Fujita Medical Journal最新文献

{"title":"Design and implementation of a community-based rehabilitation curriculum for training multidisciplinary rehabilitation teams to serve people aging with disabilities.","authors":"Zaliha Omar, Yohei Otaka, Eiichi Saitoh","doi":"10.20407/fmj.2023-019","DOIUrl":"10.20407/fmj.2023-019","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to design and implement a community-based rehabilitation (CBR) curriculum to promote community engagement by multidisciplinary teams.</p><p><strong>Methods: </strong>Participants in this prospective interventional study at a rehabilitation institution for people aging with disabilities included learners, the chief executive officer of the institution, program auditors, and community members. A customized CBR curriculum was developed using systems thinking design. Thirty-five learners were trained through 36 instructional contact hours and 60 hours of guided self-directed learning. Learners completed pre-training self-reported questionnaires regarding knowledge and experience of CBR. During training, learners were evaluated continuously through observation, assignments, self-reported feedback questionnaires, and CBR projects. The chief executive officer was interviewed during the study. The program auditors were interviewed and wrote reports on the curriculum and observations regarding the CBR projects. Learners reported on community participation in these projects.</p><p><strong>Results: </strong>Thirty-three of 35 learners completed the program, 31 (94%) of whom had no prior knowledge of CBR. Learners implemented nine community engagement CBR projects, in which 1,293 community members participated. The auditors commended the curriculum content and its positive impact on learners and the community. The chief executive officer implemented inclusive community engagement at work. A CBR curriculum was dynamically developed for multidisciplinary rehabilitation team training to promote community engagement.</p><p><strong>Conclusions: </strong>The custom-designed CBR curriculum enabled multidisciplinary teams to practice community engagement at work. Equipped with CBR knowledge and skills, teams engaged with multiple sectors of the community to enhance patients' rehabilitation potential and increase public awareness through the implemented projects.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of support meetings for patients undergoing outpatient chemotherapy by a multidisciplinary cancer team.","authors":"Miho Jinno, Misako Dai, Kaori Ito, Yosuke Ando, Seira Toyosato-Nishibe, Maki Akiyoshi, Sachie Noda, Hidezo Matsuda, Naho Tsujii, Miho Zennami, Masami Yamamura, Yoko Katagata, Akemi Ito, Aki Takai, Shigeki Yamada, Kenji Kawada, Junko Sugama, Keiko Mano","doi":"10.20407/fmj.2024-005","DOIUrl":"10.20407/fmj.2024-005","url":null,"abstract":"<p><strong>Background: </strong>Outpatient chemotherapy is a standard treatment for cancer. In nursing care for outpatients, it is important to enhance patients' self-efficacy. Vicarious experiences that can be gained through interactions with other patients with cancer can be useful for achieving this. While inpatients can gain vicarious experiences through their hospital stay, outpatients typically have fewer opportunities to do so.</p><p><strong>Aims: </strong>This report aimed to examine the results of implementation of support meetings for patients receiving outpatient chemotherapy.</p><p><strong>Methods: </strong>Starting in April 2019, support meetings were held once a month for outpatients on Thursdays from 14:00 to 16:00 in a hospital conference room. Medical professionals designed the programme of support meetings to allow patients to interact with each other and engage in vicarious experiences. At each meeting, satisfaction regarding the support meeting content was evaluated by self-administered questionnaire. Moreover, the nurse asked all participants to talk about their interactions, and recorded and extracted narratives about vicarious experiences.</p><p><strong>Findings: </strong>The 32 participants had a median age (interquartile range) of 63.5 years (55-70 years). There were 26 females (81.2%). The median satisfaction scores ranged from 2.9 to 4 for the content of each meeting. Patients talked about the value of learning from the experiences of other patients and the easing of loneliness.</p><p><strong>Conclusion: </strong>The results suggested that support meetings can provide vicarious experiences for patients receiving outpatient chemotherapy.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"44-47"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in kidney function after adrenalectomy in patients with primary aldosteronism.","authors":"Yumi Tomiie, Yatsuka Hibi, Rie Nobe, Keito Yokoi, Yusuke Koshima, Kimio Ogawa, Tsuneo Imai, Zenichi Morise","doi":"10.20407/fmj.2024-011","DOIUrl":"10.20407/fmj.2024-011","url":null,"abstract":"<p><strong>Objectives: </strong>A decrease in the estimated glomerular filtration rate (eGFR) is occasionally observed in patients with primary aldosteronism (PA) after adrenalectomy. Patients may misunderstand that the surgical stress of adrenalectomy can result in kidney dysfunction. However, this finding is considered due to postoperative manifestations of kidney dysfunction that are masked preoperatively by excess aldosterone. To evaluate kidney dysfunction unmasked by adrenalectomy, we investigated changes in the eGFR after adrenalectomy according to the clinically assessable indication of \"a certain drop in eGFR\" as defined by the 2012 Kidney Disease Improving Global Outcomes clinical practice guideline.</p><p><strong>Methods: </strong>This study included 54 patients with PA who underwent unilateral adrenalectomy between 2005 and 2022 at our institution. We classified patients by GFR categories defined by the guideline according to their pre- and postoperative eGFR. We analyzed the predictors associated with a certain drop in eGFR (i.e., a decrease in GFR category accompanied by a ≥25% decrease in the eGFR from baseline).</p><p><strong>Results: </strong>A certain drop in eGFR was present in 35.2% of patients after adrenalectomy. Multivariate regression analysis showed that a longer duration of hypertension, lower preoperative serum potassium concentrations, and lower serum potassium concentrations before potassium supplementation were significant independent predictors (<i>p</i><0.05). The cut-off value of the preoperative serum potassium concentrations was 3.7 mmol/L according to receiver operating characteristic curve analysis.</p><p><strong>Conclusions: </strong>Our findings will be useful for surgeons in informing patients with PA regarding the possibility of downgrading GFR categories after adrenalectomy.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of kidney graft injury during cesarean section in a pancreas and kidney transplantation recipient.","authors":"Noriko Aida, Eiji Nishio, Takao Sekiya, Naohiro Aida, Taihei Ito, Takashi Kenmochi, Haruki Nishizawa","doi":"10.20407/fmj.2024-008","DOIUrl":"10.20407/fmj.2024-008","url":null,"abstract":"<p><p>Although organ transplantation is becoming general practice, little is known about the safety of delivery. This is the first known case that describes injury to the kidney by the uterine fundal pressure maneuver during cesarean section in a pancreas and kidney transplant recipient. A 40-year-old pregnant woman (gravida 0, para 0) was referred to our clinic. She had undergone living donor kidney transplantation 11 years earlier and brain-dead donor pancreas transplantation 1 year earlier owing to type 1 diabetes. Cesarean section was indicated when the patient's blood pressure was 150/100 mmHg at 37 weeks. We pushed the uterine fundus during delivery of the infant, with our usual caution. Serum creatinine levels were 1.6-2.6 mg/dl postoperatively. As this elevation was considered to be due to kidney graft dysfunction, we performed computed tomography, which revealed a hematoma around the kidney graft. Fifteen days after the cesarean section, surgical removal of the hematoma was performed by the transplant surgery team. Following hematoma removal, the serum creatinine level decreased to <1.4 mg/dl. We present a case of kidney graft injury during cesarean section in a pancreas and kidney transplant recipient.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"52-53"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of the Proactive Behavior Scale for Mid-Career Nurses: a reliability and validity study.","authors":"Satomi Koyama, Yumiko Miyoshi, Kimie Takehara","doi":"10.20407/fmj.2024-015","DOIUrl":"https://doi.org/10.20407/fmj.2024-015","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the reliability and validity of the Proactive Behavior Scale for Mid-Career Nurses, which was designed to measure the proactive behavior of nurses who have worked outside their current employment hospital (mid-career nurses) and who are in the process of organizational socialization.</p><p><strong>Methods: </strong>A mail survey was administered to 875 mid-career nurses using a draft version of the Proactive Behavior Scale. An exploratory factor analysis was conducted on the data, and a Proactive Behavior Scale for Mid-Career Nurses was developed (Survey 1). Additionally, a mail survey was administered to 706 mid-career nurses to examine the reliability and validity of the scale (Survey 2).</p><p><strong>Results: </strong>From the exploratory factor analysis results, three factors and 21 items were extracted. The three factors were (1) positive actions toward self-reliance, (2) positive actions toward reliable nursing practices, and (3) positive actions toward building relationships. The Cronbach's alpha coefficient for the overall scale was 0.89, Spearman's rank correlation coefficient for the test-retest method was 0.75, and Pearson's product-moment correlation coefficient for the external criterion, the Scale of Proactive Behavior in Organizational Socialization for New Graduate Nurses and the Scale of Organizational Resocialization were 0.72 and 0.40, respectively.</p><p><strong>Conclusions: </strong>The Proactive Behavior Scale for Mid-Career Nurses has good reliability and validity.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring the effectiveness of career education at a medical university and future issues from the perspective of students' transformation: impact of a new career education program at a medical university on entrepreneurship effectiveness.","authors":"Shuichi Murakawa, Junko Ishiguro, Akiko Watanabe","doi":"10.20407/fmj.2024-014","DOIUrl":"10.20407/fmj.2024-014","url":null,"abstract":"<p><strong>Objectives: </strong>The current study aimed to examine the effectiveness of a new career education course, \"Career Development Theory,\" at a medical university. This course is designed to enable students to plan their careers and consider various career options. This class was introduced to improve students' entrepreneurial qualities and broaden their career choices.</p><p><strong>Methods: </strong>The research methods included a survey to measure entrepreneurial qualities before and after attending the class and an analysis of students' reports of what they had learned from the class. A total of 243 students who plan to qualify to participate in the national examinations for clinical technologists, clinical engineering technologists, and radiology technologists participated in the research.</p><p><strong>Results: </strong>The results revealed that autonomy and creativity scores significantly increased, whereas risk-taking scores decreased. This suggests that the class may have taught students accurate self- and risk-assessment skills while fostering a cautious attitude toward avoiding unnecessary risks. The report analysis indicated that students' self-awareness and attitudes toward their careers changed because of the class. Many students felt that their career options had expanded and found avenues outside the medical profession.</p><p><strong>Conclusions: </strong>This research demonstrates the need for and effectiveness of career education in medical universities and provides valuable suggestions for improving educational programs. The future goal is for more students to design their careers freely and choose the path that best suits them from various career options. The current results may provide a useful reference for career education curriculum development at other medical universities.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mesonephric-like adenocarcinoma of the uterine corpus with focal sarcomatous differentiation: A case report.","authors":"Serika Kanao, Makoto Urano, Kazuhisa Fujita, Fumi Utsumi, Kazuhiro Sugihara, Kiyosumi Shibata","doi":"10.20407/fmj.2024-017","DOIUrl":"10.20407/fmj.2024-017","url":null,"abstract":"<p><p>Mesonephric-like adenocarcinoma of the uterine corpus was first reported in 2016, and added as a new item to the 5th edition of the WHO classification in 2020. It accounts for approximately 1% of patients with uterine corpus cancer, being rare. The histology of this carcinoma varies, making pathological diagnosis difficult. A diagnosis is made at an advanced stage in comparison with other histological types of uterine corpus cancer, and the prognosis is reportedly poor with high-level malignancy. In addition, there are few case reports of mesonephric-like adenocarcinoma of the uterine corpus with sarcoma. In this study, we report a patient in whom preoperative chemotherapy was performed under a diagnosis of cervical carcinoma, but the resected specimen led to a diagnosis of sarcomatous component-mixed mesonephric-like adenocarcinoma of the uterine corpus after surgery.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of the relationship between serum zinc levels and peripheral neuropathy induced by paclitaxel/carboplatin combination therapy in gynecological cancer patients.","authors":"Yutaka Torii, Kana Naito, Junichi Takagi, Akira Yasue, Kazuhiko Tsukada, Takuma Fujii, Haruki Nishizawa","doi":"10.20407/fmj.2024-013","DOIUrl":"10.20407/fmj.2024-013","url":null,"abstract":"<p><strong>Objectives: </strong>Chemotherapy-induced peripheral neuropathy (CIPN), a frequently occurring adverse event associated with paclitaxel/carboplatin (TC) combination therapy, causes limb pain and markedly reduces the patient's quality of life. Since zinc has been reported to be associated with neuropathic pain, we investigated the relationship between CIPN due to TC therapy and serum zinc levels.</p><p><strong>Methods: </strong>The study included 13 patients with gynecological cancer whose serum zinc levels were measured before and during TC therapy. CIPN was classified into severity grades based on the Common Terminology Criteria for Adverse Events v5.0. A retrospective analysis was conducted on the relationship between the serum zinc level before TC therapy (PreZn), the minimum serum zinc level measured during TC therapy (MinZn), the MinZn/PreZn ratio, the number of TC treatment cycles, and the maximum grade of CIPN (MaxG) using Pearson's correlation coefficient. Moreover, an analysis was also conducted on clinical factors influencing MaxG, as well as fluctuations in serum zinc levels and CIPN grades for each cycle of TC therapy.</p><p><strong>Results: </strong>A negative correlation was observed between the MinZn/PreZn ratio and MaxG (r=-0.557, p=0.048). The clinical factors influencing CIPN remained unclear, and the decrease in serum zinc levels and the aggravation of CIPN plateaued after the third cycle.</p><p><strong>Conclusions: </strong>If a decrease in serum zinc levels during TC therapy is smaller than before therapy, it may imply the existence of a causal relationship that suppresses the aggravation of CIPN.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic repair combined with hysteroscopy of cesarean section scar after cesarean scar pregnancy resulting in a live birth: A case report.","authors":"Kyohei Takada, Eiji Nishio, Kiriko Kotani, Arata Kobayashi, Akiko Owaki, Yoshiteru Noda, Mayuko Ito, Hironori Miyamura, Haruki Nishizawa","doi":"10.20407/fmj.2024-003","DOIUrl":"10.20407/fmj.2024-003","url":null,"abstract":"<p><p>We report a case where a spontaneous pregnancy and delivery of a live baby were achieved after laparoscopic repair combined with hysteroscopy of the cesarean section scar secondary to treatment for a prior cesarian section scar pregnancy. [Case] 31 years old, three pregnancies, and one delivery. A spontaneous abortion. Her first child was delivered by elective cesarean section due to pelvic position (breech presentation). During her second pregnancy, she was diagnosed with cesarean section scar pregnancy and underwent dilation and curettage. Subsequently, a laparoscopic repair of the uterine scar was performed using hysteroscopy owing to thinning of the cesarean section scar area. At six months postoperative, she conceived spontaneously and delivered a live baby by elective cesarean section at 38 weeks 2 days gestation. Conclusion: Thus, laparoscopic repair combined with hysteroscopy of the uterine scar can be a useful treatment option for patients with uterine scarring secondary to cesarean section scar pregnancy.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 1","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical study on anorexia in patients with terminal cancer.","authors":"Miyo Murai, Masanobu Usui, Akihiro Ito, Akihiko Futamura, Kazuki Imai","doi":"10.20407/fmj.2024-002","DOIUrl":"10.20407/fmj.2024-002","url":null,"abstract":"<p><strong>Objectives: </strong>Patients with terminal cancer tend to have an increased frequency of a variety of clinical symptoms, including anorexia, at 1 month of life expectancy. This study examined clinical symptoms affecting anorexia in patients with terminal cancer.</p><p><strong>Methods: </strong>Of 1068 patients with terminal cancer who died and were discharged from our hospital between April 2014 and March 2016, we included 471 patients whose clinical symptoms could be subjectively assessed within 4 weeks before death.Patients were evaluated subjectively on a scale of 0 to 10 (11-point scale) using the Numerical Rating Scale (NRS) once a week for nine major clinical symptoms: (1) pain, (2) general fatigue, (3) dyspnea, (4) depressed mood, (5) anorexia, (6) insomnia, (7) nausea, (8) constipation, and (9) dry mouth. Primary data within 4 weeks prior to death were used for analysis, and Spearman's rank correlation was used to examine clinical symptoms affecting anorexia.</p><p><strong>Results: </strong>Spearman's rank correlation coefficients between anorexia and the following clinical symptoms were: pain, 0.186; general fatigue, 0.414; dyspnea, 0.15; depressed mood, 0.287; insomnia, 0.327; nausea, 0.297; constipation, 0.215; and dry mouth, 0.204. General fatigue was positively correlated with anorexia.</p><p><strong>Conclusions: </strong>General fatigue may influence anorexia in patients with terminal cancer.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"10 4","pages":"94-97"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}