Mari Asano, Hiroki Tatsuoka, Yumi Yasui, Takao Kashiwagi, Minoru Kishi, Masahide Iwai, Takamasa Ohnishi
{"title":"[A case of nontuberculous mycobacterial disease and malignant lymphoma in an elderly patient].","authors":"Mari Asano, Hiroki Tatsuoka, Yumi Yasui, Takao Kashiwagi, Minoru Kishi, Masahide Iwai, Takamasa Ohnishi","doi":"10.3143/geriatrics.62.324","DOIUrl":"https://doi.org/10.3143/geriatrics.62.324","url":null,"abstract":"<p><p>An 88-year-old woman was referred to our hospital due to body weight loss (9 kg) over one year. Bronchoscopy revealed Mycobacterium avium, and antimicrobial treatment was initiated. Three months later, a chest CT scan revealed a mass shadow in the left lingular segment. After a second bronchoscopic examination, a pathological diagnosis of diffuse large B-cell lymphoma was made. After one course of chemotherapy, the mass in the left middle lobar significantly decreased in size. We report a case of malignant lymphoma with NTM in an elderly patient. Impaired immunity may have played a role in the development of both diseases. In an aging society, complications associated with both diseases may increase. Careful and detailed examination is essential.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"324-329"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Exercise/renal rehabilitation for elderly patients with chronic kidney disease].","authors":"","doi":"10.3143/geriatrics.62.139","DOIUrl":"https://doi.org/10.3143/geriatrics.62.139","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"139-144"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Preface to the special feature \"The elderly and hearing\"].","authors":"","doi":"10.3143/geriatrics.62.275","DOIUrl":"https://doi.org/10.3143/geriatrics.62.275","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"275"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Results of and issues with a nation-wide survey of an additional system for patients with suspected or diagnosed dementia during hospitalization for physical illness].","authors":"Hiroshi Yoshino, Takenori Okumura, Kyoko Mitamura, Yuka Saiki, Kensuke Suga, Shigeyo Kato, Hajime Takechi","doi":"10.3143/geriatrics.62.316","DOIUrl":"https://doi.org/10.3143/geriatrics.62.316","url":null,"abstract":"<p><strong>Aim: </strong>The dementia support team (DST) is an initiative established based on the knowledge that, when individuals with dementia or older people at risk for delirium are hospitalized because of physical illnesses, there are often cases in which their cognitive symptoms rapidly deteriorate. However, the activities of each hospital are unknown. Therefore, a nation-wide survey of DSTs was conducted.</p><p><strong>Methods: </strong>A questionnaire survey was conducted among 1,032 hospitals throughout Japan.</p><p><strong>Results: </strong>A total of 422 responses were obtained, of which 292 were valid. The main results were as follows: number of beds (200 to <500 beds, n=171), number of types of medical staff (≥4 types, n=248), number of patients for intervention/month (30 patients to <100 patients, n=164), number of team meetings/week (1/week, n=240), cognitive function assessment (Hasegawa Dementia Scale Revised [HDS-R], n=141), advice regarding medication (n=279), rehabilitation (n=243), reduction of physical restraint (n=274), nutrition (n=200) and discharge adjustment (n=233). Patients were divided into 2 groups for analyses: those requested by the other divisions (n=121; 41.4%) and those managed by DST (n=171; 58.6%). There was a higher rate of requested by the other divisions than the managed by the DST related advice for medications and rehabilitation. However, the differences were not statistically significant.</p><p><strong>Conclusions: </strong>The present study revealed that requests from other divisions involved a higher rate of advice on medication and rehabilitation than the managed by the DST. Further studies are required to confirm this hypothesis.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 3","pages":"316-323"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[A comparison of the health-related quality of life and its influencing factors among community-dwelling older woman in urban and rural areas].","authors":"Yuki Kikuchi, Hideki Nakano, Akio Goda, Tsuyoshi Katsurasako, Kohei Mori, Jun Horie, Kayoko Shiraiwa, Teppei Abiko, Shin Murata","doi":"10.3143/geriatrics.62.196","DOIUrl":"https://doi.org/10.3143/geriatrics.62.196","url":null,"abstract":"<p><strong>Aims: </strong>This study examined the impact of the residential environment on the health-related quality of life (HRQOL) and other health-related factors among older women in urban and rural areas.</p><p><strong>Methods: </strong>This study included 423 older adults living in urban and rural areas, of whom 236 older women met the inclusion criteria. The HRQOL, physical function, body composition, pain, mental and sleep status, and cognitive function were measured and compared between the two groups by region. Correlation and multiple regression analyses were used to investigate the factors influencing HRQOL.</p><p><strong>Results: </strong>Older rural women had a significantly worse educational history, grip strength, knee extension strength, sit-and-reach distance, one-leg standing, gait speed, and muscle mass as well as significantly better results for the Timed Up and Go tests and fat mass than older urban women. However, no significant differences in the HRQOL were found between regions. Pain intensity and central sensitization-related symptom (CSS) severity were identified as the key factors influencing the HRQOL across both regions.</p><p><strong>Conclusion: </strong>Despite a poorer physical function in older rural women, pain intensity and CSS severity were the main factors influencing the HRQOL in both urban and rural areas. Thus, approaches targeting pain and CSS could be beneficial for improving the HRQOL in community-dwelling older women. Improving the physical function is particularly important for older rural women.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"196-205"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Clinical significance of sarcopenia and frailty in the elderly with chronic kidney disease].","authors":"","doi":"10.3143/geriatrics.62.128","DOIUrl":"https://doi.org/10.3143/geriatrics.62.128","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 2","pages":"128-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The current situation of disaster-related deaths in the 2024 Noto peninsula earthquake and the lessons of Minamisoma city].","authors":"","doi":"10.3143/geriatrics.62.12","DOIUrl":"https://doi.org/10.3143/geriatrics.62.12","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}