Improvement in Quality of Life through Self-Management of Mild Symptoms during the COVID-19 Pandemic: A Prospective Cohort Study

Ohta, Ryuichi; Ryu, Yoshinori; Sano, Chiaki

doi:10.3390/ijerph19116652

Cited by 20 publications

(18 citation statements)

References 56 publications

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“…After the start of treatment, the patient's appetite increased, and her motivation for rehabilitation returned, suggesting that her symptoms of swallowing dysfunction and weakness improved. In medical care for older patients with dizziness, a prolonged period of scrutiny and follow-up may worsen long-term prognosis and quality of life [11]. To diagnose ocular MG effectively, general physicians need to detect the atypical clinical course of dizziness among older patients [12].…”

Section: Discussionmentioning

confidence: 99%

Seronegative Ocular Myasthenia Gravis in an Older Woman With Transient Dizziness and Diplopia

Yoshioka¹,

Naito²,

Sano³

et al. 2022

Cureus

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Myasthenia gravis (MG) is a neuromuscular junction disease caused by an autoimmune response against cholinergic receptors. The challenge in diagnosing MG in older patients is the variety of symptoms and clinical manifestations. Clinical reasoning, precise history, and physical examination leading to a logical diagnosis should be performed to diagnose seronegative MG. We report a case of seronegative MG with the chief complaint of dizziness in a 91-year-old female. Despite the complicated clinical course, continuous clinical reasoning and testing can lead to appropriate diagnosis and treatment. As the dizziness symptoms in this older patient could not be explained by chronic or peripheral symptoms alone, ocular MG was considered as a possible diagnosis based on her history and physical examination findings. Appropriate diagnosis of seronegative ocular MG reactivated older patients with a good quality of life. In community medicine, where the behavior of elderly patients varies, it is important to improve the accuracy of diagnosis and treatment through appropriate history and physical examination, which will lead to longer home life in older patients.

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Section: Discussionmentioning

confidence: 99%

Seronegative Ocular Myasthenia Gravis in an Older Woman With Transient Dizziness and Diplopia

Yoshioka¹,

Naito²,

Sano³

et al. 2022

Cureus

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“…As this study shows, SDG education by the present practitioners could motivate learners to reconsider their existing values and the importance of collaboration. Additionally, rural societies lack resources for sustainability [52,53]. Thus, communities should include various people from different cultures and traditions [54,55]; however, such a mixture of traditions and cultures could cause various conflicts.…”

Section: Discussionmentioning

confidence: 99%

Students’ Learning on Sustainable Development Goals through Interactive Lectures and Fieldwork in Rural Communities: Grounded Theory Approach

Ohta¹,

Yata

Sano

2022

Sustainability

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Sustainable social-resource-based community management and sustainable development goals (SDGs) are crucial for community sustainability and sustainable development, respectively, and SDG education is vital to motivate people to continue SDG-appropriate activities. This study aims to evaluate the effectiveness of the SDG education of Rural Japanese University students using the grounded theory approach and investigate how their ideas about future work subsequently change. This study analyzes the learning and attitude changes in students enrolled in an elective SDG course and establishes the learning theory behind SDG education in rural universities. In this approach, student SDG education consists of three themes and eleven concepts. Through SDG education based on interactive lectures and rural fieldwork, participants reconsider community and society concepts in an SDG-minded framework. Based on this new perspective, participants begin considering community sustainability by gaining new insight from a first-person standpoint. Participants acquire SDG-minded working competencies, such as collaborative advancement, respect for inclusive societies, community revitalization from different perspectives, and mindset reconstruction. SDG educational processes were conducted in rural communities through university student SDG education, which deepened their understanding of community sustainability. Thus, SDG education should employ real practitioners to university curricula and deal with cultural and traditional diversity via effective collaboration.

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“…In response to abdominal pain symptoms in the elderly, appropriate medical history, physical examination, and non-invasive abdominal ultrasound should be performed in community hospitals to identify and investigate the possibility of pancreatitis [5]. Furthermore, elderly people often self-manage their symptoms, which may exacerbate them [14,15]. To promote appropriate diagnosis and treatment of pancreatitis in the future, it is necessary to accumulate relevant information on pancreatitis in the community and educate people about the importance of appropriate self-management and timely consultation regarding their symptoms [16].…”

Section: Discussionmentioning

confidence: 99%

Localized Pancreatitis in an Elderly Patient Without Suspected Etiology

Yamamoto¹,

Ohta²,

Tanaka³

et al. 2022

Cureus

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Once pancreatic inflammation is triggered, it spreads throughout the pancreas. Here, we present a case of localized pancreatitis wherein the inflammation was confined to the pancreatic head. A 91-year-old woman was admitted with complaints of vomiting and epigastric pain. Blood tests showed elevated pancreatic enzyme levels, whereas imaging studies showed an enlarged pancreatic head and an area of increased density in the surrounding fatty tissue extending along the retroperitoneum below the subrenal pole. Atrophy of the pancreatic parenchyma in the pancreatic body and tail and dilatation of the main pancreatic duct were observed. The patient was diagnosed with acute pancreatitis, was kept nil by mouth, and was administered supplemental fluids. The symptoms resolved within two weeks. Age-related anatomical and histological changes in the pancreas may influence the development of pancreatitis, making it difficult to rule out the possibility of cancer. As age-related changes in the pancreas could lead to the development of pancreatitis, it is an important differential diagnosis of abdominal pain, even in older patients without suspected etiologies.

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Improvement in Quality of Life through Self-Management of Mild Symptoms during the COVID-19 Pandemic: A Prospective Cohort Study

Cited by 20 publications

References 56 publications

Seronegative Ocular Myasthenia Gravis in an Older Woman With Transient Dizziness and Diplopia

Seronegative Ocular Myasthenia Gravis in an Older Woman With Transient Dizziness and Diplopia

Students’ Learning on Sustainable Development Goals through Interactive Lectures and Fieldwork in Rural Communities: Grounded Theory Approach

Localized Pancreatitis in an Elderly Patient Without Suspected Etiology

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