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Purpose: We have been using a paper-based hard copy print (paper print) system of X-ray images, in which digital imaging and communications in medicine (DICOM) data can be directly output on papers from medical imaging systems or from a picture archiving and communication system (PACS) server, and they are utilized as patient referral materials or for preoperative planning. The purpose of this study was to compare the display performance of X-ray images on the printed paper and that on the liquid crystal display (LCD)., Methods: We measured contrast response to verify consistency of image appearance on both display systems. The contrast resolution was assessed by a CDRAD phantom. The spatial resolution was assessed by an X-ray test chart., Results: The contrast response of the paper printer was not concordant with the grayscale standard display function (GSDF). The difference between the measured contrast response and the ideal GSDF on the paper was large in the high-density area. The low-contrast resolution on the paper was inferior to that on the LCD. The spatial resolving power on the paper was superior to that on the LCD., Conclusion: The display performance of the paper printer for X-ray images was clarified. X-ray images printed on the paper should be used carefully taking account of their characteristics of display performance.

Since the early 2000s, Japan has been frequently noted as being the only country among about 20 major countries where the publication of academic papers has stagnated. During this period, there have been major changes especially with regards to the Japanese pharmacy schools, such as the shift to a six-year schooling system and the rapid increase in the number of private pharmacy schools. However, few studies have focused on academic productivity specifically among pharmacy schools. Therefore, this study analyzed the outputs associated with the publication of peer-reviewed scholarly articles in Scopus search engine per faculty member in pharmacy schools nationwide in 2020. Professors, associate professors, and lecturers were considered as faculty members. The average number of papers published per the faculty member was 3.13 for national and public universities and 1.15 for private universities, with a significant difference between these universities. Dividing the pharmacy schools of private universities into schools established in and after 2003 and schools established before that, the production coefficient of the former was 0.98 and that of the latter was 1.33. Newly established pharmacy schools were thus found to be slightly less productive in terms of published papers than traditional schools. The paper productivity of private university pharmacy schools is stagnant; the increase in the number of private schools that have adopted a six-year schooling system has contributed to large extent to the creation of clinically competent pharmacists, but it has also brought to light concerns related to the decline in basic research capabilities of Japanese pharmaceutical academia.

To prevent the abuse of new psychoactive substances (NPS), a total of 2372 substances and two plants are controlled as "Designated Substances" in Japan as of September 2019. Although the distribution of these substances has decreased for the past three years, newly-emerged NPS are still being found. In this study, we detected four lysergic acid diethylamide (LSD) derivatives as designer drugs from four paper sheet products, which were obtained from 2014 to 2017 in Japan. The compounds were identified as 4-Acetyl-N,N-diethyl-7-methyl-4,6,6a,7,8,9-hexahydroindolo[4,3-fg]quinoline-9-carboxamide (ALD-52), N,N,7-triethyl-4,6,6a,7,8,9-hexahydroindolo[4,3-fg]quinoline-9-carboxamide (ETH-LAD), 7-Allyl-N,N-diethyl-4,6,6a,7,8,9-hexahydroindolo[4,3-fg]quinoline-9-carboxamide (AL-LAD), N,N-diethyl-7-methyl-4-propionyl-4,6,6a,7,8,9-hexahydroindolo[4,3-fg]quinoline-9-carboxamide (1P-LSD), by GC-MS, LC-MS, LC-Q-TOF-MS and NMR analyses. Further, we studied the extraction methods of LSD derivatives from paper sheet, and the analytical conditions of GC-MS, LC-MS and LC-FL(fluorescence). Among LSD derivatives, 1P-LSD have been controlled as designated substances (Shitei Yakubutsu) under the Pharmaceutical and Medical Device Act in Japan since April 2016. For the legislation of the other derivatives identified in this study, the evaluation of their pharmacological properties are now in progress.

Lysergic acid diethylamide (LSD) is a hallucinogen, synthesized from ergot alkaloid, and controlled as a narcotic in Japan. Recently, LSD derivatives have appeared as designer drugs, all over the world. In previous study, we reported identification and analysis of four LSD derivatives in four paper sheet products. In this study, we detected three additional LSD derivatives from three paper sheet products, which were obtained from September 2019 to March 2020 in Japan. We extracted the compounds from paper sheet products with methanol for LC-MS, high-resolution MS and GC-MS analyses. The compounds were identified as 4-cyclopropionyl-N,N-diethyl-7-methyl-4,6,6a,7,8,9-hexahydroindolo[4,3-fg]quinoline-9-carboxamide (1cP-LSD), N-methyl-N-isopropyl-7-methyl-4,6,6a,7,8,9-hexahydroindolo-[4,3-fg]quinoline-9-carboxamide (MIPLA), 4-butyryl-N,N-diethyl-7-methyl-4,6,6a,7,8,9-hexahydroindolo[4,3-fg]quinoline-9-carboxamide (1B-LSD), by GC-MS, LC-MS, LC-Q-TOF-MS and NMR analyses. As well as other N1-acylated LSD derivatives, 1cP-LSD and 1B-LSD were easily deacylated to LSD during GC-MS analysis, we have to be careful to analyze these compounds.

A Japanese medical paper grammatically translated into English may not be accepted by elite international journals. The problem lies not with the language, but the title and structure of the Japanese papers. Indicative titles must be changed to informative titles. The introduction should consist of current knowledge, unknowns, and problems of the subject discussed. The discussion section may end with words stressing the value of the conclusion. In Japanese, medical terms comprise nouns, whereas in English, nouns and verbs are used in medical terms. The right usage of medical verbs, omission of unnecessary words and phrases common in Japanese papers, and "simple and clear statements" would improve the flow of English. For example, "Complete removal of the tumor of the patient was performed" may be rephrased as "The tumor was completely removed;" omitting the unnecessary word "patient," improved the flow of the English.

We conducted a study to examine aroma leakage from orange juice packed in gable-top paper containers for chilled distribution. Limonene, an aromatic component of orange juice, was considered as an index compound of aroma leakage, and its seepage on the surface of the container and concentration in the orange juice were measured by GC-MS for 12 commercial samples. After 3 days of storage, limonene was detected on the surface of 8 orange juice containers, and the concentration of limonene in the orange juice was found to have decreased. Thus, limonene leaked through the container within a few days, and the extent of leakage differed between containers, presumably depending upon their barrier properties. In addition, limonene was detected in green tea and milk that was stored together with the unopened orange juice containers at 4℃. The transference of orange aroma into milk was significant, because the contamination of the milk was confirmed by subjective sensory evaluation. This study suggests the possibility of transfer of aroma compounds through paper containers to other beverages.

The prevalence of health foods is increasing in Japan, especially among elderly people. The internet is widely used as an information source, but it is not clear whether elderly people get information about health foods via the internet or not. To clarify this issue, we conducted two questionnaire surveys; one on a website (internet survey) and one in the local community (paper survey). The internet survey showed that a lot of elderly people use the internet to get information and also to purchase health foods. On the other hand, paper survey showed that a smaller proportion of elderly people used the internet, compared to the internet survey. Instead, they got information from their friends, health-care professionals, or various media sources, such as television, newspapers and magazines. Our results indicate that many elderly people don't use the internet to get information about health foods. Adequate ways to inform them about health foods are needed to reduce adverse events associated with health food use.

Reading articles is extremely important for preparing and promoting research and answering questions in daily clinical practice. In this section, we introduce literature search services and organize the use of PubMed. Next, we outline the literature structure and introduce essential points for reading English papers, such as paragraph reading and tenses. Finally, we explain how to organize papers, especially guidelines for writing papers, and discuss the importance of critical review when applying papers to daily clinical practice.

Because the demand for outpatient chemotherapy has been increasing, the burdens on patients have recently become diversified, ranging from not only the physical burden due to hospital visits but also the psychological and financial burden due to the impact on employment. In addition, healthcare providers are currently facing a number of challenges in the management of outpatient chemotherapy, including labor shortages and equipment or system problems. On Tuesday, September 22,2020, an online meeting was held by the authors of this paper(moderator: Hiroko Bando)entitled" Describing the Burdens on Patients and Healthcare Providers for Outpatient Chemotherapy". This paper is the minutes of this conference and here we visualize the burdens on patients and healthcare providers and discuss the necessity of burden reduction or efficiency, measures to alleviate the burdens, and other topics.

In order to perform experimental measurements for evaluation of imaging device's performance, data acquisition technique, and clinical images on scintigraphic imaging, many kinds of phantoms are employed. However, since these materials are acrylic and plastic, the thickness and quality of those materials cause attenuation and scatter in itself. We developed a paper sheet phantom sealed with a pouch laminator, which can be a true radioactive source in air. In this study, the paper sheet phantom was compared to the acrylic liver phantom, with the thickness of 2 cm, which is commercially available. The results showed that although some scatter counts were contained within the image of the acrylic liver phantom, there were few scattered photons in the paper sheet phantom image. Furthermore, this laminated paper sheet phantom made handling of the source and its waste easier. If the paper sheet phantom will be designed more sophisticatedly, it becomes a useful tool for planar imaging experiments.

A highly sensitive analytical method for 25 kinds of primary aromatic amines and azo-dyes in paper products was developed. Free amines and total amines of the samples were analyzed. The amount of each azo-dye was calculated from the amount of total amines by subtracting the amount of free amines. Amines and azo-dyes were migrated into water at 23 degrees C for 24 hours. Free amines were extracted into dichloromethane after alkalization with sodium hydroxide solution. Azo-dyes were reduced to amines with sodium dithionite, alkalized, and then extracted into dichloromethane as total amines. They were determined by GC/MS. The recoveries of 100 microg/kg amines spiked into migration solution were in the range of 69-122%, except for 4,4'-oxydianiline and 4,4'-diaminodiphenylmethane which gave recovery rates of approximately 40%. The determination limits of amines were 4-20 microg/kg in paper. Amines and azo-dyes were surveyed in 17 kinds of base paper and 16 kinds of paper products for food contact use. Aniline was detected at levels of 4-20 microg/kg from most recycled papers, whereas the other amines were not detected in any sample.

Migration of bisphenol A (BPA) and benzophenones, i.e., benzophenone (BZ), 4-(dimethylamino)benzophenone (DMAB), Michler's ketone (MK) and 4,4'-bis(diethylamino)benzophenone (DEAB), from 21 paper and paperboard products (15 recycled paperboard boxes and 6 virgin paper products) used in contact with food was examined. Migration levels of compounds from recycled paperboard were compared under various food-simulating conditions. BPA showed the highest migration into 20% ethanol and benzophenones into 95% ethanol. No compounds migrated from virgin paper products, but compounds did migrate into food simulants from recycled paperboard food boxes. BPA migrated into 20% ethanol from all recycled paperboard food boxes between 1.0 and 18.7 ng/mL. Into 95% ethanol, migration of BZ was observed in 8 samples (1.0-18.9 ng/mL), DMAB in 12 samples (1.2-3.7 ng/mL), MK in 13 samples (1.9-9.0 ng/mL), and DEAB in 13 samples (1.0-10.6 ng/mL). The highest migration level was 27.2 ng/mL and most of the migration levels were below 10 ng/mL. These values are sufficiently low compared with the TDI and NOAEL levels. Moreover, the amount of food in daily meals that comes into contact with paperboard products is relatively small. Consequently, it was concluded that there was no safety concern regarding the tested compounds in recycled paperboard food boxes.

Active learning in higher education is important for learning efficacy and motivation. Accordingly, lectures that integrate strategies toward active learning, such as minute papers, debates, and collaborative learning, have become widely adopted. Minute papers facilitate communication among both teachers and students, and can be used as a tool for reviewing lectures. In the present study, we examined the effect of using minute papers on learning efficacy and motivation. To enhance the curriculum of the interdisciplinary course Yakugaku Nyumon, which consists of an omnibus lecture series and problem-based learning, minute papers with exercises were provided to applicants. In a follow-up questionnaire, students who used minute papers (S-USE) responded that they had a better understanding of the relationships, ranging from basic to clinical subject matter, than students who did not use such papers (S-NON). Using the Attention, Relevance, Confidence, and Satisfaction (ARCS) model questionnaire to measure study motivation, S-USE scored higher for some questionnaires than S-NON. This finding indicates that minute papers promoted learning motivation among students taking the Yakugaku Nyumon course. In regular examinations, the average score of S-USE was also statistically higher than that of S-NON. These results demonstrate that minute papers possibly encouraged students to actively review the lectures, thereby increasing both learning efficacy and motivation. This study shows that through promoting active, self-learning, minute papers are suitable for improving curricular strategies in subjects that rely on passive learning methods.

The origin of the history of anesthesia in Japan dates back to 1804 when Seishu Hanaoka administered the first general anesthesia for breast cancer surgery; however, academic anesthesiology was not established in Japan until Meyer Saklad, a member of the Unitar- ian Service Committee medical mission, introduced modern anesthesiology in 1950 into the country. Therefore, it is rational that there was no study of the history of anesthesiology before 1950 in Japan. It was after the mid-1980's that papers in English of the his- torical study of the specialty appeared in journals. A total of 21 papers on the subjects were reviewed.

In order to find a subtle hemiparesis of the arms and legs, so called "Barré's test" has been routinely used in clinical practice. This eponym has been questioned by several neurologists. To clarify this, I searched and found the original paper by Giovanni Mingazzini, reported in Revue Neurologique in 1913. He showed arm drift test with his original photo, as asking the patient to stretch his arms in front, hands in the same horizontal plane with the manner of swearing and the fingers spread. The eyes are closed. The examiner observes downward drift of the hand after one half to a minute. He described a similar test for the legs in this article. The patient in supine position raises the legs in a 45 degree angle from the bed. If the leg drops downward too early, an organic hemiparesis could be present. Barré described a new leg drift test in 1919 with a patient lying on the abdomen. He also presented the Mingazzini's arm and leg tests with photos as carried by his patient-models in his article of 1937. He did not quote the original article of Mingazzini as a reference. These brought us incorrect information to consider the presence of Barré's arm test.

Qualitative urinalysis with test strips is utilized as a screening test. Test strip use has been incorporated in the diagnostic criteria of a variety of clinical practice guidelines. The strips can measure many parameters and have the advantage of being able to rapidly provide results at a low cost. I hope that the standardization of parameters on test strip use will progress further, and that new urine biomarkers will be included.

Purpose: A large number of abbreviations have been created for various special terms, and used in magnetic resonance (MR) study. However, the use of these abbreviations in the paper title has been restricted by the majority of societies and journals. In this study, we investigated the use of various abbreviations for special terms in MR study in order to clarify which abbreviation could be used in the paper title without spelling., Materials and Methods: We used two journals, Magnetic Resonance in Medicine (MRM) and Journal of Magnetic Resonance Imaging (JMRI) published by the International Society for Magnetic Resonance in Medicine (ISMRM), which has been considered to be the most advanced society for MR study in the world, as the reference standard for use of the abbreviations., Results: Except for some basic abbreviations and specific abbreviations that were used on a long-term basis, the majority of abbreviations were used in the paper title with its full spelling in order to ensure generality., Conclusion: It is preferable that abbreviations not be used in the title of the or title of the paper.

The field of legal medicine has seen a recent increase of poisoning by boric acid and, in cases of emergency, a simple method of making a qualitative analysis of the boric acid content is a necessity. Thus, we have examined curcuma paper (turmeric paper) to see if it can provide a qualitative analysis of the boric acid content in biological materials, so as to identify cases of poisoning. It was found that curcuma paper can provide a preliminary analysis of the quantitative content of boric acid, and that about 0.1 mg/ml of boric acid can be determined. The steps for this testing method follow. First, either blood or urine is acidified with a 6 N concentration of hydrochloric acid, i.e., in the case of urine, 0.5 ml of urine is added to 0.1 ml hydrochloric acid, and for blood, 0.5 ml of blood is added to 0.2 ml hydrochloric acid. If the sample is not sufficiently acidic, more hydrochloric acid is added. Next, a drop of the sample is placed on the curcuma paper and, after drying at room temperature, a red stain results if boric acid is present. (Rosocyanin is formed by the reaction of boric acid and protonated curcumin). Then, a 1 N concentration of sodium hydroxide is dropped onto the stained place, and if rosocyanin is present, the stain will turn blue. Informatively, to make curcuma paper, filter paper (No. 2) is soaked in a saturated curcumin/ethanol solution and then air dried.(ABSTRACT TRUNCATED AT 250 WORDS)