A5102788864- Palliative Care and End-of-Life Issues
- Pain Management and Opioid Use
- Pharmacological Effects and Toxicity Studies
- Cancer survivorship and care
- Ion channel regulation and function
- Diffusion and Search Dynamics
- Gene Regulatory Network Analysis
- DNA and Nucleic Acid Chemistry
- Workplace Health and Well-being
- Molecular Junctions and Nanostructures
- Healthcare professionals’ stress and burnout
- Eicosanoids and Hypertension Pharmacology
- Receptor Mechanisms and Signaling
- Geriatric Care and Nursing Homes
- Neuroscience and Neural Engineering
- stochastic dynamics and bifurcation
- Bacterial Genetics and Biotechnology
- Nursing education and management
- Childhood Cancer Survivors' Quality of Life
- Advanced biosensing and bioanalysis techniques
- Opioid Use Disorder Treatment
- Cardiac electrophysiology and arrhythmias
- Musculoskeletal pain and rehabilitation
- Neonatal Health and Biochemistry
- Artificial Intelligence in Healthcare and Education
Tohoku University
2017-2025
Asahikawa Medical College Hospital
1999-2005
Oita University
1992
Muroran Institute of Technology
1992
Abstract Aim Patient‐reported outcome measures (PROMs) are increasingly used in palliative care to evaluate patients' symptoms and conditions. Healthcare providers often collect PROMs through conversations. However, the manual entry of these data into electronic medical records can be burdensome for healthcare providers. Voice recognition technology has been explored as a potential solution alleviating this burden. research on voice is lacking. This study aimed verify use machine learning...
Pain is subjective, and self-reporting pain might be challenging. Studies conducted to detect using biological signals real-time self-reports are limited. We evaluated the feasibility of collecting data on healthy females' menstrual preliminary analysis. Five adult females participated. They wore two wristwatch devices (Silmee Fitbit) a Holter ECG (electrocardiogram) during menstruation record intensity timing. Subsequently, we analyzed correlation between heart pulse rates assessed pre-...
Background/Objectives: The global nursing shortage encompasses issues such as the uneven nurse distribution in low- and middle-income countries, outflow to other retirement developed necessitating effective retention strategies. Our objective was clarify changes facility selection reasons among Japanese nurses after changing jobs personal attributes influencing selection. Methods: In January 2023, an online survey conducted licensed practical nurses, registered midwives, public health Japan....
Elucidating nurses’ work values will contribute to creating a environment consistent with individual and help them overcome challenging situations. This study aimed create short version of the Nurses’ Work Values Scale verify its psychometric properties usability among nurses, public health midwives, licensed practical nurses. The was developed in three steps. In Step 1, 12‐item scale created from original 30‐item via multidimensional item response theory based on data obtained 1587 2, we...
This study aimed to classify nurses with similar work values into subgroups by examining their intrinsic, extrinsic, social, and prestige values. Additionally, we clarified the characteristics of obtained using personal attributes, engagement, life satisfaction. Using a cross-sectional observational design, randomly sampled 52 hospitals in Tohoku region Japan conducted self-administered questionnaire survey 2600 nurses. Latent profile analysis was performed identify number subgroups. Of 1627...
Although opioids have been shown to be effective for cancer pain, opioid-induced adverse events (AEs) are common. To date, little is known about the differences in risks of AEs by opioid type. This study was performed compare prevalence across commonly used analgesic treatment Japan.This conducted as a preplanned secondary analysis multicenter prospective longitudinal inpatients with pain who received specialized palliative care relief. We assessed daily until termination follow-up. rated...
Objective Palliative care is provided according to patient needs. Healthcare providers can use the Phase of Illness assess needs and improve palliative care. However, patients' phase changes after team's intervention remain unknown.
Pain assessment becomes challenging for patients unable to self-report, given the subjective nature of pain. This study introduces an automatic pain detection model utilizing biological signals from wristwatch wearables and time series data with cancer experiencing Biological were obtained 10 7 days during their hospitalization. A total 73,154 minutes 407 reports obtained. We developed classifiers detect moderate or severe above personalized goal by several machine learning algorithms using...
【目的】患者報告型アウトカムを用いて緩和ケアの質をアウトカムの視点から評価するための患者登録システムの実施可能性を検証すること.【方法】電子的データ収集による患者登録システムを2021年に8施設で運用した.1カ月間に緩和ケアチームが新規介入依頼を受けた全入院患者を前向きに登録した.症状評価はIPOSまたはESASを介入時,3日後,介入から1週間ごとに取得した.主要評価項目は患者と医療者による症状評価尺度への回答率である.【結果】318人が登録.患者の回答率は介入時59.1%,介入後37.0%で医療者の回答率は介入時98.4%,介入後70.3%だった.緩和ケアチームからは「患者の回答はサポートが必要で,タブレットよりも紙がよい」,「調査日や全体の管理が負担」などの意見が出た.【考察】実施可能性があると考えられる一方で,システムや運用方法の改善点が明らかになり,実装に向けた貴重な情報が得られた.
State transition of sodium ion selective channel on the excitable membrane was modeled by setting more than 14 subclasses closed states and three inactivated states. The temporal changes in amount species were described 20 differential equations. By applying H infinite control principle, we have computed closed, open time courses these sensitive to electrical voltage gap across membrane. present work will be available for evaluating noise filtering function channel.
We propose a mathematical method to analyze the transient change in probability of gene regulation protein particle ( repressor ) for first time arrival at target operator region DNA chain. The differential equation probabilistic behavior molecular was diffusion type. expressed by modified Bessel functions. By applying Allen's approximation function, we obtained an form immediately after onset reaction. impulse response showed considerable oscillation. present result indicates genetic...
Abstract Purpose: Although opioids have been shown to be effective for cancer pain, opioid-induced adverse events (AEs) are common. To date, there is very little evidence suggesting that any one opioid agonist has a substantially better AE profile than other. This study was performed compare the prevalence of AEs across commonly used analgesic treatment in Japan. Methods: conducted as preplanned secondary analysis multicenter prospective longitudinal inpatients with pain who received...
【目的】在宅診療を受けているがん末期患者における褥瘡の予測危険因子を明らかにすることを目的とした．【方法】在宅診療を専門としている施設において，在宅のまま死亡にて診療終了となるまで施設入居者を含む在宅診療を受けていたがん末期患者95例について，後ろ向き研究を行った．【結果】褥瘡ができた患者は31名で，できなかった患者は64名であった．二変量解析の結果，統計学的に有意であった変数は，大浦・堀田スケール（以下，OHスケール）（P=0.02），過活動型せん妄（P=0.005），拘縮（P=0.008），ヘモグロビン値（P=0.02）で，多変量ロジスティック解析で有意であった変数は，拘縮（OR=16.55 P=0.0002） と，過活動型せん妄（OR=4.22 P=0.008）が独立した褥瘡のリスク因子として同定された．【考察】在宅診療を受けているがん末期患者においては，褥瘡の予測危険因子として過活動型せん妄についても考慮すべきである．
Temporal change in G protein system 4as investigated by solving non linear rate equations to show the effects of changes constants on concentrations complexes comprising activation and inhibition reactions. In regulation processes as intracellular signal transduction mechanisms, constant for linking agonistic hormone receptor target cell has dominative following sequential recruit able It also influences that inhibitory action adenylate cyclase.
We describe the association kinetics with coupled three and one dimensional diffusion by physical mathematical procedures, deduce a general solution. introduce analytic rigorous solution reported Berg (1976) of temporal changes in flow that involved particles around DNA strand.
We applied the linear systems analysis and robustness for intra cellular calcium ion transport across sarcoplasmic reticulum. computed structural singular values H2/H/spl infin/ norms. The present investigation can be used evaluating functional space of system.