN RAMAI, KROEP, JUDITH R., FISCHER, MAARTEN J., KAPTEIN, AD A., and KAZUE YAMAOKA
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QUALITY of life , *FOLLOW-up studies (Medicine) , *TUMORS , *LUNGS , *LUNG cancer - Abstract
In the present prospective longitudinal study with a 3-month follow-up period, the changes in global quality of life (QOL) were investigated over a 3-month period in patients with non-small cell lung cancer (NSCLC). The associations between changes in QOL and illness perceptions were examined. Illness perception groups were classified into two groups by the mean of items of illness perceptions at baseline as follows: 'Strong perception' (strong group) or 'weak perception' (weak group) of the illness. A linear mixed-effects model was used to compare illness perception in the groups in relation to global QOL over a period of 3 months. During the follow-up period, 34 patients were enrolled; 11 patients did not complete the questionnaire on global QOL. Patients in the weak group exhibited a tendency for a lower global QOL over the 3-month period in all illness perception items. The analysis revealed no significant change in global QOL over time in the majority of illness perception dimensions, apart from that related to identity. In this item, the global QOL exhibited a significant difference between the groups over time. The strong group exhibited increased global QOL scores over the 3-month period than the weak group. Patients who did not have a more sinister view of the illness prior to treatment exhibited a tendency for a decreased global QOL. In addition, patients in the strong perception group had several complaints prior to treatment in the identity item at baseline, and these patients had an increased global QOL over the follow-up period. On the whole, the present study demonstrates that the evaluation of QOL may be useful for providing long-term supportive care and may help to address future interventions targeting illness perceptions for patients with NSCLC. [ABSTRACT FROM AUTHOR]
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- 2021
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423. Effective Crizotinib schedule for an elderly patient with ALK rearranged non-small-cell lung cancer: a case report
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Akihiko Miyanaga, Aya Fukuizumi, Akihiko Gemma, Yasuhiro Kato, Shinji Nakamichi, Masahiro Seike, Rintaro Noro, Kumi Chubachi, Shinobu Kunugi, Masaru Matsumoto, Yuji Minegishi, and Kaoru Kubota
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Congestive heart failure ,Male ,Oncology ,Pathology ,medicine.medical_specialty ,Lung Neoplasms ,Pyridines ,medicine.medical_treatment ,Case Report ,Drug Administration Schedule ,General Biochemistry, Genetics and Molecular Biology ,Crizotinib ,Carcinoma, Non-Small-Cell Lung ,hemic and lymphatic diseases ,Internal medicine ,Natriuretic Peptide, Brain ,medicine ,Humans ,Anaplastic lymphoma kinase ,Anaplastic Lymphoma Kinase ,Lung cancer ,Aged, 80 and over ,Gene Rearrangement ,Medicine(all) ,Chemotherapy ,EML4–ALK ,business.industry ,Biochemistry, Genetics and Molecular Biology(all) ,Receptor Protein-Tyrosine Kinases ,General Medicine ,Gene rearrangement ,medicine.disease ,Carcinoembryonic Antigen ,Radiography ,Schedule ,Treatment Outcome ,Docetaxel ,Tumor progression ,Pyrazoles ,Adenocarcinoma ,business ,Non-small-cell lung cancer ,medicine.drug - Abstract
Background Non-small-cell lung cancers (NSCLCs) harboring translocations in anaplastic lymphoma kinase (ALK) are highly sensitive to small-molecule ALK kinase inhibitors, such as crizotinib. Case presentation We describe a case of post-operative local recurrence of lung adenocarcinoma in an 81 year-old male. He underwent radiation and received chemotherapy with docetaxel, but neither treatment regimen was effective. Following identification of ALK rearrangements, crizotinib treatment was initiated. After treatment with crizotinib for 5 days, adverse events including acute renal failure (grade 2/CTCAE ver4.0) and congestive heart failure (grade 3) occurred. Crizotinib modified treatment was required. Half dose of crizotinib treatment could not control tumor progression. Ultimately, crizotinib was administrated at a dose of 250 mg twice daily every 3 day dosing for 13 months with maintenance of the anti-tumor effect. Conclusion This is the first case report that skip schedule was more effective than dose reduction daily in crizotinib administration for ALK rearranged NSCLC patient with severe adverse events.
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424. International Ocean Discovery Program; Expedition 361 preliminary report; South African climates (Agulhas LGM density profile); 30 January-31 March 2016
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Hall, Ian R., Hemming, Sidney R., Levay, Leah J., Barker, Stephen R., Berke, Melissa A., Luna Brentegani, Thibaut Caley, Alejandra Cartagena-Sierra, Charles, Christopher D., Coenen, Jason J., Crespin, Julien G., Franzese, Allison M., Jens Gruetzner, Han Xibin, Hins, Sophia K. V., Jimenez Espejo, Francisco J., Janna Just, Andreas Koutsodendris, Kaoru Kubota, Nambiyathodi Lathika, Norris, Richard D., Thiago Pereira dos Santos, Rebecca Robinson, Rolison, John M., Simon, Margit H., Deborah Tangunan, Jeroen van der Lubbe, Masako Yamane, Zhang Hucai, and Geology and Geochemistry
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Africa ,Agulhas Current ,Algae ,Atlantic Meridional Overturning Circulation ,Atlantic Ocean ,Biostratigraphy ,Cenozoic ,Chemostratigraphy ,Climate effects ,Continental margin ,Cores ,Currents ,Expedition 361 ,Foraminifera ,IODP Site U1474 ,IODP Site U1475 ,IODP Site U1476 ,IODP Site U1477 ,IODP Site U1478 ,IODP Site U1479 ,Indian Ocean ,International Ocean Discovery Program ,Invertebrata ,Last glacial maximum ,Lithostratigraphy ,Magnetostratigraphy ,Marine sediments ,Microfossils ,Mozambique Channel ,Nannofossils ,Neogene ,Ocean circulation ,Ocean currents ,Paleo-oceanography ,Paleoclimatology ,Paleomagnetism ,Physical properties ,Plantae ,Pleistocene ,Pliocene ,Protista ,Quaternary ,Sediments ,South Atlantic ,Southeast Atlantic ,Southern Africa ,Tertiary ,SDG 14 - Life Below Water ,12 Stratigraphy, Historical Geology and Paleoecology - Abstract
International Ocean Discovery Program (IODP) Expedition 361 drilled six sites on the southeast African margin and in the Indian-Atlantic ocean gateway, southwest Indian Ocean, from 30 January to 31 March 2016. In total, 5175 m of core was recovered, with an average recovery of 102%, during 29.7 days of on-site operations. The sites, situated in the Mozambique Channel at locations directly influenced by discharge from the Zambezi and Limpopo River catchments, the Natal Valley, the Agulhas Plateau, and Cape Basin, were targeted to reconstruct the history of the greater Agulhas Current system over the past ∼5 my. The Agulhas Current is the strongest western boundary current in the Southern Hemisphere, transporting some 70 Sv of warm, saline surface water from the tropical Indian Ocean along the East African margin to the tip of Africa. Exchanges of heat and moisture with the atmosphere influence southern African climates, including individual weather systems such as extratropical cyclone formation in the region and rainfall patterns. Recent ocean model and paleoceanographic data further point at a potential role of the Agulhas Current in controlling the strength and mode of the Atlantic Meridional Overturning Circulation (AMOC) during the Late Pleistocene. Spillage of saline Agulhas water into the South Atlantic stimulates buoyancy anomalies that act as control mechanisms on the basin-wide AMOC, with implications for convective activity in the North Atlantic and global climate change. The main objectives of the expedition were to establish the sensitivity of the Agulhas Current to climatic changes during the Pliocene-Pleistocene, to determine the dynamics of the Indian-Atlantic gateway circulation during this time, to examine the connection of the Agulhas leakage and AMOC, and to address the influence of the Agulhas Current on African terrestrial climates and coincidences with human evolution. Additionally, the expedition set out to fulfill the needs of the Ancillary Project Letter, consisting of high-resolution interstitial water samples that will constrain the temperature and salinity profiles of the ocean during the Last Glacial Maximum. The expedition made major strides toward fulfilling each of these objectives. The recovered sequences allowed generation of complete spliced stratigraphic sections that span from 0 to between ∼0.13 and 7 Ma. This sediment will provide decadal- to millennial-scale climatic records that will allow answering the paleoceanographic and paleoclimatic questions set out in the drilling proposal.
425. Control of the MYC-eIF4E axis plus mTOR inhibitor treatment in small cell lung cancer
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Masahiro Seike, Teppei Sugano, Kazuhiro Kitamura, Chie Soeno, Kaoru Kubota, Akihiko Miyanaga, Susumu Takeuchi, Rintaro Noro, Akihiko Gemma, and Masaru Matsumoto
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Small interfering RNA ,Cancer Research ,mTOR inhibitor ,MYC ,Receptor tyrosine kinase ,Proto-Oncogene Proteins c-myc ,Cell Line, Tumor ,medicine ,Genetics ,Humans ,PI3K/AKT/mTOR pathway ,Sirolimus ,Everolimus ,Small cell lung cancer ,biology ,TOR Serine-Threonine Kinases ,RPTOR ,everolimus ,Small Cell Lung Carcinoma ,Gene Expression Regulation, Neoplastic ,Eukaryotic Initiation Factor-4E ,Oncology ,Drug Resistance, Neoplasm ,Cell culture ,eIF4E ,Cancer research ,biology.protein ,Signal transduction ,Research Article ,Signal Transduction ,medicine.drug - Abstract
Background Mammalian target of rapamycin (mTOR) inhibitors have anti-tumor effects against renal cell carcinoma, pancreatic neuroendocrine cancer and breast cancer. In this study, we analyzed the antitumor effects of mTOR inhibitors in small cell lung cancer (SCLC) cells and sought to clarify the mechanism of resistance to mTOR inhibitors. Methods We analyzed the antitumor effects of three mTOR inhibitors including everolimus in 7 SCLC cell lines by MTS assay. Gene-chip analysis, receptor tyrosine kinases (RTK) array and Western blotting analysis were performed to identify molecules associated with resistance to everolimus. Results Only SBC5 cells showed sensitivity to everolimus by MTS assay. We established two everolimus resistant-SBC5 cell lines (SBC5 R1 and SBC5 R10) by continuous exposure to increasing concentrations of everolimus stepwise. SPP1 and MYC were overexpressed in both SBC5 R1 and SBC5 R10 by gene-chip analysis. High expression levels of eukaryotic translation initiation factor 4E (eIF4E) were observed in 5 everolimus-resistant SCLC cells and SBC5 R10 cells by Western blotting. MYC siRNA reduced eIF4E phosphorylation in SBC5 cells, suggesting that MYC directly activates eIF4E by an mTOR-independent bypass pathway. Importantly, after reduction of MYC or eIF4E by siRNAs, the SBC5 parent and two SBC5-resistant cells displayed increased sensitivity to everolimus relative to the siRNA controls. Conclusion These findings suggest that eIF4E has been shown to be an important factor in the resistance to everolimus in SCLC cells. Furthermore, a link between MYC and mTOR-independent eIF4E contribute to the resistance to everolimus in SCLC cells. Control of the MYC-eIF4E axis may be a novel therapeutic strategy for everolimus action in SCLC.
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426. MET FISH-positive status predicts short progression-free survival and overall survival after gefitinib treatment in lung adenocarcinoma with EGFR mutation
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Seiji Kosaihira, Kaoru Kubota, Chie Soeno, Masahiro Seike, Kazuhiro Kitamura, Fenfei Zou, Kuniko Matsuda, Akinobu Yoshimura, Nobuhiko Nishijima, Rintaro Noro, Akihiko Gemma, Teppei Sugano, Yuji Minegishi, and Masaru Matsumoto
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Oncology ,Adult ,Male ,medicine.medical_specialty ,Cancer Research ,Lung Neoplasms ,Adenocarcinoma of Lung ,Drug resistance ,Gene mutation ,Biology ,Adenocarcinoma ,Disease-Free Survival ,Gefitinib ,Surgical oncology ,Internal medicine ,medicine ,Genetics ,Humans ,Progression-free survival ,Lung cancer ,neoplasms ,In Situ Hybridization, Fluorescence ,Aged ,medicine.diagnostic_test ,Fluorescence in situ hybridization ,Middle Aged ,Proto-Oncogene Proteins c-met ,medicine.disease ,Prognosis ,respiratory tract diseases ,ErbB Receptors ,Gene Expression Regulation, Neoplastic ,Mutation ,Cancer research ,Quinazolines ,MET ,Female ,EGFR mutation ,medicine.drug ,Research Article - Abstract
Background Lung adenocarcinoma patients with EGFR gene mutations have shown a dramatic response to gefitinib. However, drug resistance eventually emerges which limits the mean duration of response. With that in view, we examined the correlations between MET gene status as assessed by fluorescence in situ hybridization (FISH) with overall survival (OS) and progression-free survival (PFS) in adenocarcinoma patients with EGFR gene mutations who had received gefitinib therapy. Methods We evaluated 35 lung cancer samples with EGFR mutation from adenocarcinoma patients who had received gefitinib. Gene copy numbers (GCNs) and amplification of MET gene before gefitinib therapy was examined by FISH. MET protein expression was also evaluated by immunohistochemistry (IHC). Results FISH assessment showed that of the 35 adenocarcinoma samples, 10 patients (29%) exhibited high polysomy (5 copies≦mean MET per cell) and 1 patient (3%) exhibited amplification (2≦MET gene (red)/CEP7q (green) per cell). IHC evaluation of MET protein expression could not confirm MET high polysomy status. The Eleven patients with MET FISH positivity had significantly shorter progression-free survival (PFS) and overall survival (OS) than the 24 patients who were MET FISH-negative (PFS: p = 0.001 and OS: p = 0.03). Median PFS and OS with MET FISH-positivity were 7.6 months and 16.8 months, respectively, whereas PFS and OS with MET FISH-negativity were 15.9 months and 33.0 months, respectively. Univariate analysis revealed that MET FISH-positivity was the most significant independent factor associated with a high risk of progression and death (hazard ratio, 3.83 (p = 0.0008) and 2.25 (p = 0.03), respectively). Conclusions Using FISH analysis to detect high polysomy and amplification of MET gene may be useful in predicting shortened PFS and OS after Gefitinib treatment in lung adenocarcinoma. The correlation between MET gene status and clinical outcomes for EGFR-TKI should be further evaluated using large scale samples.
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427. The ITMIG/IASLC thymic epithelial tumors staging project: A proposed lymph node map for thymic epithelial tumors in the forthcoming 8th edition of the TNM classification of malignant tumors
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Kari Chansky, Ramón Rami-Porta, Patti A. Groome, Kazuya Kondo, James Huang, Seiki Hasegawa, Lee M. Krug, Vanessa Bolejack, F.Y. Bhora, Kelly G. Stratton, Dorothy Giroux, Marco Lucchi, Enrico Ruffini, Andrew T. Turrisi, Thomas W. Rice, Eugene H. Blackstone, Peter Goldstraw, Johan Vansteenkiste, Nagahiro Saijo, Andrew G. Nicholson, Michael D Peake, Mark Krasnik, Gustavo Lyons, David G. Beer, Jan P. van Meerbeeck, Conrad Falkson, Paul Baas, Harvey I. Pass, Wilfried Eberhardt, Yi-Long Wu, Yuji Tachimori, David C. Rice, Jeremy J. Erasmus, Hedy L. Kindler, Edith M. Marom, Ricardo Beyruti, Catherine Kennedy, Alan Mitchell, Kaoru Kubota, Charles F. Thomas, Antoon Lerut, Anna K. Nowak, Lynn Shemanski, Kemp H. Kernstine, Kenji Suzuki, John G. Edwards, Frank C. Detterbeck, Laura Kingsbury, Kenneth E. Rosenzweig, Hisao Asamura, John Crowley, Ming-Sound Tsao, Mirella Marino, Françoise Galateau-Salle, William D. Travis, Jhingook Kim, Jean-Paul Sculier, Pier Luigi Filosso, Meinoshin Okumura, Valerie W. Rusch, Paul Van Schil, Giuseppe Giaccone, Kouki Inai, Hirokazu Watanabe, Takashi Nakano, David J. Chen, Young Tae Kim, David Ball, Fergus V. Gleeson, Haruhiko Kondo, Kristiaan Nackaerts, Staging Prognostic Factors Comm, Advisory Boards, and Eberhardt, Wilfried (Beitragende*r)
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Pulmonary and Respiratory Medicine ,Pathology ,medicine.medical_specialty ,Thymoma ,Humans ,Lymph Nodes ,Lymphatic Metastasis ,Neoplasms, Glandular and Epithelial ,Thymus Neoplasms ,Thymic node map ,Medizin ,Disease ,Malignancy ,Neoplasms ,Glandular and Epithelial ,Anterior mediastinal node map ,Thymic carcinoma ,medicine ,Lung cancer ,Lymph node ,business.industry ,Anterior mediastinal nodes ,Thymic malignancy ,medicine.disease ,ITMIG ,Dissection ,Thymic neuroendocrine tumor ,medicine.anatomical_structure ,Lymphatic system ,Oncology ,Radiology ,Human medicine ,business - Abstract
Although the presence of nodal disease is prognostic in thymic malignancy, the significance of the extent of nodal disease has yet to be defined. Lymph node dissection has not been routinely performed, and there is currently no node map defined for thymic malignancy. To establish a universal language for reporting as well as characterize the staging of this disease more accurately, an empiric node map is proposed here. This was developed using prior classification systems, series reporting specifics of nodal involvement, anatomical studies of lymphatic drainage, and preexisting node maps of the chest as defined by the International Association for the Study of Lung Cancer and the neck as defined by the American Academy of OtolaryngologyHead and Neck Surgery and the American Society for Head and Neck Surgery. The development of this node map was a joint effort by the International Thymic Malignancy Interest Group and the Thymic Domain of the IASLC Staging and Prognostic Factors Committee. It was reviewed and subsequently approved by the members of ITMIG. This map will be used as an adjunct to define node staging as part of a universal stage classification for thymic malignancy. As more data are gathered using definitions set forth by this node map, a revision may be undertaken in the future.
428. Argininemia: Report of a Case
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Fumio Yamashita, Tatsuo Murakami, Ichiro Yoshida, Kaoru Kubota, and Makoto Yoshino
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Pediatrics ,medicine.medical_specialty ,business.industry ,Pediatrics, Perinatology and Child Health ,medicine ,business ,medicine.disease ,Argininemia - Published
- 1980
429. Determination of Hydrogen Peroxide in Foods by the 3-Methyl-2-benzothiazolone Hydrazone Method
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Mutsuo Ishizaki, Kaoru Kubota, Fujio Kataoka, Seiichi Ueno, Ritsuko Murakami, Noritaka Oyamada, and Kaoru Katsumura
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biology ,Inorganic chemistry ,Formaldehyde ,General Medicine ,Peroxide ,chemistry.chemical_compound ,chemistry ,Distilled water ,Catalase ,Acetone ,biology.protein ,medicine ,Ferric ,Methanol ,Hydrogen peroxide ,medicine.drug ,Nuclear chemistry - Abstract
An advanced method of determination of hydrogen peroxide in foods has been investigated.Hydrogen peroxide in sample was extracted with two times volume of methanol. 1ml of the extract containing hydrogen peroxide was transferred into a 20ml of test tube, and 3ml of distilled water and catalase solution (2, 000 I. U.) were added to the extract in the test tube and warmed for 15min at 37°C to produce the formaldehyde quantitatively. Then 1ml of 0.4% 3-methyl-2-benzothiazolone hydrazone hydrochloride solution was added into the test tube and warmed again for 25min at 37°C, and 5ml of 0.2% ferric nitrate solution was added, then the test tube was allowed to stand for 5min at room temperature for complete development of the color. The reaction mixture was diluted to 20ml with acetone. The absorbance of the solution was determined at 635nm of the wave length.Under the condition described above, it was found that the hydrogen peroxide in some kind of food could be determined with recovery 97-107% and variation coefficient of about 5%.
- Published
- 1978
430. Uptake and Metabolism of Sugars by Suspension cultured Catharanthus roseus Cells
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Hiroshi Ashihara, Kaoru Kubota, and Kyoko Sagishima
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Biochemistry ,biology ,Apocynaceae ,Fructolysis ,Metabolism ,Plant Science ,Catharanthus roseus ,Carbohydrate ,biology.organism_classification ,Suspension culture ,Suspension (chemistry) - Published
- 1989
431. Determination of Bromate in Foods by Gas Chromatography
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Noritaka Oyamada, Seiichi Ueno, Kaoru Kubota, and Mutsuo Ishizaki
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chemistry.chemical_compound ,Acetic acid ,Chromatography ,chemistry ,Distilled water ,Sodium hydroxide ,Potassium bromide ,Potassium ,chemistry.chemical_element ,Sulfuric acid ,General Medicine ,Bromate ,Styrene - Abstract
An improved method for quantitative determination of bromate in bread and fish paste products was established.A sample was homogenized with distilled water and made up to 200ml after centrifugation. The supernatant was filtered and n-butanol-ethanol (2:1) mixture was added to 10ml of the filtrate. The mixture was allowed to stand for 10min then centrifuged to remove the precipitate. DEAE-Sephadex A-25 suspension and acetic acid were added to the supernatant, and the mixture was stirred for 5min. After centrifugation, the supernatant was subjected to the same procedure with DEAE-Sephadex A-25 suspension. The DEAE-Sephadex A-25 was mixed with ethanol, and rinsed twice with ethanol, 5.0% acetic acid and distilled water. The solid was packed in a chromatocolumn, and bromate was eluted with 30ml of 30% potassium chloride solution. Two ml of 4×10-3M styrene monomer solution (washed with 1% sodium hydroxide solution before use), 1ml of 0.01M potassium bromide solution and 1ml of sulfuric acid were added to the effluent, and the whole was shaken vigorously. Styrene bromo derivative was extracted with 2ml of n-hexane, and bromate was determined by ECD-GC.In this method, it was found that bromate in foods could be determined with a recovery of 80-92.3% and a variation coefficient of 6.2-2.6%. The detection limit was 0.01μg/g.
- Published
- 1983
432. P1-253: Quality of life (QOL) evaluation for advanced non-small cell lung cancer (NSCLC): a comparison between vinorelbine and gemcitabine followed by docetaxel (VGD) versus paclitaxel and carboplatin (PC) regimen on a phase III protocol JMTO LC00-03 (BRI LC03-01)
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Masanori Fukushima, Harue Tada, Tetsu Shinkai, Kaoru Kubota, Akihiro Tokoro, Masaaki Kawahara, Kiyoyuki Furuse, Satoshi Teramukai, and Ryota Ishiwata
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Pulmonary and Respiratory Medicine ,Oncology ,medicine.medical_specialty ,business.industry ,non-small cell lung cancer (NSCLC) ,Phase III Protocol ,medicine.disease ,Vinorelbine ,Carboplatin ,Gemcitabine ,chemistry.chemical_compound ,chemistry ,Paclitaxel ,Docetaxel ,Quality of life ,Internal medicine ,medicine ,business ,medicine.drug - Full Text
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433. P2-274: Clinical benefits of pemetrexed 500 mg/m2 and 1000 mg/m2 in a randomized phase II study for pretreated patients with locally advanced or metastatic non–small cell lung cancer (NSCLC)
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Kaoru Kubota, Nobuyuki Yamamoto, Yutaka Nishiwaki, Tomohide Tamura, S. Adachi, Masahiro Fukuoka, Kazuhiko Nakagawa, Yoshihiro Nambu, Nagahiro Saijo, and Satoshi Morita
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Pulmonary and Respiratory Medicine ,Oncology ,medicine.medical_specialty ,business.industry ,Internal medicine ,medicine ,Locally advanced ,Phases of clinical research ,non-small cell lung cancer (NSCLC) ,Pemetrexed 500 MG ,business ,medicine.disease - Full Text
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434. Rapport between Cancer Patients and Their Physicians is Critical for Patient Satisfaction with Treatment Decisions.
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Junko Umihara, Mariko Nishikitani, and Kaoru Kubota
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CANCER patient medical care , *PATIENT satisfaction , *EVALUATION of medical care , *QUALITY of service , *POSTOPERATIVE care , *SURVEYS - Abstract
Background: Cancer patients' satisfaction with their treatment decisions has been demonstrated to be associated with improved health outcomes, but few studies of this issue have been conducted in Japan. Objective: To explore key factors in enhancing patient satisfaction, we assessed the association between their satisfaction and their relationships with their physicians. Methods: We conducted cross-sectional questionnaire surveys among patients who had received cancer treatment. One source was outpatients from a cancer center hospital, and the other was through the website of Japan's most popular newspaper. The questionnaire included demographic questions and general self-rated life status issues, such as peace of mind, quality of life, daily activities, family relationships, rapport with attending physician, assessment of the physician's explanations, and feelings of happiness during the previous week. Results: Of 576 respondents, 383 subjects said they were satisfied and 193 dissatisfied. It was confirmed that the online survey was comparable to the paper-based survey in examining patient satisfaction. The dissatisfied group included more females and fewer subjects who were forced to retire from jobs than the satisfied group. The patients in the satisfied group had a more favorable subjective opinion of their recent life. The patients in the dissatisfied group received more chemotherapy and had more side effects than those in the satisfied group. Assessment of the physician's role showed significant differences between the two groups; the patients in the satisfied group felt more than those in the dissatisfied group that their physicians' explanations of treatment were sufficient and were satisfied with their rapport with their physicians. Multiple logistic regression analysis revealed that rapport with physicians was a significant factor (odds ratio=3.79, 95% CI=2.25-6.39). Conclusions: Rapport between physicians and patients is one of the most important factors in patient satisfaction with treatment decisions. [ABSTRACT FROM AUTHOR]
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- 2016
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435. Evaluation of a Tool that Enables Cancer Patients to Participate in the Decision-Making Process during Treatment Selection.
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Kumi Chubachi, Junko Umihara, Akiko Yoshikawa, Shinji Nakamichi, Susumu Takeuchi, Masaru Matsumoto, Akihiko Miyanaga, Yuji Minegishi, Kazuo Yamamoto, Masahiro Seike, Akihiko Gemma, and Kaoru Kubota
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- *
CANCER patients , *PATIENT participation , *PATIENT decision making , *MEDICAL personnel , *PHYSICIANS - Abstract
Background: Patient participation in decisions related to their treatment is strongly recommended. This study was conducted to develop and evaluate a support tool that can help patients make decisions related to their own treatment. Methods: Twenty cancer patients who were hospitalized for first-line treatment were enrolled. Before hospitalization, a 'Check sheet on treatment selection', which contained 14 questions, was distributed to patients and/or their families. After hospitalization, the attending physician explained the treatment while referring to the written check sheet. At discharge, patients' responses to the 'Questionnaire on check sheet and treatment selection' were collected to evaluate the utility of the check sheet. Finally, the 'Questionnaire of the check sheet' was handed to the attending physician to evaluate. Results: Of the fourteen patients who responded to the questionnaire, all indicated that the check sheets were helpful for decision-making and that using the sheets empowered them to ask their doctors questions. Only one person felt uncomfortable with compiling the check sheet. Physicians stated that the check sheet facilitated patient decision-making and improved communication with patients. However, some felt that this activity increased the administrative burden of medical professionals. Conclusion: Almost all patients stated that the present check sheet was useful as a decision support tool and facilitated communication between doctors and patients. Before incorporation into general clinical practice, this increased benefit should be weighed against the potential extra administrative workload imposed on clinicians. [ABSTRACT FROM AUTHOR]
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- 2021
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436. Intralymphatic histiocytosis in a patient with lung adenocarcinoma treated with pembrolizumab: a case report.
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Teppei Sugano, Masahiro Seike, Yoko Funasaka, Mai Yoshida, Ryoko Takayama, Ken Okamura, Asuka Nakanishi, Toru Tanaka, Susumu Takeuchi, Rintaro Noro, Yuji Minegishi, Kaoru Kubota, Hidehisa Saeki, and Akihiko Gemma
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- *
DRUG side effects , *SUPERIOR vena cava syndrome , *PEMBROLIZUMAB , *NON-small-cell lung carcinoma , *IMMUNE checkpoint inhibitors , *ENDOCRINE system , *ERDHEIM-Chester disease - Abstract
Background: Pembrolizumab, an anti-programmed cell death-1 protein monoclonal antibody, is effective for patients with advanced non-small-cell lung cancer. However, immune checkpoint inhibitors such as pembrolizumab induce various immune-related adverse events, involving the lung, liver, gastrointestinal, endocrine system, and skin. Intralymphatic histiocytosis (ILH) is a rare, chronic cutaneous disorder with a reactive inflammatory component, which often occurs in patients with rheumatoid arthritis. Case presentation: We present a 67-year-old man with lung adenocarcinoma who developed ILH associated with pembrolizumab treatment. He was treated with palliative thoracic radiotherapy for superior vena cava syndrome. Subsequently, he received four cycles of pembrolizumab. Approximately 2.5 months after the initiation of pembrolizumab, he developed erythema on the trunk of his body. Based on findings of skin biopsies, he was diagnosed with pembrolizumab-induced ILH. Moreover, the upregulation of tumor necrosis factor-α was observed during pembrolizumab therapy. Conclusions: This is the first report of ILH induced by pembrolizumab in a patient with lung adenocarcinoma. [ABSTRACT FROM AUTHOR]
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- 2019
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437. Organizing Pneumonia after Nivolumab Treatment in a Patient with Pathologically Proven Idiopathic Pulmonary Fibrosis.
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Takeru Kashiwada, Yuji Minegishi, Yoshinobu Saito, Tomomi Kato, Kenichiro Atsumi, Masahiro Seike, Kaoru Kubota, Akihiko Gemma, and Yasuhiro Terasaki
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- *
IDIOPATHIC pulmonary fibrosis , *INTERSTITIAL lung diseases , *PNEUMONIA , *LUNG cancer , *ANTINEOPLASTIC agents , *DRUG side effects - Abstract
Acute exacerbation of pre-existing interstitial lung disease (ILD) associated with systemic anticancer therapy is recognized as a life-threatening adverse event of lung cancer treatment. Programmed cell death 1 (PD-1) checkpoint inhibitors, such as nivolumab, often induce pneumonitis in patients with cancer; however, the tolerance and safety of nivolumab for advanced lung cancer with ILD are unclear. We report a 72-year-old patient with lung cancer with pathologically proven idiopathic pulmonary fibrosis who was treated with nivolumab. She demonstrated pneumonitis with an organized pneumonia (OP) pattern, but no acute exacerbation of ILD featuring a diffuse alveolar damage (DAD) pattern. She was successfully treated with corticosteroid therapy, and maintained good disease control after the discontinuation of nivolumab. She also showed pseudoprogression of the primary tumor, implying infiltration of T-cells into the lung. These findings suggest that T-cell activation by nivolumab treatment might not be directly associated with acute ILD exacerbation, and that treatable OP might be a major pulmonary complication of nivolumab in patients with pre-existing ILD, similar to patients without underlying ILD. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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438. A 10-Year History of Anti-Smoking Campaigns and Enlightenment Activities for Chronic Obstructive Pulmonary Disease for Citizens at the Plaza in Ebina City.
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Yozo Sato, Namiko Taniuchi, Shota Kaburaki, Naohiro Aruga, Kaoru Kubota, Masahiro Seike, Yoshimitsu Yamano, and Akihiko Gemma
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- *
OBSTRUCTIVE lung diseases - Abstract
Background: The prevalence of chronic obstructive pulmonary disease (COPD) is 8.6% in Japan and 10% worldwide. Unfortunately, many patients with COPD are not correctly identified and appropriately educated regarding the condition. In this paper, we demonstrate that some citizens of Ebina City with symptoms suspicious for COPD, such as cough, sputum production, and shortness of breath, have undiagnosed COPD. We describe our activities to raise awareness of COPD through a 10-year campaign. Methods: From 2006 to 2015, we developed activities to raise awareness of COPD, including public lectures, utilization of pulmonary function tests, and questionnaires on subjective symptoms and knowledge of COPD. Results: Among 1,206 participants aged>40 years, COPD was suspected in 5.6%, as indicated by airway obstruction (i.e. forced expiratory volume in 1 second (FEV1)/forced vital capacity ratio (FVC)<0.70). However, most of these participants were not diagnosed with COPD. Furthermore, half of these participants had not consulted a medical institution despite demonstrating symptoms. Results of the COPD awareness questionnaire, which was administered to 1,055 people, indicated that 65% of survey respondents were unaware of COPD. Conclusions: There are individuals with symptoms suspicious for COPD who are unaware of the disease at the Plaza in Ebina City. Clinicians have a responsibility to raise public awareness of COPD and to reduce the prevalence of COPD and its associated mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2019
439. A Drug Interaction between Crizotinib and Warfarin in Non-Small-Cell Lung Cancer: A Case Report.
- Author
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Yu Kubomura, Yuya Ise, Tetsuya Wako, Shirou Katayama, Rintaro Noro, and Kaoru Kubota
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DRUG interactions , *CRIZOTINIB , *WARFARIN , *NON-small-cell lung carcinoma , *DRUG side effects - Abstract
We report a case of increased prothrombin time-international normalized ratio (PT-INR) when crizotinib and warfarin were co-administered. A 74-year-old Japanese woman presented to the hospital with dyspnea, and was diagnosed with anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer (NSCLC). Three years after surgical resection of the tumor, the patient started crizotinib because of the recurrence of NSCLC. She received 2 mg/day warfarin due to a medical history of cerebral infarction and chronic atrial fibrillation. Before crizotinib initiation, the patient's PT-INR was 2.60. After 7 days of daily doses of crizotinib, the patient's PT-INR increased to 3.65. This case report provides the first evidence of a drug interaction between crizotinib and warfarin. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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440. Clinical features, anti-cancer treatments and outcomes of lung cancer patients with combined pulmonary fibrosis and emphysema.
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Yuji Minegishi, Nariaki Kokuho, Yukiko Miura, Masaru Matsumoto, Akihiko Miyanaga, Rintaro Noro, Yoshinobu Saito, Masahiro Seike, Kaoru Kubota, Arata Azuma, Kouzui Kida, and Akihiko Gemma
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- *
LUNG cancer patients , *LUNG cancer treatment , *LUNG cancer risk factors , *HEALTH outcome assessment , *PULMONARY fibrosis , *PULMONARY emphysema , *CANCER chemotherapy - Abstract
Background Combined pulmonary fibrosis and emphysema (CPFE) patients may be at significantly increased risk of lung cancer compared with either isolated emphysema or pulmonary fibrosis patients. Acute exacerbation (AE) of interstitial lung disease caused by anticancer treatment is the most common lethal complication in Japanese lung cancer patients. Nevertheless, the clinical significance of CPFE compared with isolated idiopathic interstitial pneumonias (IIPs) in patients with lung cancer is not well understood. Methods A total of 1536 patients with lung cancer at Nippon Medical School Hospital between March 1998 and October 2011 were retrospectively reviewed. Patients with IIPs were categorized into two groups: (i) CPFE; IIP patients with definite emphysema and (ii) non-CPFE; isolated IIP patients without definite emphysema. The clinical features, anti-cancer treatments and outcomes of the CPFE group were compared with those of the non-CPFE group. Results CPFE and isolated IIPs were identified in 88 (5.7%) and 63 (4.1%) patients respectively, with lung cancer. AE associated with initial treatment occurred in 22 (25.0%) patients in the CPFE group and in 8 (12.7%) patients in the non-CPFE group, irrespective of treatment modality. Median overall survival (OS) of the CPFE group was 23.7 months and that of the non-CPFE group was 20.3 months (P=0.627). Chemotherapy was performed in a total of 83 patients. AE associated with chemotherapy for advanced lung cancer occurred in 6 (13.6%) patients in the CPFE group and 5 (12.8%) patients in the non-CPFE group. Median OS of the CPFE group was 14.9 months and that of the non-CPFE group was 21.6 months (P=0.679). Conclusion CPFE was not an independent risk factor for AE and was not an independent prognosis factor in lung cancer patients with IIPs. Therefore, great care must be exercised with CPFE as well as IIP patients when performing anticancer treatment for patients with lung cancer. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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441. Phase III, Randomized, Placebo-Controlled, Double-Blind Trial of Motesanib (AMG-706) in Combination With Paclitaxel and Carboplatin in East Asian Patients With Advanced Nonsquamous Non-Small-Cell Lung Cancer.
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Kubota K, Yoshioka H, Oshita F, Hida T, Yoh K, Hayashi H, Kato T, Kaneda H, Yamada K, Tanaka H, Ichinose Y, Park K, Cho EK, Lee KH, Lin CB, Yang JC, Hara K, Asato T, and Nakagawa K
- Subjects
- Aged, Carcinoma, Non-Small-Cell Lung pathology, Double-Blind Method, Female, Hong Kong, Humans, Japan, Lung Neoplasms pathology, Male, Middle Aged, Neoplasm Recurrence, Local drug therapy, Neoplasm Staging, Niacinamide administration & dosage, Oligonucleotides, Republic of Korea, Survival Rate, Treatment Outcome, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Carboplatin administration & dosage, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung ethnology, Indoles administration & dosage, Lung Neoplasms drug therapy, Lung Neoplasms ethnology, Niacinamide analogs & derivatives, Paclitaxel administration & dosage
- Abstract
Purpose This phase III, randomized, placebo-controlled, double-blind study determined whether motesanib improved progression-free survival (PFS) compared with placebo in combination with paclitaxel and carboplatin (P/C) in East Asian patients with stage IV/recurrent nonsquamous non-small-cell lung cancer. Patients and Methods Patients were randomly assigned (1:1) to receive oral motesanib 125 mg or placebo once daily plus paclitaxel 200 mg/m
2 IV and carboplatin area under the concentration-time curve 6 mg/mL ⋅ min IV for up to six 3-week cycles. Random assignment was stratified by epidermal growth factor receptor status, region, and weight loss in the 6 months before assignment. The primary end point was PFS, the key secondary end point was overall survival, and other secondary end points were objective response rate, time to tumor response, duration of response, and adverse events (AEs). Results Four hundred one patients were assigned to receive motesanib plus P/C (n = 197) or placebo plus P/C (n = 204). Median PFS was 6.1 v 5.6 months for motesanib versus placebo (stratified log-rank test P = .0825; stratified hazard ratio, 0.81; 95% CI, 0.64 to 1.03; P = .0820); median overall survival was not reached versus 21.6 months ( P = .5514). In secondary analyses, the objective response rate was 60.1% v 41.6% ( P < .001); median time to tumor response, 1.4 v 1.6 months, and median duration of response, 5.3 v 4.1 months. Incidence of grade ≥ 3 AEs (86.7% v 67.6%) and AEs that led to drug discontinuation (32.7% v 14.2%) were higher with motesanib than with placebo. AEs reported more frequently with motesanib were GI disorders, hypertension, and gallbladder related. Conclusion Motesanib plus P/C did not significantly improve PFS versus placebo plus P/C in East Asian patients with stage IV/recurrent nonsquamous non-small-cell lung cancer.- Published
- 2017
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442. Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized controlled trial.
- Author
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Fujimori M, Shirai Y, Asai M, Kubota K, Katsumata N, and Uchitomi Y
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- Adult, Anxiety etiology, Anxiety prevention & control, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Satisfaction, Trust, Clinical Competence, Communication, Education, Medical, Continuing trends, Medical Oncology education, Neoplasms psychology, Patient Preference, Physician-Patient Relations, Truth Disclosure
- Abstract
Purpose: The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication., Participants and Methods: Thirty oncologists were randomly assigned to either an intervention group (IG; 2-day CST workshop) or control group (CG). Participants were assessed on their communication performance during simulated consultation and their confidence in communicating with patients at baseline and follow-up. A total of 1,192 patients (response rate, 84.6%) who had consultations with the participating oncologists at baseline and/or follow-up were assessed regarding their distress using the Hospital Anxiety and Depression Scale, satisfaction with the consultation, and trust in their oncologist after the consultation., Results: At the follow-up survey, the performance scores of the IG had improved significantly, in terms of their emotional support (P = .011), setting up a supportive environment (P = .002), and ability to deliver information (P = .001), compared with those of the CG. Oncologists in the IG were rated higher at follow-up than those in the CG in terms of their confidence in themselves (P = .001). Patients who met with oncologists after they had undergone the CST were significantly less depressed than those who met with oncologists in the CG (P = .027). However, the CST program did not affect patient satisfaction with oncologists' style of communication., Conclusion: A CST program based on patient preferences is effective for both oncologists and patients with cancer. Oncologists should consider CST as an approach to enhancing their communication skills., (© 2014 by American Society of Clinical Oncology.)
- Published
- 2014
- Full Text
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