1.Effect of moxibustion on skin tissue. Changes of skin temperature during moxibustion.
Shigekatsu AIZAWA ; Akira OHTSUKI ; Kenichi USAMI ; Koji SAKAMOTO
Journal of the Japan Society of Acupuncture and Moxibustion 1985;35(2):105-110
To investigate the mechanism of moxibustion therapy, the temperature at the surface of the skin and the subcutaneous tissue during moxibustion was measured using CA-thermocouple.
Male ddy mice (5 weeks old) were used as experimental animals. Animals are treated by single moxibustion of 1, 2 and 5mg of moxa cones and multiple one of each weight on the right and left LV-14. We obtained the following results.
In the single moxibustion, the increase in the maximum temperature was observed according to the weight increase in moxa cones (0.5-2mg). The elongation of the retention time that the temperature was kept above 40°C and of the recovery time which was required for the temperature to return at the given one (pre-moxibustion temperature +5°C) was also significant with the moxa cone of 0.5-2mg.
In the multiple moxibustion, the increase in the maximum temperature was significant with the moxa cone of 1-2mg and these increase in cone numbers was apparent up to 4 cones on the surface of skin and up to 6 cones on the subcutaneous tissue. After that, the maximum temperature approached to the given value. The retention time was elongated according to the increase in the weights of moxa and in the cone numbers. The recovery time was also elongated according to the increase in the weights of moxa, but these time by the increase in cone numbers showed mild elongation.
2.Surveys to assess the attitudes of medical students about learning
Akira NAKASHIMA ; Akiko OSADA ; Shin ISHIHARA ; Masatsugu OHTSUKI ; Shuji HASHIMOTO ; Yuichiro ONO ; Toshikazu MATSUI
Medical Education 2010;41(6):429-434
In the present study, surveys regarding the philosophy of learning were administered just after the entrance ceremony to all students entering the Fujita Health University School of Medicine in 2005 and then, once more, to the same students during the last term of the fourth year, so that the data could be subsequently analyzed. The 87 fourth-year students who completed the surveys were divided into 3 groups(top, middle, and bottom thirds)on the basis of their examination scores in the previous years.
1) Results of the fourth-year survey suggested that students in the middle or bottom third did not develop a "learning-centered campus lifestyle" during their 4 years of medical studies, although the first-year survey indicated that most students in all 3 thirds had desired such a lifestyle.
2) The image of a physician had changed somewhat for students in middle or bottom third but not for students in the top third.
3) Attendance rates in all years of medical study were lower for students in the bottom third than for students in the middle or top third. Moreover, the motivation to study and attend lectures showed a downward trend over time for students in the bottom third.
3.What factors affect examination results after admission?: Research at the Fujita Health University School of Medicine
Akira NAKASHIMA ; Akiko OSADA ; Shin ISHIHARA ; Masatsugu OHTSUKI ; Shuji HASHIMOTO ; Yuichiro ONO ; Takahide NOMURA ; Toshikazu MATSUI
Medical Education 2008;39(6):397-406
At the Fujita Health University School of Medicine, about 30% of medical students are admitted on the basis of recommendations.To evaluate the performance of these students after admission, a placement test was given to all new students just after the entrance ceremony to examine basic academic abilities.The scores were compared with the number of absences from lectures and with examination results for the first and second years.
1) The 398 students admitted from 2002 through 2005 were classified into three populations: 126 recommended students, 137 students who scored in the top half on the entrance examination, and 135 students who scored in the bottom half.
2) Scores on the placement test were highest for the top-half students, intermediate for the bottom-half students, and lowest for the recommended students.Scores on examinations in the first and second years were highest for the top-half students, intermediate for the recommended students, and lowest for the bottom-half students.
3) The average number of absences from lectures in the first and second years tended to be lower for recommended students than for the top-half or bottom-half students.
4) The examination scores in the second year were correlated with scores in the first year, and the average number of absences in the second year correlated with those in the first year.
5) These results indicate that the motivation of students in each classification to study in the 1st year is, in addition to their basic academic abilities obtained in high school, an important factor affecting their performance in the second year and beyond.
4.Establishment of "Fujita–style" problem–based learning with an emphasis on the use of a monitoring room to support tutors
Masatsugu Ohtsuki ; Kaoru Kikukawa ; Seiji Esaki ; Toru Wakatsuki ; Ikuko Tanaka ; Hiroshi Toyama ; Akiko Osada ; Shin Ishihara ; Akira Nakashima ; Yu-ichiro Ono ; Toshikazu Matsui
Medical Education 2011;42(3):135-140
1)We reproduced a problem–based learning (PBL) tutorial at our school and developed our own PBL tutorial, which we call "Fujita–style PBL." This is a clinical problem-solving type of PBL, in which both a monitoring room and small–group learning rooms are used.
2)To maintain the present number of PBL lessons despite the limited number of tutors, one tutor supervises several groups simultaneously. Coordinators observe the progress of PBL from a monitoring room and support the tutors.
3)Students learn the given scenario and identify their learning issues. After they study the learning issues by themselves, the students return to tutorials to explain their learning issues. Thereafter, each group's findings are presented to the groups supervised by one tutor.
5.Construction of Yanegawara-style skills training in our clinical skills laboratory for new residents
Masatsugu Ohtsuki ; Toshikazu Matsui ; Kayoko Matsunaga ; Shin-ichiro Morimoto ; Teruo Ino ; Yoshinobu Hattori ; Shin Ishihara ; Akiko Osada ; Akira Nakashima ; Takao Tsuji ; Kiyotaka Hoshinaga
Medical Education 2012;43(3):211-214
1)To learn the techniques required immediately after the start of clinical practice, new residents were introduced to the skills laboratory during their orientation period.
2)We attempted to establish the Yanegawara style, which is an overlapping teaching style in which the second–year residents plan the entire training schedule and simultaneously teach the first–year residents while being supported in their teaching by more senior physicians.
3)Training with the new system resulted in greater rapport among all residents as well as a greater feeling of security among first–year residents.