JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 45, Issue 2
Displaying 1-9 of 9 articles from this issue
  • Correlations between Lifestyle and Well-being
    Toshiki KATSURA, Masami NOJIRI, Masataka NAKANO
    1996 Volume 45 Issue 2 Pages 61-70
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We studied the correlations between lifestyle (a set of health-related practices sleeping hours, working hours, breakfast, eating between meals, salt, smoking, drinking, exercise, balance in diet) and the sense of well-being using by Neugarten's Life Satisfaction Index (LSI). For this purpose, a survey was made of middle aged and elderly residents in a town.
    Multivariate analysis to control the confounding factors of sex and gender revealed that the practices significantly related to the sense of well-being were diet, exercise and salt in take and that the health practices promoting LSI were balanced diet, regular exercise, restriction of salt and excessive drinking, but having poorly unbalanced diet and skipping breakfast deteriorated LSI.
    In males the practices promoting LSI were regular exercise, balanced diet, working long, restriction of salt, intake and working long. Lack of sleep and skipping breakfast deteriorated LSI.
    In females the practices promoting LSI were balanced diet, regular execise, restriction of salt, intake and drinking. But nutritionaly imbalanced diet and not eating between meals deteriorated LSI.
    Better lifestyle was correlated with high LSI irrespective of sex and gender. These results reveal that healthy lifestyle promotes subjective well-being and suggest that the health practiced deter the age-associated decline in health and the deterioration of bodily functions that typically accompany aging.
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  • Takayuki YOSHIOKA, Yukio TAKESHIMA, Hiroko KODAMA, Eriko SETO, Takashi ...
    1996 Volume 45 Issue 2 Pages 71-76
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We have tried surgical pathologic diagnosis using a still image transmission system. The equipment we used was a medical information network system (Telepathology) developed jointly by Inohara Shokai and NTT. During the 9-month period from April to December in 1995, we performed pathological diagnosis on a total of 63 cases received via this system. The cases included 21 stomach cancers, 13 colorectal cancers, 5 breast tumors, 4 lung tumors, 5 thyroid tumors and 3 ovary tumors. Materials presented for pathologic examination were 44 lymph nodes, 20 stumped sections of the lesions and 13 tumor tissues. The correct diagnosis ratio was as high as 93.7%. Improvement in the specimen-making procedure reduced the time required to arrive at a firm diagnosis. However, the quality of images of low magnification is unsatisfactory. It should also be pointed out that there is much room for improvement in the technical skill and knowledge of the persons concerned. Nevertheless, great expectations could be placed on this system. With progress in data transmissions technology, it will find its use more widely.
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  • A Retrospective Study in 30 Patients
    Atsushi UEDA, Katsumi TAKEMURA, Akira ICHINOE, Satoshi SUZUKI, Yoshino ...
    1996 Volume 45 Issue 2 Pages 77-85
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We performed a retrospective study of the effects of steroids and the factors that deteriorate renal function in 30 patients with primary focal segmental glomerular sclerosis. The mean observation periods from the onset of proteinuria and from the histological diagnosis by renal biopsy were 6.1 ± 5.0 years and 3.9 ± 3.01 respectively. 87% of the patients had been recerving steroid therapy with or without other drugs. In this study, the patients were divided into 3 groups by the initial dose of steroids. A multivariate analysis was performed on the laboratory findings of the 3 groups. In a short-term observation, there were no significant defferences among the groups. However, in a long-term observation (more than one year) it was clarified that the patients who had been given high doses of steroids tend to maintain their renal functoin. We also found that the patients responding to steroids showed a significantly better prognosis than steroid-resistant patients upon examination their nephrotic status and renal functoin.
    This statistical analysis confirmed that the factors deteriorating the renal function are hypertension and hyperlipidemia.
    In addition, it was revealed that hyperuricemia, is responsible for the renal dissease, failure?
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  • Naohito YAMAMOTO, Toshihiko TANASAWA, Kouji HATTORI
    1996 Volume 45 Issue 2 Pages 86-89
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    With a view to weighing the clinical significance of asymptomatic cerebral infarction, we analyzed the usefulness of the fluid attenuated inversion recovery method in magnetic resonance imaging. The subjects wee composed of 94 outpatients who participated in our screening program for brain troubles. Indications of asymptomatic cerebral infarction were registered on T2-weighted images of 21 subjects (22%) and on FLAIR images of 31 subjects (33%). The FLAIR method, in which the signals from the cerebrospinal fluid are checked, excelled at detecting lesions, especially those under the cerebral cortex which are almost indistinguishable from gray matter and sulci. The subjects with asymptomatic cerebral infarction had significantly many risk factors for stroke including hypertension and hyperlipidemia. Thus, we concluded that the FLAIR method is very useful in diagnosing asymptomatic cerebral infarction.
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  • Kazuya YAMASHITA, Kenichi IIJIMA, Akira SHIRASAWA
    1996 Volume 45 Issue 2 Pages 90-94
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We examined the relationship between the change to a type A behavior pattern and the changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP) in subjects who work in T town communities.
    A screening test was performed to determine which subjects had a type A behavior (Tagawa et al.). Between 1994 and 1995 there were 10 subjects in whom the pattern changed from type B2 to type A2 (Changed Group) and 11 subjects in whom the pattern stayed in type B2 (Unchanged Group).
    The rate of change to type A score [(type A score in 1995-type A score in 1994)/type A score in 1994×100] was correlated with the rate of change in SBP [(SBP in 1995-SBP in 1994)/SBP in 1994] and DBP [(DBP in 1995-DBP in 1994)/DBP in 1994×100].
    In the Changed Group, SBP and DBP levels in 1994 were significantly higher than those in 1995. However, in the Unchanged Group, there were no significant differences in SBP or DBP level between 1994 and 1995. Furthermore, there were no significant differences in SBP or DBP level between the Changed and Unchanged Groups in 1994 and 1995.
    Our results suggest that type A behavior and blood pressure are closely related.
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  • Takayuki KASAHARA, Masashi SAITOU
    1996 Volume 45 Issue 2 Pages 95-98
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Guillain-Barré syndrome (GBS) is characterized as an acute inflammatory demyelinating polyneuropathy. Although the cause and pathogenesis of GBS remain unknown, the fact that most cases of GBS are preceded by an infection suggests that GBS has an immunologic basis. Plasmapheresis can shorten the duration of GBS, but it requires both appropriate equipment and trained medical staff. As an alternative therapy to plasmapheresis, we have tried intravenous high-dose gammaglobulin in a 3-year-old girl with this syndrome. The treatment produced rapid improvement of muscle strength of the patient.
    We confirmed that the intravenous high-dose gammaglobulin is useful in the treatment of severe Guillain-Barré syndrome.
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  • Takehumi KUNIEDA, Hidehumi SATO, Nobuhiko MISHIMA
    1996 Volume 45 Issue 2 Pages 99-103
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Alveolar echinococcosis results from infection by E. multilocularis and has spread throughout Japan's northern island of Hokkaido during the last four decades. However, this malignant parasitic disease is very rare on the main island of Honshu. Here we report a case of alveolar echinococcosis of the lung, probably the first case found in Aichi Prefecture. The patient, a 65-year-old male, was admitted on March 1989 with marked Rt. hypochondralgia. Though Rt. pleural fluid was observed on chest radiograms, he showed moderate improvement after the chemotherapy for tuberculosis. On March 1993, he was admitted again as x-rays revealed marked multiple nodular shadows on the lungs. Open lung biopsy was follewed. The result of pathological diagnosis was parasitosis of the lung, but no parasite was identified. Although symptomatic therapy was continued for one year and six months, his symptom became worse and he was readmitted. Further history taking revealed the fact that he had resided on one of Chi-shima islands off Hokkaido for one year. A positive result of ELISA was confirmed. Long-term Albendazole therapy can result in a parasitological cure with reduction of the lesion in the lung.
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  • 1996 Volume 45 Issue 2 Pages 104-109
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Download PDF (682K)
  • 1996 Volume 45 Issue 2 Pages 110-115
    Published: July 30, 1996
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Download PDF (791K)
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