著者

Yousuke Takemura Yutaka Sakurai Shoji Yokoya Junji Otaki Takeshi Matsuoka Nobutaro Ban Ichiro Hirata Tetsuro Miki Tsukasa Tsuda

出版者

Tohoku University Medical Press

雑誌

The Tohoku Journal of Experimental Medicine (ISSN:00408727)

巻号頁・発行日

vol.206, no.2, pp.151-154, 2005 (Released:2005-05-12)

参考文献数

13

被引用文献数

16 35

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Open-ended questions, which allow patients to discuss their concerns freely, are widely considered an efficient method gathering medical information from patients during a medical interview. However, few studies have examined the relationship between the use of open-ended questions and the amount of information obtained from patients during the medical interview. This study examines this relationship using a relatively large sample size under more standardized conditions than in previous studies. The Japanese Group for Research on the Medical Interview undertook this research in 2002-2003. A total of 1,527 medical students conducted medical interviews with standardized patients, and 1,220 met the inclusion criteria for this study. The interview was limited to five minutes. Evaluators (medical school faculty physicians) evaluated the use of open-ended questions during the medical interview. The reliability of the evaluation sheet was also examined. The amount of information obtained was measured through the medical interview evaluation sheet. The use of open-ended questions was positively related to the amount of information elicited from the patients (F = 41.0, p < 0.0001). This study provides data to support the hypothesis regarding the favorable relationship between the use of the open-ended questions and the amount of information from the patients.

著者

Michiya Igase Toru Mizoguchi Yoichi Ogushi Tetsuro Miki Akira Ueki

出版者

Japanese Society of Anti-Aging Medicine

雑誌

ANTI-AGING MEDICINE (ISSN:18822762)

巻号頁・発行日

vol.7, no.14, pp.167-173, 2010 (Released:2010-12-20)

参考文献数

20

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In the “Brain Aging and Nutrition” symposium at the 2010 10th Scientific Meeting of the Japanese Society of Anti-Aging Medicine, three experts were invited to report recent findings on maintenance of brain health. Speaking on “The association of postural instability with brain atrophy/cognitive impairment”, Dr. Michiya Igase (Department of Geriatric Medicine & Neurology, Ehime University Graduate School of Medicine) described the importance of Anti-Aging examination for early discovery and early treatment of decreased cognitive function according to an Anti-Aging examination, particularly stressing on the importance of preventing frailty in the elderly. Dr. Toru Mizoguchi (Shinjuku Mizoguchi Clinic), speaking on “Improved brain function and nutrition”, discussed how low intake of glucose, amino acids, vitamins, and minerals leads to metabolic abnormalities in the brain and low production of neurotransmitters, which can cause depression and many other psychiatric illnesses not only in the elderly, but in middle age too. In “The brain prefers ketones to carbohydrates as an energy source”, Dr. Yoichi Ogushi (Department of Medical Informatics, Tokai University School of Medicine) presented data showing that a ketotic diet, also known as a low-carbohydrate diet (Atkins' or Bernstein's diet), is safe, and, moreover, that ketones are used as an energy source by the brain. This work suggested that advanced glycosylation end product is a risk factor for Alzheimer's and Perkinson's disease, and that glucose is only utilized after keton bodies by the brain. This notion in turn raises the possibility that a ketotic diet may prevent or slow the progression of Alzheimer's disease.Anti-Aging measures above mentioned may play crucial roles in preventing brain atrophy, cognitive impairment, and depression which are closely related to the aging process. Stable energy supply and adequate nutritional distribution to neurons in the brain are keys to maintain brain function through neuronal survival and biosynthesis of neurotransmitters.