Publications by authors named "J Nomura"

Point-of-care ultrasound (POCUS) has emerged as a standard of care across a variety of healthcare settings due to its ability to provide critical clinical information and as well as procedural guidance to clinicians directly at the bedside. Implementation of enterprise imaging (EI) strategies is needed such that POCUS images can be appropriately captured, indexed, managed, stored, distributed, viewed, and analyzed. Because of its unique workflow and educational requirements, reliance on traditional order-based workflow solutions may be insufficient.

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Article Synopsis
  • - The study aimed to assess the long-term effectiveness and complication rates of laparoscopic sacrocolpopexy (LSC) using self-cut mesh for treating pelvic organ prolapse.
  • - Conducted at Kameda Medical Center from 2013 to 2018, the research involved analyzing 702 women who had LSC, excluding those with prior hysterectomies, and used specific evaluation tools for preoperative and follow-up assessments.
  • - Results showed significant improvement in prolapse symptoms over one year, with only 2.4% of patients experiencing complications, indicating LSC with self-cut mesh is a safe and effective treatment option.
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Point-of-care ultrasound (POCUS) infrastructure is the underpinning of a well integrated POCUS program. In order to achieve its full potential and fully integrate into the health care system, a POCUS program requires a robust and resilient infrastructure. The essential components of POCUS infrastructure are hardware, software, and an informed, well-integrated governance structure.

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One cannot successfully employ point-of-care ultrasound (POCUS) without a process to provide support and guidance. POCUS administration is a multifaceted topic that demands the utmost attention from those responsible for program implementation and long-term execution. This article delves into POCUS administration and is meant to serve as a guide for the practitioner seeking to start, maintain, or augment their POCUS program.

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Article Synopsis
  • Large vessel occlusion (LVO) strokes can be treated effectively with endovascular therapy (EVT), which improves outcomes compared to standard treatments, but delays can worsen results; EMS faces a choice between transporting patients to nearby primary stroke centers (PSCs) or further away endovascular stroke centers (ESCs).
  • A study involving 2,400 LVO stroke patients in the Northeast U.S. looked at how transportation methods affected outcomes, comparing those directly taken to ESCs (bypass group) versus those first taken to PSCs (non-bypass group).
  • Results showed that while 40% of the bypass group had good outcomes at 90 days versus 33.1% in the non-bypass group, the
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