著者

Yumi Yamada Hiroshi Shamoto Keisuke Maeda Hidetaka Wakabayashi

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.3, pp.20180019, 2018 (Released:2018-11-20)

参考文献数

18

被引用文献数

7

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Background: Sarcopenic dysphagia is caused by decreased muscle mass and muscle weakness in the swallowing muscles that occurs because of sarcopenia. The key to treating sarcopenic dysphagia is combined therapy with rehabilitation and aggressive nutrition management. However, to our knowledge, no studies based in a home medical care setting have yet been published. Case: A 72-year-old man with Parkinson’s disease developed sarcopenia and possible sarcopenic dysphagia during hospitalization for drug adjustment. At discharge, the patient’s body weight was 39.0 kg (−33.8%/4 months, body mass index: 15.3 kg/m2), the Barthel Index was 45, Functional Oral Intake Scale was level 4, and Dysphagia Severity Scale was 4. Sarcopenia was confirmed by a calf circumference of 23.8 cm, a handgrip strength of 22 kg, and a gait speed of 0.5 m/s. The patient was diagnosed with sarcopenic dysphagia, according to the consensus diagnostic criteria for sarcopenic dysphagia. After the patient was discharged, he underwent a combination of dysphagia rehabilitation, daily activity training, and aggressive nutrition management, which started from 1200 kcal/day and reached a maximum of 2800 kcal/day. Four months after discharge, the patient’s swallowing function returned to normal (Functional Oral Intake Scale: 7, Dysphagia Severity Scale: 6) and his weight increased by 31% (body mass index: 20.1 kg/m2). Increases in muscle mass (calf circumference: 32 cm), muscle strength (handgrip strength: 34 kg), physical function (gait speed: 1 m/s), and activities of daily living (Barthel Index: 90) indicated recovery from sarcopenia. Discussion: Sarcopenic dysphagia may be a complication of Parkinson’s disease, and home-based combined therapy with rehabilitation and aggressive nutrition management may be effective for treating this condition.

著者

Tsutomu Igarashi Yuri Nakazato Tomoyuki Kunishige Miho Fujita Yumi Yamada Chiaki Fujimoto Kimihiro Okubo Hiroshi Takahashi

出版者

日本医科大学医学会

雑誌

Journal of Nippon Medical School (ISSN:13454676)

巻号頁・発行日

vol.79, no.3, pp.182-189, 2012 (Released:2012-07-05)

参考文献数

24

被引用文献数

1 7

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Background: Recent studies have examined the effects of intranasal corticosteroids (INSs) in relieving the ocular symptoms of seasonal allergic rhinoconjunctivitis (SAR) and perennial allergic rhinitis. However, because most of these studies were based on subjective assessments by patients, the associated factors and mechanism of action are unknown. Methods: A single-center, randomized, double-blind, parallel-group study was carried out in which patients with SAR were randomly assigned to an INS mometasone furoate nasal spray (MFNS) group or to a placebo group and treated once daily for 4 weeks. Substance P concentrations in tears were measured, ocular and nasal symptoms were recorded by patients in an allergy diary, and findings were recorded by an ophthalmologist. Results: There was no significant difference between treatment groups in the mean change from baseline of substance P concentration in tears after 4 weeks of treatment, but the mean change tended to increase in the placebo group and tended to decrease in the MFNS group (P = 0.089). All ocular and nasal symptom scores, except eye tearing, were significantly lower in the MFNS group than in the placebo group. Furthermore, substance P concentrations were strongly correlated with ocular and nasal symptom scores. Conclusions: In patients with SAR, INSs tend to decrease the substance P concentration in tears, which is correlated with the severity of ocular and nasal symptoms.

著者

Tetsuo Shimada Naoya Hijikata Ken-ichi Tokita Kiyoshi Uchida Masayuki Kurechi Hitoshi Suginome Yumi Yamada Hiroyoshi Higuchi

出版者

日本鳥学会

雑誌

ORNITHOLOGICAL SCIENCE (ISSN:13470558)

巻号頁・発行日

vol.15, no.1, pp.37-45, 2016 (Released:2016-02-05)

参考文献数

30

被引用文献数

5

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Japan hosts more than 40% population of Brent Goose Branta bernicla wintering in East Asia. We used satellite-tracking technology to monitor the seasonal movements and habitat usage of Brent Goose wintering in northern Japan. We marked five geese on the Oya sandy beach, Miyagi Prefecture, northeast Honshu, on 21 January 2014. The geese utilized areas along the seacoast, especially concentrating at a small bay, close to the capture site. Most of the geese offshore were found at fishery rafts. No geese were found more than 2 km offshore or more than 6 km from the capture site along the seacoast. In early April, the geese left the southern Sanriku coast and moved up to eastern Hokkaido, crossing the sea directly or via the coastal areas of Iwate and Aomori Prefectures. The geese predominantly remained in the vicinity of the Veslovskiy Peninsula, Kunashiri (Kunashir) Island, while some were distributed along the northern coast of the Nemuro Peninsula. We identified eastern Hokkaido and Kunashiri Island as important stopover sites for Brent Goose wintering in Japan.

著者

Tomohiro ICHINOSE Satoru ITAGAWA Yumi YAMADA

出版者

Center for Environmental Information Science

雑誌

Journal of Environmental Information Science (ISSN:03896633)

巻号頁・発行日

vol.2019, no.1, pp.53-59, 2019-09-30 (Released:2019-09-30)

参考文献数

11

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A magnitude 9.0 earthquake struck off northeastern Japan on 11 March 2011. The subsequent tsunami wrought destruction on a massive scale. Kesennuma City was one of the most heavily damaged regions in Miyagi Prefecture, where more than 1000 people were killed by the tsunami and resulting fire; 215 people are still missing. Here we analyzed historical landuse changes in the tsunami-affected area of Kesennuma city center, Miyagi Prefecture, using topographic maps from 1913 and 1952 and vegetation maps from 1979 and 2011. The area consisted of 7.3% urban land use, 10.5% dry field, 55.5% rice paddy field, 4.7% wetland, 0.3% grassland, 5.3% forest, and 16.3% water body in 1913 and 76.1% urban land use, 1.7% dry field, 17.9% rice paddy field, 0.9% wetland, 1.6% forest, and 1.6% water body in 2011. During the period, the area of urban land use increased more than 10-fold, while that of rice paddy field sharply decreased from 55.5% to 17.9%. The 77 Bank estimated that the total economic damage in Kesennuma City was 232.4 billion yen, representing annual production value of all companies located in the damaged area. Our calculations for urban land use, dry field, and rice paddy field showed losses of 112.7 billion yen and 69 million yen due to the tsunami in the areas of urban and agricultural land use, respectively.