Social frailty as a predictor of all-cause mortality and functional disability: a systematic review and meta-analysis


Association between working in small-scale cultivated land as a daily-life task and the physical and cognitive functions among elderly people in hilly and mountainous areas

中山間地域に居住する高齢者の生活行為としての畑作業と身体・認知機能との関連


高次脳機能障害者における持続的反応時間測定と動作特性

高次脳機能障害者における持続的反応時間測定と動作特性


Factors associated with diabetes control: 2-Year cohort study in outpatients with type 2 diabetes

Type 2 diabetes is a typical lifestyle disease. We aimed to identify the factors affecting glycemic control in 64 outpatients with type 2 diabetes over a 2-year period. We defined poor glycemic control using a change in glycosylated hemoglobin (?HbA1c) of ??0.5% over 2 years and/or HbA1c ??7.5% at the end of the study period. We used a questionnaire to collect information on oral health behavior and lifestyle, including eating and smoking habits, and analyzed the relationships between indices of diabetes control and responses to the questionnaire. The mean (SD) HbA1c of the participants was 6.87% (0.77%) at a baseline, and 6.93% (0.69%) after 2 years. Twenty-three participants (36.0%) had poor glycemic control. ?HbA1c and the change in body mass index (?BMI) correlated (Spearman's rank correlation, r?=?0.350, p?<?0.01). The HbA1c at baseline was associated with eating slowly?/?chewing well, and ?BMI was associated with perceived oral symptoms. Binominal logistic regression analysis revealed that poor glycemic control was associated with ?BMI and a smoking habit (odds ratio : 1.62, 95% confidence interval : 1.08?2.42?;?and 4.01, 1.12?14.36, respectively). These findings imply that weight gain and a smoking habit are associated with poor glycemic control in patients with type 2 diabetes. J. Med. Invest. 70 : 28-33, February, 2023.

The Journal of Medical Investigation : JMI


Did Kayoinoba Prevent the Decline of Mental and Physical Functions and Frailty for the Home-Based Elderly during the COVID-19 Pandemic?

The purpose of this study is to grasp the management situation of "" under the conditions of self-quarantine due to the COVID-19 pandemic. It is also to clarify the efficacy of "" using the Kihon Checklist (KCL) for the assessment of mental and physical functions in the elderly. The respondents were 136 elderly people aged 65 years and over who lived in A City, a standard rural area in Japan. The age, gender, living style, affluence for living, and the frequency of participation in "" were examined by using the KCL as a self-completed questionnaire. Finally, 101 respondents were included in the final analysis. There was no difference in the participation status before and after the spread of COVID-19. The frailty ratio tended to decrease from 23.8% to 19.8% between the two periods, but there was no difference in the frailty ratio. It is suggested that the participants in "" may have suppressed the deterioration of mental and physical conditions, excluding physical activity. This would prevent the frailty of the elderly, even during self-quarantine due to the spread of COVID-19.

International Journal of Environmental Research and Public Health


Association between Diabetes-related Clinical Indicators and Oral Health Behavior among Type-2 Diabetes Patients

Objective : The aim of this study was to evaluate the association between diabetes-related indicators and oral health behavior among patients with type 2 diabetes. Methods : Seventy-four outpatients were included. We administered a questionnaire and divided the patients into two groups according to oral health behavior and eating habits. We then compared diabetes-related clinical records between the groups and performed logistic regression analysis. Results : Participants who brushed their teeth before bedtime every night had lower BMIs than those who did not. Participants who reported eating slowly and chewing well every day had significantly lower HbA1c than their counterparts. Participants who reported gum bleeding had significantly higher LDL-cholesterol than their counterparts. Binominal logistic regression analysis revealed that BMI < 25 was associated with not brushing teeth before bedtime every night, HbA1c < 7.5 with not eating slowly or chewing well every day, and LDL-cholesterol < 120 with gum bleeding (odds ratio : 0.140, 95% confidence interval : 0.036-0.540 ; OR : 0.085, 95% CI : 0.010-0.736, OR : 0.275, 95% CI : 0.077-0.979, respectively). Conclusions : Our findings suggest that toothbrushing before bedtime every night is associated with reduced risk of obesity and that eating slowly and chewing well are advantageous for glycemic control in patients with type 2 diabetes.J. Med. Invest. 68 : 140-147, February, 2021.


「通いの場」に参加する後期高齢者の健康と生活機能の傾向 -プログラム内容の違いによる比較-

Journal of Shikoku Public Health Society


Association between Oral Health Status and Diabetic Nephropathy-Related Indices in Japanese Middle-Aged Men


消滅可能性地域における後期高齢者の社会的フレイル傾向の実態と地域保健活動の可能性-美馬市木屋平の持続可能性に向けた通いの場の活用-


The aplication and usefulness of virtual reality aimd at encouraging an understanding of and reducing and eliminating prejudice dementia patients among local residents

地域住民の認知症に対する理解の促進と偏見の軽減・除去に関するバーチャルリアリティ技術の応用と有用性

To demonstrate the usefulness of a virtual reality device that authentically portrays the emotions of dementia patients and their families (VR Dementia Experience) for encouraging an understanding of and reducing and eliminating prejudice towards dementia patients among local residents. In Prefecture T, Town N, 85 residents of Neighborhood A were chosen as the intervention group, and 95 residents of Neighborhood B were chosen as the non-intervention group. The VR Dementia Experience was provided only to the residents of Neighborhood A. Residents of both neighborhoods completed a 35-item questionnaire regarding their degree of understanding and prejudice towards dementia patients before and after the intervention. Seventy-seven residents of Neighborhood A and 82 residents of Neighborhood B were analyzed. Their gender, age, and pre-intervention test baseline values were equivalent in the degree of understanding and prejudice. Significant increases were observed in 9 of 35 items for Neighborhood A residents (7 understanding-related, 2 prejudice-related) and 2 items for Neighborhood B residents (1 understanding-related, 1 prejudice-related). To ascertain the usefulness of the VR Dementia Experience, we compared the number of items with a significant increase: 9/35 (25.7%) in Neighborhood A and 2/35 (5.7%) in Neighborhood B. An effect (≥ 20%) was observed among the residents of Neighborhood A. Furthermore, after exposure to the VR Dementia Experience, the connection between understanding, prejudice, and dementia was strengthened among the residents of Neighborhood A compared to the residents of Neighborhood B. The VR Dementia Experience is a useful tool for encouraging an understanding of and reducing and eliminating prejudice towards dementia patients among local residents. However, to encourage the widespread usage of the technology, we should compare results with other public awareness campaigns as well as make improvements to the device and its VR content.


Survey on nursing home caregivers basic knowledge of oral health management: Dental Terminology

With the increasing numbers of the elderly requiring care in Japan, the management of their oral health care will require cooperation between medical and dental professionals, and we need to transfer dental knowledge from dental professionals to caregivers. With the help of a questionnaire, we examined 181 caregivers' depth of understanding regarding 20 typical dental terms with a view to improving the educational instruction provided to them. It was found that except for "clasp", popular dental terms have largely been accepted. The differences in their degrees of understanding could be owing to the lack of systematic education for caregivers.


Development of an oral assessment sheet for evaluating older adults in nursing homes

A new general use oral assessment sheet (OAS), comprising three items each in three categories (i.e., oral hygiene, biting and chewing, and oral function), was developed to improve the oral health of older adults requiring nursing care. Seventy-nine care workers used the assessment sheet to evaluate oral conditions in 188 institutionalized older adults. Forty-five care workers and three dental professionals then assessed oral conditions in 45 institutionalized older adults using the test-retest method before and after dental professional guidance. Cronbach's alpha of the OAS was 0.72, and 0.65, 0.57, and 0.82 for the three subcategories of oral hygiene, biting and chewing, and oral function, respectively. After dental professional intervention, absolute and relative agreement coefficients increased to more than 0.6 and 0.89, respectively. Reliability and validity of the OAS were verified, and difficulties in oral assessment experienced by care workers were identified. [Res Gerontol Nurs. 2017; 10(5):234-239.].


透析患者の歯科受診を推進するためのツールとしての医療職および患者向けリーフレットの開発


血液透析患者における口腔衛生管理に対する意識

血液透析患者における口腔衛生管理に対する意識


Student dental hygienist`s changing images of the elderly by using "Oral function management planaseessment sheet"on practical training at elderly person facilities

歯科衛生学生の高齢者施設臨地実習における「口腔機能管理計画・アセスメント票」導入らよる高齢者に対するイメージ変化

The Journal of Japan Society of Dental Hygiene Education

日本歯科衛生教育学会雑誌


Factors associated with regular dental visits among hemodialysis patients.

To investigate awareness and attitudes about preventive dental visits among dialysis patients; to clarify the barriers to visiting the dentist. Subjects included 141 dentate outpatients receiving hemodialysis treatment at two facilities, one with a dental department and the other without a dental department. We used a structured questionnaire to interview participants about their awareness of oral health management issues for dialysis patients, perceived oral symptoms and attitudes about dental visits. Bivariate analysis using the (2) test was conducted to determine associations between study variables and regular dental check-ups. Binominal logistic regression analysis was used to determine factors associated with regular dental check-ups. There were no significant differences in patient demographics between the two participating facilities, including attitudes about dental visits. Therefore, we included all patients in the following analyses. Few patients (4.3%) had been referred to a dentist by a medical doctor or nurse. Although 80.9% of subjects had a primary dentist, only 34.0% of subjects received regular dental check-ups. The most common reasons cited for not seeking dental care were that visits are burdensome and a lack of perceived need. Patients with gum swelling or bleeding were much more likely to be in the group of those not receiving routine dental check-ups ((2) test, P < 0.01). Logistic regression analysis demonstrated that receiving dental check-ups was associated with awareness that oral health management is more important for dialysis patients than for others and with having a primary dentist (P < 0.05). Dialysis patients should be educated about the importance of preventive dental care. Medical providers are expected to participate in promoting dental visits among dialysis patients.


Preliminary study on community support network meeting(training) for higer brain dysfunction support

高次脳機能障害支援における地域支援ネットワーク会議(研修)に関する予備的研究


歯科併設のない人工透析実施医療機関における医科歯科連携

歯科併設のない人工透析実施医療機関における医科歯科連携


Current status of collaborative relationships between dialysis facilities and dental facilities in Japan: results of a nationwide survey

Recent studies have reported an association between periodontal disease and mortality among dialysis patients. Therefore, preventive dental care should be considered very important for this population. In Japan, no systematic education has been undertaken regarding the importance of preventive dental care for hemodialysis patients--even though these individuals tend to have oral and dental problems. The aim of this study was to investigate the current state of collaborative relationships between hemodialysis facilities and dental services in Japan and also to identify strategies to encourage preventive dental visits among hemodialysis outpatients. A nationwide questionnaire on the collaborative relationship between dialysis facilities and dental facilities was sent by mail to all medical facilities in Japan offering outpatient hemodialysis treatment. Responses were obtained from 1414 of 4014 facilities (35.2%). Among the 1414 facilities, 272 (19.2%) had a dental service department. Approximately 100,000 dialysis outpatients were receiving treatment at these participating facilities, which amounts to one-third of all dialysis patients in Japan. Of those patients, 82.9% received hemodialysis at medical facilities without dental departments. Only 87 of 454 small clinics without in-house dental departments (19.2%) had collaborative registered dental clinics. Medical facilities with registered dental clinics demonstrated a significantly more proactive attitude to routine collaboration on dental matters than facilities lacking such clinics. Our nationwide survey revealed that most dialysis facilities in Japan have neither an in-house dental department nor a collaborative relationship with a registered dental clinic. Registration of dental clinics appears to promote collaboration with dental facilities on a routine basis, which would be beneficial for oral health management in hemodialysis patients.


Validity of the progress notebook in supporting patients with higher cortical dysfunction

Japanese Journal of Comprehensive Rehabilitation Science


Factors Influencing the Zarit Burden Interview in a Japanese Community:Activities of Daily Living and Depressive State

International Journal of Physical Medicine & Rehabilitation


Qualitative analysis focused on the process of learning in clinical training for dental hygiene students

歯科衛生士養成臨床実習における学習プロセスに関する質的分析

日本歯科衛生教育学会雑誌


要介護高齢者の口腔ケアを支援する簡易版アセスメントシートの開発

要介護高齢者の口腔ケアを支援する簡易版アセスメントシートの開発

日本摂食嚥下リハビリテーション学会誌

日本摂食嚥下リハビリテーション学会誌


The usefulness of advising chart storage system for oral care which utilized cloud computing

クラウドコンピューティングを活用した口腔保健業務支援システムの有用性に関する検討


病院における専門的口腔ケアへの認知度と期待ー急性期脳卒中患者家族のアンケート調査よりー

Journal of Shikoku Public Health Society


Report of consultation support system for people with higher brain dysfunction

高次脳機能障害者対する相談支援体制の概況報告


A study of burnout characteristics among dental hygienists in a local city

地方都市における歯科衛生士のバーンアウトに関する研究

日本歯科衛生教育学会雑誌


Evaluation of collaborative learning program with aged people in dental hygienist education

感情指標を用いた歯科衛生士教育における高齢者交流学習効果


A study of burnout characteristics among support coordinators for persons with high brain dysfunction


障害者に対する住民の偏見に関する動向 -静岡県民への調査結果から-

障害者に対する住民の偏見に関する動向 -静岡県民への調査結果から-


Intervention study in community-based rehabilitation in Shima City

志摩市における地域リハビリテーション介入研究


Medical and welfare model of cooperation for persons with higher brain dysfunction

高次脳機能障害者に対する医療・福祉連携モデルの構築Ⅰ


三重モデルの概要 (紹介 高次脳機能障害者に対する医療・福祉連携モデルの構築)


社会福祉施設の活用 (紹介 高次脳機能障害者に対する医療・福祉連携モデルの構築)


The way handicapped facilities in the future

生活援助棟(重度身体障害者更生援護施設)の経緯と今後のあり方について

Proceedings of the Social Welfare Agency


中途障害者の自動車訓練について

社会福祉事業団職員実務論文集


Decision-making Support in Medical Care and Welfare for Peoples with Higher Brain Dysfunction

高次脳障害者の医療と福祉における意思決定支援


看護・介護現場における排せつ支援のアドバイジングの有用性とその具体例

看護・介護現場における排せつ支援のアドバイジングの有用性とその具体例


高齢者のアドバンス・ケア・プランニング

高齢者のアドバンス・ケア・プランニング


認知症の人の診断前後のサポート 社会福祉の立場から

認知症の人の診断前後のサポート 社会福祉の立場から

Japanese Journal of Geriatric Psychiatry


高次脳機能障害(意思決定支援における工夫)


social supoort for persons with cognitive dysfunction

高次脳機能障害者を支える法制度(社会的支援)

The Japanese Journal of Rehabilitation Medicine


Usefulness of a novel higher brain dysfunction screening test for evaluating higher brain function in healthy persons.

To accurately and rapidly screen for higher brain dysfunction, we developed a screening test named the "higher brain dysfunction screening test" (HIBRID-ST). Previous studies have reported a decrease in higher brain function with age. However, whether HIBRID-ST can detect a decrease in higher brain function in healthy persons remains unclear. We aimed to assess the usefulness of HIBRID-ST for evaluating higher brain function in healthy persons. We recruited 60 persons without physiological abnormalities and divided them into six equal groups based on their age (20s-70s). HIBRID-ST addresses orientation, short-term memory, word recall, situational awareness, visual short-term memory, and graphic replication and includes the Trail Making and Kana-hiroi tests. There was a significant negative correlation between the participants' age and their total HIBRID-ST score (ϱ = -0.68, p < 0.01). The total HIBRID-ST score of participants in their 70s was significantly lower than that of participants in their 20s-60s; the total HIBRID-ST score of participants in their 60s was significantly lower than that of participants in their 20s-50s. Our findings show that HIBRID-ST accurately detects an age-related decline in higher brain function. Further studies are needed to examine the usefulness of HIBRID-ST in patients with higher brain dysfunction. J. Med. Invest. 64: 280-285, August, 2017.

The Journal of Medical Investigation : JMI


クリニカルリハビリテーション

Legal system that are related to people with higher brain dysfunction

高次脳機能障害者に関連する法制度


Social supports for decision-making process necessary and suitable for cases with dementia among eldery people

社会福祉の立場から認知症高齢者の意思決定プロセスを考える

認知症高齢者の増加および独居化に伴い，認知症ケアの充実が喫緊の課題となっている．これを受け，介護保険や権利擁護の諸制度などの施策が打ち出されてきているが，医科および歯科における医療同意に関する意思決定プロセスの定式化や，その合意形成のあり方など残された課題も多い．そこで本稿では，社会福祉の立場から認知症高齢者の生活を支える仕組みや制度などの動向について概観した上で，認知症高齢者の意思決定プロセスに関連して，医科歯科連携を基軸とする関連障害の取組み例を紹介する．加えて，多職種協働による意思決定支援の例を提示する．


Attempt at consultations designed to improve the quality of childcare services at day-care center: considering use of third-party evaluation categories

保育所保育の質の向上をめざすコンサルテーションの試み--保育所第三者評価の評価項目の活用を考える

Annual Report of Academic Research, Shizuoka Eiwa Gakuin University


An examination of the strategy for training certified social workers and the method of intervention in university education: the measures for certified social workers training in Shizuoka Eiwa Gakuin University

大学教育における社会福祉士養成の戦略と実践介入の方法に関する一検討--静岡英和学院大学における社会福祉士養成のための取り組み


The reality of model project for people with higher brain dysfunctions: approach fron a social position

高次脳機能障害支援モデル事業のリアリティ--社会的立場からのアプローチ (特集 高次脳機能障害)

Research Bulletin, National Rehabilitation Center for Persons with Disabilities

国立身体障害者リハビリテーションセンター研究紀要


Try this way How about - community support network of higher brain dysfunction

こうしてみてはどうですか?--高次脳機能障害者の地域支援ネットワーク (特集 どうしたんだろう?脳のまとめ役--前頭葉機能障害)

The Japanese Journal of Occupational Therapy for Mental and Cognitive Disorder


県薬だより 記念特集100号

県薬だより 記念特集100号


産学官民で「共創」を 徳島の地から発信していく

産学官民で「共創」を 徳島の地から発信していく


1-6-22 介護職への介入研究 : 介護保険使用在宅者のZarit介護負担尺度,FIMの変化(地域リハビリテーション(1),口演,一般演題,リハビリテーション医学の進歩と実践,第43回日本リハビリテーション医学会学術集会)


2-6-16 Effects and problems of life support services with higher brain dysfunction

2-6-16 高次脳機能障害者生活支援事業の効果と課題 : 生活・職能訓練帰結後の連続したケアの構築に向けて(脳外傷・システム,口演,一般演題,リハビリテーション医学の進歩と実践,第43回日本リハビリテーション医学会学術集会)


高次脳機能障害者の病識低下と意思決定支援

高次脳機能障害者の病識低下と意思決定支援