Publications by authors named "Kaichiro Tamba"
Background: Central pain, characterized by neuropathic pain, can manifest due to injury to the superior spinothalamic tract. The brainstem includes sensory and motor pathways as well as nuclei of the cranial nerves, and therefore cancer metastasis in the region requires early intervention. Although stereotactic radiosurgery (SRS) is commonly employed for the treatment of brain metastasis, it poses risks of late complications like radiation necrosis (RN).
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- Integrated kidney care connects preventative measures for chronic kidney disease with health services for those already affected, focusing on smooth transitions between different stages of the disease and treatment options.
- Supportive care is crucial for individuals with kidney failure, yet it is often lacking or poorly integrated, particularly in low- and middle-income countries where resources are limited.
- The International Society of Nephrology has developed consensus definitions and guidelines to improve the understanding and implementation of conservative kidney management and supportive care in these under-resourced settings.
Bereaved Family Caregivers Perception of Trust in Palliative Care Doctors by Patients with Terminal Cancer.
J Soc Work End Life Palliat Care
February 2024
Trust is a key factor in achieving a good death. However, few studies have focused on factors that help patients with terminal cancer establish trusting relationships with their palliative care doctors. This exploratory qualitative study, conducted in Japan, was designed to identify factors related to terminal cancer patients' trust in their doctors.
View Article and Find Full Text PDFBackground: Physician attire influences perceptions of care. This study was conducted to evaluate the impact of physician attire on perceptions of care by patients and families in a Japanese palliative care unit.
Methods: From November 2018 to February 2020, patients and family members admitted to the Palliative Care Unit at Jichi Medical University Hospital were recruited and completed a survey consisting of 4 demographic questions and 15 questions regarding perceptions of care.
Context: The use of the Palliative Prognostic Index (PPI) in relation to the clinical time course has not yet been established.
Objectives: To investigate the association between the changes in the PPI over time and the survival of terminal cancer patients in a palliative care unit (PCU).
Methods: This retrospective cohort study analyzed data from 374 terminal cancer patients who were admitted to the PCU of a university hospital in Japan.
Background: There is currently no consensus syllabus of palliative medicine for undergraduate medical education in Japan, although the Cancer Control Act proposed in 2007 covers the dissemination of palliative care.
Aim: To develop a nationwide consensus syllabus of palliative medicine for undergraduate medical education in Japan using a modified Delphi method.
Design: We adopted the following three-step method: (1) a workshop to produce the draft syllabus; (2) a survey-based provisional syllabus; (3) Delphi rounds and a panel meeting (modified Delphi method) to produce the working syllabus.
Article Synopsis
- A 53-year-old woman with metastatic breast cancer developed nephrotic syndrome and renal failure after receiving long-term pamidronate treatment for bone metastases over 5 years.
- A renal biopsy showed damage consistent with collapsing focal segmental glomerulosclerosis (FSGS) and tubulointerstitial injury.
- Despite stopping pamidronate, her kidney function worsened, leading to palliative care and her passing 96 days later, highlighting the need for further research on the effects of pamidronate on kidney health.
Background: It is very important, but not clear, how physicians differ from nephrologists in treatment of renal insufficiency.
Aim: To demonstrate differences in decision-making in treatment of renal insufficiency between physicians and nephrologists.
Design Of Study: Postal questionnaire.
We report on the case of a 45 year old male with focal segmental glomerulosclerosis (FSGS) in whom steroid-resistant proteinuria was reduced rapidly by plasma exchange. In 1994, he was admitted to our hospital because of massive proteinuria of several years' duration. Renal biopsy confirmed the diagnosis of FSGS.
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