JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
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Volume 54, Issue 2
Displaying 1-8 of 8 articles from this issue
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REVIEW
  • Studies of Takotsubo-type Myocardioparthy
    —Centering on Our Cases—
    Makoto NAKANO, Toshiaki TAKAHASHI, Etsuko FUSHIMI, Masaharu TAKEUCHI, ...
    2005 Volume 54 Issue 2 Pages 91-96
    Published: 2005
    Released on J-STAGE: August 12, 2005
    DOIhttps://doi.org/10.2185/jjrm.54.91
    JOURNAL FREE ACCESS
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      During the period of two years from 2001 to 2003, we treated nine cases of takotsubo-type myocardiopathy. In this paper, the clinical characteristics and patients' conditions are described, and the mechanisms leading to dyskinesia of the muscular walls of the heart are discussed. All the cases were female. The mean age was 73 years. Physiological as well as psychological stress was implicated as a major cause of the disease, with onset occurring when some members of their family were suddenly taken ill or when they started quarreling with others. Echocardiograms revealed sigmoid septa in almost half of the nine patients. The prognosis was good. Only one patient had cardiac insufficiency as a sequela, but her condition improved. No one died.Eight patients got over dyskinesia of the left ventricular walls in two weeks. From our experience and studies of literature, we ruled out the possibility of the involvement of circulatory disorder and myocarditis in the onset of the disease. Women of advanced age are apt to have sigmoid septa and left ventricular walls thinning. When the old patient in this condition suffer psychosomatic stress, catecholamines will be released, causing the hypercontraction of the left ventricle, the pressure difference in the chamber, and the collapse of the apical of the heart. We concluded that these physiopathological states may be responsible for the abnormal movements of the muscular walls of the heart peculiar to the disease taken up in this study.
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ORIGINALS
  • Prevalence of Physiological Fatigue and Risk Factors Among Middle-Aged Strawberry Growers
    Yoshito MOMOSE, Takajiro SUENAGA, Hiroshi UNE
    2005 Volume 54 Issue 2 Pages 97-106
    Published: 2005
    Released on J-STAGE: August 12, 2005
    DOIhttps://doi.org/10.2185/jjrm.54.97
    JOURNAL FREE ACCESS
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      OBJECTIVES: With the spread of new cultivation methods of strawberries, working conditions have been changed in recent years. Strawberry growers have also been advanced in age. And now, the need to take new measures against physiological fatigue in strawberry growers has become pressing. We investigated the relationship between physiological fatigue and risk factors among middle-aged strawberry growers due to a paucity of such epidemiological studies. DESIGN: Cross-sectional study. Questionnaires were mailed to strawberry growers. SETTING: A rural district in southern part of Japan. SUBJECTS: A total of 1,113 healthy strawberry growers (681 men and 432 women) who were 40—69 years of age. RESULTS: Prevalence of low back pain was the highest (74.0% of males and 73.8% of females), followed by shoulder stiffness and/or pain (49.6% of males and 60.4% of females), and eyestrain (45.2% of males and 50.9% of females). After adjustment of age, working hours, and sleeping hours using a logistic regression analysis, low back pain had the strongest association with agricultural-chemicals spraying among males (odds ratio 2.0; 95% confidence interval 1.4 to 2.8), but there was no significantly association among females. Shoulder stiffness and/or pain had the strongest association with removing old leaves among males (odds ratio 1.5; 95% confidence interval 1.1 to 2.2), and with agricultural-chemicals spraying among females (odds ratio 1.6; 95% confidence interval 1.1 to 2.4). Eyestrain had the strongest association with strawberry sorting among males (odds ratio 2.7; 95% confidence interval 1.9 to 3.8) and with strawberry harvesting among females (odds ratio 3.2; 95% confidence interval 2.0 to 5.1). CONCLUSON: Although the main physiological fatigue among males and females were similar in prevalence, related risk factors differed, and thus the results suggest that it is necessary to take measures against physiological fatigue in consideration of sex difference in the case of middled-aged strawberry growers.
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  • Nationwide Survey of Clinical Cases of Pesticide Poisoning/Disorders in Japan, 2001-03
    Yoshio NISHIGAKI, Shousui MATSUSHIMA, Hiroshi NAGAMI, Eiji OURA, Nobuk ...
    2005 Volume 54 Issue 2 Pages 107-117
    Published: 2005
    Released on J-STAGE: August 12, 2005
    DOIhttps://doi.org/10.2185/jjrm.54.107
    JOURNAL FREE ACCESS
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      Data concerning clinical cases of pesticide poisoning/disorders were collected from members of the Japanese Association of Rural Medicine during 2001-2003, and were analyzed statistically.
      A total of 194 cases of poisoning/disorders by pesticide exposure were reported from 36 hospitals and other medical institutions. Suicide cases accounted for 74% of the total number of cases, which was followed by the cases caused by exposure during spraying (17%) and drinking/eating by mistake (7%).
      In 144 suicide cases, those of males accounted for 52%, the middle-aged and older people constituted the majority. By types of clinical manifestations, almost all of the cases were acute or subacute pesticide poisoning (98%). Organophosphate insecticides were the most frequent inducers of the cases (39%), which was followed by bipyridylium herbicides (23%). When it comes to the outcome, more than 80% of suicide cases with paraquat products resulted in death.
      There were 39 cases of pesticide poisoning/disorders resulting from exposure during spraying, preparation or settling, and working in sprayed area. In these cases, males accounted for 70% the middle-aged and older people made up the majority. By types of clinical manifestations, the cases of acute or subacute pesticide poisoning accounted for 39%, which was followed by acute dermatitis (33%), chemical burn (14%), and ocular disorders (11%). The pesticides that induced clinical cases varied greatly. Main factors contributing to the onset of pesticide poisoning/disorders were insufficient protective clothing (44%), self conceit (19%), insufficient information (14%), and carelessness (12%).
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REPORTS
  • Supply Center as an Agent for Copying
    Kenichi NOMURA, Yasuko SUZUKI, Haruka KANEKO, Sachie HIRAI, Sadatoshi ...
    2005 Volume 54 Issue 2 Pages 118-124
    Published: 2005
    Released on J-STAGE: August 12, 2005
    DOIhttps://doi.org/10.2185/jjrm.54.118
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      The supply center of the Atsumi Hospital handles medicines, medical supplies, slips, stationery, daily necessities, resterilized things, laundries, linen and washing beds among many others. The center is striving to raise the efficiency of the flow of materials within the hospital and undertakes logistics management single-handed. In January 2003, one copier and one lithographic unit out of the total four duplicating and printing machines in the hospital were removed to the suppy center. Since then, the center has been responsible for handling these machines for individual users. How effective this office meanagement system was in saving time, cutting down on costs and increasing the degree of satisfaction felt by employees was examined as part of TQM activities.
      Between June 2003, when the advance booking system was adopted for the use of the two machines, and January 2004, it was found that the monthly reservation ratio averaged out 38.3%. A questionnaire survey also found that many menbers of the staff were satisfied as they could make good use of time. As regards cost reduction, the monthly rental for the copying machine was curtailed to ¥57,000. This was made possible as members of the supply center made proper use of the copier and lithography.
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  • Voluntary Work by JA Women's Division and Community Solidarity
    Kumiko SHIMIZU, Shigeko KOYAMA, Hiromi SAKAGUCHI
    2005 Volume 54 Issue 2 Pages 125-130
    Published: 2005
    Released on J-STAGE: August 12, 2005
    DOIhttps://doi.org/10.2185/jjrm.54.125
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      Voluntary work in our hospital by women belonging to the Women's Division of the Agricultural Cooperatives Association (JA) in Nagano got started in 1973, when the hospital accepted the organized activity of the women. In the beginning, participants were mostly officials of the Women's Division, but later on, other people joined them. They formed a society of volunteers known as Aspara Kai. The voluntary activities are wide-ranging from those directly concerned with care of patients to collecting materials. They have played an important role as a bridge connecting health care to the community by telling people how things are going on in the hospital. Among the activities our hospital sponsors or supports, there are short courses in nursing care, health, mutual help and so on. Doctors and many other specialists on the hospital staff participate in these projects as volunteer lecturers. To enrich the content of these activities, we wish to join hands more tightly with the agricultural cooperatives and become a bearer of health care, medical service and welfare in the region. By carrying out our activities with a sense of unity, comprehensively and efficiently, we will be able to build a society of mutual aid.
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MATERIAL
  • Introduction of Teleradiology Using SECOM HOSPI-NET System
    Shukichi KAINUMA, Yoshio YAMAGUCHI, Toru MIYAJIMA, Akio TAKAGI
    2005 Volume 54 Issue 2 Pages 131-136
    Published: 2005
    Released on J-STAGE: August 12, 2005
    DOIhttps://doi.org/10.2185/jjrm.54.131
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      Although it is ideal that a hospital has full-time radiologists for image diagnosis, it is quite difficult to retain a full-time radiologist in a small hospital because of a shortage of radiologists. In our hospital, CT films were formerly sent to the hospital that had full-time radiologists by mail and diagnostic information was obtained a few days later. Since May 2003 we have introduced teleradiology using SECOM HOSPI-NET system. We transmit a diagnostic request form and CT images using ISDN line. We receive a diagnostic message on the following day. We are able to gain diagnostic information timely. Therefore, we report the usage, reliability, and user-friendliness of this system in comparison with the mailing system from the aspect of responsiveness, economical efficiency, and operating efficiency.
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