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Students’ Sense of Coherence Before and After Basic Nursing Practice at A University
Motomi Hiraga,Keiko Miyamoto,Yukie Onishi,Toshie Honda,Miyoshi Takizawa,Chieko Yodawara 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim: Comparing students’ sense of coherence before and after they experience Basic Nursing Practices 1 and 2. Method: Subjects: A total of 210 university students from A University in Japan, consisting of 106 first-year students who experienced Basic Nursing Practice 1 in March and 104 second-year students who experienced Basic Nursing Practice 2 in February. Survey period: From January to February 2021 Survey contents: The Japanese version of SOC-13 (Yamazaki, 2009) to determine sense of coherence (Antonovsky, 1987/2001) was conducted before and after practical training. Survey method: Self-administered questionnaires that link pre- and post-training through signs. Analysis: Conducted descriptive statistics, t-test, and Wilcoxon signed-rank test using SPSS (Ver. 27). Ethical considerations: This study was approved by the Research Ethics Committee of the researcher"s affiliation (No. 488). Results: 139 (66.2%) responses were deemed valid as they could show connectivity before and after these courses. Sense of coherence was compared by totaling the inclusive sums of comprehensibility, manageability, and meaningfulness before and after the training. The inclusive sums and total of manageability were recognized as normality so that we could analyze them using the t-test. The results revealed that both exhibited significant differences before and after the practical training at P=0.000. The total of comprehensibility and meaningfulness were not recognized as normality, so we conducted the Wilcoxon signed-rank test. The results showed significant difference for both of them at P = 0.000. Discussion: Compared to the pre-training sense of coherence score, the post-training scores were higher. The practical training led students to be self-aware of improvement in their ability to cope with stress. Conclusion: Stress coping ability can be increased through practical training.
Otsuki Shuhei,Ikeda Kuniaki,Wakama Hitoshi,Okuno Nobuhiro,Okamoto Yoshinori,Okayoshi Tomohiro,Miyamoto Yuki,Neo Masashi 대한슬관절학회 2020 대한슬관절학회지 Vol.32 No.-
The purpose of the study was to determine the effect of cartilage degeneration at the patellofemoral joint on clinical outcomes after open wedge high tibial osteotomy and to investigate the predisposing factors for progressive patellofemoral cartilage degeneration.Seventy-two knees were evaluated on second-look arthroscopy in patients who opted for plate and screw removal at an average of 20.1 months after osteotomy. Cartilage degeneration at the patellofemoral joint was evaluated using the International Cartilage Repair Society grading system, with cases divided into progression and nonprogression groups. Radiographic parameters of the patellofemoral anatomy, knee range of motion, and clinical outcomes were evaluated from the preoperative baseline to the final follow up, on average 50 months after osteotomy. A contracture > 5° was considered a flexion contracture. Cartilage degeneration progressed in 31 knees, and preoperative knee flexion contracture was significantly associated with progressive degeneration ( P < 0.01). The Lysholm and Kujala scores were significantly lower in the progression group (87.9 and 85.3, respectively) than in the nonprogression group (91.6 and 93.6, respectively) ( P < 0.05). The odds ratio of the flexion contracture resulting in progression of patellofemoral cartilage degeneration was 4.63 (95% confidence interval, 1.77–12.1). No association was detected between progressive degeneration and age, sex, body mass index, Kellgren-Lawrence grade, or radiographic parameters. Flexion contracture may be associated with progression of cartilage degeneration at the patellofemoral joint and may negatively affect the clinical outcomes after open wedge, high tibial osteotomy.
Yoshihide Kanno,Shinsuke Koshita,Takahisa Ogawa,Hiroaki Kusunose,Kaori Masu,Toshitaka Sakai,Keisuke Yonamine,Yujiro Kawakami,Yuki Fujii,Kazuaki Miyamoto,Toji Murabayashi,Fumisato Kozakai,Jun Horaguchi 대한소화기내시경학회 2019 Clinical Endoscopy Vol.52 No.6
Background/Aims: In this study, we aimed to evaluate the predictive value of localized stenosis of the main pancreatic duct (MPD) forearly detection of pancreatic cancer. Methods: Among 689 patients who underwent endoscopic retrograde pancreatography from January 2008 to September 2018, 19patients with MPD findings were enrolled. These patients showed findings for indicating suspicious pancreatic cancer at an early stage(FiCE); FiCE was defined as a single, localized stenosis in the MPD without a detectable mass (using any other imaging methods) andwithout other pancreatic diseases, such as definite chronic pancreatitis, intraductal papillary mucinous neoplasm, and autoimmunepancreatitis. Final diagnoses were established by examining resected specimens or through follow-up examinations after an interval of>5 years. Results: Among 19 patients with FiCE, 11 underwent surgical resection and 8 were evaluated after a >5-year observation period. Thefinal diagnosis of the MPD stenosis was judged to be pancreatic cancer in 9 patients (47%), including 3 with intraepithelial cancer, andto be a non-neoplastic change in 10. The sensitivity, specificity, and accuracy of preoperative pancreatic juice cytology were 75%, 100%,and 88%, respectively. Conclusions: The predictive value of FiCE for pancreatic cancer prevalence was 47%. Histological confirmation with pancreatic juicecytology is necessary before surgical resection.
Fumisato Kozakai,Yoshihide Kanno,Kei Ito,Shinsuke Koshita,Takahisa Ogawa,Hiroaki Kusunose,Kaori Masu,Toshitaka Sakai,Toji Murabayashi,Keisuke Yonamine,Yujiro Kawakami,Yuki Fujii,Kazuaki Miyamoto,Yutak 대한소화기내시경학회 2019 Clinical Endoscopy Vol.52 No.3
Background/Aims: It is often diffcult to manage acute cholecystitis after metal stent (MS) placement in unresectable malignant biliarystrictures. The aim of this study was to evaluate the feasibility of endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD)for acute cholecystitis. Methods: The clinical outcomes of 10 patients who underwent EUS-GBD for acute cholecystitis after MS placement between January2011 and August 2018 were retrospectively evaluated. The procedural outcomes of percutaneous transhepatic gallbladder drainage(PTGBD) with tube placement (n=11 cases) and aspiration (PTGBA) (n=27 cases) during the study period were evaluated as a reference. Results: The technical success and clinical effectiveness rates of EUS-GBD were 90% (9/10) and 89% (8/9), respectively. Severe bileleakage that required surgical treatment occurred in one case. Acute cholecystitis recurred after stent dislocation in 38% (3/8) of thecases. Both PTGBD and PTGBA were technically successful in all cases without severe adverse events and clinically effective in 91% and63% of the cases, respectively. Conclusions: EUS-GBD after MS placement was a feasible option for treating acute cholecystitis. However, it was a rescue techniquefollowing the established percutaneous intervention in the current setting because of the immature technical methodology, includingdedicated devices, which need further development.