Publications by authors named "Yoshimi Harada"

Objectives: To understand the recent prevalence and time trends of infection rates in the Japanese population.

Design: Repeated cross-sectional study.

Participants: A total of 22 120 workers (age: 35-65 years) from one Japanese company, who underwent serum antibody tests in a health check-up between 2008 and 2018.

View Article and Find Full Text PDF
Article Synopsis
  • A nationwide survey in Japan examined how economic factors and location influence high school students' applications to medical schools, highlighting significant disparities based on socioeconomic status and urban versus rural living.
  • Over 1,000 responses from teachers indicated that many believe students from economically disadvantaged backgrounds face challenges in aspiring to become medical professionals, with 66.8% agreeing it's difficult for them to enroll.
  • The findings reveal that private schools, which often have higher tuition, and urban schools have more students successfully entering medical programs, suggesting a systemic bias against lower-income and rural students in medical school admissions.
View Article and Find Full Text PDF
Article Synopsis
  • Increasing demand for simulated patients (SPs) in medical education in Japan highlights the need to involve more non-medical staff, specifically at Tokyo Medical University.
  • A study aimed to evaluate how acting as SPs impacted the understanding of medical education among staff, using a mixed-method approach with a questionnaire after their experiences.
  • Results showed that participating staff gained valuable insights into student assessments and communication skills, indicating that all staff should experience being SPs to enhance their understanding of education processes.
View Article and Find Full Text PDF

Background: The frequency of sternomyelitis after cardiovascular surgery has been reported to be 0.4% -5%.

Methods: The treatment method used for 47 patients (29 male and 18 female) who developed sternomyelitis after sternotomy with tissue defects in the chest was examined retrospectively.

View Article and Find Full Text PDF

This article was migrated. The article was marked as recommended. Medical interviews are performed during objective structured clinical examinations, to assess the communication skills of medical students.

View Article and Find Full Text PDF

In situ splitting of rib bone graft was conducted in 22 patients for the repair of orbital fracture with no other complicating fractures. A bone graft was harvested from the sixth or seventh rib in the right side. The repair of the orbital floor and medial wall was successful in all the cases.

View Article and Find Full Text PDF

As the characteristics and accuracy of rapid influenza detection tests (RIDTs) vary, the development of a high-performance RIDT has been eagerly anticipated. In this study, the new RIDT GOLD SIGN FLU and the existing RIDT Quick Navi-Flu were evaluated in terms of detecting the antigens of influenza viruses A and B in Japanese adults with influenza-like symptoms. The study was performed from December 2013 to March 2014.

View Article and Find Full Text PDF

Background: To let experts evaluate a single surgeon's experience with a combined transconjunctival and intraoral upper vestibular approach in the repair of zygomatic fractures encountered in 46 East Asian patients whom he treated over the past 20 years.

Methods: Patients were identified from a database, and a retrospective case note review was conducted. A total of 67 conjunctival and secondary incisions were made on 46 patients for repair of zygomatic fractures.

View Article and Find Full Text PDF

Background: The aim of this study was to review the results of a cohort of patients based on our experience with a new technique for total lower eyelid reconstruction after a large defect caused by malignant tumor and trauma. A scapha cartilage graft with small skin on a vascularized propeller flap was used for 16 cases requiring lower eyelid reconstruction.

Methods: Patients were identified from a database, and a retrospective case note review was conducted.

View Article and Find Full Text PDF

Background: Various techniques have been developed to enable preceptors to teach residents effectively in outpatient settings to promote active learning, including SNAPPS and the One-Minute Preceptor (OMP). This study aimed to ascertain the differences between SNAPPS and the OMP in case presentation content and learner evaluation when used to teach residents about case presentation.

Methods: From 2011 to 2013, participants were 71 junior clinical residents employed in two hospitals for clinical training.

View Article and Find Full Text PDF

Background: Posterior transversus abdominis plane (TAP) block has been considered as a useful technique for lower abdominal postoperative analgesia, but in ultrasound-guided block, its efficacy and usability are still unknown. We prospectively compared the analgesic efficacy among posterior and lateral TAP block and with control group in laparoscopic gynecological surgery.

Methods: 29 patients were randomly assigned to a study group.

View Article and Find Full Text PDF

Influenza virus particles are assembled at the plasma membrane in concert with incorporation of the virus genome, but the details of its spatio-temporal regulation are not understood. Here we showed that influenza virus infection induces the assembly of pericentrosomal endocytic recycling compartment (ERC) through the activation of Rab11a GTPase and cell cycle-independent maturation of centrosome by YB-1, a multifunctional protein that is involved in mitotic division, RNA metabolism and tumorigenesis. YB-1 is recruited to the centrosome in infected cells and is required for anchoring microtubules to the centrosome.

View Article and Find Full Text PDF

Background And Aim: Only few large-scale epidemiological studies have examined the prevalence of Helicobacter pylori (H. pylori) infection in Japan. The aim of the present study was to estimate the prevalence and incidence of H.

View Article and Find Full Text PDF

We have encountered situations of patients with critical limb ischemia accompanied by pain at rest and necrosis, who hang their legs down from the bed during sleep. This lower limb position is known to be a natural position, which reduces pain in the lower extremity induced by ischemia. However, the effect of this position on blood flow of the lower extremity is poorly understood.

View Article and Find Full Text PDF

In this report, we describe a case of Weil disease. Chest x-ray and computed tomography (CT) findings showed temporary deterioration 1 day after the initiation of antibiotic treatment, and high-resolution CT findings with the patient's physical findings made us suspect pulmonary alveolar hemorrhage (PAH). We believed that the PAH had been induced by Weil disease and subsequently caused Jarisch-Herxheimer reaction.

View Article and Find Full Text PDF

We investigated the effects of ultrasound-mediated transfection (sonotransfection) of interferon β (IFN-β) gene on melanoma (C32) both in vitro and in vivo. C32 cells were sonotransfected with IFN-β in vitro. Subcutaneous C32 tumors in mice were sonicated weekly immediately after intra-tumor injection with IFN-β genes mixed with microbubbles.

View Article and Find Full Text PDF

Sonodynamic therapy (SDT) is a new modality using ultrasound (US) to activate certain chemical sensitizers for cancer therapy. In this study, the effect of US combined with a nanoparticle titanium dioxide (TiO(2)) on melanoma cell was investigated in vitro and in vivo. Melanoma cells (C32) were irradiated with US in the presence and/or absence of TiO(2).

View Article and Find Full Text PDF

To investigate whether or not the combined ultrasound and antibiotic treatment is effective against chlamydial infection, a new ultrasound exposure system was designed to treat chlamydia-infected cells. First, the minimum inhibitory concentrations of antibiotics against Chlamydia trachomatis were determined. Infected cultures were treated with antibiotics then sonicated at intensity of 0.

View Article and Find Full Text PDF

Introduction: It has been shown that killing of suspended cells by low-intensity ultrasound (0.08-0.11 W/cm(2)) can be enhanced by a mild non-lethal hypotonic (146 mOsm) medium.

View Article and Find Full Text PDF

Purpose: We have previously shown that ultrasound-mediated transfection (sonotransfection) can be optimized using a concept based on the ultrasound-induced apoptosis produced in our in vitro experiments. At optimized conditions, we have shown, using five cancer cell lines, that sonotransfection is superior to other conventional nonviral methods. Interferon gamma (IFN-γ) transfection using lipofection has been found to markedly inhibit the proliferation of neurofibroma cell lines.

View Article and Find Full Text PDF

Part one of this review focused on the thermal and mechanical effects of low-intensity ultrasound (US). In this second and final part of the review, we will focus on and discuss various aspects of low-intensity US, with emphasis on the biomolecular effects, US-mediated gene transfection (sonotransfection), and US-mediated permeabilization (sonopermeabilization). Sonotransfection of different cell lines in vitro and target tissues in vivo have been reported.

View Article and Find Full Text PDF