A5039097622- Sexual function and dysfunction studies
- Electronic Health Records Systems
- Pneumonia and Respiratory Infections
- Palliative Care and End-of-Life Issues
- Clinical Reasoning and Diagnostic Skills
- Pleural and Pulmonary Diseases
- Hernia repair and management
- Tracheal and airway disorders
- Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Patient Dignity and Privacy
- Sexuality, Behavior, and Technology
- Ocular Diseases and Behçet’s Syndrome
- Intestinal and Peritoneal Adhesions
- Grief, Bereavement, and Mental Health
- Cancer survivorship and care
- Healthcare Systems and Technology
- Intraperitoneal and Appendiceal Malignancies
- Marriage and Sexual Relationships
- Amoebic Infections and Treatments
- Nosocomial Infections in ICU
- Appendicitis Diagnosis and Management
- Multiple and Secondary Primary Cancers
- Family Support in Illness
- Genetic and rare skin diseases.
- Congenital Anomalies and Fetal Surgery
Yokohama City University
1996-2023
Chiba University
2013-2016
Chiba University Hospital
2013-2016
Hitachi Maxell (Japan)
2005
Telediagnosis (TD), which uses information and communications technology, has recently undergone rapid development. Since no studies have compared the diagnostic precision of TD to that face-to-face diagnosis (FD), we examined accuracy these approaches among general medicine outpatients.Data 97 patients (45 men 52 women with a mean age years) who underwent initial examinations at regional hospital were analyzed. Two fully trained physicians selected from group three perform FD TD. Levels...
Abstract Post‐orgasmic illness syndrome (POIS) is a rare disease characterized by flu‐like symptoms persisting for 2–7 days after ejaculation. POIS has been chiefly attributed to allergic reactions autologous seminal plasma. However, the exact pathophysiology remains unclear, and there no effective treatment. We present case of 38‐year‐old man with 10‐year history recurrent episodes 1‐week duration The patient was diagnosed irritating bowel because fatigue, myalgia, lateral abdominal pain....
Diagnosis of community-acquired pneumonia (CAP) in the elderly is often delayed because atypical presentation and non-specific symptoms, such as appetite loss, falls disturbance consciousness. The aim this study was to investigate external validity existing prediction models added value symptoms for diagnosis CAP patients.Prospective cohort study.General medicine departments three teaching hospitals Japan.A total 109 patients who consulted upper respiratory between 1 October 2014 30...
Background: Education regarding death diagnosis is not often included in the medical education. Objective: To investigate change minds at time of among residents after lectures based on our guidebook. Design: Uncontrolled, open-label, multi-center trial. Subjects: A total 131 doctors undergoing their initial training were enrolled this study. Measurements: Questionnaires administered to volunteers before and lecture by clinical instructor presented information doctors’ behaviors guidebook...
Purpose: To compare the diagnostic accuracy of diseases predicted from patient responses to a simple questionnaire completed prior examination by doctors with different levels ambulatory training in general medicine. Participants and methods: Before examination, five trained physicians, four short-term-trained residents, untrained residents examined then indicated, rank order according their subjective confidence level, they predicted. Final diagnosis was subsequently determined hospital...
33歳, 女性.18歳と24歳のとき鉄欠乏性貧血のため輸血を受けた.大腸検診で便潜血陽性を指摘され, 大腸内視鏡検査を行ったところ血管腫が認められた.皮膚と口腔粘膜にも血管腫があり, さらに小腸造影でも血管腫があった.貧血は消化管血管腫からの出血によるものと考え, 血管腫の切除を目的として開腹術を施行した.漿膜面からの観察で小腸に27ヵ所, 大腸に7カ所, 肝臓に3カ所血管腫を認めた.大腸の血管腫のすべてを切除し, 小腸に存在する直径1.0cm以上の血管腫は腸管を切開し切除, 1.0cm以下はZ縫合をかけて血流を遮断した.術後3年間の経過観察で貧血もなく消化管の検索で再発を認めていない.Blue Rubber Bleb Nevus症候群は皮膚血管腫に消化管血管腫が合併し下血をきたすものをいい, 本邦では67例が報告されている.この症候群では食道から直腸まで全ての腸管に存在する可能性があり, 全消化管の検索が必要である.
Table 1 We develop a Personal Health Care System based on the PHDFIS(Persona1 Data Recording System) conceptll] as mesure for archiving medical images, examination data and reports. The system comprises ot personal computer, an optical disk(0D) drive IK-line high resolution CRT. images of each patient are archived inso 3.5-inch OD. In retrieval or d,ala, they are1 displayed through this patients may possess carry their OD's to clinics.
【目的】終末期がん患者のセクシュアリティへの支援に対する看護師の現状を明らかにする．【方法】2018年12月に神奈川県内緩和ケア病棟18施設の看護師313名を対象に終末期がん患者の「パートナーとの愛を育む時間」に対する認識，感情，支援への行動意図と実践について質問紙調査を行った．【結果】165名中（回収率52.7%）「パートナーとの愛を育む時間」への支援経験があるのは82名（49.7%）であった．行ったことのある具体的な支援内容は「スキンシップを勧める」，「傾聴」，「ハグを勧める」，「入室の際に，ノックや声掛け後に返事を待つなど十分な時間をとる」が多かった．一方，病棟カンファレンスで「パートナーとの愛を育む時間」について話したことがあるのは11名（6.7%）であった．【結論】現状，「パートナーとの愛を育む時間」への支援は個人に任され，組織的には行われていないことが示唆された．
The pneumonia, sepsis and meningitis are common diseases of GBS infection in infants. There early-onset late-onset types this disease, the result is unknown. M. Sugiyama reported that M9 a new type Japan 1989. Analysis typing serum specific antibody concentrations simple with technics.By studying infants' contamination we discovered appeared to originate from mother-infant sources. infants were followed for year. 52% had GBScontamination their throat or stool. most was Ia, by III, JM9 NT6....