Validity and reliability of the Japanese version of the ACE tool for assessing evidence-based medicine competencies in medical practitioners and students: An evaluation in an online setting.

Introduction Evidence-based medicine (EBM) competency is crucial for healthcare professionals; however, validated tools to assess EBM skills in Japanese are scarce. This study aimed to develop and validate a Japanese version of the Assessing Competency in EBM (ACE) tool. Methods We translated the ACE tool into Japanese, following international standards, and distributed it online to 99 healthcare professionals and students.

Development of Machine-learning Model to Predict Anticoagulant Use and Type in Geriatric Traumatic Brain Injury Using Coagulation Parameters.

This study aimed to investigate the patterns of anticoagulation therapy and coagulation parameters and to develop a prediction model to predict the type of anticoagulation therapy in geriatric patients with traumatic brain injury. A retrospective analysis was performed using the nationwide neurotrauma database of Japan. Elderly patients (≥65 years) with traumatic brain injury.

Biomonitoring Metal Pollution in a Reservoir and River in Brazil Using Bullfrog Tadpoles' Tissues and Biomarkers.

Bullfrog tadpoles were exposed (96 h) to water from two sites (the Ibiúna and the Itupararanga reservoir) on the Sorocaba River (São Paulo, Brazil). Metal concentrations (Ba, Cu, Mn, Sr and Zn) and metallothioneins (MTs) levels were determined in the gills (n = 27) and caudal muscle (n = 18). Metals increased in the gills of the animals exposed to the waters of the Sorocaba River in relation to the control and in relation to the animals exposed to the waters of the Ibiúna point.

Use of biomarkers in bullfrog tadpoles Aquarana catesbeiana (Shaw 1802) for ecotoxicological evaluation of Pirajibú River (São Paulo, Brazil).

This study focused on investigating the water quality in the Pirajibú River, a relevant water body that flows through the industrial zone of Sorocaba (São Paulo/Brazil). Due to the limitations of assessing water quality based solely on standard physicochemical tests, an ecotoxicological approach was used to assess biomarker changes in the liver of bullfrog tadpoles (Aquarana catesbeiana). The animals were divided into groups and exposed to water samples collected upstream and downstream of the industrial zone.

Transradial versus transfemoral access for middle meningeal artery embolization: Choice of the access route considering delirium in the elderly.

Background: Treatment of chronic subdural hematoma (CSDH) with middle meningeal artery embolization (MMAE) is becoming well established. Transradial artery access (TRA) is considered less invasive than transfemoral artery access (TFA) and is increasingly indicated in the field of endovascular therapy. Therefore, this study focused on postoperative delirium and compared access routes.