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  1. Article: Telemental health in rural areas: a systematic review.

    Watanabe, Jun / Teraura, Hiroyuki / Nakamura, Akihisa / Kotani, Kazuhiko

    Journal of rural medicine : JRM

    2023  Volume 18, Issue 2, Page(s) 50–54

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2023-04-05
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2768933-5
    ISSN 1880-4888 ; 1880-487X
    ISSN (online) 1880-4888
    ISSN 1880-487X
    DOI 10.2185/jrm.2022-059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Attributes of Physicians Assigned to Rural Clinics Designated for Areas without Physicians in Japan.

    Teraura, Hiroyuki / Kotani, Kazuhiko / Sato, Eiji / Koike, Soichi

    The Tohoku journal of experimental medicine

    2023  Volume 261, Issue 4, Page(s) 273–281

    Abstract: 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 ... ...

    Abstract 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. The age group with the highest percentage of physicians was the over 70 group (16%) and the early 30s group (15%) at rural clinics; however, the highest percentage of physicians at other clinics was the 70 over group (20%) and the early 60s group (16%). The number of physicians working in the internal medicine field at rural clinics was 550 (89%). There were 147 (27%) board-certified physicians in that field. Among them, the number of board certifications in internal medicine, surgery, and other than internal medicine or surgery were 79 (54%), 17 (12%), and 51 (35%), respectively. The proportion of board-certified surgery physicians within the internal medicine field in rural clinics was significantly higher than in other clinics (5%). In rural clinics, the age distribution of physicians was different from that in other clinics, and many of the physicians worked in the internal medicine field, but some of them seemed to have a mismatch between their board-certifications and their fields of practice. Further studies are necessary to clarify what the mismatches mean in rural practice.
    MeSH term(s) Humans ; Japan ; Physicians ; Certification ; Rural Population ; Internal Medicine
    Language English
    Publishing date 2023-09-21
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 123477-8
    ISSN 1349-3329 ; 0040-8727
    ISSN (online) 1349-3329
    ISSN 0040-8727
    DOI 10.1620/tjem.2023.J079
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Predictors of At-Home Death for Cancer Patients in Rural Clinics in Japan.

    Watanabe, Jun / Teraura, Hiroyuki / Komatsu, Kenichi / Yamaguchi, Hironori / Kotani, Kazuhiko

    International journal of environmental research and public health

    2021  Volume 18, Issue 23

    Abstract: 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 ... ...

    Abstract 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.
    Methods: This is a nationwide cross-sectional survey. A self-administered questionnaire was sent to 493 rural clinics in Japan. The main outcome was the realization of at-home deaths for cancer patients.
    Results: Among the 264 clinics (54%) that responded to the survey, there were 194 clinics with the realization of at-home death. The use of a clinical pathway (adjusted odds ratio 4.19; 95% confidence interval 1.57-11.19) and the provision of organized palliative care (adjusted odds ratio 19.16; 95% confidence interval 7.56-48.52) were associated with the prediction of at-home death, irrespective of island geography or the number of doctors and nurses.
    Conclusions: Having a clinical pathway and systematizing palliative care could be important to determine the possibility of at-home deaths for cancer patients in rural clinics in Japan.
    MeSH term(s) Cross-Sectional Studies ; Humans ; Japan/epidemiology ; Neoplasms ; Palliative Care ; Surveys and Questionnaires
    Language English
    Publishing date 2021-12-02
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph182312703
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  4. Article ; Online: Age and Sex Differences in the Use of Emergency Telephone Consultation Services in Saitama, Japan: A Population-Based Observational Study.

    Nakamura, Akihisa / Manabe, Toshie / Teraura, Hiroyuki / Kotani, Kazuhiko

    International journal of environmental research and public health

    2019  Volume 17, Issue 1

    Abstract: 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 ... ...

    Abstract 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). The number of calls per 1000 persons (call rate, CR) was compared between the groups. The annual CR for the top 10 symptoms/events were assessed. The annual CR was 2.6/1000 persons. The annual CR was significantly higher for women (2.9) than for men (2.3) (
    MeSH term(s) Adult ; Age Factors ; Aged ; Emergencies ; Female ; Humans ; Japan ; Male ; Middle Aged ; Referral and Consultation ; Sex Factors ; Telemedicine ; Triage ; Young Adult
    Language English
    Publishing date 2019-12-26
    Publishing country Switzerland
    Document type Journal Article ; Observational Study
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17010185
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  5. Article ; Online: Difference in the Types of Treated Cancer between Clinics and Small-to-Middle-Sized Hospitals in Rural Communities of Japan.

    Komatsu, Kenichi / Teraura, Hiroyuki / Yamaguchi, Hironori / Kotani, Kazuhiko

    The Tohoku journal of experimental medicine

    2019  Volume 249, Issue 4, Page(s) 291–294

    Abstract: 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 ... ...

    Abstract 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. This study investigated the types treated at the institutions in rural communities of Japan. A questionnaire survey was conducted for 811 public rural institutions (clinics and small-to-middle-sized hospitals [< 200 beds]) in 2013. The survey's items included the types of treated cancer (14 categories: stomach, colon, breast, liver, biliary tract, pancreatic, prostate, esophageal, lung, renal, urinary tract, testicular, hematopoietic, and others) and the first five types were defined as major cancers. The data were analyzed between hospitals and clinics. The response rate was about 60%, and of 177 hospitals and 281 clinics, 54 hospitals (30%) and 10 clinics (3%) reported the types of cancer. The median number of cancer types in hospitals was significantly greater than that of clinics (4 [interquartile range 3.0-7.8]) vs. 1 [1.0-1.8], P < 0.01). The prevalence of hospitals treating at least one of five major cancers was significantly greater than that of clinics (96% vs. 30%, P < 0.01). The prevalence of clinics treating prostate cancer was significantly greater than that of hospitals (31% vs. 70%, P = 0.03). In conclusion, most types of cancer are treated at small-to-middle-sized hospitals, except for prostate cancer, providing basic information about cancer treatment in rural communities of Japan.
    MeSH term(s) Health Facility Size ; Health Personnel ; Hospital Bed Capacity ; Hospitals ; Japan ; Neoplasms/therapy ; Rural Population
    Language English
    Publishing date 2019-12-25
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 123477-8
    ISSN 1349-3329 ; 0040-8727
    ISSN (online) 1349-3329
    ISSN 0040-8727
    DOI 10.1620/tjem.249.291
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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.155: Show issues Location:
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  6. Article ; Online: Association of taller stature with lower cardiovascular disease mortality in Asian people: a systematic review.

    Teraura, Hiroyuki / Suzuki, Tatsuya / Kotani, Kazuhiko

    Journal of physiological anthropology

    2019  Volume 38, Issue 1, Page(s) 6

    Abstract: 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, ... ...

    Abstract 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.
    Results: We selected four studies on heart/coronary disease and five studies on cerebrovascular disease. Regarding heart/coronary disease, two studies showed that taller stature was associated with a decreased mortality of heart disease in men or cardiovascular disease in women. The hazard ratios of other studies had not shown a clear significance but a decreased direction of taller stature to the mortality. Regarding cerebrovascular disease, most studies showed that taller stature was associated with a decreased mortality of total cerebrovascular diseases or stroke. In two studies, taller stature showed a decreased mortality of ischemic or hemorrhagic stroke.
    Conclusions: Overall, adult height may be inversely predictive to the mortality of CVD, in particular cerebrovascular disease, in Asian people. While this seems to be a similar trend to that of Westerns, further studies are warranted.
    MeSH term(s) Asian Continental Ancestry Group/statistics & numerical data ; Body Height/physiology ; Cardiovascular Diseases/mortality ; Far East/epidemiology ; Humans
    Language English
    Publishing date 2019-06-07
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 2248072-9
    ISSN 1880-6805 ; 1880-6791 ; 1345-3475
    ISSN (online) 1880-6805
    ISSN 1880-6791 ; 1345-3475
    DOI 10.1186/s40101-019-0197-y
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    Zs.A 2899: Show issues Location:
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  7. Article ; Online: Evaluation of a point-of-care device for counting white blood cells and differentials among older patients with acute diseases: Preliminary data.

    Teraura, Hiroyuki / Sasaki, Noriyuki / Hosokawa, Yushi / Munakata, Hideki / Kotani, Kazuhiko

    Geriatrics & gerontology international

    2020  Volume 20, Issue 7, Page(s) 729–730

    MeSH term(s) Acute Disease ; Aged ; Aged, 80 and over ; Female ; Humans ; Lymphocyte Count/instrumentation ; Male ; Middle Aged ; Point-of-Care Systems ; Preliminary Data
    Language English
    Publishing date 2020-07-21
    Publishing country Japan
    Document type Evaluation Study ; Letter
    ZDB-ID 2113849-7
    ISSN 1447-0594 ; 1444-1586
    ISSN (online) 1447-0594
    ISSN 1444-1586
    DOI 10.1111/ggi.13922
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    Zs.A 5801: Show issues Location:
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  8. Article: The use of information and communication technology in Japanese rural clinics.

    Teraura, Hiroyuki / Iguchi, Seitaro / Maeda, Takahiro / Koike, Soichi / Matsumoto, Masatoshi / Haruyama, Sanae / Kotani, Kazuhiko

    Journal of rural medicine : JRM

    2021  Volume 16, Issue 4, Page(s) 298–300

    Abstract: 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 ... ...

    Abstract 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. ICT use was classified by type, including a doctor-to-doctor manner. Only 19% of the 303 clinics surveyed (with a response rate of 30%) used ICT. Specifically, 50% used it in a doctor-to-doctor manner, while 35% used it to obtain electronic medical records. Differences in proficiency levels among ICT users were cited by 21% of the respondents as a major problem associated with ICT use. In Japan, the prevalence of ICT use for rural healthcare appeared low. We suggest a policy reform to facilitate ICT use in rural healthcare.
    Language English
    Publishing date 2021-10-01
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2768933-5
    ISSN 1880-4888 ; 1880-487X
    ISSN (online) 1880-4888
    ISSN 1880-487X
    DOI 10.2185/jrm.2021-026
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  9. Article ; Online: Multiple physician visits after restricting the prescription of compresses/patches in a Japanese rural community: preliminary results.

    Ban, Tetsuaki / Hirose, Hideo / Teraura, Hiroyuki / Kotani, Kazuhiko / Gotoh, Tadao

    Rural and remote health

    2019  Volume 19, Issue 1, Page(s) 5078

    MeSH term(s) Administration, Topical ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Office Visits/statistics & numerical data ; Osteoarthritis/drug therapy ; Pain/drug therapy ; Pain/etiology ; Prescription Drug Overuse/statistics & numerical data ; Rural Population ; Transdermal Patch/standards
    Language English
    Publishing date 2019-02-12
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2105620-1
    ISSN 1445-6354 ; 1445-6354
    ISSN (online) 1445-6354
    ISSN 1445-6354
    DOI 10.22605/RRH5078
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  10. Article ; Online: Characteristic Factors of Aspiration Pneumonia to Distinguish from Community-Acquired Pneumonia among Oldest-Old Patients in Primary-Care Settings of Japan.

    Manabe, Toshie / Kotani, Kazuhiko / Teraura, Hiroyuki / Minami, Kensuke / Kohro, Takahide / Matsumura, Masami

    Geriatrics (Basel, Switzerland)

    2020  Volume 5, Issue 3

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2020-07-07
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2308-3417
    ISSN (online) 2308-3417
    DOI 10.3390/geriatrics5030042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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