1.Relationship Between Undergraduate Tests and National Examinations for Undergraduate Students at Five Rehabilitation Colleges
Masahiro KITAMURA ; Kana NAKAMURA ; Eriko ISOBE
Medical Education 2018;49(2):127-134
Purpose: To consider the relationship between undergraduate tests and the national examinations administered to undergraduate students, predict the outcome of national examinations, and determine the cutoff value for passing national examinations.Methods: We studied students who graduated in March 2016 from five rehabilitation colleges for physiotherapists and occupational therapists. We investigated the national examination results of physical therapists and occupational therapists, undergraduate tests such as admission tests, first year student final exams, second year student final exams, and three tests administered to third year students. Statistical analysis, Pearson's Correlation coefficient, and logistic regression analysis were used. The cutoff value was determined by recipient operation characteristic curve.Results: Each performance test and national examination showed a significant positive correlation with the Department of Physical Therapy (305, pass rate 83.6%), Department of Occupational Therapy (89, pass rate 100%) and the predictive examination for the Department of Physical Therapy. The first and third simulation tests were extracted (p<0.05), each cutoff value was 130.5 points and 169.5 points respective.Conclusion: We established a relationship between undergraduate tests and national examinations. We also clarified the predictive test for the physical therapist national examination and its cutoff value.
2.Characteristics of Hemorrhagic Peptic Ulcers in Patients Receiving Antithrombotic/Nonsteroidal Antiinflammatory Drug Therapy.
Kazuhiko NAKAMURA ; Kazuya AKAHOSHI ; Toshiaki OCHIAI ; Keishi KOMORI ; Kazuhiro HARAGUCHI ; Munehiro TANAKA ; Norimoto NAKAMURA ; Yoshimasa TANAKA ; Kana KAKIGAO ; Haruei OGINO ; Eikichi IHARA ; Hirotada AKIHO ; Yasuaki MOTOMURA ; Teppei KABEMURA ; Naohiko HARADA ; Yoshiharu CHIJIIWA ; Tetsuhide ITO ; Ryoichi TAKAYANAGI
Gut and Liver 2012;6(4):423-426
BACKGROUND/AIMS: Antithrombotic/nonsteroidal antiinflammatory drug (NSAID) therapies increase the incidence of upper gastrointestinal bleeding. The features of hemorrhagic peptic ulcer disease in patients receiving antithrombotic/NSAID therapies were investigated. METHODS: We investigated the medical records of 485 consecutive patients who underwent esophagogastroduodenoscopy and were diagnosed with hemorrhagic gastroduodenal ulcers. The patients treated with antithrombotic agents/NSAIDs were categorized as the antithrombotic therapy (AT) group (n=213). The patients who were not treated with antithrombotics/NSAIDs were categorized as the control (C) group (n=263). The clinical characteristics were compared between the groups. RESULTS: The patients in the AT group were significantly older than those in the C group (p<0.0001). The hemoglobin levels before/without transfusion were significantly lower in the AT group (8.24+/-2.41 g/dL) than in the C group (9.44+/-2.95 g/dL) (p<0.0001). After adjusting for age, the difference in the hemoglobin levels between the two groups remained significant (p=0.0334). The transfusion rates were significantly higher in the AT group than in the C group (p=0.0002). However, the outcome of endoscopic hemostasis was similar in the AT and C groups. CONCLUSIONS: Patients with hemorrhagic peptic ulcers receiving antithrombotic/NSAID therapies were exposed to a greater risk of severe bleeding that required transfusion but were still treatable by endoscopy.
Anti-Inflammatory Agents, Non-Steroidal
;
Endoscopy
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Endoscopy, Digestive System
;
Hemoglobins
;
Hemorrhage
;
Hemostasis, Endoscopic
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Humans
;
Incidence
;
Medical Records
;
Peptic Ulcer
3.Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report
Taira KURODA ; Hideki MIYATA ; Yuka KIMURA ; Ayaka NAKAMURA ; Takuya MATSUDA ; Kana MATSUOKA ; Mai FUKUMOTO ; Kazuya MURAKAWA ; Taisei MURAKAMI ; Hirofumi IZUMOTO ; Kei ONISHI ; Shogo KITAHATA ; Kozue KANEMITSU-OKADA ; Tomoe KAWAMURA ; Fujimasa TADA ; Eiji TSUBOUCHI ; Jun HANAOKA ; Atsushi HIRAOKA ; Tomoyuki NINOMIYA
International Journal of Gastrointestinal Intervention 2025;14(1):20-23
We present the case of a 76-year-old man who underwent preoperative endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) for obstructive jaundice caused by pancreatic head cancer. The patient had obstructive jaundice and cholangitis during neoadjuvant chemotherapy. Transpapillary biliary drainage using endoscopic retrograde cholangiopancreatography was attempted; however, it was unsuccessful because of duodenal tumor invasion. Therefore, EUS-HGS was performed. Jaundice and cholangitis improved promptly after EUS-HGS, and stent obstruction and migration were not observed before surgery. The stent was safely removed during surgery, and no postoperative complications occurred. Most studies of EUS-HGS for preoperative biliary drainage have been small and retrospective, and few have examined the safety of intraoperative stent removal. The fistula in our patient was promptly identified and the stent was safely removed despite the relatively limited field of view during robot-assisted laparoscopy.The promising findings of our case report can be used to inform EUS-based surgical strategies for biliary drainage with obstructive jaundice.
4.Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report
Taira KURODA ; Hideki MIYATA ; Yuka KIMURA ; Ayaka NAKAMURA ; Takuya MATSUDA ; Kana MATSUOKA ; Mai FUKUMOTO ; Kazuya MURAKAWA ; Taisei MURAKAMI ; Hirofumi IZUMOTO ; Kei ONISHI ; Shogo KITAHATA ; Kozue KANEMITSU-OKADA ; Tomoe KAWAMURA ; Fujimasa TADA ; Eiji TSUBOUCHI ; Jun HANAOKA ; Atsushi HIRAOKA ; Tomoyuki NINOMIYA
International Journal of Gastrointestinal Intervention 2025;14(1):20-23
We present the case of a 76-year-old man who underwent preoperative endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) for obstructive jaundice caused by pancreatic head cancer. The patient had obstructive jaundice and cholangitis during neoadjuvant chemotherapy. Transpapillary biliary drainage using endoscopic retrograde cholangiopancreatography was attempted; however, it was unsuccessful because of duodenal tumor invasion. Therefore, EUS-HGS was performed. Jaundice and cholangitis improved promptly after EUS-HGS, and stent obstruction and migration were not observed before surgery. The stent was safely removed during surgery, and no postoperative complications occurred. Most studies of EUS-HGS for preoperative biliary drainage have been small and retrospective, and few have examined the safety of intraoperative stent removal. The fistula in our patient was promptly identified and the stent was safely removed despite the relatively limited field of view during robot-assisted laparoscopy.The promising findings of our case report can be used to inform EUS-based surgical strategies for biliary drainage with obstructive jaundice.
5.Malignant biliary obstruction treated with preoperative endoscopic ultrasound-guided hepaticogastrostomy: A case report
Taira KURODA ; Hideki MIYATA ; Yuka KIMURA ; Ayaka NAKAMURA ; Takuya MATSUDA ; Kana MATSUOKA ; Mai FUKUMOTO ; Kazuya MURAKAWA ; Taisei MURAKAMI ; Hirofumi IZUMOTO ; Kei ONISHI ; Shogo KITAHATA ; Kozue KANEMITSU-OKADA ; Tomoe KAWAMURA ; Fujimasa TADA ; Eiji TSUBOUCHI ; Jun HANAOKA ; Atsushi HIRAOKA ; Tomoyuki NINOMIYA
International Journal of Gastrointestinal Intervention 2025;14(1):20-23
We present the case of a 76-year-old man who underwent preoperative endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) for obstructive jaundice caused by pancreatic head cancer. The patient had obstructive jaundice and cholangitis during neoadjuvant chemotherapy. Transpapillary biliary drainage using endoscopic retrograde cholangiopancreatography was attempted; however, it was unsuccessful because of duodenal tumor invasion. Therefore, EUS-HGS was performed. Jaundice and cholangitis improved promptly after EUS-HGS, and stent obstruction and migration were not observed before surgery. The stent was safely removed during surgery, and no postoperative complications occurred. Most studies of EUS-HGS for preoperative biliary drainage have been small and retrospective, and few have examined the safety of intraoperative stent removal. The fistula in our patient was promptly identified and the stent was safely removed despite the relatively limited field of view during robot-assisted laparoscopy.The promising findings of our case report can be used to inform EUS-based surgical strategies for biliary drainage with obstructive jaundice.