Journal of rural medicine : JRM最新文献_第7页

Consideration points in the decision making in chronic respiratory diseases. 慢性呼吸系统疾病决策的考虑要点。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2023-044

Wakae Maeda, K M Saif-Ur-Rahman, Tsukasa Muraya, Yoshihisa Hirakawa

{"title":"Consideration points in the decision making in chronic respiratory diseases.","authors":"Wakae Maeda, K M Saif-Ur-Rahman, Tsukasa Muraya, Yoshihisa Hirakawa","doi":"10.2185/jrm.2023-044","DOIUrl":"10.2185/jrm.2023-044","url":null,"abstract":"Objective: Even though dynamic multidisciplinary team discussions are crucial for end-of-life care management and decisions concerning chronic obstructive pulmonary disease (COPD), the details of the discussion contents remain poorly understood. This study aimed to identify essential considerations in decision-making for patients with chronic respiratory diseases to enhance a consensus-based approach. Materials and Methods: A qualitative content analysis of focus group conversations on published clinical case reports in the Japanese community about end-of-life care for patients with chronic respiratory disorders was conducted. The cases were searched through Igaku Chuo Zasshi (ICHUSHI) and Google in February 2021, using the keywords: \"COPD\", \"chronic respiratory diseases\", and \"end-of-life care\". A total of 41 healthcare professionals participated in the focus group discussions. Results: Four major themes evolved from the qualitative content analysis: unpredictable disease prognosis and stages, low awareness of patients on disease severity, acute exacerbations, and home oxygen therapy (HOT). The participants perceived that assessment of severity and prognosis in chronic respiratory diseases such as COPD was a core discussion point to enhance patients' decision-making. The study's findings also indicated that healthcare providers evaluate the influence of acute aggravation of the condition on patients' perceived health status and decision-making. Conclusion: The study reaffirms the significance of informed consent in patients with chronic respiratory disease. It details how, after a thorough assessment of disease severity, patients are given personalized explanations of standardized HOT. This approach ensures they fully understand the unpredictable nature and various stages of their condition resulting from acute exacerbations.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"158-165"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556127","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

Spontaneous migration of a dedicated plastic stent after endoscopic ultrasound-guided hepaticogastrostomy in a patient with surgically altered anatomy: a case report. 在内镜超声引导下对一名解剖结构改变的患者进行肝胃造口术后，专用塑料支架自发移位：病例报告。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2023-050

Kei Yane, Takayuki Imagawa, Masahiro Yoshida

引用次数: 0

The Congress of the International Association of Rural Medicine (IARM 2023). 国际农村医学协会大会（IARM 2023）。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.CR19-204

引用次数: 0

Gait analysis using three-dimensional motion and ground reaction force systems in patients with hemiplegia treated with botulinum toxin type A in ankle plantar flexors. 利用三维运动和地面反作用力系统对踝关节跖屈肌接受A型肉毒毒素治疗的偏瘫患者进行步态分析。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2024-006

Masato Murakami, Tsuneo Okada

{"title":"Gait analysis using three-dimensional motion and ground reaction force systems in patients with hemiplegia treated with botulinum toxin type A in ankle plantar flexors.","authors":"Masato Murakami, Tsuneo Okada","doi":"10.2185/jrm.2024-006","DOIUrl":"10.2185/jrm.2024-006","url":null,"abstract":"Objective: The efficacy of botulinum toxin type A (BoNT-A) injection on spasticity has usually been measured using the range of motion (ROM) of joints and Modified Ashworth Scale (MAS); however, they only evaluate muscle tone at rest. We objectively analyzed the gait of three patients with hemiplegia using three-dimensional motion analysis and ground reaction force (GRF) systems to evaluate muscle tone during gait. Materials and Methods: We measured passive ankle dorsiflexion ROM with knee extension and the MAS score for clinical evaluation, and gait speed, stride length, single-leg support phase during the gait cycle, joint angle, joint moment, and GRFs for kinematic evaluation before and one month after BoNT-A injection. Results: All patients showed an increase in ankle dorsiflexion ROM, improvement in MAS score, and increase in stride length. Case 1 showed an increase in gait speed, prolongation of the single-leg support phase, increase in hip extension angle and moment, and improvement in the vertical and anterior-posterior components of the GRFs. Case 2 showed an increase in gait speed, improvement in double knee action, increase in ankle plantar flexion moment, and improvement in propulsion in the progressive component of the GRFs. Case 3 exhibited a laterally directed force in the GRFs. Conclusion: We evaluated the effects of BoNT-A injections in three patients with hemiplegia using three-dimensional motion analysis and GRFs. The results of the gait analysis clarified the improvements and problems in hemiplegic gait and enabled objective explanations for patients.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"174-180"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556128","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

Service provision conditions for foreign residents in municipalities in Japan. 日本市镇为外国居民提供服务的条件。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2023-043

Mayumi Ohnishi, Megumi Kisu, Mika Nishihara, Yasuhide Nakamura, Rieko Nakao, Satoko Kosaka, Ryoko Kawasaki

{"title":"Service provision conditions for foreign residents in municipalities in Japan.","authors":"Mayumi Ohnishi, Megumi Kisu, Mika Nishihara, Yasuhide Nakamura, Rieko Nakao, Satoko Kosaka, Ryoko Kawasaki","doi":"10.2185/jrm.2023-043","DOIUrl":"10.2185/jrm.2023-043","url":null,"abstract":"Objectives: This study examined the actual conditions of service provision to foreign residents (FRs) addressing prevention of lifestyle-related diseases (LRDs) and disaster preparedness/disaster responses (DPRs) in Japanese municipalities. Materials and Methods: A cross-sectional study was performed using a self-administered questionnaire with representatives of public health nurses in each municipality in Japan from December 2021 to January 2022. Results: Services considering FRs are more likely to be implemented in cities than in towns, and in municipalities where FRs account for ≥2.2% of the population (proportion of FRs in the Japanese population at the time of the study) than in those with fewer FRs. Cities have larger populations and greater financial resources than towns. Factors associated with the implementation of services and measures necessary for providing services to FRs were the classification of the municipality as a city, a high percentage of FRs, and large variation in corresponding nationalities/countries of origin. Conclusions: Cross-disciplinary efforts and collaborations need to be strengthened to share available resources within local governments and experiences in providing services for FRs in other divisions/sections, rather than considering only how to provide services for FRs in the public health division/section.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"141-149"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556080","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

Perspectives of persons in charge regarding support for the health and daily lives of female technical intern trainees who migrate to Japan: a qualitative study. 负责人对移居日本的女性技能实习生的健康和日常生活支持的看法：一项定性研究。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2023-039

Aya Shinohara, Noriko Kuwano, Yoshimitsu Shinagawa, Ryoko Kawasaki, Mayumi Ohnishi

{"title":"Perspectives of persons in charge regarding support for the health and daily lives of female technical intern trainees who migrate to Japan: a qualitative study.","authors":"Aya Shinohara, Noriko Kuwano, Yoshimitsu Shinagawa, Ryoko Kawasaki, Mayumi Ohnishi","doi":"10.2185/jrm.2023-039","DOIUrl":"10.2185/jrm.2023-039","url":null,"abstract":"Objectives: Migrant technical intern trainees who migrate to Japan have become essential to the Japanese labour force, especially in rural areas. Persons in charge of supervising organisations and training coordinators both support the trainees' health and daily lives during their stay in Japan. This support is significant for trainees as it helps them access and interact with Japanese society. This study explored the perspectives of persons in charge of female technical trainees regarding support for the latter's health and daily lives. Materials and Methods: Semi-structured interviews were conducted with 14 persons in charge of female technical trainees, followed by a thematic analysis of the interview data to extract key themes. Results: Four primary themes emerged: fostered beliefs and roles, cultural considerations and health support, language considerations, and concerns about female trainees in relationships. These considerations and support developed solely through experience of persons in charge of female trainees. Additionally, those in charge expressed concerns about trainees being involved in a relationship. However, no specific measures, such as providing female trainees with information, have been taken. Conclusion: Persons in charge of female technical intern trainees need to be provided opportunities to learn about cultural considerations and providing health support for their trainees. Furthermore, the cooperation of health professionals with supervising organisations and training facilities is essential to promote the healthy lives of technical intern trainees. These insights can contribute to the development of an integrated community-based approach to support the health and daily lives of female trainees.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"131-140"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556130","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

Alocasia odora poisoning due to calcium oxalate needle crystals in Japan. 日本草酸钙针状结晶引起的 Alocasia odora 中毒。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2024-001

Youichi Yanagawa, Hiroki Nagasawa

{"title":"Alocasia odora poisoning due to calcium oxalate needle crystals in Japan.","authors":"Youichi Yanagawa, Hiroki Nagasawa","doi":"10.2185/jrm.2024-001","DOIUrl":"10.2185/jrm.2024-001","url":null,"abstract":"Objective: To elucidate the actual circumstances of damage caused by Japanese Alocasia (A) odora. Materials and Methods: We investigated cases in Japan from our own hospital in the eastern part of Shizuoka Prefecture as well as published reports. Results: A. dorais found in western Japan, and plants of the Alocasia genus are cultivated often. A. odora is frequently associated with food poisoning because its aboveground parts resemble those of Satoimo (Colocasia esculenta). Moreover, A. odora contains insoluble calcium oxalate crystals, which cause poisoning symptoms, such as oral pain, nausea, vomiting, and laryngeal edema, resulting in near asphyxia, diarrhea following shock, and skin dermatitis. Calcium oxalate crystals are abundant in Araceae family plants, and cases of health damage owing to the accidental ingestion of Araceae plants have been reported worldwide. Conclusion: Due to the strong irritation felt in the mouth upon contact with the plant, it is advisable to immediately spit out the plant and rinse the mouth. In addition to drug administration, ensuring a secure airway may be necessary if there is a risk of asphyxiation.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"126-130"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556124","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

Effect of reduced daily magnesium oxide doses on laxative effect: a single-center retrospective study. 减少每日氧化镁剂量对通便效果的影响：一项单中心回顾性研究。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2023-038

Norio Watanabe, Akira Itano, Motozumi Ando, Masami Kawahara

{"title":"Effect of reduced daily magnesium oxide doses on laxative effect: a single-center retrospective study.","authors":"Norio Watanabe, Akira Itano, Motozumi Ando, Masami Kawahara","doi":"10.2185/jrm.2023-038","DOIUrl":"10.2185/jrm.2023-038","url":null,"abstract":"Objective: To investigate the laxative effect of reducing the number of daily doses of magnesium oxide (MgO), while maintaining the total daily dose of MgO in patients with good bowel movements. Patients and Methods: The retrospective analysis involved 11 patients with regular bowel movements who were prescribed MgO for constipation upon admission to a nursing care facility accompanied by home visits by a pharmacist. This investigation was conducted before and after reducing the number of daily doses from three to two, or from two to one, over a two-week period. Results: The number of bowel movements was 7.6 ± 3.4 and 6.6 ± 4.0 times for two weeks before and after the change in dosage frequency, respectively. The difference was not statistically significant (P=0.09). The Bristol Stool Form Scale was 3.9 ± 0.9 and 4.0 ± 0.9 two weeks before and after the change, respectively, which was not significant (P=0.93). Two weeks after the change, the MgO regimen remained unchanged and no on-demand laxatives were administered. Conclusions: The results suggest that reducing the number of daily doses of MgO does not affect its laxative action.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"192-195"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556453","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

Stretching exercises for growing children: evaluation of obesity, flexibility, pain and injury of musculoskeletal organs before and one year later. 成长中儿童的伸展运动：对肥胖、柔韧性、疼痛和肌肉骨骼器官损伤的评估（一年前和一年后）。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2023-051

Maiko Ohtaka, Masayo Saito, Yukiko Ito

{"title":"Stretching exercises for growing children: evaluation of obesity, flexibility, pain and injury of musculoskeletal organs before and one year later.","authors":"Maiko Ohtaka, Masayo Saito, Yukiko Ito","doi":"10.2185/jrm.2023-051","DOIUrl":"10.2185/jrm.2023-051","url":null,"abstract":"Objective: Rapid bone development in growing children causes excessive tension in the lower extremities' muscles and tendons, leading to reduced flexibility and increased musculoskeletal disorder risk. Further, lack of exercise causes obesity. Therefore, we created a stretching exercise protocol to prevent musculoskeletal disorders in elementary school (middle and upper grades) children during their growth period, when rapid bone development begins. Patients and Methods: We examined the effects on pain, injury, and flexibility. Fifty-three (boys: 34, girls: 19) students in grades 3-5 (ages 9-11) performed the stretching exercises at school thrice a week for one year, and we compared the results before and a year after the intervention. Results: A three-minute stretching exercise routine achieved an intensity of 4.6-4.9 metabolic equivalents (METs; equivalent to brisk walking). Obesity (P=1.000), flexibility problems (inability to bend forward [P=0.754] or squat problems [P=1.000]), bone/joint pain (P=1.000), and injury (P=1.000) did not significantly increase. Conclusion: Stretching exercises during the growth period may help prevent childhood musculoskeletal disorders, obesity, and flexibility loss.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"150-157"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556082","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

Association between sTREM2, an immune biomarker of microglial activation, and frontal lobe function in community-dwelling older adults: a cross-sectional study. 社区老年人的小胶质细胞活化免疫生物标志物 sTREM2 与额叶功能之间的关系：一项横断面研究。

Journal of rural medicine : JRM Pub Date : 2024-07-01 DOI: 10.2185/jrm.2024-018

Ryuzo Orihashi, Yoshiomi Imamura, Yoshito Mizoguchi

{"title":"Association between sTREM2, an immune biomarker of microglial activation, and frontal lobe function in community-dwelling older adults: a cross-sectional study.","authors":"Ryuzo Orihashi, Yoshiomi Imamura, Yoshito Mizoguchi","doi":"10.2185/jrm.2024-018","DOIUrl":"10.2185/jrm.2024-018","url":null,"abstract":"Objective: Identifying the peripheral biomarkers related to the prevention or modification of unhealthy mental conditions in older adults is extremely beneficial. This study aimed to evaluate the serum levels of soluble triggering receptor expressed on myeloid cells 2 (sTREM2), a soluble form of an innate immune receptor expressed on microglia, in older adults living in a rural community, and their association with cognitive function. Materials and Methods: This survey was conducted between November 2016 and September 2017 in Kurokawa-cho, Imari, Saga Prefecture, Japan, among people aged ≥65 years. Blood samples were collected from the participants for serum sTREM2 level analysis using a peptide enzyme immunoassay. The participants underwent cognitive function assessments, including the Mini-Mental State Examination, Clinical Dementia Rating, and Frontal Assessment Battery. Therefore, we examined the association between serum sTREM2 levels and cognitive function. Results: Of the 95 participants, 25 were men and 70 were women with a mean age 78.24 ± 3.85 years and 77.96 ± 5.52 years, respectively. Serum sTREM2 levels were negatively associated with Frontal Assessment Battery scores, even after adjusting for age, sex, years of education, and serum high-sensitivity C-reactive protein levels. Conclusion: Serum sTREM2 levels may be associated with frontal lobe function in adults aged ≥65 years.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"19 3","pages":"186-191"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556126","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