An aging population and declining birth rate have resulted in a significant increase in demand for healthcare and put additional burdens on healthcare professionals. Therefore, providing efficient healthcare through digital technology has become a priority. With the aim of improving treatment efficacy, we have developed the medical device, mediVR KAGURA, for rehabilitation by means of virtual reality（VR）technology through industry-academia collaboration activities at Osaka University. This device is being utilized to manage ataxia, walking and upper limb disabilities, cognitive dysfunc-tion, and chronic pain. The safety of the training, which is performed in the sitting position, and its high therapeutic efficacy are appealing features to physicians. These effects can be explained central-ly by functional integration or what is also known as cortical reorganization in the brain. This section reviews how gamification concepts are reflected in therapeutic effects, focusing on the following three concepts：（1）non-verbal communication；（2）affordance to induce awareness and behavioral chang-es；and（3）reinforcing successful experiences by stimulating rewards and emotions during rehabilitation. Although the use of VR technology in rehabilitation medicine has produced disappointing results in recent decades, we believe that mediVR KAGURA will open up new avenues and help more pa-tients worldwide.
{"title":"The Future of Patient Care Created by Application of Virtual Reality and Gaming Technology in Rehabilitation Medicine","authors":"M. Hara","doi":"10.2199/jjsca.42.106","DOIUrl":"https://doi.org/10.2199/jjsca.42.106","url":null,"abstract":"An aging population and declining birth rate have resulted in a significant increase in demand for healthcare and put additional burdens on healthcare professionals. Therefore, providing efficient healthcare through digital technology has become a priority. With the aim of improving treatment efficacy, we have developed the medical device, mediVR KAGURA, for rehabilitation by means of virtual reality（VR）technology through industry-academia collaboration activities at Osaka University. This device is being utilized to manage ataxia, walking and upper limb disabilities, cognitive dysfunc-tion, and chronic pain. The safety of the training, which is performed in the sitting position, and its high therapeutic efficacy are appealing features to physicians. These effects can be explained central-ly by functional integration or what is also known as cortical reorganization in the brain. This section reviews how gamification concepts are reflected in therapeutic effects, focusing on the following three concepts：（1）non-verbal communication；（2）affordance to induce awareness and behavioral chang-es；and（3）reinforcing successful experiences by stimulating rewards and emotions during rehabilitation. Although the use of VR technology in rehabilitation medicine has produced disappointing results in recent decades, we believe that mediVR KAGURA will open up new avenues and help more pa-tients worldwide.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"61 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90103693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yasue Watanabe, K. Doi, H. Kushizaki, Eisuke Nobehara, Saeko Eda, Madoka Nobehara
{"title":"How to Respond to Grade A Caesarean Sections in a Middle-Sized General Hospital","authors":"Yasue Watanabe, K. Doi, H. Kushizaki, Eisuke Nobehara, Saeko Eda, Madoka Nobehara","doi":"10.2199/jjsca.42.63","DOIUrl":"https://doi.org/10.2199/jjsca.42.63","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88608982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"「再考硬膜外麻酔・鎮痛法」によせて","authors":"K. Doi, Yumiko Takao","doi":"10.2199/jjsca.42.70","DOIUrl":"https://doi.org/10.2199/jjsca.42.70","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87077179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"「グレードA帝王切開術」によせて","authors":"Rie Kato","doi":"10.2199/jjsca.42.56","DOIUrl":"https://doi.org/10.2199/jjsca.42.56","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84002544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incorporating Gamification Effectively into CPR Training：Evidence-Based Training in Resuscitation Education Science","authors":"Y. Hirakawa","doi":"10.2199/jjsca.42.111","DOIUrl":"https://doi.org/10.2199/jjsca.42.111","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82763802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Grade A Caesarean Section What Is Grade A Caesarean Section? Indication, System and Ingenuity to Perform Quickly and Safely","authors":"Kumiko Yamada","doi":"10.2199/jjsca.42.57","DOIUrl":"https://doi.org/10.2199/jjsca.42.57","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73155158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clearsight System® - From Low-Invasive Monitoring to Non-Invasive Monitoring -","authors":"T. Saito","doi":"10.2199/jjsca.42.50","DOIUrl":"https://doi.org/10.2199/jjsca.42.50","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"31 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72550962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Ishimura, Yosuke Shiga, Y. Takeda, Yuji Nishikawa, K. Sakai
{"title":"Ipsilaterally Guided Epidural Anesthesia for Pain Relief after Sports-Associated Orthopedic Knee Surgeries","authors":"H. Ishimura, Yosuke Shiga, Y. Takeda, Yuji Nishikawa, K. Sakai","doi":"10.2199/jjsca.42.87","DOIUrl":"https://doi.org/10.2199/jjsca.42.87","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82081201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yukiko Manabe, Ryosuke Komiya, A. Tanaka, R. Sasaki, K. Hirota, M. Yamazaki
Background：In airway management during prone thoracoscopic esophagectomy, we routinely em-ploy a single lumen spiral tube and a bronchial blocker for one lung ventilation. The placement of the bronchial blocker improves tracheal and bronchial mobility during peribronchial lymph node dissection. We experienced two cases requiring careful preoperative consideration for one lung ventilation strategies. Case presentation：In case 1, contralateral paraaortic lymph node dissection was required for cura-tive resection. A Y-shaped double-balloon bronchial blocker（EZ-blocker TM ）was intubated into the trachea to occlude either right or left main bronchus ad libitum, resulting in preferable management of bilateral thoracoscopic surgery in prone position. In case 2, preoperative CT revealed a right tracheal bronchus above the carina. We decided to em-ploy two bronchial blockers following preoperative anesthetic conference. One was placed in the right tracheal bronchus as usual, and the other was placed outside the tracheal tube to occlude right bronchus intermedius. A guidewire was employed to selectively introduce the blockers to the right tracheal bronchus. Conclusions：We experienced cases requiring careful preoperative preparation for one lung ventilation in prone thoracoscopic esophagectomy. Novel double bronchial balloon techniques were successfully employed for occlusion of main bronchus and/or tracheal bronchus.
{"title":"Novel Double Bronchial Balloon Techniques Were Successfully Employed in Prone Thoracoscopic Esophagectomy：One Lung Ventilation Strategies for the Tracheal Bronchus and Bilateral Thoracoscopy","authors":"Yukiko Manabe, Ryosuke Komiya, A. Tanaka, R. Sasaki, K. Hirota, M. Yamazaki","doi":"10.2199/jjsca.42.13","DOIUrl":"https://doi.org/10.2199/jjsca.42.13","url":null,"abstract":"Background：In airway management during prone thoracoscopic esophagectomy, we routinely em-ploy a single lumen spiral tube and a bronchial blocker for one lung ventilation. The placement of the bronchial blocker improves tracheal and bronchial mobility during peribronchial lymph node dissection. We experienced two cases requiring careful preoperative consideration for one lung ventilation strategies. Case presentation：In case 1, contralateral paraaortic lymph node dissection was required for cura-tive resection. A Y-shaped double-balloon bronchial blocker（EZ-blocker TM ）was intubated into the trachea to occlude either right or left main bronchus ad libitum, resulting in preferable management of bilateral thoracoscopic surgery in prone position. In case 2, preoperative CT revealed a right tracheal bronchus above the carina. We decided to em-ploy two bronchial blockers following preoperative anesthetic conference. One was placed in the right tracheal bronchus as usual, and the other was placed outside the tracheal tube to occlude right bronchus intermedius. A guidewire was employed to selectively introduce the blockers to the right tracheal bronchus. Conclusions：We experienced cases requiring careful preoperative preparation for one lung ventilation in prone thoracoscopic esophagectomy. Novel double bronchial balloon techniques were successfully employed for occlusion of main bronchus and/or tracheal bronchus.","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87084411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of the State of Emergency on the Characteristics of Surgical Cases during the COVID-19 Pandemic","authors":"T. Edamura, Emi Morinushi, Nobuko Ito, K. Uchida","doi":"10.2199/jjsca.42.1","DOIUrl":"https://doi.org/10.2199/jjsca.42.1","url":null,"abstract":"","PeriodicalId":22722,"journal":{"name":"The Journal of Japan Society for Clinical Anesthesia","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91485347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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