Haruki Imura
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View article: Exploring perceptions of work motivation through the experiences of healthcare professionals who provided end-of-life care during the COVID-19 pandemic (PRECA-C project): a qualitative study
Exploring perceptions of work motivation through the experiences of healthcare professionals who provided end-of-life care during the COVID-19 pandemic (PRECA-C project): a qualitative study Open
In this study, four themes, including the importance of organizational management to prevent isolation, maintaining connections among colleagues, and the need for supportive social voices from outside the hospital, emerged from interviews …
View article: Distinguishing Jarisch-Herxheimer Reaction From Septic Shock in Leptospirosis Patients: A Case Study
Distinguishing Jarisch-Herxheimer Reaction From Septic Shock in Leptospirosis Patients: A Case Study Open
BACKGROUND The Jarisch-Herxheimer reaction is a transient response that occurs within 24 hours of antibiotic treatment for spirochete infections, such as syphilis, leptospirosis, Lyme disease, and relapsing fever, and can present with naus…
View article: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024 Open
The 2024 revised edition of the Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock (J‐SSCG 2024) is published by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine. …
View article: Rationale and protocol for a prospective cohort study of respiratory viral infections in patients admitted from emergency departments of community hospitals: Effect of respiratory Virus infection on EmeRgencY admission (EVERY) study
Rationale and protocol for a prospective cohort study of respiratory viral infections in patients admitted from emergency departments of community hospitals: Effect of respiratory Virus infection on EmeRgencY admission (EVERY) study Open
Introduction Respiratory syncytial virus (RSV) is a causative virus for the common cold worldwide and can result in hospitalisations and even death in patients with high-risk conditions and older adults. However, the relationship between R…
View article: Effectiveness of primary series, first, and second booster vaccination of monovalent mRNA COVID-19 vaccines against symptomatic SARS-CoV-2 infections and severe diseases during the SARS-CoV-2 omicron BA.5 epidemic in Japan: vaccine effectiveness real-time surveillance for SARS-CoV-2 (VERSUS)
Effectiveness of primary series, first, and second booster vaccination of monovalent mRNA COVID-19 vaccines against symptomatic SARS-CoV-2 infections and severe diseases during the SARS-CoV-2 omicron BA.5 epidemic in Japan: vaccine effectiveness real-time surveillance for SARS-CoV-2 (VERSUS) Open
This study aimed to evaluate VE of primary, first, and second booster ancestral-strain monovalent mRNA COVID-19 vaccination against symptomatic infections and severe diseases in Japan. We conducted a test-negative case-control study. We in…
View article: Challenges of using body bags for COVID-19 deaths from the healthcare provider perspective – a qualitative study
Challenges of using body bags for COVID-19 deaths from the healthcare provider perspective – a qualitative study Open
Background During the COVID-19 pandemic, numerous issues regarding end-of-life care for COVID-19 patients have been discussed. Among these issues, challenges related to the use of body bags following the death of COVID-19 patients have bee…
View article: Infected Aortic Aneurysm Secondary to Pyogenic Flexor Tenosynovitis from <i>Streptococcus pyogenes</i>
Infected Aortic Aneurysm Secondary to Pyogenic Flexor Tenosynovitis from <i>Streptococcus pyogenes</i> Open
Infected aortic aneurysms are rare, and have a high mortality rate. Although not a major pathogen, Streptococcus pyogenes has been reported to cause infected aortic aneurysms. In the present case, the patient was hospitalized for pyogenic …
View article: Fluid mode spectroscopy for measuring kinematic viscosity of fluids in open cylindrical containers
Fluid mode spectroscopy for measuring kinematic viscosity of fluids in open cylindrical containers Open
On a daily basis we stir tee or coffee with a spoon and leave it to rest. We know empirically the larger the stickiness, viscosity, of the fluid, more rapidly its velocity slows down. It is surprising, therefore, that the variation, the de…
View article: Effectiveness of mRNA COVID-19 vaccines against symptomatic SARS-CoV-2 infections during the SARS-CoV-2 Omicron BA.1 and BA.2 epidemic in Japan: vaccine effectiveness real-time surveillance for SARS-CoV-2 (VERSUS)
Effectiveness of mRNA COVID-19 vaccines against symptomatic SARS-CoV-2 infections during the SARS-CoV-2 Omicron BA.1 and BA.2 epidemic in Japan: vaccine effectiveness real-time surveillance for SARS-CoV-2 (VERSUS) Open
During BA.1 and BA.2 epidemic in Japan, mRNA COVID-19 primary vaccination provided modest protection. Booster vaccination was necessary to protect against symptomatic infections.
View article: Pre-emptive antifungal therapy versus empirical antifungal therapy for febrile neutropenia in people with cancer
Pre-emptive antifungal therapy versus empirical antifungal therapy for febrile neutropenia in people with cancer Open
For people with cancer who are at high-risk of febrile neutropenia, pre-emptive antifungal therapy may reduce the duration and rate of use of antifungal agents compared to empirical therapy, without increasing over-all and IFD-related mort…
View article: Doppler trans-thoracic echocardiography for detection of pulmonary hypertension in adults
Doppler trans-thoracic echocardiography for detection of pulmonary hypertension in adults Open
Our evidence assessment of echocardiography for the diagnosis of PH in adult patients revealed several limitations. We were unable to determine the average sensitivity and specificity at any particular index test threshold and to explain t…
View article: Japanese rapid/living recommendations on drug management for <scp>COVID</scp>‐19: updated guidelines (July 2022)
Japanese rapid/living recommendations on drug management for <span>COVID</span>‐19: updated guidelines (July 2022) Open
Background Coronavirus disease (COVID‐19), an infectious disease caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), has spread worldwide since early 2020, and there are still no signs of resolutio…
View article: A model six-month workshop for developing systematic review protocols at teaching hospitals: action research and scholarly productivity
A model six-month workshop for developing systematic review protocols at teaching hospitals: action research and scholarly productivity Open
Background Research engagement contributes to the improvement of patient care. A systematic review is a suitable first scholarly activity because it entails summarization of publicly available data and usually requires neither rigorous eth…
View article: Additional file 1 of A model six-month workshop for developing systematic review protocols at teaching hospitals: action research and scholarly productivity
Additional file 1 of A model six-month workshop for developing systematic review protocols at teaching hospitals: action research and scholarly productivity Open
Additional file 1: Supplementary Table 1. Questionnaire for participants. A questionnaire given to workshop participants. Supplementary Table 2. Number of SRs in PubMed affiliated with the hospitals for three years before and after the WS.…
View article: Japanese rapid/living recommendations on drug management for COVID‐19
Japanese rapid/living recommendations on drug management for COVID‐19 Open
The coronavirus disease (COVID‐19) has spread worldwide since early 2020, and there are still no signs of resolution. The Japanese Clinical Practice Guidelines for the Management of Sepsis and Septic Shock (J‐SSCG) 2020 Special Committee c…
View article: Japanese rapid/living recommendations on drug management for COVID‐19: updated guidelines (September 2021)
Japanese rapid/living recommendations on drug management for COVID‐19: updated guidelines (September 2021) Open
Background The coronavirus disease 2019 (COVID‐19) has spread worldwide since early 2020, and there are still no signs of resolution. The Japanese Clinical Practice Guidelines for the Management of Sepsis and Septic Shock (J‐SSCG) 2020 Spe…
View article: Pre-emptive antifungal therapy versus empirical antifungal therapy for febrile neutropenia in people with cancer
Pre-emptive antifungal therapy versus empirical antifungal therapy for febrile neutropenia in people with cancer Open
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the relative efficacy, safety, and impact on clinical resource use of pre‐emptive versus empirical antifungal therapy in people with cancer w…
View article: A Case of Systemic Capillary Leak Syndrome
A Case of Systemic Capillary Leak Syndrome Open
症例は69歳，男性，肺炎治療の経過中にショック状態となり，急激に進行する血液濃縮所見と低アルブミン血症を認めた．肺炎による敗血症性ショックと考え，大量補液，カテコラミン，抗生剤の投与を行い，病状は改善．しかし，過去に程度は軽いが，同様のエピソードがあり，後日の評価にてM蛋白血症を認めたことから，除外診断を行い，全身性毛細血管漏出症候群と診断．予防的治療の検討中に再発し，集学的治療が行われたが，死亡した．
View article: Updates to and quality of clinical practice guidelines for high-priority diseases in Japan
Updates to and quality of clinical practice guidelines for high-priority diseases in Japan Open
Purpose To examine the update status of clinical practice guidelines (CPGs) for 24 main diseases in Japan, and to clarify the quality of and issues pertaining to the most recent versions of CPGs for each disease. Data sources CPGs were sea…
View article: Social vital signs for improving awareness about social determinants of health
Social vital signs for improving awareness about social determinants of health Open
We, Team SAIL, have held sessions introducing social vital signs (SVS). SVS is a useful tool for evaluating patient's social determinants of health (SDH).
View article: Acute Carpal Tunnel Syndrome Due to Pyogenic Flexor Tenosynovitis without Any Antecedent Injury
Acute Carpal Tunnel Syndrome Due to Pyogenic Flexor Tenosynovitis without Any Antecedent Injury Open
We herein report a case of acute carpal tunnel syndrome due to pyogenic flexor tenosynovitis in the absence of any antecedent injury whose rapid progression and course was similar to that seen with necrotizing fasciitis. This potentially d…