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short postoperative hospital stay after pancreaticoduodenectomy:what is real minimally invasive surgery?

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Hepatobiliary surgery and Nutrition 2021年第6期10卷 853-856页

作者： Toshimi Kaido shuntaro Hirose Yosuke miyachi Department of Gastroenterological and General surgery St.Luke’s International HospitalTokyoJapan

Pancreaticoduodenectomy(PD)is performed for patients with tumors located in the region of the head of the pancreas,including cancer of the head of the pancreas,periampullary cancer,and distal bile duct *** is considered one of the most difficult and invasive surgeries in hepato-biliary-pancreatic surgeries because it requires meticulous techniques both in resection and ***,postoperative complications such as postoperative pancreatic fistula(POPF)and delayed gastric emptying(DGE)sometimes occur after PD,which leads to relatively higher mortality and longer postoperative hospital stay compared with other digestive *** PD,laparoscopic and robotic surgeries,called minimally invasive surgery(MIs),have recently been ***,the incidence of postoperative complications and the length of the postoperative hospital stay have not decreased significantly after the introduction of such MIs(1-3).

关键词： postoperative surgery invasive

Introduction to the special issue on virtual reality and visualization for modeling and simulation

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International Journal of Modeling, simulation, and scientific Computing 2018年第3期9卷 1-1页

作者： satoshi Tanaka Hideo miyachi 不详

since last year,we have been experiencing the second boom of Virtual *** the first boom during the 1990’s,applications of Virtual Reality to the research field of modeling and simulation were limited because of the cost and complexity in use of the Virtual Reality ***,in the current boom,the situation is very ***,we have sophisticated but cheap and user-friendly Virtual Reality tools and environments such as head-mounted display,personal-size naked-eye stereographic displays,high-quality remote visualization systems,and *** can also utilize personalized ICT devices such as laptop PCs,tablets,and smart *** the other hand,it should also be remarked that the recent cutting-edge technologies can provide us with highly real virtual worlds based on ultra-high-resolution images,ultra-large displays,haptics and auditory devices,*** of the well-established network environments further increases possible application of Virtual Reality.

关键词： environments utilize mounted

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卒中介入治疗培训指南：国际多学会共识文件

国际脑血管病杂志 2017年第5期25卷 396-399页

作者： Lavine sD Cockroft K Hoh B Bambakidis N Khalessi AA Woo H Riina H siddiqui A Hirsch JA Chong W Rice H Wenderoth J Mitchell P Coulthard A signh TJ Phatorous C Khangure M Klurfan P ter Brugge K Iancu D Gunnarsson T Pongpech s Rodesch G soderman M Taylor A Krings T Orbach D Picard L suh DC Zheng HQ Jansen O Muto M szikora I Pierot L Brouwer P Gralla J Renowden s Andersson T Fiehler J Turjman F White P Januel AC spelle L Kulcsar Z Chapot R Biondi A Dima s Taschner C szajner M Krajina A sakai N Matsumaru Y Yoshknura s Ezura M Fujinaka T Iihara K Ishii A Higashi T Hirohata M Hyodo A Ito Y Kawanishi M Kiyosue H Kobayashi E Kobayashi s Kuwayama N Matsumoto Y miyachi s Murayama Y Nagata I Nakahara I Nemoto s Niimi Y Oishi H satomi J satow T sugiu K Tanaka M Terada T Yamagami H Diaz O Lylyk P Jayaraman MV Patsalides A Gandhi CD Lee sK Abruzzo T Albani B Ansari sA Arthur As Baxter BW Bulsara KR Chen M Almandoz JE Fraser JF Heck DV Hetts sW Hussain Ms Klucznik RP Leslie-Mawzi TM Mack WJ McTaggart RA Meyers PM Mocco J Prestigiacomo CA Pride GL Rasmussen PA starke RM sunenshine PJ Tarr RW Frei DF Pabo M Nogueira RG Zaidat OO Jovin T Linfante I Yavagal D Liebeskind D Novakovic R Pongpech s 许岩孙瑞郭芮兵 From the American Association of Neurological surgeons/Congress of Neurological surgeons (AANs/CNs) Rolling Meadows IL USA American society of Neuroradiology (AsNR) Oak Brook IL USA Asian Australasian Federation of lnterventional and Therapeutic Neuroradiology (AAFITN) Bali Indonesia Australian and New Zealand society of Neuroradiobgy-Conjomt Committee for Recognition of Training in Interventional Neuroradiology (CCINR) representing the RANZCR (ANZsNR) ANZAN and NSA Sydney Australia Canadian Interventional Neuro Group (CING) Edmonton AB Canada World Federation of Interventional and Therapeutic Neuroradiology (WFITN) Gold Coast Australia European society of Neuroradiology (EsNR) Milan Italy European society of Minimally Invasive Neurologic Therapy (EsMINT) Nice France Japanese society for Neuroendovascular therapy (JsNET) Okayama Japan sociedad Ibero Latino Americana de Neuroradiologica (sILAN) Cartagena Colombia society of Neurolnterventional surgery (sNIs) Washington DC USA society of Vascular and Interventional Neurology (sVIN) Brooklyn NY USA 南京大学医学院附属金陵医院(南京军区南京总医院)神经内科 210002 解放军第一0一医院(无锡太湖医院)神经内科无锡214004

1背景缺血性卒中是全球人口死亡和残疾的首要原因。很多急性大血管闭塞（emergent large vesselocclusion，ELVO）患者都会遗留长期残疾。事实上，这些颅内大动脉闭塞经常会导致大面积脑损伤，进而造成患者死亡或严重致残。

关键词：缺血性卒中培训指南介入治疗文件学会国际血管闭塞动脉闭塞

Investigation of Patients’ Mood on Their Distance from the Pharmacist during Medication Instruction

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Pharmacology & Pharmacy 2023年第5期14卷 145-155页

作者： saori Gocho Yukina Miyagi Naoko Yamaguchi Chika Nakayama Yuka miyachi shoshiro Okada Taeyuki Oshima Department of Pharmacy Nagoya Ekisaikai Hospital Nakagawa Nagoya Aichi Japan Graduate school of Medicine Aichi Medical University Nagakute Aichi Japan College of Pharmacy Kinjo Gakuin University Moriyama Nagoya Aichi Japan Department of Pharmacy Gifu University of Medical Science Kani Gifu Japan

Background: Pharmacists must adjust their distance from patients to facilitate communication during interviews and gain their trust. The distance between the patients and the pharmacists varies depending on many factors, such as gender, posture and the patients’ mood. Only a few of these papers have actually measured and validated distance with patients. In this study, we validated our method of assessing mood and measuring distance before beginning a survey with patients. Methods: We measured comfortable interpersonal distance among men and women using an ecological scenario, in which a pharmacist approaches the subject, and the subject is asked to stop the pharmacist at the distance he/she feel comfortable with. Five pharmacists and 33 subjects participated in the study. The Japanese version of the Brief Mood Questionnaire Checklists (BMC-J) was used to quantify the subject’s mood for the day, and then the distance from the pharmacist that the subjects considered comfortable was measured at the bedside. The relationship between the mood and distance obtained was examined. Results: The comfortable distance of subjects was influenced by gender, posture, and mood. The shortest distance was 94.7 ± 11.1 cm (mean ± sD), for the male subjects versus the female pharmacists in the sitting position. The distance of male subjects shorted when they had positive emotions and lengthened when they were worried. Female subjects maintained a long distance from both male and female pharmacists when they had positive emotions and a short distance when they were worried. Conclusion: Findings show that the distance changes depending on the subjects’ mood at the time of measurement. It was found that the present measurement method can be used to determine the psychological state of the patient and measure the comfort distance at that time, and can be used as a simple method to examine these relationships. Therefore, it is also considered a practical method for the next step, which is a

关键词： Non-Verbal Communication Personal space Interpersonal Distance Mood Pharmacist

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鳞状细胞癌和博温病紧密连接相关蛋白

世界核心医学期刊文摘（皮肤病学分册） 2005年第2期1卷 16-17页

作者： Morita K. Tsukita s. miyachi Y. 刘超 Department of Dermatology Graduate School of Medicine Kyoto University Shogoinkawaharacho Sakyo-ku Kyoto 606-8507 Japan

Background: The epidermis, which is a typical stratified epithelium, has tight junctions (TJs) in the granular layer, as do simple epithelia. so far, abnormalities of TJs and involvement of claudin-1 have been reported in tumours of simple epithelia. Objectives: To examine the expression of TJ-associated proteins (occludin, ZO-1, claudin-1 and claudin-4) in normal human epidermis and in malignant disorders of keratinization. Methods: Expression of the proteins in normal human epidermis, five cases of squamous cell carcinoma (sCC) of the skin and five cases of Bowen’s disease (BD) was examined by immunofluorescence staining. Results: In normal human epidermis, occludin, ZO-1 and claudin-4 were expressed at the cell-cell borders in the granular layer specifically or dominantly, whereas claudin-1 was expressed in the whole epithelium. In sCC, occludin, ZO-1, claudin-1 and claudin-4 were strongly expressed in tumour cells with keratinization such as cancer pearls. Claudin-1 was heterogeneously expressed in unkeratinized tumour cells, whereas expression of occludin, ZO-1 and claudin-4 was decreased or absent. In BD, aberrant expression of occludin, ZO-1, claudin-1 and claudin-4 was observed at the cell-cell borders in addition to their expression patterns observed in normal epidermis. Conclusions: Expression of occludin. ZO-1 and claudin-4 is associated with keratinization in sCC and BD. However, the heterogeneous expression of claudin-1 in sCC is not determined only by keratinization.

关键词：博温病鳞状细胞癌正常上皮角化性疾病单层上皮角珠低表达颗粒层免疫荧光染色特异性

study of Factors Affecting Medical Incident: 2 Powdered Medication Dispensing

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Pharmacology & Pharmacy 2019年第6期10卷 309-317页

作者： Yuka miyachi Chika Nakayama satomi Funahashi Hiroyuki shimada Masayuki Takeuchi Masafumi Ohnishi Hiroko saito Taeyuki Oshima College of Pharmacy Kinjo Gakuin University Nagoya Japan

Medical incidents have been collected, analyzed and built up preventive measures by each medical institution for a long time. For powdered medication, there is the problem that it is difficult to tell at a glance the quantity of the active ingredient in the medication that has been dispensed and the quantities that have been mixed together. Therefore, special prevention measures are considered essential. In this study, we examined the work content of pharmacists’ powdered medication dispensing, using an eye-tracking technology of measuring a human eye movement, and studied on factors that affect medical incident. Participants were five pharmacists with 8 to 26 years of working experience (expert), and five pharmacists with less than one year of working experience (newcomer). Gaze measurement experiments were implemented for powdered medication dispensing during regular work activity. The gaze measurement equipment used was Tobii Pro Glasses 2. Based on the results of the eye tracking, newcomer had a longer dispensing time than expert for all powdered medication dispensing. In particular, it was suggested that there is a close relationship to “years of experience” and “weighing and mixing skills.” Experts did unwasted and efficient movements, when preparing the dispensing apparatus, taking medications from the shelves, and scanning the barcode in the powders dispensing checking system. These movements led to shorter working time in experts. In contrast, newcomer had individual differences at the dispensing. Even with the same pharmacist, the work progression differed depending upon the prescription. Therefore, it is thought that the factor of common error was inadequate check and overlooked. The state that it’s messy on the workplace is also considered highly likely to cause dispensing mistakes. At the weighing, expert started weighing after the inspection of the prescription and checking weighed amount. However, certain newcomer dispensed to depend on the powders di

关键词： Dispensing Error Eye Tracking Pharmacist Powdered Medication

study of Factors Affecting Medical Incident: 3. Medicine Inspection

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Pharmacology & Pharmacy 2020年第1期11卷 9-16页

作者： Yuka miyachi Chika Nakayama Takashi Horiba Tomoaki Hino Kazuyo Nagashiba Miki Kato Masafumi Ohnishi Hiroko saito Masato Isogai Nami sugiura Keiko Matsuura Taeyuki Oshima College of Pharmacy Kinjo Gakuin University Nagoya Japan

It is the responsibility of pharmacists to ensure the safety of patients as pharmacist’s professional duties expand into diverse directions. In recent years, the use of automated dispensing systems has increased;however, the inspection by pharmacists is the most important step in the prevention of medical errors. Comparing the inspection of hospital and community pharmacists may lead to an increased awareness of incident countermeasures. Therefore, eye tracking was performed for hospital and community pharmacists who conduct inspection, and the results revealed the factors that affect dispensing errors. One of the factors was the size of the dispensing space, especially if the space was small and the items needed were not easily accessible. In addition, differences in the inspection procedures among pharmacists were presumed to lead to possible dispensing errors due to oversights. Moreover, it was suggested that any subsequent work would flow more smoothly if a pharmacist checked the prescription and medication history management records at the beginning. Furthermore, it was thought that keeping a history of checks, such as recording any prescription checks in writing, would speed up finding the cause in the unlikely event that a dispensing error occurred. Accordingly, creating an environment in which one can concentrate without distractions during the inspections can lead to the prevention of dispensing error.

关键词： Medicine Inspection Dispensing Error Eye Tracking Pharmacist