1.Internet Addiction among Brazilian Students in Japan - A Questionnaire-based Cross-sectional Study
Daisuke AOKI ; Makoto KANEKO ; Machiko INOUE
An Official Journal of the Japan Primary Care Association 2020;43(2):44-53
Introduction: To elucidate the issues surrounding adolescents' Internet use in social minority groups, this study investigated the current situation of Internet addiction among Brazilian students who live in A city in Japan.Methods: The participants were 342 local Brazilian students attending international schools. A cross-sectional study using a self-administered questionnaire in Brazilian-Portuguese was conducted. As a primary outcome, we used Young's Internet Addiction Test (IAT) to evaluate the level of self-reported Internet addiction. Social demographics (i.e. age, sex, etc. ), lifestyle (i.e. the time for Internet use, sleeping hours, etc. ), and depressive tendency (Patient Health Questionnaire 2, PHQ2) were also assessed. The χ-square test and logistic regression analysis were used for analysis.Results: The response rate was 65% (222; 111 males and 111 females). Factors related to an IAT score of 50 or higher were sleeping hours (<7.5 hours) (OR: 0.38, 95%CI: 0.21-0.68), the time for Internet use (≥4 hours) (2.6, 1.4-4.8), and PHQ2 score (≥3) (6.2, 3.3-11.5). On logistic regression analysis, an IAT score ≥50 was positively associated with the time for Internet use and PHQ2 score ≥3.Conclusion: The self-report of high Internet addiction among Brazilian students in A city in Japan was significantly related to the time for Internet use and depressive tendency.
2.Prospective and Progress of Simulators in Medical Education.
Yoshikiyo AMAKI ; Junko IKEUCHI ; Daisuke INOUE
Medical Education 2001;32(4):261-264
Simulations will be important in 21st-century medical education. However, several obstacles may prevent this teaching tool from being introduced to individual medical schools. Most medical schools cannot afford expensive full-scale simulators and do not have enough space for introducing simulation materials. Medical schools must also hire operators for extremely sophisticated computers. To solve these problems we propose to establish a medical simulation center in a large city. Trainees will come to the center from medical schools in Tokyo and learn fundamental techniques, such as intravenous injection and endotracheal intubation, with specialized partial simulators. In advanced courses, trainees can learn with fullscale simulations how to deal with serious situation. The establishment of a simulation center in a large city may popularize the use of expensive simulators and equipment. However, how to maintain the center financially remains a problem; raising funds from many sources is the key to success.
3.Establishing a Regional Medical Cooperation Network in a Mountainous Area Using an Information Sharing Application Developed by Reflecting the Opinions of Medical and Welfare Professionals
Takeshi TANAKA ; Koichi YAMAGUCHI ; Kazuoki INOUE ; Daisuke SON ; Masahiko KODA ; Shinichi TANIGUCHI
An Official Journal of the Japan Primary Care Association 2022;45(3):102-105
4.Acute Therapy for Traumatic Head Injury
Tomoya MIYAGI ; Mitsuhide MAEDA ; Yasuhide INOUE ; Daisuke KONDOU ; Fumihide YOSHIMURA ; Akio OOKURA ; Motohiro MORIOKA
The Japanese Journal of Rehabilitation Medicine 2013;50(7):557-569
The most important factors in determining the outcomes of patients with traumatic brain injury (TBI) is the degree of severity and types of primary brain damage, and the secondary damage to the brain such as low-oxygen and low-blood pressure et al. For severe TBI patients, prompt and appropriate decompression to reduce intracranial pressure (ICP) and ICU management are commonly required. The second edition of "Guidelines for the Management of Severe Head Injury" was published by the Japan Society of Neurotraumatology (JSNT) in 2006. These guidelines include a wide range of topics in the management for severe TBI, from prehospital care, primary care, ICU management and surgical treatment. The essence of extended decompression and neuroprotection for TBI is also focused in the JNST Guidelines. The pathophysiological event in the acute stage of severe TBI is quite variable ; therefore, an appropriate individual based approach in ICU management is necessary under experienced medical teams.
5.Rehabilitation for the Impaired Patients with Radiation, Chemotherapy, Anticancer Drug Treatment and,or Hematopoietic Stem Cell Transplantation Relating to the Malignancies
Ryuichi Saura ; Junichiro Inoue ; Daisuke Makiura ; Masao Tomioka ; Tadayuki Nishiguchi ; Yoshitada Sakai
The Japanese Journal of Rehabilitation Medicine 2016;53(2):130-134
6.Osteoporosis Associated with Chronic Obstructive Pulmonary Disease.
Ryo OKAZAKI ; Reiko WATANABE ; Daisuke INOUE
Journal of Bone Metabolism 2016;23(3):111-120
Recent epidemiological studies have revealed that osteoporosis is closely associated with common chronic diseases including diabetes, hypertension, chronic kidney disorders, and chronic obstructive pulmonary disease (COPD). COPD is a chronic inflammatory airway disease but now well known to be associated with various systemic comorbidities including osteoporosis. Osteoporosis and osteoporotic fractures are extremely common in COPD patients, which have significant impacts on their quality of life (QOL), activities of daily life (ADL), respiratory function, and possibly their prognosis. COPD-associated osteoporosis is however extremely under-recognized, hence undertreated. Recent studies have suggested that both decreased bone mineral density (BMD) and impaired bone quality compromise bone strength causing fractures in COPD. In COPD patients, various general clinical risk factors for osteoporosis are present including smoking, older age, low body weight, and physical inactivity. In addition, disease-related risk factors such as decreased pulmonary function, inflammation, glucocorticoid use and vitamin D deficiency/insufficiency have been linked to the development of osteoporosis in COPD. Increased awareness of osteoporosis in COPD, especially that of high prevalence of vertebral fractures is called upon among general physicians as well as pulmonologists. Routine screening for osteoporosis and risk assessment of fractures will enable physicians to diagnose COPD patients with comorbid osteoporosis at an early stage. Timely prevention of developing osteoporosis together with appropriate treatment of established osteoporosis may improve QOL and ADL of the COPD patients, preserve their lung function and eventually result in better prognosis in these patients.
Activities of Daily Living
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Body Weight
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Bone Density
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Chronic Disease
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Comorbidity
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Epidemiologic Studies
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Humans
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Hypertension
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Inflammation
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Kidney
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Lung
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Mass Screening
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Osteoporosis*
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Osteoporotic Fractures
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Prevalence
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Prognosis
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Pulmonary Disease, Chronic Obstructive*
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Quality of Life
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Risk Assessment
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Risk Factors
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Smoke
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Smoking
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Vitamin D
7.The Influence of Posture on Instability Evaluation Using Flexion–Extension X-Ray Imaging in Lumbar Spondylolisthesis
Daisuke INOUE ; Hideki SHIGEMATSU ; Yoshiyuki NAKAGAWA ; Toshichika TAKESHIMA ; Yasuhito TANAKA
Asian Spine Journal 2021;15(3):308-316
Prospective clinical study. To determine the optimal posture for instability evaluation using flexion–extension X-ray imaging in patients with lumbar spondylolisthesis. Currently, flexion–extension X-ray imaging is the most practical approach for the evaluation of lumbar instability. In flexion–extension X-ray imaging, achievement of the greatest segmental motion with flexion–extension movement is necessary. However, to our knowledge, currently, there is no standardized posture for determining lumbar instability. Twenty-three individuals with lumbar spondylosis related to the fourth vertebra underwent flexion–extension X-ray imaging in different postures (standing, sitting, and lateral decubitus positions), lumbar magnetic resonance imaging (MRI), and low back pain Visual Analog Scale (VAS) evaluation on the same day. Intervertebral angle, percent slippage, and intervertebral disc area ratio for different postures during flexion and extension were compared using Tukey’s method. The effect of low back pain and the association between MRI facet effusion and these measurements were investigated according to posture. The percent slippage during extension ( In this study, intervertebral instability was best evaluated in the lateral decubitus position when using flexion–extension X-ray imaging for patients with fourth lumbar vertebral spondylolisthesis.
8.8-9 Online Clinical Clerkship under the Pandemic: A Case of Department of Community-based Family Medicine, Tottori University Faculty of Medicine
Kazuoki INOUE ; Lee YOUNG ; Minako KAMIMOTO ; Shintaro IMAOKA ; Daisuke SON ; Toshihiro HAMADA ; Daeho PARK ; Masahiko KODA ; Shinichi TANIGUCHI
Medical Education 2020;51(3):298-300
9.The Influence of Posture on Instability Evaluation Using Flexion–Extension X-Ray Imaging in Lumbar Spondylolisthesis
Daisuke INOUE ; Hideki SHIGEMATSU ; Yoshiyuki NAKAGAWA ; Toshichika TAKESHIMA ; Yasuhito TANAKA
Asian Spine Journal 2021;15(3):308-316
Prospective clinical study. To determine the optimal posture for instability evaluation using flexion–extension X-ray imaging in patients with lumbar spondylolisthesis. Currently, flexion–extension X-ray imaging is the most practical approach for the evaluation of lumbar instability. In flexion–extension X-ray imaging, achievement of the greatest segmental motion with flexion–extension movement is necessary. However, to our knowledge, currently, there is no standardized posture for determining lumbar instability. Twenty-three individuals with lumbar spondylosis related to the fourth vertebra underwent flexion–extension X-ray imaging in different postures (standing, sitting, and lateral decubitus positions), lumbar magnetic resonance imaging (MRI), and low back pain Visual Analog Scale (VAS) evaluation on the same day. Intervertebral angle, percent slippage, and intervertebral disc area ratio for different postures during flexion and extension were compared using Tukey’s method. The effect of low back pain and the association between MRI facet effusion and these measurements were investigated according to posture. The percent slippage during extension ( In this study, intervertebral instability was best evaluated in the lateral decubitus position when using flexion–extension X-ray imaging for patients with fourth lumbar vertebral spondylolisthesis.
10.The Cutting-edge Rehabilitation Treatment for Patients with Spinal Cord Injury:Functional Electrical Stimulation(FES)
Toshiki MATSUNAGA ; Naohisa MIYAKOSHI ; Daisuke KUDO ; Kimio SAITO ; Ryota KIMURA ; Junichi INOUE ; Satoaki CHIDA ; Kazutoshi HATAKEYAMA ; Yoichi SHIMADA
The Japanese Journal of Rehabilitation Medicine 2019;56(7):555-559