The Keio Journal of Medicine
Online ISSN : 1880-1293
Print ISSN : 0022-9717
ISSN-L : 0022-9717
Volume 61, Issue 1
Displaying 1-7 of 7 articles from this issue
EDITORIAL
REVIEWS
  • Hideyuki Okano
    2012 Volume 61 Issue 1 Pages 3-9
    Published: 2012
    Released on J-STAGE: March 11, 2012
    JOURNAL FREE ACCESS
    The Great East Japan Earthquake of 2011 seriously jeopardized our collaborative research with Professor Masashi Aoki (Tohoku University School of Medicine) on the development of new therapies for amyotrophic lateral sclerosis (ALS) using hepatocyte growth factor. After the earthquake struck, Professor Aoki made a tremendous contribution to saving patients' lives and to recovering from the disastrous situation. Thanks to his strong leadership and support from many reliable colleagues, we could finally start new clinical trials for ALS patients. In this article, I wish to introduce Professor Aoki's heroic efforts.
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  • Catherine Ross Oshima, Kenya Yuki, Atsuro Uchida, Murat Dogru, Takashi ...
    2012 Volume 61 Issue 1 Pages 10-14
    Published: 2012
    Released on J-STAGE: March 11, 2012
    JOURNAL FREE ACCESS
    In the wake of the devastating earthquake and tsunami of March 11, our group at Keio University worked diligently to bring the Vision Van, a mobile eye clinic, from Miami, Florida, to disaster areas where medicines, eyeglasses, and indeed all other ophthalmological supplies and services, were nonexistent, thereby assisting many tsunami survivors suffering from eye problems. This act was encouraging not only to the patients and those working in the disaster-hit areas but also to ophthalmologists who wanted to use their medical specialty to assist those in need.
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  • Yutaka Kato, Hiroyuki Uchida, Masaru Mimura
    2012 Volume 61 Issue 1 Pages 15-22
    Published: 2012
    Released on J-STAGE: March 11, 2012
    JOURNAL FREE ACCESS
    Since the Great East Japan Earthquake, Keio University School of Medicine has, at the request of the Tokyo Metropolitan Government, provided mental health and psychosocial support to those living in Soma City in Fukushima Prefecture. This report covers the types of support provided in Soma City and discusses previous studies that were used as the model for current support practice and the results gained from actual performance. Also included is a summary of the objectives that were or were not achieved for medical support compared with recommendations from previous studies. Furthermore, future directions for medical support are also discussed.
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  • Shintaro Kikuchi, Tatsuo Kikuchi
    2012 Volume 61 Issue 1 Pages 23-27
    Published: 2012
    Released on J-STAGE: March 11, 2012
    JOURNAL FREE ACCESS
    On March 11, 2011, a gigantic earthquake struck eastern Japan. Utilities such as electricity, water, gas and telecommunication were interrupted. In Koriyama, the City Hall collapsed and government administration offices had to be moved to a nearby baseball stadium that had been designed to include facilities for use during a pandemic. An operations center was set up in this stadium. As members of the Koriyama Medical Association, we following the disaster protocol and set up our operations center in the Koriyama Medical Care Hospital. One large hospital with 280 inpatients and another hospital with 150 inpatients had been heavily damaged. Transfer of those patients to other hospitals without the use of telecommunications was extremely difficult. Many doctors in member hospitals and clinics went out of their way to cooperate throughout the crisis. Up to 5,000 people from the radiation evacuation zone were rushed to Koriyama. They stayed in schools and community centers, where we provided them with healthcare. Even in Koriyama, which is 60 km away from the Fukushima nuclear power plant, radiation levels were high, especially for the first few weeks. Citizens were advised to stay at home and keep their doors and windows closed. These drastic measures and frequent earthquake aftershocks were very stressful, especially for children. To help prevent children from developing posttraumatic stress disorder (PTSD), a project team composed of various groups caring for children was developed, and this team took action to protect children. Through these efforts we hoped to provide children with an appropriate environment to grow normally, even in a zone of persistent low-level radiation. We demonstrated once again that our members' long history of mutual assistance and cooperation with the administration was the main cornerstone to overcome the crisis.
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  • Naoyuki Shigematsu, Junichi Fukada, Toshio Ohashi, Osamu Kawaguchi, Te ...
    2012 Volume 61 Issue 1 Pages 28-34
    Published: 2012
    Released on J-STAGE: March 11, 2012
    JOURNAL FREE ACCESS
    We would like to explain the effects of radiation on human health and discuss the actual effects of the contamination with radioactive material present in Tokyo. Currently, external exposure doses are within the allowable range in Tokyo and will have no adverse health effects on adults or children. As for internal exposure doses, there will likely be no problems as regards our ordinary dietary intakes. However, hot spots of Cs-134, Sr-90 and others should be monitored further.
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REPORT
  • Yuki Otani, Takayuki Ando, Kaori Atobe, Akina Haiden, Sheng-Yuan Kao, ...
    2012 Volume 61 Issue 1 Pages 35-39
    Published: 2012
    Released on J-STAGE: March 11, 2012
    JOURNAL FREE ACCESS
    Between August 15th and 19th, 2011, eight 5th-year medical students from the Keio University School of Medicine had the opportunity to visit the Peking University School of Medicine and hold a discussion session titled “What is the most effective way to educate people for survival in an acute disaster situation (before the mental health care stage)?” During the session, we discussed the following six points: basic information regarding the Sichuan Earthquake and the East Japan Earthquake, differences in preparedness for earthquakes, government actions, acceptance of medical rescue teams, earthquake-induced secondary effects, and media restrictions. Although comparison of the two earthquakes was not simple, we concluded that three major points should be emphasized to facilitate the most effective course of disaster planning and action. First, all relevant agencies should formulate emergency plans and should supply information regarding the emergency to the general public and health professionals on a normal basis. Second, each citizen should be educated and trained in how to minimize the risks from earthquake-induced secondary effects. Finally, the central government should establish a single headquarters responsible for command, control, and coordination during a natural disaster emergency and should centralize all powers in this single authority. We hope this discussion may be of some use in future natural disasters in China, Japan, and worldwide.
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