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General Medicine Lab
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A lab centered on community medicine and general practice, working with patients whose symptoms are difficult to diagnose.
AboutAbout the lab
Facing hard-to-diagnose symptoms across clinical specialties
The General Medicine Lab conducts research centered on community medicine, general practice, and alternative medicine, particularly research related to healthcare in the areas affected by the Great East Japan Earthquake.
The faculty are specialists in a wide range of fields, including internal medicine, surgery, respiratory medicine, cardiology, neurology, nephrology, gastroenterology, and Kampo (traditional Japanese herbal medicine), and they practice symptomatology across clinical departments for patients whose conditions are difficult to diagnose.
In medical education, the lab's mission is to practice and teach an approach based on symptoms and pathophysiology, together with clinical reasoning, and it provides education in medical interviewing and clinical training in outpatient settings.
The lab also runs a program to train general practice specialists under the new board certification system for specialists.
Key terms
- Symptomatology
- The study of reading a patient's symptoms and physical findings to determine the diseases they may indicate
- Clinical reasoning
- The thought process of narrowing down possible diseases from symptoms and examination results to move closer to a diagnosis
- Achalasia
- A disease in which the junction between the esophagus and the stomach does not open properly, making it hard for food to pass through
- Metabolomic analysis
- A method of measuring the metabolites in the body all at once to examine changes caused by disease or treatment
ResearchResearch themes
The lab focuses on community medicine, general practice, and alternative medicine, and conducts research related to healthcare in the areas affected by the Great East Japan Earthquake. Drawing on the experience of the disaster, it has developed a “mobile assessment system” that uses devices such as smartphones to collect the information needed to maintain health during large-scale disasters.
Changes in Disease Patterns Before and After the Earthquake
The lab is investigating how the Great East Japan Earthquake affected the composition of disease types around the Taro district in Iwate Prefecture, by comparing the periods before and after the disaster.
*Illustrative imageAdvantages of Medical Education in Disaster-Affected Areas
The lab is conducting a questionnaire survey on community medicine in training programs in the Tohoku region. The aim is to clarify the advantages of providing medical education in disaster-affected areas.
*Illustrative imageAccurate Diagnosis of Achalasia
The lab is conducting an epidemiological evaluation to identify patients with underlying achalasia among those diagnosed in the community with anorexia nervosa. This is because some patients with achalasia are mistakenly diagnosed with anorexia nervosa.
*Illustrative imageEvaluating the Treatment Effect in Chronic Kidney Disease
To support the management of patients with chronic kidney disease, the lab is conducting a clinical trial and metabolomic analysis to evaluate the kidney-protective effect of oral alkalinizing agents. This work is carried out jointly with another department, Nephrology, Endocrinology and Vascular Medicine, and the Tohoku Medical Megabank Organization.
MembersFaculty
- ProfessorTadashi Ishii
- Associate ProfessorMichiaki Abe
- Associate ProfessorShin Takayama
VoicesStudent voices
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Report an errorAbout the images
The top and research theme images are illustrative and were not taken at the lab. They are cropped from Wikimedia Commons images. Cropped CC BY-SA images are provided under the same CC BY-SA license as the original (version shown on each line).
- Top image: “Japanese Fishing Village 1917” John Wells Rahill / Public domain (cropped)
- Advantages of Medical Education in Disaster-Affected Areas: “A medical student performs eye examination” Sushil Dawka / CC BY-SA 4.0 (cropped)
- Accurate Diagnosis of Achalasia: “Barium swallow of malignancy oesophagus 01” Netha Hussain / CC BY-SA 3.0 (cropped)
- Evaluating the Treatment Effect in Chronic Kidney Disease: “Dialog-dialysis-machine-b-braun” / CC BY-SA 4.0 (cropped)
- Related lab (総合感染症学): “Petri dish 1” Drhx / CC BY-SA 4.0 (cropped)
- Related lab (麻酔科学・
周術期医学): “Bloc opératoire - IADE” Hirondus / CC BY-SA 4.0 (cropped) - Related lab (眼科学): “Ophthalmological Checking Up” Mahmoud Amer / CC BY-SA 4.0 (cropped)
- Related lab (医療薬学): “Agilent LC-MS” Nick Birse / CC BY-SA 4.0 (cropped)
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