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Predecessor
Volume 37, Issue 9
Displaying 1-21 of 21 articles from this issue
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Ichiro Fujishima2000 Volume 37 Issue 9 Pages 661-665
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Joji Ando2000 Volume 37 Issue 9 Pages 666-675
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Hidetada Sasaki2000 Volume 37 Issue 9 Pages 676-679
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Yasuo Ihara2000 Volume 37 Issue 9 Pages 680-686
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Kazutomo Imahori2000 Volume 37 Issue 9 Pages 687-692
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Shigeru Hisamichi2000 Volume 37 Issue 9 Pages 693-698
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Supporting Our Aged SocietyMaya Yamazaki2000 Volume 37 Issue 9 Pages 699-704
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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1999 Revised VersionKunio Hiwada2000 Volume 37 Issue 9 Pages 705-708
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Masahiro Imamura2000 Volume 37 Issue 9 Pages 709-711
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Seiki Ito2000 Volume 37 Issue 9 Pages 712-715
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Akihisa Iguchi, Miwako Noguchi2000 Volume 37 Issue 9 Pages 716
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Takako Sodei2000 Volume 37 Issue 9 Pages 717-718
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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A Draft of JGS Ethics CommitteeKazumasa Uemura2000 Volume 37 Issue 9 Pages 719-721
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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from the Viewpoint of FeedingAtsushi Murai2000 Volume 37 Issue 9 Pages 722-724
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Masatoshi Yokouchi2000 Volume 37 Issue 9 Pages 725-727
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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Kazumi Arahata, Satoru Uchiyama, Hiroaki Fujita, Takashi Osanai, Junji ...2000 Volume 37 Issue 9 Pages 728-733
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
JOURNAL FREE ACCESSExercise training which is one of the multidisciplinary interventions for elderly patients with congestive heart failure, plays an important role for improving the quality of life and reducing the re-admission rate of these patients. We assessed the validity of exercise training for the improvement of patient's skeletal muscle functions and activities of daily living along with monitoring cardiac functions.
Exercise training programs were performed in 12 patients with congestive heart failure (New York Heart Association class III or IV), including 5 with valvular disease, 4 with dilated cardiomyopathy and 3 with ischemic cardiomyopathy (mean 79±9 years). All patients were admitted because of exacerbation of congestive heart failure and were treated conventionally. The exercise training program was started after stabilization of their cardiac condition. The medication was not changed during the training period.
After exercise training programs, the cardio-thracic ratio decreased from 63.8±7.9% to 60.1±6.9% (p<0.01), ejection fraction on echocardiography increased from 47.4±18.2% to 56.0±17.5% (p<0.01), and brain nartiuretic peptide decreased from 404.8±267.5pg/ml to 313.6±239.5pg/ml (p<0.05). The quadriceps muscle power increased from 0.77±0.36Nm/kg to 0.97±0.41Nm/kg (p<0.01). The maximum walking distance on flat surface increased from 149±164m to 456±394m (p<0.05). In most patients, the activities of daily living, especially mobility, improved.
Appropriate exercise training for the elderly patients with congestive heart failure improves activities of daily living and also reduces the amount of required care by the patients.View full abstractDownload PDF (865K) -
Michitaka Naito, Hideki Nomura, Akihisa Iguchi2000 Volume 37 Issue 9 Pages 734-738
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
JOURNAL FREE ACCESSTo study the opinions of medical students on textbooks of geriatrics, we made a questionnaire for 5th-year medical students. All students had their own texbook (s) of internal medicine, and nearly half of the students had textbook (s) of physical examination. However, only 3.6% of students had their own textbook of geriatrics. The reasons for not having a textbook of geriatrics were as follows; 1) no understanding which textbook is better (59.1%), 2) no need to have a texbook (15.5 %), 3) no appropriate texbooks (4.1%), and 4) others (17.6%). The most important point for choosing a texbook was as folows; 1) information from friends or seniors (38.9%). 2) looking by oneself (47.7%), 3) recommendation of a teacher (9.8 %), and 4) others (3.6%).View full abstractDownload PDF (740K) -
Akira Furuta, Masayasu Suzuki, Akitoshi Takizawa, Kazuya Tasiro, Yukih ...2000 Volume 37 Issue 9 Pages 739-743
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
JOURNAL FREE ACCESSFactors reducing the quality of life (QOL) related to micturition and their treatment were studied based on frequency volume chart for 52 consecutive patients with hypertension (the administration of calcium channel blockers) and 28 controls without hypertension, aged 50 years and over (mean age 68.6, range 50-85) without lower urinary tract dysfunction. The micturition records for two days and the QOL index related to urinary symptoms were reviewed. The factors reducing the QOL were increase of the voided volume and frequency during the night and the ratio of night-time voided volume to 24-hour urine output, which significantly increased in the controls (p<0.05, respectively). Especially, the voiding frequency during the night and the ratio of night-time voided volume increased significantly in the controls aged 70 years and over (p<0.01, p<0.05, respectively). Overall, it was suggested that the administration of calcium channel blockers for control of blood pressure might be effective to reduce the nocturnal polyuria in the elderly.View full abstractDownload PDF (722K) -
Michiko Fujisawa, Kozo Matsubayashi, Tomoko Wada, Kiyohito Okumiya, Yo ...2000 Volume 37 Issue 9 Pages 744-748
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
JOURNAL FREE ACCESSIn Japan hypertension is frequent, but the prevalence of hypertension in Okinawa has been known to be lower than in other areas in Japan. Now it has been almost 30 years since Okinawa reverted to Japan. So we investigated to know whether the prevalence of hypertension was still lower today or not. We compared the differences of prevalence of hypertension and blood pressure (BP) levels between the two community-dwelling elderly subjects aged 75 years or more: 305 in Ie in Okinawa (M:F=107:198, mean age: 81 years old), and 99 in Omogo in Ehime, Shikoku (M:F=45:54, mean age: 81 years old). We visited the homes of the elderly and measured their BP twice in a sitting position and asked them whether they were taking medicine for hypertension or not.
According to the 1999 revised guidelines on the treatment of hypertension in the elderly by the Japanese Society of Geriatrics, we defined hypertension as systolic BP (SBP)≥160mmHg or diastolic BP (DBP)≥90mmHg or taking medicine for hypertension, and normotension as SBP<160mmHg and DBP<90mmHg and not taking medicine for hypertension.
Hypertension rates were 52% in Ie, and 59% in Omogo, indicating no significant difference. However, in Ie only 54% of the elderly with hypertension were taking medicine for hypertension, as opposed to 74% in Omogo. These results suggest the possibility that in Okinawa hypertension is thought to be less important than in other districts in Japan.View full abstractDownload PDF (775K) -
Hironobu Hamada, Nobuoki Kohno, Akihito Yokoyama, Keiichi Kondo, Kunio ...2000 Volume 37 Issue 9 Pages 749-753
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
JOURNAL FREE ACCESSWe reported on a 79-year-old woman with pneumonia caused by Mycobacterium avium complex (MAC). She was admitted with fever, general fatigue, and cough. A chest X-ray film showed infiltrative shadows in the right lung field. In spite of administration of conventional antibiotics, the infiltrative shadows enlarged. A chest CT scan revealed areas of consolidation and ground glass opacities. Bronchoalveolar lavage (BAL) examination revealed an increased number of lymphocytes. Transbronchial lung biopsy revealed many granulomatous regions with giant cells. Mycobacterium intracellulare was found in the culture of BAL fluid and identified by PCR. Treatment was started with rifampicin, ethambutol, and clarithromycin. However, rifampicin and ethambutol were soon discontinued because of severe anorexia. Her symptoms and the radiographic appearance markedly improved following treatment of clarithromycin alone. Subsequently small doses of rifampicin and ethambutol were restarted because her general condition was much improved. These findings suggest that clarithromycin is an effective and tolerable agent for elderly patients with MAC.View full abstractDownload PDF (2047K) -
Sayaka Yamamoto, Hiroyuki Umegaki, Yusuke Suzuki, Sigeru Kanda, Akira ...2000 Volume 37 Issue 9 Pages 754-755
Published: September 25, 2000
Released on J-STAGE: November 24, 2009
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