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Volume 50 (2001 - 200･･･
- Issue 6 Pages 753-
- Issue 5 Pages 683-
- Issue 4 Pages 555-
- Issue 3 Pages 194-
- Issue 2 Pages 79-
- Issue 1 Pages 1-
Volume 50, Issue 4
Displaying 1-9 of 9 articles from this issue
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Hisami MIYOSHI, Hisashi SHIMIZU, Kimio INOUE, Yoshiaki KAWAGUCHI2001 Volume 50 Issue 4 Pages 555-564
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSForty-nine years have passed since the agricultural cooperative started life insurance business in 1952. Right from the start, it expanded by leaps and bounds. As of the end of fiscal 1999, the total number of contracts amounted to 13, 350, 000 cases for endowment insurance and 4, 240, 000 cases for whole life insurance. The average value of death benefits per policy came to ¥12, 000, 000 for former and ¥21, 000, 000 for the latter. Worthy of special mention is the fact that a considerably large sum of money is assured to a beneficiary designated by the owner of a whole life insurance policy.
We made analyses of mortality rates and causes of death among insureds over a period of 20 years from 1980, using the agricultural cooperative life insurance statistics.
Broadly, deaths from strokes and accidents were on the decline. This was probably attributable to individuals' efforts at prevention. By contrast, mortality rates for malignant neoplasms tended to increase year after year. Especially lung cancer and liver cancer rates were being on a sharp upward curve, whereas cancer of the stomach tended to claim less lives in recent years. In the present study, we picked up 16 prefectures and carried out a longitudinal study of data on the mortalities for the abovementioned three types of cancer.View full abstractDownload PDF (4509K) -
Shosui MATSUSHIMA2001 Volume 50 Issue 4 Pages 565-579
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe have studied the degree to which health screenings and health education activities, including health promotion and improvements in the lifestyle, are contributory to the reduction of outlays for disease prevention and medical care.
An analysis of all municipalities in one prefecture reveals that the larger the number of public health nurses and the rate of undergoing a health checkup, the smaller the expenses required for inpatient and outpatient services. In a comparison between the municipalities where adequate health screenings and health education are provided and those in which no such activities are evolved yet in another prefecture, the outlays necessary for the medical care of seniors are significantly lower in the former.
An analysis of Rezept, or the monthly bills for medical treatment forwarded by hospitals to the associations that take charge of the National Health Insurance Scheme, shows that the coverage of per-capita costs under the scheme for the treatment of people who undergo a health screening on a regular basis is lower than that of those who do not do so, despite the fact that the latter more often undergo treatment at medical institutions after they suffer from some kind of disease or the other. In a comparison of municipalities that differ in terms of the per-capita share in the coverage of the scheme, the lower the medical outlay, the higher the rate of undergoing a health screening, that of receiving treatment at local hospitals and that of deaths at home.
An analysis of persons who have regularly undergone a health checkup over a period of five years indicates that the improvements made in the everyday lifestyle, and in dietary practices, exercises and calisthenics are more significant than is the case with people who have not undergone it. In stomach cancer screenings (mass X-ray stomach screenings or endoscopy), the rate of deaths from cancer and the outlay for inpatient services are lower than those of people who have not undergone a health-checkup. When outlays for health screenings, those for inpatient services and a deathderived losses in the benefit are all taken into account, it follows that the benefit is higher for people who have undergone a health screening on a regular basis.View full abstractDownload PDF (2396K) -
[in Japanese]2001 Volume 50 Issue 4 Pages 580-590
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESS -
[in Japanese]2001 Volume 50 Issue 4 Pages 591-604
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESS -
Reiko WATANABE, Tsutomu NISHIYAMA, Satoko OBAYASHI, Saori KANAZAWA, Ma ...2001 Volume 50 Issue 4 Pages 605-612
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESS[Objective and Patients] We carried out surveys of urinary condition and its change, and anxiety and depression status and its change in 44 male outpatients with a chief complaint of urinary difficulty. In these surveys, we distributed questionnaires of the International Prostate Symptom Score (IPSS) and the Hospital Anxiety and Depression Scale (HAD Scale) to the patients twice-at their first visit and six monthslater.
[Results] The survey using the IPSS found that the urinary condition improved in 27 patients in six months, deteriorated in five and did not change in 12. The HAD Scale survey found that psychologicasl status improved in 17 patients, deteriorated in 11 and did not change in 16. The patients who had better points in the second IPSS test showed a tendency to make a good QOL score and get an improved state on the HAD Scale. However, the HAD Scale deteriorated in some of the patients who got improved IPSS.
[Conclusions] Although the patients who got better results in the second IPSS trial showed a tendency to get better marks on the HAD Scale, patients' anxiety and depression condition might have been affected by other factors than urinary difficulty.View full abstractDownload PDF (673K) -
Toshihiro TANAKA2001 Volume 50 Issue 4 Pages 613-620
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe analyzed cases of influenza during the 2000-2001 season in the Department of pediatrics, Mito Kyodo General Hospital. Vaccination was found to be the most effective defense against the infection. Rapid test kits to detect influenza virus type A were helpful to physicians in making the right decision to proceed with specific treatment quickly. Amantadine was most useful for the treatment of type A in terms of both compliance and efficacy. Further technological innovation, especially in diagnosis and treatment, is awaited. It is very important, however, that the vaccination rate should be improved from a prophylactic viewpoint, and not only enlightenment of the public but also a push of the government is necessary for it.View full abstractDownload PDF (1062K) -
Takahisa MIZUKUSA, Yoshihiko HOSOKAWA, Munehiro NAKAGAWA, Yasuyoshi OH ...2001 Volume 50 Issue 4 Pages 621-624
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe experienced a case of group mushroom poisoning. The victims were Chinese workers. They developed symptoms such as vomiting, diarrhea, and abdominal pain one hour after ingestion of wild mushrooms growing at a riverside. Generally, it is very difficult to identify quickly a species of wild mushroom. Therefore we were in trouble about the treatment because they might have taken deadly mushrooms, such as ‘Amanita versa’ and ‘Amanita virosa’. ‘Chlorophyllum molybdites’ looks like these mushrooms. In this case, the incubation period is different between Chlorophyllum molybdites and Amanita species, so we could know that the mushroom they had taken was not so dangerous. There are various folk believes about mushroom poisoning, but many of them are groundless. In this case, the Chinese workers also belived a wrong one. The problem is that a simple and easy method for distinguishing harmless mushrooms from poisonous one is yet to be established in society.View full abstractDownload PDF (2256K) -
Retrospective Investigation of Consultation-Liaison Services in Intensive Care Unit (ICU)Hiroaki IZUMI, Ichiro YANAI2001 Volume 50 Issue 4 Pages 625-631
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSJA Hiroshima General Hospital has 578 beds, and the Psychiatric Department, founded in 1994, is staffed with two doctors without beds. On June 1, 1999, the Intensive Care Unit (ICU) was newly established in the hospital. Forty-two inpatients in the ICU were referred to us during the one-year period following the establishment of the ICU in our hospital. We investigated the reasons for consultation, somatic and psychiatric diagnoses, and outcome, and compared our findings with the results of the surveys conducted by other hospitals with psychiatric units. Our investigation revealed that “suicide attempt or suicidal ideation” was highest on the list of reasons for consultation, “acute drug intoxication” was highest on the list of medical diagnoses, “adjustment disorder” was highest on the list of psychiatric diagnoses, and that “discharged from ICU” was highest of outcomes. Compared with other reports, we had small percentages of “treatment for combined medical and psychiatric illness” among the reasons for consultation, and “schizophrenia” among psychiatric diagnoses, while we had higher percentages of “adjustment disorder” among psychiatric diagnoses, and “being transferred from the ICU to a medical ward” among outcomes, In view of the riskmanagement program at the hospital, we often felt there is difficulty treating physical diseases in psychiatric patients, especially patients who have made suicide attempts in medical wards. Therefore, we consider triage may be one of the most important functions of a psychiatic department without beds. To coordinate our roles successfully, it is necessary to build an effective network with other psychiatric institutions.View full abstractDownload PDF (860K) -
2001 Volume 50 Issue 4 Pages 632-659
Published: November 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (3732K)
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