Language：English   Publishing type：Research paper (scientific journal)  

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Language：Japanese   Publishing type：Research paper (scientific journal)  

File： 05研究報告_恩幣様.pdf

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Other Link： https://search.jamas.or.jp/default/link?pub_year=2022&ichushi_jid=J03393&link_issn=&doc_id=20221012410011&doc_link_id=2202005&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F2202005&type=%E6%9C%80%E6%96%B0%E7%9C%8B%E8%AD%B7%E7%B4%A2%E5%BC%95Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Mary Ann Liebert Inc  

Background: Breast cancer-related lymphedema (BCRL) is a chronic swelling of the arm due to breast cancer treatment. Lymphedema is diagnosed and staged on the basis of limb circumference measurements and the patient's subjective symptoms, which have poor reproducibility and objectivity: these cannot detect any fluid accumulation in the tissue. Ultrasonography is a feasible noninvasive technique that can be used to evaluate tissue structure in real time. This study aimed to assess the ability of texture features for discriminating the presence of accumulated fluid within the subcutaneous tissue of BCRL using ultrasound (US) imaging. Methods and Results: This study included 20 women who were treated for unilateral breast cancer and who subsequently developed BCRL (International Society of Lymphology stage II). Subcutaneous tissue was scanned through an US system (Sonosite Edge II; Sonosite, Inc., FUJIFILM) using a 6- to 15-MHz linear transducer to assess the ability of texture features for discriminating the presence of accumulated fluid within the subcutaneous tissue of BCRL. Fluid accumulation was observed using a 3-Tesla MR system under double-echo steady-state conditions. There was a significant difference among the three groups (with hyperintense area, without hyperintense area, and unaffected side) in 11 of 14 textural features (p < 0.05). Post hoc analysis (Mann-Whitney U test; Bonferroni correction p < 0.0167) revealed significant differences in seven textural features within the hyperintense area. Conclusions: This study revealed that seven texture features quantified by US imaging data can provide information regarding fluid accumulation in the subcutaneous tissue of lymphedema.

DOI： 10.1089/lrb.2020.0121

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Other Link： https://www.liebertpub.com/doi/pdf/10.1089/lrb.2020.0121

Language：English   Publishing type：Research paper (scientific journal)  

Background:
Manual lymph drainage (MLD) is one of the common treatments for breast cancer-related lymphedema (BCRL). Although the primary goal of MLD is to drain the excessive fluid accumulated in the affected upper limb and trunk to an area of the body that drains usually, the use of MLD is decided based on swelling and subjective symptoms, without assessing whether there is fluid accumulated in the affected region. The purpose of this study was to examine truncal fluid distribution in a sample of BCRL patients and investigate any correlation between such fluid distribution and swelling or subjective symptoms.
Methods and Results:
An observational study was conducted with 13 women who had unilateral, upper extremity BCRL. Fluid distribution was evaluated by using two magnetic resonance imaging (MRI) sequences: half-Fourier acquisition single-shot turbo spin echo and three-dimensional double-echo steady-state. The presence of swelling was determined by lymphedema therapists, and subjective symptoms were measured by using a visual analog scale. On MRI, no participants had any free water signals in the trunk. However, seven had swelling and all 13 had some kind of subjective symptoms on the affected side of their trunk.
Conclusions:
These results suggest that swelling and subjective symptoms do not correlate with the presence of truncal fluid. For such cases, a different approach than MLD may be needed to address truncal swelling and related subjective symptoms. Checking for the presence of fluid in the truncal region may help MLD be used more appropriately.

File： The Correlation Between Fluid Distribution and Swelling or Subjective Symptoms of the Trunk in Lymphedema Patients.pdf

DOI： 10.1089/lrb.2020.0075

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Language：English   Publishing type：Research paper (scientific journal)  

This study determined the level of implementation and the importance placed on various nursing activities at clinics in rural areas of Japan in order to explore the achievement and perceived importance of implementing certain nursing roles and activities at such clinics. To identify these items, a questionnaire was administered to 40 nurses working in rural clinics. The results showed that activities related to "Basic Nursing Practice" and "Community Understanding" were recognized as important and were performed by almost all nurses. Some activities related to "Administration and Operation" and "Cooperation with Local Government" were recognized as important, but were not implemented, thereby hampering the continuum of care across the health system. These activities, which are related to collaboration with hospitals and local governments that support the clinics, included adjustment of staff inside and outside the facilities to guarantee the use of paid holidays, as well as collaboration with acute care, remote medical systems, and local governments during emergencies and for disaster preparation. Additional support for nurses in collaboration between clinics in rural areas, hospitals, and regional administrations that support the clinics remains a challenge to be addressed.

File： Nursing activities at clinics in rural areas in Japan gaps between recognition of importance and implementation.pdf

DOI： 10.18999/nagjms.82.2.251

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Language：English   Publishing type：Research paper (scientific journal)  

File： Breast Cancer-related Lymphedema with the presence or absence of (1).pdf

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Co-medical Research Society of Structure and Function  

<p><b>Background</b>: Breast cancer-related lymphedema (BCRL) is chronic swelling of the arm that develops from breast cancer treatment. The International Society of Lymphology (ISL) classification is widely used to determine the clinical stage of lymphedema. Lymphedema diagnosis and staging are based on limb circumference measurements and the patient's subjective symptoms, which have poor reproducibility and objectivity and cannot detect any fluid accumulation in the tissue. This study aimed to evaluate fluid accumulation in the tissue in BCRL (ISL stage II) through MRI.</p><p><b>Material and Methods</b>: This study included 10 women who were treated for unilateral breast cancer and had subsequently developed BCRL(ISL stage Ⅱ). To observe fluid accumulation using a 3-Tesla MR system under Double Echo Steady State conditions.</p><p><b>Results</b>: Although all the subjects were classified as having stage II lymphedema, they showed mixed results of with or without hyperintensity on MR imaging.</p><p><b>Conclusion</b>: This report found that lymphedema progression was mixed even though patients were receiving the same treatment at the same stage.</p>

DOI： 10.11172/keitaikinou.18.88

CiNii Research

Language：Japanese   Publishing type：Research paper (scientific journal)  

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Language：Japanese   Publishing type：Research paper (other academic)  

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Authorship：Lead author,　Corresponding author   Language：Japanese   Publishing type：Research paper (bulletin of university, research institution)  

Language：English   Publishing type：Research paper (scientific journal)  

<p>The purpose of the present study was to evaluate the distribution patterns of fluid in the upper limbs of patients with breast-cancer-related lymphedema by using magnetic resonance images (MRI).</p><p>Seven women (mean age ± SD: 55.9 ± 13.6 years) with unilateral breast cancer who subsequently developed lymphedema were recruited for this study. The status of lymphedema was evaluated using four MRI sequences, i.e., T1-weighted images, T2-weighted images without fat suppression, T2-weighted images with fat suppression (STIR), and conversion into fluid-attenuated inversion recovery (FLAIR) images. For the quantitative analysis of fluid, areas with hyper-intense signals on the STIR images were calculated for every transverse image slice.</p><p>On STIR images, hyper-intense signals indicating the presence of free water were observed in the forearms, particularly in the ulnar half, of all patients. FLAIR images showed no hyperintense signals in this region. In the brachial region, five patients had such signals in the posterior arm(Regio brachii posterior). In the axillary region, no patients displayed hyper-intense signals. In the hands and fingers, the hyper-intense signals on STIR images were detected over the dorsal surface. Quantitative analysis indicated that a large amount of water accumulated in the ulnar half of the forearm.</p><p>On the basis of these facts, we suggest that the ulnar half of the forearm should be an important target in lymph drainage therapy.</p>

DOI： 10.11172/keitaikinou.16.83

Language：English   Publishing type：Research paper (scientific journal)   Publisher：LYMPHOLOGY  

A collateral pathway established after lymphadenectomy could play an important role in long-term lymphedema treatment. The present study investigated alterations of lymph dynamics 1 year after lymphadenectomy using indocyanine green fluorescent lymphography to determine if a collateral pathway may be used for long-term lymphedema treatment. Wistar rats were anaesthetized and lymph nodes were excised at the inguinal and popliteal fossae. The treated hind limb was evaluated by fluorescent lymphography between 10 weeks and 6 months and between 6 months and 1 year postoperatively. Fluorescent lymphography demonstrated a lymphatic pathway to the ipsilateral axillary fossa in all rats 1 year after lymphadenectomy. Some capillary branches in the paths leading to the ipsilateral axillary fossa were dilated and tortuous. In addition, areas in which a fluorescent signal was not visible were increased in the thigh. In conclusion, the collateral pathway did not appear to be only for temporary use to compensate for drainage from the edematous limb but appears more stable as a component of a compensating lymphatic system. These new dilated vessels, although functional at this point, may still be susceptible to disturbance by further alteration to the lymph vessels.

File： 131-135.Sep 2017_TAKENO.PDF

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Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1177/2377960816685567

Publishing type：Research paper (scientific journal)  

DOI： 10.1016/j.jjcc.2016.03.013

PubMed

Language：Japanese   Publishing type：Research paper (scientific journal)  

Language：English   Publishing type：Research paper (scientific journal)  

Publishing type：Research paper (scientific journal)  

PubMed

Authorship：Lead author   Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (bulletin of university, research institution)  

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Event date： 2023.1

Language：Japanese   Presentation type：Oral presentation (general)  

File： がんのリンパ浮腫研究会20230121（0120）.pdf

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Event date： 2022.3

Language：Japanese   Presentation type：Symposium, workshop panel (nominated)  

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Event date： 2021.12

Language：Japanese  

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Event date： 2021.12

Language：Japanese  

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Event date： 2021.9

Language：Japanese   Presentation type：Poster presentation  

Venue：オンライン  

Event date： 2021.7

Language：Japanese   Presentation type：Poster presentation  

Venue：仙台市（Webと現地のハイブリッド）  

File： 20210217 第15回MDSJ抄録(2_19まで).pdf

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Event date： 2021.6

Language：English  

File： 20210208-2老年看護学会抄録　DOIさん.pdf

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Event date： 2021.4

Language：English   Presentation type：Poster presentation  

Purpose: Clinical perceptorship is an effective method in the development of professional nurses. However, being a new nurse preceptor is challenging: limitation in their skills and knowledge as a mentor, busyness and pressure. This study explored the process by which experienced nurses grow as nurse educators through their experience being perceptors, to provide effective support to the preceptors.
Methods: Semi-structured interviews were conducted with 12 nurses from University A Hospital with 4 to 8 years of experience and analyzed using the modified grounded theory approach.
Result: In the process of growing up as a nurse educator, nurses challenge to the preceptor role, but struggle to build relationships with preceptee and recognize their
limitation in their skills as a mentor at first. From the introspection that it is necessary to
overcome the lack of competence, the preceptors tried to understand new graduate nurses, search for teaching methods, practiced teaching methods that match with the
characteristics of each preceptee. Then, the preceptors felt their own growth as a preceptor and sense of accomplishment which made them to realize the significance of human resource development. In addition, the atmosphere and the guidance policy of the workplace influenced the process of overcoming their negative experiences such as lack of competence.
Conclusion: The growing process of preceptor as nurse educator were realizing lack of
their ability as mentors, introspection of negative experiences, understanding the characteristics of new nurses, practicing effective guidance for each preceptee, feeling
sense of accomplishment, then realize the significance of human resource development. The support of their working place was effective in their growth.

File： 24th EAFONS poster-final version by Hiromi Onbe　2021.pdf

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Event date： 2021.2

Language：Japanese   Presentation type：Poster presentation  

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Event date： 2020.12

Language：Japanese   Presentation type：Oral presentation (general)  

File： 中小規模病院における病棟看護師の退院支援実践能力向上に対する教育プログラムの効果2020.pdf

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Event date： 2020.12

Language：Japanese   Presentation type：Poster presentation  

File： 科学学会抄録　niwa 　20200623.pdf

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Event date： 2020.12

Language：Japanese   Presentation type：Oral presentation (general)  

File： 日本看護科学学会2020　久野　.pdf

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Event date： 2020.11

Language：Japanese   Presentation type：Poster presentation  

File： 難病看護学会（土井）音声入り提出版.pdf

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Event date： 2020.11

Language：Japanese   Presentation type：Poster presentation  

File： PP-04-04_tamaoki_miharu2020.pdf

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Event date： 2020.7 - 2020.8

Language：Japanese  

Venue：京都(オンライン開催)   Country：Japan  

心不全の再入院予防にむけて、患者（N=157）の疾病管理セルフエフィカシー（SE）と疾病管理行動との関連を検討した結果、退院時のSEの高さがその後の疾病管理行動の実践に関連することについて示唆を得た。（98文字）

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Event date： 2020.2

Language：English   Presentation type：Oral presentation (general)  

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Event date： 2020.2

Language：English   Presentation type：Oral presentation (general)  

File： WANS_最終版.pdf

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Event date： 2020.2

Language：English   Presentation type：Poster presentation  

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Event date： 2020.2

Language：English   Presentation type：Poster presentation  

File： 20200221 最終版　WANS　poster.pdf

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Event date： 2019.12

Language：Japanese   Presentation type：Poster presentation  

Venue：金沢市  

へき地診療所看護師の活動の実態と課題を明らかにする目的で、あらかじめ文献検討等で抽出した４領域36項目の活動内容をへき地診療所の看護師に照会し、へき地診療所における看護師の活動の実態と課題の明確化を試みた。あらかじめ文献検討等で抽出した４領域36項目の活動内容をへき地診療所の看護師に照会し、コンセンサスの獲得を試みた。その結果、実施度と重要度が共に高かった活動（主に看護基礎実践と地域理解等の領域）は、へき地診療所の看護師にとって基本的な活動であることが考えられた。一方で、重要性はで認識されているが実施されていない活動（管理と運営、地域行政との連携の一部）は、診療所外の病院や地域からの支援が必要な活動である可能性が示唆された。コンセンサスの取得を試みた。その結果、実施度と重要度が共に高かった活動（主に看護基礎実践と地域理解等の領域）は、へき地診療所の看護師にとって基本的な活動であることが考えられた。一方で、重要性はで認識されているが実施されていない活動（管理と運営、地域行政との連携の一部）は、診療所外の病院や地域からの支援が必要な活動である可能性が示唆された。（251文字）

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Event date： 2019.9

Language：Japanese   Presentation type：Poster presentation  

File： コメディカル　ポスター0904.pdf

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Event date： 2018.8

Language：Japanese   Presentation type：Oral presentation (general)  

DOI： 10.15065/jjsnr.20200911173

CiNii Research

Event date： 2018.8

Language：Japanese   Presentation type：Oral presentation (general)  

DOI： 10.15065/jjsnr.20180726181

CiNii Research

Event date： 2018.8

Language：Japanese   Presentation type：Oral presentation (general)  

DOI： 10.15065/jjsnr.20200911177

CiNii Research

Event date： 2018.6

Language：English   Presentation type：Poster presentation  

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Event date： 2017.9

Language：English   Presentation type：Oral presentation (general)  

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Event date： 2017.6

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2016.12

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

第36回日本看護科学学会学術集会
2016年12月10日（土）・12月11日（日）
岡谷恵子（東京医科大学医学部看護学科　学科長）
「国民の幸せをもたらす制度設計と看護研究」
会場：東京国際フォーラム（千代田区）
〒100-0005 東京都千代田区丸の内３丁目５−１
学術集会事務局　東京医科大学医学部看護学科

Event date： 2016.9

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：前橋市、群馬県   Country：Japan  

2016年9月24日（土）、25日（日）

Event date： 2016.8

Language：English   Presentation type：Poster presentation  

Country：United States  

The 2016 NLN Conference, Shaping the Future through Commitment, Evidence and New Frontiers, taking place August 31-September 4, 2016, In Dallas, Texas.

Event date： 2016.8

Language：English   Presentation type：Poster presentation  

Country：United States  

Event date： 2016.4

Language：English   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2016.4

Language：English   Presentation type：Poster presentation  

Country：Japan  

Event date： 2015.11

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2015.10

Language：Japanese  

Country：Japan  

Event date： 2015.9

Language：English   Presentation type：Oral presentation (general)  

Country：United States  

Event date： 2015

Language：English   Presentation type：Oral presentation (general)  

Country：United States  

Event date： 2014.11

Language：Japanese  

Country：Japan  

Event date： 2014.11

Country：Japan  

Event date： 2014.11

Country：Japan  

Event date： 2014.11

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2014.8

Language：Japanese  

Country：Japan  

Event date： 2014.8

Language：Japanese  

Country：Japan  

Event date： 2014.5

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2014.2

Country：Japan  

Event date： 2013.10

Language：English   Presentation type：Poster presentation  

Country：Korea, Republic of  

Event date： 2013.9

Language：English   Presentation type：Oral presentation (general)  

Country：Netherlands  

Event date： 2013.9

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2013.5

Language：English   Presentation type：Oral presentation (general)  

Country：Japan  

Date: March 15(Fri) - 17(Sun), 2013
Venue: Yokohama, Japan
Congress Chairperson:Kyoichi Mizuno

Event date： 2013.2

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2012.9

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2011.11

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2011.9

Language：Japanese  

Country：Japan  

第59回学術集会　臨床心臓病学を究める
2011年9月23日（金）～25日（日）
神戸国際会議場、ポートピアホテル（兵庫県神戸市）
吉田　清（川崎医科大学 循環器内科）

Event date： 2011.8

Language：English   Presentation type：Oral presentation (general)  

Country：France  

Event date： 2011.8

Language：English   Presentation type：Oral presentation (general)  

Country：Japan  

JCS2011 - The 75th Annual Scientific Meeting
Date: August 3(Wed) - 4(Thu), 2011
Venue: Yokohama, Japan
Congress Chairperson:Satoshi Ogawa

Event date： 2011.2

Language：English   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2010.12

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Event date： 2010.9

Language：Japanese  

Country：Japan  

■第58回学術集会　社会との連携に根ざした新しい循環器診療
2010年9月17日（金）～19日（日）
東京国際フォーラム（東京都千代田区）
永井　良三（東京大学 循環器内科）

Event date： 2010.9

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Event date： 2010.9

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Event date： 2009.12

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Event date： 2008.12

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Event date： 2007.12

Language：Japanese  

Country：Japan  

Event date： 2007.12

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Event date： 2007.11

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Event date： 2007.7

Language：Japanese   Presentation type：Poster presentation  

Country：Japan  

Language：English   Presentation type：Oral presentation (general)  

CiNii Research

Language：English   Presentation type：Oral presentation (general)  

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Language：Japanese   Presentation type：Poster presentation  

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Language：Japanese   Presentation type：Oral presentation (general)  

File： 上肢リンパ浮腫患者の皮膚表面構造の画像解析 小松美結.docx

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Language：Japanese   Presentation type：Oral presentation (general)  

File： コメディカル 抄録　2023渡邊.docx

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