1.Palliative care education using an e-learning system for hospital staff
Ayako Kawasaki ; Mari Saito ; Syuichi Nawata ; Yuki Iwasaki ; Azusa Kamachi ; Tomoki Yamada ; Masae Kikuchi ; Tae Urasaki ; Izumi Oene ; Mariko Kamite ; Masaki Furukawa
Medical Education 2012;43(1):27-31
1)Palliative care education by means e–learning was performed from December 3 to 25, 2009, for 1256 hospital medical staff. We used the same true–or–false questions to assess their understanding before and after the e–learning course.
2)Regardless of the staff member’s experience, the total scores on the test were higher after the course than before the course. Therefore, this e–learning course had an effect on basic knowledge for multiple types of medical staff.
3)The percentage of correct answers was particularly improved for questions about topics we had emphasized: drug dependence and side effects.
2.Detection of anti-topoisomerase I autoantibody in patients with silicosis.
Akiko TOMOKUNI ; Takemi OTSUKI ; Haruko SAKAGUCHI ; Yumika ISOZAKI ; Fuminori HYODOH ; Masayasu KUSAKA ; Ayako UEKI
Environmental Health and Preventive Medicine 2002;7(1):7-10
OBJECTIVESThe aim of this study was to detect anti-topoisomerase I (anti-topo I) autoantibodies, which are known to be limited in systemic sclerosis patients, in silicosis patients with no clinical symptoms of autoimmune disease.
METHODSSerum anti-topo I autoantibodies were detected using ELISA. Differences in clinical parameters between patients with and without anti-topo I autoantibodies were analyzed.
RESULTSSeven of 69 patients had anti-topo I autoantibodies. These 7 patients showed elevated PaCO(2) values (P=0.0212), and inverse correlations between serum soluble Fas levels and PaCO(2) values were found.
CONCLUSIONAnti-topo I autoantibodies were detected in 10.1% of silicosis patients without any clinical symptoms of autoimmune disease. The findings here suggest that the genesis of anti-topo I autoantibodies might be related to pulmonary involvement or lung fibrosis associated with progression of silicosis.
3.Perturbation of secretory Ig A in saliva and its daily variation by academic stress.
Zhong-Qiu GUO ; Takemi OTSUKI ; Yasuhisa ISHI ; Aya INAGAKI ; Youichiro KAWAKAMI ; Yuki HISANO ; Riichiro YAMASHITA ; Kenta WANI ; Haruko SAKAGUCHI ; Satoshi TSUJITA ; Kaneshisa MORIMOTO ; Ayako UEKI
Environmental Health and Preventive Medicine 2002;6(4):268-272
OBJECTIVESSeveral studies have reported that the secretory immunoglobulin A (S-IgA) concentration in saliva is an indicator of psychological stress. The aim of this study was to clarify the relationship between S-IgA and the stress from academic examinations.
METHODSS-IgA levels in 10 medical student volunteers from the second year course between May 4 and July 13, 2000 were examined using the ELISA method.
RESULTSThere was a tendency for S-IgA in saliva to be higher on the day before academic examinations and during them, and lower on the days between these examinations.
CONCLUSIONSIt may be possible to use this measurement to monitor psychological stress in students and workers.