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Journal of Rural Medicine: JRM

Katharina Lau, Hans-Joachim Hannich
No abstract text is available yet for this article.
2016: Journal of Rural Medicine: JRM
Tomohiro Abe, Hidenobu Ochiai
OBJECTIVE: Rescuing severe trauma patients who are injured far from a trauma center is challenging for rural emergency systems. We report a severe trauma case that occurred at a remote location, in which the patient's life was saved by a dispatched doctor car and a physician from a local medical facility. PATIENT: A 31-year-old man experienced a left femur injury due to a fallen tree. The fire station requested a doctor car from our center, approximately 56 km away...
2016: Journal of Rural Medicine: JRM
Masako Fukasawa, Haruyasu Yamaguchi
OBJECTIVE: In Japan, the Integrated Community Care System aims to support residents to live as independently as possible at home. Koreisya-Kyoshitsu and Fureaiikiiki salons are two types of group activities for community-dwelling elderly. We investigated effective ways of conducting such activities. METHODS: We analyzed 96 subjects from 8 salons and 354 subjects from 10 Koreisya-Kyoshitsu. Self-completed questionnaires included the following: attributes, the Motor Fitness Scale (MFS), revised Philadelphia Geriatric Center Morale Scale (PGCMS), Measurement of Psychological Independence (MPI), instrumental activities of daily living (IADL), and self-rated health status (SRH)...
2016: Journal of Rural Medicine: JRM
Kenta Tanaka, Hiroshi Kamada, Yukiyo Shimizu, Shizu Aikawa, Tomofumi Nishino, Naoyuki Ochiai, Masataka Sakane, Masashi Yamazaki
OBJECTIVE: The incidence of pulmonary embolism (PE) and leg deep vein thrombosis (DVT) has increased in recent years in association with aging and an increase in the number of bedridden individuals. We developed an active in-bed leg exercise apparatus labeled the Leg Exercise Apparatus (LEX) for DVT prevention. We compared the effect of leg exercises performed using the LEX to conventional active ankle exercises on increased blood flow. MATERIALS & METHODS: The subjects were eight healthy adult volunteers [five men and three women, aged 20-34 (mean 27...
2016: Journal of Rural Medicine: JRM
Chika Kusano, Nobuo Yamada, Kenji Kikuchi, Masaji Hashimoto, Takuji Gotoda
BACKGROUND: There has been debate over the indications for percutaneous endoscopic gastrostomy (PEG) in recent years in Japan. In addition, the level of satisfaction of patients and patient's family after PEG remains unclear. The aim of this study was to investigate the current status of PEG and the level of satisfaction of patients and patients' families after PEG in Japan. METHODS: We reviewed the existing data of all patients who underwent PEG tube insertion at Yuri Kumiai General Hospital (Akita, Japan) between February 2000 and December 2010...
2016: Journal of Rural Medicine: JRM
(no author information available yet)
No abstract text is available yet for this article.
2015: Journal of Rural Medicine: JRM
Akira Tempaku, Hidetoshi Ikeda, Kazumi Nitta
Cerebral amyloid angiopathy (CAA) is observed in most cases of nonhypertensive subcortical hemorrhage involving elderly patients. We herein describe the case of a female in whom a convexal subarachnoid hemorrhage was observed at 55 years of age. The cerebral hemorrhage occurred repeatedly; however, no obvious vascular lesions were observed on a cerebral angiography, and no signs of microbleeding or lesions in the deep white matter were identified on magnetic resonance imaging (MRI). Partial excision of the right frontal cortex and hematoma evacuation were performed, and histopathological examination showed deposition of an acidophilic substance with positive staining for Direct Fast Scarlet (DFS) in the cerebral vascular wall...
2015: Journal of Rural Medicine: JRM
Yoshihisa Hirakawa, Esayas Haregot Hilawe, Chifa Chiang, Nobuo Kawazoe, Atsuko Aoyama
OBJECTIVE: Assistance from health professionals is very important to ensure medication adherence among older people. The present study aimed to assess the relationship between receipt of comprehensive medication management services by primary care physicians and medication adherence among community-dwelling older people in rural Japan. METHODS: Data including medication adherence and whether or not a doctor knew all the kinds of medicines being taken were obtained from individuals aged 65 years or older who underwent an annual health checkup between February 2013 and March 2014 at a public clinic in Asakura...
2015: Journal of Rural Medicine: JRM
Nguyen Huu Chau Duc, Keiko Nakamura, Masashi Kizuki, Kaoruko Seino, Mosiur Rahman
OBJECTIVE: This study aimed to examine changes in utilization of reproductive health services by wealth status from 2000 to 2011 in Vietnam. METHODS: Data from the Vietnam Multiple Indicator Cluster Surveys in 2000, 2006, and 2011 were used. The subjects were 550, 1023, and 1363 women, respectively, aged between 15 and 49 years who had given birth in the previous one or two years. The wealth index, a composite measure of a household's ownership of selected assets, materials used for housing construction, and types of water access and sanitation facilities, was used as a measure of wealth status...
2015: Journal of Rural Medicine: JRM
Yoshito Momose, Takajiro Suenaga
BACKGROUND: The lack of information regarding nonfatal agricultural injuries has been recognized as an obstacle for effective injury prevention. The aim of this study was to describe gender differences in the pattern of nonfatal agricultural injuries between the years 2008 and 2009. METHODS: Farmers' compensation injury claims were utilized to determine the mechanisms involved (machinery, non-machinery, and traffic), types of accident, sources of injury, kinds of injury, body parts affected place of injury, work being performed at the time of injury, and length of hospitalization...
2015: Journal of Rural Medicine: JRM
Yoshihisa Hirakawa
OBJECTIVE: The aim of the present study was to explore whether the presence of unhealthy eating habits is an effective indicator of anemia among older people or not. METHODS: We used data from a prospective observational cohort study of all users who underwent an annual health checkup at a public clinic in a rural area. The subjects of the present study were 150 users aged 75 years and older who underwent the checkup between January and September 2010. The subjects were first divided by gender and further separated into anemic and non-anemic subgroups according to their estimated anemia prevalences: Hb < 130 g/L for males and Hb < 120 g/L for females...
2015: Journal of Rural Medicine: JRM
Ken Shimizu, Hisanori Kameda, Haruo Kawamura, Takeshi Makihara, Yukiyo Shimizu
OBJECTIVE: PATIENTs with secondary hyperparathyroidism caused by chronic kidney disease (CKD) develop secondary osteoporosis, which increases fracture risk. We report a case of insufficiency fractures complicated by secondary osteoporosis caused by chronic renal failure and gastrectomy. PATIENT: A 78-year-old man with a medical history of nephrotic syndrome and gastric cancer experienced an occult intertrochanteric fracture of his left femur after falling. RESULTS: Ten days after the first fracture, the patient was treated with hemodialysis for acute uremic symptoms...
2015: Journal of Rural Medicine: JRM
Midori Nishio, Mitsu Ono
OBJECTIVE: The number of male caregivers has increased, but male caregivers face several problems that reduce their quality of life and psychological condition. This study focused on the coping problems of men who care for people with dementia at home. It aimed to develop a coping scale for male caregivers so that they can continue caring for people with dementia at home and improve their own quality of life. The study also aimed to verify the reliability and validity of the scale. PATIENTS/MATERIAL AND METHODS: The subjects were 759 men who care for people with dementia at home...
2015: Journal of Rural Medicine: JRM
Yoshitaka Maeda, Shuzo Shintani
OBJECTIVE: Living wills, written types of advanced directives, are now widespread in western countries, but in Japan, their recognition still remains restricted to a small part of the population. As an initial step to introduction of such patient-oriented medicine, we surveyed present recognition and acceptance patterns concerning living wills in a main regional hospital located in a suburban area of Tokyo. METHODS: Without any preceding guidance on living wills, the questionnaire on living wills was distributed to all the staff working at JA Toride Medical Center in September 2013, and their responses were collected for analysis within one month...
2015: Journal of Rural Medicine: JRM
Junko Ohashi, Toshiki Katsura
OBJECTIVES: The purpose of this study was to evaluate the effects of a coaching program on saliva cortisol sensitivity in normal healthy mothers with young children. METHODS: A randomized controlled trial (RCT) was conducted with objective and subjective outcome measurements of the stress indicator. A postal survey to assess emotional intelligence (EI) was administered by random sampling to mothers of young children aged 3 months to 6 years in Japan. A total of 74 mothers with median EI scores or lower were enrolled in a RCT involving the coaching program...
2015: Journal of Rural Medicine: JRM
Ryoko Kawasaki, Toru Sadamori, Terezinha Ferreira de Almeida, Megumi Akiyoshi, Mika Nishihara, Toshiro Yoshimura, Mayumi Ohnishi
OBJECTIVES: The aim of this study was to evaluate the impact of community health worker (CHW) training on recognition and satisfaction regarding the performance of CHWs among members of the community in Amazonas, Brazil, which is a resource-poor area underserved with regard to medical health-care accessibility. METHODS: Baseline and endline surveys concerning recognition and satisfaction with respect to CHW performance among members of the community were conducted by interview using a questionnaire before and after implementation of a program to strengthen community health projects in Manicoré, Amazonas, Brazil...
2015: Journal of Rural Medicine: JRM
Jiajia Liu, Yasuyuki Shimada
OBJECTIVE: The aim of the present study was to consider the importance of medical information obtained via the Internet for difficult cases in hospitals, especially in those located in rural areas. We report here a case of congenital arteriovenous fistula (AVF) in the upper extremities. PATIENT: A 30-year-old lady was transported to our hospital by ambulance due to massive bleeding in her left hand. She was seen by our current cardiovascular surgery team for the first time, although she had been diagnosed with congenital AVF of the left arm 9 years previously...
2014: Journal of Rural Medicine: JRM
Suresh Munuswamy, Keiko Nakamura, Kaoruko Seino, Masashi Kizuki
OBJECTIVES: This study was performed to evaluate the use of individual components of antenatal care (ANC) services by pregnant women across India in addition to counting of ANC visits and then analyze differences according to state, socioeconomic condition, and access to health care services. METHODS: The study used a nationally representative sample of 36,850 women from the National Family Health Survey (2005-2006) of India. Outcome measurements were medication, number of ANC visits, and components of ANC, including physical examination and measurements, laboratory examination, and advice about pregnancy...
2014: Journal of Rural Medicine: JRM
Yoshihisa Hirakawa, Takaya Kimata, Kazumasa Uemura
No abstract text is available yet for this article.
2014: Journal of Rural Medicine: JRM
Yoko Watanabe, Isao Saito, Ikuyo Henmi, Kana Yoshimura, Kotatsu Maruyama, Kanako Yamauchi, Tatsuhiro Matsuo, Tadahiro Kato, Takeshi Tanigawa, Taro Kishida, Yasuhiko Asada
OBJECTIVE: Despite the fact that the total energy intake of Japanese people has decreased, the percentage of obese people has increased. This suggests that the timing of meals is related to obesity. The purpose of the study was to investigate the relationship between the timing of meals and obesity, based on analyses of physical measurements, serum biochemical markers, nutrient intake, and lifestyle factors in the context of Chrononutrition. PARTICIPANTS AND METHODS: We analyzed data derived from 766 residents of Toon City (286 males and 480 females) aged 30 to 79 years who underwent detailed medical examinations between 2011 and 2013...
2014: Journal of Rural Medicine: JRM
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