All issues
Volume 52 (2003)
- Issue 6 Pages 890-
- Issue 5 Pages 805-
- Issue 4 Pages 677-
- Issue 3 Pages 278-
- Issue 2 Pages 135-
- Issue 1 Pages 1-
Volume 52, Issue 2
Displaying 1-9 of 9 articles from this issue
- |<
- <
- 1
- >
- >|
-
Yosuke YAMANE, Kuninori SHIWAKU, Iwao SUGIMURA, Masato HAYASHI, Nobuhi ...2003 Volume 52 Issue 2 Pages 135-164
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIn the health and welfare policy of the 21st century, the building of healthy communities in rural areas has become an urgent task. The working out of an effective strategy and supportive activities by the Japanese Association of Rural Medicine have become important. We analyzed the situation, outcome, and problems of the health projects which have been continued for the past 40-50 years in Takasu?cho in Hokkaido, Masuda-cho in Akita, Matsumoto City in Nagano and Izumo City in Shimane Prefectures. The supportive actions by hospitals and universities were assessed as a model of community-academia collaboration.View full abstractDownload PDF (3624K) -
Shoji KUMAKI, Hideki KURIBAYASHI2003 Volume 52 Issue 2 Pages 165-171
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThis study was conducted to find out whether or not sports contribute to an increase in bone mineral density (BMD) and the prevention of fractures in postmenopausal women. A total of 361 women with low levels of BMD and no evidence of any associated illness were enrolled in this study. They were divided into three groups: group A consisting of 30 women (including 11 farmers) who play sports regularly at the present; group B consisting of 111 women (including 41 farmers) who were in for sports in their youth; and group C consisting of 220 women (including 89 farmers) who have never participated in regular sports.
There were no significant differences among these three groups in BMD of the lumbar vertebrae. In the proximal femur, group C showed significantly lower BMD values than the other two groups and in each group farmers had significantly lower values than non-farmers.
The incidence of vertebral fractures was 30.0% in group A (36.4% in farmers), 36.3% in group B (29.3% in farmers) and 47.7% in group C (52.8% in farmers).
These results indicated that practicing sports on a regular basis is beneficial to postmenopausal women as it is effective in maintaining a level of BMD and preventing compression fractures.View full abstractDownload PDF (2939K) -
Kuninori SHIWAKU, Akiko NOGI, Erdembileg ANUURAD, Keiko KITAJIMA, Kumi ...2003 Volume 52 Issue 2 Pages 172-183
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSTo arrest the prevalence of obesity in Japanese rural communities, we have conducted to develop an interventional program for the prevention of obesity based on health education and self-dertermination since 2000. We adopted the behavioral program to strengthen self-control of diet and exercise based on learning principles. The objectives of the 3-month program were to lose weight by 3.0kg, to reduce metabolic measurement values by 10% in terms of dietary caloric intake and to keep taking over 7, 000 steps a day. Subjects were 140 residents with Body Mass Index of 24.8±3.0, aged 35-70 years, in Izumo City and Sada Town, Shimane Prefecture, who were interested in the prevention of overweight and obesity-associated diseases, voluntarily participated in the behavioral program conducted in 2000-2002. The rate of dropout from the program was 2.9%(4/140). The behavioral intervention induced significant decreases in intakes of energy, protein and fat, and increases in the number of steps per day taken by the participants. The intervention induced a significant difference in weightloss (-1.0kg in 2001 and -1.8kg in 2002). Significant differences of anthropometric parameters were found in body weight, BMI, waist and hip circumferences, blood pressure and lipid profiles, such as total cholesterol, LDL-cholesterol, and HDL-cholesterol, by the intervention in 2001 and 2002. Since our program is based on the participants' awareness and autonomous improvement of behavior, it would be easier to continue for a long term compared to complying with specialist's complicated prescription of behavioristic modification.View full abstractDownload PDF (1647K) -
Gen KURAMOCHI2003 Volume 52 Issue 2 Pages 184-189
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIt is known that the reabsorption of filtered HCO3-depends on the tubular flowrate in the proximal uniferous tubule. In animal experiments, studies have demonstratedthat, when diuresis was induced, the pH of the collecting duct urine decreased, resulting from the decrease in HCO3-concentration with no change in the pCO2 level.The present study was designed to examine changes in urine acidification in humansunder a water diuretic state. Urine pH, pCO2 levels, and HCO3-concentration weremeasured before and after the drinking of water. In 120 minutes after hydration, theurine pH level fell about 0.5 pH unit from that before the intake of water. The urine HCO3-concentration coincidentally decreased significantly. However, pCO2 values remainedunchanged. These results indicated that also in humans, water diuresis promotesurine acidification, resulting from a decrease in HCO3-concentration with nochange in the pCO2 level, which may contribute to the prevention of the loss of plasmaHCO3-into the urine when the urine flow rate increases.View full abstractDownload PDF (665K) -
Juji TSUCHIYA, Masayoshi ASANO, Susumu TACHIBANA, Hajime KAWAGOE, Iwao ...2003 Volume 52 Issue 2 Pages 190-197
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA total of 82 cases of breast cancer detected by hand-scanning ultrasound massscreenig (hereafter referred to as US screening) over the past 15 years were divided into two groups--one aged under 50 and the other aged 50 or over at the time of examinaton. The accuracy and capacity of US screening and the rate of patients with subjective symptoms were studied for each group. As a result, we discovered that the groupaged under 50 was significantly higher in the rate of “further examination needed”, and the rate of “having subjective symptoms”, and was significantly lower in “positive predictivevalue” than the older age group. In the detection rate, sensitivity and specificity, there was no difference between the two groups. Thus, we concluded that US screening were beneficial to both groups.
Dividing the 15 years of US screening into three periods (each 5 years), we investigated the caliber of detected breast cancers, and found the tumor size became smaller year after year. As a result, the cases of non-palpable breast cancer came to form 26.6%, of which 72.3% was accounted for by invasive breast cancer. Further more, we found that in the group aged under 50, because of stiffness of their breast gland, the ratio of non-palpable breast cancer came to 30.2%, which was larger than in the older age group, and 69.2% cases out of them were invasive breast cancer. We are afraid that mass-screening by physical examination alone will overlook many cases of breast cancer, and we recommend that in view of the increasing mortality rate of breast cancer in women in their50s the safe and useful US screening program should be implemented without delay on the younger age group.View full abstractDownload PDF (890K) -
Toshiki KATSURA, Miyako TAKAHASHI, Syuhei MIGITA2003 Volume 52 Issue 2 Pages 198-204
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWith an eye to setting up an in-house system of discharge planning, we conducted a nationwide survey of hospitals without discharge planners. Questionnaires were sent out to medical institutions sampled randomly, asking about the necessity of discharge planners, the role they are expected to play, possibilities of staffing with such specialists, and so on.
The results were as follows:
A majority of the hospitals which responded, 68.9%, said that they wanted discharge planners. Social workers or nurses were regarded as the most competent for the job. Asked about special qualities the planners should have, most respondents cited a good knowledge and experience with respect to “health resources, welfare and administration, ” “home care suport, ” and “ medicine and nursing” in addition to “a talentfor coordination.” The main tasks the planners are expected to do were to “maintain close contact with community-based health care and service providers, ” to “coordinate with the hospital staff” and to “arrange discharge.”
Of th responded 39.5% said that the idea of establishing a discharge planning system is feasible if talented people are available.View full abstractDownload PDF (825K) -
Wakako SATO, Yoshio AIDA, Koji FUKUSHIMA, Masahiro SHIRAI, Masato SUGI ...2003 Volume 52 Issue 2 Pages 205-208
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe report two cases of paraganglioma originating in the paraseller region (case 1) and in the urinary bladder (case 2). The subject in case 1 was a 59-year-old man who was admitted into the hospital with dizziness, muscular weakness of the left extremities and cold sweating. Magnetic resonance imaging (MRI) revealed a tumor in the parasellar region. The subject in case 2 was a 39-year-old man who was hospitalized because he had a sense of residual urine. Computed tomography and MRI showed a mass of tumor tissue in the posterior region of the left ureteric orifice of the bladder. Imprint cytology of both tumors showed isolated, loosely attached sheet-like cells with abundant cytoplasm and round or oval nuclei. Histologically, both tumors consisted of round or polygonal cells in small packets separated by vascular fibrous septa. Immunohistochemically, both tumor cells were positive for NSE, S-100 protein, chromogranin A, and synaptophysin. Electron microscopic examination revealed neurosectretory granules in the cytoplasm of tumor cells in either of these two cases.View full abstractDownload PDF (6007K) -
Tetsuhito FUKUSHIMA, Masaki MORIYAMA2003 Volume 52 Issue 2 Pages 209-216
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSTo clarify the relation between living habitudes in Japan including daily fare and health, the state of health of 21 Japanese-Brazilians living in Japan was investigated. The relation was analyzed based on their views, about the Japanese customs. Only two persons were found to have adapted themselves to the living environment in Japan, 10 persons were not adaptable sufficiently and 9 suffered from maladaptation. Asked why they were not adaptable, they gave personal relations, difficulty in reading and writing, workplace stress, etc. It was also found that at the present their biggest worry concerned the future, followed by personal relations, Japanese language, work and education in that order. Our investigation brought to light the fact that there was much to be done by the local community in terms of receiving immigrants. When it came to foodstuffs, after visiting Japan, the intake of salt, meat and fruit decreased, and fish increased. Like most Japanese, the Japanese-Brazilians regarded salad and rice-baseddiet healthy, but coffee not good. Referring to some foodstuffs which are customarily eaten less, many said they feel eating a lot of fish and shellfish in Japan is good for the health, but little fruit and little bean food are not good. As for the present health condition, more than half of the subjects said they had some problem. In the relation between the change in weight and the change in eating habit, only the increased intake of sugar was related to weight gain. The effect of the Japanese way of life on their health must be continuously followed up on with the common and different points of the customs in eating between Brazil and Japan taken into account.View full abstractDownload PDF (5009K) -
2003 Volume 52 Issue 2 Pages 217-222
Published: July 30, 2003
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (725K)
- |<
- <
- 1
- >
- >|