JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Approaches to Health Problems in Aging Rural Communities
Hiroji ESAKI
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JOURNAL FREE ACCESS

1997 Volume 45 Issue 6 Pages 774-785

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Abstract

We looked at health problems in rural areas with high rate of the elderly from the standpoint of the prevention of adult diseases and health care.
Our studies have showed that to prevent circulatory diseases, weight control and cessation of smoking are effective, and that moderate drinking could work as a protective factor.
As for the age-related decrease in the body's ability to process carbohydrates and complications of diabetes among the elderly, their relations with glucose tolerance, and lipidometabolism were investigated in the middle-aged and older groups.
Of the patients undergoing the treatment of chronic renal failure by the “Toride Method, ” 60% showed their renal function remained unchanged. To grasp the actual state of patients receiving dialysis, the physically handicapped persons' certificates they possess should be utilized.
It was found that a combination system of ultrasonography and dual energy x-ray absorptiometry is useful in mass screenings for osteoporosis. A major protective factor for osteoporosis is regular exercise.
In light of the opinions sought from many people regarding the practice for a member of the family to attend on the inpatient at the bedside, terminal care, euthanasia and hospice, we dwelt on the realities of medical care.
We also analyzed the present state of institutional services based on a questionnaire survey of hospitals affiliated with the prefectural welfare federation of agricultural cooperatives and the welfare programs for the elderly made by local governments in order to make clear the area where hospitals and other medical institutions should partake.

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