Objective
The number of foreign students coming to Japan continues to increase year by year. The majority of those students are from China. Besides social problems and insurance difficulties, cultural differences are an underlying cause of their health problem. The aim of our research is to evaluate the health behavior and health status of students from China who are living in Japan with the objective of providing recommendations for improvement of health care.
Method
A survey of students was conducted using questionnaires. The target for this study is Chinese students compared with domestic students at the same university in Japan. The contents of the questionnaire are related to; attribute attitude toward health and sickness, belief in health, mental and physical health status, social support, health behavior, and fitness activity.
Results
The rate of collected questionnaires was 35.7% (107/300) from Chinese students and 47.7% (143/300) from Japanese students. The average age of Chinese students was 24.5 years old and average duration of their stay was three years. Chinese students had high consciousness about maintaining good health. They obtained social support from friends, parents, acquaintances, family members other than parents and not much was obtained from school related people. As for health habit, female students were more likely to practice good health habits than males.
Conclusions
1.Chinese students had high consciousness about maintaining good health.
2.Chinese students living in a foreign culture are highly aware and concerned about their health status but they are not in a position to obtain sufficient social support from university. It is vital for them to secure imminent social supports from now on.
3.Differences in responses by gender were evident in the group related to health habits.

A 26-year-old man with Marfan's syndrome suffered aortic dissection repeatedly during hospitalization. He was admitted with a diagnosis of annuloaortic ectasia with severe aortic regurgitation. A type A aortic dissection occurred after diagnostic angiography. Three weeks after the onset of the dissection, an aortic root replacement in combination with a total arch replacement was performed. Eight months later, residual dissection in the descending thoracic aorta was replaced with distal perfusion by a temporary bypass from the left subclavian artery to the descending thoracic aorta. At the termination of the operation, abdominal aortic dissection occurred with acute bilateral limb ischemia, which was treated with abdominal aortic intimal fenestration. He recovered uneventfully and was discharged 3 weeks after operation. In light of our experience, because of vascular fragility, great care should be taken in treating patients with Marfan's syndrome to avoid iatrogenic aortic dissection.

The University of Tokyo Disability Services Office and the University of Tokyo Hospital have striven to advance the inclusion of individuals with disabilities and to encourage the co-production of research as well as mental health services with peer support workers. In convergence with these endeavors, the Center for Diversity in Medical Education and Research (CDMER) was founded in 2021. The Center aims to establish an environment and culture that facilitates the participation and success of medical professionals with disabilities. For this purpose, it is essential to integrate the perspective of the social model of disability into medical education and promote co-production in the medical field, which is among the most challenging areas that can realize co-production. The Center is involved in various educational and research activities, including managing educational programs for medical students and supporting student-led research.