Publications by authors named "T Kutsuzawa"

In patients with COPD, self-management plays an important role in disease management. Recently, self-management programmes have expanded patient education practices to include a variety of disease management techniques. We hypothesised that COPD patients have insufficient and/or different self-management needs according to institution.

View Article and Find Full Text PDF

Objective: Passive muscle stretching is a common physical therapy for critically ill patients in the intensive care units. This study aimed to evaluate the effects of unilateral passive stretching of the gastrocnemius muscle (GM) before and after surgery on blood volume (BV) in the contralateral (non-stretched) GM in patients who are sedated after surgery.

Methods: We enrolled eight patients with esophageal cancer.

View Article and Find Full Text PDF
Article Synopsis
  • - The study focuses on using Cognitive Behavioral Therapy for Insomnia (CBT-I) as a non-drug treatment for chronic insomnia in older adults, aiming to see its effectiveness in community settings where mild insomnia is common.
  • - A randomized controlled trial involved participants aged 60 and over, with those receiving a brief CBT-I intervention showing significantly better scores on sleep quality measurements compared to a control group.
  • - Results indicated that the brief CBT-I not only improved sleep quality but also reduced the use of sleep medications among the elderly, suggesting a need for more research on this approach in community settings.
View Article and Find Full Text PDF

Background & Aims: Although several studies have shown that plasma concentrations of branched-chain amino acids (BCAAs) are reduced in patients with chronic obstructive pulmonary disease (COPD), little is understood about how low concentrations of BCAAs limit exercise in such patients. The present study investigated whether plasma BCAAs are related to energy metabolism in exercising muscle using (31)P-magnetic resonance spectroscopy (MRS).

Methods: We analyzed the plasma amino acid profiles of 23 male patients with COPD (aged 69.

View Article and Find Full Text PDF

Exercise capacity is frequently decreased in patients with chronic obstructive pulmonary disease (COPD), and muscle dysfunction is one factor in this reduction. Studies using (31)-phosphorus magnetic resonance spectroscopy ((31)P-MRS) have shown that phosphocreatine (PCr) and muscle pH (pHi) are significantly decreased in patients with COPD during mild exercise, suggesting the early activation of anaerobic glycolysis in their muscles. Thus, muscle oxygenation states during exercise might differ between patients with COPD and healthy individuals.

View Article and Find Full Text PDF