Publications by authors named "Hiroyuki Teraura"

Background: In Japan, local governments have rural clinics designated for areas without physicians (RCDA) to secure physicians for rural medical care. Moreover, a medical policy of dispatching physicians between the RCDA and core hospitals for rural areas (CHRA) exists. This study aimed to assess the actual situation of physician migration from RCDAs and those who migrated, and examine the factors associated with their migration.

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In Japan, there are rural clinics designated for areas without physicians to ensure the availability of medical care for rural area residents. The purpose of this study was to clarify the attributes of physicians working in the rural clinics. Using the 2018 Ministry of Health, Labour and Welfare data in Japan, we compared the attributes and board certifications of physicians in rural clinics with those of physicians in other clinics.

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Despite the high prevalence of mental disorders in rural areas, mental health services are lacking because of shortages of resources and difficulty in accessing such services. Telemental health services can be beneficial for these patients. This study summarizes the efficacy of telemental health in managing mental disorders in rural areas.

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Background: The prediction of at-home deaths has become an important topic in rural areas of Japan with an advanced aging society. However, there are no well-established predictors to explain how these factors influence intention. This study aims to investigate the possible predictors of at-home death for cancer patients in rural clinics in Japan.

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High-speed information and communication technology (ICT) networks stretch all over Japan. However, their utility in facilitating rural healthcare remains uncharacterized. A nationwide questionnaire survey was sent by mail to 1,018 rural clinics constructed in a public manner in municipalities throughout Japan.

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Article Synopsis
  • Aspiration pneumonia (AsP) is a serious, recurring illness primarily affecting older adults, but it is often confused with community-acquired pneumonia (CAP), highlighting the need for better distinguishing factors for effective management.* -
  • A study involving 130 patients revealed that those with AsP are older, have different vital signs (lower body temperature, heart rate, and diastolic blood pressure), and frequently experience meal dysphagia compared to CAP patients.* -
  • Key predictive factors for diagnosing AsP include living in nursing homes, having comorbid conditions like cerebral infarction and dementia, and the presence of dysphagia, which could aid caregivers and families in managing the condition.*
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The frequency of use of emergency telephone consultation (ETC) services, which is a telephone triage system in Japan, was explored to determine age- and sex-related trends on symptoms/events among Japanese adults. Data were obtained from records of the initial year of ETC services in Saitama Prefecture (from October 2014 to September 2015). Residents who used the ETC services were divided into four age groups (20-39, 40-64, 65-74, and ≥75 years old).

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Resolution of regional disparities in cancer mortality is global challenge. Establishing an equal system of cancer treatment throughout the country is required under the Cancer Control Act in Japan. The types of treated cancer may reflect practical experience at the institutions and cooperation to other institutions.

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Introduction: In the clinical setting, the diagnosis of neurosarcoidosis in patients with central diabetes insipidus (CDI) is typically based both on symptoms (i.e. polydipsia or polyuria) and brain magnetic resonance imaging (MRI) findings (e.

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Background: Adult height can serve as a disease marker. While taller stature has been reported to be linked to a decreased risk of cardiovascular disease (CVD), an influence of the height on CVD is not fully understood in specific populations of Asia, which has a lower incidence of CVD and lower stature than Western populations.

Methods: We conducted a systematic review using original articles of prospective cohort studies published in English, via the PubMed database, on the relationship between the height and mortality of CVD, including cerebrovascular disease, in Asian people.

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Article Synopsis
  • Kawasaki disease is a childhood illness characterized by fever and inflammation, leading to increased levels of inflammatory markers in the body.
  • Research has shown that patients with Kawasaki disease have elevated concentrations of soluble IL-2 receptors in their blood, with some studies indicating even higher levels in those with coronary artery aneurysms.
  • The levels of soluble IL-2 receptors decrease after treatment with intravenous immunoglobulin, suggesting it could be a useful indicator of disease activity and treatment effectiveness; further research is needed to establish its clinical application.
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