JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 40, Issue 1
Displaying 1-8 of 8 articles from this issue
  • Special Reference to Agricultural Working Days
    Kazumitsu HIRAI, Takafumi TSUBOI, Motomi TORII, Yasuko ISSIKI, Chiyoko ...
    1991 Volume 40 Issue 1 Pages 1-11
    Published: May 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    This study was carried out to investigate the relationships among the agriculturalworking days, nutrients intake and complications of hypertension in 266 male subjects in a ruralarea. The main findings are as follows.
    1. Salt and carbohydrate intake and cereal energy level were higher in the farming group, who engaged in agricultural work for 300 days or over in a year, than in the non-faming group.
    2. The hypertensive group with abnormal ECG or fundscopic findings showed a lower protein energy ratio, fat energy ratio and animal protein ratio than the non-hypertensive group with normal ECG and fundscopic findings.
    3. The serum total cholesterol level of the farming group was lower than that of the non-farming group. The hypertensive group with abnormal ECG or fundscopic findings showed lower serum total cholesterol level than non-hypertensive group with normal ECG and fundscopic findings.
    These results suggest that the complications of hypertension, such as abnormal ECG or funds-copic findings, are aggravated by the dietary habits of the farming group.
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  • Impairment of Hepatic and Pancreatic Funciton and of Disposal of Carbohydrate and Lipid
    Kunio ISHIDA, Hiroyasu YAMADA, Kazunobu KOIDE, Kazufumi ISHIDA, Keiji ...
    1991 Volume 40 Issue 1 Pages 12-24
    Published: May 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    In order to assess the influence of habitual alcohol consumption on hepatic and pancreatic function, and on the disposal of carbohydrate and lipid, determination of serum hepatic and pancreatic enzyme levels, and serum glucose, insulin and triglyceride on oral glucose challenge was made in relation with the amount of consumed alcohol.
    1. GOT, GPT and γ-GTP levels increased correlated with daily alcohol consumption, and γ-GTP was the most sensitive marker for alcohol consumption.
    2. Habitual alcohol consumption reduced serum amylase and increased elastase 1 and trypsin, while the excursion of these enzyme levels remained within normal range. Because people with elastase 1 or trypsin levels beyond normal range was found more frequently than with amylase, the former two pancreatic enzymes might be better marker of alcoholic pancreatic injury than the latter one.
    3. Alcohol dependency in daily caloric requirement elevated serum glucose and triglyceride in fasting and 2 hours after glucose challenge. Hyperinsulinemia after glucose challenge might indicate that moderate daily alcohol consumption induces insulin resistance resulting in deteriorated glucose disposal.
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  • Noboru SASAKI, Sigenobu KADO, Masaharu KAWAGUCHI, Kazuto FURUKAWA, Tat ...
    1991 Volume 40 Issue 1 Pages 25-30
    Published: May 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    A total of 478 resected gastric cancer cases were studied. The male-female ratio was 1.6, -294 males and 184 females. The patients were divided into two groups, namely, the elderly group (patients aged 70 and over) and the non-elderly group (patients aged 69 and below). In the elderly group males were predominant over females. The number of elderly patients accounted for 34.1% of the total number of stomach cancer cases. This percentage is higher than the national average. In the elderly group, cases detected by stomach health screening or health diagnosis tests were a few, but many cases were in stage IV. The number of inoperable cases was somewhat high, radical gastrectomy was performed on a few of the patients, and the resection rate was somewhat low. A tendency was observed for multiple cancer focuses ; in regard to the regions of occupation or spreading and tissue type, the upper region was less likely and the lower region was more likely to be affected, the anterior wall and the circle were likely to be affected. A tendency was observed for the localization of highly differentiated tissue in the patients. Although no difference was observed in the direct surgical mortality rate, the 5 year survival rate was unfavorable, suggesting the patients might have died due to other diseases. In the elderly group, those who suffered from diseases and preoperative complications comprised 92% of the total, and abnormalities during preoperative examinations were detected in 96% of these patients. Postoperative complications developed in 42%. Postoperatively, psychological problems must be taken into consideration. In elderly patients who are operable, although it is desirable to actively perform surgery aiming at radical operations, it is thought necessary to cope carefully with resection of the stomach. If a radical operation is performed after carefully evaluating preoperative risks and with adequate preparations, it is thought possible for elderly patients to achieve favorable therapeutic results and improvement in their QOL differing little from non-elderly patients.
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  • Noboru SASAKI, Sigenobu KADO, Masaharu KAWAGUCHI, Kazuto FURUKAWA, Tat ...
    1991 Volume 40 Issue 1 Pages 31-35
    Published: May 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Study was made on total of 304 cases of cancer of the large intestine resected during the period of 12 years from 1978 to 1989.
    Colon cancer accounted for 56.8% of the total and rectal cancer 43.2%. There were no sexual differences. Those people aged 50 and older represented 86.0% of the total number of the cases. By age group, those in their 60s topped the list with 27.3%, followed by those in 70s with 24.4%. Almost all the cases (95.1%) were of the patients who had visited the hospital, having noticed symptoms themselves. A very few cases were detected among the people without subjective symptoms when they received group medical Checkups.
    By region, 39.4% of the colon cancer cases were found in S, followed by A. In the cases of rectum cancer, Rb accounted for 50.7%. Of the total caces, 74.5% had cancer on the left side of the large intestine.
    Resection rate was 91.5%. The rate of resection leading to cure was 71.8%. Broken down by histological staging, stage I came to 11.7%; stage II, 30.9%; stage III, 21.8%; stage IV, 11.7%; stage V, 23.8%.
    The 5-year-survival rete averaged 57.1%. In pre-surgery tests, the positive rate of CEA was as low as 46.6%. The positive rate for early cancer was extremely low. Measurement of CEA levels as an auxiliary diagnosis, therefore, did not prove itself to be useful in searching for cancer.
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  • The Effect of Doses of Vitamin C on Serum Alkaline Phosphatase Acivity
    Masahide IMAKI, Tamotsu MIYOSHI, Seiki TANADA, Takeo NAKAMURA, Masatos ...
    1991 Volume 40 Issue 1 Pages 36-39
    Published: May 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The effects of large doses of vitamin C on serum alkaline phosphatase activity were examined in six young healthy volunteers. The experiment lasted 30 days. The results obtained were as follows.:
    he mean basal AL-P level in the six subjects was 5.9±2.3 K-A unit. Upon administration of 1g/day of vitamin C, the values increased to the mean of 6.9±2.6 K-A unit, while after a dose of 10g/day, the mean came to 6.8±2.1 K-A unit. All the subjects showed increased AL-P serum levels relative to the control period.
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  • Tetsuo MORIMOTO, Fujio MURAKAMI, Yasuhiko MIYOSHI, Ikuo MITANI, Akihir ...
    1991 Volume 40 Issue 1 Pages 40-41
    Published: May 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We gathered information of both drinking and smoking habits by questionnairing. The subjects of our study were 116 men around Yanai City. They were divided into five groups. 1st: neither drinking nor smoking habits (23 cases). 2nd: 20 or 40 grams of ethyl alcohol daily and no smoking habit (31 cases). 3rd: more than 40 grams daily and more than 10 cigarettes (32 cases). 4th: 20 grams daily and more than 10 cigarettes (16 cases). 5th: no drinking habit and more than 10 cigarettes daily (14 cases).
    The 1st group was a control group, and was compared with the 2nd, 3rd 4th and 5th groups. Consequently both systolic and diastolic blood pressure levels rose significantly only in the 3rd group. Only systolic blood pressure level rose significantly in the 4th group. And so it was suggested that both drinking and smoking habits raised both systolic and diastolic blood pressure levels.
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  • Shinji Miyahara
    1991 Volume 40 Issue 1 Pages 42-46
    Published: May 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We investigated the occurrence of paragonimiasis in the area along the Shimanto River and its branches flowing through Nishitosa Village, Kouchi Prefecture, by studying parasitism of metacercariae in Eriocheir japonicus and Geothelphusa dehaani and infection in humans.
    A. Investigation of crabs
    Fifty nine Eriocheir japonicus were caught at two points of a branches of the Shimanto River, and two (3.4%) were found with metacercariae.
    One hundred and seventy eight Geothelphusa dehaani were captured at six points of the branches of the Shimanto River, and 105 (59.0%) were found with metacercariae.
    B. Investigation of infection in humans
    The first to fifth screenings were conducted on 2, 274 inhabitants of Nishitosa Village ; the first screeing was performed by questionnairing on paragonimiasis, the second intracutaneous reaction, the third chest X-ray, the fourth sputum test, and the fifth serum test. The screenings revealed one subject infected with Westermann paragonimiasis, the source of infection being raw wildboar meat.
    The study has confirmed the existence of paragonimiasis in the area along the Shimanto River, and showed to the villagers that eating Eriocheir japonicus and Geothelphusa dehaami raw is dangerous to their health.
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  • 1991 Volume 40 Issue 1 Pages e1
    Published: 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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