Internal Medicine最新文献_第4页

Differences in the Usability of Fully Automated External Defibrillators between Medical and Nonmedical Professionals.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4578-24

Tsuyoshi Nojima, Takafumi Obara, Takashi Hongo, Tetsuya Yumoto, Hiromichi Naito, Atsunori Nakao

{"title":"Differences in the Usability of Fully Automated External Defibrillators between Medical and Nonmedical Professionals.","authors":"Tsuyoshi Nojima, Takafumi Obara, Takashi Hongo, Tetsuya Yumoto, Hiromichi Naito, Atsunori Nakao","doi":"10.2169/internalmedicine.4578-24","DOIUrl":"https://doi.org/10.2169/internalmedicine.4578-24","url":null,"abstract":"Objective Early defibrillation is crucial for improving the survival rates of patients with shockable cardiac arrest (OHCA). Automated external defibrillators (AEDs) are essential in basic life support (BLS), yet their usage in out-of-hospital cardiac arrests remains around 10%. There are two types of AEDs: semi-automatic (s-AED) and fully automatic (f-AED), with the latter automatically delivering a shock if indicated. Although f-AEDs were introduced in Japan in 2021, they have not yet been widely adopted. The present study investigated whether or not the ease of use and preferences for these AED types differ between healthcare professionals and laypersons. Methods BLS courses, including training on both AED types, were conducted between 2021 and 2022 at our institution. The participants were divided into medical and non-medical professional groups, and a survey was administered. Results A total of 443 participants were included, with 47 medical professionals and 396 non-medical professionals. Notably, 401 participants were new to f-AED lectures. The medical professional group had more prior experience with AED training courses than non-medical professionals and showed a preference for s-AEDs, whereas the non-medical professional group showed no significant preference. Although a subset of participants expressed hesitation in pressing the shock button on the s-AEDs, no statistically significant difference was observed between the groups. Conclusion This study suggests that preferences for AED types may vary between medical and non-medical professional groups, with some reluctance in using s-AEDs. Although no significant differences in hesitation were found between the groups, f-AEDs may reduce hesitation and potentially improve AED effectiveness during cardiopulmonary resuscitation.","PeriodicalId":13719,"journal":{"name":"Internal Medicine","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unraveling the Implications of Digit Bias in Digital Health - A Literature Review.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4666-24

Takahiro Suzuki, Hajime Nagasu, Takeshi Ebara, Nobuyuki Kagiyama, Takuya Kishi, Yuichiro Yano, Kazuomi Kario, Akira Nishiyama, Hisatomi Arima, Fujimi Kawai, Shigeru Shibata, Koichi Node, Atsushi Mizuno

{"title":"Unraveling the Implications of Digit Bias in Digital Health - A Literature Review.","authors":"Takahiro Suzuki, Hajime Nagasu, Takeshi Ebara, Nobuyuki Kagiyama, Takuya Kishi, Yuichiro Yano, Kazuomi Kario, Akira Nishiyama, Hisatomi Arima, Fujimi Kawai, Shigeru Shibata, Koichi Node, Atsushi Mizuno","doi":"10.2169/internalmedicine.4666-24","DOIUrl":"https://doi.org/10.2169/internalmedicine.4666-24","url":null,"abstract":"Digital health, which encompasses digital medicine and therapy, integrates advanced technologies across healthcare. Central to this transformation is 'digitization,' which converts continuous analog data into a discrete digital form. However, this process is challenging. First, digitization inherently has the potential to introduce information loss, thereby diminishing the richness and complexity of data. Second, \"digit bias,\" a cognitive distortion, emerges in the interpretation phase, where individuals' perceptions of and reactions to digital data are intrinsically skewed. There exist two major cognitive biases during digitization process: \"digit preferences,\" where healthcare providers prioritize specific numbers, and \"left digit bias\" where continuous variables are disproportionately estimated by focusing on the leftmost digit. Although information loss and cognitive biases can cause significant distortions in healthcare, the effects of this \"digitization\" process have not been adequately quantified, and the accumulation of further evidence in this field is anticipated.","PeriodicalId":13719,"journal":{"name":"Internal Medicine","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aseptic Abscess of the Gallbladder Mimicking Gallbladder Carcinoma after Surgery for Ulcerative Colitis: A Case Report.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4411-24

Tsuyoshi Ogashiwa, Hiroyuki Oka, Megumi Tsukamoto, Hiroshi Nakanoma, Naohiko Matsushita, Hiroyuki Saeki, Yui Kojima, Masaaki Kondo

引用次数: 0

A Case Presenting with Magnesium Oxide Broncholiths.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4517-24

Yoshiaki Zaizen, Kenji Tsumura, Keisuke Ohta, Tomoaki Hoshino

引用次数: 0

Kidney Injury in Patient with Non-small-cell Lung Cancer Receiving Tepotinib.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4488-24

Naohiro Oda, Akifumi Onishi, Reo Mitani, Takehiko Tokura, Ichiro Takata

引用次数: 0

Renal Diffuse Large B-cell Lymphoma with Bladder Tamponade.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4730-24

Satoshi Ichikawa, Hikaru Kumagai, Tomonori Ishii

引用次数: 0

A Case of Acute Eosinophilic Granulomatous Tubulointerstitial Nephritis in a Patient Receiving Combination Treatment with Three Drugs.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4518-24

Masatoshi Yoshimoto, Eiko Hasegawa, Yuki Oba, Hiroki Mizuno, Shigekazu Kurihara, Noriko Inoue, Akinari Sekine, Kiho Tanaka, Masayuki Yamanouchi, Tatsuya Suwabe, Kei Kono, Keiichi Kinowaki, Kenichi Ohashi, Yutaka Yamaguchi, Takehiko Wada, Naoki Sawa, Yoshifumi Ubara

引用次数: 0

Before a Diagnosis of Atezolizumab and Bevacizumab-associated Encephalitis is Made, all other Possible Causes Should be Ruled Out.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4744-24

Josef Finsterer, Sounira Mehri

引用次数: 0

Predictive Value of the PaO₂/FIO₂ Ratio for Mortality in Patients with Acute Respiratory Distress Syndrome: A Systematic Review and Meta-analysis.

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-05 DOI: 10.2169/internalmedicine.4292-24

Satoshi Yoshimura, Katsuhiko Hashimoto, Yuji Shono, Takahiro Tamura, Ryo Uchimido, Koichi Ando, Satoshi Okamori, Takuo Yoshida, Shigenori Yoshitake, Yohei Okada

{"title":"Predictive Value of the PaO2/FIO2 Ratio for Mortality in Patients with Acute Respiratory Distress Syndrome: A Systematic Review and Meta-analysis.","authors":"Satoshi Yoshimura, Katsuhiko Hashimoto, Yuji Shono, Takahiro Tamura, Ryo Uchimido, Koichi Ando, Satoshi Okamori, Takuo Yoshida, Shigenori Yoshitake, Yohei Okada","doi":"10.2169/internalmedicine.4292-24","DOIUrl":"https://doi.org/10.2169/internalmedicine.4292-24","url":null,"abstract":"Background Despite the controversy regarding its clinical utility, the PaO2/FIO2 ratio has been used to define the severity of acute respiratory distress syndrome (ARDS). This systematic review and meta-analysis (SRMA) details summary estimates of the predictive performance of PaO2/FIO2 ratio in predicting mortality in patients with ARDS. Methods To clarify the integrated diagnostic accuracy, we included studies in which the study population comprised patients with ARDS in any clinical setting, included adult patients (≥18 years old), and evaluated mortality. The MEDLINE and Cochrane Central Registry of Controlled Trials databases were searched for articles in English. We performed SRMA on the accuracy of the diagnostic prognostic tests using the Quality Assessment of Diagnostic Accuracy Studies-2 tool to evaluate the risk of bias. We obtained summary point estimates of sensitivity and specificity and calculated the area under the receiver operating characteristic (AUROC) curve of the summary receiver operating characteristic curve with 95% confidence intervals (CIs). Results Twenty-eight trials with 38270 patients were included in the quality assessment. Most of the studies were conducted in intensive-care units. Overall, the risk of bias is high. For PaO2/FIO2 of 100 and 200 the pooled sensitivity, specificity, and AUROC were 44.8% (95% CI, 38.1%-51.7%), 70.6% (95% CI, 65.9%-74.9%), 0.60 (0.58-0.64) and 83.9% (95% CI, 78.9%-87.8%), 26.1% (95% CI, 20.8%-32.1%), 0.64 (0.60-0.69), respectively. Conclusion The PaO2/FIO2 ratio alone did not have impressive prediction accuracy for mortality in patients with ARDS and might not be able to be used solely as a clinical prognostic tool.","PeriodicalId":13719,"journal":{"name":"Internal Medicine","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Thyrocervical Artery Embolization for Mediastinal Hemangioma with Pleural Effusion. 胸颈部动脉栓塞治疗纵隔血管瘤伴胸腔积液的效果

IF 1 4区医学

Internal Medicine Pub Date : 2024-12-01 Epub Date: 2024-03-25 DOI: 10.2169/internalmedicine.3358-23

Kazuya Kojima, Kyoko Yagyu, Haruhiko Matsushita, Katsuyasu Ota

引用次数: 0