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Nakahara H.,University of Tokyo | Kaburaki T.,University of Tokyo | Tanaka R.,University of Tokyo | Takamoto M.,University of Tokyo | And 6 more authors.
Ocular Immunology and Inflammation | Year: 2016

Purpose: To investigate the frequency of conditions of newly arrived patients with uveitis from 2010 to 2012 and compare this frequency with that since 2004. Methods: We retrospectively analyzed clinical records of patients who visited the outpatient clinic from January 2010 to December 2012, and compared them with those from 2004–2009. Results: From 2010 to 2012, 695 new patients with uveitis visited Tokyo University Hospital, with a definite diagnosis made in 431 (62.0%). The most common diagnosis was scleritis (8.3%), followed by sarcoidosis (8.1%); herpetic iridocyclitis (5.5%); Behçet disease (4.6%); Vogt–Koyanagi–Harada disease (4.0%); acute anterior uveitis (3.7%); Posner–Schlossman syndrome (3.6%); intraocular malignant lymphoma (3.0%); and bacterial endophthalmitis (1.9%). The most frequent unclassified type of uveitis was sarcoidosis-suspected (14.8%). Conclusions: When compared with years 2004–2009, the present series showed an increasing trend of intraocular malignant lymphoma, bacterial endophthalmitis, and chronic iridocyclitis, and a notable increase in chronic iridocyclitis in young girls, with decreasing trends of scleritis and Vogt–Koyanagi–Harada disease. © 2016, Informa Healthcare. All rights reserved. Source

Iidaka T.,Tokyo Medical University | Muraki S.,Tokyo Medical University | Akune T.,National Rehabilitation Center for Persons with Disabilities | Oka H.,Tokyo Medical University | And 5 more authors.
Osteoarthritis and Cartilage | Year: 2016

Objective: Although hip osteoarthritis (OA) is a major cause of hip pain and disability in elderly people, few epidemiologic studies have been performed. We investigated the prevalence of radiographic hip OA and its association with hip pain in Japanese men and women using a large-scale population of a nationwide cohort study, Research on Osteoarthritis/osteoporosis Against Disability (ROAD). Methods: From the baseline survey of the ROAD study, 2975 participants (1043 men and 1932 women), aged 23-94 years (mean 70.2 years), living in urban, mountainous, and coastal communities were analyzed. The radiographic severity at both hips was determined by the Kellgren/Lawrence (K/L) grading system. Radiographic hip OA was defined as K/L ≥ 2, and severe radiographic hip OA as K/L ≥ 3. Results: The crude prevalence of radiographic hip OA was 18.2% and 14.3% in men and women, respectively, that of severe radiographic hip OA was 1.34% and 2.54%, and that of symptomatic K/L ≥ 2 OA was 0.29% and 0.99%, respectively. The crude prevalence of hip OA, including severe OA, was not age-dependent in men or women. Male sex was a risk factor for radiographic hip OA, whereas female sex was a risk factor for severe radiographic hip OA and hip pain. Compared with K/L = 0/1, hip pain was significantly associated with K/L ≥ 3, but not with K/L = 2. Conclusion: The present cross-sectional study revealed the prevalence of radiographic hip OA and severe hip OA in Japanese men and women. Hip pain was strongly associated with K/L ≥ 3. © 2015 Osteoarthritis Research Society International. Source

Yamaji Y.,Japan Community Healthcare Organization Tokyo Shinjuku Medical Center | Itatani M.,Japan Community Healthcare Organization Tokyo Shinjuku Medical Center | Imai K.,Japan Community Healthcare Organization Tokyo Shinjuku Medical Center | Yamazaki A.,Japan Community Healthcare Organization Tokyo Shinjuku Medical Center | And 3 more authors.
Journal of the Japan Diabetes Society | Year: 2015

With the goal of assuring the standardized treatment of diabetic inpatients, we installed an institutional framework to support diabetes care in non-diabetic sections by means of providing regular rounds by an expert team composed of diabetologists, a nurse certified in diabetes nursing and a registered dietician. The team mostly took responsibility for ensuring adequate glucose monitoring, determining the insulin regimen and oral therapy and safeguarding patient safety, including the prevention of hypoglycemia. In order to evaluate the usefulness of these rounds, we conducted a questionnaire survey of nurses and doctors on the non-diabetic wards at one and five years after implementation. The results showed that 98% of the nurses appreciated the program after one year and gave significantly higher scores for all items of the questionnaire after five years versus the previous survey with respect to efficacy of the rounds in improving the patients' treatment in addition to addressing their own concerns and understanding about diabetes care. After five years, 97% of the doctors required a commitment for the diabetes team and 90% observed the program to be highly effective. Therefore, our cross-sectional approach is considered to be useful for improving the hospital-wide quality of diabetes care. © 2015, Japan Diabetes Society. All rights reserved. Source

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