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Functional performance levels of strength and power needed for independence in 80-year-old individuals

Open Journal of Epidemiology 2012年第3期2卷 61-69页

作者： Mieko Shimada Yoshiaki Nomura Yasuo Kimura Naoki Nakagawa Hiroshi Nagayama Mitsumasa Tazawa tamotsu sato Daisuke Inaba Masami Yonemitsu Yutaka Yoshitake 9Department for Interdisciplinary Studies of Lifelong Sport and Physical Activity National Institute of Fitness & Sports in Kanoya Kagoshima Japan Department of Oral Medicine Division of Preventive Dentistry Iwate Medical University Iwate Japan Faculty of culture and education Saga University Saga Japan Faculty of Health Care Sciences Chiba Prefectural University of Health Sciences Chiba Japan Fukuoka University Fukuoka Japan Iwate Dental Association Iwate Japan Office Tazawa Company Iwate Japan School of Dental Medicine Tsurumi University Yokohama-shi Japan School of Information-oriented Management Sports Management Research Center SANNO University Kanagawa Japan

Background: The ability to climb stairs (ascending and descending stair without using a handrail) and rise from a chair (rising from chairs without using an elbow rest) are among the most important measures of physical function for ADL evaluation for the independent living, and assessed by the questioners on many epidemiological studies in elderly. But little is known about the relationship between the self-reported performance level of the tasks and lower leg strength and power in very elderly people. The purpose of this study was to ascertain the relationship between the self-reported performance level of two tasks and the lower leg function in community-dwelling 80-year-old population. Methods: Out of 994 persons who were 80 years old living in Morioka City, Iwate Prefecture, Japan, 607 individuals (236 men and 371 women) underwent a physical fitness test that included measurements of leg extensor power and knee extensor strength. The ability to climb up stair and to rise from a chair was assessed by self- reported questionnaire which was ranked in three levels. The area under the receiver-operating characteristic (ROC) curve (AUC) was used to evaluate the measurements. Results: The cut-off points for the leg extensor power of subjects who could completely perform the stair-climbing and chair-rising functions were determined to be approximately 8.6 watt/kg body mass for men and 5.6 watt/kg body mass for women. In addition, the cut-off points for the knee extensor strength of subjects who could completely perform the stair-climbing and chair-rising functions were determined to be approximately 0.97 kg/kg body mass for men and 0.84 kg/kg body mass for women. Conclusions: From a practical viewpoint, the present study suggested that the cut-off points of leg extensor power and knee extensor strength can be used as targets in simple self-reported questionnaires to help in screening for mobility in 80-year-old

关键词： Elderly Leg Extensor Power Knee Extensor Strength ADL Independence Cut-Off Point

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Practical fecal calprotectin cut-off value for Japanese patients with ulcerative colitis

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World Journal of Gastroenterology 2018年第38期24卷 4384-4392页

作者： Jun Urushikubo Shunichi Yanai Shotaro Nakamura Keisuke Kawasaki Risaburo Akasaka Kunihiko sato Yosuke Toya Kensuke Asakura Takahiro Gonai tamotsu Sugai Takayuki Matsumoto Division of Gastroenterology Department of Internal Medicine School of Medicine Iwate Medical University Division of Molecular Diagnostic Pathology Department of Pathology School of Medicine Iwate Medical University

AIM To determine appropriate fecal calprotectin cut-off values for the prediction of endoscopic and histologic remission in Japanese patients with ulcerative colitis(UC). METHODS We performed a cross-sectional observational study of 131 Japanese patients with UC and measured fecal calprotectin levels by fluorescence enzyme immunoassay. The clinical activity of UC was assessed with the partial Mayo score(PMS). Relapse was defined as increase of PMS by 2 points or more in stool frequency or rectal bleeding subscore. The endoscopic and histologic activities of UC were evaluated in 50 patients within a 2-mo period from fecal sampling. Endoscopic activity was determined by Mayo endoscopic subscore, Rachmilewitz endoscopic index, and ulcerative colitis endoscopic index of severity. The histologic grade of inflammation was evaluated with biopsy specimens obtained from the endoscopically most severely inflamed site, according to the scheme by Matts grade and Riley's *** Fecal calprotectin levels varied from 1-20783 μg/g. There was a significant correlation between the partial Mayo score and fecal calprotectin levels(r = 0.548, P < 0.001). In 50 patients who underwent colonoscopy with biopsy, levels were significantly correlated with the Mayo endoscopic subscore(r = 0.574, P < 0.001), Rachmilewitz endoscopic index(r = 0.628, P < 0.001), ulcerative colitis endoscopic index of severity(r = 0.613, P < 0.001), Riley's histologic score(r = 0.400, P = 0.006), and Matts grade(r = 0.586, P < 0.001). Receiver-operating characteristic analyses identified the best cut-off value for the prediction of endoscopic remission as 288 μg/g, with an area under the curve of 0.777 or 0.823, while that for histologic remission was 123 or 125 μg/g, with an AUC of 0.881 or 0918, respectively. Of the 131 study patients, 88 patients in clinical remission were followed up 6 mo. During the follow-up period, 19 patients relapsed. The best fecal calprotectin cut-off value for predicting relapse

关键词： Ulcerative colitis Remission Mucosal healing Colonoscopy Histology Biomarker Feces Calprotectin

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诗意度假酒店——日本“阿玛之乡”山庄酒店

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设计家 2014年第4期 98-101页

作者： Umezawa structural engineers Kurumata tamotsu Hirotani Yoshihiro + Ishida Yusaku Archivision Hirotani Studio

项目背景＂阿玛之乡＂是一家度假酒店,坐落于和歌山县一个安静的小山村里。酒店的名字来源于该村镇＂Amano＂和被联合国教科文组织指定为世界文化遗产的＂Niutsuhime＂寺庙。酒店由一个大厅,一间餐厅,一间酒吧,6间客房和一个水疗区构成。

关键词：度假酒店联合国教科文组织山庄日本诗意世界文化遗产寺庙大厅

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