著者

KEIYA FUJIMORI HYO KYOZUKA SHUN YASUDA AYA GOTO SEIJI YASUMURA MISAO OTA AKIRA OHTSURU YASUHISA NOMURA KENICHI HATA KOUTA SUZUKI AKIHITO NAKAI MIEKO SATO SHIRO MATSUI KYOKO NAKANO MASAFUMI ABE FOR THE PREGNANCY AND BIRTH SURVEY GROUP OF THE FUKUSHIMA HEALTH MANAGEMENT SURVEY

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

pp.2014-9, (Released:2014-07-15)

参考文献数

29

被引用文献数

8 47

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Background: On 11 March 2011, the Great East Japan Earthquake followed by a powerful tsunami hit the Pacific Coast of Northeast Japan and damaged Tokyo Electric Power Company’s Fukushima Daiichi Nuclear Power Plant, causing a radiation hazard in Fukushima Prefecture. The objective of this report is to describe some results of a questionnaire-based pregnancy and birth survey conducted by the Radiation Medical Science Center for the Fukushima Health Management Survey.Materials and Methods: Questionnaires were sent to women who received maternal and child health handbooks from municipal officers in Fukushima Prefecture between 1 August 2010 and 31 July 2011, with the aim of reaching those who were pregnant at the time of the disaster. Mailing began 18 January 2012. Data were analyzed separately for six geographic areas in Fukushima Prefecture.Results: The total number of women meeting survey criteria was 15,972. The number of responses received to date is 9,298 (58.2%). Data from 8602 respondents were analyzed after excluding 634 invalid responses and 5 induced and 57 spontaneous abortions (less than 22 gestational weeks). The incidences of stillbirth (over 22 completed gestational weeks), preterm birth, low birth weight and congenital anomalies were 0.25%, 4.4%, 8.7% and 2.72%, respectively. These incidences are similar to recent averages elsewhere in Japan.Conclusion: Considering the pregnancy and birth survey data in aggregate, our disaster seemed to provoke no significant adverse outcomes over the whole of Fukushima prefecture. But post-disaster prenatal care and support intended for patients’ safety and security should be coupled with ongoing surveillance and rigorous data analysis.

著者

KEIYA FUJIMORI HYO KYOZUKA SHUN YASUDA AYA GOTO SEIJI YASUMURA MISAO OTA AKIRA OHTSURU YASUHISA NOMURA KENICHI HATA KOUTA SUZUKI AKIHITO NAKAI MIEKO SATO SHIRO MATSUI KYOKO NAKANO MASAFUMI ABE FOR THE PREGNANCY AND BIRTH SURVEY GROUP OF THE FUKUSHIMA HEALTH MANAGEMENT SURVEY

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

vol.60, no.1, pp.75-81, 2014 (Released:2014-08-08)

参考文献数

29

被引用文献数

8 47

---

Background: On 11 March 2011, the Great East Japan Earthquake followed by a powerful tsunami hit the Pacific Coast of Northeast Japan and damaged Tokyo Electric Power Company’s Fukushima Daiichi Nuclear Power Plant, causing a radiation hazard in Fukushima Prefecture. The objective of this report is to describe some results of a questionnaire-based pregnancy and birth survey conducted by the Radiation Medical Science Center for the Fukushima Health Management Survey.Materials and Methods: Questionnaires were sent to women who received maternal and child health handbooks from municipal officers in Fukushima Prefecture between 1 August 2010 and 31 July 2011, with the aim of reaching those who were pregnant at the time of the disaster. Mailing began 18 January 2012. Data were analyzed separately for six geographic areas in Fukushima Prefecture.Results: The total number of women meeting survey criteria was 15,972. The number of responses received to date is 9,298 (58.2%). Data from 8602 respondents were analyzed after excluding 634 invalid responses and 5 induced and 57 spontaneous abortions (less than 22 gestational weeks). The incidences of stillbirth (over 22 completed gestational weeks), preterm birth, low birth weight and congenital anomalies were 0.25%, 4.4%, 8.7% and 2.72%, respectively. These incidences are similar to recent averages elsewhere in Japan.Conclusion: Considering the pregnancy and birth survey data in aggregate, our disaster seemed to provoke no significant adverse outcomes over the whole of Fukushima prefecture. But post-disaster prenatal care and support intended for patients’ safety and security should be coupled with ongoing surveillance and rigorous data analysis.

著者

仲野 宏 中村 宏舞 中村 正隆 西間木 淳 根岸 裕樹 萩原 智佳 蛭田 亮 松岡 香菜子 明星 里沙

出版者

福島医学会

雑誌

福島醫學雜誌 (ISSN:00162582)

巻号頁・発行日

vol.59, no.2, pp.133-138, 2009-06-25

著者

HIROKI SHIMURA SHINICHI SUZUKI TOSHIHIKO FUKUSHIMA SANAE MIDORIKAWA SATORU SUZUKI NAOMI HAYASHIDA MISA IMAIZUMI NORIYUKI OKUBO YASUSHI ASARI TAKESHI NIGAWARA FUMIHIKO FURUYA KAZUHIKO KOTANI SHIGEYUKI NAKAJI AKIRA OTSURU TAKASHI AKAMIZU MASAFUMI KITAOKA NOBORU TAKAMURA MASAFUMI ABE HITOSHI OHTO NOBUYUKI TANIGUCHI SHUNICHI YAMASHITA

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

pp.2014-28, (Released:2014-12-20)

参考文献数

33

被引用文献数

4

---

Contents1. Introduction2. Thyroid ultrasound examination in Fukushima3. Thyroid ultrasound findings in children in three Japanese prefectures4. Prevalence of thyroid nodular lesions in children and adolescents 4.1 Thyroid cyst 4.2 Thyroid nodule 4.3 Thyroid cancer5. SummaryConflict of interestReference

著者

MAKOTO MIYAZAKI AKIRA OHTSURU TETSUO ISHIKAWA

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

pp.2014-10, (Released:2014-07-15)

参考文献数

15

被引用文献数

3 16

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A large amount of radioactive cesium was released by the Fukushima Daiichi Nuclear Power Plant accident following the Great East Japan Earthquake. Due to the increasing concerns about internal exposure, more than 50 whole-body counters (WBCs) have been installed at various locations in Fukushima Prefecture. A study on around 10,000 subjects in the early stage after the accident revealed that very few received a committed effective dose of more than 0.3 mSv for subjects (age >13 years old). Another study on WBC results for one hospital showed that the ratio of cesium-positive was 1.0% among all the subjects. Assuming a constant daily intake, the detection limit of 300 Bq/body for a typical WBC corresponds to an effective dose of 21 μSv/y even for a subject of age up to 10. It was also seen out that the subjects with a significant amount of body cesium are likely to regularly eat wild products, which they harvested or caught themselves without testing for radioactive cesium. These study findings suggested that the internal exposure for most of the residents was controlled at a very low level. Future tasks regarding WBC measurements are how to personally explain the WBC results to each subject and how to disclose the statistically processed WBC data to the general public.

著者

HIROMI YOSHIDA-KOMIYA AYA GOTO SEIJI YASUMURA KEIYA FUJIMORI MASAFUMI ABE FOR THE PREGNANCY AND BIRTH SURVEY GROUP OF THE FUKUSHIMA HEALTH MANAGEMENT SURVEY

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

vol.61, no.1, pp.66-71, 2015 (Released:2015-07-08)

参考文献数

22

被引用文献数

6

---

Background: The Fukushima Pregnancy and Birth Survey was launched to monitor pregnant mothers’ health after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant (NPP) accident. Several lines of investigations have indicated that a disaster impacts maternal mental health with childbirth. However, there is no research regarding mental health of mothers with fetal loss after a disaster. In this report, we focus on those women immediately after the Great East Japan Earthquake and Fukushima NPP accident and discuss their support needs.Materials and Methods: Data regarding 61 miscarriages, 5 abortions, and 22 stillbirths were analyzed among the women who were pregnant at the time of the accident in the present study. We used a two-item case-finding instrument for depression screening, and compared the childbirth group with the fetal loss groups. We also analyzed mothers’ opinions written as free-form text.Results: Among the three fetal loss groups, the proportion of positive depression screens was significantly higher in the miscarriage and stillbirth group than in the childbirth group. Mothers’ opinions were grouped into six categories, with pregnancy-related items being most common, especially in the miscarriage and stillbirth groups.Conclusion: A higher proportion of Fukushima mothers with fetal loss, especially those with miscarriage and stillbirth, had depressive symptoms compared to those who experienced childbirth. Health care providers need to pay close attention to this vulnerable group and respond to their concerns regarding the effects on their fertility.

著者

SATORU SUZUKI

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

pp.2014-21, (Released:2014-12-20)

被引用文献数

1 1

著者

大友 駆 武藤 雄紀 吉田 圭佑 待井 宏文 櫻庭 均 石橋 敏幸

出版者

福島医学会

雑誌

福島医学雑誌 = Fukushima medical journal (ISSN:00162582)

巻号頁・発行日

vol.70, no.2, pp.111-116, 2020-08

著者

金子 明里 神山 広大 狩野 将吾 川上 琉 川口 滉生 神田 正輝 吉川 立三郎 木下 瑠奈

出版者

福島医学会

雑誌

福島医学雑誌 = Fukushima medical journal (ISSN:00162582)

巻号頁・発行日

vol.68, no.3, pp.194-196, 2018-12

著者

Yasutaka Omori Hiroaki Wakamatsu Atsuyuki Sorimachi Tetsuo Ishikawa

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

vol.62, no.1, pp.1-17, 2016 (Released:2016-06-08)

参考文献数

49

被引用文献数

1 14

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This study was conducted on the Fukushima Medical University (FMU) premises (in Fukushima City, Fukushima Prefecture) about four years after the Fukushima Daiichi Nuclear Power Plant accident. Its objectives were (1) to create a map of the ambient gamma dose rate (air-kerma rate) distribution, (2) to evaluate the air-kerma rate originating from natural radionuclides, and (3) to investigate the effects of snow cover on changes in the air-kerma rate. This man-borne survey revealed that the air-kerma rate varies widely, ranging from 0.038 μGy h-1 to 0.520 μGy h-1, and is higher on grass than on the other investigated surface types, such as soil, asphalt, and bricks. In this area, the mean air-kerma rate from natural radiation was evaluated to be 0.03 ± 0.01 μGy h-1, which is close to 0.04 μGy h-1, which was measured in central Fukushima City by a local authority.Furthermore, snowfall was found to reduce the air-kerma rate by 5%-30%. This reduction was attributed to attenuation of the primary radiation while passing through the snow cover, and the measured contribution of scattered radiation to the air-kerma rate reduction was small. The reduction rate was found to depend on the initial snow depth but to maintain a similar value for a couple of days, after the snow had partially melted and its depth had decreased. Finally, analysis of the daily dose due to external exposure received on the FMU premises revealed that no further health effects due to chronic radiation exposure at this site are to be expected.

著者

HIROMI YOSHIDA-KOMIYA AYA GOTO SEIJI YASUMURA KEIYA FUJIMORI MASAFUMI ABE FOR THE PREGNANCY AND BIRTH SURVEY GROUP OF THE FUKUSHIMA HEALTH MANAGEMENT SURVEY

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

pp.2014-33, (Released:2015-06-11)

参考文献数

22

被引用文献数

6

---

Background: The Fukushima Pregnancy and Birth Survey was launched to monitor pregnant mothers’ health after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant (NPP) accident. Several lines of investigations have indicated that a disaster impacts maternal mental health with childbirth. However, there is no research regarding mental health of mothers with fetal loss after a disaster. In this report, we focus on those women immediately after the Great East Japan Earthquake and Fukushima NPP accident and discuss their support needs.Materials and Methods: Data regarding 61 miscarriages, 5 abortions, and 22 stillbirths were analyzed among the women who were pregnant at the time of the accident in the present study. We used a two-item case-finding instrument for depression screening, and compared the childbirth group with the fetal loss groups. We also analyzed mothers’ opinions written as free-form text.Results: Among the three fetal loss groups, the proportion of positive depression screens was significantly higher in the miscarriage and stillbirth group than in the childbirth group. Mothers’ opinions were grouped into six categories, with pregnancy-related items being most common, especially in the miscarriage and stillbirth groups.Conclusion: A higher proportion of Fukushima mothers with fetal loss, especially those with miscarriage and stillbirth, had depressive symptoms compared to those who experienced childbirth. Health care providers need to pay close attention to this vulnerable group and respond to their concerns regarding the effects on their fertility.

著者

KENICHI OTOSHI SHINICHI KIKUCHI HIROAKI SHISHIDO SHINICHI KONNO

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

pp.2014-7, (Released:2014-10-04)

参考文献数

14

被引用文献数

27

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Flexor pronator muscles (FPMs) play a key role in stabilizing the elbow joint against valgus forces. However, no studies have investigated the in vivo kinematics of FPMs against these forces on the elbow. This study aimed to clarify the in vivo contribution of each FPM as a dynamic stabilizer in a clinical situation.Twelve healthy volunteers participated in this study. Verbal informed consent was obtained from all subjects. The elbow was flexed to 90 degrees, and the forearm was placed in the neutral position. Manual valgus stress was applied to the elbow joint until maximal shoulder external rotation was achieved. The width of the ulnohumeral joint space and the ulnar shift of the sublime tubercle were measured before and after isometric contraction of FPMs using ultrasonography.The horizontal distances were decreased 1.1±0.6 mm after forearm pronation, 0.6±0.5 mm after wrist palmar flexion, 0.1±0.4 mm after wrist ulnar flexion, and 0.2±0.5 mm after finger flexion. Significant changes were observed during forearm pronation, wrist palmar flexion, and finger flexion but not during wrist ulnar flexion (p<0.05). The sublime tubercle was significantly shifted 0.5±0.1 mm medially after forearm pronation, 0.2±0.1 mm medially after wrist palmar flexion, and 0.1±0.1 mm laterally after wrist ulnar flexion and finger flexion (p<0.05). The FPMs, especially the pronator teres and the flexor carpi radialis, function as dynamic stabilizers against elbow valgus stress. The results of this study may be useful in developing injury prevention and rehabilitation strategies for throwing injuries of the elbow.

著者

杉本 幸太郎 千葉 英樹

出版者

福島医学会

雑誌

福島医学雑誌 (ISSN:00162582)

巻号頁・発行日

vol.73, no.3, pp.65-71, 2023 (Released:2023-12-01)

参考文献数

26

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要旨:核内受容体は様々な脂質を天然リガンドとする転写因子で,ヒトではレチノイン酸受容体,ビタミンD受容体,性ホルモン受容体,副腎皮質ホルモン受容体,および甲状腺ホルモン受容体など48種類が同定されている。核内受容体の転写活性は,基本的には特異リガンドとの結合によって調節されているが,実際にはリン酸化などの翻訳後修飾も影響する。我々は最近,細胞間接着から核内受容体のセリンリン酸化に至る新規のシグナル伝達経路を発見し,これが幹細胞分化および子宮体癌と乳癌の悪性形質増強に寄与することを明らかにした。本総説ではその一連の研究を紹介する。

著者

小野寺 誠 塚田 泰彦 鈴木 剛 三澤 友誉 上野 智史 全田 吏栄 菅谷 一樹 武藤 憲哉 反町 光太朗 伊関 憲

出版者

福島医学会

雑誌

福島医学雑誌 (ISSN:00162582)

巻号頁・発行日

vol.72, no.2, pp.57-64, 2022 (Released:2022-08-10)

参考文献数

26

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要旨:【目的】福島市消防本部管内における照会回数5回以上の救急搬送困難事案に対して救急専従医である地域救急医療支援講座による二次救急輪番当直支援の有用性について検討すること。【方法】2017年1月より2020年12月までの4年間に福島市消防本部管内で発生した救急搬送困難事案を対象とした。対象データは,福島市消防本部で保存している救急搬送記録簿,および地域救急医療支援講座から輪番当直支援を行っている二次救急医療機関4病院(以下,A~D病院)の救急車搬送時間記録簿から抽出した。4病院別に救急搬送数を調査し,平日で地域救急医療支援講座から当直支援を行った日(以下,支援日)と行っていない日(以下,非支援日)の二群に分け,救急搬送困難事案数および比率を検討した。【結果】調査期間内に4病院へ搬送された救急車は計34,578台,そのうち搬送困難事案数は589件(1.7%)であった。支援日と非支援日を比較すると,4病院ともに支援日での救急搬送困難事案数は少なく,比率も有意差をもって支援日で少なかった(A病院6件 vs 34件:p < 0.001,B病院7件 vs 26件:p < 0.001,C病院5件 vs 35件:p < 0.001,D病院0件 vs 28件:p = 0.025)。【結語】福島市二次救急医療機関に対する当講座の輪番当直支援は,救急搬送困難事案を有意に減少させていた。救急専従医による適切なトリアージが要因と考えられ,救急専従医が不足している地域での有用なモデルになる可能性がある。

著者

福地 雄太 福山 南美 藤井 あゆみ

出版者

福島医学会

雑誌

福島医学雑誌 (ISSN:00162582)

巻号頁・発行日

vol.64, no.4, pp.255-257, 2014-12

著者

黒田 直

出版者

福島医学会

雑誌

福島医学雑誌 (ISSN:00162582)

巻号頁・発行日

vol.9, no.4, pp.485-493, 1959-08

著者

HIROSHI WATANABE MAKIKO YASHIRO TOMOYUKI ASANO SHUZO SATO ATSUSHI TAKAHASHI KYOKO KATAKURA HIROKO KOBAYASHI HIROMASA OHIRA

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

pp.2014-27, (Released:2015-05-19)

参考文献数

17

被引用文献数

4

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Stressful life situation can trigger the onset and flare-ups of Behçet’s disease (BD). In addition, the association of systemic sclerosis (SSc) and BD is rare. In this study, we report a patient who had Sjögren’s syndrome as a primary disease and subsequently developed SSc and BD after an earthquake disaster and the death of her father.

著者

RYO ATSUUMI YOSHIHIKO ENDO AKIHIKO SUZUKI YASUMITU KANNOTOU MASAHIRO NAKADA REIKO YABUUCHI

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

vol.60, no.1, pp.101-105, 2014 (Released:2014-08-08)

参考文献数

6

被引用文献数

1 2

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A 9.0 magnitude (M) earthquake with an epicenter off the Sanriku coast occurred at 14: 46 on March 11, 2011. TEPCO Fukushima Daiichi Nuclear Power Plant (F-1 NPP) was struck by the earthquake and its resulting tsunami. Consequently a critical nuclear disaster developed, as a large quantity of radioactive materials was released due to a hydrogen blast. On March 16th, 2011, radioiodine and radioactive cesium were detected at levels of 177 Bq/kg and 58 Bq/kg, respectively, in tap water in Fukushima city (about 62km northwest of TEPCO F-1 NPP). On March 20th, radioiodine was detected in tap water at a level of 965 Bq/kg, which is over the value-index of restrictions on food and drink intake (radioiodine 300 Bq/kg (infant intake 100 Bq/kg)) designated by the Nuclear Safety Commission. Therefore, intake restriction measures were taken regarding drinking water. After that, although the all intake restrictions were lifted, in order to confirm the safety of tap water, an inspection system was established to monitor all tap water in the prefecture. This system has confirmed that there has been no detection of radioiodine or radioactive cesium in tap water in the prefecture since May 5th, 2011. Furthermore, radioactive strontium (89 Sr, 90Sr) and plutonium (238Pu, 239Pu+240Pu) in tap water and the raw water supply were measured. As a result, 89 Sr, 238Pu, 239Pu+240Pu were undetectable and although 90Sr was detected, its committed effective dose of 0.00017 mSv was much lower than the yearly 0.1 mSv of the World Health Organization guidelines for drinking water quality. In addition, the results did not show any deviations from past inspection results.

著者

SATORU SUZUKI

出版者

福島医学会

雑誌

FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)

巻号頁・発行日

vol.60, no.2, pp.205-206, 2014 (Released:2015-02-26)

被引用文献数

1 1

著者

田中 奏多 田中 翔子 田中 萌子

出版者

福島医学会

雑誌

福島医学雑誌 (ISSN:00162582)

巻号頁・発行日

vol.62, no.4, pp.185-187, 2012-12