Publications by authors named "Kosuke Uemura"

Background: Exercise prescription by physicians is beneficial for initiating or intensifying physical activity. However, providing specific exercise prescriptions is challenging; therefore, few physicians prescribe exercise.

Objective: This infodemiological study aimed to understand trends in exercise-related internet search keywords based on sex, age, and environmental factors to help doctors prescribe exercise more easily.

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Background: Tight filum terminale is a rare and challenging condition to diagnose because it presents with nonspecific symptoms and unclear imaging findings. This report documents an atypical case of tight filum terminale.

Case Presentation: The patient was a previously healthy Asian 18-year-old male presenting with recurrent upper extremity and back pain, initially treated as nonspecific musculoskeletal pain.

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Background: Research has found a COVID-19 pandemic-related impact on HIV medical services, including clinic visits, testing, and antiviral therapy initiation in countries including Japan. However, the change in trend for HIV/AIDS testing during the COVID-19 pandemic has not been explored extensively in the Japanese population.

Objective: This infodemiology study examines the web-based search interest for two types of HIV tests, self-test kits and facility-based tests, before and during the COVID-19 pandemic in Japan.

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Including medical student volunteers in the medical team for the triathlon strengthens the medical team structure, and encourages medical students to involve in sports medicine. Family physicians who play a role in the medical team for sports events can adopt medical students as a member and can educate them.

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Article Synopsis
  • The study aimed to assess how switching from daily DPP-4 inhibitors to weekly trelagliptin affects patient satisfaction, medication adherence, and unused medication in type 2 diabetes patients.
  • A total of 79 patients participated after excluding those who didn't want to switch; their satisfaction and adherence were measured at baseline and 3 months post-switch.
  • Results showed no change in HbA1c levels, but significant improvements in treatment satisfaction, perception of medication, adherence, and a reduction in unused drugs after the switch.
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Article Synopsis
  • - The study compared the effects of switching type 2 diabetes patients from insulin glargine U100 to either an IGlar biosimilar or IGlar U300 over six months, focusing on changes in HbA1c levels and body weight.
  • - Results showed no significant differences in HbA1c levels or body weight between the two groups, with IGlar U300 users experiencing a notable decrease in hypoglycemia occurrences compared to before the switch.
  • - Overall, both IGlar biosimilar and IGlar U300 produced similar outcomes in managing diabetes, suggesting that IGlar biosimilar is a good option, especially for patients who are less prone to hypoglycemia.
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Chlorine is a toxic inhalant and sources of exposure for individuals include accidental releases of chlorine vapor due to industrial or chemical transportation accidents. Inhalation of a large quantity of gas may cause circulatory and respiratory disorders or even mortality; however, the effects of a small amount of chlorine gas may be asymptomatic. The present case study presents a successfully treated 55-year-old male patient exposed to chlorine gas, resulting in bronchial damage and diffuse alveolar hemorrhage.

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