In this study, we examined the relationship between coping style and biochemical index among health check-up examinees. The data of 11, 852 examinees who filled in the“Stress-coping test”were analyzed. As the results of multiple regression analysis, active behavioral coping, distraction, passive resignation, and avoidance were significantly regressed on 8 biochemical index, although the highest total variances of coping variables accounted for biomedical index was only 0.03%. Therefore we divided the examinees into 3 groups (high, medium and low) according to clinical criteria and compared the coping score between these groups. As the results of the analysis, several significant differences between the groups on coping style were confirmed. In conclusion, the active behavioral coping and balanced coping style of distraction and passive resignation were recommended from the viewpoint of prevention medicine.
Social roles of the elderly have been changing in the era of an aging society and been represented by the term of successful aging. The cohort of health research volunteers (HRV) in the new elder citizens proposed by the Life Planning Center has been studied on their sociovihavioral and disease related aspects, of which characteristics have already been described elsewhere. Since HRV cohort has been defined as culturally desirable normal after the concept by Sackett, the present study was carried out to establish standardization of anthropometric and selected physical functional measurement values along with the exploration of gender differences. Subjects consisted of 153 males (78.3±4.6 y/o) and 166 females (77.5±3.6 y/o), to whom following parameters were examined ; height, weight, BMI, fat index, non-fat index, extremity circumferences, upper arm muscular area, bone mineral density (BMD), muscular strength of the extremities, walking speed, resting metabolic rate (RMR), cardiovascular functions, hematology and selected blood chemistries. Comparing to Japan Anthropometric Reference Data (JARD), both genders of HRV showed almost similar results to those of JARD with minor variations. Concerning gender differences within HRV, the male was characterized with larger muscular volume and its higher quality along with faster walking speed, higher RMR and BMD than those of the female. While age differences were not observed in any anthropometric and related functional measurements of the male, the female revealed significant age related differences in height, weight, non-fat weight, grip strength and walking speed. Therefore, standard values in terms of 20, 50 and 80 percentiles were derived in both genders based on these data, and only above mentioned selected parameters showing age related differences in the female were specified with the age above and below 80 years.
A questionnaire survey was conducted, and 100 individuals (65 men, mean age 47.9 years; 35 women, mean age 45.7 years) who answered that they experienced heartburn symptoms were randomly selected. Another 100 age- and sex-matched individuals who did not have heartburn symptoms were also selected. Upper gastrointestinal (GI) X-ray findings were compared between the two groups. Barium filled radiographs in upright and prone positions were examined and classified into five groups; 0; I-a; I-b; II; and III. Group 0 exhibited no deviation or dilatation of the esophago-gastric junction on upright and prone findings; Group I-a exhibited deviation or dilatation of the esophago-gastric junction on upright or prone findings; Group I-b exhibited deviation or dilatation of the esophago-gastric junction on both upright or prone findings; Group II exhibited deviation of the esophago-gastric junction and partial herniation of the gastric cardia; and Group III exhibited herniation of the gastric cardia and body. Upper GI X-ray findings were seen in 34 of the 100 individuals with heartburn symptoms and 22 of the 100 individuals without heartburn symptoms. Upper GI X-ray findings for individuals with and without heartburn symptoms were as follows; I-a in 16 and 17 individuals, respectively, I-b in 16 and 5 individuals, respectively, II in 1 and 0 individuals, respectively, and III in 1 and 0 individuals, respectively. Chi-squared testing revealed statistically significant differences in radiogaphic findings between Group 0 and I-a and Groups I-b, II and III with respect to heartburn symptoms (p<0.05) .
The screening for cervical cancer through diagnostic cytology is one of the few effective diagnostic methods for the detection of cancer proven by actual practice and has contributed to the lowering of the fatality rate of cervical cancer. However due to social changes, there have been a number of new problems made evident in the established examination system. We mention in particular, the drop in the detection rate of cervical cancer in an aging society. On the one hand there is an undeniable increase in cervical can-cers and precancerous lesions in the younger ages. These increases are undoubtedly the result of the development of cervical cancer being closely related to HPV infection increasing in step with increases in the sexual behaviors and activities of today's younger ages. The 2nd problem is the increase in self sampling specimens as a method of examination and diagnosis of cervical cancer. The problem of ambiguity or lack of precise accuracy in the self sampling specimen has often been pointed out but with less patient opposition to the method and its simplicity acting in its favor, in Tokyo its increase has doubled in a 5 year period. The self sampling specimens involving a low number of cells and a high rate in degenerative cells are very obvious problematic shortcomings in a cell diagnosis method. However when HPV is detected from specimens, the results compare well with the results obtained by medical institutions from specimens taken by medical doctors. To use HPV for initial screenings, there are a number of problems that yet have to be resolved such as cost effectiveness, etc. However if at least self sampling of specimens for examination are to be adopted for detection of cervical cancer, the adoption at the same time of commencing HPV tests may provide the trigger to a movement towards the adoption of institutional examination.
In 1996, the need for the clinical guideline for the management of hyperuricemia and gout was proposed in the consensus conference held in the 29 th annual meeting of Japanese Society of Purine and Pyrimidine Metabolism (president Yuji Matsuzawa) . In the consensus conference, following announcement was made. 1. Majority of patients with hyperuricemia is under the condition of multiple risk factor clustering syndrome, thus, hyperuricemia per se should be counted for one of the typical lifestyle related disease. 2. Medical management should be directed independently for the treatment of gouty arthritis and for the control of serum uric acid level. 3. Serum uric acid level should be taken into account the possible cardiovascular risk factor. 4. Urine alkalization should be started if there is no symptom of having hyperuricemia for the prophylaxis of urinary stones and renal dysfunction. 5. All the medical management should be considered under the consensus of the many expert physicians dealing hyperuricemia and gout. This principal announcement was made by the consensus conference and the simple management recommendation of 6-7-8 rule was proposed through the consensus of expert physicians. Recently, the guideline committee was organized in the Japanese Society of Gout and Nucleic Acid Metabolism (previous Japanese Society of Purine and Pyrimidine Metabolism) and the Guideline for the Management of Hyperuricemia and Gout was published in August 2002. In the new guideline, the above policy was succeeded and evidence was collected to give guideline the contemporary clinical usefulness and value. It will help in the proper management of hyperuricemia in the apparently healthy persons in the occupational health, having multiple risk factors and metabolic syndrome.