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Journal of UOEH

Kanako Hirowatari, Emi Nakamura
The purpose of this study was to extract the risk factors recognized by students before pediatric nursing practice in order to conduct medical safety education based on student's learning readiness. Third-year nursing students of A nursing college used the P-mSHELL model to find the risk factors in a simulated pediatric hospital room, and the researchers analyzed the contents. The students recognized four categories of risk factors: "burden on the family", "characteristics of the infant", "characteristics of children with disease", and "the family's cognition and understanding"...
September 2016: Journal of UOEH
Chiharu Yoshii, Soushi Uchida, Shingo Noguchi, Ryo Torii, Ikuko Shimabukuro, Kazuhiro Yatera
Although chronic obstructive pulmonary disease (COPD) affects one in several smokers, only a few patients are correctly diagnosed compared to the estimated number of patients. Several recent reports indicate that the development of rotator cuff tears is related to smoking. In this study, we investigated smoking status in patients with rotator cuff tears and evaluated the possibility of undiagnosed COPD by a pulmonary function test. The subjects were 150 consecutive patients over 40 years old, who had been diagnosed with rotator cuff tears and had been examined by a pulmonary function test before surgery in our orthopedic department between April 2011 and June 2015...
September 2016: Journal of UOEH
Hideaki Suzuki, Hiroki Koizumi, Takuro Kitamura, Takahisa Tabata, Yasuhiro Kise, Koichi Hashida
Myringoplasty is one of the basic procedures in otologic surgery, and is important to achieve good hearing outcome. The temporal fascia is most widely used and considered to be a stable graft in this procedure, although 10-20% of patients develop reperforation after surgery, which is often hard to repair, even by revision surgery. We herein conducted revision myringoplasty using a cartilage graft to repair postoperative reperforation in 7 patients (8 ears) with chronic otitis media. The patients were 3 males and 4 females, aged 13-80 years with an average of 53...
September 2016: Journal of UOEH
Reiji Yoshimura, Hikaru Hori, Asuka Katsuki, Kiyokazu Atake
Meige syndrome is a relatively rare type of oral facial dystonia. The dominant symptoms involve involuntary eye blinking and chin thrusting. Some patients may experience excessive tongue protrusion, squinting, muddled speech, or uncontrollable contraction of the platysma muscle. A 44-year-old Japanese male was suffering from schizophrenia. The initial presentation of his psychosis consisted of auditory hallucinations, delusions of persecution, psychomotor excitement, loosening association, and restlessness...
September 2016: Journal of UOEH
Kazumasa Fukuda, Midori Ogawa, Hatsumi Taniguchi, Mitsumasa Saito
Culture-independent methods to detect microorganisms have been developed in parallel with traditional culture-based methods ever since the classification of bacteria based on 16S rRNA gene sequences was advocated in the 1970s. The development and the prevalence of culture-independent molecular technologies have provided revolutionary progress in microbial studies. The development of these technologies contributes significantly to the research of microorganisms that cannot be detected by traditional methods such as culture-dependent methods...
September 2016: Journal of UOEH
Kenji Sakurai, Yuichi Miyake, Takashi Amagai
The passive sampler is a simple device for collecting gaseous compounds. It is affected by environmental conditions such as relative humidity, but a dehumidification system (DHS) has not been developed for it. We have developed a dehumidification device for the passive sampler for determining 1,3-butadiene. It consists of a passive sampler surrounded by a DHS consisting of a basket filled with granular magnesium perchlorate as the dehumidification agent. The passive sampler consists of a porous polytetrafluoroethylene tube packed with Carboxen 1000 adsorbent...
September 2016: Journal of UOEH
Yukichi Zenke, Satoshi Ikeda, Fumio Fukuda, Masahiro Tanaka, Hidetoshi Tanaka, Fumitaka Hirano, Akinori Sakai
UNLABELLED: There are several causes of atypical femoral fractures (AFF) in elderly Japanese patients, including longterm bisphosphonate (BP) use or bowed femoral shaft stress fractures, but the available sample size for examining AFF etiology in a single institution is limited. The purpose of this study was to categorize the characteristics of AFF by analyzing the data compiled on patients treated at our hospital and at affiliated institutes. This multicenter, retrospective, observational study included 34 AFF cases (bilateral AFF 10) in one male and 23 female patients (age range 30-90 years, mean age 73...
September 2016: Journal of UOEH
Itthiphat Arunsurat, Swita Luengyosluechakul, Krittin Prateephoungrat, Pittayapoom Siripaupradist, Sukanya Khemtong, Kunranan Jamcharoensup, Narin Thanapatkaiporn, Panita Limpawattana, Supawan Laohasiriwong, Somdej Pinitsoontorn, Sirintip Boonjaraspinyo, Kittisak Sawanyawisuth
Obstructive Sleep Apnea (OSA) is a common disease associated with major cardiovascular diseases. Male subjects are more at higher risk for OSA than female subjects. The Berlin questionnaire is a beneficial screening tool for OSA and has 14 items. The Berlin questionnaire may need some adjustment for Thai or Asian populations. We aimed to find items that should be asked in the Berlin questionnaire to identify high risk for obstructive sleep apnea among Thai male healthcare workers. This study was performed in Thai male healthcare workers over the age of 35 and currently working at the Faculty of Medicine, Khon Kaen University...
September 2016: Journal of UOEH
Kazunori Ikegami, Masafumi Eguchi, Yohei Osaki, Tomo Nakao, Kengo Nakamoto, Hisanori Hiro
In this study we discuss the measures of providing care to young workers with mental health disturbance by analyzing the cases of workers who had taken sick leave due to mental health disturbance. We analyzed 36 cases, collected from 11 occupational physicians, of workers who had taken sick leave due to mental health disturbance, and discuss measures for providing care to such young workers. We organized and classified data containing the details of the care provided to the workers and analyzed the main aspects and problems in providing it...
June 1, 2016: Journal of UOEH
Akira Ootsuyama
We studied the carcinogenic effects caused by repetitive irradiation at a low dose, which has received attention in recent years, and examined the experimental methods used to evaluate radiation-induced carcinogenesis. For this experiment, we selected a mouse with as few autochthonous cancers as possible. Skin cancer was selected as the target for analysis, because it is a rare cancer in mice. Beta-rays were selected as the radiation source. The advantage of using beta-rays is weaker penetration power into tissues, thus protecting organs, such as the digestive and hematogenous organs...
June 1, 2016: Journal of UOEH
Hideki Morimoto, Yoshiyuki Shibata, Kotaro Kayashima, Kyoko Motoyama, Tadashi Wakabayashi, Ken Horasawa, Wakako Maruta, Takayuki Ogasawara, Noriko Nishikido, Yuji Oyama, Hiroyuki Toyoda, Ayaka Mori, Koji Mori
Labor and Social Security Attorneys (LSSAs) advise their clients about occupational mental health, but the competencies necessary in this field are not clear to them. We standardized the necessary competencies as a counseling guide for LSSAs, and we also designed a related discussion training program. These competencies were summarized in a brainstorming session at a research conference comprised of physicians, an occupational health nurse, LSSAs, an instructional design expert, and a management consultant, and then a training program (lasting 9 hours 30 minutes) was developed...
June 1, 2016: Journal of UOEH
Shingo Noguchi, Ryo Torii, Ikuko Shimabukuro, Kei Yamasaki, Takashi Kido, Chiharu Yoshii, Hiroshi Mukae, Kazuhiro Yatera
A 78-year-old Japanese man with fatigue, appetite loss, skin hyperpigmentation, hypotension and hypoglycemia, visited our hospital to evaluate an abnormal chest X-ray and adrenal gland swelling in echography in February 2015. Chest computed tomography showed a mass lesion in the right lower lobe and bilateral adrenal swellings, and small cell lung cancer (SCLC) with bilateral adrenal metastasis was diagnosed after bronchoscopy. According to low levels of serum cortisol, elevated adrenocorticotropic hormone (ACTH) and rapid ACTH test, the diagnosis of adrenal insufficiency associated with SCLC was made...
June 1, 2016: Journal of UOEH
Hiroko Mori, Yosuke Okada, Mayuko Kawaguchi, Yoshiya Tanaka
Dapagliflozin, a selective inhibitor of sodium glucose co-transporter 2 (SGLT2), is a novel glucose-lowering agent that has pleiotropic actions on blood pressure and lipids. Its glucose-lowering effect is not mediated by insulin. We report a type 2 diabetic patient whose blood pressure pattern improved from non-dipper to dipper after treatment with dapagliflozin. The 60-year-old man was treated with 5 mg/day dapagliflozin, and the effect of treatment on his blood pressure (BP) was evaluated by ambulatory blood pressure monitoring (ABPM) before and at 8 and 14 days after the start of treatment...
June 1, 2016: Journal of UOEH
Zhe Huang, Hiroaki Adachi
Neurodegenerative diseases (NDDs) are a group of intractable diseases that significantly affect human health. To date, the pathogenesis of NDDs is still poorly understood and effective disease-modifying therapies for NDDs have not been established. NDDs share the common morphological characteristic of the deposition of abnormal proteins in the nervous system, including neurons. Autophagy is one of the major processes by which damaged organelles and abnormal proteins are removed from cells. Impairment of autophagy has been found to be involved in the pathogenesis of NDDs, and the regulation of autophagy may become a therapeutic strategy for NDDs...
June 1, 2016: Journal of UOEH
Naohiro Fujimoto
After the introduction of prostate-specific antigen (PSA) screening, prostate cancer diagnosis has shifted to early and curative stages, although 10-20% of patients still present with metastatic and incurable cancer. Prostate cancer is androgen-dependent, and most patients with prostate cancer initially respond to androgen deprivation therapy (ADT). After 1-2 years of the treatment, advanced prostate cancer eventually progresses to castration resistant prostate cancer (CRPC). A variety of mechanisms of progression from androgen-dependent prostate cancer to CRPC under ADT have been postulated, and the key pathway is re-activation of the androgen-androgen receptor (AR) axis, for example, caused by AR mutation/overexpression/splice variants, altered expression of AR cofactors, and increased production of androgens...
June 1, 2016: Journal of UOEH
Yasushi Kudo, Keiko Kono, Yasuko Toyoshima, Hitomi Sugisaki, Ayako Matsuhashi, Akizumi Tsutsumi
Registered nurses and licensed practical nurses have been educated as professional nurses. Professional nurses can concentrate on their jobs requiring a high degree of expertise with help they get from nursing assistants.If professional nurses have improper attitudes toward nursing assistants, it is most likely that the nursing assistants will not help them to the best of their ability. We investigated nursing assistants' impressions regarding professional nurses' attitudes, and what effects nursing assistants' impressions have on their "desire to be helpful to professional nurses...
June 1, 2016: Journal of UOEH
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2016: Journal of UOEH
Yoshinobu Ichiki, Junji Kawasaki, Tetsuro Yoshida, Takayuki Hamatsu, Taketoshi Suehiro, Fumihiro Tanaka, Keizo Sugimachi
The utility of stent placements has been widely reported. We performed a thought-provoking stent placement for malignant tracheal stenosis recently. A 90-year-old woman who was admitted to our hospital because of a urinary tract infection was treated with a course of antibiotics, but she demonstrated a rapidly progressive course with dyspnea. Chest computed tomography showed severe tracheal stenosis due to an upper mediastinal mass. She was put on noninvasive positive pressure ventilation (NPPV) because of severe respiratory failure...
March 1, 2016: Journal of UOEH
Kosuke Makihara, Tetsuo Hamada, Kentaro Kasai, Toshiko Tanaka, Hiroaki Sato
We had a forensic autopsy case that required additive pathological examination for the asbestos-related lung disease compensatory application afterwards. A man in his sixties with a history of occupational asbestos inhalation who had neither visited a hospital nor received a physical examination received forensic autopsy because of his death from unknown cause. An inmate said, "He developed cough and dyspnea, and died in the progression of the symptoms." The autopsy revealed widespread pleural plaques on both sides of the parietal pleura and multiple tumors in both sides of the lungs...
March 1, 2016: Journal of UOEH
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