JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 39, Issue 5
Displaying 1-10 of 10 articles from this issue
  • Blood Pressure and Its Relation to Obesity and Serum Lipids
    Kiyoshi SAKAI
    1991 Volume 39 Issue 5 Pages 1009-1017
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    This epidemiological survy on cerebro-cardiovascular diseases was performed in 965 inhabitants ranging in age from 40 to 79 at a farming community in the northeastern part of Saitama prefecture.
    Used in the present study are data concerning the following: age, the degree of obesity, skinfold thickness, systolic blood pressure, diastolic blood pressure, total cholesterol and trigryceride. The results are summarized as follows:
    1) The mean value of systolic blood pressure increased linearly with advancing age for men and women.
    2) The simple correlation analysis disclosed that systolic blood pressure was positively correlated to age, the degree of obesity, skinfold thickness, diastolic blood pressure and triglyceride level for men. In females, systolic blood pressure was positively correlated to age, the degree of obesity, skinfold thickeness, diastolic blood pressure, total cholesterol and triglyceride level.
    3) Principal component analysis was made on men and women. Worthy of note is the fact that the principal component analysis of data showed a different pattern between men and women.
    4) Multiple regression analysis was also carried out, taking blood pressure level as dependent variables, and age, the degree of obesity, stinfold thickness, total cholesterol and trigryceride level as indepenndent variables. As a result, it was found that systolic blood pressure levels have asignificant correlation to age, the degree of obesity and triglyceride, in men. In females, age and the degree of obesity were positively related to systolic blood pressure.
    Diastolic blood pressure levels showed a significantly positive correlation to the degree of obesity and triglyceride level for men. In femrales, the degree of obesity and total cholesterol were shown to be significantly related to diastolic blood pressue.
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  • Katsuhiro SANADA, Kohei OKAMOTO, Koichi SHIBATA, Susumu HIRANUMA, Kazu ...
    1991 Volume 39 Issue 5 Pages 1018-1030
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    During the eleven years from January 1978 to December 1988, we experienced 1, 287 cases of gastric cancer, hospitalized in the surgical department of Tsuchiura Kyodo Hospital which is located in the southern agricultural district of Ibaraki Prefecture.
    Among these 1, 287 cases, 1, 233 patients were operated on. Gastric resection was performed in 1, 059 cases including 337 cases of total gastrectomy with the resection rate of 85.9 percent (1, 059/1, 233). In 863 cases, resection gave histologically satisfactory results, and our curative resection rate was 70.0 percent (863/1, 233). Direct mortality rate was 2.35% in all operated cases and 1.32% in resected cases.
    The five-year survival rate over the period from 1978 to 1983 was 57.7% in all resected cases and 69.3% in curatively resected cases.
    Annual follow up observation showed increases in resection rate, curative resection rate, and five-year survival rate. However, there were no remarkable changes in the rate of total gastrectomy, rate of combined resection of other organs, and degree of lymph nodes dissection.
    The main factor contributing to the improvement in the results of surgical treatment of gastric cancer was the increase in the detection rate of cancer in relatively early stages, through gastric mass survey or total check-up in the asymptomatic stage.
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  • Koichi SHIBATA, Susumu HIRANUMA, Katuhiro SANADA, Kohei OKAMOTO, Shin ...
    1991 Volume 39 Issue 5 Pages 1031-1039
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The surgical treatment cases of 452 colorectal cancer patients at Tsuchiura Kyodo Hospital in the years 1973-87 were analyzed and the following results were obtained.
    1) Operative cases of colorectal cancer have increased among the elderly. There was no difference between men and women. Recently, elder patients have been increasing with the advent of an aging society.
    2) Survival prospects were better for women and younger patients.
    3) There were no deaths in patients below 53 years of age. A high post-operative mortality rate was found in non-resectable cases.
    4) Survival was significantly related to involvement of lymph nodes. Significant difference was recognized between the lymph node metastasis of n0 and n1. It showed good correlations with lymphtic invasion. Histological stages would reflect survival rates well as a factor predicting prognosis.
    5) The cases of peritoneal dissemination were found more in younger patients than older ones. Age had nothing to do with liver metastasis. It was found more frequently in patients with serosal invasion, invaded by moderately differentiated adenocarcinoma and marked lymphtic and venous invasion.
    6) There was a fall in the survival rate of patients undergoing curative resection almost according to age. Among them, significantly worse survival was found in patients aged 40-50 years, whose condition was mostly advanced on histological stage and Dukes classification.
    7) Sufficient clearing of regional lymph node and considering of serosal invation for good prognosis from the surgical treatment are very important. For the future subject, to improve the surival rate, education about cancer. early detection and effect of multidisciplinary treatment are imperative.
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  • Toshihiro OKAMURA, Hiroaki SATO
    1991 Volume 39 Issue 5 Pages 1040-1044
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    From the standpoint of pediatricians, we have cautiously watched the increased prevalence of obesity among children as a phenomenon concomitant with the urbanization of agricultural communities.
    In this paper the findings of the latest survey of obesity in primary school children are axamined in comparison with the results of 1970 survey.
    The number of the children covered by the latest survey was 10, 606, of which 839 children (79.1%) were found in the condition of obesity, or 20% or more over a desired weigth, showing the incidence of obesity is 9 times higher than that in the previous survey.
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  • A Field Survey of Skin Lesions in Workers Cultivating Okra
    Fumi MANDA
    1991 Volume 39 Issue 5 Pages 1045-1052
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The outbreak of skin lesions in workers cultivating okra (Hibiscus esculentus L.) was studied by a field survey. Questionnaire and physical examinations including patch tests with preparations of okra pods were carried out.
    Out of 89 workers, 48 (53.9%) reported to have history of skin lesions. The sites of skin lesions were mainly arms (43.8%), dorsal regions of hands (35.4%), neck (33.3%), fingers and fingertips (each 29.2%). Concerning the symptoms of the skin lesions, itching (85.4%) and flare (45.8%) were dominant on picking work, and vanishing fingerprints and fissures on fingers on packing work. These clinical signs appeared shortly after the workers set to work without protective means.
    Positive reactions of the patch tests with preparations of okra pods were found in 11 out of 89 okra workers (12.4%). The positive rate in non-okra workers was 3.4%. The results indicated that skin lesions due to okra were caused by primary irritation and allergic sensitization.
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  • Masaya NAKAMURA, Seiki TANADA, Takeo NAKAMURA
    1991 Volume 39 Issue 5 Pages 1053-1059
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Concerning the intoxication by agricultural chemicals, adsorption removal of paraquat by activated carbons for initial treatment of paraquat intoxication in vitro was investigated. The amount of paraquat adsorbed was significantly related to the surface pH of activated carbon. It was not found the significant correlation between amount of paraquat adsorbed and physical properties of ten kinds of activated carbons.
    Moreover, the influence of sorbitol addition on the amount of paraquat adsorbed was studid. The amonut of paraquat adsorbed onto activated carbon was unaffected by sorbitol addition.
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  • Tetsuo MORIMOTO, Fujio MURAKAMI, Yasuhiko MIYOSHI, Ikuo MITANI, Hiroak ...
    1991 Volume 39 Issue 5 Pages 1060-1062
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The ratio of men to women was studied in 331 patients hospitalized into our department for the past three years for various liver diseases. Two factors seemed to affect the sex difference in the morbidity of liver disease. One was a history of drinking, the other a positive ratio of HBs antigen. So, heavy drinkers and HBs antigen positive cases were excluded from the patients with chronic hepatitis, liver cirrhosis and hepatocellular carcinoma, and the male/female ratio was studied again. The ratio of men to women in the patients with liver cirrhosis was 1.3: 1, 4. 1: 1 in the patients with hepatocellular carcinoma and 2.0: 1 in the patients with chronic hepatitis. The male ratio was strikingly high in the case of hepatocellular carcinoma. It is thought that liver cirrhosis is a cause of hepatocellular carcinoma. And then differences in the results of liver function tests between men and women were studied in the patients with liver cirrhosis. However, no remarkable difference was found between men and women.
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  • 1991 Volume 39 Issue 5 Pages 1063-1071
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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  • 1991 Volume 39 Issue 5 Pages 1072-1080
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Download PDF (1270K)
  • 1991 Volume 39 Issue 5 Pages 1081-1086
    Published: January 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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