Journal of Nippon Medical School最新文献_第10页

Early Detection of Pyogenic Sacroiliitis by MRI: A Case Report. 通过磁共振成像早期发现化脓性骶髂关节炎：病例报告

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-502

Den Yamagata, Takashi Kashimura, Takeshi Asano

引用次数: 0

Effect of Dural Puncture Epidural Technique on Management of Breakthrough Pain for Parous Women Receiving Labor Analgesia during Induced Labor: A Retrospective Cohort Study. 硬膜外穿刺技术对接受引产分娩镇痛的parous 妇女突破性疼痛管理的影响：回顾性队列研究

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-506

Youhei Tsunoda, Makoto Osumi, Takashi Matsushima, Masashi Ishikawa, Shunji Suzuki

{"title":"Effect of Dural Puncture Epidural Technique on Management of Breakthrough Pain for Parous Women Receiving Labor Analgesia during Induced Labor: A Retrospective Cohort Study.","authors":"Youhei Tsunoda, Makoto Osumi, Takashi Matsushima, Masashi Ishikawa, Shunji Suzuki","doi":"10.1272/jnms.JNMS.2024_91-506","DOIUrl":"https://doi.org/10.1272/jnms.JNMS.2024_91-506","url":null,"abstract":"Background: This study assessed the effectiveness of the dural puncture epidural (DPE) technique in managing breakthrough pain in parous women receiving labor analgesia during induced labor.Methods: This single-center retrospective cohort study included term pregnant women with singleton pregnancies who received treatment for breakthrough pain during labor. All participants underwent induced labor, and some parous women among them underwent DPE. The DPE technique consisted of placing an epidural catheter after dural puncture with a 27-gauge spinal needle. Eligible women were allocated into a DPE group and conventional epidural (CE) anesthesia group. Pain was assessed with a numerical rating scale (NRS), and a patient-controlled epidural analgesia (PCEA) bolus was administered when the NRS score was ≥3. Breakthrough pain was defined as an NRS score ≥3 during PCEA management. The primary outcome was the efficacy of rescue interventions in managing breakthrough pain, as determined by a reduction in pain intensity to an NRS score <3 before birth.Results: Among the 55 parous women who received labor analgesia, 44 required additional rescue administration for breakthrough pain. Of the remaining women, 23 received DPE and 19 received CE anesthesia. The DPE group experienced significantly more effective relief of breakthrough pain before birth than did the CE group (DPE: 100%; CE: 68.4%; p=0.005).Conclusion: In parous women, DPE anesthesia was more effective than CE anesthesia in providing analgesia for breakthrough pain immediately before delivery during induced labor.","PeriodicalId":56076,"journal":{"name":"Journal of Nippon Medical School","volume":"91 5","pages":"426-431"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592299","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 the COVID-19 Pandemic on the Mental Status of Pregnant Women: A Single-Center Study. COVID-19 大流行对孕妇精神状态的影响：单中心研究

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-510

Asako Watanabe, Kei Sagawa, Eika Harigane, Hiroki Shinmura, Ryuhei Kurashina, Takashi Matsushima, Shunji Suzuki

{"title":"Effect of the COVID-19 Pandemic on the Mental Status of Pregnant Women: A Single-Center Study.","authors":"Asako Watanabe, Kei Sagawa, Eika Harigane, Hiroki Shinmura, Ryuhei Kurashina, Takashi Matsushima, Shunji Suzuki","doi":"10.1272/jnms.JNMS.2024_91-510","DOIUrl":"https://doi.org/10.1272/jnms.JNMS.2024_91-510","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) pandemic has forced people to make major life changes, and there is concern that depressive tendencies have increased in pregnant women during the pandemic. This study used the Edinburgh Postnatal Depression Scale (EPDS), administered in the second trimester, to investigate the effect of COVID-19 on the mental health of Japanese women during pregnancy and to provide early intervention.Methods: The study included 1,320 pregnant women (663 pre-COVID-19 and 657 during COVID-19) with similar background characteristics and compared the results for the COVID-19 period (September 2020-August 2021) and control period (September 2018-August 2019). Women treated for psychiatric disorders were excluded. The EPDS cutoff score was 13.Results: The median EPDS scores were 3 (1-6) points during the control period and 3 (1-5) points during the pandemic (p = 0.166) for the control and pandemic periods. Fourteen patients (2.1%) during the control period and 20 (3.0%) during the pandemic scored ≥13 points; however, the difference was not significant (odds ratio, 1.455; 95% confidence interval: 0.692-3.143).Conclusions: COVID-19 did not change mid-pregnancy EPDS scores at a single Japanese center.","PeriodicalId":56076,"journal":{"name":"Journal of Nippon Medical School","volume":"91 5","pages":"457-464"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592302","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

Nippon Medical School's Ethical Review Processes for Studies Involving Human Subjects. 日本医科学校对涉及人体研究的伦理审查程序。

IF 1 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-216

Toshiaki Otsuka, Kotone Matsuyama

引用次数: 0

Reliability of PainDETECT for Evaluating Low Back Pain Caused by Cluneal Nerve Entrapment. PainDETECT 用于评估 Cluneal 神经卡压引起的腰痛的可靠性

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-312

Chiho Takada, Kyongsong Kim, Rinko Kokubo, Minoru Ideguchi, Riku Mihara, Kenta Koketsu, Yasuo Murai

{"title":"Reliability of PainDETECT for Evaluating Low Back Pain Caused by Cluneal Nerve Entrapment.","authors":"Chiho Takada, Kyongsong Kim, Rinko Kokubo, Minoru Ideguchi, Riku Mihara, Kenta Koketsu, Yasuo Murai","doi":"10.1272/jnms.JNMS.2024_91-312","DOIUrl":"https://doi.org/10.1272/jnms.JNMS.2024_91-312","url":null,"abstract":"Background: Superior/middle cluneal nerve entrapment (CN-E) is an elicitor of low back pain (LBP). The painDETECT questionnaire is used to characterize CN-E symptoms.Methods: Nineteen consecutive patients with LBP caused by CN-E (superior CN-E = 7; middle CN-E = 12) participated in a Japanese language painDETECT questionnaire survey before surgery. A score of 12 or lower was recorded as 'neuropathic component unlikely', a score of 19 or higher as 'neuropathic pain likely', and scores between 13 and 18 as 'neuropathic pain possible'. LBP severity was recorded on a numerical rating scale, the Roland-Morris Disability Questionnaire, and the EuroQol-5 dimension-5 level.Results: The mean painDETECT score was 11.8 and did not significantly differ between the superior CN-E and middle CN-E groups. We classified low back pain as unlikely to have a neuropathic component in 13 patients, as likely to have a neuropathic component in 2 patients, and as possibly neuropathic in 4 patients. There was no significant difference in the pain level of patients with scores of ≤12 and ≥13 on painDETECT. All patients reported trigger pain; the positive rate was high for electric shock pain, radiating pain, and pain attacks and low for a burning or tingling sensation, pain elicited by a light touch, and pain caused by cold or hot stimulation.Conclusion: The painDETECT questionnaire may not reliably identify LBP caused by superior/middle CN-E as neuropathic pain. A diagnosis of LBP due to CN-E must be made carefully because symptoms resemble nociceptive pain.","PeriodicalId":56076,"journal":{"name":"Journal of Nippon Medical School","volume":"91 3","pages":"328-332"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556064","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

Surgical Site Infections in Gastroenterological Surgery. 胃肠外科手术部位感染。

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-614

Monowar Aziz, Ping Wang

引用次数: 0

A Case of Immune Aplastic Anemia during Combined Treatment with Atezolizumab and Chemotherapy for Non-Small Cell Lung Cancer. 一例非小细胞肺癌患者在接受阿特珠单抗和化疗联合治疗期间出现免疫性再生障碍性贫血的病例

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-302

Satoru Matsuki, Namiko Taniuchi, Naoko Okada, Junpei Sato, Nobuhiko Nishijima, Koichiro Kamio, Norio Motoda, Muneo Okamoto, Masahiro Seike, Arata Azuma

引用次数: 0

Awareness-Raising Activities to Identify Children with Short Stature. 识别身材矮小儿童的提高认识活动。

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-411

Masahiko Takeuchi, Takeshi Asano

{"title":"Awareness-Raising Activities to Identify Children with Short Stature.","authors":"Masahiko Takeuchi, Takeshi Asano","doi":"10.1272/jnms.JNMS.2024_91-411","DOIUrl":"https://doi.org/10.1272/jnms.JNMS.2024_91-411","url":null,"abstract":"Background: Although short stature is sometimes treatable in children, family members do not always realize that their children have short stature. To develop better educational materials for identifying short stature, we conducted a questionnaire survey on children with short stature. Using the results of the survey, we revised educational activities regarding short stature.Methods: To assess the effectiveness of the revised activities, we examined changes in the numbers of consultations before and after the changes to the educational activities, the height of children examined after such changes, the test implementation rate, and the test results.Results: After the start of direct promotion for school nursing staff in 2015, the number of outpatients with short stature who visited the hospital significantly increased (16.1/year before 2014 vs. 68.8/year after 2015; p = 0.02). The number of patients hospitalized for a growth hormone secretion stimulation test also significantly increased, from 9.3/year before 2014 to 47.0/year after 2015 (p = 0.02). However, 35% of families did not want to subject their child to a growth hormone stimulating test, even if their child was extremely short.Conclusions: Our revised educational activities for short stature among school nursing staff, school physicians, and nurses at health centers were more effective than conventional activities consisting of public relations magazines and lectures for the general public. It is important to provide proper explanations to enable a better understanding of hormone therapy.","PeriodicalId":56076,"journal":{"name":"Journal of Nippon Medical School","volume":"91 4","pages":"410-416"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134597","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

Zig-Zag Skin Incision for Treatment of Tarsal Tunnel Syndrome. 治疗跗骨隧道综合症的 "之 "字形皮肤切口。

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-404

Kazutaka Shirokane, Kyongsong Kim, Masataka Akimoto, Toyohiko Isu, Rinko Kokubo, Kenta Koketsu, Minoru Ideguchi, Yasuo Murai

{"title":"Zig-Zag Skin Incision for Treatment of Tarsal Tunnel Syndrome.","authors":"Kazutaka Shirokane, Kyongsong Kim, Masataka Akimoto, Toyohiko Isu, Rinko Kokubo, Kenta Koketsu, Minoru Ideguchi, Yasuo Murai","doi":"10.1272/jnms.JNMS.2024_91-404","DOIUrl":"https://doi.org/10.1272/jnms.JNMS.2024_91-404","url":null,"abstract":"Background: Tarsal tunnel syndrome (TTS) is a common entrapment neuropathy of the posterior tibial nerve. Surgery can be performed less invasively under local anesthesia. We adopted zig-zag skin incision to prevent postoperative wound complications.Methods: Between July 2022 and June 2023, we operated on 19 legs of 14 consecutive TTS patients (5 males, 11 females; average age 73.3 years). We made a 2- to 3-cm zig-zag skin incision on the tarsal tunnel. After posterior tibial nerve decompression by posterior tibial artery (PTA) transposition, the subcutaneous layer was tightly sutured with 4-0 PDS and the skin was closed with Dermabond Advanced. We investigated adverse events that developed during the first 30 postoperative days and recorded surgical outcomes at the final visit.Results: In all patients the nerves were successfully decompressed with PTA transposition. There were no intraoperative complications. During the 30 postoperative days there were no adverse events, including wound complications, and patients' symptoms improved significantly.Conclusion: Zig-zag skin incision was easy and convenient for surgical TTS treatment and may be useful for preventing postoperative wound complications.","PeriodicalId":56076,"journal":{"name":"Journal of Nippon Medical School","volume":"91 4","pages":"357-361"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134606","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

Artery of Percheron Infarction with Bilateral Thalamic Lesions in a 14-Year-Old Girl: A Case Report. 一名 14 岁女孩的佩切伦动脉梗塞伴双侧丘脑病变：病例报告。

IF 1.2 4区医学

Journal of Nippon Medical School Pub Date : 2024-01-01 DOI: 10.1272/jnms.JNMS.2024_91-504

Atsushi Takagi, Takeshi Asano

引用次数: 0