[Purpose] The purpose of this study is to elucidate the awareness of Generative AI among students. To this end, fundamental data was collected through an awareness survey.[Methods] The survey targeted 103 students enrolled in four Anma, Massage, and Acupuncture teacher training institutions nationwide. It was conducted anonymously using Google Forms from October to November 2023.[Results] Fifty-seven people responded (response rate: 55.3％). The main results are as follows：1. Thoughts (impressions) on Generative AI: A relatively large number of students (38.6％) had "expectations" for Generative AI, while those who felt "resistance" were in the minority (24.6％).2. Awareness of the reliability, safety, and efficiency of Generative AI: Opinions were divided on reliability, with 42.1％ saying "it's a little high" and 26.3％ saying "it's a little low." Safety was also rated low, with 43.9％ saying "it's a little low."3. Opinions on the use of Generative AI in the classroom: The most common response to the use of Generative AI was "somewhat in favor" at 47.4％, with 21.1％ of students actively in favor.4. Usefulness of Generative AI as a teaching material: Regarding the usefulness of Generative AI as a teaching material, 45.6％ said "it's somewhat useful," while 24.6％ said "I don't know."5. Impact on learning skills: While many students expressed concern that Generative AI would have a negative impact on their "writing ability" and "thinking ability," many expressed hopes that it would have a positive impact on their "reading ability" and "questioning ability."[Discussion and Conclusion] This survey revealed that while students have high expectations for generative AI, they also have anxiety and resistance. It was also shown that while many students expect it to improve work efficiency, they have concerns about its reliability and safety. Furthermore, while opinions about its use in the educational field are positive, careful consideration is required regarding its impact on learning skills.

In Japan, doctors inexperienced stent-graft new devices are required to secure agreement on criteria and choice of the device size in endovascular aneurysm repair (EVAR) from experienced doctors. It was hoped that strict patient selection might reduce the learning curve for initial successes in given procedures. In a leading center in Japan, a number of cases which were scheduled for operation at other institutes were evaluated anatomically. We surveyed the initial success of Zenith AAA system implantation in the remaining cases by inexperienced doctors and evaluated the results. This study aimed to verify the validity of strict patient selection in improving the success rate of inexperienced doctors. We enrolled 112 consecutive patients from 19 institutes, who were scheduled for repair between January and October in 2007. All patients were evaluated on the basis of a less-than-3mm reconstructed CT image. Mean patient age was 76±5.7 years. All cases satisfied the Zenith's anatomic prerequisites. Fifteen cases were excluded for various reasons, the major reason being insufficiency of the proximal landing zone (LZ) length, angle and contour. The second reason was difficulty to approach via the iliac artery. Ninety seven cases were included, of which 17 cases were low-risk candidates for EVAR. Medium-risk seventy two cases requiring some advice to avoid problems with device size, technique of implantation and choice of main-body side. Eight cases were high-risk, requiring the presence of an experienced surgeon. Excluded cases had significantly shorter proximal LZ, larger aortic diameters 15mm below the renal artery and tortuous access routes on preliminary measurement by inexperienced doctor. Perioperative mortality was 0%, while the major complications were injury to the iliac artery in one high-risk case and thromboembolism of the superficial femoral artery in another. Perioperative proximal type I endoleak occurred in 5 cases. In 3 of these cases, the endoleak was eliminated by implantation of a Palmatz stent. In the other 2 cases, it disappeared within a month without additional procedures. These cases had a significantly greater angle between the proximal LZ and the suprarenal aorta and significant amount of mural thromboses in the proximal LZ. Perioperative type III endoleak occurred in 3 cases. In all cases the endoleak was eliminated by additional procedure. Perioperative type II endoleak occurred 8 cases. In 3 of these cases, the endoleak disappeared within a month. In the 5 other cases, the endoleak did not disappear. Mid-term results showed iliac leg thromboembolism in one case and new type II endoleaks in 3 cases. Type II endoleak occurred in cases which had significantly greater angles between the proximal LZ and the aneurysm. The results which were evaluated in our center had excellent perioperative and mid-term outcomes. We think this evaluation system is effective for risk assessment and reduces the learning curve in EVAR. In anatomically marginal cases, it is possible for proximal type I endoleak and injury of the iliac artery to occur. It is impossible to exclude these marginal cases if treatment need for EVAR is a priority. In these cases, lessexperienced operators should be trained in troubleshooting techniques in advance.

Educational Research was carried out in a joint national survey by questionnaire in a school for the visually impaired and a vocational school in joint research with Anma-Massage-Shiatsu and Acupuncture and Moxibustion Therapy, aiming at collecting fundamental materials that examine the way of the future of the therapy.
The collection rate for the questionnaire was 71.4% for schools for the visually impaired and 68.3% from the vocational schools (70.3% in total as of August 16, 2006).
When examining the survey results and paying attention to the common and different points between the schools for the visually impaired and the vocational schools, we reviewed the present conditions and subjects in the curriculum reform. We recognized the actual conditions and problems in today's curriculum reform in a comparison of both schools.
We would be pleased if this study became an opportunity to enter a new phase for “Anma-Massage-Shiatsu and acupuncture and moxibustion therapy education”, while respecting the situations of schools for the visually impaired and vocational schools.

[Objective] The increasing number of acupuncture and moxibustion training schools as well as the diversity of new student and patient needs is changing the educational environment of practitioners of Amma massage, acupuncture, and moxibustion. This raises the question whether the present curriculum can meet the challenges presented by these changes. This study presents the findings of a questionnaire survey designed to elucidate basic data relevant to the creation of the ideal curriculum.
[Methods] A questionnaire was sent to a total of 111 schools nationwide, comprising 70 training schools for the visually impaired and 41 vocational schools affiliated with the Society of Oriental Medicine. The staff member responsible for curriculum organization in each school completed the questionnaire.
[Concluding remarks] The response rate was 70.3% (78/111 schools). The questionnaire survey revealed that one group of individuals was responsible for the curriculum. It was also made clear that education was advancing, not by a fundamental curriculum-based teaching system, but by individual teaching staff.
Ensuring future development in the education system for practitioners of Amma massage, acupuncture, and moxibustion will require introducing a core curriculum. Discussion is also necessary.

Recently, education for persons providing medical treatment has changed greatly due to remarkable progress in various life science fields. Regarding education for persons providing acupuncture and moxibustion, acquisition of modern medical knowledge related to social needs as well as acupuncture and moxibustion medical science is appropriate for practitioners of acupuncture and moxibustion who are able to develop their abilities by receiving such background training.
Therefore, radical plans to check the educational contents and unify the curriculum are being developed, focusing on the core curriculum in order to achieve curriculum reform. This paper discusses the issues underlying such curriculum reform plans. The core-curriculum in medical education is a so-called minimum requirement. However, a liberal education supports that curriculum and provides an important knowledge base. There is also an education ideology that is important to that goal. In other words, education ideology can be considered as the core in curriculum.

The fifty first academic meeting of the Japan Society of Acupuncture and Moxibustion was held this year. Atthis time, the number of members has increased, and now exceeds 2, 900 people. Quality and quantity have changed greatly, and the academic meeting expands.
How are members affected by the change and expansion of such an academic meeting? Moreover, does an academic meeting or the relations among members affect the activities of various academic meetings, and can those activities be maintained?
This time, a membership survey was carried out focusing on the critical issues cited above. The survey for the year 2001 was mailed to all academic meeting staff in November-December. The response rate was 21.5% of 632 questionnaires sent This survey is the foundation material from which the future of our academic society will be considered.
The following survey results are presented. 1) Members over 50 years old comprised 45.8% reflecting a tendency toward an older membership. 2) As for the members' professional qualifications, “Acupuncturist” comprised 88.9%. Other designations such as “Annma-Massage-Acupressure therapist” comprised 40%. 3) Members working as “acupuncture moxibustion mentors” comprised 61.3%. This was thought to influence a motive for participatingin academic meetings, the degree of satisfaction with the academic meeting, their relationship with the academic society and research reports they would expect on the journal 4) Evaluation of the general usefulness of the authorization system (qualified acupuncturist) varies. The significance of this system needs to be discussed.

Objective Structured Clinical Examination (OSCE) is one of the assessment methods used in the clinical education of acupuncture and moxibustion, by which Tanzawa et al. successfully conducted a systematic study. Beginning with their success, in recent years, OSCE has been introduced in the clinical education of acupuncture and moxibustion and has attracted researchers' attention.
In this report, we examine various types of educational methods used in the clinical education of acupuncture and moxibustion. To assess the methods, we used “Practice by Simulation”, a practicum introduced by our school in 1993, with the Rashomon Model, a method of developing and assessing curriculums. In addition, we discussed the usefulness of the practicum based on the students' achievements.
The studied “Practice by Simulation” class is summarized below. For this class, the General Instructional Objective (GIO) was to learn the clinical skills necessary for clinical treatment by acupuncture and moxibustion and to improve motivation as a practitioner of acupuncture and moxibustion while cultivating problem-solving ability. This class introduces the role-play method as a teaching strategy, and utilizes review sessions between the faculty and students and between the students. When this method of interaction is applied to the class, any member of the faculty must take creative actions according to the circumstance in response to the students' opinions and suggestions. In this case, importance is placed on “competence as a professional teacher”, which is one of the features of the Rashomon Model, because the class may thus develop beyond expectations. For this class, the teachers evaluate the students' achievements generally based on the observations and records of their contributions to the class and their positive attitudes in the discussions as well as short essays on the assigned subject by comparing with the defined GIO.
More than 70% of the students answered “yes” to the questions “Are you interested in this class?” and “Do you think it is useful?”, showing that “Practice by Simulation” with the Rashomon Model was useful. We will conduct a further study on this subject considering the students' psychological transformations.

A 50-year-old man was referred to our hospital with a tumor in the left ventricle. He had suffered from rheumatic fever when 14 years old. He had shown signs of chronic heart failure due to atrial fibrillation and rheumatic valves (ASr, MSr) for 10 years. There was a history of unaccountable fever and rash, so infective endocarditis was suspected and echocardiography was performed. It showed a homogeneous mass with a diameter of approximately 10mm, fixed directly to the left ventricular septum 20mm below the aortic valvular ring. At operation, the tumor was excised together with endocardium and a part of the muscular coat. The rheumatic aortic and mitral valves were replaced with a 21mm SJM AHP and a 27mm SJM MTK mitral valve, respectively. Tricuspid annuloplasty (TAP) (De Vega 29mm) was also performed. Histopathological examination of the tumor revealed benign papillary fibroelastoma. It suggested that the tumors were secondary to mechanical wear and tear, and represent a degenerative process due to rheumatic valve disease.