2.Some comments on cerebrovascular accidents during 3 years 1996-1997-1998 presented at the Emergency Department, Huu Nghi Hospital
Journal of Vietnamese Medicine 2001;267(12):8-9
The study was conducted on patients who were presented at the Emergency Department of H÷u NghÞ Hospital from 1996-1998. Among these, rate of cerebrovascular accident was 7.7% (538 patients). Hypertension is a main cause of cerebral hemorrhage, particularly unstable hypertension. Stress is important factor can lead to cerebrovascular accident and cerebral hemorrhage in particular. Some cardiovascular pathologies such as arteriosclerosis and perpetual arrhythmia are common causes of ischemic cerebral infarction.
Cerebrovascular Accident
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Comment [Publication Type]
3.Functional food - nutraceutical product: Some opinions by view-point of management
Pharmaceutical Journal 2003;321(1):7-10
The concept of nutraceutical food was introduced firstly in United State in 1989 by Stephen Defelice, the founder of the Foundation for Innovation in Medicine. It is defined as a product that considered as a food or a part of food, provided medical or health benefits, including disease prevention and treatment”. The health sector should review and re-evaluate the importance and potential of the nutraceutical food market and plan the development strategy for this novel avenue. The unique definition of nutraceutical product is needed. The Ministry of Health should direct the management of these products as medications rather than foods and the regulations of registration, labeling and take testing samples should be available
Food
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Dietary Supplements
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Comment [Publication Type
4.Proposal of Functional Scoring (FS) Method From the Viewpoint of Target Setting
Tomohiro NAKAI ; Toshitaka MITUHASHI ; Yoshiyuki SUZUMOTO ; Hiroki FUNAHASHI ; Ryokichi GOTO ; Shunsuke GOTO ; Yuki SUZUKI ; Kenji SUGIMOTO ; Naoko HOSHIDA ; Takahiro TODOROKI ; Fumiko MATSUI ; Junko SAKAI ; Fumiko SUZUKI ; Emiko KAWAI ; Tomihiro HAYAKAWA
Journal of the Japanese Association of Rural Medicine 2009;58(1):4-12
This paper proposes a method for evaluating and scoring the activities of rehabilitation service users in order to pinpoint the problems with the health service of this kind and set the adequate targets for each user. Sincs the Nursing Care Insurance System was introduced in Japan in 2000, it has been argued that home-visit rehabilitation services should be excluded from home-nursing care services. However, the methods of certifing that nursing care is required are not fully established yet for setting the rehabilitation targets for service users. As things stand, it is recommended that such a method as the Functional Independence Measure (FIM) or the Barthel Index (BI) should be utilized. However, these methods only evaluate “performing activities” (the activities that a user usually performs). In order to set the users' targets, we thought it necessary to establish a method for evaluating “possible activities” (the activities that a user is able to perform at his/her full capacity). We have established a method called Functional Scoring (FS) which evaluates and scores the both performing and possible activities based on the same evaluation items. We conducted experimental evaluations on the home-visit rehabilitation users for one year from October 2005 to September 2006. When the first evaluations in 2005 were compared with the second evaluations in 2006, the total score of the performing activities significantly increased from 44.1±13.7 to 47.8±14.2 (P<0.05). Although the total score of the possible activities did not significantly increase, it demonstrated an upward trend from 49.6±13.2 to 51.6±13.5. The result suggests that our method is useful for distinguishing between the performing and possible activities. The proposed method enables us to adequately recognize the problems each user has, and to set the rehabilitation target for each user, which can be shared between the user, care personnel, and care service provider.
Rehabilitation aspects
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Functional
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FS
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Care given by nurses
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Published Comment