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Volume 46 (1997 - 199･･･
- Issue 6 Pages 894-
- Issue 5 Pages 805-
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Volume 46, Issue 6
Displaying 1-13 of 13 articles from this issue
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Mitsunobu AKASHI1998 Volume 46 Issue 6 Pages 894-907
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSI chose this subject for the chairman's lecture without a moment's hesitation. During the four years at the graduate school, I studied virology and enjoyed a wide range of researches from molecular biology and electron microscopy to field work on the wintering of Japanese encephalitis viruses, etc. Then, I was engaged in research in the field of tropical medicine in Kenya, Africa. Half a year after I returned to Japan, still obsessed by Africanism, I came to Oita on a three-year contract.
I found Oita blessed with nature and rich in wonderful food, However, the first thing I came across here was a parasite that is much larger than viruses. It was Paragonimus which would infect humans not through crab meat but raw boar meat. I also discovered the 12th case in Japan of pulmonary dirofilariasis in the human lungs that is an infection with filaria immitis. Later, I had opportunities to diagnose a variety of zoonosis, but I realized wrong diagnosis had been made for each of those infections. I came to Oita as a doctor of pulmonary medicine, but living in Africa had changed my view of life and my clinical view. In Africa, illesses were greatly affected by the natural environment and socio-economic factors in local areas.
To present my experiences in discovering rare diseases in local areas, to talk about how I discovered them, and to mention the present situation and future themes are thought to be suitable for the Rural Medicine Congress which will be held in Kyushu for the first time in 22 years.
In Japan, we have to keep zoonosis always in mind, when making diagnoses, because of an increasing number of people going overseas, the pet boom, the gourmet boom, the increase in imported foods, etc.
Also zoonses, both new and reviving ones, are told to break our by unusual changes in this modern society. Now is the time to reexamine agriculture in Japan. I believe this is the task for people who are associated with the cause of rural medicine.View full abstractDownload PDF (23210K) -
[in Japanese]1998 Volume 46 Issue 6 Pages 908-911
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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Identification of Abnormal Insulin “Insulin Wakayama”Kishio NANJO, Tokio SANKE, Michi KONDO, Kazuhiko OKAI, Tadashi HANABUS ...1998 Volume 46 Issue 6 Pages 912-917
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe recent development of molecular biology enables us to identify three abnormal insulins (insulin Chicago, insulin LosAngeles and insulin Wakayama). In Japan, three pedigrees in which affected individuals secrete [LeuA3] insulin (insulin Wakayama) have been identified. In each family, hyperinsulinemia associated with an abnormally elevated insulin to C-peptide molar ratio was demonstrated to occur in an autosomal dominant pattern of inheritance. In accordance with in vivo observations, semisynthetic [LeuA3] insulin demonstrated reduced in vitro receptor binding and biological activity relative to the human standard. The development of diabetes mellitus in affected family members was not uniform, was influenced by aging, and was different among families. Patients with impaired glucose tolerance demonstrated reduced insulin secretory reserve. Some of these features are thought to resemble the nature of noninsulin dependent diabetes mellitus (NIDDM).
Therefore, insulin Wakayama may be an useful model for the study of the development of NIDDM.View full abstractDownload PDF (2760K) -
[in Japanese]1998 Volume 46 Issue 6 Pages 918-926
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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[in Japanese]1998 Volume 46 Issue 6 Pages 927-937
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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[in Japanese]1998 Volume 46 Issue 6 Pages 938-949
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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1998 Volume 46 Issue 6 Pages 950-951
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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1998 Volume 46 Issue 6 Pages 952-955
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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1998 Volume 46 Issue 6 Pages 956-957
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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A Comparison of Old People in Nursing Homes with Those in HospitalsAkiyoshi BANDO1998 Volume 46 Issue 6 Pages 958-966
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA questionnaire survey was conducted to find out the fact about urinary incontinence in the elderly populace of a rural area in Tokushima prefecture. The survey was part of the study of the health status and urination of the aged, commissioned by the National Mutual Insurance Federation of Agricultral Cooperatives (Zenkyoren).
It was found that 23.6% of the old people, male and female combined, living in their own home have the incontinence problem. The ratio for hospitalized patients was a little lower than this, but the involuntary voiding of urine into clothing and bedclothes was a problem in 27.0% of those staying in nursing homes.
The number of incontinent persons was slightly larger in women than men. It showed a tendency to increase with advancing age.
As for the type of incontinence, urgency and overflow types were common in men, while urgency and abdominal pressure types are predominant in women.
The cause of urinary incontinence was unidentified in most of the cases. Next to the unknown cause came a sequela to cerebral apoplexy. A relatively larger number of incontinence cases among nursing home inmates could be ascribed to senile dementia.
Even among those old people who live in their own home without depending much on their children, more than 20% said they have involuntarily leaked urine. About 30-50% of them confided they wet their pants more than once a day. To them, incontinence is a perennial problem, undermining the old people's quality of life. They wish to go out but cannot help staying at home only to swear at the condition they are in.
In nursing homes, a great deal of time and energy has to be spent for looking after incontinent aged people. The burden of care which falls on nurses and aids is beyond measure. These findings suggest that we should face up to the actual state of affairs connected with incontient old people and care for those people and hasten to frame measures to cope with the situation.View full abstractDownload PDF (973K) -
1998 Volume 46 Issue 6 Pages 967-987
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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1998 Volume 46 Issue 6 Pages 988-997
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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1998 Volume 46 Issue 6 Pages 998-1003
Published: March 30, 1998
Released on J-STAGE: August 11, 2011
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