1.The history of nursing education in Senegal
Toyomitsu Tamura ; Seiko Kobayashi ; Mayumi Shimizu ; Yasuyo Matsumoto
Journal of International Health 2011;26(4):341-348
The Republic of Senegal (hereinafter referred to as “Senegal”) became independent from its former colonial master, the Republic of France in 1960 and formed a democracy. Operations of nursing schools that had been established under the colonial rule were taken over by the Senegal government after the independence. Though having been influenced strongly by French nursing education system, they has developed uniquely and now grown to leading nursing schools of francophone West African countries.
The objective of this manuscript is to focus on nurses that account to the largest number of healthcare workers in Senegal and to trace the historical transition of Senegal's nursing education. The research methods are collection of reference materials, classification of contents, and interviews. As a result, we found that a visiting nursing school established in 1922 is the oldest public nursing school and a total of eight public schools had been established before the independence. The Senegal government laid down National Economic and Society Development Planning and set forth measures for healthcare problems as a priority issue, and has concentrated on nursing education since the independence in 1960. In 1992, the former Ministry of Social Health Activity established the National School of Health and Social Development by integrating 14 public schools related to health welfare. In 2003, it started a practical nurse training program aimed at increasing of the number of nurse graduates and decentralizing nursing education. In 2010, the nursing education standard was revised to improve the quality of nursing education and it will be applied to all nursing schools hereafter.
The need for strengthening management of human resource development and ensuring the quality of that by using the estimates of nurse supply and demand and the like can be suggested as future tasks for the nursing education in Senegal.
2.Effect of Hericium erinaceum (Yamabusitake) and Grifola frondosa (Maitake) on the Suppression of EL4-Tumor Cell Growth
Mikiko SUZUKI ; Mayumi SHIBANUMA ; Terumi KATORI ; Michitaka SHIMIZU ; Shuichi KIMURA
Japanese Journal of Complementary and Alternative Medicine 2010;7(1):11-16
The objectives of this study were to investigate the effects of Hericium erinaceum (Yamabusitake) and Grifola frondosa (Maiteke) on the proliferation for EL4-tumor and immunoregulatory function by flow cytometory.
It was found that Yamabushitake and Maitake tend to inhibit the proliferation of EL4-tumor individually. In the flow cytometory analysis, Maitake-treatment showed the preserve effect against the depression effect by bearing EL4-tumor on cytotoxic T cell and NK-cell from spleen cell. This effect was shown more clear in the group of mixture Yamabusitake and Maitake.
3.Argon Beam Coagulator as an Adjunct to Surgery in the Treatment of Drug-Resistant Ventricular Tachycardia. Basic Experiments and Clinical Application.
Takashi ADACHI ; Masayoshi YOKOYAMA ; Toshinari ITAOKA ; Takamasa ONUKI ; Mayumi SHIMIZU ; Sumio NITTA
Japanese Journal of Cardiovascular Surgery 1992;21(6):525-528
Surgery and cryoablation have been the preferred method for treating drug resistant ventricular tachycardia (VT). Cryoablation, the therapeutic usefulness of which has been documented in many reported studies, is nevertheless not free from technical difficulaties. The advent of Bard® System 6000 Argon beam coagulator (ABC) as a new procedure alternative to cryoablation offered us a hope for solving problems with conventionally used techniques. Preliminary experiments with this device on dog myocardium permitted us to determine therapeutically adequate irradiation time and depth of cauterization and to locate an optimum area of myocardium to be coagulated. Based on these experiences, an attempt was made to use ABC as an adjunct to surgery in the surgical treatment of 4 patients with monofocal non-ischemic VT. In 1 of these 4 patients, VT disappeared postoperatively, making use of antiarrythmia drugs quite unnecessary, while in the remaining 3, a marked diminution of ventricular arrhythmia with a consequent reduction of drug dosage was achieved, use of the device thus being judged to be beneficial. These results led to the conclusion that ABC will provide a valuable adjunct to operation in selected cases of VT and, if the probe and other appliances are further refined, can reasonably be anticipated to be used as frequently as cryoablation.
4.Efficacy of Yokukansan-based Prescriptions for the Treatment of Patients with Headache
Yoko KIMURA ; Satoru SHIMIZU ; Akira TANAKA ; Mayumi SUZUKI ; Akira KINEBUCHI ; Kazumoto INAKI ; Hiroshi SATO
Kampo Medicine 2008;59(2):265-271
We evaluated the efficacy of yokukansan-based prescriptions for patients with headache. Forty-five patients with headache (34 migraine, 6 tension-type, and 5 combined headaches), or 6 males and 39 females, mean age 38 (25 to 68) years were treated with yokukansan-based prescriptions according to their Sho diagnosis, for 1 to 24 months. Relationships between headache improvement, and 31 factors including age, sex, height, body weight and other symptoms at first examination, were qualified with multi-dimensional analysis. Factors such as painful eye sensation, back stiffness, eyestrain and irritability were significant indicators of headache improvement. Three of these factors (painful eye sensation, back stiffness and irritability) were the best subset of explanatory variables. Yokukansan-based prescriptions seemed to be effective for “liver-related” headache, and were thought to be useful to relieve a triggering or worsening of headache factors. And to our knowledge, this is the first paper to propose the importance of examinations of the back, when considering yokukansan-based prescriptions.
Headache
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Back
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Therapeutic procedure
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Esthesia
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Prescriptions
5.Qualitative Study of Outpatients’ Eating-related Distress and Struggle in Cancer Center Hospital
Yasutaka Kimura ; Makiko Murase ; Tamae Hiramatu ; Mayumi Tsukagoshi ; Chihoko Wada ; Yoichi Shimizu ; Ayako Mori ; Miki Hosoya ; Kyoko Toju ; Yuko Shimizu ; Maki Obana ; Misae Maruguchi
Palliative Care Research 2017;12(2):239-249
Purpose: The purpose of this study was to clarify the state of eating -related distress and struggle in the daily lives of cancer outpatients in cancer center hospital. Methods: Cancer outpatients who consented to participate in the study filled out self-administered questionnaires regarding eating distress and the means of coping with them. The data were qualitatively analyzed via content analysis method. Results: Data from 176 patients who responded that they experienced eating difficulties were analyzed. A total of 222 codes were extracted for eating-related distress, and these were classified into five categories, which included eating-related symptoms accompanying the disease and its treatment, difficulties related to food preparation, and concerns about eating outside food. A total of 224 codes were extracted for eating-related struggle made by the patients, and these were classified into eight categories, which included adjusting eating methods to make food easier to eat, controlling one’s feelings when unable to eat certain foods, and adjustments related to food preparation. Conclusions: The study results suggested that cancer outpatients require care not only at early stages after treatment for eating-related symptoms but also related to food preparation and concerns when eating outside food.
6.Effects of 1 year of training on the performance of ultrasonographic image interpretation:A preliminary evaluation using images of Sjögren syndrome patients
Yoshitaka KISE ; Anne MØYSTAD ; Tore BJØRNLAND ; Mayumi SHIMIZU ; Yoshiko ARIJI ; Chiaki KUWADA ; Masako NISHIYAMA ; Takuma FUNAKOSHI ; Kazunori YOSHIURA ; Eiichiro ARIJI
Imaging Science in Dentistry 2021;51(2):129-136
Purpose:
This study investigated the effects of 1 year of training on imaging diagnosis, using static ultrasonography (US) salivary gland images of Sjögren syndrome patients.
Materials and Methods:
This study involved 3 inexperienced radiologists with different levels of experience, who received training 1 or 2 days a week under the supervision of experienced radiologists. The training program included collecting patient histories and performing physical and imaging examinations for various maxillofacial diseases. The 3 radiologists (observers A, B, and C) evaluated 400 static US images of salivary glands twice at a 1-year interval. To compare their performance, 2 experienced radiologists evaluated the same images. Diagnostic performance was compared between the 2 evaluations using the area under the receiver operating characteristic curve (AUC).
Results:
Observer A, who was participating in the training program for the second year, exhibited no significant difference in AUC between the first and second evaluations, with results consistently comparable to those of experienced radiologists. After 1 year of training, observer B showed significantly higher AUCs than before training. The diagnostic performance of observer B reached the level of experienced radiologists for parotid gland assessment, but differed for submandibular gland assessment. For observer C, who did not complete the training, there was no significant difference in the AUC between the first and second evaluations, both of which showed significant differences from those of the experienced radiologists.
Conclusion
These preliminary results suggest that the training program effectively helped inexperienced radiologists reach the level of experienced radiologists for US examinations.