Takanori Uehara
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View article: Quality Assessment of Large Language Model–Generated Medical Dialogue for Clinical Vignettes: Evaluation Study
Quality Assessment of Large Language Model–Generated Medical Dialogue for Clinical Vignettes: Evaluation Study Open
Background Traditional clinical vignettes, though widely used in medical education, often focus on prototypical presentations; require substantial time and effort to develop; and fail to represent patient diversity, the complexity of clini…
View article: Restless eyes at night: a novel variant of restless legs syndrome
Restless eyes at night: a novel variant of restless legs syndrome Open
Introduction: Restless legs syndrome (RLS) is a common sensorimotor disorder that primarily affects the lower extremities. This condition is characterized by unpleasant sensations and an irresistible urge to move the affected body regions,…
View article: Quality Assessment of Large Language Model–Generated Medical Dialogue for Clinical Vignettes: Evaluation Study (Preprint)
Quality Assessment of Large Language Model–Generated Medical Dialogue for Clinical Vignettes: Evaluation Study (Preprint) Open
BACKGROUND Traditional clinical vignettes, though widely used in medical education, often focus on prototypical presentations; require substantial time and effort to develop; and fail to represent patient diversity, the complexity of clin…
View article: Appropriate semantic qualifiers increase diagnostic accuracy when using a clinical decision support system: a randomized controlled trial
Appropriate semantic qualifiers increase diagnostic accuracy when using a clinical decision support system: a randomized controlled trial Open
This study was registered with the University Hospital Medical Information Network Clinical Trials Registry on 24/12/2020 (Unique trial number: UMIN000042831).
View article: "Antibiotic-Responsive" Drug Fever Due to the Patient’s Medication-Taking Behavior: A Case Report
"Antibiotic-Responsive" Drug Fever Due to the Patient’s Medication-Taking Behavior: A Case Report Open
Background: Drug fever can complicate the diagnosis of recurrent fever, especially when multiple physicians are involved in treatment. Case Presentation: We report the case of a 56-year-old man with recurrent fever responsive to antibiotic…
View article: Survey of Physicians on the Need for Female Chaperones Based on the Body Areas Examined in Female Patients by Male Physicians: A Cross-Sectional Pilot Study
Survey of Physicians on the Need for Female Chaperones Based on the Body Areas Examined in Female Patients by Male Physicians: A Cross-Sectional Pilot Study Open
Background In the United States (US), most physicians who commit sexual misconduct are male, and such misconduct is associated with the absence of chaperones. Several organizations recommend a chaperone during all intimate examinations (br…
View article: Recurrent Pain and Heat Retention as Indications of Acquired Idiopathic Generalized Anhidrosis
Recurrent Pain and Heat Retention as Indications of Acquired Idiopathic Generalized Anhidrosis Open
Acquired idiopathic generalized anhidrosis is a rare disease worldwide. It is typically seen in young men. The patient in this case has generalized anhidrosis. Cholinergic urticaria is often associated with this disease, causing recurrent …
View article: Can AI-Generated Clinical Vignettes in Japanese Be Used Medically and Linguistically?
Can AI-Generated Clinical Vignettes in Japanese Be Used Medically and Linguistically? Open
Background Creating clinical vignettes requires considerable effort. Recent developments in generative artificial intelligence (AI) for natural language processing have been remarkable and may allow for the easy and immediate creation of d…
View article: Expert assessment of ChatGPT’s ability to generate illness scripts: an evaluative study
Expert assessment of ChatGPT’s ability to generate illness scripts: an evaluative study Open
Background An illness script is a specific script format geared to represent patient-oriented clinical knowledge organized around enabling conditions, faults (i.e., pathophysiological process), and consequences. Generative artificial intel…
View article: Can AI-generated clinical vignettes in Japanese be used medically and linguistically?
Can AI-generated clinical vignettes in Japanese be used medically and linguistically? Open
Background Creating clinical vignettes requires considerable effort. Recent developments in generative artificial intelligence (AI) for natural language processing have been remarkable and may allow for the easy and immediate creation of d…
View article: Importance of Patient History in Artificial Intelligence–Assisted Medical Diagnosis: Comparison Study
Importance of Patient History in Artificial Intelligence–Assisted Medical Diagnosis: Comparison Study Open
Background Medical history contributes approximately 80% to a diagnosis, although physical examinations and laboratory investigations increase a physician’s confidence in the medical diagnosis. The concept of artificial intelligence (AI) w…
View article: Assessing the Ability of GPT to Generate Illness Scripts: An Evaluation Study
Assessing the Ability of GPT to Generate Illness Scripts: An Evaluation Study Open
Background Illness scripts, which are structured summaries of clinical knowledge concerning diseases, are crucial in disease prediction and problem representation during clinical reasoning. Clinicians iteratively enhance their illness scri…
View article: The differential diagnosis of medical and psychogenic disease in primary care
The differential diagnosis of medical and psychogenic disease in primary care Open
Diagnosis and management of psychogenic diseases such as conversion disorder, somatic symptom disorder (SSD), illness anxiety disorder, falsehood disorder, and psychotic disorder require an elaborate biopsychosocial approach and are often …
View article: Importance of Patient History in Artificial Intelligence-Assisted Medical Diagnosis (Preprint)
Importance of Patient History in Artificial Intelligence-Assisted Medical Diagnosis (Preprint) Open
BACKGROUND Medical history contributes approximately 80% to the diagnosis, although physical examinations and laboratory investigations increase a physician’s confidence in the medical diagnosis. The concept of artificial intelligence (AI…
View article: Thromboangiitis Obliterans Successfully Treated With Smoking-Cessation Instruction Including Passive Smoking Cessation
Thromboangiitis Obliterans Successfully Treated With Smoking-Cessation Instruction Including Passive Smoking Cessation Open
A 22-year-old man presented with recurrent pain and linear redness of the lower extremities for 1 year. He smoked 20 cigarettes daily for 6 years and did not report cannabis use. He was referred to the vascular department by his primary ca…
View article: Do clinical interview transcripts generated by speech recognition software improve clinical reasoning performance in mock patient encounters? A prospective observational study
Do clinical interview transcripts generated by speech recognition software improve clinical reasoning performance in mock patient encounters? A prospective observational study Open
Background To investigate whether speech recognition software for generating interview transcripts can provide more specific and precise feedback for evaluating medical interviews. Methods The effects of the two feedback methods on student…
View article: Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study
Hybrid PBL and Pure PBL: Which one is more effective in developing clinical reasoning skills for general medicine clerkship?—A mixed-method study Open
This study aims to compare the effectiveness of Hybrid and Pure problem-based learning (PBL) in teaching clinical reasoning skills to medical students. The study sample consisted of 99 medical students participating in a clerkship rotation…
View article: Muscular Polyarteritis Nodosa: A Case Series Study of 6 Patients
Muscular Polyarteritis Nodosa: A Case Series Study of 6 Patients Open
A subset of polyarteritis nodosa known as muscular polyarteritis nodosa (MPAN) is a disease process that remains mostly limited to the muscle. Here, we report 6 patient cases of MPAN for which we investigated the clinical features. We exam…
View article: Linear Neck Pain and Prolonged Cough Caused by Takayasu Arteritis
Linear Neck Pain and Prolonged Cough Caused by Takayasu Arteritis Open
The clinical manifestations of Takayasu arteritis (TA) greatly vary, and this ultimately leads to a delay in diagnosis. We describe a case of TA presenting with two coexisting rare symptoms of linear neck pain and prolonged cough. A 28-yea…