Fukushima Journal of Medical Science最新文献_第5页

Subjective Difficulty with Higher-Level Functional Capacity in Community-Dwelling Older People withMild Cognitive Impairment. 在社区居住的轻度认知障碍老年人对高级功能能力的主观困难。

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Fukushima Journal of Medical Science Pub Date : 2024-10-18 Epub Date: 2024-10-04 DOI: 10.5387/fms.23-00013

Yoshitaka Shiba, Saori Anzai, Takuya Ueda, Naoki Sasa, Tetsuya Yamagami, Yoshitsugu Omori

{"title":"Subjective Difficulty with Higher-Level Functional Capacity in Community-Dwelling Older People withMild Cognitive Impairment.","authors":"Yoshitaka Shiba, Saori Anzai, Takuya Ueda, Naoki Sasa, Tetsuya Yamagami, Yoshitsugu Omori","doi":"10.5387/fms.23-00013","DOIUrl":"10.5387/fms.23-00013","url":null,"abstract":"Background and purpose: Mild cognitive impairment (MCI) is a predictor of future age-related dementia.　We herein investigated associations of MCI with higher-level functional capacities, as well as with subjective difficulty regarding these functions, in community-dwelling older people, to identify a simple method for early MCI detection.Method: We administered a test battery to 118 community-dwelling older people living in an urban area.　The battery consisted of three tests;the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), the Touch Panel-type Dementia Assessment Scale (TDAS), and the Geriatric Depression Scale-15.　We then excluded participants with possible dementia or depression symptoms, and divided the remainder (n = 67) into an MCI group (n = 16) and a non-MCI group (n = 51), according to TDAS performance.Results: Logistic regression analysis with the MCI and non-MCI groups as dependent variables indicated that TMIG-IC was a significant variable.　Male sex and the perception that preparing meals and filling out pension forms had become more difficult were significantly associated with MCI, each independently increasing the probability of MCI.Conclusions: Subjective difficulty with higher-level functions and impairment in higher-level functional capacity may serve as indices for mass screening for MCI.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"183-192"},"PeriodicalIF":0.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Palliative care practices and their relationship to training: A cross-sectional study of community-oriented physicians. 姑息关怀实践及其与培训的关系：以社区为导向的医生横断面研究。

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Fukushima Journal of Medical Science Pub Date : 2024-07-24 Epub Date: 2024-07-19 DOI: 10.5387/fms.23-00007

Kuniko Kodama, Satoshi Kanke, Ryuki Kassai

{"title":"Palliative care practices and their relationship to training: A cross-sectional study of community-oriented physicians.","authors":"Kuniko Kodama, Satoshi Kanke, Ryuki Kassai","doi":"10.5387/fms.23-00007","DOIUrl":"10.5387/fms.23-00007","url":null,"abstract":"Objectives: This study aimed to investigate the training methods family physicians (FPs) use to enhance their professional development in palliative care. We also determined the relationship between these methods and palliative care practice.Methods: A questionnaire survey was administered to 557 FPs. Palliative care practices were measured using the palliative care self-reported practices scale (PCPS;range 1-5), and associations among the eight indicators of FP palliative care training were considered. Quantile regression analysis was used for the analysis.Results: Valid responses were received from 307 FPs:99.4% of the FPs provided palliative care and home visits, and 92.8% received palliative care training. The PCPS score was higher in participants who reported having received palliative care training (adjusted coefficient, 0.4 [95% CI, 0.12-0.68]; P=0.004). The palliative care training method was found to be significantly associated with the PCPS score \"Self-study through literature\" (adjusted coefficient 0.18 [95% CI, 0.01-0.34]; P=0.03) and \"Reflection on the practices\" (adjusted coefficient 0.24 [95% CI, 0.08-0.4]; P=0.004).Conclusions: FPs actively provided palliative care in their communities and used various palliative care training methods for professional development. \"Reflection on the practices\" and \"Self-study through literature\" were important elements of community-based palliative care practice.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"141-151"},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Four cases of isolated fallopian tube torsion successfully treated with laparoscopic surgery:A case series. 腹腔镜手术成功治疗四例孤立性输卵管扭转：病例系列。

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Fukushima Journal of Medical Science Pub Date : 2024-07-24 Epub Date: 2024-06-26 DOI: 10.5387/fms.23-00021

Riho Yazawa, Hiroyuki Yazawa, Kazuki Anjyo, Akari Inazuki

{"title":"Four cases of isolated fallopian tube torsion successfully treated with laparoscopic surgery:A case series.","authors":"Riho Yazawa, Hiroyuki Yazawa, Kazuki Anjyo, Akari Inazuki","doi":"10.5387/fms.23-00021","DOIUrl":"10.5387/fms.23-00021","url":null,"abstract":"We report four cases of isolated fallopian tube torsion (IFTT) successfully treated with laparoscopic surgery over the past 10 years. Two young women (each 19 years old) were IFTT with paraovarian cyst (POC) and tubal preservation was possible with detorsion and cystectomy. The other two patients (a 41-year-old woman with hydrosalpinx and a 50-year-old woman with hematosalpinx) underwent salpingectomy and adnexectomy, respectively, because there was no desire for tubal preservation. One patient had emergency surgery due to severe abdominal pain, one had semi-emergency surgery due to mild abdominal pain, and the other two were diagnosed during scheduled surgery without symptoms.Although IFTT was considered a very rare disease, our case series and recent reports suggest that it may have been underestimated, as it accounts for approximately 10% of adnexal torsion cases. Preoperative diagnosis of IFTT may be more difficult than for adnexal torsion because of its infrequency and nonspecific, vague clinical symptoms.　Since the prevalent age for this disease is young, as in our first 2 patients, early surgical intervention to preserve the fallopian tubes should be chosen when necessary, and it seems to be important for gynecologists to be aware of this disease for earlier diagnosis and appropriate surgical intervention.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"163-168"},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caution:Patient-specific preoperative preparations combined with procedure-specific 5-aminolevulinic acid may lead to critical events. 注意：针对特定患者的术前准备与针对特定手术的 5-氨基乙酰丙酸结合使用可能会导致危急事件。

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Fukushima Journal of Medical Science Pub Date : 2024-07-24 Epub Date: 2024-06-26 DOI: 10.5387/fms.24-00001

Shuto Yoshizawa, Junya Yoshida, Akioh Yoshihara, Chiaki Nemoto, Satoki Inoue

{"title":"Caution:Patient-specific preoperative preparations combined with procedure-specific 5-aminolevulinic acid may lead to critical events.","authors":"Shuto Yoshizawa, Junya Yoshida, Akioh Yoshihara, Chiaki Nemoto, Satoki Inoue","doi":"10.5387/fms.24-00001","DOIUrl":"10.5387/fms.24-00001","url":null,"abstract":"5-Aminolevulinic acid (5-ALA) is orally administered 2-4 hours before surgery to identify tumor location. Hypotension is sometimes observed after 5-ALA administration. Case reoprtWe present a case of a patient with 5-ALA-induced hypotension that resulted in the development of cerebral infarction. An 83-year-old man with a bladder tumor was scheduled for photodynamic diagnosis-assisted transurethral resection of bladder tumor (PDD-TURBT) and right radical nephroureterectomy. 5-ALA was orally administered and his ordinary antihypertensive and antianginal agents were also administered an hour after 5-ALA administration. Following this, his blood pressure dropped, and he developed muscle weakness and paralysis in his left upper extremity. Magnetic resonance imaging showed evidence of cerebral infarction. ConclusionsWe cannot conclude definitively that our patient's cerebral infarction was solely caused by 5-ALA-induced hypotension because hypotension under these circumstances is not rare. We consider that additional factors, such as patient-specific doses of antihypertensive and antianginal agents may have played a role in the development of his cerebral infarction.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"169-173"},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of general practice/family medicine training on Japanese junior residents:reflective writing analysis using text mining. 全科/家庭医学培训对日本初级住院医师的影响：利用文本挖掘进行反思性写作分析。

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Fukushima Journal of Medical Science Pub Date : 2024-07-24 Epub Date: 2024-06-26 DOI: 10.5387/fms.23-00006

Koki Nakamura, Satoshi Kanke, Atsushi Ishii, Fuyuto Mori, Goro Hoshi, Kanako Kanto, Yoshihiro Toyoda, Ryuki Kassai

{"title":"Impact of general practice/family medicine training on Japanese junior residents:reflective writing analysis using text mining.","authors":"Koki Nakamura, Satoshi Kanke, Atsushi Ishii, Fuyuto Mori, Goro Hoshi, Kanako Kanto, Yoshihiro Toyoda, Ryuki Kassai","doi":"10.5387/fms.23-00006","DOIUrl":"10.5387/fms.23-00006","url":null,"abstract":"Background: We previously reported the impact of general practice/family medicine training on postgraduate training in Japan using evaluation criteria standardized nationwide. However, there is a possibility that new insights may be gained by analyzing the reflective reports written by these residents.Methods: Junior residents who participated in one-month general practice/family medicine training at one of five medical institutions with full-time family medicine specialists between 2019 and 2022 were enrolled in this study. They were assigned to submit a reflective report on their experiences and thoughts every day during the training. We analyzed these reflective writings using text mining and created a co-occurrence network map to see the relationship between the most frequently used words.Results: Ninety junior residents participated in the study. The words that appeared most frequently in the sentences referring to clinical ability included \"symptoms,\" \"medical examination,\" \"consultation,\" \"treatment,\" and \"examination.\" The words of \"family\" and \"(patient) oneself\" showed strong association in the co-occurrence network map.Conclusion: It was suggested that general practice/family medicine training greatly contributes to the acquisition of clinical abilities and deepens the learning of junior residents not only about patient care but also about family-oriented care.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"133-140"},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current status of research on sarcopenia in post-treatment cancer survivors in Japan:A narrative review. 日本癌症治疗后幸存者肌肉疏松症的研究现状：叙述性综述。

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Fukushima Journal of Medical Science Pub Date : 2024-07-24 Epub Date: 2024-06-26 DOI: 10.5387/fms.23-00019

Keiichi Osaki, Takuya Fukushima, Katsuyoshi Suzuki, Akiho Kamimura, Saki Yanai, Shinichiro Morishita

{"title":"Current status of research on sarcopenia in post-treatment cancer survivors in Japan:A narrative review.","authors":"Keiichi Osaki, Takuya Fukushima, Katsuyoshi Suzuki, Akiho Kamimura, Saki Yanai, Shinichiro Morishita","doi":"10.5387/fms.23-00019","DOIUrl":"10.5387/fms.23-00019","url":null,"abstract":"Sarcopenia is prevalent among 11-25% of adult cancer survivors, depending on the cancer type, although the available data on post-treatment survivors in Japan are limited. If cancer patients develop cachexia, they may experience sustained weight loss as a result, ultimately leading to sarcopenia. Conversely, some patients experience post-treatment weight gain, resulting in sarcopenic obesity. Both sarcopenia and obesity elevate the risk of cardiovascular diseases and mortality; therefore, the importance of sarcopenia prevention and management is undeniable. The Guidelines for Exercise for Cancer Survivors recommend continued physical activity. Recent studies have reported the effectiveness of multimodal interventions, combining pharmacological, nutritional, and exercise approaches, necessitating multidisciplinary care for post-treatment sarcopenia. Innovative health interventions using mobile devices have also gained attention. However, studies on sarcopenia in post-treatment cancer survivors, especially those regarding exercise interventions, remain scarce in Japan, primarily due to limited insurance coverage for such post-treatment interventions and workforce challenges. It is clear that some cancer survivors have sarcopenia, which can lead to worse survival and secondary illness. While the benefits of exercise are clear, a comprehensive approach to sarcopenia is a further challenge for the future.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"119-131"},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Organ injury and its management in heart failure: Liver, kidney, and thyroid gland dysfunction. 心力衰竭的器官损伤及其处理：肝、肾和甲状腺功能障碍。

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Fukushima Journal of Medical Science Pub Date : 2024-07-24 Epub Date: 2024-07-13 DOI: 10.5387/fms.24-00002

Yu Sato, Akiomi Yoshihisa, Yasuchika Takeishi

引用次数: 0

Structural associations between self-perception of support and knowledge of disability characteristics of autism spectrum disorder among staff in facilities providing after-school day services. 提供课后日间服务机构的员工对自闭症谱系障碍残疾特征的自我支持感和知识之间的结构性关联。

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Fukushima Journal of Medical Science Pub Date : 2024-07-24 Epub Date: 2024-07-13 DOI: 10.5387/fms.23-00010

Yoshinobu Tanaka, Shigeki Kurasawa, Kazuo Ouchi, Naoyuki Oi

{"title":"Structural associations between self-perception of support and knowledge of disability characteristics of autism spectrum disorder among staff in facilities providing after-school day services.","authors":"Yoshinobu Tanaka, Shigeki Kurasawa, Kazuo Ouchi, Naoyuki Oi","doi":"10.5387/fms.23-00010","DOIUrl":"10.5387/fms.23-00010","url":null,"abstract":"Background: We constructed a hypothetical model of the knowledge of autism spectrum disorder (ASD) and self-perception of support of staff working in after-school day services to clarify structural relationships.Methods: A questionnaire survey was conducted at 194 facilities providing after-school day services in Fukushima Prefecture (October 2020), including a basic attributes questionnaire, the Literacy Scale of Characteristics of Autistic Spectrum Disorder (LS-ASD), and a staff questionnaire. We developed a hypothetical model of the relationship between self-perception and LS-ASD total scores of after-school service staff. To obtain latent variables for structural equation modeling (SEM) to confirm factor extraction and the interrelationships among variables, exploratory factor analysis was performed. SEM was used to examine the fit of the hypothetical model to the data and the relationships among variables.Results: The study included 302 staff members from 58 of 194 facilities. Four factors (Factor 1, motivation; 2, self-perception of knowledge; 3, information sharing; 4, self-confidence) were extracted. The final model showed that Factor 2 had a positive direct effect (path coefficient = 0.64) and Factor 4 had a negative direct effect (path coefficient = -0.22) on LS-ASD scores. The model goodness of fit was acceptable (Goodness-of-Fit Index = 0.890; Comparative Fit Index = 0.912; Root Mean Square Error of Approximation = 0.086; Akaike's Information Criterion = 392.7).Conclusion: Self-perception of knowledge contributes greatly to knowledge acquisition, while excessive confidence may hinder knowledge retention.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"153-162"},"PeriodicalIF":0.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hydropic leiomyoma-like ovarian tumor: a case report. 水瘤样卵巢肿瘤：病例报告。

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Fukushima Journal of Medical Science Pub Date : 2024-04-26 Epub Date: 2024-03-15 DOI: 10.5387/fms.2023-22

Tomoko Yamaguchi, Hyo Kyozuka, Yoshihiro Kochi, Fumihiro Ito, Hajime Odajima, Daisuke Suzuki, Yasuhisa Nomura

引用次数: 0

Investigation of walking speed and plantar pressure after chopart amputation. 髋关节截肢后行走速度和足底压力的调查。

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Fukushima Journal of Medical Science Pub Date : 2024-04-26 Epub Date: 2024-03-15 DOI: 10.5387/fms.23-00003

Kazuo Ouchi, Mari Sato, Yuki Kashiwabara, Mutsumi Shimazaki, Shoji Yabuki

{"title":"Investigation of walking speed and plantar pressure after chopart amputation.","authors":"Kazuo Ouchi, Mari Sato, Yuki Kashiwabara, Mutsumi Shimazaki, Shoji Yabuki","doi":"10.5387/fms.23-00003","DOIUrl":"10.5387/fms.23-00003","url":null,"abstract":"Background: In foot amputation, Chopart amputation is considered to have a high risk of deformity, and can result in poor function. We experienced a case in which Chopart amputation combined with tendon transfer and tendon lengthening was performed, and the patient was eventually able to walk independently with a foot prosthesis without experiencing deformity of the foot. We investigated walking speed and plantar pressure after Chopart amputation with and without a foot prosthesis.Case: A 78-year-old man underwent Chopart amputation with tendon transfer and tendon lengthening. As a result, he was able to stand up and walk, both while bearing weight on the heel of the affected foot, but he was unable to push off the ground using that foot. When a foot prosthesis was introduced, the patient's walking speed increased from 0.6 m/s without the prosthesis to 0.8 m/s with the prosthesis, which was an increase of 33%. The plantar pressure at the stump decreased from 129.3 N/cm2 on average without the prosthesis to 51.6 N/cm2 with the prosthesis, which was a 59% decrease. Wearing a foot prosthesis improved the patient's walking speed and decreased plantar pressure at the amputation stump.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":" ","pages":"99-102"},"PeriodicalIF":0.8,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11140196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0