Taro Kojima

Older patients tend to have multimorbidity represented by multiple chronic diseases or geriatric conditions due to aging changes of organs, which require a variety of medical management. Currently, there are no sufficient disease treatment guidelines for older people with multimorbidity, therefore physicians have difficulty managing multimorbidity, such as which diseases should be treated intensively or to what extent the conditions should be improved. Furthermore, there are other points to be c

In geriatric inpatients, polypharmacy (especially ≥7 drugs) and emergency admission were associated with ADR. Because there was a great variety of ADR in the study, clinicians must consider reviewing all drugs to prevent adverse drugs reactions during admission in this vulnerable population. Geriatr Gerontol Int 2019; ••: ••-••. Geriatr Gerontol Int 2020; 20: 144-149.

The results indicate that CO2 laser irradiation at low power is capable of bactericidal effect on periodontopathic bacteria and decreasing LPS activity.

Providing safe and effective drug therapy to older patients is challenging for physicians since there is not sufficient evidence to support the efficacy of these drugs and this population is susceptible to adverse drug reactions. Special consideration is needed when treating patients who require nursing care or who are at a stage prior to disability (i.e., frailty) because they may have limited life expectancies, complications, or organ dysfunction. Polypharmacy refers to the condition in which

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Immune electron microscopic examination of hepatitis delta delta-antigen (HDAg) was carried out on liver biopsies from seven patients with chronic type B hepatitis and delta-infection. HDAg was mainly found in the nucleus, but in some scattered hepatocytes it was found in the cytoplasm also, either in association with ribosomes or in the hyaloplasm. The association of HDAg with ribosomes may be the result of translation from delta-messenger RNA on the same ribosomes. In the nucleus, delta-antige

We read with interest the article by Lakhan and colleagues,1 which showed the high prevalence and worsening of geriatric syndrome during acute care hospitalization. Because falls, incontinence, impairment in activities of daily living (ADLs), and other geriatric syndrome components increase the care burden and limit discharge planning in acute care hospitals, geriatric syndrome might cause prolonged hospital stays. A prolonged hospital stay is one of the major determinants of medical cost and is

Three cases of benign pelvic tumors are presented (2 leiomyomas and 1 fibroma). All three tumors were suspected of being malignant neoplasms because they were visualized as heterogeneous high signal intensity on T2-weighted images, and thus they were difficult to diagnose preoperatively. One of the leiomyomas was located in the retroperitoneum and had been misdiagnosed as an ovarian tumor. All three tumors exhibited secondary myxoid changes, these changes may have been responsible for the high s