Objective: Medical education was initiated in 2012 as part of health and physical education (HPE) in junior high schools.  This new measure was a result of a revision of school curriculum guidelines.  In this study, we aimed to clarify the implementation status of medical education in schools.
Methods: A questionnaire survey targeting junior high school teachers in Gifu (from 184 junior high schools) was conducted by mail.
Results: 60.9% of schools responded (112/184).  HPE teachers and school pharmacists were found to be in charge of providing medical education in 94.6% and 10.7% of schools, respectively.  The average duration of classes was 50 min and the average frequency was 1.2 times a week.  On average, 0.9% of schools stated that implementing medical education was “under contemplation,” 2.7% held “occasional” classes, and 2.7% only held “drug abuse-related” classes.  It was also found that the most commonly used educational material was the school textbook (91.1% of schools).  Additionally, 87.5% of schools responded “yes” to “lectures are delivered by outside lecturers,” and 69.6% responded “yes” to “we hope to introduce workshop participation.”
Conclusion: The results of the survey indicated that many junior high schools have provided medical education classes and that HPE teachers were in charge of teaching these classes.  However, some schools have not provided these classes.  It is considered necessary to enhance medical education activities in the pharmaceutical field by involving specialists from different areas.

BACKGROUND/AIMS: A flexible spectral imaging color enhancement system was installed in new capsule software for video capsule endoscopy. Contrast image capsule endoscopy (CICE) is a novel technology using light-emitting diodes selected for the main absorption range of hemoglobin. We assessed the feasibility and diagnostic effi cacy for small bowel surveillance in patients with polyposis syndromes. METHODS: Six patients with polyposis syndromes, four with familial adenomatous polyposis and one each with Cowden syndrome (CS) and Cronkhite-Canada syndrome (CCS) were examined using CICE. We conducted three evaluations to assess the effect on the numbers of the detected polyps; compare polyp diagnostic rates between adenoma and hamartoma; and assess polyp visibility. RESULTS: The numbers of detected polyps and diagnostic accuracy did not differ signifi cantly between pre-contrast and contrast images. However, 50% of the adenomatous polyps displayed enhanced visibility on contrast images. CICE contrast images exhibited clearly demarcated lesions and improved the visibility of minute structures of adenomatous polyps. Hamartomatous polyp micro-structures in patients with CS and CCS were more clearly visualized on contrast than pre-contrast images. CONCLUSIONS: CICE is an effective tool for enhancing the visibility of polyps in patients with polyposis syndrome.
Absorption ; Adenoma ; Adenomatous Polyposis Coli ; Adenomatous Polyps ; Capsule Endoscopes ; Capsule Endoscopy ; Hamartoma Syndrome, Multiple ; Hemoglobins ; Humans ; Intestinal Polyposis ; Polyps

[Introduction] Previous researches have suggested that safety education in acupuncture and moxibustion training schools may be insufficient. Inadequate training could lead to students exhibiting unsafe behaviors during practical sessions, potentially resulting in unsafe practices in their future clinical environments. Thus, this study aims to identify and analyze the actual unsafe behaviors exhibited by students during acupuncture and moxibustion practical skills.[Subjects and Methods] This observational study was conducted with 18 university students enrolled in acupuncture and moxibustion training programs (12 third-year students [5 females], 6 fourth-year students [2 females]; mean age 21.06 years [SD = 0.68]). All participants provided informed consent. The students were recorded during their practical skills, and their unsafe behaviors were later documented by observers using a pre-established checklist while reviewing the footage. Unsafe behaviors that were not listed in the checklist were recorded in a free description section.[Results] A total of 21 types of unsafe behaviors were observed (9 from the checklist and 12 from the free description section). The checklist identified behaviors such as "failure to disinfect hands immediately before touching the patient," "failure to disinfect hands immediately after touching the patient," and "touching potentially contaminated substances," all of which were observed in all 18 students, with occurrence rates exceeding 20%. Other behaviors observed by more than one person included "failure to disinfect the treatment area after needle removal," "inadequate palpation," and "reuse of single-use needles." In the free description section, behaviors such as "unnecessarily touching patient roles," "returning used alcohol swabs to the container," and "reuse of alcohol swabs" were noted in multiple students. For these behaviors that were performed by multiple people, there was a bias in the incidence of those who exhibited the behavior between grades.[Discussion] The occurrence of unsafe behaviors during practical skills may be attributed to inconsistent safety protocols, human error, and various psychological factors. To reduce these behaviors, it is necessary to implement standardized educational methods and address psychological and other factors, in addition to the existing safety education.