Faculty Profiles - NISHIGORI Hiroshi

Papers - NISHIGORI Hiroshi

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Development of an Educational Program on Cultural Competence for Psychiatric Professionals Reviewed

Sano Itsuki, Morishita Mariko, Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 53 ( 5 ) page： 447 - 452 2022.10

Language：Japanese Publisher：Japan Society for Medical Education

We developed an educational program on cultural competence for psychiatric professionals. Regarding social justice education that critically questions dominant ideologies, we held weekly 30-minute discussion groups with multidisciplinary professionals. Rather than focusing on a particular culture group, we aimed to realize through critical self-reflection, as advocated by Kumagai and Lypson, that “there is a part of the other that I cannot know,” and named this group the “Discussion Group on Otherness.” Using essays on medical culture written by researchers in the medical humanities as our main teaching material, we discussed what is (or should be) the relevant problem. This article discusses the issues that have emerged so far, the responses to these issues, and future developments.

DOI： 10.11307/mededjapan.53.5_447

CiNii Research

「医学教育研究室の抄読会から」 (連載第14回) Reviewed

木村武司, 錦織宏

医学教育 Vol. 53 ( 4 ) page： 393 - 394 2022.8

「医学教育研究室の抄読会から」 (連載第13回) Reviewed

及川沙耶佳, 木村武司, 錦織宏

医学教育 Vol. 53 ( 3 ) page： 270 - 273 2022.6

高久史麿先生を偲ぶ Reviewed

岩崎榮, 錦織宏

医学教育 Vol. 53 ( 3 ) page： 268 - 269 2022.6

「医学教育研究室の抄読会から」 (連載第12回) Reviewed

木村武司, 種村文孝, 錦織宏

医学教育 Vol. 53 ( 2 ) page： 184 - 186 2022.4

Unprofessional Behavior Reviewed

Kimura Takeshi, Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 53 ( 2 ) page： 163 - 169 2022.4

Language：Japanese Publisher：Japan Society for Medical Education

Teaching professionalism is one of the most important themes in medical education, but difficulties remain regarding teaching and assessment. From the perspective of professionalism assessment discussions have focused on observable “behaviors” and redefining them as unprofessional behaviors has been growing since around 2000, especially in North America. This paper summarizes the concepts related to classification, assessment, and remediation of unprofessional behavior, including Japanese trends. It also aims to enlighten the public on concepts related to unprofessional behavior and to promote research that is relevant to the Japanese context. Through appropriate management of unprofessional behavior, we hope to foster medical students and doctors who can better withstand the demands of society.

DOI： 10.11307/mededjapan.53.2_163

CiNii Research

「医学教育研究室の抄読会から」 (第11回) Reviewed

木村武司, 錦織宏

医学教育 Vol. 53 ( 1 ) page： 104 - 108 2022.2

小児集中治療に携わる医師に求められる能力とその評価 Reviewed

染谷真紀, 松井智子, 錦織宏, 及川沙耶佳

医学教育 Vol. 53 ( 1 ) page： 110 - 111 2022.2

Preface Reviewed

Claramita M., Findyartini A., Samarasekera D.D., Nishigori H.

Challenges and Opportunities in Health Professions Education: Perspectives in the Context of Cultural Diversity page： v - vii 2022.1

文化人類学にとっての医学教育モデル·コア·カリキュラム改訂の意義 Reviewed

医療者向け人類学教育連携委員会, 木村周平, 飯田淳子, 伊藤泰信, 倉田誠, 錦織宏, 浜田明範, 春田淳志, 星野晋

文化人類学 Vol. 86 ( 3 ) page： 511 - 514 2021.12

Foundation Program in Medical Education Organized by Kyoto University Reviewed

Nishigori Hiroshi, Oikawa Sayaka, Tani Shoko, Kimura Takeshi, Tanemura Fumitaka

Igaku Kyoiku / Medical Education (Japan) Vol. 52 ( 6 ) page： 515 - 523 2021.12

Language：Japanese Publisher：Japan Society for Medical Education

Foundation Program in Medical Education organized by Kyoto University since 2015, previously funded by the Ministry of Education, Culture, Sports, Science and Technology (MEXT), is a program that combines face-to-face and distance learning to develop medical education training systematically. The students (or clinical teachers), who study about 120 hours a year, form a strong learning community, which is the envy of the supervisors, with their 12 peers. In addition, the program is characterized by its emphasis on educational philosophy and cultural anthropology.

DOI： 10.11307/mededjapan.52.6_515

CiNii Research

「医学教育研究室の抄読会から」 (第10回) Reviewed

木村武司, 錦織宏

医学教育 Vol. 52 ( 6 ) page： 574 - 577 2021.12

Maternal sleep duration and neonatal birth weight: the Japan Environment and Children’s Study Open Access

Murata T., Kyozuka H., Fukuda T., Yasuda S., Yamaguchi A., Morokuma S., Sato A., Ogata Y., Shinoki K., Hosoya M., Yasumura S., Hashimoto K., Nishigori H., Fujimori K., Kamijima M., Yamazaki S., Ohya Y., Kishi R., Yaegashi N., Mori C., Ito S., Yamagata Z., Inadera H., Nakayama T., Iso H., Shima M., Kurozawa Y., Suganuma N., Kusuhara K., Katoh T.

BMC Pregnancy and Childbirth Vol. 21 ( 1 ) 2021.12

Publisher：BMC Pregnancy and Childbirth

Background: The adequate maternal sleep duration required for favorable obstetric outcomes is unknown. We evaluated the association between maternal sleep duration and low birth weight infants, small for gestational age infants, and macrosomia. Methods: Participants enrolled in the Japan Environment and Children’s Study, a nationwide birth cohort study, with singleton pregnancies after 22 weeks, who gave birth between 2011 and 2014 were enrolled and categorized into five groups according to maternal sleep duration during pregnancy: < 6.0 h, 6.0–7.9 h, 8.0–8.9 h, 9.0–9.9 h, and 10.0–12.0 h. We evaluated the association between maternal sleep duration and the incidence of low birth weight infants (< 2500 g), very low birth weight infants (< 1500 g), small for gestational age infants, and macrosomia (> 4000 g), with women with maternal sleep duration of 6.0–7.9 h as the reference, using a multiple logistic regression model. Results: In total, 82,171 participants were analyzed. The adjusted odds ratios (95% confidence intervals) for low birth weight infants in women with maternal sleep duration of 9.0–9.9 h and 10.0–12.0 h and for small for gestational age infants in women with maternal sleep duration of 9.0–9.9 h were 0.90 (0.83–0.99), 0.86 (0.76–0.99), and 0.91 (0.82–0.99), respectively, before adjusting for excessive gestational weight gain. No significant association was observed between maternal sleep duration and these outcomes after adjusting for excessive gestational weight gain. Among women with appropriate gestational weight gain, the adjusted odds ratios (95% confidence intervals) for low birth weight infants and for small for gestational age infants with sleep duration of 9.0–9.9 h were 0.88 (0.80–0.97) and 0.87 (0.78–0.97), respectively. Conclusions: Maternal sleep duration of 9.0–9.9 h was significantly associated with the decreased incidence of low birth weight infants and small for gestational age infants in pregnant women with appropriate gestational weight gain, compared with that of 6.0–7.9 h. Care providers should provide proper counseling regarding the association between maternal sleep duration and neonatal birth weight and suggest comprehensive maternal lifestyle modifications to prevent low birth weight and small for gestational age infants.

DOI： 10.1186/s12884-021-03670-3

Open Access

Scopus

Immunoglobulin E levels and pregnancy-induced hypertension: Japan Environment and Children’s Study Open Access

Kyozuka H., Murata T., Fukuda T., Endo Y., Yamaguchi A., Yasuda S., Kanno A., Sato A., Ogata Y., Hosoya M., Yasumura S., Hashimoto K., Nishigori H., Fujimori K., Kamijima M., Yamazaki S., Ohya Y., Kishi R., Yaegashi N., Mori C., Ito S., Yamagata Z., Inadera H., Nakayama T., Iso H., Shima M., Kurozawa Y., Suganuma N., Kusuhara K., Katoh T.

Scientific Reports Vol. 11 ( 1 ) 2021.12

Publisher：Scientific Reports

High serum immunoglobulin E (IgE) levels are associated with cardiovascular events. We aimed to evaluate the association between total IgE levels during the first trimester of pregnancy and pregnancy-induced hypertension (PIH) development in a large Japanese cohort. We analysed data pertaining to singleton primipara pregnancies recorded in the Japan Environment and Children’s Study involving births from 2011 to 2014. Serum IgE levels were determined using the immunonephelometric technique. High serum IgE was defined as level ≥ 170 IU/ml. Hypertensive disorders in pregnancy (HDP) were categorized into early onset (Eo) PIH (developed < 34 weeks) or late onset (Lo) PIH (developed ≧ 34 weeks). A multiple logistic regression model was used to estimate the risk of high serum IgE levels on PIH, Eo-PIH, and Lo-PIH. Overall, 32,518 participants were enrolled. The prevalence of total, Eo-, and Lo-PIH was 3.2%, 0.6%, and 2.3%, respectively. Patients with high serum IgE levels had an increased risk of Lo-HDP (adjusted odds ratio [aOR]:1.19, 95% confidence interval 1.01–1.40). No correlation was found with either PIH (total) or Eo-PIH. High serum IgE levels during the first trimester were associated with the risk of Lo-PIH. Our results could influence and shape further research regarding the pathogenesis of Lo hypertension.

DOI： 10.1038/s41598-021-88227-2

Open Access

Scopus

Maternal pre-pregnancy body mass index and foetal acidosis in vaginal and caesarean deliveries: The Japan Environment and Children’s Study Open Access

Murata T., Kyozuka H., Yamaguchi A., Fukuda T., Yasuda S., Sato A., Ogata Y., Shinoki K., Hosoya M., Yasumura S., Hashimoto K., Nishigori H., Fujimori K., Kamijima M., Yamazaki S., Ohya Y., Kishi R., Yaegashi N., Mori C., Ito S., Yamagata Z., Inadera H., Nakayama T., Iso H., Shima M., Kurozawa Y., Suganuma N., Kusuhara K., Katoh T.

Scientific Reports Vol. 11 ( 1 ) 2021.12

Publisher：Scientific Reports

A high maternal body mass index (BMI) is associated with increased risks of asphyxia-related neonatal morbidity. We evaluated the association between maternal pre-pregnancy BMI and foetal acidosis while accounting for the mode of delivery. Participants from the Japan Environment and Children’s Study with singleton pregnancies after 22 weeks of gestation who gave birth during 2011–2014 were included. The participants (n = 71,799) were categorised into five groups according to the pre-pregnancy BMI: G1 (BMI < 18.5 kg/m2), G2 (18.5 to < 20.0 kg/m2), G3 (20.0 to < 23.0 kg/m2), G4 (23.0 to < 25.0 kg/m2), and G5 (≥ 25.0 kg/m2). Foetal acidosis was defined as umbilical artery pH (UmA-pH) < 7.20 or < 7.10. Multiple logistic regression analyses were used to evaluate the effect of pre-pregnancy BMI on foetal acidosis risk, accounting for the mode of delivery. In Japanese women, pre-pregnancy BMI ≥ 25.0 kg/m2 significantly increased the likelihood of foetal acidosis in newborns delivered vaginally. We found no association between pre-pregnancy BMI and foetal acidosis in newborns delivered via caesarean section. Counselling for body weight control before pregnancy and adequate management and selection of the mode of delivery in pregnant women with a high BMI who are in labour may be essential to avoid foetal acidosis.

DOI： 10.1038/s41598-020-79178-1

Open Access

Scopus

Author Correction: Gestational weight gain and foetal acidosis in vaginal and caesarean deliveries: The Japan Environment and Children’s Study (Scientific Reports, (2020), 10, 1, (20389), 10.1038/s41598-020-77429-9) Open Access

Scientific Reports Vol. 11 ( 1 ) 2021.12

A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study Reviewed Open Access

Miyachi, J; Iida, J; Shimazono, Y; Nishigori, H

BMC MEDICAL EDUCATION Vol. 21 ( 1 ) page： 574 2021.11

Language：English Publisher：BMC Medical Education

Background: Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration between social and behavioral sciences experts and clinical faculty. However, teaching models for achieving this integration have not been adequately established, nor has the collaboration process been described. This study aims to propose a collaborative clinical case conference model to integrate social and behavioral sciences and clinical experience. Additionally, we describe how social and behavioral science experts and clinical faculty collaborate during the development of the teaching method. Methods: A team of medical teachers and medical anthropologists planned for the development of a case conference based on action research methodology. The initial model was planned for a 3-h session, similar to a Clinicopathological Conference (CPC) structure. We evaluated each session based on field notes taken by medical anthropologists and post-session questionnaires that surveyed participants’ reactions and points of improvement. Based on the evaluation, a reflective meeting was held to discuss revisions for the next trial. We incorporated the development process into undergraduate medical curricula in clinical years and in a postgraduate and continuous professional development session for residents and certified family physicians in Japan. We repeated the plan-act-observe-reflection process more than 15 times between 2015 and 2018. Results: The development of the collaborative clinical case conference model is summarized in three phases: Quasi-CPC, Interactive, and Co-constructive with unique structures and underlying paradigms. The model successfully contributed to promoting the participants’ recognition of the clinical significance of social and behavioral sciences. The case preparation entailed unique and significant learning of how social and behavioral sciences inform clinical practice. The model development process promoted the mutual understanding between clinical faculty and anthropologists, which might function as faculty development for teachers involved in social and behavioral sciences teaching in medical education. Conclusions: The application of appropriate conference models and awareness of their underlying paradigms according to educational situations promotes the integration of social and behavioral sciences with clinical medicine education. Faculty development regarding social and behavioral sciences in medical education should focus on collaboration with scholars with different paradigmatic orientations.

DOI： 10.1186/s12909-021-03009-8

「医学教育研究室の抄読会から」 (第9回) Reviewed

及川沙耶佳, 木村武司, 錦織宏

医学教育 Vol. 52 ( 5 ) page： 443 - 445 2021.10

「医学教育研究室の抄読会から」 (第8回) Reviewed

森下真理子, 木村武司, 錦織宏

医学教育 Vol. 52 ( 4 ) page： 337 - 341 2021.8

医学教育に社会科学を活かすために Reviewed

飯田淳子, 木村周平, 伊藤泰信, 倉田誠, 浜田明範, 星野晋, 春田淳志, 錦織宏

医学教育 Vol. 52 ( 4 ) page： 342 - 344 2021.8

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Papers - NISHIGORI Hiroshi