Publications by authors named "Katsunori Masaki"

Background: Various prolonged systemic symptoms, forming the long coronavirus disease (COVID), have been observed in patients who have recovered from the acute phase of COVID-19. Although previous studies have reported that COVID-19 impacts health-related quality of life (HRQoL), the associations of long COVID symptoms and clinical characteristics with HRQoL remain unclear. This study aimed to clarify these associations using nationwide Japanese epidemiological data.

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Predictive models for determining coronavirus disease 2019 (COVID-19) severity have been established; however, the complexity of the interactions among factors limits the use of conventional statistical methods. This study aimed to establish a simple and accurate predictive model for COVID-19 severity using an explainable machine learning approach. A total of 3,301 patients ≥ 18 years diagnosed with COVID-19 between February 2020 and October 2022 were included.

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Background: Persistent cough bothers many patients with asthma because it worsens their quality of life; therefore, it must be remedied immediately. The efficacy of triple therapy as a first-line treatment for cough remains unclear. To evaluate the effectiveness and safety of the triple therapy against persistent cough, the clinical effect of regular treatment with fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) or placebo in adult patients with asthma was investigated.

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Background: Although randomized controlled trials (RCT) have demonstrated the efficacy of mepolizumab for asthma, they have excluded certain patient subgroups. To bridge the gap between RCT and real-world practice, the effectiveness of mepolizumab in a diverse population, including those potentially excluded from RCT, was assessed. Its effects on imaging findings and symptoms of chronic rhinosinusitis (CRS) with asthma were also assessed.

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Background: Coronary artery calcification (CAC) detected through chest computed tomography (CT) strongly predicts cardiovascular events in asymptomatic individuals undergoing primary prevention. Few studies with limited sample sizes have investigated the predictive value of CAC for cardiovascular complications in COVID-19. This study examined the impact of CAC on cardiovascular complications using a large-scale COVID-19 database.

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Background: This study examined the relationship between the disciplinary diversity of research teams and research output (RO) in allergy and immunology programs funded by the National Institutes of Health (NIH) in the United States, Medical Research Council (MRC) in the United Kingdom, and Japan Society for the Promotion of Science (JSPS).

Methods: Using a dataset containing 1243, 3645, and 1468 articles funded by the NIH, MRC, and JSPS, respectively, we analyzed the correlation between disciplinary diversity and RO in allergy and immunology programs that received grants from 2017 to 2021. Diversity was measured using All Science Journal Classification codes counts, Shannon-Wiener index, and newly developed Omnidisciplinary index (o-index).

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Article Synopsis
  • The study examined the prevalence and characteristics of long COVID among patients hospitalized during the first three waves of COVID-19 in Japan.
  • Significant differences were found in patients' baseline health and outcomes, with those hospitalized in the first wave showing a higher incidence of long COVID symptoms, particularly dyspnoea.
  • The findings highlight the importance of ongoing monitoring and support for long COVID in patients, especially for those affected during the initial wave of the pandemic.
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Objectives: We examined shifts in labor productivity and their economic ramifications among adult patients with long COVID in Japan.

Methods: A total of 396 patients were categorized into three groups based on symptom progression: non-long COVID, long COVID recovered, and long COVID persistent. Patient-reported outcomes were assessed at three time intervals: 3, 6, and 12 months after COVID-19 diagnosis.

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Background: Biologics are integral in the management of severe asthma. As the effectiveness of the anti-IL-5 receptor antibody benralizumab in Japan remains elusive, this study aimed to assess its real-world effectiveness in Japanese patients with severe asthma.

Methods: This prospective, interventional, single-arm clinical trial was conducted across ten facilities in Japan between September 2020 and July 2022.

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Article Synopsis
  • - Elevated blood eosinophil levels in COPD patients, particularly those with asthma-COPD overlap (ACO) and eosinophilic COPD (eCOPD), correlate with more frequent exacerbations and varying responses to inhaled corticosteroid treatments, due to unique inflammatory characteristics of eosinophils.
  • - The study utilized a multi-omics approach to analyze eosinophils from patients, revealing that virus-related and inflammatory response markers, as well as disrupted cholesterol metabolism, play crucial roles in the pathology of ACO and eCOPD.
  • - Findings suggest that treatments with atorvastatin, dexamethasone, and prostaglandin E2 (PGE2) can alter the inflammatory behavior of eos
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Article Synopsis
  • The study aimed to explore how serum ferritin and KL-6 levels can predict severe outcomes in COVID-19 patients, like death or needing intensive care.
  • Data from nearly 2,500 patients showed that different combinations of these markers were linked to different patient profiles and mortality rates.
  • Notably, using both markers together was better at predicting critical outcomes than using either marker on its own.
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  • This study investigates the factors contributing to prolonged dyspnea (difficulty breathing) in patients recovering from COVID-19, known as long COVID.
  • It involved a multicenter cohort from 26 medical institutions in Japan, analyzing clinical data and patient-reported outcomes over 3, 6, and 12 months.
  • Key findings indicate that chronic obstructive pulmonary disease (COPD), asthma, and the use of mechanical ventilation are significant risk factors for experiencing prolonged dyspnea in these patients.
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Acidic oral environments may trigger systemic contact dermatitis via ionization of metals, including palladium. A patch test revealed a late delayed positive response to palladium, emphasizing the need for nuanced diagnostic approaches for allergy management.

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Background: Aspergillus fumigatus is a pathogenic fungus known to be associated with severe asthma and allergic bronchopulmonary mycosis. However, the precise mechanisms underlying airway inflammation remain unclear. In this study, we investigated the direct modulation of human eosinophils by A.

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Background: Hay fever (HF) presents with various symptoms, including allergic conjunctivitis and rhinitis, and requires cross-organ treatment. This study assessed the impact of the coronavirus disease 2019 (COVID-19) pandemic on HF treatment trends.

Methods: This retrospective cohort study utilized data from the JMDC database collected between January 2018 and May 2021.

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Background: The therapeutic effectiveness of dupilumab for severe asthma in real-world settings is yet to be prospectively investigated across multiple institutions, and uncertainties persist regarding predictive factors for its effectiveness. We aimed to assess the effectiveness of dupilumab and identify predictors of its effectiveness in real-world settings using two type-2 biomarkers: FeNO concentration and blood eosinophil count.

Methods: This prospective multicenter study included 103 patients with severe asthma.

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Background: Clinical studies have demonstrated that IL-4, a type 2 cytokine, plays an important role in the pathogenesis of chronic rhinosinusitis and eosinophilic asthma. However, the direct effect of IL-4 on eosinophils remains unclear.

Objective: We aimed to elucidate the inflammatory effects of IL-4 on the functions of human eosinophils.

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Article Synopsis
  • This study investigates brain fog in COVID-19 patients, focusing on its clinical features and societal impact, particularly on work productivity.
  • A cohort of 1,009 hospitalized patients was analyzed, revealing that brain fog symptoms decreased after 3 months but remained stable up to 12 months, with certain neurological symptoms correlating to higher brain fog instances.
  • Key risk factors were identified, including advanced age, female sex, obesity, and pre-existing respiratory issues, with findings indicating that brain fog negatively affects labor productivity.
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  • There is a growing need for allergy care education that caters to both specialists and non-specialists in the medical field, as existing research on this topic is limited.
  • The ENGAGE-TF developed a virtual educational program called 'Outreach Lectures,' with support from the Japanese Society of Allergology, which was promoted widely and included a survey for feedback.
  • Results showed strong satisfaction among participants, especially non-specialist physicians, indicating a significant demand for allergy education in primary care, highlighting the importance of ongoing evaluation of educational effectiveness.
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Background: Renal impairment is a predictor of coronavirus disease (COVID-19) severity. No studies have compared COVID-19 outcomes in patients with chronic kidney disease (CKD) and patients with impaired renal function without a prior diagnosis of CKD. This study aimed to identify the impact of pre-existing impaired renal function without CKD on COVID-19 outcomes.

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