• Health insurance information including authorizations
  
• List of your prescription medications and their prescribed dosages
  
• List of medications you are allergic to
  
• List of questions you may have
  
• Recent test results related to your condition
  

Otolaryngologists at HayashimaClinic  provide care for a variety of ear, nose, and throat disorders. These include (i) acute/chronic infections in ear, nose, and throat; (ii) hearing loss, tinnitus, vertigo, and other balance disorders; (iii) benign and malignant growths of the head and neck and, (iv) airway disorders such as obstructive sleep apnea and vocal cord abnormalities. Our mission is to promote the highest quality of healthcare for patients with otolaryngologic diseases through accurate diagnosis, systematic research, and the provision of empathetic, state-of-the-art medical treatment. 

1. Sugaya A, Fukushima K, Kasai N et al.: Impact of early intervention on comprehensive language and academic achievement in Japanese hearing-impaired children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2015 79: 2142-2146.
   
   
2. Maeda Y, Fukushima K, Kariya S et al.: Dexamethasone Regulates Cochlear Expression of Deafness-associated Proteins Myelin Protein Zero and Heat Shock Protein 70, as Revealed by iTRAQ Proteomics. Otol Neurotol. 2015 36 1255-1265.
   
   
3. Maeda Y, Fukushima K, Omichi R et al.: Time courses of changes in phospho- and total- MAP kinases in the cochlea after intense noise exposure. PLoS One. 2013 8.
   
   
4. Kataoka Y, Ikezono T, Fukushima K et al.: Cochlin-tomoprotein (CTP) detection test identified perilymph leakage preoperatively in revision stapes surgery. Auris Nasus Larynx. 2013 40: 422-424.
   
   
5. Fujiyoshi A, Fukushima K, Taguchi T et al.: Syntactic development in Japanese hearing-impaired children. Ann Otol Rhinol Laryngol Suppl. 2012 202: 28-34.
   
   
6. Sugaya A, Fukushima K, Kasai N et al.:  Language ability in the intermediate-scoring group of hearing-impaired children. Ann Otol Rhinol Laryngol Suppl. 2012 202: 21-27.
   
   
7. Kasai N, Fukushima K, Omori et al.: Effects of early identification and intervention on language development in Japanese children with prelingual severe to profound hearing impairment. Ann Otol Rhinol Laryngol Suppl. 2012 202:16-20.
   
   
8. Fukushima K, Kasai N, Omori K et al.:  Assessment package for language development in Japanese hearing-impaired children (ALADJIN) as a test battery for the development of practical communication. Ann Otol Rhinol Laryngol Suppl. 2012 202: 3-15.
   
   
9. Maeda Y, Fukushima K, Kariya S.et al:  Intratympanic dexamethasone up-regulates Fkbp5 in the cochleae of mice in vivo. Acta Otolaryngol. 2012 132: 4-9.
   
   
10. Hirai M, Maeda Y, Fukushima K et al.: Expression analysis of microRNAs in murine cochlear explants. Neuroreport. 2011 14; 652-654. 
    
    
11. Maeda Y, Fukushima K, Hirai M et al: Microarray analysis of the effect of dexamethasone on murine cochlear explants. Acta Otolaryngol. 2010 130:1329-1334.
    
    
12. Fukushima K, Mimaki N, Fukuda S et al.: Pilot study of universal newborn hearing screening in Japan: district-based screening program in Okayama.Ann Otol Rhinol Laryngol. 2008 117: 166-171.
    
    
13. Fukushima K, Kawasaki A, Nagayasu R et al: Developmental dysgraphia with profound hearing impairment: intervention by auditory methods enabled by cochlear implant.Auris Nasus Larynx. 2008 35: 250-254.
    
    
14. Maeda Y, Fukushima K, Kawasaki A et al.: Cochlear expression of a dominant-negative GJB2R75W construct delivered through the round window membrane in mice. Neurosci Res. 2007 58: 250-254
    
    
15. Kunisue K, Fukushima K, Nagayasu R et al.: Longitudinal formant analysis after cochlear implantation in school-aged children. Int J Pediatr Otorhinolaryngol. 2006 70: 2033-2042.
    
    
16. Kawasaki A, Fukushima K, Kataoka Y et al.: Using assessment of higher brain functions of children with GJB2-associated deafness and cochlear implants as a procedure to evaluate language development. Int J Pediatr Otorhinolaryngol. 2006 70: 1343-1349.
    
    
17. Fukushima K, Sugata K, Kasai N et al.: Better speech performance in cochlear implant patients with GJB2-related deafness. Int J Pediatr Otorhinolaryngol. 2002 62: 151-157.
    
    
18. Sugata K, Fukushima K, Ogawa T et al: Genetic alteration of penicillin non-susceptible Streptococcus pneumoniae observed throughout recurrence of acute otitis media detected by amplified fragment length polymorphism analysis. Acta Med Okayama. 2001 55: 167-174.
    
    
19. Kasai N, Fukushima K, Ueki Y et al.: Genomic structures of SCN2A and SCN3A - candidate genes for deafness at the DFNA16 locus. Gene. 2001 264: 113-22.
    

Otolaryngologist

Otolaryngologist

The dermatology practices at Hayashima Clinic constitute regional small office-based medical care, offering a broad spectrum of diagnostic and treatment services for patients of all ages with cutaneous conditions. 

Dr. Fukushima specializes in inflammatory skin disorders, including bacterial infection and atopic dermatitis, and also provides a range of general medical services in addition to cosmetic skin care treatments. She obtained her MD degree from Okayama University. After her residency training at Okayama University and clinical practices at Yamada Dermatology Clinic , she is now serving as a vice president of the medical corporation of SAKURA-KAI for the health and quality of life of Hayashima residents. She is also a mother of two sons.

15-32 Yumino-Cho, Kita-ku Okayama city, Okayama, 700-0817, Japan
TEL 086-232-8700    FAX  086-232-8701
e-mail to: kidsfirst@outlook.jp

Child Development Support office is a private, community-based organization established in 2016 to provide a range of language training and social services to handicapped children and their families in the district of Okayama.

The mission of KIDS*FIRST is to provide programs that empower children and their families by helping them to learn Japanese and eventually to improve their ability to survive in the real world. Initially, a nationwide study named Strategic Research for Sensory Dysfunction (primary research leader: Dr. K Fukushima) was developed along with the demonstration of both the importance and efficacy of language training for school-aged hearing-impaired children. In the beginning, our major focus was solely on language training; however, we have evolved into a multi-service organization that now provides a wide range of services for children, youth, and families.. 

Speech-Language-HearingTherapist (SLHT), Certified Audiology Specialist
Public Health Nurse

Akie Fujiyoshi is a pediatric speech-language pathologist and the director  of KIDS*FIRST . Fujiyoshi specializes in early intervention, speech sound development, apraxia of speech, and language delays, as well as learning difficulties,  including developmental dyslexia. She has over ten years of experience in the field of Speech-Language Pathology . 

1. Fujino H, Fukushima K, Fujiyoshi A.: Theory of mind and language development in Japanese children with hearing loss. Int J Pediatr Otorhinolaryngol. 2017 96: 77-83.
   
   
2. Sugaya A, Fukushima K,Fujiyoshi A : Impact of early intervention on comprehensive language and academic achievement in Japanese hearing-impaired children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2015 79: 2142-2146.
   
   
3. Sugishita S, Fukushima K, Kasai N et al: Language development, interpersonal communication, and academic achievement among Japanese children as assessed by the ALADJIN. Ann Otol Rhinol Laryngol Suppl. 2012 202: 35-39.
   
   
4. Fujiyoshi A, Fukushima K, Taguchi T et al: Syntactic development in Japanese hearing-impaired children. Ann Otol Rhinol Laryngol Suppl. 2012 202: 28-34.
   
   
5. Sugaya A, Fukushima K, Kasai N, Fujiyoshi A et al. : Language ability in the intermediate-scoring group of hearing-impaired children. Ann Otol Rhinol Laryngol Suppl. 2012 202: 21-27.
   
   
6. Fukushima K, Kasai N, Omori K, Sugaya A, Fujiyoshi A et al. :  Assessment package for language development in Japanese hearing-impaired children (ALADJIN) as a test battery for the development of practical communication. Ann Otol Rhinol Laryngol Suppl. 2012 202: 3-15.
   
   
7. Kana Reading and Writing Preferentially Impaired in a Case of Pediatric Acquired Dyslexia/Dysgraphia without Aphasia Caused by Moyamoya Disease (Japanese)
   
   
8. Domain-based analysis for linguistic communication skills of school-aged children using ALADJIN package (Japanese)
   
   
9. Domain-based language therapy for school-aged, hearing impaired children (Japanese)
   
   
10. Training Effectiveness of Various Therapy Methods in a Child with Kanji Writing Difficulty : An Investigation Using Controlled Word Stimuli by Attributes (Japanese)
    

Speech-Language-Hearing Therapist (SLHT)

SLHT, Audiologist

Since she passed her national board certification as SLHT in 1999, she has been working as a cochlear implant specialist for both adults and children at Okayama University Hospital Cochlear Implant Team. Currently, as one of the KIDS*FIRST members, her knowledge and expertise in cochlear implant mapping are being applied.

1. Relationship between pure-tone audiogram findings and speech perception among older Japanese persons.Acta Otolaryngol. 2018 138: 140-144.
   
   
2. Subjective hearing-related quality-of-life is a major factor in the decision to continue using hearing aids among older persons. Acta Otolaryngol. 2016 136: 919-922.
   
   
3. Pediatric central auditory processing disorder showing elevated threshold on pure tone audiogram.Auris Nasus Larynx. 201643: 570-574.
   
   
4. Characteristics of audiogram configuration in multiple-system atrophy C and cortical cerebellar atrophy.Acta Otolaryngol. 2016 136: 266-270.
   
   
5. Impact of early intervention on comprehensive language and academic achievement in Japanese hearing-impaired children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2015 79: 2142-2146. 
   
   
6.  [Assessment of hearing aid outcome using CADL].Nihon Jibiinkoka Gakkai Kaiho. 2014 117: 1126-1131. Japanese.
   
   
7. [Multicenter clinical study of bone-anchored hearing aids in Japan--application for congenital auricular atresia].Nihon Jibiinkoka Gakkai Kaiho. 2011 114 : 761-767. Japanese.
   
   
8. [Progressive or delayed early-onset pediatric sensorineural hearing loss].Nihon Jibiinkoka Gakkai Kaiho. 2011 114:557-561. Japanese.
   
   
9. Developmental dysgraphia with profound hearing impairment: intervention by auditory methods enabled by cochlear implant.Auris Nasus Larynx. 2008 35: 250-254.
   
   
10. Comprehension of abstract words among hearing impaired children.Int J Pediatr Otorhinolaryngol. 2007 71: 1671-1679. 
    
    
11. Longitudinal formant analysis after cochlear implantation in school-aged children.Int J Pediatr Otorhinolaryngol. 2006 70: 2033-2942. 
    
    
12. Monosyllable speech perception of Japanese hearing aid users with prelingual hearing loss: implications for surgical indication of cochlear implant.Int J Pediatr Otorhinolaryngol. 2003 67: 1061-1067.
    
    
13. Language development of a multiply handicapped child after cochlear implantation.Int J Pediatr Otorhinolaryngol. 2003 67: 627-633.
    
    
14. Better speech performance in cochlear implant patients with GJB2-related deafness.Int J Pediatr Otorhinolaryngol. 2002 62: 151-157.
    

Our mission withAngelic sideis to ensure that handicapped children and their families live comfortably and safely in Okayama. We provide services including: i) assistance in using welfare services such as the provision of information and advice about services, ii) offering the best welfare service for children with special needs in their daily or school lives, iii) supervision of the service provided for the children and, iv) helping to review and reform the service planning if necessary.

SUTASAPO is our upcoming study support service for children with special needs. We provide an individualized study support especially for a childwith language delay,regardless of additional handicaps including ASD or hearing impairments.We also provide special training for those with developmental dyslexia in Japanese handwriting. 

We would like to thank Editage (www.editage.jp) for English language editing.