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JaLCDOI 10.18926/AMO/67663
FullText URL 78_5_387.pdf
Author Naoe, Shota| Tanaka, Ayumi| Kanzaki, Norie| Takenaka, Reiju| Sakoda, Akihiro| Miyaji, Takaaki| Yamaoka, Kiyonori| Kataoka, Takahiro|
Abstract Radon is a known risk factor for lung cancer; however, it can be used beneficially, such as in radon therapy. We have previously reported the enhancement of antioxidant effects associated with trace amounts of oxidative stress as one of the positive biological effects of radon inhalation. However, the biological effects of radon inhalation are incompletely understood, and more detailed and comprehensive studies are required. Although several studies have used proteomics to investigate the effects of radon inhalation on body proteins, none has focused on brain proteins. In this study, we evaluated the expression status of proteins in murine brains using proteomic and multivariate analyses to identify those whose expressions changed following two days of radon inhalation at a concentration of 1,500 Bq/m3. We found associations of radon inhalation with the expressions of seven proteins related to neurotransmission and heat shock. These proteins may be proposed as biomarkers indicative of radon inhalation. Although further studies are required to obtain the detailed biological significance of these protein alterations, this study contributes to the elucidation of the biological effects of radon inhalation as a low-dose radiation.
Keywords radon inhalation proteomics multivariate analysis brain oxidative stress
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-10
Volume volume78
Issue issue5
Publisher Okayama University Medical School
Start Page 387
End Page 399
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39467657
Web of Science KeyUT 001343346400005
JaLCDOI 10.18926/AMO/67662
FullText URL 78_5_377.pdf
Author Hirano, Yuichi| Nouso, Kazuhiro| Kariyama, Kazuya| Hiraoka, Atsushi| Shiota, Shohei| Wakuta, Akiko| Yasuda, Satoshi| Toyoda, Hidenori| Tsuji, Kunihiko| Hatanaka, Takeshi| Kakizaki, Satoru| Naganuma, Atsushi| Tada, Toshifumi| Itobayashi, Ei| Ishikawa, Toru| Shimada, Noritomo| Takaguchi, Koichi| Tsutsui, Akemi| Nagano, Takuya| Imai, Michitaka| Nakamura, Shinichiro| Kumada, Takashi| Real-Life Practice Experts for HCC (RELPEC) Study Group in Japan|
Abstract We previously found that “albumin grade”, formerly called the “ALBS grade,” demonstrated significant capability for prognostic stratification in hepatocellular carcinoma (HCC) patients treated with lenvatinib. The purpose of the present study was to compare the performance of the albumin grade with that of the modified albumin-bilirubin (mALBI) grade in predicting overall survival of HCC patients with different BCLC stages and treatment types. We enrolled 7,645 Japanese patients newly diagnosed with HCC using the Akaike information criteria (AIC), likelihood ratio, and C-index in different Barcelona Clinic Liver Cancer (BCLC) stages and treatments. The albumin grade showed similar and slightly better performance than the mALBI grade for BCLC stage 0 and A and especially for patients who underwent curative surgery and ablation. In patients treated with transcatheter arterial chemoembolization, molecular targeted agents, and the best supportive care, the mALBI grade had better performance than the albumin grade. However, the differences of the indices were very small in all scenarios. Overall, the albumin grade was comparable in efficacy to the mALBI grade, showing particular benefit for patients with early-stage HCC.
Keywords albumin grade hepatocellular carcinoma modified albumin-bilirubin grade
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-10
Volume volume78
Issue issue5
Publisher Okayama University Medical School
Start Page 377
End Page 386
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39467656
Web of Science KeyUT 001343346400004
FullText URL fulltext.pdf
Author Mitoma, Tomohiro| Maki, Jota| Ooba, Hikaru| Masuyama, Hisashi|
Published Date 2024-10-08
Publication Title BMJ Open
Volume volume14
Issue issue10
Publisher BMJ Publishing Group
Start Page e087657
ISSN 2044-6055
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © Author(s) (or their employer(s)) 2024.
File Version publisher
PubMed ID 39384228
DOI 10.1136/bmjopen-2024-087657
Web of Science KeyUT 001329970500001
Related Url isVersionOf https://doi.org/10.1136/bmjopen-2024-087657
JaLCDOI 10.18926/AMO/67657
FullText URL 78_5_371.pdf
Author Gotoh, Kazuyoshi| Miyoshi, Makoto| I Putu Bayu Mayura| Tsuji, Shuma| Iio, Koji| Fukushima, Shinnosuke| Matsushita, Osamu| Hagiya, Hideharu|
Abstract Spread of carbapenemase-producing Enterobacterales (CPE) is an ongoing public health issue worldwide, including in Japan. In this study, we investigated the phenotypic and genetic characteristics of CPE isolates at Okayama University Hospital over the 5 years (2013-2018) prior to the outbreak of the 2019 coronavirus pandemic. Of 24 carbapenem-resistant Enterobacterales isolated during the study period, we identified 8 CPE isolates harboring blaIMP-1 (5 isolates) and blaIMP-6 genes (3 isolates). Bacterial species and carbapenem susceptibility patterns exhibited diversity. Minimum inhibitory concentrations (MICs) of meropenem were generally higher than those of imipenem and biapenem. Results of pulsed-field gel electrophoresis demonstrated that neither clonal nor plasmid-mediated outbreaks of blaIMP-harboring CPE isolates have developed at our hospital. One Klebsiella oxytoca isolate showed a high MIC (128 μg/mL) of meropenem, which could be explained by the high plasmid copy number. Subsequent analysis of this isolate may elucidate the intricacies of carbapenem resistance profiles among CPE isolates. Collectively, our findings underscore the necessity for ongoing genetic surveillance of CPE, complemented by tailored approaches for infection prevention and control.
Keywords antimicrobial resistance carbapenemase-producing enterobacterales carbapenemase-resistant enterobacterales Silent pandemic whole genome sequence
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-10
Volume volume78
Issue issue5
Publisher Okayama University Medical School
Start Page 371
End Page 376
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39467655
Web of Science KeyUT 001343346400003
JaLCDOI 10.18926/AMO/67656
FullText URL 78_5_363.pdf
Author Takanaga, Satoe| Matsumoto, Naomi| Kadowaki, Tomoka| Takao, Soshi| Yorifuji, Takashi|
Abstract Kawasaki disease (KD) is a pediatric disease of unknown etiology that commonly affects infants in East Asia. Infants born small for gestational age (SGA) have weaker immune systems and are more susceptible to infection. Using data from a nationwide Japanese birth cohort study conducted in 2010 (n=34,579), we investigated whether SGA increases the risk of KD. SGA was defined as birth weight below the 10th percentile for gestational age. The outcome was hospitalization for KD between 6 and 30 months of age. The association between SGA and hospitalization for KD, adjusted for child and maternal factors, was examined using logistic regression. Of the 231 children hospitalized for KD, 9.5% were SGA. Further statistical analysis showed that SGA did not increase the odds ratio (OR) of hospitalization for KD (adjusted OR 1.12, 95% confidence interval 0.71-1.75). This result was not changed with stratification by early daycare attendance and preterm status. Reasons for the lack of association may include the multifactorial pathogenesis of KD; in addition, the types of infections to which SGA infants are predisposed may differ from those triggering KD. Overall, our large nationwide study found no association between SGA and KD.
Keywords Kawasaki disease (KD) small for gestational age (SGA) cohort epidemiology
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-10
Volume volume78
Issue issue5
Publisher Okayama University Medical School
Start Page 363
End Page 370
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39467654
FullText URL fulltext.pdf
Author Hirata, Shoichiro| Hamada, Kenta| Iwamuro, Masaya| Mouri, Hirokazu| Miyahara, Koji| Tsuzuki, Takao| Yamauchi, Kenji| Kobayashi, Sayo| Takahashi, Sakuma| Takenaka, Ryuta| Hori, Shinichiro| Inoue, Masafumi| Toyokawa, Tatsuya| Nishimura, Mamoru| Ishiyama, Shuhei| Miyaike, Jiro| Kato, Ryo| Matsubara, Minoru| Yunoki, Naoko| Kanzaki, Hiromitsu| Kawahara, Yoshiro| Okada, Hiroyuki| Ishikawa, Hideki| Otsuka, Motoyuki| Okayama Gut Study Group|
Keywords direct oral anticoagulants endoscopic submucosal dissection gastric cancer postprocedural bleeding warfarin
Published Date 2024-10-03
Publication Title Journal of Gastroenterology and Hepatology
Volume volume39
Issue issue12
Publisher Wiley
Start Page 2760
End Page 2766
ISSN 0815-9319
NCID AA10727383
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 The Author(s).
File Version publisher
PubMed ID 39363400
DOI 10.1111/jgh.16757
Web of Science KeyUT 001328472100001
Related Url isVersionOf https://doi.org/10.1111/jgh.16757
FullText URL fulltext20241015-01.pdf fig20241015-01.pdf
Author Ninomiya, Kiichiro| Ennishi, Daisuke| Okamoto, Kunio| Ando, Midori| Nakamura, Satoko| Tomida, Shuta| Ayada, Yoshiyuki| Makimoto, Go| Ichihara, Eiki| Okita, Natsuko| Toyooka, Shinichi| Maeda, Yoshinobu| Tabata, Masahiro|
Note This is an Accepted Manuscript of an article published by American Society of Clinical Oncology (ASCO).| This fulltext file will be available in Sep. 2025.|
Published Date 2024-09-19
Publication Title JCO Precision Oncology
Volume volume8
Publisher American Society of Clinical Oncology (ASCO)
Start Page e2400228
ISSN 2473-4284
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 by American Society of Clinical Oncology.
File Version author
PubMed ID 39298692
DOI 10.1200/po.24.00228
Web of Science KeyUT 001328214400001
Related Url isVersionOf https://doi.org/10.1200/po.24.00228
FullText URL fulltext.pdf correction.pdf
Author Miyahara, Hiroyuki| Shigeyasu, Yoshie| Fujii, Chikako| Tanaka, Chie| Mana, Hanzawa| Sugihara, Akiko| Okada, Ayumi| Tsukahara, Hirokazu|
Keywords Anorexia nervosa Dehydration Glomerular filtration rate estimated using creatinine Glomerular filtration rate estimated using cystatin-C Hypokalemia Low free triiodothyronine syndrome
Note The version of record of this article, first published in BioPsychoSocial Medicine, is available online at Publisher’s website: http://dx.doi.org/10.1186/s13030-024-00316-6|
Published Date 2024-09-29
Publication Title BioPsychoSocial Medicine
Volume volume18
Issue issue1
Publisher BMC
Start Page 19
ISSN 1751-0759
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © The Author(s) 2024.
File Version publisher
PubMed ID 39343908
DOI 10.1186/s13030-024-00316-6
Web of Science KeyUT 001321447000001
Related Url isVersionOf https://doi.org/10.1186/s13030-024-00316-6
FullText URL fulltext.pdf
Author Koda, Masahide| Horinouchi, Toru| Oya, Nozomu| Aki, Morio| Iriki, Akihisa| Yoshida, Kazufumi| Ogawa, Yusuke| Kuga, Hironori| Nakao, Tomohiro|
Keywords mental health pandemic psychological first aid psychosocial support
Published Date 2023-06-08
Publication Title Psychiatry and Clinical Neurosciences Reports
Volume volume2
Issue issue2
Publisher Wiley
Start Page e107
ISSN 2769-2558
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2023 The Authors.
File Version publisher
PubMed ID 38868135
DOI 10.1002/pcn5.107
Web of Science KeyUT 001319548800013
Related Url isVersionOf https://doi.org/10.1002/pcn5.107
FullText URL fulltext20240924-02.pdf fig20240924-02.pdf suppl_information20240924-02.pdf suppl_fig20240924-02.pdf
Author Nakatsuka, Atsuko| Yamaguchi, Satoshi| Wada, Jun|
Note This is an Accepted Manuscript of an article published by American Diabetes Association.|
Published Date 2024-02-23
Publication Title Diabetes
Volume volume73
Issue issue5
Publisher American Diabetes Association
Start Page 763
End Page 779
ISSN 0012-1797
NCID AA00628057
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 by the American Diabetes Association.
File Version author
PubMed ID 38394641
DOI 10.2337/db23-0581
Web of Science KeyUT 001288274500014
Related Url isVersionOf https://doi.org/10.2337/db23-0581
FullText URL fulltext.pdf
Author Yamashita, Masahiro| Higo, Hisao| Fujii, Nobuharu| Matsumoto, Chiaki| Makimoto, Go| Ninomiya, Kiichiro| Fujii, Masanori| Rai, Kammei| Ichihara, Eiki| Ohashi, Kadoaki| Hotta, Katsuyuki| Tabata, Masahiro| Maeda, Yoshinobu| Miyahara, Nobuaki|
Keywords Chimeric antigen receptor-T cell therapy Coronavirus disease 2019 Multidrug therapy Organizing pneumonia
Published Date 2024
Publication Title Respiratory Medicine Case Reports
Volume volume51
Publisher Elsevier
Start Page 102104
ISSN 2213-0071
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 The Authors.
File Version publisher
DOI 10.1016/j.rmcr.2024.102104
Web of Science KeyUT 001307936800001
Related Url isVersionOf https://doi.org/10.1016/j.rmcr.2024.102104
FullText URL fulltext.pdf
Author Takabatake, Kiyofumi| Tsujigiwa, Hidetsugu| Nakano, Keisuke| Chang, Anqi| Piao, Tianyan| Inada, Yasunori| Arashima, Takuma| Morimatsu, Ayumi| Tanaka, Ayumi| Kawai, Hotaka| Nagatsuka, Hitoshi|
Keywords honeycomb TCP bone formation macrophages polarization
Published Date 2024-08-19
Publication Title Materials
Volume volume17
Issue issue16
Publisher MDPI
Start Page 4108
ISSN 1996-1944
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 by the authors.
File Version publisher
PubMed ID 39203286
DOI 10.3390/ma17164108
Web of Science KeyUT 001304704200001
Related Url isVersionOf https://doi.org/10.3390/ma17164108
FullText URL fulltext.pdf
Author Sumi, Tomonari| Harada, Kouji|
Keywords post-acute sequelae of SARS-CoV-2 infection PASC long Covid persistent viruses vaccine antiviral drug mathematical model immune response
Published Date 2024-08-09
Publication Title Frontiers in Immunology
Volume volume15
Publisher Frontiers Media
Start Page 1329162
ISSN 1664-3224
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 Sumi and Harada.
File Version publisher
PubMed ID 39185419
DOI 10.3389/fimmu.2024.1329162
Web of Science KeyUT 001295899400001
Related Url isVersionOf https://doi.org/10.3389/fimmu.2024.1329162
JaLCDOI 10.18926/AMO/67554
FullText URL 78_4_349.pdf
Author Tominaga, Yuichiro| Sugaya, Akiko| Kariya, Shin| Shimizu, Aiko| Kataoka, Yuko| Ando, Mizuo|
Abstract Middle-ear salivary gland choristoma (SGCh) is a rare, benign tumor that causes conductive hearing loss owing to middle-ear morphological abnormalities. Early diagnosis is challenging, and surgical resection is indispensable for a definitive diagnosis. We report the case of a 3-year-old boy diagnosed with middle-ear SGCh during the follow-up period for left-sided hearing loss discovered at newborn hearing screening (NHS). Long-term follow-up after the NHS result, subsequent computed tomography/magnetic resonance imaging, and surgical resection led to its relatively early diagnosis and treatment.
Keywords middle-ear salivary gland choristoma middle-ear morphological abnormalities newborn hearing screening unilateral hearing loss surgical resection
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 349
End Page 355
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198990
Web of Science KeyUT 001310557400004
FullText URL fulltext20240820-02.pdf fig20240820-02.pdf table20240820-02.pdf suppl_fig20240820-02.pdf suppl_table20240820-02.pdf
Author Matsumoto, Naomi| Sasaki, Ayako| Kadowaki, Tomoka| Mitsuhashi, Toshiharu| Takao, Soshi| Yorifuji, Takashi|
Keywords SARS-CoV-2 Vaccine Antibody Mixed-effects model Omicron
Note © 2024 Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/| This fulltext file will be available in Aug. 2025.|
Published Date 2024-08
Publication Title Vaccine
Volume volume42
Issue issue21
Publisher Elsevier BV
Start Page 126156
ISSN 0264-410X
NCID AA10491877
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 Elsevier Ltd.
File Version author
PubMed ID 39088986
DOI 10.1016/j.vaccine.2024.126156
Web of Science KeyUT 001285745600001
Related Url isVersionOf https://doi.org/10.1016/j.vaccine.2024.126156
JaLCDOI 10.18926/AMO/67550
FullText URL 78_4_337.pdf
Author Makihara, Seiichiro| Otani, Yoshihiro| Uraguchi, Kensuke| Ono, Sawako| Shimizu, Aiko| Ikemachi, Ryosuke| Okazaki, Yosuke| Ota, Tomoyuki| Matsumoto, Hiroshi| Miyamoto, Shotaro| Tsumura, Munechika| Hayashi, Seiya| Umakoshi, Michiari| Hirashita, Koji| Ando, Mizuo|
Abstract Here, we describe the unique case of a pneumocephalus originating from an inverted papilloma (IP) in the frontoethmoidal sinus. A 71-year-old man with diabetes presented with headaches and altered consciousness. Imaging revealed the pneumocephalus together with bone destruction in the left frontal sinus. He underwent simultaneous endoscopic endonasal and transcranial surgery using an ORBEYE exoscope. Pathological diagnosis of the tumor confirmed IP. Post-surgery, the pneumocephalus was significantly resolved and the squamous cell carcinoma antigen level, which had been elevated, decreased. This case underscores the importance of a multidisciplinary approach and innovative surgical methods in treating complex sinonasal pathologies.
Keywords pneumocephalus inverted papilloma frontoethmoidal sinus endoscopic endonasal and transcranial surgery
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 337
End Page 343
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198988
Web of Science KeyUT 001310557400002
JaLCDOI 10.18926/AMO/67549
FullText URL 78_4_331.pdf
Author Furukawa, Chieko| Tachibana, Tomoyasu| Nobuhisa, Tetsuji| Kanie, Yuichiro| Wani, Yoji| Matsumoto, Jun-Ya| Kariya, Akifumi| Sato, Asuka| Ishikawa, Iichiro| Naoi, Yuto| Ando, Mizuo|
Abstract No previous study has published magnetic resonance imaging (MRI) findings for a subglottic pleomorphic adenoma. Here, we describe the case of a 62-year-old man with a subglottic pleomorphic adenoma. Endoscopic findings revealed a smooth-surfaced tumor arising from the subglottic posterior wall. MRI revealed the lesion as an isointense region on T1-weighted images, which was homogeneously enhanced. This lesion showed a heterogeneously hyperintense region on T2-weighted images. Diffusion-weighted imaging (DWI) showed slightly high intensity in the same area, with a normal or only slightly high apparent diffusion coefficient (ADC). Laryngomicrosurgery was performed for transoral excision of the subglottic tumor, resulting in a postsurgical diagnosis of pleomorphic adenoma.
Keywords subglottis pleomorphic adenoma MRI transoral surgery
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 331
End Page 335
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198987
Web of Science KeyUT 001310557400001
JaLCDOI 10.18926/AMO/67548
FullText URL 78_4_323.pdf
Author Katayama, Akira| Kimura, Satoshi| Matsusaki, Takashi| Morimatsu, Hiroshi|
Abstract It has not been clear how recipient age affects the incidence of serious complications after pediatric living donor liver transplantation (LDLT). We investigated the records of 42 pediatric patients receiving LDLT, dividing our sample into two groups: the infant group (aged < 1 year) and the non-infant group (aged ≥ 1 year and ≤15 years). The primary outcome was postoperative complications assessed using the Clavien-Dindo classification. Multivariate analysis using the Cox regression model was applied to adjust for confounding factors in assessing the incidence of Clavien-Dindo grade ≥ III (C-D ≥ III) complications. The incidence of C-D ≥ III complications was higher in the non-infant group (46.2%) than in the infant group (12.5%) (odds ratio 6.00, 95% confidence interval [CI] 1.13-31.88, p=0.03). In multivariate analysis using the Cox regression model, the Graft-to-Recipient Weight Ratio (GRWR) was independently associated with the incidence of C-D ≥ III complications (hazard ratio [HR] 0.62, 95%CI 0.40-0.95, p=0.03), but being an infant was not (HR 0.84, 95%CI 0.35-1.98, p=0.68). In conclusion, the incidence of C-D ≥ III complications was higher in the non-infant group than in the infant group, but this was largely a function of GRWR: multivariate analysis revealed that GRWR was independently associated with complications.
Keywords pediatric liver transplantation postoperative severe complications Graft-to-Recipient Weight Ratio
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 323
End Page 330
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198986
Web of Science KeyUT 001310576400003
JaLCDOI 10.18926/AMO/67547
FullText URL 78_4_313.pdf
Author Eto, Eriko| Maki, Jota| Yamashita, Noriyuki| Hasegawa, Toru| Suemori, Ayano| Nakato, Hikari| Oba, Hikaru| Mitoma, Tomohiro| Mishima, Sakurako| Kirino, Satoe| Ohira, Akiko| Masuyama, Hisashi|
Abstract During the coronavirus pandemic, face-to-face simulation education became impossible. Therefore, we aimed to develop remote-access simulation education with a sense of realism through Information and Communication Technology (ICT) using a perinatal whole-body management and delivery simulator. In September 2021, we administered a multi-center simultaneous remote simulation based on our developed model. Ten universities in the Chugoku–Shikoku region were connected via a web-conferencing system to a live broadcast of a virtual vaginal birth in which a fictional hospitalized pregnant woman experienced accelerated labor and gave birth through vacuum delivery for fetal distress. A Video on Demand (VOD) was made beforehand using a new simulator that allowed for a visual understanding of the process of the inter-vaginal examination. We provided a participatory program that enhanced the sense of realism by combining VOD and real-time lectures on each scenario, with two-way communication between participants and trainee doctors using a chat function. Most participants answered “satisfied” or “very satisfied” with the content, level of difficulty, and level of understanding. From November 2021, we have used the videos of all processes in face-to-face classes. Our construction of a high-flexibility education system using remote simulation in the field of obstetrics and gynecology, especially in the vaginal delivery module, is unique, creative, and sustainable.
Keywords remote simulator education perinatal simulator information and communication technology high-flexibility education
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2024-08
Volume volume78
Issue issue4
Publisher Okayama University Medical School
Start Page 313
End Page 322
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Copyright Ⓒ 2024 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 39198985
Web of Science KeyUT 001310576400002
FullText URL fulltext.pdf
Author Yumoto, Tetsuya| Hongo, Takashi| Obara, Takafumi| Ageta, Kohei| Aokage, Toshiyuki| Tsukahara, Kohei| Nakao, Atsunori| Naito, Hiromichi|
Keywords clinical conference end-of-life care ICU rounds multidisciplinary team meetings
Published Date 2024-07-24
Publication Title Journal of Clinical Medicine
Volume volume13
Issue issue15
Publisher MDPI
Start Page 4324
ISSN 2077-0383
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © 2024 by the authors.
File Version publisher
PubMed ID 39124591
DOI 10.3390/jcm13154324
Web of Science KeyUT 001287177900001
Related Url isVersionOf https://doi.org/10.3390/jcm13154324