Tokushima University / Educator and Researcher Directory --- Ookura, Yoshihiro

Field of Study

Subject of Study

Book / Paper

Academic Paper (Judged Full Paper):

1.	Kenji Tani, Minaho Kanamori, Yutaroh Nagase, Yoshihiro Ookura, Shingo Kawaminami, Keisuke Kawahito, Keisuke Inaba, Kaori Inaba, Akiko Miyatake, Keisuke Kondo, Ryo Tabata, Yoshihiro Suzuki and Harutaka Yamaguchi : Past infections are associated with low levels of anti-citrullinated protein autoantibodies in rheumatoid arthritis, The Journal of Medical Investigation : JMI, Vol.67, No.1,2, 182-188, 2020. (Summary) Background : Rheumatoid arthritis (RA), an autoimmune disease of unknown etiology, is believed to occur as the result of actions of genetic and environmental factors. In this study, we examined the relation of past histories about infectious diseases with the levels anti-citrullinated protein autoantibodies (ACPA) in RA. Methods : Results of a questionnaire about histories of infectious diseases were obtained from 85 patients with RA, and were analyzed. Results : Significantly lower level of ACPA was detected in patients with the history of tonsillitis, otitis media or urinary cystitis than in those without it. There was no difference in the level of ACPA in RA patients between with and without cold / influenza, rubella, chickenpox, herpes labialis or herpes zoster. When RA patients were divided into two groups, high-level and low-level ACPA, multiple logistic regression analysis revealed that the history of otitis media was a significantly independent factor for the low level of ACPA. There was no significant relation between the level of rheumatoid factor and histories of infectious diseases. Conclusion : This study clarified that the past history of otitis media is associated with the low level of ACPA in RA. J. Med. Invest. 67 : 182-188, February, 2020. (Tokushima University Institutional Repository) ● Metadata: 114814 (Link to Publication Site) ● Publication site (DOI): 10.2152/jmi.67.182 (Link to Search Site for Scientific Articles) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 32378604 ● Summary page in Scopus @ Elsevier: 2-s2.0-85084198384 (Tokushima University Institutional Repository: 114814, DOI: 10.2152/jmi.67.182, PubMed: 32378604, Elsevier: Scopus)
2.	Harutaka Yamaguchi, Koji Sato, Keisuke Kawahito, Akiko Miyatake, Keisuke Kondo, Keisuke Inaba, Kaori Inaba, Shingo Kawaminami, Ryo Tabata, Shino Yuasa, Yoshihiro Ookura, Atsushi Tsuchiya, Yoshihiro Suzuki and Kenji Tani : Japanese elderly individuals wish for enteral tube feeding more strongly for their parents than for themselves, The Journal of Medical Investigation : JMI, Vol.66, No.3,4, 258-263, 2019. (Summary) [Introduction] The purpose of this study was to investigate the differences in the preference of enteral tube feeding between elderly inhabitants of Mugi town, Tokushima Prefecture, Japan, and their parents in various physical conditions. [Methods] This population-based questionnaire survey studied 300 randomly selected participants aged 65-80 years. Respondents were to consider a situation where eating was difficult, and were questioned on their desire for tube feeding, using a visual analogue scale (VAS) ranging from "do not want tube feeding (0)" to "want tube feeding (100)." [Results] Valid responses of 103 (34.4%) participants were analyzed. Under conditions of being "healthy," "bedridden," "with dementia," and "bedridden and with dementia," the median (IQR) of the VAS values for the desire for tube feeding were 31.8 (3.3 to 83.8), 19.3 (2.4 to 52.3), 5.2 (0.7 to 18.9), 4.0 (0.3 to 15.2) for respondents and 55.2 (11.6 to 92.2), 48.7 (5.5 to 85.5), 9.0 (1.2 to 46.8), 5.1 (0.1 to 36.5) for parents, respectively. The VAS values for the parents were significantly higher (p=0.001, 0.002, 0.001, and 0.01, respectively for the four conditions described) for the same items. [Conclusion] Surrogate decisions made by family members often differ from what the patients would have desired. J. Med. Invest. 66 : 258-263, August, 2019. (Keyword) Aged / Aged, 80 and over / decision making / Enteral Nutrition / female / Humans / male / Parents / Patient Preference / Surveys and Questionnaires / Visual Analog Scale / Withholding Treatment (Tokushima University Institutional Repository) ● Metadata: 114039 (Link to Publication Site) ● Publication site (DOI): 10.2152/jmi.66.258 (Link to Search Site for Scientific Articles) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 31656285 ● Summary page in Scopus @ Elsevier: 2-s2.0-85074133999 (Tokushima University Institutional Repository: 114039, DOI: 10.2152/jmi.66.258, PubMed: 31656285, Elsevier: Scopus)
3.	Kenji Tani, Shingo Kawaminami, Yoshihiro Ookura, Ryo Tabata, Shino Yuasa, Yoshinori Nakanishi, Keisuke Kawahito, Keisuke Inaba, Kaori Inaba, Keisuke Kondo, Kazumasa Umetani, Yoshihiro Suzuki and Harutaka Yamaguchi : Predictive factors associated with the therapeutic resnponse in patinents with polymyalgia rheumatica and remitting seronegative symmertrical synovitis with pitting edema syndrome, The Journal of Medical Investigation : JMI, Vol.66, No.1,2, 112-118, 2019. (Summary) Polymyalgia rheumatica (PMR) and remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome are common inflammatory rheumatic diseases in the elderly. In this study, we investigate predictive factors which correspond to subsequent disease control of PMR and RS3PE syndrome. Twenty four patients, which contained 18 PMR and 6 RS3PE syndrome, were treated with initial dosages of 10-20 mg per day oral prednisolone, and the dosage of prednisolone was then tapered. Significantly higher initial CRP was observed in patients with poor disease control than in those with good disease control afterwards. The number of patients with negative CRP after 4 weeks was significantly more in patients with good disease control after 1 year than in those with poor disease control. Patients were shown to be in good disease control status after 1 year when CRP after 4 weeks became negative even if they had initial high CRP. Our study clarify that to make CRP negative after 4 weeks is associated with subsequent suppression of the disease activity and with decreased dosages of corticosteroids. J. Med. Invest. 66 : 112-118, February, 2019. (Tokushima University Institutional Repository) ● Metadata: 113405 (Link to Publication Site) ● Publication site (DOI): 10.2152/jmi.66.112 (Link to Search Site for Scientific Articles) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 31064921 ● Summary page in Scopus @ Elsevier: 2-s2.0-85065779049 (Tokushima University Institutional Repository: 113405, DOI: 10.2152/jmi.66.112, PubMed: 31064921, Elsevier: Scopus)
4.	Kenji Tani, Yoshihiro Ookura, Ryo Tabata, Shino Yuasa, Shingo Kawaminami, Yoshinori Nakanishi, Keisuke Kawahito, Keisuke Inaba, Kaori Inaba, Teruyoshi Kageji, Hiroki Tanaka, Yoshihiro Suzuki and Harutaka Yamaguchi : Characteristics of medical students who would like to be a generalist physician and contribute to remote area medicine., The Journal of Medical Investigation : JMI, Vol.64, No.3-4, 210-216, 2017. (Summary) We administered a questionnaire to 5 grade medical students to examine the effect of community-based clinical practice on their attitudes to remote area medicine and their course after the graduation. Data from 192 students were obtained. The intensity of students' attitudes was estimated by using visual analogue scale. The intensities of the interest and a sense of fulfillment in remote area medicine were significantly increased after the practice. A significantly lower level of the intensity to become a generalist than that to become a specialist was seen in the students with low intensity in a sense of fulfillment. The percentages of the students who answered that they can work for 5 years or more in remote area were significantly lower in students with low intensity of a sense of fulfillment than in those with high intensity. A significantly higher percentage in students who worked at a familiar prefecture to them after the graduation was seen in female than in male. This study shows that the community-based practice is meaningful in increasing motivation which desire to work in remote area medicine, and that the motivation may affect their course after the graduation. J. Med. Invest. 64: 210-216, August, 2017. (Keyword) the community-based clinical practice / remote area medicine / generalist / clinical clerkship (Tokushima University Institutional Repository) ● Metadata: 111118 (Link to Publication Site) ● Publication site (DOI): 10.2152/jmi.64.210 (Link to Search Site for Scientific Articles) ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28954984 ● CiNii @ National Institute of Informatics (CRID): 1390001204247533696 ● Summary page in Scopus @ Elsevier: 2-s2.0-85030236407 (Tokushima University Institutional Repository: 111118, DOI: 10.2152/jmi.64.210, PubMed: 28954984, CiNii: 1390001204247533696, Elsevier: Scopus)

Review, Commentary:

1.	Ryo Tabata, Yoshihiro Ookura, Keisuke Kawahito, Keisuke Inaba, Kaori Inaba, Fumiaki Obata, Shingo Kawaminami, Shino Yuasa, Harutaka Yamaguchi, Kenji Tani and Hiroyashu Bando : 徳島県での後期研修プログラムで初の家庭医療専門医になって, 月刊地域医学, Vol.31, No.8, 632-638, Aug. 2017. (Keyword) へき地医療 / 家庭医療専門医 / 家庭医療専門研修 / 日本プライマリ・ケア連合学会指導医

Proceeding of Domestic Conference:

1.	Minaho Kanamori, Kenji Tani, Keisuke Kondo, Yoshihiro Suzuki, Yoshihiro Ookura and Harutaka Yamaguchi : 関節リウマチに関わる生活環境因子に関する研究, 第19回日本プライマリ・ケア連合学会四国地方会, Nov. 2019.
2.	Chisato Takeuchi, Yoshihiro Ookura, Keisuke Kondo, 宮武亜希子, Kaori Inaba, Shino Yuasa, Shingo Kawaminami, Yoshihiro Suzuki, Harutaka Yamaguchi and Kenji Tani : HAD尺度を用いた在宅医療における患者家族の不安の評価とその要因についての検討, 第19回日本プライマリ・ケア連合学会四国地方会, Nov. 2019.
3.	Keisuke Kondo, Yoshihiro Ookura, Harutaka Yamaguchi, Yoshihiro Suzuki and Kenji Tani : 徳島大学病院総合診療部における初診患者の動向分析, 第19回日本プライマリ・ケア連合学会四国地方会, Nov. 2019.
4.	多田航生, Yoshihiro Ookura, Keisuke Kondo, 伊田百美杏, 成田美緒, Maki Hosoki, Yoshizo Matsuka, Yoshihiro Suzuki, Harutaka Yamaguchi and Kenji Tani : 問診と口腔内の観察によって診断に至った歯科金属アレルギーによる皮疹の一例, 第259回徳島医学会学術集会, Aug. 2019.
5.	Keisuke Kondo, Yoshihiro Ookura, Harutaka Yamaguchi, Yoshihiro Suzuki and Kenji Tani : 徳島大学病院総合診療部開設後2年間の動向分析, 第259回徳島医学会学術集会, Aug. 2019.
6.	Takashi Otsuka, Shingo Kawaminami, 宮武亜希子, Keisuke Inaba, Kaori Inaba, Shino Yuasa, Ryo Tabata, Yoshihiro Ookura, Harutaka Yamaguchi, Yoshihiro Suzuki, 坂東弘康 and Kenji Tani : 終末期がん患者が看取りの場所として在宅を選ぶ要因, 第10回日本プライマリ・ケア連合学会学術大会, May 2019.
7.	Shiori Inoue, Yoshihiro Ookura, Keisuke Kondo, Shingo Kawaminami, Shino Yuasa, Harutaka Yamaguchi, Yoshihiro Suzuki and Kenji Tani : 女性医師の就業継続に必要な環境要因の検討, 第10回日本プライマリ・ケア連合学会学術大会, May 2019.
8.	Takayuki Kashima, Yoshihiro Suzuki, Keisuke Inaba, Kaori Inaba, Shingo Kawaminami, Yoshihiro Ookura, Harutaka Yamaguchi, 本田壮一, 坂東弘康 and Kenji Tani : 喫煙などの生活習慣と嚥下障害に関する調査, 第10回日本プライマリ・ケア連合学会学術大会, May 2019.
9.	Takatomo Watanabe, Harutaka Yamaguchi, Keisuke Kawahito, Shingo Kawaminami, Ryo Tabata, Yoshihiro Ookura, Yoshihiro Suzuki and Kenji Tani : 睡眠時の口呼吸防止テープの有効性の検討, 第10回日本プライマリ・ケア連合学会学術大会, May 2019.
10.	Harutaka Yamaguchi, Shino Morikawa, Nao Urushihara, Yoshihiro Ookura, Yoshihiro Suzuki and Kenji Tani : The association between mouth breathing and thyroid disease, WONCA APR Conference 2019, May 2019.
11.	川下陽一郎, Yoshihiro Ookura, 早渕修, Harutaka Yamaguchi, Yoshihiro Suzuki, Kenji Tani and 市原新一郎 : メディカルゾーンによって育むプライマリ・ケア, 第18回日本プライマリ・ケア連合学会四国地方会, Nov. 2018.
12.	Keisuke Inaba, Kaori Inaba, Shingo Kawaminami, Ryo Tabata, Yoshihiro Ookura, Harutaka Yamaguchi, Yoshihiro Suzuki and Kenji Tani : 複数の病院・診療科で数年間診断にいたらなかったSAPHO症候群の一例, 第18回日本プライマリ・ケア連合学会四国地方会, Nov. 2018.
13.	Shiori Inoue, Yoshihiro Ookura, Keisuke Kawahito, 宮武亜希子, Shingo Kawaminami, Ryo Tabata, Harutaka Yamaguchi, Yoshihiro Suzuki and Kenji Tani : 女性医師の就業に対する育児環境要因の検討, 第18回日本プライマリ・ケア連合学会四国地方会, Nov. 2018.
14.	Goh Kanazawa, Shingo Kawaminami, Kenji Tani, Keisuke Kawahito, Yoshinori Nakanishi, Shino Yuasa, Ryo Tabata, Yoshihiro Ookura, Harutaka Yamaguchi, Yoshihiro Suzuki, Teruki Shimizu and Hiroshi Shimizu : 漢方専門病院と国内全体における漢方薬処方の傾向の差について, 第9回日本プライマリ・ケア連合学会学術大会, Jun. 2018.
15.	Yoshihiro Ookura, Ryo Tabata, Shingo Kawaminami, Yoshihiro Suzuki, Harutaka Yamaguchi and Kenji Tani : 徳島大学病院総合診療部の初診患者動向の分析, 第256回徳島医学会学術集会, Feb. 2018.
16.	Goh Kanazawa, Kenji Tani, Keisuke Kawahito, Yoshinori Nakanishi, Shingo Kawaminami, Shino Yuasa, Ryo Tabata, Yoshihiro Ookura, Harutaka Yamaguchi, Yoshihiro Suzuki, 清水輝記 and Hiroshi Shimizu : 漢方専門病院における漢方薬処方の特徴と病院総合診療外来への応用について, 第17回日本プライマリ・ケア連合学会四国地方会, Nov. 2017.
17.	Keisuke Nakanishi, Yoshihiro Suzuki, Keisuke Inaba, Yoshinori Nakanishi, Shingo Kawaminami, Shino Yuasa, Ryo Tabata, Yoshihiro Ookura, Harutaka Yamaguchi, 團博文, 鬼頭秀樹 and Kenji Tani : 徳島県山間部の病院における通院費用が患者に与える負担, 第17回日本プライマリ・ケア連合学会四国地方会, Nov. 2017.
18.	Marina Miyaoka, Yoshihiro Ookura, 宗像昌子, Yoshinori Nakanishi, Shingo Kawaminami, Shino Yuasa, Ryo Tabata, Harutaka Yamaguchi, Yoshihiro Suzuki, 笠松哲司, 折野真哉, 佐々木清美, 本田壮一, Hiroyashu Bando and Kenji Tani : 在宅医療における患者漢族の不安感とその要因, 第17回日本プライマリ・ケア連合学会四国地方会, Nov. 2017.
19.	和田梨沙, Ryo Tabata, Kaori Inaba, Yoshinori Nakanishi, Fumiaki Obata, Shingo Kawaminami, Shino Yuasa, Nobuhiko Shimizu, Yoshihiro Ookura, Harutaka Yamaguchi, Yoshihiro Suzuki, 中西嘉巳, Hiroyashu Bando and Kenji Tani : 生活習慣が糖尿病と睡眠に与える影響, 第17回日本プライマリ・ケア連合学会四国地方会, Nov. 2017.
20.	Shino Yuasa, 広瀬敏幸, 有馬信夫, 市原新一郎, 片岡秀之, 田岡真理子, Keisuke Inaba, Kaori Inaba, Yoshinori Nakanishi, Yoshihiro Suzuki, Ryo Tabata, Yoshihiro Ookura, Harutaka Yamaguchi and Kenji Tani : 地域医療完結型をめざして，当院での取り組みについて, 第8回日本プライマリ・ケア連合学会学術大会, May 2017.
21.	Kei Yamamura, Kenji Tani, Harutaka Yamaguchi, Yoshihiro Suzuki, Yoshihiro Ookura, Ryo Tabata, Shino Yuasa, Teruki Shin and Yoshinori Nakanishi : 医学生における総合診療志向，臓器別専門医志向の比較, 第8回日本プライマリ・ケア連合学会学術大会, May 2017.
22.	Ryo Tabata, Kenji Tani, Keisuke Inaba, Kaori Inaba, Keisuke Kawahito, Yoshinori Nakanishi, Fumiaki Obata, Shino Yuasa, Teruki Shin, Nobuhiko Shimizu, Yoshihiro Suzuki, Yoshihiro Ookura, Harutaka Yamaguchi, Shingo Kawaminami, Kei Yamamura and Nanae Mitsuhashi : 徳島県でのプログラムで初の家庭医療専門医を取得して, 第8回日本プライマリ・ケア連合学会学術大会, May 2017.
23.	Yoshihiro Suzuki, 本田壮一, Yoshihiro Ookura, Shino Yuasa, Yoshinori Nakanishi, Keisuke Inaba, Kaori Inaba, Keisuke Kawahito and Kenji Tani : 南海トラフ巨大地震に備えて∼美波病院の取り組み∼, 第8回日本プライマリ・ケア連合学会学術大会, May 2017.
24.	Nanae Mitsuhashi, Harutaka Yamaguchi, Yoshinori Nakanishi, Teruki Shin, Ryo Tabata, Shino Yuasa, Nobuhiko Shimizu, Yoshihiro Ookura, Yoshihiro Suzuki and Kenji Tani : 冷え性と生活習慣の関係について, 第16回日本プライマリ・ケア連合学会四国支部総会, Nov. 2016.
25.	Momoko Bandoh, Teruyoshi Kageji, Harutaka Yamaguchi, Yoshihiro Suzuki, Yoshihiro Ookura, Ryo Tabata, Shino Yuasa, Teruki Shin, Yoshinori Nakanishi and Kenji Tani : 海部病院遠隔診療支援システム``k-support''導入による急性期脳卒中予後調査, 第16回日本プライマリ・ケア連合学会四国支部総会, Nov. 2016.
26.	Kei Yamamura, Kenji Tani, Yoshinori Nakanishi, Teruki Shin, Shino Yuasa, Ryo Tabata, Yoshihiro Ookura, Yoshihiro Suzuki and Harutaka Yamaguchi : 総合診療専門医志向を持つ医学生の特徴について, 第16回日本プライマリ・ケア連合学会四国支部総会, Nov. 2016.

Designated Assistant Professor : Ookura, Yoshihiro

Research

Field of Study

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Book / Paper

Academic Paper (Judged Full Paper):

Review, Commentary:

Proceeding of Domestic Conference: