Chugoku-Shikoku Regional Research Articles

Task Shifting in Cardiac Catheterization to Sustain Physicians and Acute Coronary Syndrome Response Centers ― Findings From the 2024 Japanese Circulation Society Chugoku-Shikoku Regional Survey ―

Task Shifting in Cardiac Catheterization to Sustain Physicians and Acute Coronary Syndrome Response Centers ― Findings From the 2024 Japanese Circulation Society Chugoku-Shikoku Regional Survey ―

Multicenter Remote-Access Simulation of Vaginal Delivery for High-Flexibility Medical Education during the Coronavirus Pandemic.

During the coronavirus pandemic, face-to-face simulation education became impossible. Therefore, we aimed to develop remote-access simulation education with a sense of realism through Information and Communication Technology (ICT) using a perinatal whole-body management and delivery simulator. In September 2021, we administered a multi-center simultaneous remote simulation based on our developed model. Ten universities in the Chugoku-Shikoku region were connected via a web-conferencing system to a live broadcast of a virtual vaginal birth in which a fictional hospitalized pregnant woman experienced accelerated labor and gave birth through vacuum delivery for fetal distress. A Video on Demand (VOD) was made beforehand using a new simulator that allowed for a visual understanding of the process of the inter-vaginal examination. We provided a participatory program that enhanced the sense of realism by combining VOD and real-time lectures on each scenario, with two-way communication between participants and trainee doctors using a chat function. Most participants answered "satisfied" or "very satisfied" with the content, level of difficulty, and level of understanding. From November 2021, we have used the videos of all processes in face-to-face classes. Our construction of a high-flexibility education system using remote simulation in the field of obstetrics and gynecology, especially in the vaginal delivery module, is unique, creative, and sustainable.

Treatments and prognostic factors for bone and soft tissue sarcoma in non-urban areas in Japan.

Although bone and soft tissue sarcoma is recognized as a rare cancer that originates throughout the body, few comprehensive reports regarding it have been published in Japan. Bone and soft tissue sarcomas were tabulated from the Cancer Registries at eight university hospitals in the Chugoku-Shikoku region. Prognostic factors in cases were extracted in a single facility and have been analyzed. From 2016 to 2019, 3.4 patients with bone and soft tissue sarcomas per a general population of 100,000 were treated at eight university hospitals. The number of patients who underwent multidisciplinary treatment involving collaboration among multiple clinical departments has been increasing recently. In the analysis carried out at a single institute (Ehime University Hospital), a total of 127 patients (male/female: 54/73) with an average age of 67.0 y (median 69.5) were treated for four years, with a 5-year survival rate of 55.0%. In the analysis of prognostic factors by multivariate, disease stage and its relative treatment, renal function (creatinine), and a patient's ability of self-judgment, and a patient's mobility and physical capability were associated with patient prognosis regarding bone and soft tissue sarcomas. Interestingly, age did not affect the patient's prognosis (> 70 vs ≦70). Physical and social factors may affect the prognosis of patients with bone and soft tissue sarcomas, especially those living in non-urban areas.

Japanese Nursing Staff's Knowledge and Attitude toward Bereavement Care for Couples with Miscarriage/Stillbirth and Its Associated Factors.

Bereavement care is conducted to meet the emotional needs of grieving couples who are devastated by the experience of a miscarriage or stillbirth. From January to April 2022, we distributed a questionnaire that assessed the knowledge and attitudes of Japanese nursing staff (nurses and midwives) in Japan's Chugoku-Shikoku region toward bereavement care for couples with miscarriage/stillbirth. The 370 survey respondents' answers revealed that the nursing staff's knowledge regarding recurrent pregnancy loss and subsequent bereavement care was insufficient. About 41.1% and 64.1% of the respondents had received school and on-the-job education in bereavement care, respectively, and 79.2% expressed willingness to provide such care. Our analyses revealed that the following factors were associated with the nursing staff's knowledge level: parent status, age, reproductive history, midwifery license, work experience and environment, and on-the-job education. The following were correlated with the staff's willingness to provide bereavement care: work environment, midwifery license, bereavement care knowledge, and on-the-job education. Together our findings indicate that education plays a significant role in equipping caregivers to provide effective bereavement care for couples who have experienced a miscarriage or stillbirth.

Activity Report of the Chugoku-Shikoku Regional Chapter

Activity Report of the Chugoku-Shikoku Regional Chapter

The Proceedings of the 112th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

The Proceedings of the 112th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

The Proceedings of the 113th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

The Proceedings of the 113th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

Activity Report of the Chugoku-Shikoku Regional Chapter

Activity Report of the Chugoku-Shikoku Regional Chapter

The Proceedings of the 111th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

The Proceedings of the 111th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

Prototyping Energy Management System and Developing Self-sustainable Renewable Energy System at Sea and on Land

Recently, the use of clean energy is required by the society due to environmental problems caused by air pollution. In addition, with the frequent occurrence of natural disasters, it is all the more necessary to develop diverse distributed power generation and storage methods. The need to secure hydrogen as a new renewable energy source has increased year by year, and renewable energy options have attracted wider attention not only from a cost perspective, but also thanks to their environmental friendliness. In this paper, we highlight a completely self-sustainable renewable energy system consisting of unique equipment that technical college students in the Chugoku-Shikoku region developed with their technical prowess. Separately, we developed an experimental renewable energy management system and conducted experiments to check whether this system will function properly when a natural disaster occurs. We confirmed that the system is highly effective in that situation.

A survey on sports injuries of the para swimmer in the Chugoku-Shikoku region

A survey on sports injuries of the para swimmer in the Chugoku-Shikoku region

The Proceedings of the 108th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

The Proceedings of the 108th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

Activity Report of the Chugoku-Shikoku Regional Chapter

Activity Report of the Chugoku-Shikoku Regional Chapter

Development of a Common Syllabus and Educational Video Materials for “Chemical Engineering” by Collaboration Project of National Institute of Technology (KOSEN) in Chugoku-Shikoku Region

Development of a Common Syllabus and Educational Video Materials for “Chemical Engineering” by Collaboration Project of National Institute of Technology (KOSEN) in Chugoku-Shikoku Region

Activity of the consortium of pharmacological training in Chugoku-Shikoku region

Activity of the consortium of pharmacological training in Chugoku-Shikoku region

The Proceedings of the 107th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

The Proceedings of the 107th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

Management of Disaster Waste Generated by July 2018 Heavy Rains and Efforts by Chugoku-Shikoku Regional Environmental Office

Management of Disaster Waste Generated by July 2018 Heavy Rains and Efforts by Chugoku-Shikoku Regional Environmental Office

Activity Report of the Chugoku-Shikoku Regional Chapter

Activity Report of the Chugoku-Shikoku Regional Chapter

Eviduce and Vision of Agricultural and Rural Development in Chugoku-shikoku Region

Eviduce and Vision of Agricultural and Rural Development in Chugoku-shikoku Region

The Proceedings of the 106th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology

The Proceedings of the 106th Chugoku-Shikoku Regional Meeting of the Japanese Society of Neurology