Internal medicine
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Case Reports
Acute myocardial infarction associated with pregnancy successfully treated with percutaneous coronary intervention.
We describe the case of a 43-year-old primiparous woman who had acute myocardial infarction. She underwent successful primary percutaneous coronary intervention. Elective cesarean section was performed uneventfully at 32 weeks gestation.
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Hemodialysis patients are at an increased risk of bleeding due to the platelet dysfunction caused by uremia and the use of anticoagulants during dialysis. Spontaneous spinal hematoma is a rare disorder as a complication in hemodialysis patients. ⋯ Here, we report the case of 77-year-old woman who presented with spinal cord compression due to spontaneous spinal epidural hematoma associated with hemodialysis. When an end-stage renal disease patient suffers from back pain and neurological deficits, the clinician should be alerted for the spontaneous spinal epidural hematoma as well as cerebrovascular events.
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To contribute to reforming the medical education system in Japan, we visited overseas medical schools and observed the methods utilized in medical education. ⋯ In contrast to overseas medical schools, simulation-based learning is not common in Japan. There remain many barriers to introduce simulation-based education in Japan, such as a shortage of medical tutors, staff, mannequins and budget. However, enhancing the motivation of tutors is likely the most important factor to facilitate simulation-based education in Japanese medical schools to become common place.
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Case Reports
Concurrent pheochromocytoma, ventricular tachycardia, left ventricular thrombus, and systemic embolization.
An obese 43-year-old female with a right adrenal pheochromocytoma is described. The clinical manifestations of this case included ventricular tachycardia, left ventricular thrombus, and elevation of serum myocardial enzymes. During the hospitalization, the left ventricular thrombus was detached, leading to renal infarction and embolic occlusion of the femoral arteries bilaterally.
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The Consolidated Standards for Reporting of Trials (CONSORT) statement was developed to improve the quality of randomized controlled trial (RCT) reports. We assessed the quality of current Japanese RCT reports by conducting a cross-sectional study to examine the extent to which they adhere to the CONSORT statement. ⋯ Our study on adherence of recent RCT reports from Japan to the CONSORT statement reveals that there is a significant need for improvement. Further investigation on the quality of RCT reports and ways to improve reporting quality is required.