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Volume 48, Issue 1
Displaying 1-12 of 12 articles from this issue
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Ok-Sun Ahh, Jeong-Wha Choi1999 Volume 48 Issue 1 Pages 1-12
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSTo collect the basic data for the health management of Korean farmers, we investigated physique factors, physical fitness, and cold resistance (by digital vascular hunting reaction during finger immersion in cold water), and examined their correlations in 74 subjects. In men, the stronger the digital vascular hunting reaction was the higher the physical fitness levels. For women, however, the motility of those who showed stronger digital vascular hunting reactions appeared worse. The correlation between physique and hunting reaction appeared weak in men but in women the hunting reaction of obese subjects was stronger than that of slender subjects. Agewise, men in their 30s, 40s and 50s who were short and slim appeared to have better cold-resistance. The men in their 60s who were broad-hipped had better cold-resistance, and the relation between physical fitness and hunting reaction appeared to be negative. In contrast, the women in their 30s whose subcutaneous fat was thinner showed positive hunting reaction, but in their 40s and 50s the correlation among physique, physical fitness, and hunting reaction appeared rather weak. The body fat content in the women aged 60 to 69 was high compared to that in other age groups. Among them, those who had less fat and better physical fitness showed more favorable hunting reactions.View full abstractDownload PDF (1357K) -
Shigeki KODA, Hiroshi OHARA1999 Volume 48 Issue 1 Pages 13-20
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIn order to protect farmers from health hazards posed by soil fumigation with methyl bromide in greenhouses, the authors monitored the concentrations of the fumigant inside greenhouses, before and after fumigation and measured occupational exposures. In the meantime, a questionnaire survey was conducted to find out the facts about working conditions, health effects and personal protective equipment in 1996.
As environmental concentrations of methyl bromide decreased from 2200ppm to 1100ppm gradually in three days, two farmers were exposed to 57ppm and 25ppm, in opening up the greenhouses, respectively, which are above ACGIH's TLV-TWA (1ppm) and OSHA's PEL-C (20ppm). The questionnaire survey (n=164) found that about 80% of the respondents have fumigated inside the whole greenhouse without mulch, above 90% have opened up greenhouses within 5 days, and that only 10% have worn effective gas masks and clothes. Regarding subjective symptoms after fumigation, 2%-6% of respondents complained about eye and respiratory tract irritation.
These results suggest that farmers might be exposed to high concentrations of methyl bromide in opening up greenhouses. In order to prevent health hazards of methyl bromide, education programs on toxic information and health effects of methyl bromide, and safety training in soil fumigation should be provided to farmers.View full abstractDownload PDF (914K) -
Hiroshi TAKAHASHI, Tsukasa KONDO, Naoki MATSUMIYA, Chiyoko ASANO, Kats ...1999 Volume 48 Issue 1 Pages 21-25
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThis study was performed to evaluate management of cancer pain in 322 patients who were treated in our pain clinic between January 1986 and December 1997. For this purpose, the change in the number of cancer patients and the annual morphine consumption during the period in our hospital were investigated. We found that as morphine consumption increased, the number of cancer patients visited the pain clinic decreased. Although 90% of them who visited the pain clinic underwent neural block therapy before 1996, the parcentage dropped to only 79% in 1996 and 50% in 1997. The increasing rate of morphine consumption in our hospital was on a par with the national average between 1986 and 1996. The use of adjuvant drugs did not change throughout the 12-year period.
We believe the consumption of morphine is not enough. It is necessary for us to become more skilled in using narcotics for relief of cancer pain along the guidelines of the World Health Organization.View full abstractDownload PDF (611K) -
Mikikazu YAMAGIWA, Reiko NIIYAMA1999 Volume 48 Issue 1 Pages 26-30
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIn order to evaluate the Cornell Medical Index-Health Questionnaire (CMI) as a screening device for depressive disorders, we conducted a study in 240 patients (117 males and 123 females, 18-83 years of age with a mean of 57.7 years) who had suffered from tinnitus, dizziness, sore tongue and/or throat discomfort that are often associated with affective disorders.
All the patients underwent the following 3 tests simultaneously; CMI, self-rating depression scale (SDS) and self-rating questionnaire for depression (SRQ-D). Individuals who gave one or more “yes” answers to the following 6 questions in the “depression” section on the CMI were classified into “depressive” and the remainder “non-depressive”.
1. Do you feel alone and sad at a party?
2. Do you usually feel unhappy and depressed?
3. Do you often cry?
4. Are you always miserable and blue?
5. Does life look entirely hopeless?
6. Do you often wish you were dead and away from it all?
The result obtained by the CMI method mentioned above was significantly correlated with that by eigher of SDS and SRQ-D (P<0.0001 by chi-square test). Supposing that a depressive state was correctly diagnosed by SDS and SRQ-D as well, the sensitivity of the CMI method, namely the proportion of true positives that were correctly identified by the CMI method, was low (30.6% against SDS, 30.9% against SRQ-D). On the other hand, the specificity of the CMI method, namely the proportion of true negatives that were correctly identified by the CMI method, washigh enough (93.2% against SDS, 89.3% against SRQ-D).
These results suggest that the CMI can provide a simple andfairly accurate estimate of depressive disorders.View full abstractDownload PDF (528K) -
Yuko ITOH, Ikuko FUJITA, Junko SUZUKI, Shintoku SATOH, Yutaka ITOGA, K ...1999 Volume 48 Issue 1 Pages 31-36
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIn order to find an effective way to detect bacteria responsible for respiratory tract infections in children, we first examined as pharyngeal swabs, epi-pharyngeal swabs and nasal aspirates obtained from children hospitalized at our pediatric service during these five months from December 1997 to April 1998. In the rate of bacterial infection, it was found that nasal aspirates came out on top with 92.6%(25/27), followed by epipharyngeal swabs with 71.6%(53/74) and pharyngeal swabs with 26.2%(38/145). Single-species bacteria were found in 78.9%(30/38) of pharyngeal swabs, where as 45.3% of epi-pharyngeal swabs (24/53) and 52.0% of nasal aspirates (13/25) proved mixed infections with two-or three-defferent species. Thus it was suggested that nasal aspirates and epi-pharyngeal swabs would be far more adequate than pharyngeal swabs to detect bacteria with accuracy.
Next, based on the efficiency of bacterial detection, we compared culture media for the specimen obtained from in-patients and out-patients at our pediatric service. The rate of isolation of gram-negative rods was as low as 0.3%(1 of 314 strains) even when BTB agar plate, a selective medium for these bacteria, was employed. The sensitivety was not much different from those observed with nonselective blood agar plate. These results suggest that the conventional blood agar media can substitute for the more expensive type of BTB agar medium for the diagnosis of infections diseases of the airwaysin children.View full abstractDownload PDF (633K) -
Mitsuru YAMAGUCHI, Hirohiko YAMASE, Hiroyuki NOSAKA, Masahiro YAMADA, ...1999 Volume 48 Issue 1 Pages 37-40
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA survey was carried out on how the To-no District is coping with the need of first aid for patients requiring life-supporting treatment before hospitalization. Although there were cities in this district where statistics on first aid were not available, the survey found that, during the 4-year period from 1994 through 1997, bystander CPR (cardiopulmonary resuscitation) saved 11.2% of the lives of patients with CPA (cardiopulmonary arrest). Incidentally, 11.3% of the population attended CPR courses offered by public institutions. Gifu Prefecture has helicopters for use in rescue work, but the survey found that some cities had not ever sponsored drills using helicopters in life-saving operations. Our findings revealed the indifference of the general public as well as administrators in this district toward emergency care. Public recognition of the importance of the care of suddenly ill or injured patients must be gained. Furthermore, acquisition of skills required for first aid by lay people and technical improvement of these skills in professional rescuers are necessary. The authors think that these are the community educational responsibility of hospitals and other medical institutions.View full abstractDownload PDF (2027K) -
Takahisa SUZUKI, Hidefumi TOKIWA1999 Volume 48 Issue 1 Pages 41-43
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSAttempts were made to shorten the time required for checking up on data at the medical affairs department over special injection agents (expensive drugs, anti-cancer agents and blood products) used and at the same time to prevent missing claims for insurance money payment for these agents. For these purpose, the office work was systematized by using a computer software, which was easily available on the market. As a result, the amount yet to be claimed by oversight was reduced almost 90% from a year before. Our attempt was also crowned with success in boosting efficiency, thus contributing much to the management of our hospital.View full abstractDownload PDF (233K) -
Hideko KOCHI, Hiroko KAWAMURA1999 Volume 48 Issue 1 Pages 44-47
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSTransurethral resection (TUR) is performed on more than 100 patients annually at our hospital. In TUR, a large volume of urologic perfusion solution heated to body temperature is employed, but due to the inadequate facility in our operating room a great deal of time was required to heat and transport urologic perfusion solution. We had to leave the operating table for this purpose. To alleviate our anxiety there was a need for improvement. Recently we have developed a heating method by utilizing the warm air produced by a quilt dryer and fabricated a heating cabinet mounted on casters to facilitate transportation. With the fabrication of this unique heating cabinet, heating of urologic perfusion solution has become easy, permitting use of urologic perfusion solution at a more stabilized temperature. In addition, as the heating cabinet is mobile, there is no longer the need for transporting urologic perfusion solution. Thus, heating and transportation of urologic perfusion solution have been improved, leading to improvement of our work efficiency and nursing services.View full abstractDownload PDF (438K) -
Satoshi TOSHIMA, Yo YASUDA, Tadashi ARAI, Yuji ITO, Kazuyoshi HAYAKAWA ...1999 Volume 48 Issue 1 Pages 48-53
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWith the diagnosis of metastatic tumor of the lung suspected, we had a chance to experience a histopathological case of carcinoma of the uterine cervix (adenoid squamous cell carcinoma), which was thought to coexist with carcinoid tumor. In this paper, we report the results of cytological as well as histological examinations of the case.
The patient was as 43-year-old woman. She visited our hospital, complaining about abnormally prolonged uterine bleeding (metrorrhagia). Cytodiagnosis was performed with a Papanicolaou smear. A microscopic examination revealed squamous cell carcinoma occurring together with adenocarcinoma. A similar finding was obtained by cervical biopsy. Thus, the case was diagnosed as adenoid squamous cell carcinoma.
Then the patient underwent radical hysterectomy and lymphadenectomy, followed by chemotherapy. After leaving the hospital, she was put under doctor-monitored observation. About 4 years after the surgery, a chest x-ray examination found abnormal shadows. For inspection, bronchoscopy was performed. Carcinoid of the lung was diagnosed through histopathological as well as electron microscopic examination of specimens taken from bronchial polyps during bronchoscopy. At the same time a cytologic study was conducted. It also revealed neoplasms strongly suspected of caricinoid tumors. Retrospective studies of cytological and histopathological images of the uterine cervix when the patient first visited us found only adenocarcinoma and squamous cell carcinoma, but no signs of carcinoid tumors. However, the immunohistological staining of NSE and chromoganins A, both neuroendocrine markers, showed positive findings in some adenocarcinomatous parts of the tissues of the unterine cervix. Therefore, we considered that the cervical cancer is compounded of adenoid squamous cell carcinomas and tumors having properties of neuroendocrine cells.
From this, we concluded that it is necessary to take into account a differential diagnosis of neuroendocrine tumors including carcinoid of the uterine cervix when less differentiated adenocarcinoma and squamous cell carcinoma are suspected in histological and cytological examinations. Furthermore, we thought it important to make a definite diagnosis after meticulous examinations by immunohistological staining and electron microscopy.View full abstractDownload PDF (6668K) -
1999 Volume 48 Issue 1 Pages 54-63
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
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1999 Volume 48 Issue 1 Pages 64-69
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (776K) -
1999 Volume 48 Issue 1 Pages 70-79
Published: May 30, 1999
Released on J-STAGE: August 11, 2011
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