JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 54, Issue 4
Displaying 1-9 of 9 articles from this issue
ARTICLE
  • ——Codex Alimentarius and Globalization——
    Kazuo ONITAKE
    2005 Volume 54 Issue 4 Pages 625-639
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      In Japan the consumers' trust in the food safety administration and social system was crumbled miserably. What with the occurrence of BSE cases and the revelation of a series of coverup scandals, what a food labelling system ought to be also emerged as an important issue. In April 2002, the investigation and examination commission on BSE issues came up with a report in which it proposed that the “priority of consumers' health protection over everything else” and the “adoption of risk analysis” should be the basic principles of the food safety administration.
      The report also suggested setting up independent administrative organisation to conduct the “risk assessment” and “risk communication” (Cabinet Office/the Food Safety Commission), establishing a comprehensive legal system for food safety (a Food Safety Basic Law), and amending the Food Sanitation Law and other related regulations. Meanwhile, JCCU, joining forces with its member cooperatives across the nation, gathered 13,730,000 signatures to file a petition with the government for revision of the Food Sanitation Law, worked on local governments to beef up food safety measures, appealed to all political parties and groups, and approached local assemblies about adopting our petition for food safety. These efforts bore fruit by and large.
      The central government, in response to the above-mentioned activities, put bills concerning the reform of the administrative organisation and enactment of new laws. Deliberation was carried out as speedily as ever. To assure food safety, as from July 2003, new administrative organisation came into being with new laws put into operation.
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ORIGINALS
  • Yukihito MINATO, Naoko MOCHIZUKI, Keiji KOSHIBU, Kouji HATTORI, Tatsuo ...
    2005 Volume 54 Issue 4 Pages 640-643
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      Using RIBA NS5 antibody was measured in 31 HCV RNA positive serotype 1 patients, and the serum levels of ALT were monitored for an average of three years. As a result, 22 asymptomatic HCV carriers (group A) were found to be NS5 antibody negative (-) and nine to be NS5 antibody positive (4+). By contrast, in 25 patients with chronic inactive hepatitis C (group B), three patients were NS5 antibody negative (-), and 22 patients were NS5 antibody positive (4+), indicating a significant difference between the two groups (p<0.01 chi square test).
      Furthermore, in group A, 22 NS5 antibody (-) patients (group I) maintained normal serum levels of ALT significantly longer than the 9 NS5 antibody (4+) patients (group II) (p<0.01, Kaplan-Meier Method). Therefore, the measurement of NS5 antibody of RIBA was clinically useful in identifing asymptomatic (HCVRNA positive, serotype 1) HCV carriers.
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  • Yasuji YAMADA, Kazuhisa MATSUMOTO, Osamu YOSHIDA, Michiyo YOSHIKAWA, T ...
    2005 Volume 54 Issue 4 Pages 644-649
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      Aim:The usefulness of high-density barium, which was made to 150w/v% (MIX150), was examined to obtain better radiographs of the intestines. Methods: “MIX150” was compared with existing pharmaceutical “BAM100” to evaluate x-ray images (barium adhesion, dryness evaluation). MIX150 was used in 232 patients (mean age 56 years), while BAM 100 in 210 patients (mean age 55 years). Results: In terms of adhesion, MIX150 was excellent in the the cecum significantly and in dryness evaluation, in the entire region of the colon. Conclusion: High-density barium (150w/v%) was useful for enhancing the quality of radiographic images.
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REPORTS
  • ——Approach Taken by Aichi-Koseiren Pharmacist Association——
    Masaya HARADA, Youji SUGIURA
    2005 Volume 54 Issue 4 Pages 650-654
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      Sharing information systematically and verifying nosocomial infection measures are considered useful for evaluating the validity of the measures and solving these problems.
      The Pharmacist Association of the Aichi-Koseiren set up an expert committee for studying measures to prevent nosocomial infection in 2002. The questionnaire survey was performed from 2002 to 2003, to define current practice for preventing hospital-acquired infections in each facility and to find whether antibiotics are being used properly. Based on the findings problems were brought to light and the target for prophylaxis was set.
      As a result, one or more of several target problems were solved in 2004. At the same time, the continuance problems in the future a come to the surface. The results were obtained by effectively using Aichi-Koseiren with the pharmacist association playing a central role.
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  • Takayuki KUGA, Masatoshi SHIGETA, Manabu SUDO, Akimasa YAMASHITA, Tomi ...
    2005 Volume 54 Issue 4 Pages 655-660
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      Recently the evaluation of health-related quality of life (QOL) in cancer patients has become important in carrying out a treatment strategy. During a period between June and August 2004, we studied the QOL in 16 breast cancer patients with or without chemotherapy. The regimens of chemotherapy were EC (n=6), AT (n=1) and CMF (n=1). We made the Functional Assessment of Cancer Therapy Scale-General (FACT-G) in all patients. The patients treated without chemotherapy were superior to those with chemotherapy with respect to physical and emotional well-being (p<0.05). There were no differences in social well-being and relationship to families between the two groups. The patients treated without chemotherapy made significantly higher scores in the basic activities of daily living than those with chemotherapy (p<0.05). Compared with patients receiving chemotherapy, patients treated without chemotherapy had better quality of life (p<0.05). We concluded that it was important for us to assist in decision making about treatment and supportive care needs.
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  • Masami NIWA, Itaru HIRAMATSU, Fumiaki NAKATA, Chika HAMAYA, Nobuhito O ...
    2005 Volume 54 Issue 4 Pages 661-666
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      The chewing-related neuronal mechanism underlying stress relief, was evaluated by use of fMRI. For this purpose we examined the effect of chewing a moderately hard gum without any taste (X type, Lotte Co. LTd., Tokyo) on brain activation caused by a noisy sound stress, on plasma levels of catecholamines and ACTH. The stress significantly increased the blood oxygenation level-dependent (BOLD) signals in the amygdala and the medial prefrontal cortex, and elevated plasma levels of noradrenaline, dopamine and ACTH. However, this chewing suppressed not only the stress-induced increase in BOLD signals in these two regions, but also the stress-induced elevation in plasma levels of these catecholamines and ACTH. The results suggested that chewing might be a useful therapy for reducing stress.
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NURSING RESEARCH REPORTS
  • Keiko AKASHIO, Midori MIYASHITA, Keiko HAYASHI, Katsuhiko TAMURA, Masa ...
    2005 Volume 54 Issue 4 Pages 667-671
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      Along with hemodialysis, continuous ambulatory peritoneal dialysis (CAPD), which performs the work of the kidneys, is used in treating chronic renal failure. CAPD (hereafter referred to as PD) can be conveniently done at the patient's home.Other advantages of it include less adveres effects on the cardiovascular system as homeostasis of body fluid is maintained;less dietary restriction;reduction in the frequency of outpatient treatment;availability of a system suited to the patient's lifestyle;and being comparatively easy to return to work. Nonetheless, home PD patients remain at risk of peritonitis, exit-site infection, and undernutrition due to protein-losing enteropathy. Moreover, patients may feel that they have gotten wary of taking care of themselve. Recently, we have come upon a case of end-stage renal failure in a 59-year-old articular rheumatic who was unable to exchange dialysis bags because her finger joints were deformed. So, we applied a PD system using the SMAP method to the patient with the result that she became able to manage to operate the PD by herself.
      Our patient wished to take it upon herself to perform PD using a UV-F twin-bag system. Ordinarily, bags have to be exchanged four times a day and every time bags are exchanged, several clamping procedures are required. It was impossible for her to exchange bags because of deformed finger joints. To make the impossible possible, a supplementary device for exchanging bags had to be fixed. It was also necessary for her to learn how to manipulate the newly attached device in addition to the existing device. With the SMAP method, there is plenty of time before PD gets started. So it was possible to examine the self-management method thoroughly and learn the trick of operating the new device. Our experience showed that PD by the SMAP method is useful to articular rheumatic patients with finger joint deformities.
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  • Emi NAKAMOTO, Masami SAEKI, Natsumi FUJIMOTO, Kazufumi ISHIDA
    2005 Volume 54 Issue 4 Pages 672-675
    Published: 2005
    Released on J-STAGE: January 19, 2006
    JOURNAL FREE ACCESS
      Diabetic patients must keep on exercising self-management for life in order to prevent diabetic complications and hold in check the progress of the disease. Moreover, fighting against the disease is an integral part of everyday life. Depending on the condition, patients may have to switch over to another treatment method in a short space of time. Such patients accept the alteration without proper understanding of it, although physicians thought they had given full explanations to the patients. There are some patients who cannot adequately communicate with their doctors. They blame the exacerbation of the condition on their poor self-management, get depressed and eventually driven to desperation. Tired out of long years of the life under medical treatment, diabetics may want to have someone to talk to or to turn to for advice. Doctors and nurses ought to understand their feelings, listen to them, give proper instruction, and review it later. For this purpose, medical institutions should have a counselor's office easy of access by patients and their families.
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