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Volume 49 (2000 - 200･･･
- Issue 6 Pages 799-
- Issue 5 Pages 711-
- Issue 4 Pages 553-
- Issue 3 Pages 202-
- Issue 2 Pages 79-
- Issue 1 Pages 1-
Volume 49, Issue 2
Displaying 1-11 of 11 articles from this issue
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Mikikazu YAMAGIWA, Reiko HATTORI2000 Volume 49 Issue 2 Pages 79-85
Published: July 20, 2000
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 ran tests on 306 patients (148 males and 158 females, 18-83 years of age with a mean of 57.7 years) who visited our clinic, complaining of tinnitus, dizziness, sore tongue and/or throat discomfort that are often associated with affective disorders.
The tests all the patients underwent simultaneously were the following three: CMI, self-rating depression scale (SDS) and self-rating questionnaire for depression (SRQ-D).
The number of “yes” responses (CMI-DEP score) to 24 depression-related questions on the CMI correlated significantly with the SDS score (Spearman's rank correlation coefficient (ρ) =0.570, p<0.0001, SDS score=1.6× “CMI-DEP score” +31.8) and with the SRQ-D score (Spearman's ρ=0.659, p<0.0001, SRQ-D score=0.9× “CMIDEP score” +5.1) as well.
Referring to the classifiations for SDS scores (20-39: little depressive, 40-49: slightly depressive, 50-80: moderately depressive) and for SRQ-D scores (0-10: normal, 11-15: borderline, 16-36: possibly masked depression) reported by others, we classified the individuals into the three groups according to the CMI-DEP scores: normal (0-5), probably depressive (6-11) and depressive (12-24).
Supposing that a depressive state was correctly diagnosed with the SDS method and the SRQ-D method as well, the sensitivity of the CMI-DEP method was relatively low (46.3% against SDS and 59.2% against SRQ-D), but the specificity of the method was high enough (84.3% against SDS and 85.1% against SRQ-D).
These results suggest that the CMI-DEP classification can provide an accurate estimate of depressive disorders.View full abstractDownload PDF (788K) -
Masatoshi TAKAMI2000 Volume 49 Issue 2 Pages 86-97
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIt has been widely recognized that technical aids for physically challenged people could lead them to self-support and protect the health of care workers. However, an enormous amount of technical aids now available makes difficult to select optimal technical equipment and diversity in disability requires much effort for adaptation. Furthermore, it is difficult for differently abled people to get the necessary information on technical aids.
In order to improve this situation, we developed a new software to offer information on technical aids. This software consists of multimedia data and an interactive diagnosis system to search the data. Accordingly, the user can quickly get access to necessary information and easily understand the characteristics of the technical aids and their usage. Moreover, it is easy to carry or distribute the software, because this was written on a compact disk.
This software was used in lecture and in practical exercise courses to understand the technical aids, and then the impressions of lecturers on this software were obtained by means of questionnaires.Their evaluations were as follows. It has sufficient retrieval utility and easiness to understand how to manipulate it. Lack of experience handling the technical aids was partly covered because of the video movies attacked. It was also found that this software was more effective in self-training courses than in lectures. There were two requirements. One was to improve quality of pictures. We will continue to refine the multimedia data. The other was to try to get a priced catalogue of products on the market. This problem will be solved through linking the data file to home pages of merchandise on the Internet.
From the above we believe this software will certainly play an important role in solving the deficit in information.View full abstractDownload PDF (3262K) -
Nobuo NAGAI, Akio HIROSE, Sachihiro YAMADA2000 Volume 49 Issue 2 Pages 98-104
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSBone mineral density (BMD) at the distal one-third of the radius bone was measured by the dual energy X-ray absorptiometry (DEXA) method and cytoplasmic free calcium concentration ([Ca2+] i) of urinary granulocytes was by flow cytometry. Enrolled in this investigation were healthy aged people (male: n=34, female: n=36, mean 74.4 yrs) in a rural area of southern Nagano prefecture. We used acetoxymethyl ester of fluo-3 (fluo-3AM) to measure [Ca2+]i, in human urinary granulocytes. BMD of the male population (0.67g/cm2) was higher than that of the female population (0.47g/cm2).[Ca2+] i, of urinary granulocytesin the female population (78.7nM) was higher than in the male population (48.2nM).[Ca2+] i, in urinary granulocytes of the aged population was 63.5±51.2nM (mean±SD). These values were within the values of healthy adult peripheral blood cells, suggesting that these granulocytes were functional like blood cells. These data indicated that [Ca2+] i, of urinary granulocytes increased when BMD decreased, suggesting that the measurement of [Ca2+] i, would give us a clue for the understanding of the pathophysiological mechanism of osteoporosis in the aged.View full abstractDownload PDF (2593K) -
Yasunori NISHIDA, Yukifumi KONDO, Shouhei OSAWA, Kuniaki OKADA, Hiroyu ...2000 Volume 49 Issue 2 Pages 105-110
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSRecently, in addition to standard surgical operations, reduction therapy (endoscopic mucosal resection and endoscopic gastrectomy) is indicated for early gastric cancer. However, the indication should be limited to the casesof early gastric cancer without lymph node metastases.
During the past 25 years, we have surgically treated 2, 246 cases of early gastric cancer. The percentage of lymph node metastasis in 1, 242 mucosal cancer cases was 1.8% and that in 1, 004 submucosal cancer cases was 16.9%. In the mucosal cancer cases, lymph node metastasis did not occur in the depressedtumors with a diameter of less than 10mm and the elevated tumors with a diameted of less than 20mm. In the submucosal cancer cases, lymph node metastasis did not occur in the elevated tumors less than 10mm in diameter. So, the cases of gastric cancerof these types require the reduction therapy.
However, in the mucosal cancers that have been diagnosed during the last 5 years, the percentage of preoperative correct diagnosis as for thedepth of invasion was 69.4%. In the submucosal cancers, the rate was 60.1%. Many of the cases diagnosed incorrectly had ulcers in the lesion. As for the infiltration type, INFβ and γ were noticeable in these cases. As for the histological type, most of the cases wereof the undifferentiated type.
Moreover, if should be noted, the percentage that the histological type of preoperative ensoscopic biopsy specimens agrees with that of postoperative ones is 50-60% except for tubl of mucosal cancers.View full abstractDownload PDF (921K) -
Toshio MATSUSHITA2000 Volume 49 Issue 2 Pages 111-127
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSData concerning clinical cases of pesticide poisoning (disorders) were collected from members of the Japanese Association of Rural Medicine during 1996-1997 FY throughout the nation using a new prescribed form, and were analyzed statistically.
1) A total of 232 cases of poisoning (disorders) by agricultural chemicals were reported from 38 hospitals and other medical institutions.
2) By types of clinical manifestations, the majority of the cases were acute or subacute pesticide poisoning (70.3%), which was followed by acute dermatitis (20.7%).
3) Suicide accounted for 53.4% of the pesticide poisoning (disorders) cases. Poisoning caused after spraying in fields or green houses accounted for 17.2%, during spraying 15.9%, and so forth.
4) Organophosphate insecticides were the most frequent inducers of the clinical cases (35.8%), which was followed by a herbicide bipyridylium (16.8%) and a fungicide fluazinum (15.5%).
5) Main factors contributing to the onset of pesticide poisoning (disorders) excluding suicide were nature of agricultural chemicals (32.7%), insufficient protective clothing (25.7%), overconfidence (21.8%), carelessness (16.8%), ignorance (16.8%), and so forth.
6) Epidemiological features such as by sex, age, seasons, and prognoses were also analyzed and discussed.View full abstractDownload PDF (1587K) -
Nobuko OTAKE, Atsuko OGISO, Eriko FURUTA, Miyuki OGURA, Norihiko SUGIY ...2000 Volume 49 Issue 2 Pages 128-131
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSMoshiokuri, or explaining what one did to one's successor before calling it a day, has long been regarded as a practice indispensable for the smooth continuation of nursing business. However, there has been much to be done in terms of efficiency. In our hospital, moshiokuri was taken up as a problem because it took long and prevented nurses from getting down to work by bedsides without delay. In 1994 the nursing record committee started to examine the practice and improvedthe roster. Later, the card indexing system for individuals was abolished. In 1998, the nursing department made the abolishment of moshiokuri practice its chief aim to improve nursing efficiency. For the attainment of the aim, the nursing record committee played an important role as a prime mover. While exchanges of information between wards were being promoted, study sessions were frequently held to enrich nursing records and improve the efficiency of nursing work. Thus, moshiokuri was partlydiscontinued and abolished totally in March, 1999. Now, the nurses have plenty of timecaring bed-ridden patients. Improvement has been made on the nursing record.View full abstractDownload PDF (393K) -
Gen KURAMOCHI2000 Volume 49 Issue 2 Pages 132-136
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSPreviously, we have reported that Candida strains were morefrequently detected in the oral cavity of hemodialysis patients, particularly long-term patients, than in that of the patients with chronic glomerulonephritis ans conservative chronic renal failure. In the present study, we conducted a screening test for the prevalence of serum Candida antigen in hemodialysis patients and determined Candida species in the oropharyngeal portion of those with serum Candida antigen. Serum Candida antigen was found in 18.75% of the hemodialysis paients in our renal unit. Furthermore, Candida strains were detected in the oropharyngeal portion in 75.0%of those with serum Candida antigen. The percentage was higher than that of hemodialysis patients without serum Candida antigen (50.0%). Candida species determined in the oropharyngeal portion of the hemodialysis patients with serum Candida antigen were C. albicans (66.7%), C. glabrata (55.6%), C. krusei (11.1%), and C. parapsilosis (11.1%). There were no significant differences in age, hemodialysis periods, and the serum values of the nutrional markers (serum total protein, albumin, transferrin, and total cholesterol) between the hemodialysis patients with serum Candida antigen and those without. Generally, it is well known that hemodialysis patients are theso-called immunocompromised host. Therefore, it is necessary to examine serum Candida antigen and to determine Candida species in the oropharyngeal portion, wherewas first possible portion of mycotic infection, beforehand so as to predict the occurrence of invasive CandidiasisView full abstractDownload PDF (539K) -
Mitsuya ONO, Yoshio NISHIGAKI2000 Volume 49 Issue 2 Pages 137-141
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe examined values of fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA1c) in 8, 870 subjects who underwent the mass screening conducted by Naganoken Koseiren Kenkokanri Center. The mean values of FPG and HbA1c were 95.3±15.0mg/dl, and 5.12±0.50%. Both values increased significantly withage. FPG was correlated significantly with HbA1c. Neither age nor body mass index wasrelated with HbA1c statistically. 60.8% of the cases of the HbA1c value of 5.8 werediagnosed as impaired fasting glucose (IFG) or diabetes mellitus (DM). 68.7% of the cases of at the HbA1c value of 5.9 were in normal FPG range. In a mass screening, diagnosis of IFG or DM by FPG value is easy and lessens a burden of those who take on a group checkup. But diagnosis by FPG level may bring about excess diabetic patients who arehealthy. So diagnosis of IFG or DM in a mass screening should be made by both FPG and HbA1c values instead of FPG alone.View full abstractDownload PDF (504K) -
Mineko NAKAZAKI, Harumi NISHINO, Eiji OURA2000 Volume 49 Issue 2 Pages 142-145
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe urinary levels of both dimethyl phosphate and dimethyl thiophosphate, which are the metabolites of organophosphorus pesticides, were investigated. The samples were obtained from four healthy subjects, every 5 or 7 daysover a period of 8 months. They are rural inhabitants and do not spray agricultural chemicals themselves. Both of the metabolites were always detected from all samples of these subjects, and their levels were elevated sporadically regardless of whether the samples were obtained during the farming season or not.
These results suggest that people who live in rural areas are always at risk of being exposed to pesticides in and out of season and that thepesticides or their metabolites remaine in bodies over a long period.View full abstractDownload PDF (355K) -
2000 Volume 49 Issue 2 Pages 146-151
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (817K) -
2000 Volume 49 Issue 2 Pages 152-156
Published: July 20, 2000
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (627K)
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