Doctors Admit the Truth Behind Aggressive End-of-Life Treatment: “Some Interventions May Offer Little Meaningful Benefit” Tetsuya Tanimoto, MD. Chairman of Accessible Railway Medical Services Tetsuikai Medical Corporation. Director of Navitas Clinic Kawasaki Record-High Death Toll Since World War II According to population estimates released by Japan’s Ministry of Internal Affairs and Communications, the number of people aged 75 and older reached approximately 21 million by

Masahiro Kami, M.D., Ph.D. President, Medical Governance Research Institute, Tokyo, Japan Table of Contents Lowering Blood Glucose and Reducing Body Weight GLP-1 Drugs Suppress Chronic Inflammation and Reduce Cancer Risk Obesity-Related Cancer Risk Reduced by 40% Through Factors Beyond Weight Loss Diet and Exercise Therapy Are Important, But… I would like to write once again about GLP-1 receptor agonists—the drugs that have been in the spotlight as so-called “weight-loss dr

Kana Yamamoto, M.D., Ph.D Physician, Medical Governance Research Institute In her regular column “A Little Medical Notebook,” where she discusses everyday topics and news from a medical and health perspective, Dr. Kana Yamamoto, an internist at Navitas Clinic and the Medical Governance Research Institute, examines the issue of “hidden dehydration.” When people hear the word “dehydration,” many think of older adults or infants. However, active, healthy young people who are c

Mutsuko Ohnishi, MD, Internal medicine physician in Boston, USA Contents 1. What Is a SuperAger? 2. What Happens in the Brain? 3. Can New Neurons Be Generated in the Adult Brain? 4. What Did the Researchers Investigate? 5. New Neurons Can Develop Even in the Adult Brain 6. What Happens in the Brain of a Person with Alzheimer’s Disease? 7. Four Habits Shared by SuperAgers8. It Is Never Too Late to Improve Your Lifestyle “It seems I’ve become so forgetful lately. I guess it

Kana Yamamoto, M.D., Ph.D Physician, Medical Governance Research Institute The “Imitecho (Medical Examination Notebook)” column features reflections by a physician on health and everyday life. In this installment, Dr. Kana Yamamoto, a physician at Navitas Clinic and the Medical Governance Research Institute, reflects on panic attacks from both a professional and personal perspective. Shortly after I moved to the United States, I was constantly confused by small, everyday sit

Masaharu Tsubokura, M.D., Ph.D. Chief Professor, Department of Radiation Health Management, School of Medicine, Fukushima Medical University Following the Great East Japan Earthquake and the accident at the Fukushima Daiichi Nuclear Power Plant operated by Tokyo Electric Power Company, the way evacuation shelters are organized has undergone significant review. During this process, many accounts of the inconveniences and anxieties experienced by women were recorded, serving a

Keita Shimizu, 2nd-year student, Science Class III, The University of Tokyo Lessons from the Front Lines That Systems Alone Cannot Teach Imagine a child with limited mobility racing a wheelchair around a relatively small room. Most people would probably react in a familiar way. They might think, "If the child crashes, it could be dangerous," or "There are other children in the room. Someone could get hurt." Yet in the setting I visited, that conventional way of thinking simpl

Hisanori Murasawa, 5th-year Student, General Medicine, First Faculty of Medicine, Charles University On May 21, I was going daily between the university's affiliated hospital for surgical rotations. After lectures and practical exercises held during the day, I had studied with classmates to prepare for the last final exam of the year. Amidst all this, there was a moment when everyone's hands paused. This is because news broke that an American doctor suspected of being infecte

OneVoice OneAction Across the nation, young physicians are bringing a new energy to the field. What sparks their resolve, and where is their journey leading them? Here, we pause to capture the heart and soul behind their mission. Makoto Kosaka, M.D., Physician, Orange Home Care Clinic; currently Director, Kokoiruyo Clinic (“I’m Here With You” Clinic) Feeling the Pulse of Our Aging Society in Home Care I am currently in my fourth year as a physician, working at the Orange

Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute Visit to the Higashi Osaka Clinic On September 6th, I visited Okamoto Internal Medicine Clinic in Higashiosaka City. The clinic's director, Dr. Masayuki Okamoto, graduated from Nada High School and went on to Kyoto Prefectural University of Medicine. After working at his alma mater, he opened a clinic in his hometown of Higashi-Osaka. Dr. Okamoto was a senior at high school of Dr. Masahiro Kam

Taichi Akutsu, Ph.D. Violinist and Researcher in Music Education Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute Abstract 　This paper examines the organizational challenges that arise during the initial response to harassment at public universities in Japan, with particular attention to the stage before a formal investigation is launched. Drawing on publicly available harassment regulations and guidelines together with a hypothetical case of

Hiroshi Kusunoki, MD, PhD Department of Internal Medicine, Osaka Dental University Abstract 　The rise of social media has fundamentally transformed the governance challenges faced by universities, academic societies, and other public institutions. Decisions that were once managed largely within organizations can now rapidly become matters of public controversy, exposing institutions to intense external scrutiny and pressure. This article examines two recent Japanese cases: th

Takashi Miyaji, internal medicine Clinical Education and Training Center, Akita University Hospital 【Key points 】 •Key concepts emphasized by the Reconstruction Design Council included “solidarity” and the “responsibility of the working generation.” •Income tax, which allows for contributions based on individuals’ ability to pay, served as the main source of funding. •Policies should be aligned with public values and provide a clear direction for society as a whole. While tax

Akihiko Ozaki, M.D., Ph.D. Physician at the Medical Governance Research Institute This year, we mark another 3.11. A full 14 years have passed since the 2011 Great East Japan Earthquake and the subsequent nuclear power plant accident. Since 2012, I have spent the majority of my time in Fukushima. Thanks to various connections, I have been fortunate enough to continuously be involved in both clinical practice and research to convey the health impacts and lessons learned from t

Shinichi Matsumoto Visiting Professor, Department of Surgery Graduate School of Medicine, Kobe University At the 20th Symposium of the Field-Driven Healthcare Reform Promotion Council, I was given the opportunity to deliver a lecture for the first time in quite some time. I spoke about islet transplantation, a curative treatment for diabetes. I would like to share the content of that lecture through MRIC. THE ROAD TO TRANSPLANTATION RESEARCH When I was in the second yea