Home visit dental service provides not only emergency dentistry but also oral healthcare and wellness by conducting regular and continuous visits. This activity may prevent not only dental diseases but also medical issues ex. aspiration pneumonia and malnutrition. Consequently, it may reduce the number of hospitalized and transported patients, and increase the rate of patients remaining at home after discharge. Therefore, it plays a significant role in community-based integrated care system in Japan. In order to provide high-quality and efficient services, we are using the business improvement platform "kintone" (Cybozu, Inc., Tokyo, Japan) to create a suitable system for on-site operations. This presentation will report the issues we faced before introducing the system and how we solved them by producing the system in-house.
Chronic diseases, psychiatric disorders, falls and fractures are the main causes of the rising costs of social security. It is important for health to maintain a daily step count to improve physical functions. In this study, we investigated the effects of step-count monitoring using ICT devices on the number of steps taken and physical functioning of middle-aged and elderly person. We aimed to promote walking as a habit and to improve health literacy. The study consisted of 89 middle-aged and elderly persons aged between 44 and 88 years. The study period was 18 months. We focused on step count, lower limb muscle strength, and feelings and behaviors. Results showed that maintaining a daily step count of over 7,000 steps significantly improved lower-limb muscle strength and decreased the risk of falling. Subjects also had more positive attitudes and improved psychological health.
Hallux valgus(HV) are reported in 35.7% of people over the age of 65. However, skeletal deformity of the forefoot is a factor in the occurrence of HV, the mechanism of occurrence and evaluation methods have not yet been unclear. In this study we developed a 3D foot scanner using a smartphone in order to assess HV. The number of subjects was 268 people (40-89 years). The system made it possible to evaluate the great toe-first metatarsal head-heel angle, which is a direct assessment of the HV. Furthermore, it was suggested that skeletal misalignment of the foot, and forefoot width and height may contribute to the occurrence of HV, and the elements of risk indicators were clarified.