Health Evaluation and Promotion
Online ISSN : 1884-4103
Print ISSN : 1347-0086
ISSN-L : 1347-0086
Volume 41, Issue 5
Displaying 1-4 of 4 articles from this issue
Original Articles
  • Tomoko Shiga, Maki Sekiguchi, Yoko Ishigaki, Hisashi Higashiiwai, Tets ...
    2014 Volume 41 Issue 5 Pages 568-573
    Published: 2014
    Released on J-STAGE: November 01, 2014
    JOURNAL OPEN ACCESS
     Objective: The cause of cervical cancer has been clarified as human papillomavirus (HPV). Moreover, in order to detect precancerous change, it is very important to increase the cervical cancer screening attendance rate and to improve the precision of cervical cancer screening. In recent years, Liquid Based Cytology (LBC) has been introduced in the field of gynecology. This study therefore reports our comparison and consideration of the results obtained in high-risk HPV testing conducted using LBC and conventional cytology.
     Subjects: We examined 18,956 cases for whom cervical cytology was performed in our clinic from January to December 2011.
     Methods: Conventional cytology by scraping with brushes was conducted for 18,956 cases, and LBC (TACAS system) and high-risk HPV tests were conducted on split sample preparations for 1,227 consenting cases. High-risk HPV (Hybrid Capture 2 Method) test requests were sent to BML.
     Results: The inadequacy rate with conventional cytology was 0.2%(44/18,956) and the inadequacy rate with LBC was 0 %(0/1,227). The determination of LBC preparations shows a concordance of 95.2 %(1,168/1,227) with the conventional cytology determination. In terms of the detection rate of ASC-US or worse results, the detection rate with LBC was higher than that with conventional cytology. The HPV positive rate was 6.9 %%(85/1,227). Of 1,137 cases who tested negative for NILM with both conventional cytology and LBC, 2.4% (27/1,137) were HPV positive; moreover, follow-up results indicated that CIN1 or LSIL was recognized in 48 %(13/27) of these cases. Compared with conventional cytology, with LBC, cells smeared more evenly and atypical cells were detected more easily because of the relative paucity of blood effects.
     Conclusions: The study results suggest that adopting LBC has the potential to reduce the number of unacceptable specimens and improve detection sensitivity for atypical cells. A combination of HPV testing and LBC is expected to improve management of ASC-US and the sensitivity of screenings.
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  • Yumi Sato, Ken Haruma, Yuka Fujita, Kazuyo Nakayama, Toshihiro Takao
    2014 Volume 41 Issue 5 Pages 574-585
    Published: 2014
    Released on J-STAGE: November 01, 2014
    JOURNAL OPEN ACCESS
     Purpose: We designed a study protocol in order to evaluate the effectiveness of afternoon gastric radiography.
     Methods: We examined the serum pepsinogen (PG) value and serum Helicobacter pylori (HP) antibody value of 240 participants aged 35 years or greater who consented to gastric cancer screening at the time of the staff medical screening provided by Kawasaki Medical School Kawasaki Hospital for 6 months from July 2012. The judgment criteria were PG positive for PG I ≤ 70ng/mL and PG I / II ratio ≤ 3.0, and HP positive for HP ≥ 10 µ/mL. The risk classification was Group A for PG (-) HP (-), Group B for PG (-) HP (+), Group C for PG (+) HP (+), and Group D for PG (+) HP (-), Group E for HP bacteria elimination and Group F for re-infection. Gastric cancer screening was performed for endoscopy for Group C, D and direct radiography was performed for other groups. We compared gastric cancer screening results of last time and this time (afternoon gastric radiography). Afternoon gastric radiography: Breakfast should be taken before 7 o'clock in the morning. Statistical analysis: For assumption of the complex effect for the reading evaluation a three way factorial analysis of variance is used.
     Results: Of 240 staff, the gastric cancer discovery rate was 0%, and the risk classification results were 69.2% for Group A, 15.0% for Group B, 10.8% for Group C, 0.8% for Group D, 3.3% for Group E, and 0.8% for Group F. There were none that were particularly significant. Gastric radiography taken in the afternoon should be just as useful as those taken in the morning.
     Conclusion: Gastric radiography is performed in the afternoon, is expected to serve as an effective screening for gastric cancer for the working population.
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  • Mamoru Gaman, Reiko Okumoto, Mitsuyoshi Nishibata, Norie Ito, Yukari K ...
    2014 Volume 41 Issue 5 Pages 586-590
    Published: 2014
    Released on J-STAGE: November 01, 2014
    JOURNAL OPEN ACCESS
     Timed Up & Go test (TUG) strongly relates to lower muscle strength, equilibrium function and activity of daily living. Subjects tested were 188 female over the age of 65, who participated in the school of bedridden prevention. The purpose of this study is to investigate the physical function that affects TUG. The variables of this study were age, BMI, one-leg standing time, 5m straight course time, and hand grip strength. In statiscal analysis, simple correlation coefficient with TUG and the variables were calculated by simple linear regression analysis to find relationship. The variables that showed significant correlations with TUG are one-leg standing time, 5m straight course time, and hand grip strength. The age of subjects and BMI are not significantly correlated. Among the items which are significantly correlated with TUG, one-leg standing time is the only item that showed a standardized partial regression coefficient. Although several reports explained the relationships with TUG, age and BMI, this particular study did not show the same results. The equilibrium function is necessary for the movements of turning, standing and sitting in TUG. Therefore this study suggests that maintaining equilibrium function may improve TUG results.
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Lectures
42nd JHEP conference 2014
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