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Volume 43 (1994 - 199･･･
- Issue 6 Pages 1177-
- Issue 5 Pages 1049-
- Issue 4 Pages 939-
- Issue 3 Pages 150-
- Issue 2 Pages 57-
- Issue 1 Pages 1-
Volume 43, Issue 5
Displaying 1-15 of 15 articles from this issue
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Osamu NAKAMURA1995 Volume 43 Issue 5 Pages 1049-1054
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThose in medical profession are under the pressure of neccessity to consider their works on thestandpoint of “a regional care”, because they must organize medical services in their region and learn living conditions of their patients in the region.
This paper reports the directions of reconstruction of rural districts and farmhouse economics.1) We identified rural problems as decreasing trends of agricultural products, aging populaces, depopulation and inadequacies of public facilities.
2) We investigated the history of the regional development in Japan, and picked up the problems of regional development.
3) We worked over our plan about new trends of regional reconstruction.View full abstractDownload PDF (677K) -
Masumi YAZAKI, Yumi TANAKA, Michiyo MIHASHI, Akio TAMURA, Naomi ONOE, ...1995 Volume 43 Issue 5 Pages 1055-1060
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe results of pulmonary function tests (PFTs) given to those inhabitants in the western part of Kanagawa Prefecture who visited our hospital for medical examinations between April 1991 and March 1992 were studied comparatively, with their occupation, age, sex, environmental factors and smoking habits taken into account. For this purpose, the subjects totaling 1, 322 were classified into three groups-those who live in the hilly area, those who live in the suburban area and those who live in the coastal area. In the present study, the results of the four PFT items-FVC, FEV 1.0%, FVC and FEV 1.0%-were checked. Careful examination brought into relief the startling fact that many aged people, non-farmers and nonsmokers in the suburban subject group have impaired pulmonary function. It is said that because of the Tokyo-Nagoya expressway and many other motorways, the air in the suburban area is fouled up with exhaust gas to a greater extent than in the other two areas. Although our finding alone could not identify the cause of impaired pulmonary function definitely, air pollution was thought to be a culprit. Further investigation should be made into the living conditions of the examinees. Moreover, environmental monitoring and data analysis have to be carried out in the future.View full abstractDownload PDF (726K) -
Kazuhiko KOTANI1995 Volume 43 Issue 5 Pages 1061-1064
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe natural course of hepatocellular carcinoma (HCC) was investigated retrospectively in the cases especially related to hepatitis B virus (HBV) and hepatitis C virus (HCV). The average diagnostic age of the patients was significantly higher in HCV-related HCC cases than those associated with HBV, and females were older than men as a general trend regardless of viral type. In the progressive duration of such chronic liver diseases as chronic hepatitis, liver cirrhosis and HCC, there was no significant difference between HCC caused by HBV and HCV-related HCC, but the progress tended to be slower in female cases than in male ones. In the same drinking habit, each progressive duration indicated no remarkable difference between cases related to HBV and HCV, and insignificant difference was also found between those who ingest more than 86 g per day in terms of ethanol comsumption and none or under 86 g per day, regardless of viral type.View full abstractDownload PDF (537K) -
Tetsuya TAJIKA, Hirosi KANDA, Tomohito WATANABE, Yuichi KITAGAWA, Atsu ...1995 Volume 43 Issue 5 Pages 1065-1071
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIntroduction. The principal therapy for gallstones was open cholecystectomy. Recently, however, with remarkable advances in laparoscopic surgery on the biliary tract in particular, laparoscopic cholecystectomy has become preferred treatment for symptomatic cholelithiasis. To assess our experience in surgical treatment for gallstones and determine the best method to reduce postoperative discomfort, cases of cholecystectomy performed in our institution were reviewed.
Patients.-During the past 14 years, 524 patients were treated for cholelithiasis (cholecystolithiasisin 412, choledocho-cholecystolithiasis in 75, choledocholithiasis in 36, intrahepatic stones in 1). The ratio of men to women was 1: 1.7 and the average age was 61 years. Results.-Only cholecystectomy was performed on 86% of the patients with cholecystolithiasis and 91% had accompaning open surgery with laparoscopic cholecystectomy in latest years. Open cholecystectomy by inserting a T tube was done on 61% of choledochocholecystolithiasis cases. In some cases papilloplasty and/or choledochoduodeno or choledochojejunostomy followed. Almost all patients with choledocholithiasis had open cholecystectomy with T-tube insertion and additional procedures to remove stones in thebiliary tract in earlier years. In these years, no more addidional procedures except for choledochotomy with T-tube insertion had been performed in any cholelithiasis cases.
Conclusions.-Laparoscopic cholencystetomy is a safe and effective procedure and should be preferred for symptomatic cholelithiasis except for cases with acute cholecystitis, common bile duct stones, gallbladder cancer and other severe complications.View full abstractDownload PDF (1013K) -
Hiroshi UNE1995 Volume 43 Issue 5 Pages 1072-1077
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA regional care system for ill or disabled elderly people, with a non-governmental general hospital playing a central role in providing health and medical services, was investigated in a rural area. In the southern part of Oita City, the Hetsugi Hospital is such a central medical institution. Attached to the hospital, there are the geriatric intermediate care facilities and the home-care service unit for the elederly with two full-time nurses. Organizationally independent, the hospital, the health facilities and the home-care service unit are united in their efforts to deliver comprehensive services ranging from emergency service to home health care. As a result of improvements in residential and home care activities, the average number of days the elderly patients spent in the hospital has decreased by some 10 days in the past 7 years. Our survey also found that most of the old people andtheir families are satisfied with day health-care services provided to them. In a rural setting where health, medical and welfare resources are wanting, we considered, the system in this region could serve as a model for the practical and effective care system for the disabled elederly.View full abstractDownload PDF (716K) -
A Qestionnaire SurveyYoriko EBATA1995 Volume 43 Issue 5 Pages 1078-1082
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA questionnaire survey was taken on nurses working with Tsuchiura Kyodo Hospital to know their attitude toward the dead. Parincipal questions included:(1) What are you concerned about the most when you are treating the bodies?;(2) Did you feel your way of handling the patients had been changed after they were dead?;(3) What occurred to you when you learned your patients had just passed away?; and (4) Are you for or against the idea that some members of the family of the dead patient should do postmortem procedures with you?
The results showed that a majority of the nurses questioned deal with the deceased as tenderly as while alive. Many replied that they use warm water in wiping the bodies clean out of consideration for the departed. Some nurses said they have allowed to members of the families of the dead to do part of their job such as the making up of the face of the body and the fixing of the clothes. By so doing, they said, they let themselves join with the bereaved in their suffering and try to accept the fact of death together.
The present survey uncovered many things about how postmortem procedures are being doneand provided a good opportunity for us to reflect upon the duties we have attended to so far.Personally, what I thought the most important is nurses' attentiveness to the grief-stricken families.View full abstractDownload PDF (726K) -
The Case of Takasu TownIwao SUGIMURA, Hiroko ARA1995 Volume 43 Issue 5 Pages 1083-1086
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSTakasu Town has instituted a health and medical information system based on the residents' registry since 1985. Recently, information about home care information was added to this in order to promote the efficiency of home care support.View full abstractDownload PDF (452K) -
[in Japanese]1995 Volume 43 Issue 5 Pages 1087-1092
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
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[in Japanese]1995 Volume 43 Issue 5 Pages 1093-1097
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
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[in Japanese]1995 Volume 43 Issue 5 Pages 1098-1100
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
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[in Japanese]1995 Volume 43 Issue 5 Pages 1101-1102
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (264K) -
[in Japanese]1995 Volume 43 Issue 5 Pages 1103-1106
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
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1995 Volume 43 Issue 5 Pages 1107-1116
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
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1995 Volume 43 Issue 5 Pages 1117-1130
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
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1995 Volume 43 Issue 5 Pages 1131-1141
Published: January 30, 1995
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (1606K)
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