Thoracoscopic pleural biopsy is useful when other investigations have not revealed the cause of pleural effusion. We report here a case of rheumatoid pleurisy detected from multilocular pleural effusion mimicking empyema. A 65-year-old man visited our hospital for cough persisting for 1 month and arthralgia for 3 days. He was diagnosed with rheumatoid arthritis after a routine checkup. He had an exudative multilocular pleural effusion with negative cultures. Antibiotic therapy was not effective, and thoracic drainage was not successful because of the multilocular pleural effusion. We then performed diagnostic and therapeutic thoracoscopic pleural decortication. Pathological examination of parietal pleural biopsy specimens revealed only non-specific inflammatory changes. Based on histological and clinical findings, we suspected rheumatoid pleurisy and administered empirical steroid therapy. This therapy produced a complete response and thus the diagnosis of rheumatoid pleurisy was established.

BACKGROUND: This study aimed to develop an education system using DVD video-based teaching materials or web-based learning to reduce sexual violence among teens in Japan. METHODS: During the first stage, June 2018 to March 2019, an education program using DVD video teaching materials was carried out at three high schools and four universities with research consent from the director of the facility. From 1337 high school students and first- and second-year university students, subjects in their teen years were targeted for analysis. A survey was conducted at baseline and after the DVD video teaching. During the second stage, November 2019 to March 2020, web-based learning using improved video teaching materials was developed and carried out. From the adolescents who participated in the web-based learning, subjects in their teen years were targeted for analysis. A survey was conducted at baseline and after the web-based learning. RESULTS: In the first stage, 876 students consented to and participated in the education using DVD video teaching materials and baseline and after surveys (collection rate 65.5%). Among these, the number of respondents in their teens both baseline and after education was 705 persons (valid response rate 80.4%). In the second stage, the number of respondents in their teens both baseline and after education was 250 respondents in their teens who received web-based learning using the improved video teaching materials (valid response rate 87.1%). The improvement effect of the two programs was observed in attitudes that lead to physical violence, attitudes that lead to mental violence, attitudes that promote healthy conflict resolution, and dangerous attitudes that lead to sexual violence from persons in the community or through the Internet. The web-based learning program achieved an improvement of preventive attitudes toward sexual violence. CONCLUSIONS The education program using DVD video teaching materials or web-based learning may help prevent sexual violence among teens in Japan.
Adolescent ; Compact Disks ; Female ; Humans ; Internet ; Japan ; Male ; Sex Offenses/statistics & numerical data* ; Students ; Teaching Materials ; Video Recording