Tohoku Rosai Hospital

Sendai-shi, Japan

Tohoku Rosai Hospital

Sendai-shi, Japan
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Satoh T.,Tohoku Rosai Hospital
Nihon eiseigaku zasshi. Japanese journal of hygiene | Year: 2016

In Japan, physical therapists have usually been involved in physical therapy for patients with functional disorders associated with cerebrovascular or orthopedic diseases in hospitals. With the aging of Japanese society, the number of diseased people will progressively increase; thus, it is important to pay much more attention to disease prevention. In this regard, physical therapists are expected to play a new role in the field of preventive medicine. Metabolic syndrome or central obesity with multiple cardiometabolic risks is associated with a high risk of type 2 diabetes or cardiovascular diseases and is now a central target for early detection and intervention for disease prevention. The incidence of metabolic syndrome increases with age, and men showed a higher incidence of metabolic syndrome than women in all generations. We have been involved in the guidance of workers with metabolic syndrome for a long time, and we conducted a multicenter study to establish effective guidance for these worker. In this paper, we will use our evidence to discuss the role of physical therapists in providing guidance for preventing metabolic syndrome. We are now conducting worksite supporting exercise intervention for workers who were resistant to conventional lifestyle guidance. In addition, the unique role of physical therapists in this new trial will be introduced.

Konno S.,Tohoku Rosai Hospital | Munakata M.,Tohoku Rosai Hospital
American Journal of Hypertension | Year: 2017

BACKGROUND We have previously reported that the public employees of Watari town showed significantly greater elevations in both systolic and diastolic blood pressure than the general population 4-8 months after the Great East Japan Earthquake, which occurred on 11 March 2011. To examine whether these differences persisted thereafter, we conducted a follow-up study for both the public employees and the general population of Watari town over 1 year. METHODS Among 225 public employees and 1232 individuals from the general population of the town who received consecutive annual health checkups from 2010 to 2012, 89 pairs were matched for age and sex according to a propensity score. RESULTS The baseline characteristics (predisaster) did not statistically differ between the paired groups. The public employees showed significantly higher systolic and diastolic blood pressure in 2011 (postdisaster) compared with the general population (129.8 ± 14.0/78.0 ± 11.7 vs. 117.0 ± 14.4/71.6 ± 11.4 mm Hg, P < 0.001 for both). Furthermore, the systolic blood pressure of the public employees remained significantly higher than that of the general population in 2012 (125.3 ± 16.0 vs. 119.9 ± 15.5 mm Hg, P = 0.023). CONCLUSION Prolonged blood pressure elevation among the public employees was observed for more than 1 year after the disaster, suggesting a need for close blood pressure monitoring of public employees engaged in longterm disaster relief operations. © American Journal of Hypertension, Ltd 2016.

Ohara S.,Tohoku Rosai Hospital | Kawano T.,Tokyo Medical and Dental University | Kusano M.,Gunma University | Kouzu T.,Chiba University
Journal of Gastroenterology | Year: 2011

Background: The present survey aimed to clarify the prevalence of gastroesophageal reflux disease (GERD) and functional dyspepsia (FD) in patients presenting with epigastric symptoms in Japan based on the Montreal definition and the Rome III criteria, respectively, and to determine the degree of overlap between the two disease entities and the validity of using these Western-developed diagnostic criteria in Japan. Methods: Patients presenting with epigastric symptoms for whom the first upper gastrointestinal endoscopy was scheduled from April through August 2007 at 55 institutions were asked to complete a questionnaire to ascertain the type, frequency, and severity of epigastric symptoms. The prevalence of esophageal mucosal damage was also determined from endoscopic findings. Results: A total of 1,076 patients were included in the analysis population. There was a high degree of coincidence for all symptoms, with the mean number of symptoms per patient of 2.8. With strict application of the Montreal and Rome III definitions, symptomatic GERD accounted for 15.6% (168 patients), whereas FD accounted for 10.3% (111 patients), and the overlap between GERD and FD symptoms was less than 10%. However, when frequency and severity alone were considered in more broadly defined criteria, the overlap between GERD and FD symptoms was 30-40%. Conclusion: A highly specific disease classification is possible when the Montreal definition and the Rome III criteria are strictly applied. On the other hand, the present survey highlighted a problem with the criteria whereby a definitive diagnosis could not be made in a substantial number of patients. This problem will require further research. © 2011 Springer.

Arterial stiffness is a vascular measure that has been reported to predict cardiovascular events. It is important to measure arterial stiffness in order to determine current vascular status and treatment strategy. Brachial-ankle pulse wave velocity (baPWV) is a unique measure of systemic arterial stiffness that is measured by brachial and tibial arterial wave analyses. Measurement of baPWV is easy and is reproducible. For more than a decade, this measure has been used broadly in East Asian countries. Meta-analysis of cohort studies conducted in the general population with hypertension, diabetes, or end-stage renal disease, and other high-risk individuals have shown that a 1 m/s increase in baPWV is associated with 12% increase in the risk of cardiovascular events. Thus, the Japanese Circulation Society has proposed that a baPWV of 1800 cm/s is a threshold for high-risk category. For baPWV to be clinically applicable, we must confirm that circulation of the lower limbs are normal by examining brachial ankle blood pressure index. In cases of peripheral arterial disease, the reliability of baPWV measurement is attenuated. To further confirm the clinical usefulness of this measure, we need to examine the hypothesis that baPWV-guided therapy could improve prognosis in high-risk patients. © 2014 Bentham Science Publishers.

Iijima K.,Tohoku University | Koike T.,Tohoku University | Abe Y.,Yamagata University | Ohara S.,Tohoku Rosai Hospital | And 2 more authors.
Journal of Gastroenterology | Year: 2015

Background: The gastric acid secretion level is an important determinant for the manifestation of the gastroesophageal reflux disease spectrum, finally leading to the development of esophageal adenocarcinoma (EAC). Although the incidence of EAC has remained low in Asia, understanding the recent trend in gastric acid secretion should be helpful in estimating future incidences of EAC in that area. We investigated the latest chronological change (1995–2014) in gastric acid secretion in normal Japanese patients. Methods: A total of 307 asymptomatic Japanese men who attended the clinic for annual endoscopic checkups from 1995 to 2014 were enrolled in this analysis. Gastrin-stimulated gastric acid secretion was estimated with the endoscopic gastrin test. The association between gastric acid secretion and chronological period was assessed with a multivariate linear regression analysis. Results: Overall gastric acid secretion gradually increased over the 20-year period in the entire cohort in the unadjusted analysis (p < 0.05). However, the apparent increase was largely related to the relative decreasing rate of H. pylori infection, which profoundly inhibited gastric acid secretion. Gastric acid secretion did not change over the 20-year period in H. pylori-negative subjects, and it showed only a mild increase during this period in H. pylori-positive subjects. Conclusions: Considering that gastric acid secretion remained unchanged in H. pylori-negative Japanese men over a 20-year period at a level much lower than that in Occidental subjects, upper gastrointestinal disease profiles in the Japanese population will differ from those in Western countries in the post-H. pylori era. © 2014, Springer Japan.

Kusakabe T.,Tohoku Rosai Hospital
Orthopaedics and Trauma | Year: 2013

Cauda equina syndrome (CES) is a relatively uncommon but serious condition arising from a compressive lesion in the lumbar spine canal. This gives rise to a complex of symptoms including bladder dysfunction. The most common causes are disc herniation, tumour, abscess, haematoma, fracture and spinal stenosis. While clinical history and examination are important, diagnosis is usually made by imaging modalities such as MRI or CT myelography. Once diagnosed, emergency decompression surgery is necessary to prevent permanent neurological dysfunction. © 2013 Elsevier Ltd.

Munakata M.,Tohoku Rosai Hospital | Konno S.,Tohoku Rosai Hospital | Miura Y.,Tohoku Rosai Hospital | Yoshinaga K.,Tohoku Rosai Hospital
Hypertension Research | Year: 2012

Brachial-Ankle pulse wave velocity (baPWV) is a new tool for measuring arterial stiffness. The prognostic significance of this measure, however, is not fully established. We initiated a multicenter cohort study to examine the prognostic significance of baPWV in patients with essential hypertension in 2002. After baseline measurements were obtained, 662 previously untreated patients (mean age 6012 years, mean blood pressure 15619/9412 mm Hg, 45% men) underwent long-term follow-up according to the current hypertension treatment guidelines. During the follow-up period (mean: 3 years, range: 3 months-8 years), 24 cardiovascular events were observed. The subjects were divided into high and low baPWV groups according to the median value (1750, cm s -1). Patients in the high baPWV group were older and had a lower body mass index, higher blood pressure, faster heart rate and higher fasting glucose and plasma creatinine concentrations compared with those in the low baPWV group. Cardiovascular morbidities per 1000 person-years for the high and low baPWV groups were 17.48 and 6.38, respectively (P<0.05), and the 8-year cardiovascular event-free survival rates were 78.2% and 93.5%, respectively (log-rank test, P=0.01). A multivariate Cox proportional hazard analysis showed that high baPWV compared with low baPWV was associated with a significantly poorer outcome (hazard ratio (HR) 2.97; 95% CI: 1.006-9.380). In conclusion, baPWV is an independent risk factor for future cardiovascular events in patients with essential hypertension. © 2012 The Japanese Society of Hypertension. All rights reserved.

Munakata M.,Tohoku Rosai Hospital
Nihon rinsho. Japanese journal of clinical medicine | Year: 2014

Work exerts considerable influence on human health. Recent meta-analysis has shown that work stress such as long working hours increases the risk of cardiovascular events. Long working hours has been reported to increase the risk of obesity, hypertension and diabetes although there are some conflicting data. Reduced physical activity, late dinner and shortening of sleep hours associated with long working hours could exacerbate lifestyle-related diseases. Neuroendocrine activation due to psychosocial stress may also be related to. In Japan, law concerning stabilization of employment of older persons has been enacted in 2013, indicating that number of old workers increase after this. It is important to establish healthy work environment for people to work until 65 yrs old without suffering from cardiovascular events.

Konno S.,Tohoku Rosai Hospital | Hozawa A.,Tohoku University | Munakata M.,Tohoku Rosai Hospital
American Journal of Hypertension | Year: 2013

BACKGROUNDIncreases in blood pressure were reported in overworked public workers following the Mid-Niigata earthquake. This study aimed to compare blood pressure changes between public employees and the general population after the Great East Japan Earthquake of March 2011.METHODSWe analyzed 1,776 individuals from the general population and 240 public employees of the town of Watari who received medical check-ups in 2010 and from July 2011 through November 2011. Anthropometric parameters and sitting blood pressure were compared, and fasting blood samples were taken from all participants. In postdisaster measurements, the degrees of insomnia, depression, fatigue, and life disruption due to the disaster were assessed using a questionnaire. Information on the working hours of public employees was obtained from authorized sources.RESULTSAfter age-sex adjustments, the public employees showed greater increases in systolic (11.3 vs. -1.9mm Hg, P < 0.001) and diastolic (7.8 vs. 1.1mm Hg, P < 0.001) blood pressure than the general population when compared with measurements taken during the previous year. In contrast, the degrees of fatigue, depression, and life disruption were equivalent in the 2 groups. The average monthly overtime hours worked by public employees in March 2011 was 10-fold higher compared with the previous March.CONCLUSIONPublic employees showed greater and more prolonged increases in blood pressure than the general population after the Great East Japan earthquake. Thus blood pressure should be monitored after a great earthquake among public employees, and treatment should be considered if necessary. © 2013 © American Journal of Hypertension, Ltd. All rights reserved.

Kurokawa D.,Tohoku University | Yamamoto N.,Tohoku University | Nagamoto H.,Tohoku University | Omori Y.,Tohoku University | And 3 more authors.
Journal of Shoulder and Elbow Surgery | Year: 2013

Background: A large Hill-Sachs lesion has been considered a risk factor for postoperative recurrence of shoulder instability. However, there are few reports describing the prevalence of Hill-Sachs lesions that engage with the glenoid. The purpose of this study was to clarify the prevalence of engaging Hill-Sachs lesions using the concept of the glenoid track. Materials and methods: The computed tomography images of 100 consecutive patients with unilateral recurrent anterior shoulder dislocations were assessed. An image in the plane perpendicular to the rotator cuff attachment was reconstructed from the DICOM (Digital Imaging and Communications in Medicine) data, and the maximum distance from the medial margin of the Hill-Sachs lesion to the medial margin of the rotator cuff footprint was measured. The location of the Hill-Sachs lesion in the glenoid track was assessed, and when the Hill-Sachs lesion extended medially over the glenoid track, it was defined as an "engaging Hill-Sachs lesion.". Results: Engaging Hill-Sachs lesions were observed in 7 of 100 cases (7%). There were 2 types of Hill-Sachslesions: a large and wide type (3 cases) and a narrow but medially located type (4 cases). All cases with an engaging Hill-Sachs lesion had a large bony defect of the glenoid at the same time. Conclusions: In our series of consecutive 100 cases, the prevalence of engaging Hill-Sachs lesions was 7%. There were 2 types of Hill-Sachs lesions: a wide and large type and a narrow but medially located type. © 2013 Journal of Shoulder and Elbow Surgery Board of Trustees.

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