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Creativity is the result of a creative thought, therefore the education system that is applied to the school environment should be able to build, awaken, and stimulate logical and creative thinking towards the reasoning of students. One of the ways taken is by focusing, intensifying, and directing the development of students’ abilities in solving problems or creating a work, project or product in classroom learning activities in the form of implementation of creative physics experiments through assigning tasks (Task Based Learning). The research aims were: 1. To find out the creativity of students in learning physics towards the implementation of creative Physics experiments. 2. To find out the implementation of the Task Based Learning model through creative Physics experiments on the student’s creativity. This research uses the Mix Method in the form of Sequential Explanatory design that emphasizes quantitative data as the main data, and qualitative data as supporting data. The results of the study of student’s creativity based on the achievement of indicators of creativity that was equal to ≥70% and the creativity of students based on work groups have high creativity that can be seen that has a value of ≥70%. As for the results of implementing task-based learning, it was found that it was very good. Based on these data it was concluded that the results of students’ creativity research when implementing Task Based Learning in the form of creative Physics experiments was said to be good.

Over-the-counter (OTC) drugs and health foods/supplements are used as means of self-medication with the aim of preventing diseases and maintaining health. No reports have yet addressed the relationship between healthcare systems and self-medication. Here, we carried out a retrospective survey to identify healthcare system factors affecting OTC drug and health food/supplement usage. Patients hospitalized at Gifu Municipal Hospital between October 1, 2014 and March 31, 2015 were given a survey. The items surveyed were age, gender, disease, alcohol intake/smoking status, insurance classification, and medical pharmaceuticals, OTC drugs, and health foods/supplements used immediately before hospitalization. We performed multiple logistic regression analysis using OTC drugs and health foods/supplements as dependent variables with patient attributes, medical insurance, etc. as independent variables. A total of 5,965 patients were analyzed. OTC users comprised 2.6 % (156 people) of the total. The use of OTC drugs was significantly higher for females and alcohol consumers than in other categories. In contrast, the use of OTC drugs was significantly lower for participants in public expense/medical subsidy programs. Health foods/supplements were used by 4.0 % of all subjects (240 people); their use was significantly higher among females and users of medical pharmaceuticals. On the other hand, the use of health foods/supplements was significantly lower for smokers, users of the latter-stage elderly healthcare system, and users of public expense/medical subsidy programs.

We report a case of a postoperative brain infarction, in which an asymptomatic preoperative brain infarction was also revealed postoperatively. A 63-year-old man with bladder carcinoma was scheduled for the cystoplasty. The patient had no prominent preoperative abnormality. Anesthesia was maintained with isoflurane in N2O/oxygen combined with a spinal block and a continuous epidural block. Anesthesia lasted uneventfully for 16.5 hours. However, emergence from anesthesia was delayed. On the first postoperative day, motor aphasia and right hemiparalysis was confirmed. The computed tomography (CT) of the brain demonstrated a low density area in the frontoparietal region. The magnetic resonance imaging (MRI) indicated the corresponding lesion as the CT had demonstrated, and an old brain infarction in the parietal region. This meant that the patient had a history of asymptomatic brain infarction (ABI). Patients with ABI are considered to be a high-risk group for a brain infarction. It is important to evaluate the risk factors of brain infarction preoperatively and to minimize those risks during the operation. Maintenance of the cerebral perfusion pressure is imperative.

Although the aetiology is not well understood, expulsive suprachoroidal haemorrhaging (ESH) is the most severe complication associated with intraocular surgery. Anticoagulants are considered a risk factor for spontaneous suprachoroidal haemorrhaging in cases with high myopia, age related macular degeneration, and diabetic retinopathy.1–5 However, ESH post photocoagulation is extremely rare regardless of anticoagulant therapy. We have experienced a severe case of post-laser ESH correlated with anticoagulant therapy, which resulted in irreversible visual disturbance. A 70 year old woman was diagnosed with pre-proliferative diabetic retinopathy based on fluorescein angiographic examinations. Two months before diagnosis, she had right eye cataract surgery. During the past 6 years, the patient received warfarin (4 mg/day) and aspirin …

To assess the incidence of valvular regurgitation, 180 patients more than 40 years of age without cardiac symptoms were studied by pulsed Doppler echocardiography. The 180 patients were categorized by age as group 1, 40 to 49 years; group 2, 50 to 59 years; group 3, 60 to 69 years; group 4, 70 to 79 years; and group 5, more than 80 years of age. The incidence of valvular regurgitant flow signals increased significantly with age. Multivalvular regurgitation were often detected in groups 4 and 5. Furthermore, acoustically silent regurgitation at each valve was frequently noted (71 of 85 cases with valvular regurgitant flow signal: 84%). Mitral valve prolapse was diagnosed by two-dimensional echocardiography in 27 patients, but a mid-systolic click or pansystolic murmur with late-systolic accentuation was not noted. In conclusion, valvular regurgitations were common in the aged who lacked auscultatory findings.