文献一覧: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE (出版者)

27 0 0 0 OA SCIENTIFIC APPROACH TO RADIATION-INDUCED CANCER RISK

著者: TOMOTAKA SOBUE
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.57, no.2, pp.90-92, 2012 (Released:2012-02-22)
参考文献数: 2
被引用文献数: 4 6

When evaluating cancer risk of low-dose radiation, it is difficult to distinguish the actual effect from that of chance, bias, and confounding as they become relatively large. This is why the relation between radiation doses of less than 100 mSv and cancer risk is considered unknown. Based on data of atomic bomb survivors in Hiroshima and Nagasaki, the cancer risk at 100 mSv is calculated at 1.05 times. On the other hand, the risk ratio for the relation between passive smoking and lung cancer is estimated at approximately 1.3 and judging the actual effects faced difficulties. It is almost impossible for epidemiology research alone to show that the risk ratio of 1.05 is the actual effects of radiation. The ICRP estimation, “ exposure to 100 mSv increases cancer risk by 0.5%” , has been frequently cited, however, it is not a simple excess lifetime risk of death. It will be more appropriate to indicate a value with clear definition to people in general, such as excess lifetime risk of death or excess lifetime risk of morbidity rather than the value obtained from such complicated process. Radiation epidemiology equally uses ratio and difference to indicate degrees of risk increase. Difference largely changes depending on effects of background factors whereas ratio is often relatively stable. Therefore the use of ratio would be more appropriate when comparing other cancer risk factors.

2014-02-25 13:52:43
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12 0 0 0 OA THE BASIC DATA FOR RESIDENTS AGED 16 YEARS OR OLDER WHO RECEIVED A COMPREHENSIVE HEALTH CHECK EXAMINATIONS IN 2011-2012 AS A PART OF THE FUKUSHIMA HEALTH MANAGEMENT SURVEY AFTER THE GREAT EAST JAPAN EARTHQUAKE

著者: YUKIHIKO KAWASAKI MITSUAKI HOSOYA SEIJI YASUMURA TETSUYA OHIRA HIROAKI SATOH HITOSHI SUZUKI AKIRA SAKAI AKIRA OHTSURU ATSUSHI TAKAHASHI KOTARO OZASA GEN KOBASHI KENJI KAMIYA SHUNICHI YAMASHITA MASAFUMI ABE THE FUKUSHIMA HEALTH MANAGEMENT SURVEY GROUP
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.60, no.2, pp.159-169, 2014 (Released:2015-02-26)
参考文献数: 8
被引用文献数: 7 19

Aim: To assist in the long-term health management of residents and evaluate health impacts after the Tokyo Electric Power Company’s Fukushima Daiichi Nuclear Power Plant accident in Fukushima Prefecture, the Fukushima prefectural government decided to conduct the Fukushima Health Management Survey. This report describes the results for residents aged 16 years or older who received the health check examinations and evaluates the data obtained from 2011 and 2012.Methods: The target group consisted of residents aged 16 years or older who had lived in the evacuation zone. The health check examinations were performed on receipt of an application for a health check examination from any of the residents. The examinations, including measurements of height, weight, abdominal circumference/body mass index (BMI), blood pressure, biochemical laboratory findings, and peripheral blood findings, were performed as required.Results: 1) A total of 56,399 (30.9%) and 47,009 (25.4%) residents aged 16 years or older received health checks in 2011 and 2012, respectively. 2) In both years, a number of male and female residents in the 16-39 year age group were found to suffer obesity, hyperlipidemia, hyperuricemia, or liver dysfunction, and the prevalence of obesity and hyperlipidemia among residents increased with age. Furthermore, the proportion of residents with hypertension, glucose metabolic abnormalities or renal dysfunction was higher in those aged 40 years or older. 3) The frequencies of obesity, hypertension and hyperlipidemia among residents in 2012 were lower than those in 2011. However, the prevalence of liver dysfunction, hyperuricemia, glucose metabolic abnormalities and renal dysfunction among residents was higher in 2012 than in 2011.Conclusions: These results suggested the number of residents who had lived in the evacuation zone with obesity, hyperlipidemia, hyperuricemia, liver dysfunction, hypertension, glucose metabolic abnormalities, or renal dysfunction increased with age in all age groups. Therefore, we think that it is necessary to continue with health check examinations for these residents in order to ameliorate lifestyle-related disease.

2019-06-02 19:25:22
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11 0 0 0 OA LESSONS FROM CHERNOBYL

著者: NOBORU TAKAMURA SHUNICHI YAMASHITA
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.57, no.2, pp.81-85, 2012 (Released:2012-02-22)
参考文献数: 9
被引用文献数: 8 10

The Chernobyl disaster on April 26th, 1986, led to the emission of radioactive substances such as iodine-131 and radioactive cesium. As the Soviet Union did not control food distribution and intake, residents were exposed to high levels of internal radiation, leading to the internal radiation exposure of the thyroid gland by iodine 131. As a result, the number of people who had thyroid cancer increased drastically among those who had been under 15 years old at the time of the accident. The age predilection is about to move to 25 or older. However, there has been no scientific evidence of impacts for solid tumor other than thyroid cancer, leukemia, benign diseases, or inheritance including unborn babies. On the other hand, the accident was thought to have caused social unrest and mental damage which had far more impact than that caused by radiation exposure.In this paper, we would like to summarize the impacts on the health of the people in Chernobyl compared to those caused by the accident at the Fukushima Daiichi Nuclear Power Plant.

2012-02-26 02:56:02
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8 0 0 0 OA PREVALENCE OF THYROID NODULAR LESIONS IN CHILDREN AND ADOLESCENTS

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: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.60, no.2, pp.196-202, 2014 (Released:2015-02-26)
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

2018-01-17 06:58:35
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8 0 0 0 OA AN AMERICAN HIBAKUSHA IN FUKUSHIMA

著者: KENNETH E. NOLLET
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.57, no.2, pp.86-89, 2012 (Released:2012-02-22)
参考文献数: 13
被引用文献数: 6 6

A magnitude 9.0 earthquake and tsunami originating off the east coast of Japan triggered the explosive release of radioactive isotopes from one of four nuclear power plants in the affected area. This event has been compared with the 1986 nuclear accident at Chernobyl, the 1945 atomic bombing of Hiroshima and Nagasaki, and the intervening era of atmospheric nuclear weapons testing. The credibility of any comparison depends on the source, for which reason various specialists were invited to address an audience of media, healthcare, and disaster response professionals on July 18, 2011 in Fukushima City, Fukushima Prefecture. This article is based on a presentation given July 18, and interprets the Fukushima nuclear crisis from the perspective of an American doctor who grew up downwind of an atomic bomb test site, and who now works at Fukushima Medical University.

2013-10-12 01:38:25
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8 0 0 0 OA WHAT IS FUHYOHIGAI ?

著者: NAOYA SEKIYA
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.57, no.2, pp.93-99, 2012 (Released:2012-02-22)
参考文献数: 15
被引用文献数: 7 11 3

2012-02-28 08:25:27
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6 0 0 0 OA Investigation of thyroid cancer cases that were not detected in the Thyroid Ultrasound Examination program of the Fukushima Health Management Survey but diagnosed at Fukushima Medical University Hospital

著者: Susumu Yokoya Manabu Iwadate Hiroki Shimura Satoru Suzuki Takashi Matsuzuka Satoshi Suzuki Shigeyuki Murono Seiji Yasumura Kenji Kamiya Yuko Hashimoto Shin-Ichi Suzuki
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: pp.2019-26, (Released:2019-12-13)
参考文献数: 12
被引用文献数: 2

The Great East Japan Earthquake, which occurred on March 11, 2011, and its subsequent Fukushima Daiichi Nuclear Power Plant accident, prompted implementation of the Thyroid Ultrasound Examination (TUE) program as a part of the Fukushima Health Management Survey. The purpose of this program is to support residents of Fukushima Prefecture, and to analyze the health effects of the released radionuclides. Regardless of relatively high participation rates and a well-planned diagnostic flow, it is conceivable that not all thyroid cancer cases can be detected by the TUE program. The aims of the present study were to identify and characterize these “outside” cases, targeting patients at Fukushima Medical University (FMU) Hospital. As of June 30, 2017, we have successfully identified 11 outside cases. These corresponded to 5.7% of the 194 subjects who were identified as having thyroid cancer or suspected thyroid cancer in the TUE program. Although the outside subjects of other institutes were not investigated, the present study may have identified the majority of outside subjects in Japan, considering that FMU Hospital treats a large number of thyroid cancer subjects. Furthermore, the characteristics of the 11 subjects were not different from those of the subjects identified in the TUE program. These findings confirm that the TUE program was able to identify subjects of thyroid cancer adequately and sufficiently.

2020-08-24 14:27:35
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5 0 0 0 OA Acute peri-myocarditis with an unusual initial manifestation of gallbladder edema and a profound eosinophilic surge during convalescence

著者: Takahiro Zenda Ichiro Araki Otoyuki Nakamiya Mitsuko Ogawa Kotaro Higashi Toshio Ueno
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.64, no.2, pp.95-102, 2018 (Released:2018-08-29)
参考文献数: 25
被引用文献数: 2 4

A 29-year-old man with fever and right upper quadrant pain was referred to our hospital. Ultrasonography revealed intense gallbladder edema and pericardial effusion. Despite no symptoms and signs related to heart failure, the patient was clinically suspected of cardiac dysfunction related to acute peri-myocarditis based on his symptoms of preceding fever and headache, pericardial effusion, positive troponin T value, elevated B-type natriuretic peptide level, and sequential changes on electrocardiography. With a profound eosinophilic surge (8,022/µL) during convalescence, acute peri-myocarditis and gallbladder edema resolved spontaneously. This case instructively shows that acute peri-myocarditis initially manifests with abdominal symptoms, mimicking acute acalculous cholecystitis. In addition, an extensive review of acute myocarditis cases with peripheral eosinophilia suggests that there is a subgroup characterized by a predilection for young and middle-aged men, concurrence of pericardial effusion, transient eosinophilic surge during convalescence, and favorable outcome.

2022-09-27 19:27:46
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5 0 0 0 OA Investigation of thyroid cancer cases that were not detected in the Thyroid Ultrasound Examination program of the Fukushima Health Management Survey but diagnosed at Fukushima Medical University Hospital

著者: Susumu Yokoya Manabu Iwadate Hiroki Shimura Satoru Suzuki Takashi Matsuzuka Satoshi Suzuki Shigeyuki Murono Seiji Yasumura Kenji Kamiya Yuko Hashimoto Shin-Ichi Suzuki
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.65, no.3, pp.122-127, 2019 (Released:2020-01-09)
参考文献数: 12
被引用文献数: 2

2020-08-24 14:27:37
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5 0 0 0 OA Study of developmental disorders among newborns in Fukushima City after the Great East Japan Earthquake and nuclear power plant accident; an adjunct study of the Fukushima Regional Center of the Japan Environmental and Children’s Study (JECS)

著者: Shuntaro Itagaki Tomohiro Wada Shunya Yokokura Yoko Ise Akiko Sato Takatomo Matsumoto Hirobumi Mashiko Shin-ichi Niwa Hirooki Yabe
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.65, no.2, pp.68-69, 2019 (Released:2019-08-30)

This is based on a survey of two-year-old but not three-year-old cohorts. Therefore, we cannot state anything about the incidence of autism spectrum disorder (ASD) in over three-years-old children. We submit corrections in the following errata, because the original sentences might mislead the readers without evidence from three-year-old children. Also, we would like to exclude the phrase of “low-dose radiation” from the sections of Key word, Abstract, and Conclusion, because this study did not cover its influence.Author Shuntaro ItagakiAugust 05, 2019

2019-09-05 13:48:56
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4 0 0 0 OA Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study

著者: Naoto Takahashi Jun-ichi Omata Masumi Iwabuchi Hironari Fukuda Osamu Shirado
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.63, no.1, pp.8-15, 2017 (Released:2017-04-28)
参考文献数: 21
被引用文献数: 20

Therapy for chronic, nonspecific low back pain is mainly conservative: medication and/or exercise. Pharmacotherapy, however, has side effects, and the quantities of concomitant drugs in older persons require attention. Although exercise promises improved function, its use to alleviate pain is controversial. Thus, we compared the efficacy of pharmacotherapy versus exercise for treating chronic nonspecific low back pain. The pharmacotherapy group (n=18: 8 men, 10 women) were prescribed celecoxib monotherapy. The exercise group (n=22: 10 men, 12 women) undertook stretching exercises. Because of drop-outs, the NSAID group (n=15: 7 men, 8 women) and the exercise group (n =18: 8 men, 10 women) were finally analyzed. We applied a visual analog scale, Roland–Morris disability scores, and the 36-Item Short Form Health Survey. We used a paired t-test for within-group analyses and an unpaired t-test for between-group analyses. Pain relief was achieved after 3 months of pharmacotherapy or exercise. Quality of life improved only in the exercise group. Recovery outcomes for the two groups were not significantly different. Efficacy of exercise therapy for strictly defined low back pain was almost equivalent to that of pharmacotherapy and provided better quality of life.

2018-06-09 02:20:52
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3 0 0 0 OA EVACUATION EFFECT ON EXCESS MORTALITY AMONG INSTITUTIONALIZED ELDERLY AFTER THE FUKUSHIMA DAIICHI NUCLEAR POWER PLANT ACCIDENT

著者: SEIJI YASUMURA
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.60, no.2, pp.192-195, 2014 (Released:2015-02-26)
参考文献数: 8
被引用文献数: 9 23

The Great East Japan Earthquake hit Fukushima Prefecture on March 11, 2011, just over 3 years ago and it continues to affect our lives. In Fukushima, many people are confirmed dead or still missing due to the earthquake and/or tsunami. Additional “disaster-related deaths” have been attributed to the Fukushima Daiichi Nuclear Power Plant (NPP) accident. Mortality among the institutionalized elderly rates after the NPP accident were exceptionally high during the first 3 months, and persisted at a lower level for 9 months, in comparison with similar periods before the accident. This study demonstrates the great impact of evacuation on mortality of institutionalized elderly, excluding inpatients. We need to pay special attention to evacuation of the elderly, regardless of whether voluntary or forced.

2021-03-11 23:11:45
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3 0 0 0 OA Retraction: EFFECTS OF OLPRINONE ON NEUROMUSCULAR BLOCKADE CAUSED BY VECURONIUM

著者: TAKAAKI KATAYAMA YUHJI SAITOH CHIAKI NEMOTO TAKAHIRO HIRAMA TSUYOSHI ISOSU MASAHIRO MURAKAWA
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.53, no.2, pp.61-69, 2007 (Released:2013-10-31)
参考文献数: 23
被引用文献数: 1 1

The below article has been retracted.

2018-09-23 05:50:32
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3 0 0 0 OA The characteristics of non-respondents and respondents of a mental health survey among evacuees in a disaster : The Fukushima Health Management Survey

著者: Naoko Horikoshi Hajime Iwasa Seiji Yasumura Masaharu Maeda
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: pp.2017-03, (Released:2017-12-12)
参考文献数: 30
被引用文献数: 27

The Fukushima Medical University conducted a mental health care program for evacuees after the Fukushima Daiichi nuclear power plant accident. However, the mental health status of non-respondents has not been considered for surveys using questionnaires. Therefore, the aim of this study was to clarify the characteristics of non-respondents and respondents. The target population of the survey (FY2011-2013) is people living in the nationally designated evacuation zone of Fukushima prefecture. Among these, the participants were 967 people (20 years or older). We examined factors that affected the difference between the groups of participants (i.e., non-respondents and respondents) using multivariate logistic regression analysis. Employment was higher in non-respondents (p=0.022) and they were also more socially isolated (p=0.047) when compared to respondents; non-respondents had a higher proportional risk of psychological distress compared to respondents (p<0.033). The results of the multivariate logistic regression analysis showed that, within the participants there was a significant association between employment status (OR=1.99, 95% confidence interval [CI]:1.12-3.51) and psychological distress (OR=2.17, 95% CI:1.01-4.66). We found that non-respondents had a significantly higher proportion of psychological distress compared to the respondents. Although the non-respondents were the high-risk group, it is not possible to grasp the complexity of the situation by simply using questionnaire surveys. Therefore, in the future it is necessary to direct our efforts towards the mental health of non-respondents and respondents alike.

2017-12-16 13:30:05
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2 0 0 0 OA REVERSAL OF VECURONIUM WITH NEOSTIGMINE: A COMPARISON BETWEEN MALE AND FEMALE PATIENTS

著者: YUHJI SAITOH KENICHI AOKI MICHIYA OKAZAKI TAKAHIRO HIRAMA TSUYOSHI ISOSU MASAHIRO MURAKAWA
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.55, no.2, pp.61-69, 2009 (Released:2013-10-04)
参考文献数: 27

We investigated the differences between males and females in the reversal effect of neostigmine on neuromuscular blockade. Thirty male and 30 female patients undergoing elective general anesthesia were studied. Vecuronium was given in all patients anesthetized with nitrous oxide, oxygen, and sevoflurane. After the surgical procedure, when Tl (1st response in train-of-four (TOF))/control returned to 0.25, neostigmine 40 μg/kg in combination with atropine 20 μg/kg was given to antagonize residual neuromuscular blockade. Three, six, nine, 12, and 15 minutes after neostigmine reversal, Tl/control or TOF ratio (T4/Tl) did not significantly differ between the sexes. Also, 15 minutes after neostigmine administration, the number of patients in whom recovery from neuromuscular blockade was sufficient to guarantee good respiratory function, i.e., TOF ratio >0.74, did not significantly differ between the sexes. In contrast, 15 minutes after neostigmine, the number of patients in whom recovery from neuromuscular blockade was adequate to ensure satisfactory recovery from neuromuscular blockade including the return of the faculty of sight, i.e., TOF ratio >0.9, was significantly less in the males than in females (6 vs 14, P=0.028). In conclusion, 15 min after neostigmine, TOF ratio less often returns to a value of more than 0.9 in males than in females.

2019-08-02 04:24:58
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2 0 0 0 OA Retraction

出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.63, no.2, pp.126-126, 2017 (Released:2017-08-09)

The below article has been retracted. Article title 「EFFECTS OF OLPRINONE ON NEUROMUSCULAR BLOCKADE CAUSED BY VECURONIUM」Author Takaaki Katayama , Yuhji Saitoh , Chiaki Nemoto , Takahiro Hirama , Tsuyoshi Isosu , Masahiro Murakawa Journal title FUKUSHIMA JOURNAL OF MEDICAL SCIENCE Vol.53, No.2 2007:61-69 Fukushima Medical SocietyEditorial CommitteeJuly 5 , 2017

2018-01-05 09:25:24
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2 0 0 0 OA The characteristics of non-respondents and respondents of a mental health survey among evacuees in a disaster: The Fukushima Health Management Survey

著者: Naoko Horikoshi Hajime Iwasa Seiji Yasumura Masaharu Maeda
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.63, no.3, pp.152-159, 2017 (Released:2017-12-19)
参考文献数: 30
被引用文献数: 27

2017-12-26 20:39:43
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1 0 0 0 OA Outpatient rehabilitation for an older couple in a repopulated village 10 years after the Fukushima nuclear disaster:An embedded case study

著者: Yuta Saito Sora Sato Yoshitaka Nishikawa Fumiya Oguro Nobuaki Moriyama Keiichiro Sato Yurie Kobashi Toyoaki Sawano Akihiko Ozaki Takeo Nakayama Masaharu Tsubokura Seiji Yasumura Shohei Sakai
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: pp.2023-01, (Released:2023-11-11)
参考文献数: 31

BackgroundLittle information is available on the role of community-based rehabilitation after a nuclear disaster. Here, we report the case of an older couple living in an area repopulated after the Fukushima nuclear disaster of 2011 who received outpatient rehabilitation.Case presentationAn 84-year-old woman underwent total hip arthroplasty (THA) after she fell and sustained a trochanteric fracture while caring for her husband with Alzheimer's disease. The 85-year-old husband experienced worsening behavioral and psychological symptoms of dementia (BPSD) following his wife's hospitalization. The couple received rehabilitation at an outpatient facility in a nearby village using a shuttle service. The woman’s postoperative anxiety was relieved and her physical function improved. Moreover, the husband's BPSD symptoms decreased.ConclusionA wife and husband showed improvement in physical function after THA and alleviation of BPSD, respectively, following rehabilitation. In post-disaster, resource-scarce areas, older adults may benefit from utilizing the outpatient rehabilitation services available in the surrounding area.

2023-12-05 14:56:57
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1 0 0 0 OA Association between subjective economic status and refusal of life-prolonging treatment: a cross-sectional study using content analysis with stratified random sampling

著者: Hideaki Kasuga Shota Endo Yusuke Masuishi Tomoo Hidaka Takeyasu Kakamu Keiko Saito Koichi Abe Tetsuhito Fukushima
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.68, no.1, pp.11-18, 2022 (Released:2022-04-08)
参考文献数: 23
被引用文献数: 1

Introduction: Older adults tend to refuse life-prolonging treatment for various reasons, and it is important to respect their choice of treatment at the end-of-life stage. The present study examines the associations of subjective economic status and gender with reasons for refusal of life-prolonging treatment in older adults in general population.Methods: In this cross-sectional study, using stratified random sampling, 1,595 older adults living in Koriyama City, Japan, as of 2016, completed self-administered questionnaires on subjective economic status and preference for life-prolonging treatment, with free-description regarding reasons for refusal. We analyzed the associations between the combination of subjective economic status and gender with frequently mentioned terms and their clusters regarding such reasons, using χ2 test, content analysis, text mining and hierarchical cluster analysis.Results: The combinations of subjective economic status and gender were significantly associated with clustered reasons for refusal of life-prolonging treatment (p < 0.01). The reasons frequently mentioned were: ‘avoidance of unnecessary medical care’ and ‘dignity’ in well-off females; and ‘financial burden on family’ in poor males.Conclusions: Our findings suggest that older adults who at first glance appear to be freely refusing life-prolonging treatment, may have their decision making restricted through economic constraints.

2023-09-26 12:06:14
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1 0 0 0 OA Chopart amputation with tendon balancing

著者: Kazuo Ouchi Naoyuki Oi Mari Sato Shoji Yabuki Shin-ichi Konno
出版者: THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
雑誌: FUKUSHIMA JOURNAL OF MEDICAL SCIENCE (ISSN:00162590)
巻号頁・発行日: vol.69, no.1, pp.67-71, 2023 (Released:2023-04-05)
参考文献数: 15

Background: When foot necrosis occurs due to lower limb blood flow disorder caused by diabetes or peripheral arterial occlusion, many patients require lower limb amputation. The functional prognosis after lower limb amputation largely depends on whether the heel can be preserved. However, there are many reports that Chopart amputation causes varus and equinus deformity, and is functionally unfavorable. We herein report a case of Chopart amputation performed with muscle balancing. Postoperatively, the foot was not deformed and the patient was able to walk independently with a foot prosthesis. Case: A 78-year-old man presented with ischemic necrosis of his right forefoot. The range of necrosis extended to the central part of the sole, so Chopart amputation was performed. In the operation, to prevent varus and equinus deformity, the Achilles tendon was lengthened, the tibialis anterior tendon was transferred through a tunnel created in the neck of talus, and the peroneus brevis tendon was transferred through a tunnel created in the anterior part of the calcaneus. At the final follow-up 7 years after the operation, no varus or equinus deformity was observed. The patient became able to stand up and walk on his heel without a prosthesis. In addition, step motion was possible by wearing a foot prosthesis.

2023-04-20 23:02:45
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