One-hundred and five letters were send to85cases who discontinued to receive our medical care. Half of them again visited the clinic responding to the letters. To the remaining half of the cases neither repeated letters nor the visits from public health nurses were fruitful with3exeptions. Most of them said that they were quite free from their symptoms.
Fourteen cases of active urinary tract tuberculosis out of5510patients were reported. Four had a previous genitourinary tuberculous infection. There were ten patients presented with bladder symptoms. Most of the cases were treated over months as non-specific urinary tract infection before they visited our clinic. Delay in diagnosis results in the loss of the kidney and bladder.
The management of the urethral injury which does not pass a catheter is difficult. As the results of primary reconstruction are unsatisfactory, I prefer suprapubic trocar cystostomy for the first stage. For two of three cases treated with this principle no further surgical procedure was necessary.
Community health survey was performed by Professor Yanagisawa et al of Tokyo Medical and Dental University in the summer of 1975 at Ikawa district, Shizuoka-prefecture. The author participated in dermatological investigation and found skin diseases in 25.9% of men and 31.6% of women examined. Dermatitis and eczema, chloasma, and tinea superficialis were the three common dermatoses among the, adults in the community. No dermatological signs suggestive of collagen diseases were observed.