1.Diversity & Inclusion
Yumiko OKUBO ; Shinji TAKADA ; Takatsugu YAMAMOTO ; Shoko HORITA ; Kumiko KONNO ; Yuko MIKI ; Hiroko OKINAGA
Medical Education 2024;55(5):391-398
2.Studies on Low Back Pain Caused by Agricultural Work in Flat Villages of South District in Akita Prefecture and by Work of Fisherman in a Fishing Village in Iwate Prefecture
Takeshi Sugaya ; Shigeki Hayashi ; Masato Hayashi ; Tomio Matsuoka ; Atsuro Yoshizumi ; Shinji Okubo ; Hiroshi Kitahara ; Kazuhiro Watanabe ; Yukio Ito ; Akira Kotanagi
Journal of the Japanese Association of Rural Medicine 1983;32(4):817-826
As regards to low back pain of agricultural worker, there are many problems still as to a syndrom of “Nofusho” in rural medicine, a disease in ocupational medicine and clinic of orthopedic.
Agricultural worker who complained of low back pain varies with their country and farm products, and it tend to increase with adding to their age. Further, the female rate of low back pain showed slightly high tendency than the made rate, 8.5-12.5 % of male, 6.5-13.4 % of female always complained of low back pain.
According to the findings of roentogenographic examination of back bone, the deformed vertebrae was found clearly, especially, low back pain caused by a trauma of soft tissue and iscogenic pain showed in farmers. Therefor, it is necessary to be improved working posture and condition.
In comparrison with non-farmer, it is located in order of truck drivers. bus drivers and repairmen.
3.Relationship between daily eating habits and occurrence of stroke in the O City Cohort I survey: a 26-year follow-up of residents in rural Japan
Mako TODA ; Koutatsu MARUYAMA ; Isao SAITO ; Shinji TANAKA ; Yutaka TAKEUCHI ; Hirotada OKUBO ; Tadahiro KATO
Journal of Rural Medicine 2025;20(1):28-38
Objective: This study aimed to elucidate the relationship between daily eating habits and stroke risk factors in O City, Ehime Prefecture, Japan, using stroke registry data collected over a 26-year follow-up period based on standardized national criteria.Materials and Methods: Overall, 1,793 middle-aged Japanese participants (446 men and 1,347 women) who completed a 33-item Food Frequency Questionnaire (FFQ) and had no history of stroke were matched to those from O City in a stroke registry from 1996 to 2022. Stroke diagnosis for each person was used to determine whether this was their first documented stroke, and we classified strokes as either a cerebral infarction (CI) or a hemorrhagic stroke (HS), the latter which included an intracerebral hemorrhage (ICH) or a subarachnoid hemorrhage (SAH). A Cox proportional hazard regression model was used to examine the association between habitual dietary intake and the occurrence of stroke, using the following covariates: age, body mass index, elevated blood pressure/hypertension, dyslipidemia, prediabetes/diabetes, alcohol consumption, and smoking.Results: During the 26 years of follow-up, 45 men (10.1%) and 76 women (5.6%) had stroke. The CI rate was 70.2% (n=85; 38 men, 47 women). The HS rate was 29.8% (n=36; 7 men and 29 women); of these patients, 26 and 10 had ICH and SAH, respectively. In men, orange intake showed a significant inverse correlation with CI. In women, fresh fish intake showed a significant inverse correlation with CI, while yogurt intake showed a significant inverse correlation with HS.Conclusion: Our results indicated that fresh fish intake was significantly associated with the prevention of CI among women in a Japanese cohort survey.