Japan introduced a mandatory residency program in 2004. Teaching hospitals are now responsible for improving patient safety and the overall teaching environment. Questionnaires were sent to teaching hospitals in Kyushu to evaluate residents' work environments and to ask them about improving patient safety. Questionnaires asked about the work environment, experience with medical errors and adverse events, self-reported work conditions, personal anxiety levels about medical errors, and personal suggestions for decreasing medical errors. One hundred eight questionnaires were mailed, and 76 (70.3%) were returned complete and were analyzed. Most residents in Japan work long hours, feel extremely busy, and are anxious about medical errors; many of them reported personal involvement in medical errors or adverse events. Their suggestions to improve patient safety included improvement of the work environment, establishment of a resident support system, and better organization of medical charts and equipment. Considering residents' viewpoints for patient safety is important to help reduce errors in teaching hospitals.

This study was designed to determine prediction equations of body density (BD) for athletes using anthropometric variables and to examine validity of the prediction equations. The subjects were 211 male and 198 female athletes aged 18 to 22 years. The subjects were measured for standing height, body weight, skinfold thickness, girth as well as body composition. Body composition was estimated from densitometry using underwater weighing method and pulmonary residual volume measurement. Skinfold thickness was measured at 9 sites on the right side of the body with an Eiken-type ski nfold caliper and 7 measures of girth were taken using a cloth tape. All measurements were done three times from April to October : pre-, mid- and post-competitive season, in order to find out a suitable site reflecting body composition change. Using multiple regression analysis, equations to estimate BD were obtained from standing height, body weight, skinfold thicknesses and girths. The effective prediction equations for BD were as follows : For Males
ED=1.11104-0.00053 (sum of chest, abdomen and quadriceps skinfold thicknesses in mm) -0.00027 (waist girth in cm) .
R=0.851, SEE=0.0051.
For Females
BD=1.11861-0.00054 (sum of abdomen, triceps and subscapula skinfold thicknesses in mm) -0.00054 (waist girth in cm) .
R=0.826, SEE=0.0062.
A cross-validation analysis of these prediction equations for BD correlated highly with hydrodensitometrically determined BD (r=0.832, SEE=0.0053 for males and r=0.812, SEE= 0.0062 for females) . Thus the prediction equations developed in the present study will be applicable to athletes.

Adult ; Aged ; Case-Control Studies ; Chronic Disease ; Dizziness ; physiopathology ; Female ; Humans ; Male ; Middle Aged ; Muscle Tonus ; Neck Muscles ; physiopathology ; Postural Balance

Fragments of testis tissue from immature animals grow and develop spermatogenesis when grafted onto subcutaneous areas of immunodeficient mice. The same results are obtained when dissociated cells from immature testes of rodents are injected into the subcutis of nude mice. Those cells reconstitute seminiferous tubules and facilitate spermatogenesis. We compared these two methods, tissue grafting and cell-injection methods, in terms of the efficiency of spermatogenesis in the backs of three strains of immunodeficient mice, using neonatal porcine testicular tissues and cells as donor material. Nude, severe combined immunodeficient (SCID) and NOD/Shi-SCID, IL-2Rgammacnull (NOG) mice were used as recipients. At 10 months after surgery, the transplants were examined histologically. Both grafting and cell-injection methods resulted in porcine spermatogenesis on the backs of recipient mice; the percentage of spermatids present in the transplants was 67% and 22%, respectively. Using the grafting method, all three strains of mice supported the same extent of spermatogenesis. As for the cell-injection method, although SCID mice were the best host for supporting reconstitution and spermatogenesis, any difference from the other strains was not significant. As NOG mice did not show any better results, the severity of immunodeficiency seemed to be irrelevant for supporting xeno-ectopic spermatogenesis. Our results confirmed that tubular reconstitution is applicable to porcine testicular cells. This method as well as the grafting method would be useful for studying spermatogenesis in different kinds of animals.
Animals ; Cell Transplantation ; methods ; Injections ; Male ; Mice ; Mice, Inbred BALB C ; Mice, Inbred NOD ; Mice, Nude ; Mice, SCID ; Organ Size ; Seminiferous Tubules ; cytology ; physiology ; transplantation ; Spermatids ; cytology ; transplantation ; Spermatogenesis ; physiology ; Subcutaneous Tissue ; surgery ; Swine ; Tissue Transplantation ; methods ; Transplantation, Heterologous ; methods

A 68-year-old woman presented dizziness whenever she put her finger into the right ear and also complained of water-streaming tinnitus, which indicated she would have been suffering from perilymph fistula. An exploratory tympanotomy was conducted. Leakage of perilymph from the round window was suspected, although the cochlin-tomoprotein (CTP) results were negative. After the procedure, the patient's finger-induced dizziness, tinnitus, and vertigo spells disappeared completely. However, her dizzy symptom did not improve. The patient also complained of general fatigue, weight loss, and insomnia, which led us to suspect comorbid depression. Antidepressants and vestibular rehabilitation treatment resulted in a significant improvement in her dizziness. Although it is not apparent whether the patient had a perilymph fistula, this case demonstrates the importance of evaluating not only physical symptoms but also psychological comorbidity, especially when the physical symptoms are intractable despite treatment.
Aged ; Antidepressive Agents ; Comorbidity ; Depression* ; Dizziness ; Ear ; Fatigue ; Female ; Fingers ; Fistula* ; Humans ; Perilymph* ; Rehabilitation ; Sleep Initiation and Maintenance Disorders ; Tinnitus ; Vertigo ; Weight Loss