289 results match your criteria: "School of Public Health in the Graduate School of Medicine.[Affiliation]"

Development and internal validation of a screening tool for chronic prostatitis (S-CP).

World J Urol

October 2023

Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Purpose: We developed a simple self-checkable screening tool for chronic prostatitis (S-CP) and internally validated it to encourage men (in the general population) with possible chronic prostatitis to consult urologists.

Methods: The expert panel proposed the S-CP, which comprises three domains: Area of pain or discomfort (6 components), accompanying Symptom (6 components), and Trigger for symptom flares (4 components). We employed logistic regression to predict chronic prostatitis prevalence with the S-CP.

View Article and Find Full Text PDF

Objective: Providing appropriate health information to patients with systemic lupus erythematosus (SLE) is advantageous in the treatment decision-making process. We aimed to investigate how online health information-seeking behaviors affect shared decision-making (SDM) in patients with SLE.

Methods: This cross-sectional study included 464 patients with SLE from five institutions.

View Article and Find Full Text PDF

Albumin-Bilirubin Score at Post-Hepatectomy Hepatocellular Carcinoma Recurrence: Impact on Survival and Association with Post-Hepatectomy Liver Failure.

J Gastrointest Surg

November 2023

Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogo-in Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.

Purpose: Our objective was to investigate the impact of albumin-bilirubin (ALBI) score at the time of post-hepatectomy hepatocellular carcinoma (HCC) recurrence on survival after recurrence (SAR). We further explored the perioperative factors associated with the ALBI score at recurrence.

Methods: Patients who underwent primary hepatectomy for HCC between 2007 and 2018 and developed recurrence were included in the study.

View Article and Find Full Text PDF

Social Isolation/Loneliness and Tooth Loss in Community-Dwelling Older Adults: The Sukagawa Study.

Innov Aging

June 2023

Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan.

Article Synopsis
  • The study examined the link between social isolation/loneliness and tooth loss in older Japanese adults, analyzing responses from 4,645 participants aged 75 and older from the Sukagawa Study.
  • Results indicated that loneliness was significantly associated with tooth loss and reduced oral care behaviors, while social isolation did not show a similar link.
  • The findings suggest that addressing loneliness could be important for improving oral health among elderly populations, which may help guide policymakers and healthcare professionals.
View Article and Find Full Text PDF

Objectives: Researchers have identified cases in which newspaper stories have exaggerated the results of medical studies reported in original articles. Moreover, the exaggeration sometimes begins with journal articles. We examined what proportion of the studies quoted in newspaper stories were confirmed.

View Article and Find Full Text PDF

Calcium evaluation using coronary computed tomography in combination with optical coherence tomography.

Int J Cardiovasc Imaging

September 2023

Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan.

Optical coherence tomography (OCT) can assess calcium thickness, a key factor for predicting good stent expansion; however, it underestimates coronary calcium severity due to its penetration limitation. This study aimed to evaluate computed tomography (CT) and OCT images to assess calcification. We investigated 25 left anterior descending arteries of 25 patients, using coronary CT and OCT, and assessed their calcification.

View Article and Find Full Text PDF

Derivation and validation of a clinical predictive model of NT-proBNP ≥125 pg/mL to detect pre-heart failure.

J Cardiol

December 2023

Department of Cardiovascular Medicine, Nara Medical University, Kashihara, Japan; Nara Prefectural Hospital Organization, Nara Prefecture Seiwa Medical Center, Sango, Japan.

Background: Several guidelines recommend the measurement of N-terminal pro-B-type natriuretic peptide (NT-proBNP) to diagnose heart failure (HF); however, no screening criteria for measuring NT-proBNP in asymptomatic patients exist. We develop/validate a clinical prediction model for elevated NT-proBNP to support clinical outpatient decision-making.

Methods: In this multicenter cohort study, we used a derivation cohort (24 facilities) from 2017 to 2021 and a validation cohort at one facility from 2020 to 2021.

View Article and Find Full Text PDF
Article Synopsis
  • - The study compares postoperative pain management between robotic and laparoscopic total hysterectomies, focusing on the use of analgesics like NSAIDs and acetaminophen in patients who had surgery for conditions like uterine fibroids and adenomyosis.
  • - Out of 127 patients, 124 were analyzed, finding that 26.3% of those who had robotic surgery required analgesics post-op, compared to 60.5% from the laparoscopic group, suggesting more pain in the laparoscopic patients initially.
  • - However, while unadjusted analysis showed significant differences, the adjusted analysis did not confirm this, indicating no significant variance in analgesic use between the two methods; the study suggests that further research with
View Article and Find Full Text PDF

Background: The long-term trends of COVID-19 mental sequelae remain unknown. Thus, this study aimed to survey the one-year temporal trends of PTSD and health-related quality of life of COVID-19 survivors.

Methods: Patients hospitalized with COVID-19 were followed up at three, six, and 12 months after discharge.

View Article and Find Full Text PDF

Objective The gender gap in labor force participation is likely larger in adults with attention deficit hyperactivity disorder (ADHD) than that in the general population. Thus, we investigated whether gender affected the perception toward persons displaying ADHD symptoms and experiencing difficulty in balancing work and family. Methods Both Japanese laypersons and psychiatrists were recruited for web-based surveys in March and October 2020 via an online survey company, Cross Marketing Inc.

View Article and Find Full Text PDF

Objective: Fatigue is one of the most common complaints and is a potentially modifiable issue in systemic lupus erythematosus (SLE). Studies suggest that alcohol consumption has a protective effect against the development of SLE; however, an association between alcohol consumption and fatigue in patients with SLE has not been studied. Here, we assessed whether alcohol consumption was associated with fatigue using lupus patient-reported outcomes (LupusPRO).

View Article and Find Full Text PDF

Dose-response relationship between diarrhea quantity and mortality in critical care patients: A retrospective cohort study.

PLoS One

February 2023

Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Yoshida-honmachi, Sakyo-ku, Kyoto, Japan.

Background: Previous studies have shown that diarrhea, defined as a dichotomized cutoff, is associated with increased mortality of patients in intensive care units (ICUs). This study aimed to examine the dose-response relationship between the quantity of diarrhea and mortality in ICU patients with newly developed diarrhea.

Methods: We conducted this single-center retrospective cohort study.

View Article and Find Full Text PDF

Development and Initial Psychometric Validation of the COVID-19 Pandemic Burden Index for Healthcare Workers.

J Gen Intern Med

April 2023

Section of Clinical Epidemiology, Department of Community Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Background: The burden of COVID-19 on healthcare workers (HCWs) is reported to be increasing, yet the psychometric scales now in use evaluate only single aspects; few measure the pandemic-specific burden on HCWs comprehensively.

Objective: To develop a scale to quantify the physical, mental, and socioeconomic burden of the COVID-19 pandemic on HCWs.

Design: Scale development and cross-sectional survey.

View Article and Find Full Text PDF

Background: Carnitine deficiency is common in patients with chronic kidney disease (CKD) who require dialysis. Several clinical studies have suggested that carnitine supplementation is beneficial for dialysis-related symptoms. However, the clinical effectiveness and potential adverse effects of carnitine supplementation in dialysis patients have not been determined.

View Article and Find Full Text PDF

Background: Intensive cytotoxic chemotherapy for people with cancer can cause severe and prolonged cytopenia, especially neutropenia, a critical condition that is potentially life-threatening. When manifested by fever and neutropenia, it is called febrile neutropenia (FN). Invasive fungal disease (IFD) is one of the serious aetiologies of chemotherapy-induced FN.

View Article and Find Full Text PDF

Effect of Communicative and Critical Health Literacy on Trust in Physicians Among Patients With Systemic Lupus Erythematosus (SLE): The TRUMP2-SLE Project.

J Rheumatol

May 2023

N. Kurita, MD, PhD, Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, and Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University Hospital, Fukishima, Japan.

Objective: Patients who trust their physicians have been shown to demonstrate good medication adherence, self-management, and favorable disease outcomes. This study examines how trust in physicians is affected by functional health literacy (HL) and by broader concepts of HL, including communicative HL and critical HL, among patients with systemic lupus erythematosus (SLE).

Methods: This was a cross-sectional study using baseline data from the Trust Measurement for Physicians and Patients with SLE (TRUMP2-SLE) study, an ongoing multicenter cohort study conducted at 5 academic centers.

View Article and Find Full Text PDF

Diagnostic Performance of Physician Gestalt for Bacteremia in Patients in the Process of Being Admitted With Suspected Infection.

Clin Infect Dis

March 2023

Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Background: Due to potentially fatal consequences of missed bacteremia, blood cultures are often overused. While there are several prediction models that can be used to identify patients who truly need blood cultures, physicians often rely on their gestalt. We evaluated the diagnostic performance of physician gestalt for bacteremia in comparison with 2 existing prediction models: Takeshima and Shapiro.

View Article and Find Full Text PDF

Objectives: Although personality characteristics of patients with SLE affect their disease activity and damage, it is unclear whether those of attending physicians affect the outcomes of patients with SLE. Grit is a personality trait for achieving long-term goals that may influence the decision-making for continuing treatment plans for patients. We aimed to evaluate the relationship between the grit of attending physicians and achievement of treatment goals in patients with SLE.

View Article and Find Full Text PDF

Objective: Poor medication adherence among patients with SLE is a critical problem associated with adverse outcomes. This study examined the relationship between trust in one's physician and goal-oriented thinking, hope and medication adherence among Japanese patients with SLE who were ethnically matched to their physicians.

Methods: This cross-sectional study was conducted in the rheumatology outpatient clinics at five academic centres.

View Article and Find Full Text PDF

Objective: It is still unclear how glucocorticoids (GCs) affect the long-term clinical course of patients with SLE. The objective of this study is to explore the factors associated with GC-free treatment status.

Methods: Using data from the lupus registry of nationwide institutions, GC dose at registration was compared between short, middle and long disease durations of <5, 5-20 and ≥20 years, respectively.

View Article and Find Full Text PDF

Complications of a lung biopsy for severe respiratory failure: A systematic review and meta-analysis.

Respir Investig

January 2023

Department of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Preventive Services, School of Public Health, Kyoto University, Kyoto, Japan.

Article Synopsis
  • This systematic review and meta-analysis investigated complications from lung biopsies in patients suffering from acute respiratory failure (ARF), including acute respiratory distress syndrome (ARDS).
  • The analysis included 13 studies with 574 patients and focused on outcomes like biopsy-related deaths, respiratory and cardiac complications, and other significant issues.
  • Findings indicated a high median hospital mortality of 53%, with low rates of specific complications, providing important insights for deciding when to perform lung biopsies in ARF patients.
View Article and Find Full Text PDF

Culturally Adapted Consensus Definition and Action Guideline: Japan's Advance Care Planning.

J Pain Symptom Manage

December 2022

Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University.

Context: A conceptual framework for advance care planning is lacking in societies like Japan's valuing family-centered decision-making.

Objectives: A consensus definition of advance care planning with action guideline adapted to Japanese society.

Methods: We conducted a multidisciplinary modified Delphi study 2020-2022.

View Article and Find Full Text PDF

Door-to-oral time and in-hospital outcomes in older adults with aspiration pneumonia undergoing dysphagia rehabilitation.

Clin Nutr

October 2022

Department of General Medicine, Shirakawa Satellite for Teaching and Research (STAR), Fukushima Medical University, Shirakawa City, Fukushima, Japan; Center for Innovative Research for Communities and Clinical Excellence (CIRC(2)LE), Fukushima Medical University, Fukushima City, Fukushima, Japan.

Background & Aims: Aspiration pneumonia (AP) is a public health concern among older adults. Previous studies have reported the association between oral intake initiation within 48 h after hospital admission and better in-hospital outcomes among patients with AP. We investigated the association between initiation of oral intake within 24 h and in-hospital outcomes of older patients with AP undergoing dysphagia rehabilitation.

View Article and Find Full Text PDF

Author's reply.

Respir Investig

November 2022

Department of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Preventive Services, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan.

View Article and Find Full Text PDF