Purpose: This study evaluated the effectiveness of a nursing intervention program to promote cancer pain self-management for outpatients using a non-randomized controlled trial. Methods: An intervention group underwent 3 sessions of the intervention program. The primary outcome measured was pain intensity (Japanese brief pain inventory [BPI-J]), and the secondary outcomes included the influence of pain on daily life, the effectiveness of pain relief treatment (BPI-J), quality of life (12-item short-form health survey [SF-12]), self-efficacy (pain self-efficacy questionnaire [PSEQ]), and psychological stability (hospital anxiety and depression scale [HADS]). Results: The data from 19 participants in the control and 16 in the intervention groups were analyzed. A comparison of changes in pain intensity before and after the study showed no statistically significant differences between the 2 groups. However, there was a statistically significant difference in the SF-12 role physical, with a decrease in the control group and an increase in the intervention group ( P=0.020). Conclusion: The only significant difference in the amount of change was found in the SF-12 role physical, and the intervention effect of this program could not be clarified. The reason for this was that the number of subjects was less than the sample size.

OBJECTIVES: Metabolic syndrome has received attention as a risk factor for cardiovascular disease, with particular importance attached to visceral fat accumulation, which is associated with lifestyle-related diseases and is strongly correlated with waist circumference. In this study, our aim is to propose waist circumference cut-off values that can be used as a marker for fatty liver based on a sample of workers receiving health checkups in Japan. METHODS: This study was conducted in a total of 21,866 workers who underwent periodic health checkups between January 2007 and December 2007. The mean age of the subjects was 47.4 years for men (standard deviation [SD]: 8.0) and 44.7 years for women (SD: 6.9). Evaluation included abdominal ultrasound and measurement of waist circumference, body mass index, fasting blood glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure. RESULTS: Based on receiver operating characteristic curve analysis, the optimal waist circumference cut-off values were shown as 85.0 cm (sensitivity 0.72, specificity 0.69) for men and 80.0 cm (sensitivity 0.75, specificity 0.78) for women. CONCLUSION: Abdominal ultrasound is the most efficient means of diagnosing fatty liver, but this examination seldom occurs because the test is not routinely performed at workers' health checkups. In people found to have a high risk of fatty liver, recommendations can be made for abdominal ultrasound based on the waist circumference cut-off values obtained in this study. That is, waist circumference can be used in high risk individuals as an effective marker for early detection of fatty liver.
Asian Continental Ancestry Group ; Blood Glucose ; Body Mass Index ; Cardiovascular Diseases ; Cholesterol ; Fasting ; Fatty Liver ; Female ; Humans ; Intra-Abdominal Fat ; Lipoproteins ; Male ; Risk Factors ; ROC Curve ; Sensitivity and Specificity ; Triglycerides ; Waist Circumference

OBJECTIVES: Metabolic syndrome has received attention as a risk factor for cardiovascular disease, with particular importance attached to visceral fat accumulation, which is associated with lifestyle-related diseases and is strongly correlated with waist circumference. In this study, our aim is to propose waist circumference cut-off values that can be used as a marker for fatty liver based on a sample of workers receiving health checkups in Japan. METHODS: This study was conducted in a total of 21,866 workers who underwent periodic health checkups between January 2007 and December 2007. The mean age of the subjects was 47.4 years for men (standard deviation [SD]: 8.0) and 44.7 years for women (SD: 6.9). Evaluation included abdominal ultrasound and measurement of waist circumference, body mass index, fasting blood glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure. RESULTS: Based on receiver operating characteristic curve analysis, the optimal waist circumference cut-off values were shown as 85.0 cm (sensitivity 0.72, specificity 0.69) for men and 80.0 cm (sensitivity 0.75, specificity 0.78) for women. CONCLUSION: Abdominal ultrasound is the most efficient means of diagnosing fatty liver, but this examination seldom occurs because the test is not routinely performed at workers' health checkups. In people found to have a high risk of fatty liver, recommendations can be made for abdominal ultrasound based on the waist circumference cut-off values obtained in this study. That is, waist circumference can be used in high risk individuals as an effective marker for early detection of fatty liver.
Asian Continental Ancestry Group ; Blood Glucose ; Body Mass Index ; Cardiovascular Diseases ; Cholesterol ; Fasting ; Fatty Liver ; Female ; Humans ; Intra-Abdominal Fat ; Lipoproteins ; Male ; Risk Factors ; ROC Curve ; Sensitivity and Specificity ; Triglycerides ; Waist Circumference

  Committee for Information Infrastructure in the 16th term of JSME Board Members was newly created to edit Medical Education White Book issued every four years and to provide sooner and more comprehensive information infrastructure provision. MEAL was opened as a website for medical education information since August 2011. MEAL consists of glossary, articles, books and more resources using a system like Wiki or Blog on the Web. By such technological progress, not only one–way information provision from JSME but also bidirectional communication between JSME members and committees／board members became available. Internationally, similar websites are known, such as MedEdPORTAL by AAMC （Association of American Medical Colleges）, and expected to be new scholarly information added to journals.