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Otsu-shi, Japan

Miyazaki Prefectural Nursing University is a public university in Miyazaki, Miyazaki, Japan, established in 1997. A master's program was added in 2001. Wikipedia.


Oztekin S.D.,Istanbul University | Larson E.E.,Miyazaki Prefectural Nursing University | Yuksel S.,Abant Izzet Baysal University | Altun Ugras G.,Mersin University
Japan Journal of Nursing Science | Year: 2015

Aim: Although the awareness of disasters has increased among nurses, the concept of disaster preparedness and response has not been sufficiently explored with undergraduate nursing students. The aim of this study was to assess and compare the perceptions of students regarding disaster preparedness and response that live in different earthquake-prone cities; Istanbul, Turkey and Miyazaki, Japan. Methods: A cross-sectional study employing seven questions was conducted in a final group of 1053 nursing students from Istanbul, Turkey, and Miyazaki, Japan. Results: Most study respondents were female, aged 18-22years, with a high proportion of second year students in both cities. Istanbul's students had more knowledge about disaster preparedness and response in relation to age and year of university, showing statistically significant differences. Istanbul's highest rated responses to disaster characteristics were on structural elements and injuries/deaths, while Miyazaki's was "unpredictable/sudden/disorganized". Respondents in Istanbul identified earthquakes as the disaster most likely to occur, while respondents in Miyazaki identified typhoon/hurricane. Study participants responded that they could provide caregiver roles during a disaster event rather than triage or managerial roles as disaster responders. Conclusion: Disaster characteristics were not described by one third of the students. Of the two-thirds that were described, most were of events that were highly predictable because of their frequencies in the given areas. Universities need to target and then focus on high-risk factors in their areas and have disaster plans for students who can provide triage and managerial nursing roles as disaster responders. © 2014 The Authors. Source


Kumagai K.,Shinjo Ophthalmologic Institute | Furukawa M.,Kami iida First General Hospital | Ogino N.,Shinjo Ophthalmologic Institute | Larson E.,Miyazaki Prefectural Nursing University
American Journal of Ophthalmology | Year: 2010

Purpose: To determine the incidence and the factors that can cause a reopening of a macular hole (MH) after a surgical closure. Design: Retrospective, comparative, consecutive case series. Methods: The medical charts of all patients who underwent vitrectomy with or without internal limiting membrane (ILM) peeling for an idiopathic full-thickness MH were reviewed. In all cases, the MH was closed successfully. Simultaneous phacoemulsification with intraocular lens implantation was performed on all phakic patients who were older than 40 years. Results: Eight hundred and seventy-seven eyes of 831 patients with a mean age of 64.9 ± 8.0 years were studied. Combined cataract extraction with vitrectomy was performed on 763 eyes of 775 phakic eyes. The mean follow-up time after MH surgery was 57.7 ± 38.4 months (range, 1 to 175 months). Two groups were studied: an ILM-off group (n = 514) and an ILM-on group (n = 363). The MH reopened in 2 eyes (0.39%) in the ILM-off group and in 26 eyes (7.2%) in ILM-on group (P < .0001). Kaplan-Meier analysis showed higher rates of reopening in the ILM-on group than in the ILM-off group (P< .0001, log-rank test). Factors related to the reopening in the ILM-on group were refractive error (r = -0.12; P = .049) and intraoperative peripheral tear formation (r = 0.13; P = .018). Conclusions: ILM peeling significantly decreases the incidence of the reopening of an MH. Although the pathogenesis of the reopening of MHs is still undetermined, myopia and intraoperative retinal tears may be related to the reopening. © 2010. Source


Kumagai K.,Shinjo Ophthalmologic Institute | Furukawa M.,Kami iida First General Hospital | Ogino N.,Shinjo Ophthalmologic Institute | Larson E.,Miyazaki Prefectural Nursing University
Retina | Year: 2010

PURPOSE:: The purpose of this study was to determine the factors that are correlated with the visual outcomes in patients who underwent pars plana vitrectomy with internal limiting membrane peeling for myopic foveoschisis (MF). METHODS:: In this retrospective, interventional consecutive case series, 39 eyes of 39 consecutive patients who had undergone pars plana vitrectomy with internal limiting membrane peeling for MF were studied. Preoperative optical coherence tomography showed that none of the eyes had a macular hole or vitreoretinal traction. Eyes were divided into those with MF and a foveal detachment (FD; FD group, n = 27) and those with MF without an FD (no-FD group, n = 12). The main outcome measures were best-corrected visual acuity (BCVA) and the optical coherence tomography findings. RESULTS:: Optical coherence tomography showed a complete resolution of the MF with a reattachment of the fovea in all eyes, and the retina remained attached during the mean follow-up of 41 months. The final mean BCVA improved significantly in the FD group (P = 0.0003) but not in the no-FD group (P = 0.56). The final BCVA of the FD group and no-FD group improved in 70% and 42%, remained unchanged in 26% and 33%, and worsened in 4% and 25% of the eyes, respectively. A better final BCVA was significantly correlated with a better preoperative BCVA (P < 0.0001), a shorter axial length (P = 0.045), and the presence of an FD (P = 0.028). CONCLUSION:: Pars plana vitrectomy with internal limiting membrane peeling results in long-term favorable anatomical and visual outcomes. Eyes with an FD may be good candidates for surgery. Copyright © by Ophthalmic Communications Society, Inc. Source


Kumagai K.,Shinjo Ophthalmologic Institute | Ogino N.,Shinjo Ophthalmologic Institute | Furukawa M.,Kami iida First General Hospital | Larson E.,Miyazaki Prefectural Nursing University
Retina | Year: 2012

Purpose: To evaluate the effectiveness of intravitreous bevacizumab (Avastin), intravitreous tissue plasminogen activator, and vitrectomy for the macular edema secondary to branch retinal vein occlusion. Methods: Retrospective, interventional case series. We studied 228 eyes of 228 patients. Forty-one eyes received 1.25 mg of intravitreous bevacizumab, 71 eyes received tissue plasminogen activator, and 116 eyes underwent vitrectomy. A reinjection of 1.25 mg of bevacizumab was based on the morphologic and functional findings. The main outcome measures were the best-corrected visual acuity and optical coherence tomography-determined foveal thickness. Results: The mean postoperative follow-up period was 32.2 months with a range of 12 months to 69 months. The mean number of intravitreous bevacizumab was 2.8 with a range of 1 to 5. The mean best-corrected visual acuity and foveal thickness significantly improved after all 3 treatments, and the differences in the best-corrected visual acuity between the 3 groups were not significant at 12 months. Fourteen eyes (34%) in the intravitreous bevacizumab group and 21 eyes (30%) in the tissue plasminogen activator group required additional surgeries. Conclusion: The 3 treatments appear to provide similar visual outcomes at 12 months. However, in some eyes treated with intravitreous bevacizumab or tissue plasminogen activator, additional surgeries were required, and a longer follow-up period was required to determine the final outcome. © The Ophthalmic Communications Society, Inc. Source


Kumagai K.,Shinjo Ophthalmologic Institute | Furukawa M.,Kami iida First General Hospital | Ogino N.,Shinjo Ophthalmologic Institute | Larson E.,Miyazaki Prefectural Nursing University
Japanese Journal of Ophthalmology | Year: 2010

Purpose: To evaluate the effect of pars plana vitrectomy (PPV) either with or without internal limiting membrane (ILM) peeling for macular edema associated with macular vein occlusion (MVO). Methods: In this retrospective, interventional, comparative case series study, 41 patients (41 eyes) underwent PPV either with or without ILM peeling for macular edema due to MVO. Twenty-eight eyes without ILM peeling (PPV alone) were compared with 13 eyes with ILM peeling (ILM-off). The main outcome measures were best-corrected visual acuity (BCVA) and foveal thickness, evaluated by optical coherence tomography. Results: Baseline demographic characteristics of the two groups were similar. Postoperative follow-up period ranged from 12 to 53 months (mean, 27.9 months). The postoperative mean BCVA improved and foveal thickness decreased significantly in both groups. The difference in BCVA between the two groups was not significant at any time point. The mean foveal thickness in the ILM-off group was thicker than that in the PPV alone group during the follow-up period. No patient had severe intraoperative or postoperative complications. Conclusion: PPV either with or without ILM peeling may improve the anatomical and functional outcomes of macular edema secondary to MVO. Removal of the ILM does not appear to affect visual outcome; however, it may not reduce the foveal thickness as much as PPV alone. © 2010 Japanese Ophthalmological Society (JOS). Source

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