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Predecessor
Volume 42, Issue 2
Displaying 1-25 of 25 articles from this issue
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Shigeki Nakamura, Yoshitsugu Miyazaki, Shigeru Kono2005 Volume 42 Issue 2 Pages 129-136
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Yasuo Sakamoto, Takaya Ichimura, Shu Tsuruzoe, Mitsuyoshi Nakao2005 Volume 42 Issue 2 Pages 137-143
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Sataro Goto2005 Volume 42 Issue 2 Pages 144-151
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Koichi Yokono2005 Volume 42 Issue 2 Pages 152-154
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Tetsuro Miki2005 Volume 42 Issue 2 Pages 155-157
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Akira Murakami2005 Volume 42 Issue 2 Pages 158-159
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Keiko Amano2005 Volume 42 Issue 2 Pages 160-163
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Kiyohito Okumiya, Taizo Wada, Masayuki Ishine, Michiko Fujisawa, Masan ...2005 Volume 42 Issue 2 Pages 164-166
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Kozo Matsubayashi2005 Volume 42 Issue 2 Pages 167-169
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Setsu Iijima2005 Volume 42 Issue 2 Pages 170-173
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSThe elderly with dementia show distinct characteristics and different remaining abilities even in advanced disease. For improvement of the quality of care for the elderly, it is essential to evaluate their remaining abilities. Mini-communication Test, Braiding Test and Vitality Index have been developed to evaluate the abilities remaining in the elderly with severe dementia. The reliability, validity and usefulness of these new methods were discussed.View full abstractDownload PDF (2006K) -
Masanori Nishinaga, Jun Takata, Kiyohito Okumiya, Kozo Matsubayashi, T ...2005 Volume 42 Issue 2 Pages 174-176
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Kenji Toba2005 Volume 42 Issue 2 Pages 177-180
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Junko Nitta, Keigo Kumamoto, Yumiko Arai2005 Volume 42 Issue 2 Pages 181-185
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Hidetoshi Fukunaga2005 Volume 42 Issue 2 Pages 186-188
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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dementia careToshiyo Tamura2005 Volume 42 Issue 2 Pages 189-191
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Masahiro Maruyama, Haruko Tanji, Hiroyuki Arai, Hidetada Sasaki2005 Volume 42 Issue 2 Pages 192-194
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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Yumiko Arai2005 Volume 42 Issue 2 Pages 195-198
Published: March 25, 2005
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The Itabashi Oldest-Old Study IYasuyuki Gondo, Taketo Furuna, Erika Kobayashi, Hiroki Inagaki, Miho S ...2005 Volume 42 Issue 2 Pages 199-208
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSIt is predicted that the future increase in the oldest-old (85 years and older) population will have a marked influence on society. However, little is known about the features of various functions in the oldest-old. The purpose of this study was to clarify the functional status of the oldest-old. We surveyed all oldest-old residents in a small area of Itabashi ward in metropolitan Tokyo to clarify their living conditions. The oldest-old themselves and their family members were invited to participate, and 235 out of 311 residents (75.6%) agreed to do so. Forty-two percent of the participants were dependent and needed care from others. The ADL status measured by the Barthel Index showed that 30% of independent participants also had some deterioration of physical function. These results are indicative of increased frailty in the oldest-old. Comparison between independent and dependent (need care from others in daily living) showed that the functional status was lower in dependent group. However, the psychological well-being was the same in this two groups. These results indicate progressive functional deterioation and psychological adaptation to it, in the oldest-old. Further research to elucidate the process of psychological adaptation to frailty is necessary in order to promote the well-being among the oldest-old, in whom functional limitation is evident.View full abstractDownload PDF (1877K) -
Norihiko Iida, Noriyuki Kohashi, Takehiko Okamura, Ki'ichiro Nagao2005 Volume 42 Issue 2 Pages 209-213
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSThe aim of this study was to evaluate the reliability and validity of a newly developed self-administered assessment of the burden on caregivers (ABC-16) in 82 caregivers (21 men: 61 women, mean age 61±13 years) including 51 family members caring for patients after stroke with physical impairments, and 31 family members caring for patents with chronic schizophrenia. The ABC-16 consists of 16 items and is designed to cover 4 domains (burden of troubles with care receivers, burden of loss of social life, financial burden, burden of impairment of caregiver's health). The internal consistency was high (α=0.854) and significant correlations among the four dimensions were found (P<0.0001).
Factorial analysis showed 5 latent factors and a multiple regression analysis showed the strong correlations between the ABC-16 and care giving during the night (P=0.0045), which strongly suggested excellent validation.
The mean and standard deviation of the total score of the ABC-16 was 14.66±7.87 (burden of troubles with care receivers; 4.10±2.36, burden of loss of social life; 4.21±2.54, financial burden; 2.93±2.65, burden of impairment of caregiver's health; 3.43±2.32).
The results indicated that the ABC-16 was a tool assess care burden with high reliability and validity, and was carried out easily and quickly by all participants without complex explains.View full abstractDownload PDF (684K) -
The Itabashi Oldest-Old Study IIHajime Iwasa, Yasuyuki Gondo, Taketo Furuna, Erika Kobayashi, Hiroki I ...2005 Volume 42 Issue 2 Pages 214-220
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSThis study was conducted to clarify the characteristics of cognitive function among physically independent very old people dwelling in an urban community in Japan. Five hundred and thirteen Old-Old (aged 75-84 years) and 168 Oldest-Old (aged 85-100 years) adults participated. We carried out the Mini-Mental State Examination (MMSE) for measuring cognitive functions in the elderly.
Age-related differences in the total score and sub-scale scores of the MMSE were analyzed by sex using ANCOVA, controlling for education, vision and hearing problems. Mean MMSE scores for Old-Old and Oldest-Old males were 27.53 and 25.88, respectively, and those for Old-Old and Oldest-Old females were 27.77 and 24.98, respectively. Age-related differences in the MMSE total score between the Old-Old and Oldest-Old were observed in both sexes, suggesting that overall cognitive functions continue to decline over time in very old age. Age-related differences between the Old-Old and Oldest-Old in items measuring, registration, calculation and delayed recall were observed in both sexes, and in addition, time orientation, place orientation, delayed recognition, writing sentences, and copying figures were observed in females. These findings suggest that the faculties are those most sensitive to normal aging among very old individuals. There were no age group differences in five items: reverse spelling, naming objects, repeating a sentence, listening and obeying, and reading and obeying.View full abstractDownload PDF (1232K) -
Masakazu Washio, Shigeyuki Saitoh, Yumiko Arai, Satoru Takagi, Hirofum ...2005 Volume 42 Issue 2 Pages 221-228
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSObjective: The present study was conducted in order to investigate risk factors for heavy burden of family caregivers. Study design: Cross-sectional study.
Participants: 51 pairs of the frail elderly and their family caregivers in one town in Hokkaido.
Results: Compared to those with a lighter burden, family caregivers with heavier burden looked after the frail elderly with more behavior disturbances due to dementia. They cared for the elderly longer and had less time to go out without accompanying their charges than less burdened caregivers. On the other hand, the elderly had similar activities of daily living and degree of need of care between the two groups. In addition, physical caring time did not differ between the two groups. These findings suggest that the psychological burden may be more important than the physical burden. In addition, caregivers used only 30-40% of services they had the right to use with long-term care insurance. These findings suggest that more convenient services for users should be provided.View full abstractDownload PDF (1203K) -
QOL assessment of elderly osteoporotics by EOQOLToshiyuki Horiuchi, Yoshio Kobayashi, Takayuki Hosoi, Hideaki Ishibash ...2005 Volume 42 Issue 2 Pages 229-234
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSWe presented a novel and specific questionnaire for quality of life of elderly subjects with osteoporosis (EOQOL), and analyzed its reliability and validity. Based on the discussions with elderly people of osteoporosis, we extracted key words related to complaints of patients with vertebral fractures. A 49 questionnaire was developed on concepts derived from key words. The subdirectories of the questionnaire for elderly osteoporotic subjects consisted of pain, daily activity, movement, physiological activity, duty, recreation and well-being. To analyze the reliability and the validity of EOQOL, it was evaluated in 101 elderly subjects with osteoporosis. Crohnbach's α coeffient was 0.82 for pain, 0.86 for daily activity, 0.73 for movement, 0.83 for mood, 0.78 for anxiety against falls, 0.84 for physiological activity, 0.85 for duty, 0.66 for free time, 0.78 for a nice feeling about life. These results indicated that EOQOL is useful as a disease specific questionnaire for elderly osteoporotic patients with osteoporosis.View full abstractDownload PDF (927K) -
Takahiko Matsuura, Mariko Miyao, Yuzo Mizuno2005 Volume 42 Issue 2 Pages 235-240
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSA 93-year-old male was urgently admitted to our hospital with dyspnea and disturbance of consciousness. The patient had been visiting a general physician regularly for ten years, for treatment of type 2 diabetes. He had been treated with glibenclamide and voglibose, until voglibose was replaced with buformin 3 months before admission. During pre-admission treatment, his HbA1c was 10-12% and serum Cr level was around 2mg/dL, but insulin therapy had never been considered because of “being too old”. The patient had started taking furosemide one year before admission, because of edema of the lower legs, and also spironolactone two months before admission. Anorexia had continued for one month before admission on May 29, 2003.
On admission, his laboratory data were; blood glucose 87mg/dL, HbA1c 12.5%, BUN 75mg/dL, Cr 3.9mg/dL, lactate 253.1mg/dL, and blood gas analysis; pH 6.97, anion gap 45.3mmol/L breathing room air, suggesting marked lactic acidosis with renal failure. Intensive care with bicarbonate and fluid therapy was successful, and his glycemic control improved markedly with insulin. On the other hand, his activity of daily living (ADL) severely deteriorated while in hospital. Home follow-up was therefore not indicated, and he had to change a hospital for further follow-up.
This case report gives rise to the question of how we should manage diabetes in the oldest elderly, including the use of insulin and biguanides. In addition, complications of biguanides in the elderly are reviewed.View full abstractDownload PDF (1518K) -
Masaya Koshizaka, Yoshiro Maezawa, Harukiyo Kawamura, Kazuki Kobayashi ...2005 Volume 42 Issue 2 Pages 241-244
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSWe encountered a man who developed severe diabetic nephropathy without progression of diabetic retinopathy. He had a 14-year history of diabetes, and had been treated with sulfonylurea, and his HbA1c remained around 6.5%. He was admitted because of systemic edema and dyspnea on effort. Laboratory data revealed renal failure and nephrotic syndrome, whereas there was no symptom of diabetic retinopathy. Since diabetic nephropathy usually progresses in parallel with retinopathy, it is atypical to develop severe nephropathy without retinopathy. In this case, longstanding hypertension and his genetic background including angiotensin converting enzyme D/I polymorphism might have played an important role in development of diabetic nephropathy.View full abstractDownload PDF (1156K) -
2005 Volume 42 Issue 2 Pages 245-257
Published: March 25, 2005
Released on J-STAGE: March 02, 2011
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