1.Effects of change in body mass and body composition during body mass reduction on bone mass in obese middle-aged women.
YOSHIO NAKATA ; KIYOJI TANAKA ; RYOSUKE SHIGEMATSU ; HITOSHI AMAGAI ; TAKAO SUZUKI
Japanese Journal of Physical Fitness and Sports Medicine 2002;51(1):129-137
Although body mass is known to be related to bone mass, defined as bone mineral density (BMD) and bone mineral content (BMC), little is known about the effects of body mass reduction programs on bone mass. This study assessed bone mass changes in response to four body mass reduction programs that utilized diet and/or exercise. Ninety-four obese or overweight women (age 49.3±7.1 years, body mass 68.5±7.7 kg) were randomly assigned 4 groups (2 intervention forms × 2 trials) : diet in trial 1 (D1, n=27), diet plus exercise in trial 1 (DE1, n=28), diet in trial 2 (D2, n=21), and diet plus exercise in trial 2 (DE2, n=18) . Body mass, body mass index (BMI), absolute and relative (%fat) fat mass, lean mass, BMC, and BMD were measured by dual energy X-ray absorptiometry before and after the 3-month intervention program. Body mass loss was similar in DI (-9.7%) and D2 (-11.6%), and in DE1 (-13.8%) and DE2 (-12.2%) . However, BMC loss was different (P<0.05) between trial 1 and trial 2 for each intervention form (D1: -3.2% vs D2 ; -0.9%, DE1: -4.5% vs DE2: -0.8%) . With this in mind, multiple regression analyses were applied, with either change in BMC or BMD as the dependent variable, and other physical characteristics measured before and after the intervention program as independent variables. Results indicated that multiple correlation coefficients were statistically significant (R=0.61 with BMC, R=0.49 with BMD) . BMI after the intervention program and change in body mass were identified as the significant contributors to the change in BMC, while change in %fat and age were identified as the significant contributors to the change in BMD. These results suggest that, during body mass reduction, (1) physical characteristics are the significant contributors to changes in BMC and BMD and (2) exercise may not prevent the loss of bone mass.
2.Association between age and dynamic balance capability assessed by use of force plates
Yasuhiro Suzuki ; Yoshio Nakata ; Hidenori Kato ; Yuuki Tanabe ; Shinya Iwabuchi ; Kimihisa Ishikawa
Japanese Journal of Physical Fitness and Sports Medicine 2015;64(4):419-425
This study aimed to evaluate dynamic balance capability, bathyesthesia, and the composite compensation of bathyesthesia and visual sense for dynamic balance assessed by use of force plates and to examine their correlation to age in a cross-sectorial manner. Participants of this study were 147 healthy people (55 men, 92 women). To evaluate dynamic balance capability, we evaluated the index of postural stability (IPS), which is the logarithmic value of the ratio of the area of stability limits to the area of postural sway, with participants standing on a hard surface with eyes opened. To measure bathyesthesia, we evaluated the modified index of postural stability (MIPS), i.e., the IPS with participants standing on a soft surface with eyes closed. As for the composite compensation index of bathyesthesia and visual sense for dynamic balance, we calculated the rubber IPS Romberg ratio (MIPS/IPS). The correlation coefficients (Spearman’s rho) of IPS, MIPS and MIPS/IPS to age were −0.666 (p < 0.001), −0.697 (p < 0.001) and −0.600 (p < 0.001), respectively. These results suggest that dynamic balance capability and bathyesthesia decline with advancing age, and the composite compensation of bathyesthesia and visual sense for dynamic balance strengthens with advancing age.
3.Trends of graduate-entry programmes in the United Kingdom
Hiroshi NISHIGORI ; Osamu FUKUSHIMA ; Yoshio NITTA ; Tadahiko KOZU ; Toshiya SUZUKI ; Nobuo NARA
Medical Education 2008;39(6):370-372
1) We reported recent movement to graduate entry program (GEP) of medical education curriculum in the UK by both interviewing faculty members who are in charge of GEP and doing literature review.
2) In GEP, we may be able to make better doctors in short term.However, as long term outcome is not known so far, further discussion is necessary.
3) Many contents can be improved by just curriculum change, not by introducing GEP.Besides it can be said that GEP can make diverse doctors.
4.Foods for Specialized Health Use (FOSHU) in Treating Postprandial Elevated Blood Glucose Level
Hirotaka HAYASHI ; Satoshi OHNO ; Takanari ARAI ; Masuo NAKAI ; Yoshio KATO ; Nobutaka SUZUKI
Japanese Journal of Complementary and Alternative Medicine 2008;5(2):123-134
Approximately 100 kinds of Foods for Specified Health Use (FOSHU) are used to “control postprandial elevated blood glucose level”. In this review, we describe their safety and effectiveness.
5.Perceptions and practice patterns of cancer survivorship care among Japanese gynecologic oncologists: The JGOG questionnaire survey
Mikiko ASAI-SATO ; Nao SUZUKI ; Hitomi SAKAI ; Yoshio ITANI ; Shinya SATO ; Masayuki FUTAGAMI ; Yoshio YOSHIDA
Journal of Gynecologic Oncology 2023;34(1):e10-
Objective:
This study aimed to assess gynecologic oncologists (GOs)’ perceptions and attitudes toward cancer survivorship to help improve survivor care.
Methods:
We conducted a web-based questionnaire survey about survivorship issues for the GOs belonging to the Japan Gynecologic Oncology Group. We analyzed the proactiveness of the participants toward addressing 25 survivor issues. In addition, the practice patterns and barriers to care for survivors’ long-term health issues, such as second primary cancer (SPC) and lifestyle-related diseases (LSRD), and return-to-work (RTW) support were assessed.
Results:
We received 313 responses. The respondents had a mean of 22 years of physician experience. The ratio of men to women was approximately 7:3, and 84.7% worked at facilities for multidisciplinary cancer treatment. The respondents’ proactiveness for addressing psychosocial problems was significantly lower than physical and gynecological issues (p<0.01 by χ2 test). However, most GOs tried to contribute to such issues according to patients’ demands. Women GOs were more proactively involved in some survivorship issues than the men (p<0.05 by logistic regression analysis). The rates of the respondents who proactively discussed SPC, LSRD, and RTW were unexpectedly high (60.7%, 36.1%, and 52.4%, respectively). However, the GOs only provided verbal support for these issues in many cases.
Conclusion
The Japanese GOs were enthusiastic about survivorship care. However, their tendency to deal with survivors’ problems through their own knowledge and judgments raises concerns about the quality of care. Therefore, creating survivorship care guidelines and enhancing multidisciplinary collaboration should be prioritized.
6.Primary Cardiac Leiomyosarcoma Originating from the Right Atrium.
Takao Suzuki ; Morito Kato ; Shinichi Oki ; Yasuhiro Tezuka ; Hiroaki Konishi ; Tsutomu Saito ; Osamu Kamisawa ; Yoshio Misawa ; Katsuo Fuse
Japanese Journal of Cardiovascular Surgery 2001;30(3):140-142
Primary malignant cardiac tumors are extremely rare. Among these, leiomyosarcoma are particularly exceptional and only about 20 surgically treated cases have been extensively described. We describe a case of right atrial leiomyosarcoma which was accidentally found by computed tomography. The tumor was surgically resected under extracorporeal circulation. Two months later the patient had cerebral hemorrhage due to a brain metastasis, which almost completely disappeared after irradiation. There was no other evidence of recurrence for 12 months after operation.
7.Results of Mass Gastric Examination Conducted by the Nagano Prefectural Welfare Federation of Agricultural Cooperatives
Zenji Shimizu ; Kenji Usui ; Shigenobu Terashima ; Yoshio Takahashi ; Yoshimaru Sugiyama ; Tsutomu Fujita ; Kunihiro Oguchi ; Hajime Fushimi ; Etsuji Sano ; Takao Suzuki ; Takeshi Okada
Journal of the Japanese Association of Rural Medicine 1983;31(5):744-752
In order to carry out mass examination for detection of stomach ailments effectively and improve screening accuracy, the Nagano Prefectural Welfare Federation of Agricultural Cooperatives, with its mass gastric examination committee as a driving force, has made every endeavor in close collaboration with Federation-affiliated hospitals.
The ratio of those receiving detailed examination to the total number of those who have undergone mass screenings, and the detection ratio of gastric cancer cases, especially those in early stages, have increased steadily over the past years.
This is due in the main to untiring effort exerted by public health nurses and other persons concerned with health problems.
However, the results of X-ray examination made on the basis of the diagnostic standards prepared by the Federation show that there is much need of improving examiners' ability to read mass miniature radiographs correctly.
8.Results of gastric mass survey in Tsuchiura Kyodo Hospital.
Katsuhiro Sanada ; Mamoru Takeshi ; Koji Koike ; Kazuo Hirose ; Koichi Matsuda ; Yoshio Ishida ; Yoji Nakazawa ; Masahiro Tsubaki ; Tomoyuki Suzuki ; Kazushi Seki ; Susumu Hiranuma ; Koichi Shibata ; Kohei Okamoto ; Shin Tonouchi
Journal of the Japanese Association of Rural Medicine 1985;33(5):907-912
We began gastric mass survey at our hospital in May, 1980. During 3 years and 8 months since then, (May, 1980-December, 1983) we performed screening examinations to 16, 341 people by indirect radiography, and checked 2, 824 cases (17.3%) for thorough examination. Among these cases, 2, 083 (73.8%) received endoscopic examination actually, and 55 cases of gastric cancer were discovered. The discovery rate of gastric cancer was 0.336 per cent.
35 cases of these 55 gastric cancer were operated in the surgical department of our hospital. 34 cases were resected (rate of resection was 97.1%) and 33 cases were resected curatively (rate of curative resection was 94.3%). These results were better than that of gastric cancer cases from out-patient clinic of the same period. The results of cases from out-patient clinic of our hospital were: total number of cases 321, resected cases 254 (79.1%), curative resection 189 cases (58.9%), respectively.
9.Intervention in Clinical Department by Infection Control Team as Part of Its Prophylactic Activities
Yuji BESSHO ; Mie SUZUKI ; Eriko TAKAKURA ; Akiya MORI ; Yumi MATSUSHIMA ; Kenji YANOU ; Tetsuya MURATA ; Keiki KAWAKAMI ; Shinji YAMAMOTO ; Yoshio SEKO ; Masayuki HAMADA
Journal of the Japanese Association of Rural Medicine 2006;55(4):381-387
Since the Infection Control Team (ICT) was organized in 1999, our hospital has been engaged in evidence-based operations against nosocomial infections. The ICT's major activities included guidance in preventive measures against infections, surveillance involving continuous environmental monitoring, proposition as regards prescription of antibacterial medicines, and consultation with clinicians about prophylaxis. The team comprising physicians, nurses, pharmacists and clinical laboratory technicians has made expert propositions to clinicians. To be concrete, the team members, with the liaison clerk playing a central role, met with physicians in charge or with other staff members of the hospital, studied the infection cases in question, and presented the study findings to the clinicians. Fundamentally, therefore, it is not that the ICT intervenes in the affairs of the clinical department by way of directions but that it presents clinicians with the ideas gained through discussion between ICT members and physicians and other hospital staffers. While cementing a relationship of mutual trust between hospital employees, the ICT is expected to engage in nosocomial infection prevention activities by joining forces transdeoartmentally.
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10.Prolonged Inflammatory Reaction with Thrombosis in the False Lumen and Edema around the Descending Thoracic Aorta after Endovascular Stent-Graft Repair of Dissecting Aortic Aneurysms.
Shin-ichi Suzuki ; Jiro Kondo ; Kiyotaka Imoto ; Michio Tobe ; Yoshio Iwai ; Yukio Ichikawa ; Susumu Isoda ; Keiji Uchida ; Ichiya Yamazaki ; Yoshinori Takanashi
Japanese Journal of Cardiovascular Surgery 2000;29(5):326-331
The purpose of this study was to consider the cause of the prolonged inflammatory reaction that sometimes appears after endovascular stent-graft repair for dissecting aortic aneurysm. Endovascular stent-grafting was performed in 12 patients (11 men and 1 woman, mean age 60±9.8). Endovascular stent-grafting was indicated to close the entry of type B dissections in 10 patients and to exclude ulcer-like projections (ULP) in 2 patients. On the 7th postoperative day (POD), aortography showed no endoleak in 7 type B cases (A-group), remaining endoleak in 3 type B cases (B-group), and complete exclusion in 2 ULP cases (C-group). The value of FDP-E in the A-group was high on the first POD and then decreased gradually. FDP-E also increased up to the 7th POD in the B-group, and increased very slightly after the operation in the C-group. The values of WBC and CRP increased up to the 3rd POD in all groups, but in the A-group it was still high on the 7th POD. On contrast-enhanced CT performed after the procedure and on the 7th POD, edema (over 10mm in thickness) around the descending thoracic aorta was demonstrated in 5 out of 7 cases in the A-group, but in none of the cases in the B- and C-groups. A segmental atelectasis in the left lung was detected in 6 out of 7 cases in the A-group, but in none of the cases in the Band C-groups. In the A-group, endovascular stent-grafting influenced thrombus formation, and the thickened edema around the descending thoracic aorta and the atelectasis produced in the left lung were prominent more than in the other groups. These results suggest that the Inflammation around aortic wall induced by thrombosis in the false lumen, might contribute to the development of the edema around the descending thoracic aorta and the atelectasis in the left lung. We conclude that the inflammatory reaction might have prolonged the postoperative course in the A-group patients.