著者
Naoyuki Nakamura Yutaka Inaba Shinya Kato Takako Momose Shunsuke Yamada Yoko Matsuda Jiro Machida Yoichi Aota Tomoyuki Saito
出版者
The Japanese Society for Spine Surgery and Related Research
雑誌
Spine Surgery and Related Research (ISSN:2432261X)
巻号頁・発行日
vol.1, no.4, pp.185-190, 2017-10-20 (Released:2017-11-27)
参考文献数
15
被引用文献数
1 1

Introduction: This study aimed to assess treatment outcomes and caregivers' satisfaction regarding scoliosis surgery for handicapped children.Methods: Handicapped children are, by definition, noncommunicatory and/or nonambulatory. We recruited 26 handicapped children who were followed-up for >1 year after a scoliosis surgery. We recruited 40 patients with adolescent idiopathic scoliosis (AIS) who underwent a surgery during the same period as controls. We used a posterior approach in all the children. We determined preoperative body mass index (BMI), main Cobb angle, Cincinnati correction index (CCI), and fusion level; intraoperative time and blood loss per level; and postoperative complications. We also assessed caregivers' satisfaction with surgical treatments for these patients using the modified Bridwell's questionnaire.Results: We have described the results as handicapped children/AIS. Median preoperative BMI was 16.1/18.6 kg/m2. Preoperative and final Cobb angles were 94.2°/59.7° and 39.7°/17.0°, respectively and CCI was 2.0/1.7. The number of fusion levels was 14.6/9.0. The operative time and blood loss per level were 40.1/44.1 minutes and 264/138 ml, respectively. Postoperative complications in handicapped children were adynamic ileus in 8 cases, dysphagia in 5, pneumonia in 3, urinary tract infection in 2, and superior mesenteric artery syndrome (SMA), surgical site deep infection, infectious enteritis, agitation, and liver dysfunction in 1 each. However, in the AIS group, there was only 1 case of SMA. Median caregivers' satisfaction score on the 0-10 visual analog scale was 9. Caregivers for 19 of the 26 handicapped cases (73%) recommended surgical treatment to caregivers of other children with the same disease.Conclusions: Surgical treatment for neuromuscular and syndromic scoliosis was associated with a high rate of postoperative complications. However, the caregivers' satisfaction score after surgery was high.
著者
Dongmei Qiu Takeo Tanihata Hitoshi Aoyama Toshiharu Fujita Yutaka Inaba Masumi Minowa
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.12, no.3, pp.254-257, 2002 (Released:2007-11-30)
参考文献数
15
被引用文献数
18 19

In order to describe the relationship between mortality rate and extreme heat during the summer of 1999 in Hokkaido, we calculated the monthly age-adjusted death rates, average monthly mean temperature and average monthly high temperature for the years 1995 to 1999 in Hokkaido.The materials were derived from Statistics and Information Department, Minister's Secretariat, Ministry of Health, Labour and Welfare of Japan, Statistical Bureau Management and Coordination Agency Government of Japan and the Japan Meteorological Agency.Trends in the monthly age-adjusted death rates and temperature changes in the same period were analyzed. The highest average monthly high temperature for August and September (28.8°C and 23.8°C, respectively) occurred in 1999;the similar trend was observed in the highest average monthly mean temperature.In August 1999, there were 14 days with highest temperatures of 30°C and over.The age-adjusted rate in August 1999 was significantly higher compared with those for the years 1995 to 1998 (p<0.01).We concluded that an unusually hot spell in 1999 was followed by a high mortality rate in Hokkaido.J Epidemiol, 2002;12:254-257
著者
Akio Hoshi Hiromi Watanabe Masatoshi Kobayashi Momoko Chiba Yutaka Inaba Naoto Kimura Takashi Ito
出版者
Tohoku University Medical Press
雑誌
The Tohoku Journal of Experimental Medicine (ISSN:00408727)
巻号頁・発行日
vol.195, no.3, pp.163-169, 2001 (Released:2004-12-22)
参考文献数
31
被引用文献数
9 16

Trace elements in sweat during sauna bathing were assessed. Sweat collected by the whole body method was compared with that collected by the arm bag method. The sweat samples were collected from ten healthy male adults aged 22-26 years, by heat exposure in dry sauna bathing (60°C, 30 minutes). Concentrations of major (Na, Cl, K, Ca, P and Mg) and trace (Zn, Cu, Fe, Ni, Cr and Mn) elements in sweat tended to be lower in the arm bag method than in the whole body method. It was found that Ca, Mg, Fe and Mn concentrations in the arm bag method were significantly lower than those in the whole body method. The amount of trace elements in sweat measured by the arm bag method was less than that by the whole body method; significant differences were observed in Fe and Mn amounts. These observations suggest that excretion of trace elements by sweating induces trace element decrease. Therefore, athletes and workers who work in a hot environment and sweat much habitually should ingest adequate amounts of trace elements.
著者
Tsuyoshi MATSUBA Momoko CHIBA Khongsap Akkhavong Aporn Sisuraj Yutaka INABA
出版者
The Japanese Society of Health and Human Ecology
雑誌
民族衛生 (ISSN:03689395)
巻号頁・発行日
vol.71, no.6, pp.255-262, 2005 (Released:2010-06-28)
参考文献数
13
被引用文献数
1

尿路結石症が多発するラオスにおいて,食習慣や生活習慣に関連する因子と疾患発症との関係を明らかにすることを目的に症例対照研究が行われた.尿路結石症例114名および病院ベースでマッチされていない対照97名が調査対象として選ばれた.質問紙を用いて食習慣や生活習慣に関する因子について質問され,各因子についてオッズ比が求められた.また食習慣に関しては,各々の摂取食品項目がどのような因子によって成り立っているのかを明らかにするため因子分析が用いられた.更に共分散構造分析(構造方程式)を用いて食習慣と疾患との間の関係についてモデルを構築しそれぞれの関連を明らかにした.尿路結石は病因の異なる2つのグループ,すなわち上位尿路結石および下位尿路結石に分けられる.下位尿路結石については伝統的な摂取食品項目との間に正の関連を表し,近代的な摂取食品項目との間には負の関連を示した.対照的に上位尿路結石は伝統的な食品項目よりも近代的な食品項目との問により高いパス係数が認められた.ラオスでは今後食生活の近代化によって,下位尿路結石は減少するものの上位尿路結石の罹患は上昇することが考えられる.
著者
Dongmei Qiu Michiko Kurosawa Yingsong Lin Yutaka Inaba Tsuyoshi Matsuba Shogo Kikuchi Kiyoko Yagyu Yutaka Motohashi Akiko Tamakoshi
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
vol.15, no.Supplement_II, pp.S157-S167, 2005 (Released:2005-08-18)
参考文献数
72
被引用文献数
27 42

BACKGROUND: The objective of this article was to overview the epidemiology of pancreatic cancer. We summarize the results of the Japan Collaborative Cohort Study (JACC Study) and some previous studies.METHODS: References were mainly in a Medline search through Pub Med database. In addition, 3 papers about the JACC Study were quoted.RESULTS : In the JACC Study, the standardized mortality ratio of pancreatic cancer was 0.97 in females and 0.84 in males. Diabetes mellitus (DM) has increased the risk for pancreatic cancer in many studies. In the JACC Study, DM had a risk for pancreatic cancer in males (hazard ratio = 2.12). Cigarette smoking has been associated with pancreatic cancer in many studies. In the JACC Study, the hazard ratio for current smokers was 1.6 in males, and 1.7 in females. The ratio was 3.3 who smoked 40+ cigarettes/day in males. In the JACC Study, alcohol intake was not associated with pancreatic cancer. These results are consistent with the other studies. Coffee consumption has not been associated with pancreatic cancer in many studies. In the JACC Study, the hazard ratio significantly increased to 3.19 among men who consumed 4+ cups of coffee per day. The relationships between diet /nutrition and pancreatic cancer are not clear in many studies.CONCLUSION: The relation between smoking and pancreatic cancer is most consistently described. A further analysis of the relationships between family history, hormonal factors in females, dietary and nutritional factors, obesity, physical activity and pancreatic cancer is necessary.J Epidemiol 2005; 15: S157-S167.