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Sport level and sex differences in sport-related concussion among Japanese collegiate athletes:Epidemiology,knowledge,reporting behaviors,and reported symptoms

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Sports Medicine and Health Science 2023年第3期5卷 229-238页

作者： Shota tanaka Ryo Sagisaka Etsuko Sone hideharu tanaka Research Institute of Disaster Management and EMS Kokushikan UniversityJapan Kokushikan Sports Promotion Center Kokushikan UniversityJapan Department of Integrated Science and Engineering for Sustainable Societies Chuo UniversityJapan Department of Sports Medicine Kokushikan UniversityJapan

This study investigated the incidence of sport-related concussion(SRC)in sports,effect of athlete knowledge on reporting behavior differences between collegiate and non-collegiate athletes,and differences in SRC symptoms between sexes and level of *** this cross-sectional survey,1344 Japanese collegiate and non-collegiate athletes from a single institute were *** a web-based survey,demographics,general SRC,knowledge of SRC,the most recent SRC reporting behaviors,and symptom presentation were *** prevalence of SRC during the academic year 2016-2017 was 2.68(95%confidence interval[CI]:1.88-3.69)across all *** prevalence of SRC was 33.3(95%CI:17.96-51.83)in rugby union and 8.33(95%CI:1.03-27.00)in women's *** prevalence of SRC in males(3.47[95%CI:2.38-4.86]was 3.65 times higher than that in females(0.95[95%CI:0.26-2.41]).In total,the mean total score of knowledge was 5.30(4.2)across 25 questions;dizziness was the most well-known symptom(867/1344,64.5%),followed by headache(59.3%).Being more emotional(44/1345,3.3%)was the least frequently known *** of participation did not affect scores(5.16[3.96]vs.5.52[4.54];p=0.131).All 87 disclosing participants experienced drowsiness and irritability and felt more *** terms of sex and participant level,no significant differences were found in any *** study found very low rates of concussion education in *** of concussion education is essential in the future to recognize concussion earlier and prevent severe concussive injury.

关键词： Disclosure Knowledge Attitudes Prevalence Brain injury

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Mismatch between Sites of Incidence of Out-of-Hospital Cardiac Arrest and Locations of Installed Automated External Defibrillator in the Tokyo Metropolitan Area

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World Journal of Cardiovascular Diseases 2017年第6期7卷 185-194页

作者： Kyoko Tsukigase hideharu tanaka Hiroshi Takyu Research Institute of Disaster Management and Emergency Medical System Kokushikan University Tokyo Japan EMS System Graduate School of Kokushikan University Tokyo Japan

Background: Since 2004, the number of installed Automated External Defibrillator (AED) has been increased in Japan annually, the cumulative number of sold AED more than 600,000 units by 2016. Despite there have been about 130,000 out of hospital cardiac arrest annually, there have only 1302 cases delivered defibrillation by bystanders at the scene. Therefore, we investigate that number of AED installation and usage rate for Out of Hospital Cardiac Arrest (OHCA) patients. Methods: Retrospective metropolitan wide cohort study. Subject: Total 13,364 OHCA patients in the Tokyo Metropolitan area from Jan. 1 through Dec. 31 in 2012 were eligible for theses analyses. Also, OHCA occurrence place and AED usage rate were studied. Results: 82.8% of OHCA occurred at residences, 10% at outdoors, 6.4% at indoors, only 0.7% at schools. In the other hand, highest bystander’s CPR rates were found in sports facilities and schools (71.4%). The installation rate of AEDs in residences was 9.6%, instead of highest incidence for OHCA patients, school and sports institute made up 21.4% of AED installations, but only 1.0% of the incidences of cardiac arrest. We found that there is a mismatch between incidence sites of cardiac arrest and locations of installed AED. Discussion: It is essential to increase the number of AED installations. Furthermore, it is desirable to install AEDs in locations where cardiac arrest is liable to occur following guidelines for the proper placement of AEDs, and important to further spread BLS education among the general citizens.

关键词： AED Cardiac Arrest Defibrillation Bystander First Aid

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Analysis of Sudden Cardiac Arrest during Marathon Races in Japan

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International Journal of Clinical Medicine 2017年第7期8卷 472-480页

作者： Toru Shirakawa hideharu tanaka Tomoya Kinoshi Shota tanaka Hiroshi Takyu Japan Emergency Medical System Co. Ltd. Miyazaki Japan Graduate School of Emergency Medical System Kokushikan University Tama Japan Research Institute of Disaster Management and EMS Kokushikan University Tama Japan Department of Sport and Medical Science Faculty of Physical Education Kokushikan University Tama Japan

Objective: Increased number of runners in Japan has been one reason for increasing the risk of cardiac arrest during marathon races. The purpose of the study was to examine 1) the incidence of cardiac arrest during marathon races held in the past in Japan, 2) the characteristics of runners with cardiac arrest, 3) the effectiveness of public access defibrillation (PAD) use for cardiac arrest cases. Methods: We examined the incidence of the cardiac arrest during marathon races in Japan from the medical records of marathon races that Kokushikan University provided in the past five years. Also, we analyzed cardiac arrests occurred in Japan in the past 15 years between 1999 and 2013. Results: The incidence rate of cardiac arrest was 2.18 per 100,000 participants. As shown in Table 1, the incidence rates were 2.00 per 100,000 participants in full marathon and 2.50 per 100,000 participants in half-marathon. A total of 63 cardiac arrests occurred in the past 15 years, and the number of incidents has been increasing every year. Among 63 cardiac arrest cases, the mean age was 45.3 ± 14.9 years old and 93.7% (59/63 cases) were in males. Eighty-three percentage of cardiac arrest cases applied AED (20/24 cases) were the shockable rhythm. In terms of the survival rate, there was a statistically significant difference between the cases where both bystander CPR and PAD were delivered and the cases where the only bystander CPR took place without PAD (95.0% vs. 47.1%;p Conclusions: Performing PAD on the scene during marathon races could be expected to be higher in the survival rate. Creating a medical support system is needed to handle sudden cardiac arrest rapidly in order to perform early bystander CPR and PAD.

关键词： Sudden Cardiac Arrest Marathon Race PAD Bystander CPR

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ANTIOXIDANT THERAPY USING HIGH DOSE VITAMIN C REDUCES POSTBURN EDEMA AND RESUSCITATION FLUID VOLUME IN PATIENTS WITH SEVERELY BURN INJURY

ANTIOXIDANT THERAPY USING HIGH DOSE VITAMIN C REDUCES POSTBU...

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Sino--Japanese Beijing International Symposium on Burns,1998

作者： hideharu tanaka Hiroharu Matsuda Syuji Shimazaki Dept of Traumatology and CCM Kyorin UniversityTokyo181-0004JAPAN MD

PURPOSE: The effects of high dose vitamin C(VC) therapy (66mg/kg/hr) on postburn lipid peroxidation and resuscitation fluid volume requirements were evaluated in severely burned *** DESIGN: Prospectively randomized controlled *** AND METHODS: Twenty six burned patients (>30% BSA burns) assigned in this *** were randomly divided into VC

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Injuries and illness of athletes at the Tokyo 2020 Olympic and Paralympic summer games visiting outside facilities

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Sports Medicine and Health Science 2024年第1期6卷 48-53页

作者： Shuji Sakanashi hideharu tanaka Hiroyuki Yokota Yasuhiro Otomo Tomohiko Masuno Kousuke Nakano Junichi Inoue Manabu Sugita Takahiko Tokunaga Nagisa Kato Tomoya Kinoshi Hironori Inoue Hiroto Numata Koshi Nakagawa Ryo Sagisaka Shota tanaka Tetsuya Miyamoto Takao Akama The Tokyo Organising Committee of the Olympic and Paralympic Games TokyoJapan Department of Sports Medicine Kokushikan University TokyoJapan Graduate School of Emergency Medical System Kokushikan UniversityTokyoJapan Research Institute of Disaster Management and EMS Kokushikan University TokyoJapan Graduate School of Health and Medical Science Nippon Sports Science UniversityJapan Tokyo Medical and Dental University Hospital Trauma and Acute Critical Care CenterTokyoJapan Graduate School of Medicine Nippon Medical UniversityTokyoJapan Saitama City Hospital Emergency DepartmentSaitamaJapan Graduate School of Medicine Juntendo UniversityTokyoJapan Emergency Lifesaving Academy Tokyo TokyoJapan Nippon Medical School Musashikosugi Hospital Emergency and Critical Care CenterKnagawaJapan Department of Integrated Science and Engineering for Sustaiable Society Chuo UniversityJapan Faculty of Sport Sciences Waseda UniversitySaitamaJapan National Hospital Organization Disaster Medical Center TokyoJapan

This study aimed to identify the reasons for transferring athletes to local medical facilities during the Olympic and Paralympic *** on 567 injuries and other illnesses of athletes treated at the on-site clinics were collected from the Tokyo 2020 Organizing *** these,84 athletes who required outpatient care during the Games were registered for this *** the Olympic and Paralympic Games,66(8.3/1000)and 18(7.2/1000)athletes,respectively,consulted external medical *** the Olympic Games,the reasons for these visits included 48 cases(72.7%)of injuries,13(19.7%)cases of illnesses,and 5(7.6%)cases of heat stroke illness(HSI).Of these patients,56(84.9%)were treated as outpatients and 10(15.1%)were hospitalized,while three of these patients required hospitalization for>7 *** the other hand,in the Paralympics Games,there were 7(38.8%)cases of injuries,9(50.0%)other illnesses,1(5.6%)case of HSI,and 1(5.6%)other cases,of which 11(61.1%)were treated as outpatients and 7(38.9%)were hospitalized,but none was hospitalized for>7 *** accounted for 70%of the total cases at the 2021 Olympic Games,but only three(0.05%)were severe cases that required hospitalization for more than 1 *** contrast,in the Paralympic Games,other illnesses accounted for approximately half of the total *** study provides details on the extent of injuries and other illnesses that were transferred to outside facilities,which has not been documented in previous games.

关键词： Olympic games Paralympic games Sports injuries Illness Heat-related illness 2020 Tokyo

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Randomized study of lafutidine vs lansoprazole in patients with mild gastroesophageal reflux disease

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World Journal of Gastroenterology 2016年第23期22卷 5430-5435页

作者： Ryuta Takenaka Hiroyuki Okada Seiji Kawano Yoshinori Komazawa Fumiya Yoshinaga Shinji Nagata Masafumi Inoue Hirohisa Komatsu Seiji Onogawa Yoshinori Kushiyama Shinichi Mukai Hiroko Todo hideharu Okanobu Noriaki Manabe Shinji tanaka Ken Haruma Yoshikazu Kinoshita Department of Gastroenterology Tsuyama Chuo Hospital Tsuyama 708-0841 Japan Department of Gastroenterology and Hepatology Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences Okayama 708-0841 Japan Division of Internal Medicine Izumo City General Medical Center Izumo 691-0003 Japan Department of Gastroenterology Mihara Red Cross Hospital Mihara 723-0011 Japan Department of Endoscopy Hiroshima City Asa Citizens Hospital Hiroshima 731-0293 Japan Department of Gastroenterology Okayama Red Cross Hospital Okayama 700-0941 Japan Department of Gastroenterology Hiroshima General Hospital Hiroshima 734-8551 Japan Department of Gastroenterology Onomichi General Hospital Onomichi 722-8508 Japan Department of Gastroenterology Matsue Red Cross Hospital Matsue 690-8506 Japan Department of Gastroenterology Miyoshi Central Hospital Miyoshi 728-0023 Japan Department of Gastroenterology Hiroshima-Nishi Medical Center Hiroshima 739-0651 Japan Department of Gastroenterology Chugoku Rosai Hospital Kure 737-0134 Japan Department of Gastroenterology Kawasaki Medical School Hospital Kurashiki 701-0192 Japan Department of Endoscopy Hiroshima University Hospital Hiroshima 734-8551 Japan Department of General Internal Medicine 2 Kawasaki Hospital Kawasaki Medical School Okayama 708-0841 Japan Department of Gastroenterology and Hepatology Shimane University Hospital Izumo 693-0021 Japan

AIM: To compare the clinical efficacy of the secondgeneration H2 RA lafutidine with that of lansoprazole in Japanese patients with mild gastroesophageal reflux disease(GERD). METHODS: Patients with symptoms of GERD and a diagnosis of grade A reflux esophagitis(according to the Los Angeles classification) were randomized to receive lafutidine(10 mg, twice daily) or lansoprazole(30 mg, once daily) for an initial 8 wk, followed by maintenance treatment comprising half-doses of the assigned drug for 24 wk. The primary endpoint was the frequency and severity of heartburn during initial and maintenance treatment. The secondary endpoints were the sum score of questions 2 and 3 in the Gastrointestinal Symptom Rating Scale(GSRS), and the satisfaction ***: Between April 2012 and March 2013, a total of 53 patients were enrolled, of whom 24 and 29 received lafutidine and lansoprazole, respectively. After 8 wk, the frequency and severity of heartburn was significantly reduced in both groups. However, lafutidine was significantly inferior to lansoprazole with regard to the severity of heartburn during initial and maintenance treatment(P = 0.016). The sum score of questions 2 and 3 in the GSRS, and satisfaction scores were also significantly worse in the lafutidine group than the lansoprazole group(P = 0.0068 and P = 0.0048, respectively).CONCLUSION: The clinical efficacy of lafutidine was inferior to that of lansoprazole, even in Japanese patients with mild GERD.

关键词： Gastroesophageal reflux disease Proton pump inhibitors Histamine receptor-2 antagonists Los Angeles classification

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