Publications by authors named "Yota Katsuyama"

Background: Addressing the shortage of healthcare professionals in rural Japan poses significant challenges. At Sanmu Medical Center, incorporating resident physicians into a general medicine training program has proved effective in retaining them as supervising physicians. This study aims to identify the key factors contributing to the success of such programs.

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Purpose: This study aimed to investigate cancer screening rates and the reasons for not undergoing screening among patients who regularly visited the Sanmu Medical Center.

Patients And Methods: This prospective observational study recruited patients aged ≥40 years with regular clinic visits to Sanmu Medical Center during October 2019. We conducted a self-administered survey to determine the patient's sex and whether they underwent cancer screening in 2019, and if not, the reason for the same.

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Article Synopsis
  • This study examined the effectiveness of speech recognition software in providing feedback for medical students' interview skills compared to traditional voice-recording methods.
  • In an observational trial with 79 medical students, those receiving speech recognition feedback showed significantly improved performance in diagnostic accuracy and clinical competence scores.
  • The results indicate that using speech recognition feedback enhances the quality of medical interviews, leading to better outcomes in training future healthcare professionals.
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Objective Difficult patient encounters (DPEs) are defined as encounters with patients causing strong negative feelings in physicians. In primary care settings, DPEs account for approximately 15% of visits among outpatients. To our knowledge, this is the first epidemiological study of DPEs in Japan.

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Article Synopsis
  • This study examined the link between socioeconomic status and mortality risk in older Japanese patients treated for dyslipidemia using data from the 2010 Japan Gerontological Evaluation Study (JAGES).
  • It included 47,275 participants aged 65 and older, employing the Cox proportional hazards model to analyze mortality risk based on self-reported dyslipidemia treatment while controlling for health conditions and socioeconomic factors.
  • The findings indicated that individuals receiving treatment had lower mortality risks, with adjusted hazard ratios showing a significant association between dyslipidemia treatment and reduced death rates across different age and sex groups.
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A 60-year-old man was referred to us with high levels of aspartate aminotransferase and lactate dehydrogenase (LDH). He did not complain of any symptoms; however, he had been diagnosed with lumbar disc herniation, even though his back pain improved only to half of its previous level with pregabalin. Thus, we asked about the red flag of back pain and confirmed that he had involuntary body weight loss, which led us to diagnose truly non-secretory multiple myeloma, a variant of multiple myeloma that is associated with M-protein negativity and a normal serum free light chain level.

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