著者
石橋 照子 岡村 仁 飯塚 桃子 Teruko ISHIBASHI Hitoshi OKAMURA Momoko IITSUKA
雑誌
島根県立大学短期大学部出雲キャンパス研究紀要 (ISSN:18824382)
巻号頁・発行日
vol.4, pp.1-8, 2010-09-30

100床以上の精神科病床を持つ20の公立病院に入院中の統合失調症患者で、糖尿病を併せ持つ193名を対象とした。糖化ヘモグロビンの値により、対象をコントロール不良群と良好群のグループに分け、糖尿病の治療環境や血糖コントロールが困難と思われる要因を比較・分析した。その結果、2群の治療環境に有意差はみられなかった。また、血糖コントロール困難の要因のうち、「自制困難」「精神症状の悪化」が血糖コントロールに強く影響していたことから、精神症状の安定に配慮しつつ、自己コントロール感を高め、自制できるよう支援していく関わりが重要であることが示唆された。
著者
Kaoru Goto Masao Doi Tianyu Wang Sumihiro Kunisue Iori Murai Hitoshi Okamura
出版者
(社)日本内分泌学会
雑誌
Endocrine Journal (ISSN:09188959)
巻号頁・発行日
pp.EJ17-0130, (Released:2017-05-13)
被引用文献数
10

G-protein-coupled receptors (GPCRs) constitute an immensely important class of drug targets with diverse clinical applications. There are still more than 120 orphan GPCRs whose cognate ligands and physiological functions are not known. A set of circadian pacemaker neurons that governs daily rhythms in behavior and physiology resides in the suprachiasmatic nucleus (SCN) in the brain. Malfunction of the circadian clock has been linked to a multitude of diseases, such as sleeping disorders, obesity, diabetes, cardiovascular diseases, and cancer, which makes the clock an attractive target for drug development. Here, we review a recently identified role of Gpr176 in the SCN. Gpr176 is an SCN-enriched orphan GPCR that sets the pace of the circadian clock in the SCN. Even without known ligand, this orphan receptor has an agonist-independent basal activity to reduce cAMP signaling. A unique cAMP-repressing G-protein subclass Gz is required for the activity of Gpr176. We also provide an overview on the circadian regulation of G-protein signaling, with an emphasis on a role for the regulator of G-protein signaling 16 (RGS16). RGS16 is indispensable for the circadian regulation of cAMP in the SCN. Developing drugs that target the SCN remains an unfulfilled opportunity for the circadian pharmacology. This review argues for the potential impact of focusing on GPCRs in the SCN for the purpose of tuning the body clock.
著者
Hideaki Hanaoka Toshiaki Muraki Hitoshi Okamura
出版者
THE JAPANESE ASSOCIATION OF RURAL MEDICINE
雑誌
Journal of Rural Medicine (ISSN:1880487X)
巻号頁・発行日
vol.14, no.1, pp.87-94, 2019 (Released:2019-05-30)
参考文献数
31
被引用文献数
2 3

Objective: This study investigates the presence or absence of reminiscence experiences in older adults when using aromas. Focusing on 40 scents familiar to Japanese people, our objective was to determine points of caution for aroma selection and use in reminiscence therapy.Materials and Methods: The participants were 118 community-dwelling older adults aged 65 years and older. They were asked about the experience of recalling the past in response to stimuli of 40 aromas on the Japanese version of the University of Pennsylvania Smell Identification Test (UPSIT-J). In addition, an olfactory visual analog scale (VAS) was used to evaluate olfactory function. Furthermore, a questionnaire-based survey was administered instead of asking participants to actually smell the odorants in the UPSIT-J.Results: At least 70% of the participants experienced recalling the past triggered by 16 aromas including sandalwood and yuzu fruit. Furthermore, 15 of the scents demonstrated a significant association with age, gender, and olfactory function.Conclusion: These results suggest the importance of considering method, age, and gender when selecting olfactory stimuli. In addition, frequently recalled aromas might evoke reminiscence in older adults.
著者
Kakeru ITO Miho YASUDA Yuki MAEDA Jean-Michel FUSTIN Yoshiaki YAMAGUCHI Yuka KONO Hiromitsu NEGORO Akihiro KANEMATSU Osamu OGAWA Masao DOI Hitoshi OKAMURA
出版者
Biomedical Research Press
雑誌
Biomedical Research (ISSN:03886107)
巻号頁・発行日
vol.39, no.2, pp.57-63, 2018-04-01 (Released:2018-04-18)
参考文献数
29

Micturition behavior follows regular day/night fluctuations, and unwanted increase in micturition could occur during night in jet lag condition. To clarify the effect of jet lag on micturition behavior, we simultaneously detected circadian micturition patterns and locomotor activity rhythms of mice under experimental jet lag conditions, by applying the improved automated Voided Stain on Paper (aVSOP) method. When wild-type (WT) mice were phase-advanced for 8 hours, day-night variation of micturition was disrupted suddenly, and this irregular daily micturition continued until 8 days, although their activity rhythms entrained gradually day by day until 8 days. We also examined how jet lag induced changes of micturition in Per-null mice lacking Per1, Per2 and Per3 genes, whose endogenous clock is completely disrupted. We found both micturition and locomotor activity of Per-null mice promptly entrained to the new LD cycle. These findings suggest that the irregular micturition during jet lag is caused along with the gradual shift of the endogenous clock, and paradoxically, jet lag-associated abnormality was absent when endogenous circadian oscillations were genetically disrupted.