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91.
Seiichi Takemasa Yoko Abe Ryoma Nakagoshi Masayuki Uesugi Yuri Inoue Makoto Gotou Yoshifumi Nanba Yoshitaka Otani 《Journal of Physical Therapy Science》2015,27(1):223-225
[Purpose] This study explored the roles of physical therapists (PTs) in introducing
assistive products, which are essential for living securely and stably at home, and
examined how PTs can fulfill these roles more efficiently and effectively. [Subjects and
Methods] A questionnaire on introducing assistive products was administered to PTs working
at randomly selected hospitals, health-care facilities for the elderly requiring long-term
care, home-visit nursing stations, and other such facilities and to PTs providing physical
therapy directly to the home-bound elderly disabled. The subjects of the study were 77 PTs
who returned valid responses. [Results] For awareness of systems for assistive product’s
introduction, PTs were more aware of the system based on the Long-Term Care (LTC)
Insurance Act than the system based on the Act on Welfare for the Home-Bound Elderly
Disabled. For PTs handling assistive product’s introduction for the home-bound elderly
disabled, approximately 91% of the respondents answered that they had handled some cases
of assistive product’s introduction, and PTs with longer clinical experience had handled
more assistive product’s introduction cases. [Conclusion] The results demonstrated that
PTs understand the work involved in introducing assistive products work well and that they
handle it. The results, however, also suggested that educational and operational
improvements are urgently required for PTs introducing assistive products essential for
the lives of the home-bound elderly disabled.Key words: Assistive products, Physical therapists, Home-bound elderly disabled 相似文献
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94.
Goto J Otsuka F Kodera R Miyoshi T Kinomura M Otani H Mimura Y Ogura T Yanai H Nasu Y Makino H 《Endocrine journal》2008,55(1):175-181
A 73-year-old Japanese woman was referred for examination of right flank pain and progressive hypertension. Abdominal CT incidentally detected a right adrenal mass 8 cm in size. The tumor exhibited isodensity by CT and contained high-intense lesion by T2-weighted MRI. Scintigraphy with (131) I-metaiodobenzylguanidine and (131) I-adosterol showed no abnormal uptake by whole body scan. Positron emission tomography scan with (18) F-2-fluoro-D-deoxyglucose demonstrated an exclusive uptake in the right adrenal mass. Adrenocortical hormone levels and catecholamine secretion were within normal range; however, the level of serum neuron-specific enolase (NSE) was found to be markedly high. After controlling systemic blood pressure with an alpha1-blocker, the right adrenal tumor was surgically removed, along with the right kidney and inferior vena cava which adhered to it. The tumor was pathologically proven to be leiomyosarcoma, which was immunohistochemically positive with alpha-smooth muscle actin and negative with CD57, S-100 and c-kit proteins. Notably, NSE protein was massively expressed in the resected tumor. After surgery blood pressure was controlled with regular medication and serum NSE levels have since normalized. The possibility of leiomyosarcoma should be kept in mind in adrenal incidentalomas with rapid growth and atypical radiological images. Our findings suggest that circulating NSE levels may be clinically useful for early detection of recurrence. 相似文献
95.
Haosheng Mu Shinji Otani Mikizo Okamoto Yae Yokoyama Yasuko Tokushima Kazunari Onishi Takenobu Hosoda Youichi Kurozawa 《Yonago acta medica》2014,57(4):133-136
Background
The air quality index (AQI) is widely used to characterize the quality of ambient air. Chinese cities officially report the AQI on a daily basis. To assess the possible effects of air pollution on daily outpatient visits, we examined the association between AQI and the daily outpatient count.Methods
Daily data on outpatient visits to each clinical department were collected from the Z county hospital of Datong City, China. The collection period was between 5 April and 30 June, 2012. Daily AQI data and meteorological information were simultaneously recorded. We compared outpatient counts between the index days and comparison days, and calculated Pearson’s product moment correlation coefficient between outpatient counts and AQI levels.Results
The average AQI level for index days was significantly higher than that for comparison days. No significant difference was observed in temperature or relative humidity between index days and comparison days. The outpatient counts for pediatrics were significantly higher on index days than on comparison days, and no significant difference was noted in other clinical departments. The outpatient counts for pediatrics positively correlated with the AQI level, and no correlation was noted in other clinical departments.Conclusion
The present study assessed the association between daily outpatient visits and air pollution using AQI. The results obtained suggest that air pollution could increase the outpatient count for pediatrics. 相似文献96.
Otani T Yoshimatsu K Yokomizo H Fujimoto T Umehara A Matsumoto A Osawa G Itagaki H Yano Y Ogawa K 《Hepato-gastroenterology》2012,59(114):395-399
Background/Aims: To investigate differences in clinicopathological features between proximal and distal pT3 colon cancers and to determine whether the depth of the cancer invasion beyond the muscularis propria (DBM) serves as an objective indicator of the depth of tumor invasion in proximal colon cancer and in distal colon cancer. Methodology: A total of 207 patients who underwent surgery for proximal and distal pT3 colon cancer between 1996 and 2001 were included in the analysis. Results: No differences were noted between proximal and distal cancers in lymph node metastasis, distant metastasis, lymphatic/venous invasion, histological type and curability of surgical resection, although proximal cancer patients were significantly older. High-grade malignancy appeared to be more commonly noted in the proximal colon cancer cases but there was no significant difference in prognosis between proximal and distal cancer patients. Conclusions: Regarding the correlation between DBM and prognosis, there was a significant decrease in the 5-year survival rate in patients with proximal lesions of DBM 3000μm or more, and patients with distal lesions of DBM 5000μm or more. DBM is thus an objective indicator of depth of tumor invasion for both proximal and distal lesions, a prognostic factor and a guide to determining whether postoperative adjuvant chemotherapy is indicated for pT3 colon cancer cases. 相似文献
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Hideyuki Matsumoto Shin-ichi Tokushige Hideji Hashida Ritsuko Hanajima Yasuo Terao Yoshikazu Ugawa 《Brain stimulation》2013,6(4):538-540
BackgroundThe utilities of magnetic cervical motor root stimulation are well known for lesions in the lower part of the brachial plexus, but not for lesions in the other parts.ObjectiveThe aim of paper is to show the utilities of magnetic cervical motor root stimulation for lesions in the upper part of the brachial plexus.MethodsWe analyzed the brachial plexus using both electrical stimulation at Erb's point and magnetic cervical motor root stimulation in a patient with brachial plexopathy caused by tumor invasion.ResultsOn the fourth day after onset, magnetic cervical motor root stimulation revealed abnormal findings in the upper part of the brachial plexus. Two weeks after onset, needle electromyography supported the existence of the focal lesion.ConclusionMagnetic cervical motor root stimulation is useful in detecting abnormal findings in the upper part of the brachial plexus, even at the acute phase. 相似文献
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Tetsu?AkimotoEmail author Hiromichi?Yoshizawa Yuko?Watanabe Akihiko?Numata Tomoyuki?Yamazaki Eri?Takeshima Kana?Iwazu Takanori?Komada Naoko?Otani Yoshiyuki?Morishita Chiharu?Ito Kazuhiro?Shiizaki Yasuhiro?Ando Shigeaki?Muto Makoto?Kuro-o Eiji?Kusano 《BMC nephrology》2012,13(1):155