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Naotaka Ogasawara,Mari Mizuno,Ryuta Masui,Yoshihiro Kondo,Yoshiharu Yamaguchi,Kenichiro Yanamoto,Hisatsugu Noda,Noriko Okaniwa,Makoto Sasaki,Kunio Kasugai 대한소화기내시경학회 2014 Clinical Endoscopy Vol.47 No.2
Background/Aims: Despite improvements in endoscopic hemostasis and pharmacological therapies, upper gastrointestinal (UGI) ulcersrepeatedly bleed in 10% to 20% of patients, and those without early endoscopic reintervention or definitive surgery might be at ahigh risk for mortality. This study aimed to identify the risk factors for intractability to initial endoscopic hemostasis. Methods: We analyzed intractability among 428 patients who underwent emergency endoscopy for bleeding UGI ulcers within 24hours of arrival at the hospital. Results: Durable hemostasis was achieved in 354 patients by using initial endoscopic procedures. Sixty-nine patients with Forrest typesIa, Ib, IIa, and IIb at the second-look endoscopy were considered intractable to the initial endoscopic hemostasis. Multivariate analysisindicated that age ≥70 years (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.07 to 4.03), shock on admission (OR, 5.26; 95% CI,2.43 to 11.6), hemoglobin <8.0 mg/dL (OR, 2.80; 95% CI, 1.39 to 5.91), serum albumin <3.3 g/dL (OR, 2.23; 95% CI, 1.07 to 4.89), exposedvessels with a diameter of ≥2 mm on the bottom of ulcers (OR, 4.38; 95% CI, 1.25 to 7.01), and Forrest type Ia and Ib (OR, 2.21;95% CI, 1.33 to 3.00) predicted intractable endoscopic hemostasis. Conclusions: Various factors contribute to intractable endoscopic hemostasis. Careful observation after endoscopic hemostasis is importantfor patients at a high risk for incomplete hemostasis.
Nursing Strategies in a Multicultural Environment Ongoing Japan-Germany Online Case Study
Ariko Noji,Mari Kondo,Akiko Mizobe,Sachiko Iijima,Sayaka Kotera,Akiko Nosaki,Eiko Otomo,Yoshiko Hamasaki,Shigeko Kamishima,Hisako Fujita 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim: The purpose of this study is to examine nursing strategies in a multicultural environment through a collaborative case study group in which nurses from Japan and Germany, who have different experiences in healthcare systems and cultural responses. Method: The online seminars for Japanese nurses were conducted in 2020 to learn about cultural competence training at the Charité Medical University Hospital in Germany. As the next step, in 2021 using Japanese cases which were common clinical situations that research members have experienced, nursing strategies in a multicultural environment were examined through a back-and-forth between theory and practice. From Germany, the lecturer Dr. Siebert of Charité seminar and Charité nurses participated in the seminar. The case study sessions had three cases, each lasting approximately one and half hours. Interpretation was provided in Japanese, English, and German. Result: In Case 1, a pregnant woman from Poland traveling in Japan encountered problems due to differences in the way she was examined. It was suggested that the boundaries of shame vary from culture to culture and that these boundaries can be changed through nursing care. Case 2 was a problem with food during hospitalization. It was suggested that the resources available in the hospital are decreasing. In Case 3, an international student from Mongolia died unexpectedly in his room, and his family was called from his home country to conduct a funeral according to tradition. The hospital was able to provide culturally sensitive end-of-life care by integrating the hospital"s community resources. Conclusion: Boundaries and hospital resources were showed as nursing strategies in a multicultural environment. These results suggest new developments in the impact of boundary-changing nursing interventions and the diminishing resources available to nurses in hospitals.
Blood vessel remodeling in the cerebral cortex induced by binge alcohol intake in mice
Hasegawa Hiroshi,Tanaka Toshiya,Kondo Mari,Teramoto Koji,Nakayama Kei,Hwang Gi-Wook 한국독성학회 2023 Toxicological Research Vol.39 No.1
Ethanol is toxic to the brain and causes various neurological disorders. Although ethanol can directly exert toxicity on neurons, it also acts on other cell types in the central nervous system. Blood vessel endothelial cells interact with, and are affected by blood ethanol. However, the effects of ethanol on the vascular structures of the brain have not been well documented. In this study, we examined the effects of binge levels of ethanol on brain vasculature. Immunostaining analysis indicated structural alterations of blood vessels in the cerebral cortex, which became more tortuous than those in the control mice after ethanol administration. The interaction between the blood vessels and astrocytes decreased, especially in the upper layers of the cerebral cortex. Messenger RNA expression analysis revealed a unique downregulation of Vegfa mRNA encoding vascular endothelial growth factor (VEGF)-A among VEGF, angiopoietin, endothelin family angiogenic and blood vessel remodeling factors. The expression of three proteoglycan core proteins, glypican-5, neurocan, and serglycin, was also altered after ethanol administration. Thus, binge levels of ethanol affect the expression of VEGF-A and blood vessel-supporting proteoglycans, resulting in changes in the vascular structure of the cerebral cortex.