1.Japan Society of Gynecologic Oncology 2023 guidelines for treatment of uterine body neoplasm
Tohru MORISADA ; Yoichi KOBAYASHI ; Satoru NAGASE ; Tsukasa BABA ; Hideki TOKUNAGA ; Hidemichi WATARI ; Munetaka TAKEKUMA ; Yasuhisa TERAO ; Yoshito TERAI ; Hiroaki KAJIYAMA ; Mikiko ASAI-SATO ; Kazuhiro TAKEHARA ; Tsutomu TABATA ; Kenichi HARANO ; Yasuyuki HIRASHIMA ; Mayu YUNOKAWA ; Aikou OKAMOTO ; Mikio MIKAMI
Journal of Gynecologic Oncology 2025;36(3):e119-
The Japan Society of Gynecologic Oncology (JSGO) guideline for the treatment of uterine body neoplasm are revised from the 2018 guideline. This guideline aimed to provide standardized care for uterine body neoplasm, indicate appropriate current treatment methods for uterine body neoplasm, minimize variances in treatment methods among institutions, improve disease prognosis and treatment safety, reduce the economic and psychosomatic burden on patients by promoting the performance of appropriate treatment, and enhance mutual understanding between patients and healthcare professionals. The guidelines were prepared through the consensus of the JSGO guideline committee, based on a careful review of evidence from the literature searches and the medical health insurance system and actual clinical practice situations in Japan. The main features of the 2023 revision are as follows: 1) The Guidelines Formulation Committee members were asked to understand Minds' medical guideline development method in advance. 2) The clinical question (CQ) was changed to Patient, Intervention, Comparison, Outcome format as much as possible. 3) Introduced the "body of evidence," which summarizes the results of research reports collected for the CQs by outcome and study design, and the strength of evidence for each body of evidence was rated from levels A to D. 4) Introduction of systematic reviews in some CQs. 5) The strength of evidence, the balance of benefits and harms, value and hope for patients, and clinical applicability were considered while drafting recommendations. Herein, we present the English version of the JSGO guidelines 2023 for the treatment of uterine body neoplasm.
2.Alcoholic Tolerance, Drinking Behavior, and Alcoholrelated Health Disorders among the Japanese.
Tsuyoshi IMURA ; Akiyoshi BANDOH ; Norimi NISHIMURA ; Mikio ASAI ; Akiyoshi KAKUTANI ; Toshihiro ISHII ; Shigeki ISHIHARA ; Kazuhiro KAWANO ; Shigehito HAYASHI
Journal of the Japanese Association of Rural Medicine 1991;40(4):917-929
In Japan there are many people who are intolerant to alcohol. Known as flushers, they do not genetically have low Km acetaldehyde dehydrogenase (AlDH2). Flushers are judged easily and accurately by the alcohol patch test. An ethanol patch test carried out on agricultural and fishing populations in Japan showed that approx. 40% were deficient in AlDH2. A questionnaire survey of the drinking behavior of many people showed significant differences between the normal AlDH2 and AlDH2-deficient groups. The normal group drinks positively and actively, while the deficient group drinks negatively and passively. As a result, there were significant differences in subjective and objective symptoms that result from drinking between the two groups: More frequent hangovers, abnormal physical conditions and higher KAST scores were seen in the normal group, and health examination showed higher values in liver function tests, including γ-GTP, and higher levels of blood pressure, HDL-cholesterol (HDL-C), etc., in the normal AlDH2group.
It may be very useful for prevention of alcohol-related health disorders to help Mongoloid peoples, such as the Japanese, recognize whether their AlDH2 is normal or deficient, which is as determined by the ethanol patch test.


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