Publications by authors named "Kazuya Saito"

Background And Aims: Upper limb muscle thickness assessed by ultrasound could be useful to estimate whole body muscle mass. We investigated the association between low upper limb muscle thickness and prognosis in older patients with heart failure (HF).

Methods And Results: This study was a post-hoc analysis of a prospective multicenter cohort, namely, the SONIC-HF study.

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To address the challenges of scaling biologically inspired deployable structures, particularly focusing on translating the compact folding mechanism of earwig hind wings into human-scale engineering applications. Biological folding systems often lose structural efficiency at larger scales due to scaling laws, such as the square-cube law, making thickness and strength critical considerations. We analysed the geometric principles underlying the earwig () wing-folding mechanism and developed a parametric design methodology to replicate these principles for thick-panel materials.

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What factors determine the importance placed on different sources of evidence during speech and music perception? Attention-to-dimension theories suggest that, through prolonged exposure to their first language (L1), listeners become biased to attend to acoustic dimensions especially informative in that language. Given that selective attention can modulate cortical tracking of sounds, attention-to-dimension accounts predict that tone language speakers would show greater cortical tracking of pitch in L2 speech, even when it is not task-relevant, as well as an enhanced ability to attend to pitch in both speech and music. Here, we test these hypotheses by examining neural sound encoding, dimension-selective attention, and cue-weighting strategies in 54 native English and 60 Mandarin Chinese speakers.

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We demonstrate that isotropic octahedral (sixfold branched) junctions with three diagonal end point pairs of different colors almost inevitably form a macroscopic assembly of uniaxial order, exhibiting the perfect order of a single color. Monte Carlo simulations of the antiferromagnetic three-state Potts model on the tripartite reo net, consisting of corner-sharing regular octahedrons, confirm this counterintuitive prediction while showcasing switching self-assembly upon an ordering phase transition. The possible inequivalence of three directions, i.

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Introduction: Skeletal muscle mass and function are crucial for assessing physical frailty, sarcopenia, and cachexia, which significantly impact the prognosis of geriatric patients with heart failure (HF). Ultrasound-based assessment of skeletal muscles offers a non-invasive, real-time alternative to traditional methods. The study (SONIC-HF) aimed to evaluate the feasibility and prognostic impact of ultrasound-based muscle assessment in geriatric patients with HF.

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Aim: Sarcopenia is a prevalent comorbidity among older patients with heart failure. This study aimed to evaluate the differences between sarcopenia diagnosed using the Asian Working Group for Sarcopenia (AWGS) 2014 and 2019 criteria in older patients with heart failure.

Methods: This study is a post hoc sub-analysis of data from the FRAGILE-HF study, a prospective, multicenter, observational study.

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Aims: The prevalence and impact of cardiovascular, kidney, and metabolic (CKM) overlap on physical function and prognosis in older patients with heart failure (HF) remain unclear. This study aimed to assess the impact of overlapping CKM conditions on physical function and prognosis in older patients with HF.

Methods: This post-hoc analysis of the FRAGILE-HF (main cohort) and SONIC-HF (validation cohort), both prospective multicentre studies, included patients aged ≥65 years who were hospitalised for HF.

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Aims: The benefits of exercise in patients with heart failure are well documented. However, to date, the association between exercise habits and prognosis is yet to be evaluated. In this study, we investigated the association between pre-hospital exercise habits and post-discharge prognosis in older adult patients with heart failure.

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Control of the formation of liquid crystalline 3̄ gyroid phases and their nanostructures is critical to advance materials chemistry based on the structural feature of three-dimensional helical networks. Here, we present that introducing methyl side-group(s) and slight non-symmetry into aryloyl-hydrazine-based molecules is unexpectedly crucial for their formation and can be a new design strategy through tuning intermolecular interactions: the two chemical modifications in the core portion of the chain-core-chain type molecules effectively lower and extend the 3̄ phase temperature ranges with the increased twist angle between neighboring molecules along the network. The detailed analyses of the aggregation structure revealed the change in the core assembly mode from the double-layered core mode of the mother molecule (without methyl groups) to the single-layered core mode.

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Article Synopsis
  • Older patients with heart failure (HF) experience a higher risk of developing pneumonia, which contributes to increased mortality rates.
  • A study of 1,266 hospitalized patients aged 65 and older found that those with low muscle strength were significantly more likely to develop pneumonia post-discharge.
  • Low muscle strength was identified as a strong predictor of pneumonia and associated with a fourfold increased risk of death after pneumonia onset.
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Objectives: The Asian Working Group for Sarcopenia in 2019 (AWGS 2019) emphasized muscle mass measurements. In contrast, the Sarcopenia Definitions and Outcomes Consortium (SDOC) prioritizes functional strength and mobility. Therefore, this study aimed to compare the prognostic utility of the SDOC and AWGS 2019 criteria for all-cause mortality in older patients with heart failure.

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  • The study explores the prevalence of cachexia, sarcopenia, and malnutrition in older patients with heart failure (HF) using definitions from the Asian Working Group for Cachexia (AWGC) and other criteria, finding that AWGC-defined cachexia was the most common condition.
  • Among the 861 patients analyzed, cachexia was present in 74.1%, while other conditions showed lower prevalence rates.
  • The results indicated that AWGC-defined cachexia was not significantly linked to all-cause mortality in these patients, contrasting with stronger associations found for cachexia according to Evans' criteria, sarcopenia, and malnutrition.
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  • Older patients (65+) with heart failure (HF) often experience physical frailty and malnutrition, which can worsen each other and lead to poor health outcomes.
  • A study involving 862 hospitalized patients found that those with both frailty and malnutrition had the highest risk of death within a year of discharge compared to those with neither condition.
  • Identifying and addressing both frailty and malnutrition in these patients is essential for improving their overall health and survival rates.
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  • Ultrasound measurements of quadriceps muscle thickness (QMT) can be effectively used to assess muscle mass in older heart failure patients, particularly those aged 65 and above.
  • *The study involved 595 hospitalized patients, where QMT was measured with high reliability, demonstrating excellent agreement between different observers.
  • *Findings indicate that lower height-adjusted QMT is linked to higher mortality rates, highlighting its potential as a prognostic tool in heart failure management.*
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Aims: The 6-min walk test (6MWT) is a widely accepted tool for evaluating exercise tolerance and physical capacity, and the 6-min walk distance (6MWD) is an established prognostic factor in patients with heart failure (HF). However, the prognostic implications of post-6MWT dyspnoea remain unknown. We aimed to investigate the prognostic value of Borg scores after the 6MWT in patients with HF.

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  • The study evaluated the validity of the AWGS 2019 criteria for diagnosing sarcopenia in heart failure patients and proposed a modified model incorporating the 6-minute walk test (6MWT) for better risk stratification.
  • The modified model identified sarcopenia and severe sarcopenia differently than the original, detecting more cases, and showed a stronger link to 2-year mortality rates.
  • Findings suggest that using the 6MWT enhances the ability to assess risk in patients with heart failure, indicating a need to revise current criteria for timely treatment decisions.
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This short report describes a longitudinal examination of the acquisition of English-aspirated stops by an initial cohort of 24 adult Slavic-language (Russian, Ukrainian, and Croatian) speakers. All had arrived in Canada with low oral English proficiency, and all were enrolled in the same language instruction program at the outset. Initial bilabial stops in CVCs were recorded at eight testing times: six during the first year of the study, again at year 7, and finally at year 10.

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Background: Weight loss is a poor prognostic factor in patients with chronic heart failure (HF). However, whether the same is true for hospitalized patients with HF is unknown, even though hospitalization is the first opportunity for many patients to be diagnosed with HF. This study aimed to investigate the prognostic value of weight loss in patients hospitalized for HF.

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Aims: In heart failure (HF), inflammation is linked to malnutrition and impaired physical function. In this study, we aimed to assess how novel nutritional-inflammatory markers and lymphocyte-to-C-reactive protein ratio (LCR) and score (LCS) are associated with the nutritional status, physical function, and prognosis of patients with HF.

Methods And Results: This study was a secondary analysis of the FRAGILE-HF study, a prospective observational study conducted across 15 hospitals in Japan.

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Objective: Hybrid of reversed image of positive endolymph signal and negative image of perilymph signal (HYDROPS) in delayed gadolinium-enhanced magnetic resonance imaging (MRI) typically depicts normal inner ear as "white-tone" and endolymphatic hydrops as "black-transparent" appearances, whereas ears with auditory and vestibular disorders are occasionally depicted as "gray-tone." This study aimed to investigate the pathological basis of sudden sensorineural hearing loss (SSNHL) patients with "gray-tone" appearances on HYDROPS.

Methods: Delayed gadolinium-enhanced MRI examinations were conducted on 29 subjects with unilateral SSNHL.

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Background: Social factors encompass a broad spectrum of nonmedical factors, including objective (social isolation [SI]) and perceived (loneliness) conditions. Although social factors have attracted considerable research attention, information regarding their impact on patients with heart failure is scarce. We aimed to investigate the prognostic impact of objective SI and loneliness in older patients with heart failure.

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Article Synopsis
  • The study examined how common bendopnea is in older heart failure patients and its impact on their prognosis.
  • Bendopnea was found in 2.5% of patients in the main study group and 4.4% in the validation group, with a higher risk of death over two years for those with this condition.
  • The results indicate that bendopnea is a meaningful predictor of all-cause mortality, even when accounting for other risk factors.
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  • Frailty in elderly heart failure patients correlates with overall mortality, but specific causes of death remain underexplored, prompting further investigation into multidomain frailty's role.
  • The study analyzed 1,181 hospitalized patients, finding that as frailty increased (measured across physical, social, and cognitive domains), so did the risk of death, particularly from noncardiovascular causes.
  • Results indicated that patients with higher frailty scores (2 or 3 domains) had a significantly increased risk of noncardiovascular death, while the association was not as strong for heart failure or other cardiovascular deaths.
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