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Remote Cardiac Rehabilitation With Wearable Devices
Atsuko Nakayama,Noriko Ishii,Mami Mantani,Kazumi Samukawa,Rieko Tsuneta,Megumi Marukawa,Kayoko Ohno,Azusa Yoshida,Emiko Hasegawa,Junko Sakamoto,Kentaro Hori,Shinya Takahashi,Kaoruko Komuro,Takashi Hir 대한심장학회 2023 Korean Circulation Journal Vol.53 No.11
Although cardiac rehabilitation (CR) has been shown to improve exercise tolerance and prognosis in patients with cardiovascular diseases, there remains low participation in outpatient CR. This may be attributed to the patients’ busy schedules and difficulty in visiting the hospital due to distance, cost, avoidance of exercise, and severity of coronary disease. To overcome these challenges, many countries are exploring the possibility of remote CR. Specifically, there is increasing attention on the development of remote CR devices, which allow transmission of vital information to the hospital via a remote CR application linked to a wearable device for telemonitoring by dedicated hospital staff. In addition, remote CR programs can support return to work after hospitalization. Previous studies have demonstrated the effects of remote CR on exercise tolerance. However, the preventive effects of remote CR on cardiac events and mortality remain controversial. Thus, safe and effective remote CR requires exercise risk stratification for each patient, telenursing by skilled staff, and multidisciplinary interventions. Therefore, quality assurance of telenursing and multi-disciplinary interventions will be essential for remote CR. Remote CR may become an important part of cardiac management in the future. However, issues such as cost-effectiveness and insurance coverage still persist.
( Ryuichi Nakamura ),( Kenji Fujita ),( Rei Omi ),( Kazunari Kuroda ),( Masaki Takahashi ),( Kazumi Ikebuchi ),( Hitoshi Nishimura ),( Yasuo Katsuki ) 대한슬관절학회 2017 대한슬관절학회지 Vol.29 No.3
Since distal femoral varus osteotomy (DFO) -specific plates had not been available in Japan before 2015, we performed DFO using a plate for tibia. The purpose of this study was to elucidate the efficacy and problems associated with the non-specific plate in DFO. We used NCB-PT plates (Zimmer Inc.) in the upside-down position and the minimum 5-year outcomes were evaluated. The mean preoperative weight bearing line ratio and Japanese Orthopaedic Association score improved from 97.6%±35.8% and 68.0±11.5, respectively, to 44.0%±16.1% and 82.0±7.6, respectively, 1 year postoperatively and to 42.8%±15.7% and 86.0±8.2, respectively, 5 years postoperatively. The flexion range decreased from 149.0°±6.5° to 138.0°±5.7° 1 year postoperatively and to 135.0°±20.9° 5 years postoperatively. Although DFO using the NCB-PT plate provided mid-term benefits, it resulted in a loss of knee flexion, possibly due to excessive coverage of the medial femoral epicondyle.