Showa University Academic Resource Repository / 昭和大学学術業績リポジトリ
Not a member yet
3721 research outputs found
Sort by
非侵襲的陽圧換気施行時における外部環境の違いによる加温加湿性能および回路内結露量の検証 —回路形状，室内温度—
Get PDF非侵襲的陽圧換気（NPPV）は，急性期・慢性期呼吸不全患者に対して広く用いられる治療法である．NPPV施行時には，患者快適性および治療効果の観点から，適切な加温加湿が必須となる．しかしながら，加温加湿器の使用にもかかわらず，患者の口渇感や回路内に結露が生じる問題が報告されている．本研究では，NPPV施行時の最適な外部環境を明らかにすることを目的とした．2種類のNPPV回路（回路A：Fisher & Paykel Healthcare社製回路RT319，回路B：日本メディカルネクスト社製フレックス30mmシングルリム熱線呼気ポート回路2031170）を用い，一回換気量，リーク量，口元相対湿度，口元絶対湿度，チャンバー温度，口元温度の到達時間を測定し，回路形状がこれらのバラメータに与える影響を比較した．さらに，回路Bにおいて室温20℃および25℃での回路内結露量を比較した．回路形状による加温加湿性能に有意な差は認められなかった．一方，室温に関しては，20℃の環境下で回路内結露が確認されたのに対し，25℃環境下では結露は認められなかった．室温25℃は，NPPVにおける加温加湿に適した環境であることが示唆された．また，本研究の検証方法を基にさまざまな環境における加温加湿性能の評価を行うことで，より適切な加温加湿条件の確立が期待される．本研究の結果，NPPV施行時，室温25℃では回路内結露を抑制し，患者にとってより快適な加温加湿環境を提供できる可能性が示唆され．本研究の結果はNPPVの臨床現場における最適な加温加湿環境の設定に貢献するものである．departmental bulletin pape
Impact of enhanced pre-practical training on medical students’ engagement in community healthcare: A study at Showa University School of Medicine using the ACCCA framework and assertiveness role-play
Get PDFAs Japan continues to face the challenges of an aging population, a community-based integrated care system has been promoted to address evolving healthcare needs. Following the revision of The Model Core Curriculum for Medical Education in 2006, the Showa University School of Medicine implemented community healthcare practical training for third-year medical students. This study is the first to report the impact of enhanced preparatory learning on students’ knowledge and attitudes toward community healthcare prior to their 2024 training. In 2024, improvements to the pre-training curriculum included a new confirmation test to strengthen knowledge of community medicine, a regional diagnosis activity based on the ACCCA framework, and role-play exercises to improve communication skills. Student self-evaluation forms and supervisors’ evaluation forms were compared between 2023 and 2024 using the unpaired Student’s t-test. Additionally, students’ self-assessed communication skills before and after the 2024 training were analyzed using the paired Student’s t-test. In 2024, students reported significant improvements in self-evaluation items related to “active participation,” “goal achievement,” and “understanding of hospital-clinic and hospital-hospital cooperation.” Supervisors’ evaluations also reflected higher scores across all assessed areas, including “attitude,” “personal appearance,” “hospitality,” “adherence to rules,” and “training performance.” Furthermore, students’ self-evaluations of communication skills improved significantly across all categories after the training. Enhanced preparation and learning prior to community healthcare practical training significantly improved students’ knowledge, attitudes, and practical skills. These findings highlight the value of structured pre-training education and suggest that improvements may contribute to the development of future healthcare professionals who are well-equipped to serve in community medicine. Future research should determine the optimal content and duration of community healthcare education.departmental bulletin pape
Cost-effectiveness analysis of first line pembrolizumab monotherapy for high programmed cell death ligand 1 expressed, advanced non-small cell lung cancer in Japan
Get PDF昭和大学博士(薬学)2024年度doctoral thesi
Impact of potentially inappropriate medications on emergency ambulance admissions in geriatric patients after discharge
Get PDF昭和大学博士(薬学)2024年度doctoral thesi
Nationwide cross-sectional survey for preferred brand-named oral anticancer drugs using prescription data based on a large chain of community pharmacies in Japan
Get PDF昭和大学博士(薬学)2024年度doctoral thesi
Associations between gut microbiota and coffee and caffeine consumption in patients with major depressive disorders: An observational study
Get PDF昭和大学博士(医学)2024年度doctoral thesi
Neointimal characteristic changes following drug-coated balloons in lesions with repeated revascularization
Get PDF昭和大学博士(医学)2024年度doctoral thesi