Publications by authors named "Yukiko Nagamachi"
Background: Socratic method, which is an educational method to promote critical thinking through a dialogue, has never been practiced in a large number of people at the academic societies.
Methods: Modified Socratic method was performed for the first time as an educational seminar using an example case of moderate acute cholecystitis based on the evidence described in Tokyo Guidelines 2018. We adopted a method that Takada had been modifying for many years: the instructor first knows the degree of recognition of the audience, then the instructor gives a lecture in an easy-to-understand manner and receives questions from the audience, followed by repeated questions and answers toward a common recognition.
Article Synopsis
- The study re-analyzed data from a 1974 clinical trial involving 22 patients, focusing on cholangio-venous reflux, which involves bile leaking into the bloodstream.
- Procedures included using indocyanine green (ICG) during cholangiography to assess ICG leakage and signs of infection, categorizing participants into different groups based on these findings.
- Results indicated that higher intrabiliary pressure correlated with increased ICG leakage and signs of infection, suggesting that elevated pressure compromises bile canaliculus junctions, allowing bile to enter the vascular system.