http://hdl.handle.net/10564/3747 2019-06 2026-04-09T04:00:19Z http://hdl.handle.net/10564/3751 タイトル: Effectiveness of Cross‐Linked Gelatin Glue in Canine Lung Surgery Models. 著者: Kawai, Norikazu; Suzuki, Shuko; Yamashita, Keigo; Niwa, Kosuke; Tojo, Takashi; Sawabata, Noriyoshi; Nakai, Tokiko; Ouji, Yukiteru; Yoshikawa, Masahide; Ikada, Yoshito; Taniguchi, Shigeki 抄録: Background. Air leakage is a common postoperative complication in pulmonary surgery, and surgical sealants have been developed to prevent or reduce the incidence of air leaks. In this study, we evaluated the efficacy of cross-linked gelatin glue (gelatin plus glutaraldehyde) in canine lung surgery models. Methods. Pulmonary fistulas and injuries were created in dogs and sealed with gelatin glue, fibrin glue, or fibrin glue with a polyglycolic acid (PGA) sheet. Seal-breaking pressures were measured in the fistula model, and pleural adhesions were assessed 28 days postoperatively in the lung injury model. Results. The seal-breaking pressures for canine cadaver and living lung surgeries (; the maximum pressures were 80 and 40 cm H₂O) were respectively: gelatin glue, 77 ± 6 and 32.3 ± 8.9cm H₂O; fibrin glue using spray, 39.2 ± 9.3 and 32 ± 6cm H₂O; fibrin glue using the rub-and-soak method, 35 ± 13.4 and 40 ± 0 cm H₂O; and fibrin glue with a PGA sheet, 55.5 ± 18.2 and 39 ± 2cm H₂O. In the lung injury model, there were no chest wall adhesions in the gelatin and fibrin glue alone groups, while strong adhesions were observed when treated with fibrin glue with a PGA sheet. Conclusions. Gelatin glue's sealing effect was superior to that of fibrin glue while preventing postoperative pleural adhesions. These findings suggest that gelatin glue may be effective as a surgical sealant or anti-adhesion materialin lung surgery. 2019-06-29T15:00:00Z http://hdl.handle.net/10564/3750 タイトル: Relationship Between Clinical Competence of Undergraduate Nursing Students and Their Understanding of Children. 著者: Ojiro, Hitomi; Hayakawa, Yuka 抄録: The objective of this study is to examine the relationship between clinical competence of undergraduate nursing students and their understanding of children. Study methods consisted of a questionnaire survey that used scales developed to measure nursing students' clinical competence and understanding of children. The study was conducted with the approval of the ethics committee of Nara Medical University. Two hundred and fifty-seven nursing students participated in this survey, and of these, two hundred and thirty-three were subject to analysis. Of the nursing students surveyed, 183 (79%) reported having experience with children, and there was no significant difference in experience with children between students in different years of study.Nursing students' experience with children involved playing with them, helping them with learning or playing sports, and raising them. The children they had experience with were pre-school and school-aged children. The study found a correlation between the nursing students' understanding of children and clinical competence. In addition, there was a significant relationship between nursing students' experience with children and their understanding of children. There was no significant difference in third-year students' understanding of children as compared to that of fourth-year students, who had completed practical training. There was,however, a significant difference in clinical competence between these two groups. These results indicate that nursing students' understanding of children is connected to their clinical competence, and that practical nursing training is necessary to increase the clinical competence of nursing students. In addition, educational intervention that deepens nursing students' understanding of sick children is important to improving clinical competence. 2019-06-29T15:00:00Z http://hdl.handle.net/10564/3749 タイトル: A New Minimally Invasive Technique of Combined Chest Wall Resection for Lung Cancer : Advanced Data of Implication of Advanced Bipolar Device in Video-Assisted Chest Wall Resection for Lung Cancer. 著者: Kawai, Norikazu; Sawabata, Noriyoshi; Kawaguchi, Takeshi; Yasukawa, Motoaki; Tojo, Takashi; Taniguchi, Shigeki 抄録: We describe a novel method for resecting lung cancer that has invaded the chest wall using an advanced bipolar device during video-assisted thoracoscopic surgery. The method is convenient for both tumor and chest wall resection because it is easy to handle and less invasive than the currently used technique. 2019-06-29T15:00:00Z http://hdl.handle.net/10564/3748 タイトル: 表紙、目次、投稿規定、奥付 (Vol.70 No.1,2,3) 2019-06-29T15:00:00Z