1
|
Momiyama S, Kakeya K, Dannoue H, Yanagi H. A Survey of Emergency Nurses' Perceptions and Practices to Support Patients' Families as Surrogate Decision Makers. J Emerg Nurs 2023; 49:899-911. [PMID: 37690019 DOI: 10.1016/j.jen.2023.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 06/21/2023] [Accepted: 08/01/2023] [Indexed: 09/11/2023]
Abstract
INTRODUCTION Family members acting as surrogate decision makers for severely ill patients in emergency and critical care centers face psychological burdens. This study aimed to investigate the actual situation of emergency nurses' perceptions and practices to support patients' families and its structural elements. METHODS We created an original 25-item questionnaire and surveyed 164 emergency nurses from 64 emergency and critical care centers regarding their perceptions of caring for people making surrogate decisions. Participants averaged 35.6 years old and 5.1 years as emergency nurses. RESULTS Cronbach's α coefficients for importance and practice on the original questionnaire were 0.936 and 0.933, respectively. We identified 4 elements of necessary support for patient families making surrogate decisions according to emergency nurses: "collaboration in understanding the condition of the patient as well as empathetic support," "care that addresses the needs of patient's family members," "confirming the role of nurses and surrogate decision making," and "participation in meeting with a doctor and patient families." In addition, we identified 5 elements that indicate the current state of practice: "support from specialists such as nurses and other professionals," "compassionate care for family members and those who are providing support to family members," "empathetic support for family members," "support for making arrangements that address the needs of family members," and "considerations for family members." DISCUSSION According to the findings of this study, emergency nurses should coordinate with other professionals and talk with family members and physicians to increase their understanding of the need to assist in surrogate decision making. In addition, emergency nurses also need to explain to patients' relatives how to support them in surrogate decision making.
Collapse
|
2
|
Matsuki T, Yanagi H, Koba T, Aso H, Sakaguchi S, Ito S, Kouyama K, Furuta K, Miyazaki A, Sumitani H, Yokoyama M, Miyamoto S, Fukai M, Hashimoto K, Nii T, Hashimoto H, Fukushima K, Tsujino K, Miki K, Kida H, Kumanogoh A. Comparing the MiniBox™ and the Chestac-8900 ® for pulmonary function testing. Int J Tuberc Lung Dis 2023; 27:709-711. [PMID: 37608481 PMCID: PMC10443784 DOI: 10.5588/ijtld.23.0212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 05/18/2023] [Indexed: 08/24/2023] Open
Affiliation(s)
- T Matsuki
- Departments of Respiratory Medicine, and
| | - H Yanagi
- Departments of Clinical Laboratory, National Hospital Organization Osaka Toneyama Medical Center, Toyonaka, Osaka
| | - T Koba
- Departments of Respiratory Medicine, and
| | - H Aso
- ASTEM Incorporation, Saga
| | - S Sakaguchi
- Departments of Clinical Laboratory, National Hospital Organization Osaka Toneyama Medical Center, Toyonaka, Osaka
| | - S Ito
- Departments of Clinical Laboratory, National Hospital Organization Osaka Toneyama Medical Center, Toyonaka, Osaka
| | - K Kouyama
- Departments of Clinical Laboratory, National Hospital Organization Osaka Toneyama Medical Center, Toyonaka, Osaka
| | - K Furuta
- Departments of Clinical Laboratory, National Hospital Organization Osaka Toneyama Medical Center, Toyonaka, Osaka
| | - A Miyazaki
- Departments of Respiratory Medicine, and
| | - H Sumitani
- Departments of Respiratory Medicine, and
| | - M Yokoyama
- Departments of Respiratory Medicine, and
| | - S Miyamoto
- Departments of Respiratory Medicine, and
| | - M Fukai
- Departments of Respiratory Medicine, and
| | | | - T Nii
- Departments of Respiratory Medicine, and
| | | | - K Fukushima
- Department of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - K Tsujino
- Departments of Respiratory Medicine, and
| | - K Miki
- Departments of Respiratory Medicine, and
| | - H Kida
- Departments of Respiratory Medicine, and
| | - A Kumanogoh
- Department of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan
| |
Collapse
|
3
|
Kameyama J, Hashizume Y, Takamura Y, Nomura S, Gomi T, Yanagi H. Work engagement, well-being, and intent to continue working based on educational support among foreign care workers in Japan. Environ Health Prev Med 2022; 27:4. [PMID: 35289323 PMCID: PMC9093614 DOI: 10.1265/ehpm.21-00248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background Global aging continues to progress. The shortage of human resources involved in long-term care (LTC) is a serious problem worldwide. It is necessary to promote the stable employment of foreign care workers. The purpose of this study was to identify which factors, including well-being, work engagement, and original items, contribute to foreign care workers’ intent to continue working. Methods We conducted an anonymous self-administered questionnaire survey of 259 foreign LTC workers at LTC facilities in Japan. The questionnaire survey items included the Japanese version of the Subjective Well-being Scale (J-SWBS), the Japanese version of the Utrecht Work Engagement Scale (J-UWES), and original items related to educational needs and issues. We used multiple regression analysis to predict variability from correlations among variables. And after that, we conducted a path analysis using structural equation modeling (SEM), and added that the explanatory variables (IV) were well-being, work engagement, and the original item component, and that the outcome variable (DV) was intention to continue working. We set a hypothetical model based on structural equations, corrected by path analysis, and examined its suitability. Results The number of returned questionnaires for 259 foreign care workers was 147 (response rate 56.7%), and the number of analyzable questionnaires was 129 (valid response rate 49.8%). For intention to continue working, the results of structural equation modeling showed direct effects for satisfaction with low back pain measure guidance (β = .255), satisfaction with the national examination guidance method (β = .217), well-being (β = .046), and work engagement (β = .026). In work-engagement, there was a direct effect of happiness (β = .715), willingness to learn good care (β = 4.849), and confidence in my ability (β = 2.902,), whilst in well-being, satisfaction with low back pain measure guidance (β = 1.582) and confidence in my ability (β = 1.999) were found to have direct effects. Conclusions To increase the intent of foreign care workers to continue working, appropriate guidance should be given related to the development of lumbago. In addition, to provide a place and scene where they can learn good care, having a relationship in practice where foreign care workers can feel that their abilities are being utilized, and developing and maintaining educational support that motivates them to learn good care may be effective.
Collapse
Affiliation(s)
- Junko Kameyama
- Research Fellow, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
| | - Yumi Hashizume
- Department of Health Innovation and Nursing, Faculty of Medicine, University of Tsukuba
| | - Yuko Takamura
- Department of Nursing, School of Health Sciences Ibaraki Prefectural University of Health Science
| | - Shoko Nomura
- Research Fellow, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
| | - Tomoki Gomi
- Graduate School of Comprehensive Human Sciences Master’s Program in Public Health, University of Tsukuba
| | - Hisako Yanagi
- Department of Health Innovation and Nursing, Faculty of Medicine, University of Tsukuba
| |
Collapse
|
4
|
Maki N, Sakamoto H, Takata Y, Taniguchi K, Wijesinghe A, Okamura J, Kawamura T, Yanagihara T, Saeki Y, Kitazawa S, Kobayashi N, Kikuchi S, Goto Y, Ichimura H, Sato Y, Yanagi H. Effect of pulmonary training for community‐dwelling frail older adults with chronic stroke: A randomized controlled pilot trial. J Gen Fam Med 2021; 23:140-148. [PMID: 35509345 PMCID: PMC9062559 DOI: 10.1002/jgf2.511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 10/16/2021] [Accepted: 11/08/2021] [Indexed: 11/30/2022] Open
Abstract
Background Decreased pulmonary function and poor deglutition are a major risk factor for poststroke aspiration pneumonia. We analyzed the benefits of pulmonary training on pulmonary function, deglutition, and quality of life (QOL) in community‐dwelling, frail elderly people with chronic stroke. Method This study was designed as an open, randomized, controlled pilot trial. The participants, who were frail older adults with a history of stroke, were randomized to 2 rehabilitation groups: intervention group (n = 15) and control (n = 15). All participants (65–94 years) attended twelve 20‐min sessions twice a week for 6 weeks of either standard rehabilitation (control group) or standard rehabilitation with pulmonary training including home pulmonary exercise (intervention group). The main outcome measures were pulmonary function (%MIP), deglutition (DRACE), and QOL (SF8・PCS), while secondary outcomes were muscle strength (grip and abdominal), thorax flexibility, 6‐min walk distance, and activities in daily living. All outcomes were measured both prior to training and after the 12 sessions. Results The intervention group showed significant improvement in %MIP (95% CI, 2.9–31.6; p < 0.01), DRACE (95% CI, −4.1–0.1; p < 0.01), and SF8・PCS (95% CI, 2.5–7.2; p < 0.01) compared with controls. There were no cognitive function decline and higher brain dysfunction. Conclusions These results suggest that the addition of pulmonary training including home pulmonary exercise to a standard rehabilitation program could improve pulmonary function, deglutition, and QOL in frail elderly people with chronic stroke.
Collapse
Affiliation(s)
- Naoki Maki
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | | | - Yu Takata
- AHR Medical and Welfare College School Tsuchiura Japan
| | | | - Ashoka Wijesinghe
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Junko Okamura
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Tomoyuki Kawamura
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Takahiro Yanagihara
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Yusuke Saeki
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Shinsuke Kitazawa
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Naohiro Kobayashi
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Shinji Kikuchi
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Yukinobu Goto
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Hideo Ichimura
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Yukio Sato
- Department of Thoracic Surgery Faculty of Medicine University of Tsukuba Tsukuba Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare Faculty of Medicine University of Tsukuba Tsukuba Japan
| |
Collapse
|
5
|
Shiomi K, Saito C, Nagai K, Kosaki K, Kawamura T, Kaneko S, Kai H, Morito N, Usui J, Yanagi H, Yamagata K. Ratio of serum creatinine to cystatin C is related to leg strength in predialysis CKD patients. Clin Exp Nephrol 2021; 25:1079-1086. [PMID: 34342777 DOI: 10.1007/s10157-021-02050-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Accepted: 03/08/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND OBJECTIVES Chronic kidney disease (CKD) patients have lower levels of physical function. Especially, leg strength is important for daily living and preventing falls. However, physical function screenings are difficult to perform at clinical sites. To find clinically useful method to evaluate physical function in predialysis CKD patients, we tried to evaluate the relationship between the ratio of serum creatinine to serum cystatin C (Cre/CysC), and knee extensor muscle strength/body weight (KEMS) which reflects their leg strength. DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS We recruited 147 outpatients with CKD (87 men; mean age, 61.6 ± 9.8 years; mean eGFRcreat, 40.7 ± 12.9 mL/min/1.73m2) in this cross-sectional study. KEMS was assessed using a wire strain gauge dynamometer. Skeletal muscle mass and body fat mass were assessed by bioelectrical impedance analysis. RESULTS The mean value of Cre/CysC was 1.01 ± 0.18. The mean value of KEMS was 1.60 ± 0.47 Nm/kg. In multivariate linear regression analysis, skeletal muscle mass (p < 0.01), body fat mass (p < 0.01), hemoglobin (p = 0.01), and Cre/CysC (p < 0.01) was independently related to KEMS. The correlation between Cre/CysC and KEMS is stronger in high quantile of Cre/CysC. CONCLUSIONS In predialysis CKD patients, KEMS showed lower as CKD stage advanced. Cre/CysC is significantly related to KEMS independently. Cre/CysC may be an alternative marker for leg strength in CKD patients and even more valuable to utilize in cases with high Cre/CysC.
Collapse
Affiliation(s)
- Kohei Shiomi
- Degree Programs in Medical Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Chie Saito
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Kei Nagai
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Keisei Kosaki
- Faculty of Sports Science, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Tetsuya Kawamura
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Shuzo Kaneko
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Hirayasu Kai
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Naoki Morito
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Joichi Usui
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan
| | - Kunihiro Yamagata
- Department of Nephrology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
| |
Collapse
|
6
|
Watanabe H, Tsurushima H, Yanagi H. Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study. J Phys Ther Sci 2021; 33:168-174. [PMID: 33642694 PMCID: PMC7897533 DOI: 10.1589/jpts.33.168] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 11/25/2020] [Indexed: 12/04/2022] Open
Abstract
[Purpose] In stroke rehabilitation, gait assessment measures the maximal walking speed and six-minute walking distance, both of which have not been thoroughly investigated as determinants of walking ability. Here, we assessed the methods for evaluating these gait parameters using clinical data on hybrid assistive limb treatment compared with conventional training. [Participants and Methods] In total, 20 stroke patients (hybrid assistive limb group, n=9; conventional group, n=11) participated in this randomized controlled trial. For 12 sessions (three times per week in 4 weeks), the hybrid assistive limb and conventional groups performed gait treatment with hybrid assistive limb and conventional gait training, respectively. Short physical performance battery and walking ability (maximal walking speed and six-minute walking distance) were evaluated pre- and post-intervention. Subsequently, the patients were divided further into two groups: low- and high-balance score groups. [Results] Maximum walking speed and six-minute walking distance were significantly associated, with a positive relationship observed post-intervention. The high-balance score group showed a significant improvement in the six-minute walking distance compared to the low-balance score group. However, no significant improvement in maximum walking speed was observed between both groups. [Conclusion] Due to its sensitivity in detecting differences in balance, six-minute walking distance may be a useful assessment parameter for stroke rehabilitation, particularly in the recovery of physiological walking ability.
Collapse
Affiliation(s)
- Hiroki Watanabe
- Department of Neurosurgery, Faculty of Medicine, University
of Tsukuba: 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan
| | - Hideo Tsurushima
- Department of Neurosurgery, Faculty of Medicine, University
of Tsukuba: 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Faculty of
Medicine, University of Tsukuba, Japan
| |
Collapse
|
7
|
Kameyama J, Hashizume Y, Yanagi H. [Educational support for obtaining national qualifications of foreign care workers: A qualitative analysis]. Sangyo Eiseigaku Zasshi 2020; 63:133-142. [PMID: 33191313 DOI: 10.1539/sangyoeisei.2020-015-e] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The purpose of this study was to clarify the needs and issues of continuing employment and educational support for foreign care worker candidates (hereinafter referred to as candidates) to acquire national qualifications. METHODS Semi-structured interviews were conducted with 12 people who took and passed the National Examination for Care Workers. The data was analyzed using the constant comparative method of the grounded theory approach. The validity of the results was examined by member checks and peer debriefing. RESULTS With "the wall in the process of acquiring national qualifications" as the core category, four categories were extracted as factors related to foreign care workers and accepting facilities, and six categories were extracted as factors related to accepting facilities and educational support. CONCLUSIONS We considered that the needs and issues of continuation of employment and educational support from the perspective of successful applicants are diverse across both training and practical aspects, and are related to the protection of the rights of foreign candidates. Educational support for acquiring national qualifications should meet various needs related to working and learning at the same time, and there are limitations to current training programs. It is necessary to evaluate and improve the current program based on this new knowledge.
Collapse
Affiliation(s)
- Junko Kameyama
- Graduate School of Comprehensive Human Science, University of Tsukuba
| | | | | |
Collapse
|
8
|
Maki N, Sakamoto H, Takata Y, Mutsukura Y, Ashoka W, Yanagihara T, Saeki Y, Kitazawa S, Kobayashi N, Kikuchi S, Goto Y, Ichimura H, Sato Y, Yanagi H. Factors related to physical and mental components of quality of life in the community-dwelling frail older persons. J Phys Ther Sci 2020; 32:557-562. [PMID: 32982049 PMCID: PMC7509155 DOI: 10.1589/jpts.32.557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 06/03/2020] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to investigate factors associated with changes in both the physical and mental components of quality of life (QOL) in of community-dwelling frail older persons in long-term care and to clarify which aspects are important to maintaining physical and mental components of QOL. [Participants and Methods] In this 1 year follow-up cohort study, participants were older persons from a single day care rehabilitation center in Japan. The Medical Outcome Study 8-Item Short-Form Health Survey (MOS-SF8), which gives both physical component summary (PCS) and mental component summary (MCS) scores, was used as the main QOL assessment. Participants were divided according to their level of QOL maintenance according to changes in PCS and MCS scores over the study period, and the variables were compared between the groups. [Results] PCS domain was significantly associated with forced vital capacity and the MCS domain was significantly associated with the Geriatric Depression Scale and Dysphagia Risk Assessment for the Community-Dwelling Elderly Test. [Conclusion] Depression, reduced pulmonary function, and reduced deglutition ability were independently related to low QOL. Assessment of these factors could be beneficial for maintaining the physical and mental components of QOL in community-dwelling frail older persons in long-term care.
Collapse
Affiliation(s)
- Naoki Maki
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Harumi Sakamoto
- AHR Medical and Welfare College School, Japan.,Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Yu Takata
- AHR Medical and Welfare College School, Japan
| | | | - Wijesinghe Ashoka
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Takahiro Yanagihara
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Yusuke Saeki
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Shinsuke Kitazawa
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Naohiro Kobayashi
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Shinji Kikuchi
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Yukinobu Goto
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Hideo Ichimura
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Yukio Sato
- Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Faculty of Medicine, University of Tsukuba: 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| |
Collapse
|
9
|
Nakano S, Hirano C, Hotta K, Fujita Y, Yanagi H. Factors associated with overweight status, obesity, and sedentary behavior in elementary and junior high school students. Phys Ther Res 2020; 22:66-72. [PMID: 32015943 DOI: 10.1298/ptr.e9965] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 04/09/2019] [Indexed: 11/23/2022]
Abstract
BACKGROUND Sedentary behavior increases the risks of obesity and cardiovascular disease in adults, but these relationships are uncertain in elementary and junior high school students. We investigated whether sedentary behavior is related to overweight status and obesity in high-risk children with lifestyle diseases. METHOD A cross-sectional study was performed in 115 children and primary caregivers who attended a lecture for preventing child lifestyle diseases in Ibaraki prefecture, Japan. The main outcome measure was excess weight (percent overweight). Factors associated with excess weight in children were evaluated using multiple regression analysis. Basic physical and demographic characteristics, biochemical data (total cholesterol [TC], low and high density lipoprotein cholesterol [LDL-C and HDL-C], alanine aminotransferase [ALT]), blood pressure, child and parental sedentary time, parental BMI, and family environment were evaluated. RESULTS In total, 107 children were eligible for participation in the study. Excess weight in these children was 28.6 ± 18.4. Sedentary time was 337.2 ± 122.5 min/day in children and 347.0 ± 196.2 min/day in parents. Multiple regression analysis revealed that children's sedentary behavior (β = 0.02, (95%CI: 0.00 to 0.04)) and HDL-C (β = -0.59, (95%CI: -0.81 to -0.38)) as independent predictors of children's excess weight. CONCLUSION Study findings suggest that decreasing children's sedentary behavior in addition to greater physical activity is important for the prevention of overweight status and obesity in high-risk children with lifestyle diseases. Reduction of sedentary time, and engaging in regular exercise are all important for proper weight maintenance in children.
Collapse
Affiliation(s)
- Satoko Nakano
- Department of Shizuoka Physical Therapy, Faculty of Health Sciences, Tokoha University
| | | | | | | | | |
Collapse
|
10
|
Kameyama J, Yanagi H. [Characteristics of work intention, burnout, and communication skills in foreign nursing care workers]. Nihon Koshu Eisei Zasshi 2019; 66:38-47. [PMID: 30726809 DOI: 10.11236/jph.66.1_38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Junko Kameyama
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Science, University of Tsukuba
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Faculty of Medicine, University of Tsukuba
| |
Collapse
|
11
|
Maki N, Sakamoto H, Takata Y, Kobayashi N, Kikuchi S, Goto Y, Ichimura H, Sato Y, Yanagi H. Effect of respiratory rehabilitation for frail older patients with musculoskeletal disorders: a randomized controlled trial. J Rehabil Med 2018; 50:908-913. [PMID: 30328470 DOI: 10.2340/16501977-2490] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE To investigate the effects of respiratory rehabilitation on respiratory function, swallowing in community-dwelling frail older patients with musculoskeletal disorders. DESIGN Randomized open-label controlled trial. SETTING Day-care facility in a rehabilitation hospital in Japan. SUBJECTS A total of 63 participants with musculoskeletal disorders (intervention group: n = 31; control group: n = 32) completed the randomized controlled trial. INTERVENTIONS All participants received 12 20-min sessions twice a week for 6 weeks of either typical rehabilitation (control) or typical rehabilitation with respiratory rehabilitation (intervention). MAIN MEASURES Outcome measures were assessed prior to rehabilitation and after 12 sessions. The measures included: respiratory function, swallowing function, exercise tolerance, 6-min walk distance, thorax flexibility, muscle strength (grip and abdominal), activities of daily living, and quality of life. RESULTS Participants in the intervention group showed significantly greater improvement in respiratory function (95% confidence interval (CI), 3.8-6.6; p = 0.01), swallowing function (95% CI -1.8-0.6; p = 0.01), and quality of life (SF8 Physical Summary Score) (95% CI 2.4-7.1; p = 0.01) compared with those in the control group. CONCLUSION Addition of respiratory rehabilitation to a typical rehabilitation programme could improve not only respiratory and swallowing function, but also quality of life, in frail older patients.
Collapse
Affiliation(s)
- Naoki Maki
- Department of Thorasic Surgery, Faculty of Medicine, University of Tsukuba, 305-8577 Tsukuba, Japan
| | | | | | | | | | | | | | | | | |
Collapse
|
12
|
Yoshimoto S, Yanagi H, Yoshida M, Yagi M, Ando H, Ichihashi M. 1132 Establishment of photo-aged in vitro senescence model using cultured fibroblasts by repeated UVA irradiation: PAPLAL with potent catalase-like activity prevented cellular senescence. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
13
|
Yanagi H, Yoshida M, Yoshimoto S, Shibata T, Ichihashi M, Ando H. 1221 Intracellular vacuoles observed in cultured melanocytes obtained from normally pigmented skin of a vitiligo patient were vanished by the treatment of anti-oxidants. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
14
|
Watanabe H, Goto R, Tanaka N, Matsumura A, Yanagi H. Effects of gait training using the Hybrid Assistive Limb® in recovery-phase stroke patients: A 2-month follow-up, randomized, controlled study. NeuroRehabilitation 2017; 40:363-367. [PMID: 28222558 DOI: 10.3233/nre-161424] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Gait training using the Hybrid Assistive Limb® (HAL®) may have beneficial effects on post-stroke gait function and independent walking. However, the long-term and medium-term efficacies of gait training using HAL® in stroke patients remain unclear. OBJECTIVE To compare the medium-term efficacy of gait training using a single-leg version of the Hybrid Assistive Limb® (HAL®) on the paretic side with conventional gait training (CGT) in recovery-phase stroke patients. METHODS Twenty-four post-stroke participants (HAL® group: n = 12, CGT group: n = 12) completed the trial. Over 4 weeks, all participants received twelve 20-min sessions of either HAL® (using the single-leg version of HAL® on the paretic side) or conventional (performed by skilled and experienced physical therapists) gait training. Outcome measures were evaluated prior to training, after 12 sessions, and at 8 and 12 weeks after intervention initiation. Functional Ambulation Category (FAC) was the primary outcome measure. RESULTS The HAL® group showed significant improvement in FAC after 12 sessions, and at 8 and 12 weeks compared to the conventional group (P = 0.02). CONCLUSIONS The results suggested that a gait training program based on HAL® may improve independent walking more efficiently than CGT at 1 and 2 months after intervention.
Collapse
Affiliation(s)
- Hiroki Watanabe
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.,Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Ryohei Goto
- Department of Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Naoki Tanaka
- Department of Rehabilitation, Tsukuba Memorial Hospital, Tsukuba, Japan
| | - Akira Matsumura
- Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| |
Collapse
|
15
|
Yanagi H, Shindo N. Effects of exercise therapy on polymyositis complicated by post-myocarditis cardiomyopathy: A case report. J Rehabil Med 2017; 49:282-285. [DOI: 10.2340/16501977-2206] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
16
|
Maki N, Takahashi H, Nakata T, Wakayama S, Hasegawa D, Sakamoto H, Fujita Y, Takata Y, Sukada T, Sato Y, Yanagi H. The Effect of Respiratory Rehabilitation for the Frail Elderly: a Pilot Study. J Gen Fam Med 2016. [DOI: 10.14442/jgfm.17.4_289] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
17
|
Goto R, Watanabe H, Tsutsumi M, Kanamori T, Maeno T, Yanagi H. Factors associated with the recovery of activities of daily living after hospitalization for acute medical illness: a prospective cohort study. J Phys Ther Sci 2016; 28:2763-2768. [PMID: 27821931 PMCID: PMC5088122 DOI: 10.1589/jpts.28.2763] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Accepted: 06/09/2016] [Indexed: 11/28/2022] Open
Abstract
[Purpose] This study investigated the factors associated with the recovery rate of
activities of daily living of elderly patients hospitalized for acute medical illness.
[Subjects and Methods] A total of 238 elderly patients were enrolled in this study. The
main outcome measure was the functional independence measure score which was used as an
assessment of activities of daily living. The participants were divided into 2 groups
based on their activities of daily living before onset: the independent group and the
partially dependent group. The participants of each group were further divided into 2
subgroups based on recovery rates of activities of daily living: the high-recovery group
(80%) and the low-recovery group (<80%). The factors associated with the recovery rate
were examined using multivariate logistic regression analysis. [Results] The factors
associated with the recovery rate were: days of inactivity and cognitive status at the
start of rehabilitation for the independent group, and days of inactivity and nutritional
status at the start of rehabilitation for the partially dependent group. [Conclusion] The
results of this study suggest that the important factors for return to normal activities
of daily living are: days of inactivity and cognitive status for the independent group;
and days of inactivity and management of nutrition for the partially dependent group.
Collapse
Affiliation(s)
- Ryohei Goto
- Department of Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| | - Hiroki Watanabe
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| | | | | | - Tetsuhiro Maeno
- Department of Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| |
Collapse
|
18
|
Tanaka N, Watanabe H, Takeshige kanamori, Yano H, Yanagi H. A Comparison Between Effects of Gait Training Using Footpad-Type Locomotion Interface and Body-Weight Support Treadmill in Chronic Post-Stroke Patients. Arch Phys Med Rehabil 2016. [DOI: 10.1016/j.apmr.2016.08.299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
19
|
Watanabe H, Tanaka N, Inuta T, Kanamori T, Nagasawa T, Koseki S, Yanagi H. Recovery of walking ability using a hybrid assistive limb in persons with subacute stroke: a randomized controlled pilot study. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
20
|
Tanaka N, Watanabe H, Kouke K, Kanamori T, Yano H, Yanagi H. Electromyographic analysis of lower extremity muscles in healthy volunteers walking on a footpad-type locomotion interface. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
21
|
Goto R, Tanaka N, Kanamori T, Nagasawa T, Koseki S, Yanagi H. Factors associated with independence in activities of daily living in elderly people with disuse syndrome. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
22
|
Takao T, Tanaka N, Iizuka N, Saitou H, Tamaoka A, Yanagi H. Improvement of gait ability with a short-term intensive gait rehabilitation program using body weight support treadmill training in community dwelling chronic poststroke survivors. J Phys Ther Sci 2015; 27:159-63. [PMID: 25642063 PMCID: PMC4305551 DOI: 10.1589/jpts.27.159] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2014] [Accepted: 08/03/2014] [Indexed: 12/03/2022] Open
Abstract
[Purpose] Most previous studies have shown that body weight support treadmill training
(BWSTT) can improve gait speed poststroke patients. The purpose of this study was to
evaluate effectiveness of a short-term intensive program using BWSTT among community
dwelling poststroke survivors. [Subjects] Eighteen subjects participated in this study.
The treatment group was composed of 10 subjects (2 women; 8 men; mean age, 59.1 ±
12.5 years; time since stroke onset, 35.3 ± 33.2 months), whereas the control group was
made up of 8 subjects (3 women; 5 men; mean age, 59.8 ± 6.3 years; time since stroke
onset, 39.3 ± 27.3 months). [Methods] The treatment group received BWSTT 3 times a week
for 4 weeks (a total of 12 times), with each session lasting 20 minutes. The main outcome
measures were maximum gait speed on a flat floor, cadence, and step length. [Results] No
differences were observed in the baseline clinical data between the 2 groups. The gait
speed in the treatment group was significantly improved compared with that in the control
by 2-way ANOVA, while the other parameters showed no significant interaction. [Conclusion]
These results suggested that short-term intensive gait rehabilitation using BWSTT was
useful for improving gait ability among community dwelling poststroke subjects.
Collapse
Affiliation(s)
- Toshifumi Takao
- Department of Physical Therapy, Faculty of Health, Tsukuba International University, Japan ; Department of Neurology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| | - Naoki Tanaka
- Department of Rehabilitation, Tsukuba Memorial Hospital, Japan
| | - Noboru Iizuka
- Department of Rehabilitation, Tsukuba Memorial Hospital, Japan ; Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| | - Hideyuki Saitou
- Department of Rehabilitation, Tsukuba Memorial Hospital, Japan
| | - Akira Tamaoka
- Department of Neurology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
| |
Collapse
|
23
|
Goto R, Watanabe H, Tanaka N, Kanamori T, Yanagi H. Factors Associated with Recovery of Activities of Daily Living in Elderly Pneumonia Patients. ACTA ACUST UNITED AC 2015. [DOI: 10.14442/general.16.68] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Ryohei Goto
- Department of Rehabilitation, Tsukuba Memorial Hospital
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba
| | - Hiroki Watanabe
- Department of Rehabilitation, Tsukuba Memorial Hospital
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba
| | - Naoki Tanaka
- Department of Rehabilitation, Tsukuba Memorial Hospital
| | | | - Hisako Yanagi
- Department of Medical Science and Welfare, Faculty of Medicine, University of Tsukuba
| |
Collapse
|
24
|
Okuno J, Fukasaku T, Hotta K, Yabushita N, Pei L, Okura T, Tanaka K, Yanagi H. [Evaluation of the association between cognitive impairment and the vitamin D levels among community-dwelling Japanese pre-frail elderly individuals]. Nihon Ronen Igakkai Zasshi 2014; 50:515-21. [PMID: 24047667 DOI: 10.3143/geriatrics.50.515] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM Cognitive impairment is the second leading cause of long-term care, and the number of cognitively impaired elderly individuals is increasing. Cognitive impairment has been reported to be associated with a low vitamin D level. However, many elderly individuals are deficient in vitamin D due to undernutrition and a house-bound status. It is unknown whether cognitive impairment is independently associated with the vitamin D level. The aim of this study was to examine the association between cognitive impairment and the levels of vitamin D among community-dwelling Japanese pre-frail elderly individuals. METHODS A cross-sectional survey was conducted in two towns (latitude: 36 degrees north) from June 2006 to January 2011. The subjects included 316 community-dwelling pre-frail elderly individuals 65 years of age or older (mean±SD: 77.0±5.7 yr) who attended a program for nursing care prevention. A questionnaire-based interview was conducted regarding activities of daily living. The serum levels of intact parathyroid hormone (iPTH), 25-hydroxyvitamin D (25(OH)D) and 1,25-dihydroxyvitamin D (1,25(OH)2D) were measured. Age and gender were recorded, as well as the presence of cognitive impairment determined according to the Mini Mental State Examination (MMSE). The factors associated with an MMSE score of ≤23 were examined using a multiple logistic regression analysis. RESULTS Of the subjects, 21.2% were men and 30.6% had an MMSE score of ≤23. The mean MMSE score was 25.3±3.7. The prevalence of severe deficiency of 25(OH)D was 1.7%, and only 14.0% of the participants had a sufficient vitamin D level. The multiple logistic regression analysis suggested that an MMSE score of less than 23 was significantly associated with the levels of iPTH and 25(OH)D among the pre-frail men, but not the women. CONCLUSIONS Our data suggest that the vitamin D level is significantly associated with cognitive impairment in pre-frail elderly men.
Collapse
|
25
|
Nakabayashi K, Yanagi H, Atobe M. Preparation of W/O nanoemulsion using tandem acoustic emulsification and its novel utilization as a medium for phase-transfer catalytic reaction. RSC Adv 2014. [DOI: 10.1039/c4ra09452b] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
We have successfully demonstrated that W/O nanoemulsion prepared by the tandem acoustic emulsification is extremely useful medium for enhancing the rate of phase-transfer catalytic reactions.
Collapse
Affiliation(s)
- K. Nakabayashi
- Department of Environment and System Sciences
- Yokohama National University
- Yokohama 240-8501, Japan
| | - H. Yanagi
- Department of Electronic Chemistry
- Tokyo Institute of Technology
- Yokohama 226-8502, Japan
| | - M. Atobe
- Department of Environment and System Sciences
- Yokohama National University
- Yokohama 240-8501, Japan
| |
Collapse
|
26
|
Abstract
BACKGROUND The diagnosis of extranodal natural killer (NK)/T-cell lymphoma (NK/T-cell lymphoma) is often difficult and any delay in its diagnosis leads to a worsened prognosis. We analysed the factors that make the diagnosis of this type of tumour difficult. METHODOLOGY/PRINCIPAL We retrospectively reviewed the medical records of 20 patients with NK/T-cell lymphoma treated in our department, and assessed the clinical features and laboratory findings of the cases. Moreover, we classified factors related to delays in diagnosing NK/T cell lymphoma as follows: (1) insufficient specimen size, (2) massive necrosis, (3) large number of inflammatory cells, and (4) poor atypia. We selected cases requiring two or more biopsies for correct diagnosis and checked which factors were the main cause of misdiagnosis. RESULTS The average period required for a correct diagnosis was 12.8 months. The most frequent factor leading to diagnostic delay was inflammatory cell infiltration. Massive necrosis and poor atypia were also important factors in diagnostic delay. CONCLUSIONS In cases with necrotic lesions of the nose or pharynx, the possibility of NK/T cell lymphoma should be explored and samples, of as large a size as possible, should be obtained together with EBER-ISH for pathological examination. Repeat biopsies should also be performed for diagnosis.
Collapse
Affiliation(s)
- H Yanagi
- Department of Otorhinolaryngology, Hokkaido University Graduate School of Medicine, Hokkaido, Japan
| | | | | | | |
Collapse
|
27
|
Yamamoto N, Sakai C, Sakai C, Bessyo K, Matsui C, Ishida H, Sakamoto R, Yanagi H, Wada T. Joints angle, moment and muscle activity during Nordic Walking compared to walking. J Sci Med Sport 2012. [DOI: 10.1016/j.jsams.2012.11.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
28
|
Kusunoki M, Yanagi H, Kamikonya N, Noda M, Yamamura T. Significant effects of preoperative intraluminal brachytherapy on the survival rate after resection of rectal carcinoma. Int J Oncol 2012; 9:645-51. [PMID: 21541564 DOI: 10.3892/ijo.9.4.645] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
We investigated whether or not preoperative intraluminal brachytherapy (IBT) contributes to a prolongation of the survival after resection of rectal carcinoma. Eighty-five patients with middle and lower rectal carcinoma with penetration into or through the rectal wall were treated with preoperative IBT (30 Gy) and radical resection. The patients were divided into the major effect group (n=59, proportion of remaining viable cells less than 25% of the background stroma) and the minor effect group (n=26, proportion of viable cells over 25%). The major effect group had more down-staged tumors, and a lower rate of positive nodes. Local recurrence rate, distant recurrence rate, and survival rate of the major effect group were 9% (31% in the minor effect group), 15% (55% in minor group) and 74% (36% in minor group), respectively (all parameters: p<0.05). Multivariate analysis indicated that nodal involvement, tumor depth, and proportion of viable cells were the prognostic factors. Preoperative IBT affected not only the tumor morphology but also the prognosis. Our criterion of the proportion of residual viable cells was significantly correlated to the patients' survival. The analyses revealed the positive effects of IBT on the prognosis of rectal cancer.
Collapse
Affiliation(s)
- M Kusunoki
- HYOGO MED UNIV,DEPT RADIOL,NISHINOMIYA,HYOGO 663,JAPAN
| | | | | | | | | |
Collapse
|
29
|
Hayakawa Y, Yanagi H, Hara S, Amagai H, Endo K, Hamaguchi H, Tomura S. Genetic and environmental factors affecting peak bone mass in premenopausal Japanese women. Environ Health Prev Med 2012; 6:177-83. [PMID: 21432258 DOI: 10.1007/bf02897967] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2001] [Accepted: 06/13/2001] [Indexed: 11/29/2022] Open
Abstract
The purpose of this study was to examine the relationships between peak bone mass and genetic and environmental factors. We measured whole-body bone mineral density (BMD), lumbar spine BMD, and radius BMD with dual-energy X-ray absorptiometry (DXA) and analyzed eight genetic factors: vitamin D receptor (VDR)-3', VDR-5', estrogen receptor (ER), calcitonin receptor (CTR), parathyroid hormone (PTH), osteocalcin (OC), apolipoprotein E (ApoE), and fatty acid binding protein 2 (FABP2) allelic polymorphisms using polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLPs). We also surveyed menstrual history, food intake, and history of physical activity using questionnaires.After adjusting for age, body mass index (BMI), current smoking status, current Ca intake, alcohol intake, menoxenia, and physical activity, the mean BMD in subjects with the HH/Hh genotype was significantly higher than that of subjects with the hh genotype for whole-body BMD (mean±SD, 1.20±0.10 vs. 1.18±0.09 g/cm(2); HH/Hh vs. hh, p=0.04) and at lumbar spine BMD (mean±SD, 1.18±0.14 vs. 1.14±0.12 g/cm(2); HH/Hh vs. hh, p=0.02) in OC allelic polymorphism. Furthermore, the results of multiple regression analyses taking the 8 genetic factors plus the 7 environmental factors listed above into account showed that the strongest factor contributing to BMD was BMI at any site (whole-body and lumbar BMD p<0.0001, radius BMD p=0.0029). In addition, OC polymorphism (p=0.0099), physical activity (p=0.0245), menoxenia (p=0.0384), and PTH polymorphism (p=0.0425) were independent determinants for whole-body BMD, and OC polymorphism (p=0.0137) and physical activity (p=0.0421) were independent determinants for lumbar BMD and radius BMD, respectively.
Collapse
Affiliation(s)
- Y Hayakawa
- Institute of Community Medicine, University of Tsukuba, Tennoudai 1-1-1, 305-8575, Tsukuba-city, Ibaraki, Japan
| | | | | | | | | | | | | |
Collapse
|
30
|
Tanaka N, Saitou H, Takao T, Iizuka N, Okuno J, Yano H, Tamaoka A, Yanagi H. Effects of gait rehabilitation with a footpad-type locomotion interface in patients with chronic post-stroke hemiparesis: a pilot study. Clin Rehabil 2012; 26:686-95. [DOI: 10.1177/0269215511432356] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: We developed a footpad-type locomotion interface called the GaitMaster. The purpose of this pilot study was to examine the effects of gait rehabilitation using the GaitMaster in chronic stroke patients. Design: Randomized cross-over design. Setting: An outpatient department. Subjects: Twelve patients with chronic post-stroke hemiparesis. Intervention: In group A, patients underwent an ‘intervention phase’ followed by a ‘non-intervention phase’, whereas in group B, patients underwent the non-intervention phase first, followed by the intervention phase. In the four- or six-week intervention phase, participants underwent twelve 20-minute sessions of gait rehabilitation using the GaitMaster4. Main outcome measures: We measured gait speed and timed up-and-go test. Results: No differences between the two groups were observed in the baseline clinical data. For the combined groups A and B, the maximum gait and timed up-and-go test speeds improved significantly only in the intervention phase ( P = 0.0001 and P = 0.003, respectively). The percentages of improvement from baseline at the end of GaitMaster training were 16.6% for the maximum gait speed and 8.3% for the timed up-and-go test. The effect size for GaitMaster4 training was 0.58 on the maximum gait speed and 0.43 on the timed up-and-go test. Conclusions: This pilot study showed that gait rehabilitation using the GaitMaster4 was a feasible training method for chronic stroke patients. Calculation of the sample size indicated that a sample size of 38 participants would be adequate to test a null hypothesis of nil benefit additional to routine rehabilitation for chronic stroke patients in a future randomized controlled trial.
Collapse
Affiliation(s)
- Naoki Tanaka
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
- Department of Rehabilitation, Tsukuba Memorial Hospital, Tsukuba, Japan
| | - Hideyuki Saitou
- Department of Rehabilitation, Tsukuba Memorial Hospital, Tsukuba, Japan
| | - Toshifumi Takao
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Noboru Iizuka
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
- Department of Rehabilitation, Tsukuba Memorial Hospital, Tsukuba, Japan
| | - Junko Okuno
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Hiroaki Yano
- Department of Intelligent Interaction Technologies, Graduate School of Systems and Information Engineering, University of Tsukuba, Tsukuba, Japan
| | - Akira Tamaoka
- Department of Neurology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Hisako Yanagi
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
| |
Collapse
|
31
|
|
32
|
Fukasaku T, Okuno J, Tomura S, Seino S, Kim MJ, Yabushita N, Okura T, Tanaka K, Yanagi H. [Intervention effects of inclusive support in an "exercise and a nutritional community-based prevention program" for pre-frail elderly individuals]. Nihon Koshu Eisei Zasshi 2011; 58:420-432. [PMID: 21970076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVES The purpose of this study was to examine intervention effects of a community-based prevention program for pre-frail elderly individuals by comparing an intervention group (exercise with nutritional care) with a control group (exercise without nutritional care). METHODS The study was conducted in Y town and S city in Ibaraki Prefecture in Japan. The subjects comprised 161 pre-frail elderly individuals in the community-based prevention program, who were divided into two groups, the intervention group (N = 81, Y town, mean age : 76.2 +/- 5.7 years), and the control group (N = 81, S city, mean age 76.2 +/- 4.7 years). The items surveyed included age, gender, activities of daily living, functional capacity, and dietary variety score (DVS). Functional fitness measurement items (grip strength, alternate step, 5-repetition sit-to-stand, one-leg balance with eyes open, tandem stance, functional reach (FR), sit and reach, 5-m habitual walk, and timed up and go (TUG)) and blood data were assessed at the beginning and end of the intervention. RESULTS The DVS of the intervention group was significantly improved compared to that of the control group (P < 0.01). In particular, the food frequencies of fish and shellfish, meat, eggs, milk, fruits, and fat and oil (P < 0.01) were significantly increased in the intervention group, as were those of soybean products, seaweed, and potatoes (P < 0.05). On the other hand, significant increases were seen only in the frequencies of fish and shellfish, meat, and milk in the control group. The intervention group showed significant improvement in five-repetition sit-to-stand, tandem stance, FR, sit and reach, and TUG by the end of the intervention. In addition, the intervention group's performance on one-leg balance with eyes open (P < 0.05) was significantly improved even after adjusting for age, gender, and the functional fitness measurement items which were different at the beginning of the study. CONCLUSION This study suggests that a combined exercise and nutrition program for pre-frail elderly individuals improves their food intake and functional fitness.
Collapse
Affiliation(s)
- Takako Fukasaku
- Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan
| | | | | | | | | | | | | | | | | |
Collapse
|
33
|
Abstract
AbstractSrCu2O2 thin films were prepared onto SiO2 glass substrates by pulsed laser deposition. The film deposited in O2 atmosphere of 7×10-4 Pa at 573 K showed high optical transmission in visible and near infrared regions. The optical band gap of the film was estimated to be -3.3 eV. The dc electrical conductivity of the film was 3.8 × 10-3 Scm-1. Potassium was used for substitutional hole-doping. The dc electrical conductivity of the K-doped film at 300 K increased to 4.8 × 10-2 Scm-1. Positive sign of Seebeck and Hall coefficients demonstrated p-type conduction of the K-doped film. Hole concentration and mobility at 300 K were 6.1 × 1017 cm-3 and 0.46 cm2V-1s-1, respectively.
Collapse
|
34
|
Okuno J, Tomura S, Fukasaku T, Kim MJ, Okura T, Tanaka K, Yanagi H. [Examination of effects of alfacalcidol vitamin D supplement and renal function on improvement in the physical fitness of pre-frail elderly persons attending a nursing care prevention class]. Nihon Ronen Igakkai Zasshi 2011; 48:691-698. [PMID: 22322042 DOI: 10.3143/geriatrics.48.691] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM A characteristic condition of pre-frail elderly people is decreased mobility, which is associated with vitamin D levels and renal function. The aim of this study was to examine the association between physical fitness improvement and vitamin D levels, vitamin D supplements, and renal function in pre-frail elderly people. METHODS We conducted a longitudinal study in 2 towns from June 2006 to December 2009. Subjects consisted of 177 community-dwelling pre-frail elderly people aged 65 years and over (mean±standard deviation [SD]: 76.4±5.5 yrs) who attended a nursing care prevention program for 3 months. An interview was conducted based on a questionnaire. Serum levels of intact parathyroid hormone (iPTH), 25-hydroxyvitamin D(25(OH)D), 1,25-dihydroxyvitamin D (1,25(OH)(2)D), creatinine, and calcium were measured. eGFR (ml/min/1.73 m(2)) was calculated using a new formula. Alfacalcidol 1 µg/day was administered to subjects for 3 months, and we assumed that the elderly who took vitamin D (VD) of more than 80% of the recommended daily allowance to be the VD group. Walking ability, balance, and muscle strength physical fitness tests were performed. RESULTS The prevalence of eGFR <60.0 ml/min/1.73 m(2) was about 24.3%, and that of 25(OH)D <75 nmol/L was 86.4%. Pre-eGFR level and vitamin D supplementation with FR, pre-eGFR and pre 25(OH)D ≥45 nmol/L were associated with improvement in the timed up and go (TUG) test, pre-25(OH)D level (<50 nmol/L, ≥50 nmol/L) was associated with the tandem stance test, pre 25(OH)D level (<67.5 nmol/L, ≥67.5 nmol/L) was associated with the alternate step and 5 chair sit-to-stands tests, and post 1,25(OH)(2)D (<44 pg/ml, ≥44 pg/ml) was associated with the tandem walk tests. CONCLUSIONS These results suggest that the assessment of renal function and maintenance of appropriate vitamin D levels are important for the independent living of pre-frail elderly people. Ideally, a 25(OH)D level greater than 67.5 nmol/L is preferable.
Collapse
Affiliation(s)
- Junko Okuno
- Graduate School of Comprehensive Human Sciences, University of Tsukuba
| | | | | | | | | | | | | |
Collapse
|
35
|
Ken K, Okuno J, Fukasaku T, Tomura S, Yanagi H. [Factors affecting burden of caregivers for the elderly of Han Chinese and the Korean minority living in a community in northeast China]. Nihon Koshu Eisei Zasshi 2010; 57:816-824. [PMID: 21061560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
UNLABELLED Objective In the People's Republic of China (China), caregivers carry a large burden because of the rapid aging of the population, the one-child policy and the uncertainty of the social security system. The situation is further complicated by the fact of 56 ethnic groups in the country. Few studies on caregiver burden in different ethnic groups have been reported, although different customs, cultures and methods of caring for the elderly do certainly exist. The aim of the present study was to compare the caregiver burden for the elderly among Han Chinese and the Korean Minority living in a community and to examine the factors affecting this burden. METHODS An investigation was conducted using a questionnaire for 76 pairs of elderly people and their caregivers in Yanji City, China (Korean Minority pairs 52, Han pairs 24). The questionnaires for the elderly included their characteristics, economic conditions, ADL, behavioral disturbances associated with dementia, etc. For the caregivers, their characteristics, the state of their health, daily length of care time, social support, intent to continue home care, and Zarit Caregiver Burden Interview (ZBI) score were investigated. RESULTS The rate (70.8%) of caregivers with a "high caregiver burden," i.e., those with a median ZBI total score of 33 or more, and the personal strain scores of the Han Chinese were significantly higher than in the Korean Minority. As for who was a suitable caregiver, a high percentage of Han caregivers answered the "children" of the elderly, while Korean Minority caregivers answered the "spouses". When the caregiver was a child of the elderly receiving care, the Hans' ZBI score was higher than that for the Korean Minority. Factors most affecting caregiver burden in the Korean Minority were behavioral disturbances associated with dementia of the elderly, ADL, and degree of life independence of the elderly, along with disorders, sex and health state of the caregivers, relations, length of daily care time, number of vice-caregivers, and social support. Factors affecting caregiver burden in the Han group were the presence of private rooms for the elderly, their life satisfaction and family economic conditions. About 80% of caregivers of both groups had the intention to continue home care, and about 50% of the elderly of both groups answered that entering an institution was not acceptable. CONCLUSION Factors affecting caregiver burden differ between these two ethnic groups, although in both cases about 80% of caregivers intend to continue home care. Therefore, it is necessary to support the elderly and caregivers in ways that suit their ethnic characteristics.
Collapse
|
36
|
Yanagi H, Kamikonya N, Yasui C, Aihara T, Ikuta S, Iida H, Tsubamoto H, Matsumoto S, Tomita N, Yamanaka N. Clinical results of preoperative chemoradiotherapy using short-term schedule (25 Gy) and long-term schedule (45-50.4 Gy) for lower rectal cancer. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e14035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
37
|
Iida H, Yasui C, Aihara T, Ikuta S, Yoshie H, Tomomatsu M, Beppu N, Yanagi H, Yamanaka N. Patient and tumor characteristics to guarantee long-term survival following hepatic resection for hepatocellular carcinoma. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e14578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
38
|
Hotta K, Okuno J, Tomura S, Yanagi H. [Determinant factors encouraging work motivation: a study of care staff working in health services facilities for elderly people]. Nihon Koshu Eisei Zasshi 2009; 56:863-874. [PMID: 20169988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
PURPOSE Work motivation among care workers influences the quality of care for facility residents. The purpose of this study was to identify related factors in care staff. METHOD Sixty hundred and seven care staff working at 25 health services facilities for elderly people participated in this study. We applied a theoretically derived model of specific relationships among work motivation, jobsatisfaction, profession identity, job competence, interprofessional working and profession image. These factor relationships were then tested using a structural equation modeling technique. RESULTS Profession identity, job competence and the profession image of caring were shown to have direct influences on work motivation. In addition, job satisfaction, inter professional working, profession images of nursing and rehabilitation responsibilities were shown to have indirect influences. CONCLUSION These data suggest that improving profession identity, job competence and the profession image of caring are important to enhance work motivation of care staff.
Collapse
Affiliation(s)
- Kazushi Hotta
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sience, University of Tsukuba, 305-8577, Japan
| | | | | | | |
Collapse
|
39
|
Inoue Y, Tanaka K, Saigusa S, Yokoe T, Yasuda H, Toiyama Y, Miki C, Yanagi H, Kusunoki M. Evaultion of CD133, VEGF, or EGFR as predictive markers of distant recurrence after preoperative chemoradiotherapy in rectal cancer. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.4050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4050 Background: CD133 has been postulated to be a colon cancer stem cells (CSCs) marker. Recent investigations suggest that CSCs might contribute to cancer recurrence and resistance to conventional therapies. This study aimed to evaluate the role of CD133 in residual cancer cells after chemoradiotherapy (CRT) for rectal cancer. Methods: Forty patients with rectal cancer underwent CRT followed by surgery. Total RNAs of rectal cancer cells before (n=30) and after (n=40) CRT were isolated. Residual cancer cells after CRT were collected from formalin-fixed paraffin-embedded (FFPE) specimens using microdissection. Intratumoral CD133, vascular endothelial growth factor (VEGF), and epidermal growth factor receptor (EGFR) were measured using real-time reverse transcription polymerase chain reaction. Immunohistochemical staining of CD133 after CRT was also investigated. Results: CD133 in residual cancer cells was higher than in stromal cells on post-CRT specimens (p<0.0001). CD133 was increased in post-CRT specimens (p=0.0184), while VEGF and EGFR were decreased during CRT (p<0.0001 and p=0.0002, respectively). There were positive correlations between CD133 and VEGF (p=0.0392) or EGFR (p<0.0001) in pre-CRT specimens. Any correlations were not found in post-CRT specimens. Patients who developed distant recurrence had a higher post-CRT CD133 compared with those patients without recurrence (p=0.0136). Elevated post-CRT CD133 was associated with poor disease free survival (p=0.0168). Immunohistochemically, cytoplasmic and apical/endoluminal membranous CD133 staining was observed in residual cancer cells after CRT. Conclusions: CD133 in residual cancer cells after CRT may indicate a treatment resistant phenotype in putative CSCs. Elevated CD133 but not VEGF or EGFR on FFPE specimens may be a predictive marker of distant recurrence and poor survival after preoperative CRT in rectal cancer. No significant financial relationships to disclose.
Collapse
Affiliation(s)
- Y. Inoue
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - K. Tanaka
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - S. Saigusa
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - T. Yokoe
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - H. Yasuda
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - Y. Toiyama
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - C. Miki
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - H. Yanagi
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| | - M. Kusunoki
- Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan; Meiwa Hospital, Nishinomiya, Hyogo, Japan
| |
Collapse
|
40
|
Okuno J, Tomura S, Yabushita N, Kim MJ, Okura T, Tanaka K, Yanagi H. Effects of serum 25-hydroxyvitamin D(3) levels on physical fitness in community-dwelling frail women. Arch Gerontol Geriatr 2009; 50:121-6. [PMID: 19327848 DOI: 10.1016/j.archger.2009.02.011] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2008] [Revised: 02/13/2009] [Accepted: 02/17/2009] [Indexed: 11/15/2022]
Abstract
The aim of this study was to evaluate the effects of a combination of serum 25-hydroxyvitamin D(3) (25(OH)D(3)) levels and exercise on physical fitness in community-dwelling frail elderly in Japan. A longitudinal survey was conducted in a town (latitude 36 degrees north). Eighty women aged 65 years and over attended a 3-month exercise class. A face-to-face interview was conducted based on a questionnaire. The serum levels of 25(OH)D(3), intact parathyroid hormone (iPTH), were measured. Nine physical fitness tests were performed at baseline and at the end of a 3-month follow-up period. Among 80 subjects, 56.3% experienced falls, and 71.3% experienced stumbling more than once during the past year. The prevalence of 25(OH)D(3)<50 nmol/l or 25(OH)D(3)<75 nmol/l was 27.5% and 88.8%, respectively. Significantly greater improvements in alternate step, functional reach (FR), "timed up & go" (TUG), and 5-m walk, and superior functional capacity for the subjects with 25(OH)D(3) levels greater than 67.5 nmol/l (highest quartile) was observed at the end of the class. In contrast, the subjects with 25(OH)D(3) levels <47.5 nmol/l (lowest quartile) did not improve their physical fitness. A serum 25(OH)D(3) level of greater than 47.5 nmol/l may therefore be necessary to maintain walking ability and balance. Greater than 67.5 nmol/l appears to be preferable for lower extremity strength in Japanese frail elderly women.
Collapse
Affiliation(s)
- Junko Okuno
- Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tennoudai 1-1-1, Tsukuba, Ibaraki, 305-8577, Japan.
| | | | | | | | | | | | | |
Collapse
|
41
|
Okuno J, Tomura S, Yanagi H, Kim MJ, Okura T, Tanaka K. [Evaluation of the association between impaired renal function and physical function among community-dwelling Japanese frail elderly based on the estimated glomerular filtration rate (eGFR)]. Nihon Ronen Igakkai Zasshi 2009; 46:63-70. [PMID: 19246837 DOI: 10.3143/geriatrics.46.63] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
AIM Falls are major risk factors in nursing care and reported to be associated with low vitamin D levels or impaired renal function. It is unknown whether physical function is associated with impaired renal function. The aim of this study was to examine the association between estimated glomerular filtration rate (eGFR) (ml/min/1.73 m(2)), vitamin D, and physical function in Japanese frail elderly. METHODS A cross-sectional survey was conducted in two towns (latitude 36 degrees north) from June 2006 to January 2008. Subjects counted of 109 community-dwelling frail elderly, aged 65 years and over (mean+/-SD: 75.8+/-5.2 yr) who attended a program for nursing care prevention. An interview was conducted based on a questionnaire. The serum levels of intact parathyroid hormone (iPTH), 25-hydroxyvitamin D (25 (OH) D), 1,25-dihydroxyvitamin D (1,25 (OH)(2)D), and creatinine were measured. eGFR (ml/min/1.73 m(2)) was calculated using the Modification of Diet in Renal Disease formula. The following functional fitness tests were performed: timed up and go (TUG), a 5-meter walk, functional reach (FR), one leg stance, tandem stance, and grip strength. RESULTS Of the subjects, 59.6% experienced falls, 75.2% experienced stumbling at least once during the past year. eGFR was 68.0+/-14.1 ml/min/1.73 m(2) in the subjects. The prevalence of eGFR<60.0 ml/min/1.73 m(2) was 30%. The subjects with eGFR> or =60 ml/min/1.73 m(2) showed significantly better results for FR, one leg stance, and tandem stance than those with eGFR<60 ml/min/1.73 m(2). Multiple liner regression analysis suggested that FR and tandem stance were significantly affected by eGFR. CONCLUSIONS Our data suggest that assessment of renal function seems to be significant when we consider balance ability in the frail elderly.
Collapse
Affiliation(s)
- Junko Okuno
- Graduate School of Comprehensive Human Sciences, University of Tsukuba
| | | | | | | | | | | |
Collapse
|
42
|
Yamasaki S, Yanagi H, Okuno J, Tomura S. [The transition of art therapy and the application for the elderly]. Nihon Ronen Igakkai Zasshi 2008; 45:363-371. [PMID: 18763387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
|
43
|
Yoshikawa R, Hashimoto-Tamaoki T, Gega M, Yagyu T, Noda M, Yanagi H. Effect of setting of drug holidays on the efficacy of weekly higher shorter plus lower continuous (metronomic) five-fluorouracil (5-FU) concentration regimen in colorectal cancer. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.13542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
44
|
Okuno J, Tomura S, Yanagi H. [Correlation between vitamin D and functional capacity, physical function among Japanese frail elderly living in the community]. Nihon Ronen Igakkai Zasshi 2008; 44:634-40. [PMID: 18049011 DOI: 10.3143/geriatrics.44.634] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM To examine the distribution of 25-hydroxyvitamin D(3) [25(OH)D] levels among the Japanese frail elderly, and to explore any association in these subjects between 25 (OH)D levels and functional capacity or physical performance. METHODS A cross-sectional survey was conducted in a town (latitude 36 degrees north) in June 2005 to September 2006. The 76 participants were community-dwelling elderly aged 65 years and over who attended a class for nursing care prevention. An interview was conducted based on a questionnaire. The serum levels of 25(OH)D, intact parathyroid hormone (iPTH) and calcium were measured. The following physical tests were performed: timed up and go (TUG), a 5-meter walk, functional reach, trunk flexion, and grip strength. Functional capacity and physical performance were compared between the subjects with 25(OH)D>or=50 nmol/L and those with 25(OH)D<50 nmol/L. RESULTS About 52.6% experienced falls, 75.0% experienced stumbling or body sway more than once during the past year, and 20.0% were housebound. The mean 25(OH)D level (+/-SD) was 60.4+/-13.6 nmol/L (range: 27.5-87.5). The ratio of the 25(OH)D level below 50.0 nmol/L was significantly higher in the group of subjects who had lower mobility or body imbalance or were housebound. The risk factor for stumbling or body sway was 25(OH)D<50 nmol/L (OR: 4.41, 95%CI: 1.31-14.86). CONCLUSION The prevalence of 25(OH)D<50 nmol/L was 21% among Japanese frail elderly, and 25(OH)D deficiency is associated with lower mobility or body imbalance. It is suggested that the level of 25(OH)D should be needed over 50 nmol/L for nursing care prevention in the frail elderly and that measurements of 25(OH)D for the frail elderly are needed.
Collapse
Affiliation(s)
- Junko Okuno
- Graduate School of Comprehensive Human Sciences, University of Tsukuba
| | | | | |
Collapse
|
45
|
Yanagi H. [High-resolution method for the analysis of apo (a) isoforms]. Nihon Rinsho 2007; 65 Suppl 7:210-7. [PMID: 17821896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Affiliation(s)
- Hisako Yanagi
- Graduate School of Comprehensive Human Sciences, University of Tsukuba
| |
Collapse
|
46
|
Suzuki I, Yanagi H, Tomura S. [A study of factors related to activities of daily living (ADL) of the elderly receiving in-home service longitudinal study using functional independence measures]. Nihon Koshu Eisei Zasshi 2007; 54:81-8. [PMID: 17419402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
OBJECTIVE We conducted a longitudinal study using Functional Independence Measures to clarify factor related to independence of activities of daily living of elderly receiving in-home service under the long-term care insurance system METHODS Fifty-four elderly users of the in-home service of Ibaraki Prefecture assented to participate in this study and were analyzed. A researcher conducted survey at the baseline and after follow-up by visiting the elderly at each home. The evaluation standards used here were the Japanese version of Functional Independence Measure (FIM), Mini-Mental State Examination (MMSE), and Geriatric Depression Scale (GDS-15). RESULTS The FIM score (mean+/-SD) was decreased 83.6+/-36.4 to 81.7+/-37.4 during the 112+/-22.2 day follow up period. Thirty-nine elderly demonstrated improvement or no change in FIM and 15 had declining scores. To clarify independent factors related to FIM change, we conducted a step-wise multifactor logistic regression analysis, and the results suggested importance for "in-home service availability" and "home care period less than one year". CONCLUSION Our study suggested that it is important for maintenance or improvement of ADL in home care elderly to provide sufficient home .care services from the beginning under the long-term care insurance system.
Collapse
Affiliation(s)
- Ikuko Suzuki
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 305-8577
| | | | | |
Collapse
|
47
|
Yanagi H, Yamamoto N, Miyakoshi K, Wu P, Sendaiya M, Isaka T. OXYGEN UPTAKE IN SNOW SHOVELING WITH MODIFIED SHOVEL. J Biomech 2007. [DOI: 10.1016/s0021-9290(07)70641-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
48
|
|
49
|
Okuno J, Tomura S, Yanagi H. [Factors that influence home return from health care facilities for the elderly--related to the attitude of family caregivers]. Nihon Ronen Igakkai Zasshi 2006; 43:108-16. [PMID: 16521816 DOI: 10.3143/geriatrics.43.108] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM The number of users of long-term care insurance has been increasing rapidly since it started in 2000. The number of those who want to enter the long-term care insurance facilities has increased. Although the basic philosophy of long-term care insurance is independence support and self-decision, to enter a facility or home return from facilities is likely to be decided by family caregivers, not by the elderly themselves. Moreover, the number of elderly who return home from welfare facilities is decreasing. We investigated the intension of caregivers who are willing to accept the institutionalized elderly at home and analyzed the factors affecting the acceptance of caregivers. METHODS Subjects were elderly who were in long-term care insurance facility in June 2004, and their caregivers. The study was conducted between June 2004 and September 2004 in Ibaraki Prefecture in Japan. A face-to-face interview based on a questionnaire was conducted for the institutionalized elderly and by the mail for the caregivers. RESULTS The caregivers of 34.6% of the elderly who hoped to return home intended to accept them home. There were differences between the plans of the elderly and caregivers. The risk factors (OR, 95% CI) to make the intention of the caregivers to accept the institutionalized elderly home difficult were level of cooperation with other family members to take care of elderly (OR 15.37, 2.05-115.24), dementia behavior disturbance category with more than one (OR 8.34, 1.02-68.05), time spending in bed of a day (OR 1.31, 1.01-1.71), few knowledge of long-term care insurance system of caregivers (OR 3.65,0.81-16.38). CONCLUSION It has been suggested that more physical activities in the facility, establishment of a care-system for the demented elderly living in the community and an educational campaign by the long-term care insurance system are necessary to increase the willingness of caregivers to accept home return of institutionalized elderly.
Collapse
Affiliation(s)
- Junko Okuno
- Department of Medical Science and Welfare, Graduate School of Comprehensive Human Sciences, University of Tsukuba
| | | | | |
Collapse
|
50
|
Yanagi H, Yamamoto N, Miyakoshi K, Wu P, Fukushima R, Isaka T. Effect of second handle positions on EMG activities during snow shoveling. J Biomech 2006. [DOI: 10.1016/s0021-9290(06)85206-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|