Reliability and validity of the patient disability-oriented diagnostic nomenclature system for prosthetic dentistry

Purpose: The Japan Prosthodontic Society (JPS) has proposed a new diagnostic nomenclature system (DNS), based on pathogenesis and etiology, to facilitate and improve prosthodontic treatment. This systemspecifies patient disability and the causative factor (i.e. ‘‘B (disability) caused by A (causative factor)’’). The purpose of this study was to examine the reliability and validity of this DNS. Study selection: The JPS Clinical Guideline Committee assessed mock patient charts and formulated disease names using the new DNS. Fifty validators, comprising prosthodontic specialists and dental residents, made diagnoses using the same patient charts. Reliability was evaluated as the consistency of the disease names among the validators, and validity was evaluated using the concordance rate of the disease names with the reference disease names. Results: Krippendorff’s α was 0.378 among all validators, 0.370 among prosthodontic specialists, and 0.401 among dental hospital residents. Krippendorff’s α for 10 validators (3 specialists and 7 residents) with higher concordance rates was 0.524. Two validators (1 specialist and 1 resident) with the highest concordance rates had a Krippendorff’s α of 0.648. Common disease names had higher concordance rates, while uncommon disease names showed lower concordance rates. These rates did not show correlation with clinical experience of the validator or time taken to devise the disease name. Conclusions: High reliability was not found among all validators; however, validators with higher concordance rates showed better reliability. Furthermore, common disease names had higher concordance rates. These findings indicate that the new DNS for prosthodontic dentistry exhibits clinically acceptable reliability and validity

Systematic Career and Vocational Education through Internship

序章 課題の設定 : 高等教育段階におけるキャリア教育・職業教育 吉本圭一 1 第1部 高等教育段階におけるインターンシップの展開 　第1章 大学におけるインターンシップ・就業体験の日欧比較 : REFLEX調査の結果から 吉本圭一 19 　第2章 大学教育におけるインターンシップ導入のイニシアティブとその論理 稲永由紀 33 　第3章 インターンシップと大学組織 : 教育課程の「内」と「外」をめぐって 長尾博暢 45 　第4章 短期大学における連携型実習の展開 : 「企業研修」を中心に 江藤智佐子 63 第2部 体系的なキャリア教育・職業教育と地域社会の関与連携 　第1章 キャリア教育の統合性と無業抑制 : 高校インターンシップに焦点をあてて 吉本圭一 75 　第2章 学校教育での人材養成に係る地域経済団体の認識と関与 吉本圭一・亀野淳・稲永由紀 91 　第3章 インターンシップに対する地域団体の支援 : 地域教育連携団体の多様性 亀野淳 103 　第4章 地域教育連携団体の組織的基盤とインターンシップ事業 稲永由紀 115 　第5章 地域教育連携団体におけるインターフェイスの事例研究 江藤智佐子・長尾博暢 12

Submerged karst landforms observed by multibeam bathymetric survey in Nagura Bay, Ishigaki Island, southwestern Japan

Submerged tropical karst features were discovered in Nagura Bay on Ishigaki Island in the southern Ryukyu Islands, Japan. The coastal seafloor at depths shallower than similar to 130 m has been subjected to repeated and alternating subaerial erosion and sedimentation during periods of Quaternary sea-level lowstands. We conducted a broadband multibeam survey in the central area of Nagura Bay (1.85 x 2.7 km) and visualized the high-resolution bathymetric results over a depth range of 1.6-58.5 m. Various types of humid tropical karst landforms were found to coexist within the bay, including fluviokarst, doline karst, cockpit karst, polygonal karst, uvalas, and mega-dolines. Although these submerged karst landforms are covered by thick postglacial reef and reef sediments, their shapes and sizes are distinct from those associated with coral reef geomorphology. The submerged landscape of Nagura Bay likely formed during multiple glacial and interglacial periods. According to our bathymetric results and the aerial photographs of the coastal area, this submerged karst landscape appears to have developed throughout Nagura Bay (i.e., over an area of approximately 6 x 5 km) and represents the largest submerged karst in Japan

Study on the Efficient Use of Industrial by Products in the Fabrication of Concrete - Suitability as Aerated Mortar -

It has been indicated that three kinds of industrial wastes were recycled for aggregate of concrete materials, Test programs were examined concerning absorption and release properties of moisture, and pull out resistance of nail and impact strength and heat insulation as using aerated mortar. According to the results, the efficient use of industrial wastes was confirmed by some tests. For example according to heat insulation property, it was more effective than when concrete was not mixed with industrial wastes

Short- and Long-Term Outcomes of Neoadjuvant Chemoradiotherapy Followed by Pancreatoduodenectomy in Elderly Patients with Resectable and Borderline Resectable Pancreatic Cancer: A Retrospective Study

Background: The efficacy of neoadjuvant chemoradiotherapy (NACRT) followed by pancreatoduodenectomy (PD) in elderly patients with pancreatic ductal adenocarcinoma (PDAC) remains unclear. Methods: This retrospective analysis of prospectively collected data examined the effect of NACRT followed by PD in elderly patients with PDAC. A total of 112 patients with resectable (R-) and borderline resectable (BR-) PDAC, who were planned for PD and received NACRT between 2009 and 2022, were assessed. Changes induced by NACRT, surgical outcomes, nutritional status, renal and endocrine functions, and prognosis were compared between elderly (≥75 years, n = 43) and non-elderly (n = 69) patients over two years following PD. Results: Completion and adverse event rates during NACRT, nutritional status, renal function, endocrine function over two years postoperatively, and prognosis did not significantly differ between the two groups. Low prognostic index after NACRT and the absence of postoperative adjuvant chemotherapy may be adverse prognostic indicators for elderly patients undergoing NACRT for R- and BR-PDAC. Conclusions: Despite a higher incidence of postoperative complications, NACRT followed by PD can be safely performed in elderly patients, resulting in a prognosis similar to that in non-elderly patients