Publications by authors named "C Wada"
Introduction: In the Los Angeles County Department of Health Services-the second largest public health care system in the United States-clinical integration allows specialists and primary care providers to collaboratively provide specialty care. We used time-driven activity-based costing to compare patient burden and cost of kidney stone diagnosis, workup, and management with and without clinical integration.
Methods: We interviewed and observed teams of physicians and staff to understand workflow practices and personnel, space, material, and device requirements for stone care in the 2 models.
Article Synopsis
- Myotonic dystrophy Type 1 (DM1) is linked to the expansion of CTG repeats in the DMPK gene and may be associated with heart issues and sudden death, but this relationship is not fully understood in Japan and Europe.
- A study analyzed 496 DM1 patients from nine Japanese hospitals, finding that those with 1300 or more CTG repeats had a significantly higher risk of serious cardiac events and mortality compared to those with fewer repeats.
- The results suggest that patients with 1300 or longer CTG repeats are particularly at risk for cardiac complications and increased death rates, while the rate of sudden death was not significantly different across groups.
[Purpose] This study aimed to determine whether applying electrical stimulation to the deltoid and extensor digitorum muscles could lead to a reduction in fixation force during shoulder joint adduction and grip strength. [Participants and Methods] Fifteen healthy adult males participated in this study. In the shoulder adduction force experiment, the middle fibers of the deltoid muscle of the dominant arm were electrically stimulated.
View Article and Find Full Text PDFBacteria use several means to survive under stress conditions such as nutrient depletion. One such response is the formation of hibernating 100S ribosomes, which are translationally inactive 70S dimers. In Gammaproteobacteria (Enterobacterales), 100S ribosome formation requires ribosome modulation factor (RMF) and short hibernation promoting factor (HPF), whereas it is mediated by only long HPF in the majority of bacteria.
View Article and Find Full Text PDF[Purpose] Falls can significantly affect elderly individuals. However, most current methods used to detect and analyze high-risk conditions make use of simulated falling movements for data collection, which may not accurately represent actual falls. The present study aimed to induce natural falls using visual and auditory stimuli to create unstable walking conditions.
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