21 results match your criteria: "St. Luke's International University Tokyo Japan.[Affiliation]"
Background And Aims: Many patients do not want life-prolonging treatments at critical stages of their illnesses, and are able to communicate their wishes to their families or surrogates. However, few among them have clarity on what such life-prolonging treatments mean or entail. This study clarifies differences in the perspectives of medical professionals based on levels of expertise with respect to treatment decisions for intensive care unit (ICU) patients whose wishes for end-of-life care are ambiguous.
View Article and Find Full Text PDFBackground: This study investigated the association between nasogastric tube feeding (NGF) and discharge rate to previous residences with oral intake in patients aged 80+ with aspiration pneumonia.
Methods: A retrospective cohort study included 256 hospitalized patients with aspiration pneumonia from 2012 to 2022, which could not start oral intake within 48 h due to dysphagia. Using 1:2 matched-pair analysis, the association of interest was examined using logistic regression analysis.
Online Intensive Cardiac Rehabilitation Program for Japanese Patients With Coronary Artery Disease - A Pilot Study Protocol.
Circ Rep
September 2024
Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine Kyoto Japan.
Article Synopsis
- * Twenty-four participants will be split into early and late-phase groups, engaging in a 12-week program that includes exercise, dietary education, mindfulness, and group support sessions.
- * The main goal is to assess the feasibility of the program through adherence, while secondary outcomes will evaluate changes in physical health, stress management, and dietary habits among participants.
Aim: Clinicians face difficulties in making treatment decisions for unspecified anxiety disorder due to the absence of any treatment guidelines. The objective of this study was to investigate how familiar and how often primary care physicians use pharmacological and nonpharmacological approaches to manage the disorder.
Methods: A survey was conducted among 117 primary care physicians in Japan who were asked to assess the familiarity of using each treatment option for unspecified anxiety disorder on a binary response scale (0 = "unfamiliar," 1 = "familiar") and the frequency on a nine-point Likert scale (1 = "never used," 9 = "frequently used").
Purpose: Tamoxifen is used for the suppression of estrogen-sensitive tumor recurrence in oocyte retrieval cycles. This meta-analysis aimed to evaluate the quality of controlled ovarian stimulation (COS) with co-administration of gonadotropins and tamoxifen (COS with tamoxifen).
Methods: PubMed, Embase, and Cochrane Library were searched for articles on October 30, 2022.
Article Synopsis
- This study compares the effectiveness of short vs. long attachment caps in colonoscopy for identifying causes of acute hematochezia, specifically looking at recent hemorrhage.
- Using data from over 6,400 patients, researchers found that long cap users had significantly higher rates of diagnosing colonic diverticular bleeding and identifying active bleeding, compared to short cap users.
- The conclusion suggests that long cap-assisted colonoscopy is more effective for diagnosing acute hematochezia and recognizing bleeding compared to short caps.
Background And Aims: Mechanical ventilation is associated with several risks, including barotrauma, ventilator-associated pneumonia, and ventilator-induced diaphragmatic dysfunction. A delay in weaning from mechanical ventilation increases these risks, and prolonged weaning has been shown to increase hospital mortality. Various tools have been used in clinical practice to predict successful weaning from mechanical ventilation; however, they have a low prognostic accuracy.
View Article and Find Full Text PDFArticle Synopsis
- A study was conducted to see if soccer-related public health campaigns affect men more than women, specifically looking at rubella antibody testing at a football event in Japan.
- The study found that easy access to free testing was the main factor motivating people to get tested, with healthcare professional input and athlete endorsement also being significant.
- Men were more influenced by celebrity athletes in their decision to get tested compared to women, suggesting that celebrity appeal could be a powerful tool for raising health awareness among male soccer fans.
Aim: The Nausea and Vomiting of Pregnancy Quality of Life (NVP QOL) Questionnaire is a self-report measure of health-related QOL for nausea and vomiting during pregnancy. This study determines the best fitting factor structure for the NVP QOL Questionnaire and explores its measurement invariance in terms of observation time and parity.
Methods: A test-retest study of pregnant women was conducted at Gestational Weeks (GWs) 10-13 (T1: = 381) and 1 week later (T2: = 128) at one hospital and five clinics with the NVP QOL and the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE).
High-resolution computed tomography for the prediction of mortality in acute respiratory distress syndrome: A retrospective cohort study.
Health Sci Rep
December 2021
Department of Pulmonary Medicine Thoracic Center, St. Luke's International Hospital Tokyo Japan.
Background And Aims: Acute respiratory distress syndrome ARDS) demonstrates several image patterns on high-resolution computed tomography (HRCT). The purpose of this study was to investigate the relationship between specific HRCT findings and the prognosis of ARDS.
Methods: This was a retrospective cohort study performed in a single hospital in Japan.
Article Synopsis
- The study aimed to validate the National Early Warning Score (NEWS) as a tool to predict mortality rates after activating rapid response systems (RRS) in Japan, where current activation rates and outcomes are concerning.
- Researchers analyzed data from 2,255 adult patients across 33 facilities, examining mortality rates 30 days post-RRS activation and evaluating the performance of NEWS with statistical methods.
- Results indicated that NEWS is effective in predicting 30-day mortality risk, with oxygen saturation identified as the most critical parameter, suggesting its potential utility in improving patient outcomes in Japan.
Cardiology Department Practices in the First Wave of the Coronavirus Disease Pandemic - A Nationwide Survey in Japan by the Japanese Circulation Society.
Circ Rep
February 2021
Department of Cardiovascular Medicine, Saga University Saga Japan.
From the early phase of the Coronavirus disease-2019 (COVID-19) pandemic, cardiologists have paid attention not only to COVID-19-associated cardiovascular sequelae, but also to treatment strategies for rescheduling non-urgent procedures. The chief objective of this study was to explore confirmed COVID-19 cardiology case experiences and departmental policies, and their regional heterogeneity in Japan. We performed a retrospective analysis of a nationwide survey performed by the Japanese Circulation Society on April 13, 2020.
View Article and Find Full Text PDFAim: This pilot study aimed to evaluate the effects of team-based learning about postpartum haemorrhage on the learning outcomes and experience of midwifery students in Indonesia.
Design: One-group pre-test-post-test study.
Methods: This study enrolled 64 midwifery students as participants from an Indonesian health polytechnic school.
Objective: Even if performing rapid influenza diagnostic tests test will not change clinical decision making, we sometimes perform at triage to reduce length of stay in Japan. Whether performing rapid influenza diagnostic tests at triage may shorten emergency department (ED) length of stay (LOS) is remains unclear. We aimed to determine the utility of rapid influenza diagnostic tests at triage in shortening ED length of stay LOS.
View Article and Find Full Text PDFEmission inventories of anthropogenic transition metals, which contribute to aerosol oxidative potential (OP), in Asia (Δ = 0.25°, monthly, 2000-2008) and Japan (Δ = 2 km, hourly, mainly 2012) were developed, based on bottom-up inventories of particulate matters and metal profiles in a speciation database for particulate matters. The new inventories are named Transition Metal Inventory (TMI)-Asia v1.
View Article and Find Full Text PDFBackground: Philadelphia-negative (Ph-negative) myeloproliferative neoplasms (MPNs), including polycythemia vera (PV), essential thrombocythemia (ET), and primary myelofibrosis (PMF), are exceptionally rare during childhood. Thus, clinical features of pediatric Ph-negative MPNs remain largely unknown. This study was therefore performed to address this.
View Article and Find Full Text PDFAim: In this study, we developed and verified the Nurse Managers' Empowering Behavioral Scale for Staff Nurses (NMEB-SN).
Design: A cross-sectional survey.
Methods: The NMEB-SN was developed based on the staff nurses' perspectives.
Background: Polypharmacy is associated with negative outcomes in older population. Managing polypharmacy is important but there is no definite method for regulating it. Our aim was to evaluate what medications and patient's background are associated with reducing polypharmacy.
View Article and Find Full Text PDFAim: The aim of this study was to examine the reported characteristics of extant studies on palliative care for patients with idiopathic pulmonary fibrosis.
Design: Narrative review.
Methods: A comprehensive search of the following electronic databases in English and Japanese commenced from 2002 - December 2017.