29 research outputs found
Intraventricular Fluid Injection as a Novel Treatment of Subdural Fluid Collection after VP Shunt Overdrainage: A Case Report
Introduction: Subdural fluid collection is one of many complications of ventriculoperitoneal (VP) shunt. Variety of surgical procedures have been applied for the treatment of the post VP shunt subdural fluid collection, but the ideal surgical treatment remains controversial.
Case Report: This is a case report of 14 years old boy who had a history of multiple VP shunt revisions for post hemorrhagic hydrocephalus with subdural fluid collections due to cerebrospinal fluid (CSF) overdrainage.
Result: The author performed intraventricular fluid injection via shunt valve to expand the brain mantle and drain the subdural fluid through a small craniotomy. This is the first case report using the novel “fluid infusion” technique for the treatment of intractable subdural fluid collection after the VP shunt overdrainage.
Conclusion: The technique can bring potentially great impact for the future treatment of symptomatic subdural fluid collection associated with CSF overdrainage after VP shunt
Advantage of Handwriting Over Typing on Learning Words: Evidence From an N400 Event-Related Potential Index
The growing implementation of digital education comes with an increased need to understand the impact of digital tools on learning. Previous behavioral studies have shown that handwriting on paper is more effective for learning than typing on a keyboard. However, the impact of writing with a digital pen on a tablet remains to be clarified. In the present study, we compared learning by handwriting with an ink pen on paper, handwriting with a digital pen on a tablet, and typing on a keyboard. Behavioral and electroencephalographic indices were measured immediately after learning with each writing tool. The moods of the subjects during the training were also assessed. The participants were divided according to their use of digital pen in their everyday lives, allowing us to take into account the effect of the familiarity with the digital pen on the learning process (familiar group vs. unfamiliar group). We performed an EEG experiment applying a repetition priming paradigm. In each trial, a learned foreign language word (prime word) and a mother tongue word (target word) were consecutively presented. The target word was either semantically identical to the prime word (repetitive condition) or different (non-repetitive condition). We assumed that a larger priming effect on N400 reflects larger learning progress. The familiar group showed a greater N400 priming effect for words learned with the digital or ink pen than those learned with the keyboard. The unfamiliar group showed the greater N400 priming effect for words learned with the ink pen compared with words learned by typing. In addition, positive mood during learning was significantly higher during handwriting than during typing, regardless of the groups. On the other hand, the behavioral indices were not influenced by the writing tool. These results suggest that the movements involved in handwriting allow a greater memorization of new words. The advantage of handwriting over typing might also be caused by a more positive mood during learning. Finally, our results show that handwriting with a digital pen and tablet can increase the ability to learn compared with keyboard typing once the individuals are accustomed to it
Incidents of Violence and Verbal Abuse from Patients and Their Relatives against Nurses in Dokkyo Medical University Koshigaya Hospital
This study aimed to understand the nature and frequency of violence and verbal abuse toward nurses ina Japanese general hospital. Questionnaires concerning violence and verbal abuse against nurses were distributedto 440 nurses employed at a university hospital and a total of 438 nurses responded to the questionnaire.Over one third reported attempted incidents of violence, whereas further one quarter reported beingactually pinched, touched unnecessarily, or kicked. More than a half reported being yelled at, being complainedto unreasonably about a medical service, and experiencing overbearing voices. The most commonemotion experienced after facing violence or verbal abuse was embarrassment and discomfort, followed byanger. Nurses in the emergency and intensive care units and some surgical wards experienced higher levelsof violence and verbal abuse than those in other wards. These findings prove the urgent need for the developmentof preventive actions to address the problem of workplace adversity
The whole blood transcriptional regulation landscape in 465 COVID-19 infected samples from Japan COVID-19 Task Force
「コロナ制圧タスクフォース」COVID-19患者由来の血液細胞における遺伝子発現の網羅的解析 --重症度に応じた遺伝子発現の変化には、ヒトゲノム配列の個人差が影響する--. 京都大学プレスリリース. 2022-08-23.Coronavirus disease 2019 (COVID-19) is a recently-emerged infectious disease that has caused millions of deaths, where comprehensive understanding of disease mechanisms is still unestablished. In particular, studies of gene expression dynamics and regulation landscape in COVID-19 infected individuals are limited. Here, we report on a thorough analysis of whole blood RNA-seq data from 465 genotyped samples from the Japan COVID-19 Task Force, including 359 severe and 106 non-severe COVID-19 cases. We discover 1169 putative causal expression quantitative trait loci (eQTLs) including 34 possible colocalizations with biobank fine-mapping results of hematopoietic traits in a Japanese population, 1549 putative causal splice QTLs (sQTLs; e.g. two independent sQTLs at TOR1AIP1), as well as biologically interpretable trans-eQTL examples (e.g., REST and STING1), all fine-mapped at single variant resolution. We perform differential gene expression analysis to elucidate 198 genes with increased expression in severe COVID-19 cases and enriched for innate immune-related functions. Finally, we evaluate the limited but non-zero effect of COVID-19 phenotype on eQTL discovery, and highlight the presence of COVID-19 severity-interaction eQTLs (ieQTLs; e.g., CLEC4C and MYBL2). Our study provides a comprehensive catalog of whole blood regulatory variants in Japanese, as well as a reference for transcriptional landscapes in response to COVID-19 infection
DOCK2 is involved in the host genetics and biology of severe COVID-19
「コロナ制圧タスクフォース」COVID-19疾患感受性遺伝子DOCK2の重症化機序を解明 --アジア最大のバイオレポジトリーでCOVID-19の治療標的を発見--. 京都大学プレスリリース. 2022-08-10.Identifying the host genetic factors underlying severe COVID-19 is an emerging challenge. Here we conducted a genome-wide association study (GWAS) involving 2, 393 cases of COVID-19 in a cohort of Japanese individuals collected during the initial waves of the pandemic, with 3, 289 unaffected controls. We identified a variant on chromosome 5 at 5q35 (rs60200309-A), close to the dedicator of cytokinesis 2 gene (DOCK2), which was associated with severe COVID-19 in patients less than 65 years of age. This risk allele was prevalent in East Asian individuals but rare in Europeans, highlighting the value of genome-wide association studies in non-European populations. RNA-sequencing analysis of 473 bulk peripheral blood samples identified decreased expression of DOCK2 associated with the risk allele in these younger patients. DOCK2 expression was suppressed in patients with severe cases of COVID-19. Single-cell RNA-sequencing analysis (n = 61 individuals) identified cell-type-specific downregulation of DOCK2 and a COVID-19-specific decreasing effect of the risk allele on DOCK2 expression in non-classical monocytes. Immunohistochemistry of lung specimens from patients with severe COVID-19 pneumonia showed suppressed DOCK2 expression. Moreover, inhibition of DOCK2 function with CPYPP increased the severity of pneumonia in a Syrian hamster model of SARS-CoV-2 infection, characterized by weight loss, lung oedema, enhanced viral loads, impaired macrophage recruitment and dysregulated type I interferon responses. We conclude that DOCK2 has an important role in the host immune response to SARS-CoV-2 infection and the development of severe COVID-19, and could be further explored as a potential biomarker and/or therapeutic target
Memory-Based Specification of Verbal Features for Classifying Animals into Super-Ordinate and Sub-Ordinate Categories
Accumulating evidence suggests that category representations are based on features. Distinguishing features are considered to define categories, because of all-or-none responses for objects in different categories; however, it is unclear how distinguishing features actually classify objects at various category levels. The present study included 75 animals within three classes (mammal, bird, and fish), along with 195 verbal features. Healthy adults participated in memory-based feature-animal matching verification tests. Analyses included a hierarchical clustering analysis, support vector machine, and independent component analysis to specify features effective for classifications. Quantitative and qualitative comparisons for significant features were conducted between super-ordinate and sub-ordinate levels. The number of significant features was larger for super-ordinate than sub-ordinate levels. Qualitatively, the proportion of biological features was larger than cultural/affective features in both the levels, while the proportion of affective features increased at the sub-ordinate level. To summarize, the two types of features differentially function to establish category representations