Setting a quality indicator for actual surgery time relative to scheduled surgery time in the context of increasing robotic-assisted thoracic surgery cases.

OBJECTIVE: This study aimed to demonstrate to the involved departments the goal of increasing the number of robotic-assisted thoracic surgery (RATS) cases/surgeons and acceptable surgery times. METHODS: This retrospective study included 1572 patients who underwent thoracic surgery from fiscal year (FY) 2018 to FY 2021. The factors evaluated included the number of surgery cases and actual and scheduled surgery times. RESULTS: The total number of RATS and total surgery cases increased after the quality indicator (QI) setting (n = 363, 360, 417, and 432 in FY 2018, 2019, 2020, and 2021, respectively). In FY 2020, 93.3% of the QI target was achieved, while in FY 2021, 88% was achieved. The number of RATS lobectomy/segmentectomy increased as the FY progressed (n = 31, 47, 58, and 116 in FY 2018, 2019, 2020, and 2021, respectively). The mean surgical time by RATS starters decreased in FY 2020 and 2021 (171.4 min.; 74 cases; seven RATS starters) compared with those in FY 2018 and 2019 (198.0 min.; 57 cases; six RATS starters) (P = 0.002). CONCLUSIONS: The goal of increasing the number of surgery cases and RATS cases/surgeons within the given framework was achieved by setting the QI.

Canine Leptospirosis Outbreak in Japan.

Canine leptospirosis was suspected in 11 dogs in Osaka Prefecture, Japan and 9 dogs died within a month, from October 12 to November 10, 2017. Eight of the dogs had been taken on walks along the same riverbed and 4 dogs lived in the same town. Logistic regression analysis between a comparative group and the incident cases group showed that the odds of leptospirosis infection was 13.3 times higher (p = 0.044) in the dogs taken on walks along the riverbed than in the dogs not being walked along the riverbed. It is suggesting that these walks had been a risk factor. Microscopic agglutination tests showed that antibody titers against Leptospira interrogans serovar Australis were 1:2,560 and 1:10,240 in 2 dogs. Therefore, L. interrogans serovar Australis was suspected to be the causative agent, for which no canine vaccine is available in Japan. These results suggested that L. interrogans serovar Australis can cause local outbreaks. The development of a canine vaccine against various serotypes might help reduce local infections. Leptospirosis is an important infectious disease of dogs and it is also a zoonotic disease.

Effect of Pets on Human Behavior and Stress in Disaster.

Animal-related consequences were not anticipated in disaster preparedness planning in Japan at the time of its massive earthquakes in 2011. Evacuation failure was quite common due to pet ownership in this disaster. Public attention to the welfare of affected animals in this disaster triggered an awareness of the importance of caring for their needs. However, research on human behavior toward pets or effect of pets on human during disasters remains sparse. In this study, post-traumatic stress disorder (PTSD) scores among pet-owners and non-pet owners in Japan's 2011 earthquake disaster were compared, and attitudes toward pets were evaluated. A questionnaire was distributed to attendees, and interviews were performed at an annual animal welfare event. The Japanese-language version of the revised Impact of Event Scale was used to evaluate PTSD from the disaster. PTSD scores were higher in pet-owners compared to non-pet owners immediately after the earthquakes, but were lower in pet-owners compared to non-pet owners 4.4 years following the disaster. Most people opined that pets should evacuate with people, although less than half of non-pet owners agreed with having animals co-located at evacuation centers. In order to enhance safety and security of both humans and animals at evacuation centers, it is important to proactively address animal issues in disaster preparedness planning. Although pets were regarded by some as adverse risk factors for human health and safety during a disaster; this study instead suggests that pets may play an important positive and protective role for disaster victims.

Genome Sequence of a Novel Iflavirus from mRNA Sequencing of the Pupa of Bombyx mori Inoculated with Cordyceps militaris.

We discovered a novel iflavirus from the transcriptome of the Bombyx mori pupa inoculated with the insect-pathogenic fungus Cordyceps militaris. The assembled iflavirus genome has 10,119 nucleotides, with a 3'-polyadenylated tail, and it encodes a polyprotein composed of 3,004 amino acids.