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Volume 39, Issue 4
Displaying 1-8 of 8 articles from this issue
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[in Japanese]2002 Volume 39 Issue 4 Pages 165
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
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Yasuaki SHIINO2002 Volume 39 Issue 4 Pages 166-170
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
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Kazuhiro SUZUKI, Naoto MITSUGI, Yukihiro SAITO2002 Volume 39 Issue 4 Pages 171-175
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
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Tsutomu IWAYA, Yoshiko TOBIMATSU, Naoyuki OOI, Kazunari YOSHIDA, Yuki ...2002 Volume 39 Issue 4 Pages 175-179
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
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Investigation of Aspiration Cases Encountered in Upper Gastrointestinal Radiographic Contrast Study and its PreventionRuri OHKUMA, Mikumo UEMATSU, Ichiro FUJISHIMA, Aiko MUKAI2002 Volume 39 Issue 4 Pages 180-185
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSAspiration of barium contrast medium occasionally happens during upper gastrointestinal radiographic contrast study. Aspiration of barium at gastric mass survey was retrospectively reviewed, and preventive measures of aspiration were suggested. We investigated 262, 888 apparently normal persons who underwent upper gastrointestinal radiographic contrast study from 1993 to 2001, and found 118 persons (age range, 30-94 years, mean age, 65 years) who aspirated barium. The average aspiration rate was 0.044%. We categorized subjects by age into two groups: younger than 70 years old and equal to or older than 70 years old. The aspiration rate was remarkably high in the older group (younger group: 0.024%, older group: 0.256%). This suggested that we should be more cautious when older individuals undergo upper gastrointestinal radiographic contrast study. We examined the annual change of aspiration rate, and found that it suddenly increased in 2000, when the viscosity of barium contrast medium used for gastric mass survey was getting thinner. To prevent aspiration, it is necessary to regulate viscosity of barium. It is recommended that we perform a screening test of dysphagia before the radiographic contrast study, particularly in older individuals.View full abstractDownload PDF (1544K) -
Fumiko ANZAKI, Shin-Ichi IZUMI, Yuko AIMI2002 Volume 39 Issue 4 Pages 186-190
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSWe report the case of a patient with severe episodic amnesia who underwent a 10-year neuropsychological rehabilitation process. A 55-year-old, right-handed male developed memory disturbance following anoxia. He constantly performed above average on semantic memory test. MRI revealed cerebellar atrophy, especially in the folium vermis. Memory rehabilitation of this patient included 5 programs: a utility exercise of external memory aids, an attention training, a story recall by drawing pictures depicting the story, the ‘PQRST’ approach, and a couple of unrelated words recall by making a sentence including the two words. As a result, the patient's performance on memory tests (WMS-R and RBMT-J), examined repeatedly, significantly improved. Also, he became able to refer to the memory notebook and take noted. However, the patient's severe episodic amnesia remained. The internal memory strategies applied for this case did not appear effective in improving the patient's severe episodic amnesia. We speculate that the patient could learn declarative information unconsciously, as well as use of a memory notebook.View full abstractDownload PDF (1113K) -
Tatsuo SATO2002 Volume 39 Issue 4 Pages 191-196
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSFor the improvement of medical education in Japan a project team (Research and development project on educational programs in medicine, Chair: Tatsuo Sato) was organized in term years 1998-2000. They prepared a model core curriculum and made it open to the public in March 2001. The traditional jam-packed curriculum was compressed into about two-thirds and was completely reorganized into a totally new comprehensive design. Most medical schools have respected this model core curriculum as a guideline for the future development of their own medical curriculum. For example, regarding rehabilitation medicine the following are adopted as the fundamentals: 1) to describe the concept and indication of rehabilitation, 2) to understand the structure of the rehabilitation team and to describe the physician's role, 3) to describe the role of rehabilitation in cooperation with welfare and care, 4) to describe impairments in terms of functional impairment, performance decline and social disadvantage, 5) to evaluate the activities of daily living (ADL), 6) to describe briefly physical therapy, occupational therapy and speech therapy, and 7) to describe briefly the major walk-supporting equipment, wheel chair, artificial limbs and apparatus.View full abstractDownload PDF (821K) -
2002 Volume 39 Issue 4 Pages 197-209
Published: April 18, 2002
Released on J-STAGE: October 28, 2009
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