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Volume 47, Issue 1
Displaying 1-12 of 12 articles from this issue
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Correlation between Life Events and LifestyleToshiki KATSURA, Masami NOJIRI, Masataka NAKANO1998 Volume 47 Issue 1 Pages 1-10
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSFor the purpose of elucidating the life events which aggravate lifestyle as a totality of healthrelated factors we made a survey of lives of residents in a rural district, and analyzed the correlation between life events and lifestyle.
The results obtained by multivariate analysis were as follows.
1) The life events significantly related to lifestyle were husband-and-wife fight, separation, debts, homecoming, death of one's best friends, inconstancy, decrease in income and insolvency.
The life events that conduce to improved lifestyle were inconstancy, discharge from employment, home coming and so on, while separation, husband-and-wife fight and in solvency were among the life events that aggregate lifestyle.
2) In males, the life events significantly related to lifestyle were homecoming, decrease in income, husband-and-wife fight, marriage, death of one's best friends, inconstancy, discharge and pregnancy.
The life events that conduce to improved lifestyle were discharge, homecoming, inconstancy and pregnancy of his wife, while the life events that deteriorate lifestyle were separation and husband-and-wife fight.
In females, marriage and personal success were significantly related to lifestyle.
The life events that conduce to improved lifestyle were personal success, divorce and retirement, while the life events that adversely influence lifestyle were insolvency, death of spouse and husband-and-wife fight.View full abstractDownload PDF (1115K) -
Toshiki KATSURA, Akiko HOSHINO, Yumi WATANABE1998 Volume 47 Issue 1 Pages 11-15
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe made researches into various factors underling the loneliness of the elderly, based on interviews conducted in july 1995 with old people living alone in Hiroshima City. Loneliness was assessed by LSO, and as related factors, such items as period of living alone, self-assessment on solitude, lifestyle, self-rated health status, competence for daily work, social support network, morale, self-esteem, depression, and subjective symptoms of stress were examined.
We made multiregression analysis using loneliness as a dependent variable and other factors as independent varibles. The results were as followed.
The loneliness of old people living alone was significantly correlated with self-esteem and instrumental support.View full abstractDownload PDF (596K) -
Yoshihiro KUWABARA, Shigeko UEDA, Masao YOSHIDA1998 Volume 47 Issue 1 Pages 16-22
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWhen workers were applying the same volume of a TPN formulation to asparagus fields of the same acreage by a speed sprayer or a conventional power sprayer, their exposure levels to the pesticide were compared. The estimated body exposure level of workers using power sprayer was more than 10 times higher than that of workers using a speed sprayer. The fate of TPN residues in the fields was also assayed. The foliar residues reduced rapidly in one day, but thereafter its reduction rate was very slow, and TPN was expected to remain on the foliage for a long period. However, the airborne TPN concentration was reduced to nil at 1 day after application.View full abstractDownload PDF (786K) -
Michio TAKAMATSU1998 Volume 47 Issue 1 Pages 23-29
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe have studied the circadian variation of the onset of myocardial infarction (MI). The subject were taken from the cases with MI, the onset of which was registered as the Saku Public Health Center, from April 1989 to March 1997, in accordance with the clinical criteria of the WHOMONICA Project. The number of subjects were 309 cases in which the onset time could be associated with circadian disturbance. We classified them into three groups, the midnight and dawn (00: 00-07: 59 hours), the daytime (08: 00-17: 59 hours) and the nighttime (18: 00-23: 59 hours), and the factors which had influenced the onset time were studied. The cases with sudden deaths (deaths out of hospitals and in the emergency room or deaths from post-resuscitation hypoxic encephalopathy) were also included, if autopsy found coronary occlusion or narrowing, and tissue signs suggestive of fresh MI. The t test was used to check the significant differences.
From the circadian variation of 309 cases of MI, circadian rhythm was observed in a dual-peak pattern - morning and evening (morning < evening). As the sharpest peak had appeared in males at a relative young age (69 or under), it was suggested that there existed relations between the onset time of MI and the engagement in work. However, it was considered necessary to further study the impacts of farming work on the onset of ML In a study of deaths in acute phase, no difference was observed in mortality by onset time, but many deaths from cardiogenic shock were witnessed among cases at night. There is the need for the circulatory management of those cases.View full abstractDownload PDF (1035K) -
Kazuya YAMASHITA1998 Volume 47 Issue 1 Pages 30-35
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe relationship between the willingness to attend school and serum lipid levels was examined in high-school students. A total of 83 students were divided into two groups: the school group (n=48, 13 boys, 35 girls) consisting of students motivated to go to school, and the refuser group (n=35, 18 boys, 17 girls) of those who did not want to attend school. There were no significant differences between the two groups with respect to body mass index, total cholesterol level, triglycerides level, LDL-cholesterol level and atherogenic index, but the refuser group and lower HDL-cholesterol levels than the school group (p=0.0401). In addition, the refuser group had significantly lower scores on the shortened Zung's self-rating depression scale than the school group (p=0.0077). Furthermore, the students in the refuser group utilized the first-aid health room more often than those in the school group (p=0.0192).
These results suggest that there is a close relationship between the willingness to attend school and HDL-cholesterol level in high school students.View full abstractDownload PDF (698K) -
Akiyoshi BANDO, Hirofumi HASHIMOTO, Koji MIZUTA1998 Volume 47 Issue 1 Pages 36-41
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThis is the third report of the findings of the investigation we made in Tokushima Prefecture as part of a joint research project designed to work up measures against the problems of the elderly with urinary incontinence in rural areas. The project, led by Dr.Kazunori Sugiyama, was commissioned by the National Mutual Insurance Federation of Agricultural Cooperatives (Zenkyoren).
The two previously published reports dealt with (1) independence of the elderly in rural community and urination trouble and (2) urinary incontinence in the elderly populace of a rural area.
Of the elderly men living at home, 20.5% was found to have urinary incontinence and a further 14.4% complained about difficulty in urinating. Those who registered an IPSS count of 10 or over accounted for 20.1% of the urinary incontinent persons. The IPSS showed a tendency to go up with advancing age. To be noted was the fact that there is a regional difference in the average score. It was lower in the mountain villages than in the flat-land farming areas. This suggested that the incidence of prostatic hypertrophy may be low in the mountain villages than in the flat-land areas.
In prostate examination, the use of IPSS is helpful in screening for enlargement of the prostate to some extend. More clinically dependable tools are ultrasonography, cystourethroscopy (cystoscopy) and uroflowmetry. However, whether these tools should be introduced for first-line screening is debatable.
In contrast, blood tests that measure levels of PSA and PAP are not only effective but also feasible for mass screening. Thus, the authors would like to recommend their immediate implementation in health screening programs for the elderly.View full abstractDownload PDF (669K) -
Effects of Ultraviolet Radiation on HealthNobuyuki HORIUCHI, Shiho SEKI, Eiko KOBAYASHI, Tadashi YANAGISAWA, Sho ...1998 Volume 47 Issue 1 Pages 42-50
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIn recent years, an increasing number of researchers have warned that depltion of the Earth's ozone layer by chlorofluorocarbons allows extra ultraviolet radiation from space to strike our planet, causing a rise in the incidence of skin cancers and precancerous dermatoses worldwide. This motivated us to perform a series of screening for skin cancers on the inhabitants at age 40 and above of the Saku District, Nagano Prefecture, where the intensity of the sun's harmful ultraviolet radiation is thought to be relatively high.
The first screening was carried out from 1993 through 1995. The number of subjects totaled 7, 528-2, 658 men and 4, 870 women-which represents 7.4% of the populace. Of the total, 67 people had a histopathological examination. The result revealed that there were four cases of malignancy and 45 cases of precancerous dermatosis. The malignant cases were made up of one case of malignant melanoma and three cases of basal-cell carcinoma, while the precancerous cases were one case of Bowen's disease and 44 cases of solar keratosis.
The follow-up examination was conducted in 1996 on 93 subjects (40.6%) of the 229 examiness who had been found to need to be watched in the first screening. Biopsy was indicated in five subjects. Treatment was suggested to 11 subjects. A visit to the department of dermatology at Sake Central Hospital was recommended to 10 people. Further observation was needed in 24 cases.
The screening project for skin cancers under a long-range plan would raise awareness of the diseases among the people and contribute to the early detection, treatment and prevention of various forms of skin cancer. It could also serve the purpose of protecting the environment from deterioration on n global srnle.View full abstractDownload PDF (1090K) -
Effects of Educational Meetings for ResidentsKayoko KOBAYASHI, Yoko TAKENOUCHI, Satomi TAGUCHI1998 Volume 47 Issue 1 Pages 51-54
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe number of people who participate in our mass screening program for the detection of colorectal neoplasms has been increasing year by year. Regrettably, though, only 60% to 70% of those screened with positive tests have complied with doctors' exhortations about receiving workup.
To improve the low attendance ratio of colon cancer candidates, the first thing we did was to hold classes for public health nurses at city, town and village levels to update their knowledge as professional health supervisors and to perceive the need to enlighten the public.
Following these classes, we sponsored educational lectures directed to the inhabitants in various districts with the cooperation of public health nurses there. Emphasis was placed on the importance of regular physicals and the need of workup in the case of positive screenings. Using slides, lecturers presented eveyday health-related data and explained the procedures and the medical equipment used in the screening and testing processes, using plain language.
As a result of these efforts, the workup attendance ratio is on the rise in every district, with the average ratio now reaching 80%.View full abstractDownload PDF (403K) -
A Case of Myotonic Dystrophy with Marked Intraventricular Conduction Defects Induced by PilsicainideToshiaki TAKAHASHI, Etsuko FUSHIMI, Nobuyo SEKIGUCHI, Hajime WATANABE, ...1998 Volume 47 Issue 1 Pages 55-60
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA 48-year-old man was readmitted to the hospital because of severe intraventricular conduction defects (QRS duration was 0.30 sec). The patient had been given pilsicainide hydrochloride (150 mg/day) prior to the hospitalization. The blood tests revealed that the concentration of pilsicainide was 3.30 μg/ml, which was several times higher than the average value in patients given in a dosage of 150 mg per day. Five months before the second admission, impaired left ventricular (LV) myocardial function and paroxymal atrial fibrillation were observed in the patient. His illness was diagnosed as myotonic dystrophy as the patient presented with skeletal muscle atrophy, premature frontal baldness, hatchet face, cataract, and testicular atrophy. The trial of remedication with pilsicainide in the same dosage for seven days did not produce the toxic effects as seen previously. Both load-dependent LV dysfunction in myotonic muscular dystrophy and moderately impaired renal function in the patient probably underlay the state of intoxication.View full abstractDownload PDF (737K) -
Gen KURAMOCHI, Shinji IGARASHI, Shin HASEGAWA, Isao KOBAYASHI1998 Volume 47 Issue 1 Pages 61-66
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThis report presents our experience in using a dual-lumen catheter with a Dacron cuff as longterm vascular access for homodialysis in an elderly patient. The female patient who at first treated with continuous ambulatory peritoneal dialysis for chronic renal failure, but the treatment could not be continued because she developed inveterate peritonitis. Thereafter, hemodialysis was performed. However, a lot of blood access troubles occurred and consequently peripheral access was exhausted. Therefore, we placed the catheter into a right internal jugular vein. This procedure made it possible to secure enough and stable blood flow during the hemodialysis session. Thus, the clearence ratios of blood urea nitrogen and serum creatinine and the value of KT/V increased. No complications have been observed since then. We further examined whether the placement of the catheter would affect hemodynamics in brain and upper extremities, using transcranial Doppler ultrasound and plethysmography. No remarkable difference in blood flow between right and left ophthalmic arteries and decrease in arterial blood flow of right finger tips were observed. Furthermore, venous dilatation, swelling in neck and right upper extremities, and facial edema were not found. The catheter, therefore, represents a significant advance, providing immediate, durable and relatively safe access for hemodialysis after repeated blood access troubles and exhausted peripheral access.View full abstractDownload PDF (3014K) -
Norihiko TAKADA, Hisamichi GOKE, Mitsuyoshi IINO1998 Volume 47 Issue 1 Pages 67-71
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA 22-year-old male was admitted to our hospital with suspected bone tumor of the right mandible. The patient's facial disharmony indicated class III malocclusion and mandibular prognathism. Biopsy was obtained from the bony lesion, and histological fingings revealed typical characteristics of ameloblastoma. During marsupialization, presurgical orthodontic treatment was given.
A surgical procedure was planned by using his X-rays and presurgical model cast. The right mandible was resected without concominant removal of the neurovascular bundles. Subsequently, the left-side mandible was set back by sagittal split ramus osteotomy and the right-side mandible was simultaneously reconstructed by free illiac bone grafting.
After surgery, the facial proportion and profile were improved. The missing teeth and associated structures were replaced by partial denture. The patient restored normal occlusal function and mastication.View full abstractDownload PDF (8280K) -
1998 Volume 47 Issue 1 Pages 72-77
Published: May 30, 1998
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (700K)
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