民族衛生
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52 巻 , 1 号
選択された号の論文の6件中1~6を表示しています
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  • 照屋 寛善
    52 巻 (1986) 1 号 p. 1
    公開日: 2010/06/28
    ジャーナル フリー
  • 柳澤 文徳, 栗原 洋子, 岡安 勲
    52 巻 (1986) 1 号 p. 2-12
    公開日: 2011/10/21
    ジャーナル フリー
    Epidemiological study of autopsy cases of systemic lupus erythematosus (SLE), systemic sclerosis (SS), poly- and dermato-myositis (PD), and periarteritis nodosa (PN) was done by reviewing The Annual of Pathological Autopsy Cases (Nippon Boken Shuho) in Japan during a 7-year period (1972-1978). The result was summarized as follows . 1) Age and sex distribution of autopsy cases of SLE, SS, PD, and PN were well correlated to those of death cases in Vital Statistics Japan from 1972 until 1978 . 2) The total number of autopsy cases reviewed in these 7 years was 180, 350 (107, 931 male, 71, 256 femme; sex not described in 1, 163). Number of cases of collagen disease was calculated as follows. SLE; 90 males (0.08% in total autopsy cases), 667 females (0.94%), SS; 52 males (0.05%), 174 females (0.24%), PD; 99 males (0 .09%), 139 females (0.20%), PN; 72 males (0.07%), 75 females (0 .11%). 3) SLE was the highest in incidence among four groups. The second one was PD . PN was the lowest in incidence. 4) The female to male ratio was 7.9 for SLE, 4.7 for SS, 1.8 for PD, and 1.04 for PN, respectively. 5) The ratio of incompatibility between clinical and pathological diagnoses was the highest in PN. At autopsy, 35 cases (18 males, 17 females) (50.0%) were diagnosed of PN in 70 cases (39 males, 31 females) which were clinically diagnosed of PN. On the contrary, only 35 cases (18 males, 17 females) 23.8%) were clinically diagnosed of PN in 147 cases (72 males, 75 females) which were pathologically diagnosed of PN at autopsy. This result revealed that it was difficult to obtain an accurate clinical diagnosis of PN. 6) The highest incidence of cancer was found in PD, as a complication among all of four groups of collagen disease. Cancer was detected in 53.5% (53/99 males) and 25 .9% (36/139 females) of cases of PD, respectively. In patients older than 50 years of age cancer was recognized in the autopsies of 65.7% of males and 38.2% of females with PD. Secondly, patients with SS showed 9.6% (5/52 males) and 9.2% (15/174 females), respectively. 7) As side effect of steroid administration, atrophy of adrenals was frequently seen at autopsy, particularly in cases of SLE (19%). Opportunistic infection including miliary tuberculosis and fungus infection, also was found in a high incidence.
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  • 柳橋 次雄, 泊 惇, 冨永 浩盟, 脇阪 一郎
    52 巻 (1986) 1 号 p. 13-23
    公開日: 2011/10/21
    ジャーナル フリー
     1979年9月から1980年1月までの期間に,インドネシア共和国北スマトラ州メダン市で病者を除く15歳から81歳までの男女の住民3,935名(男2,221名,女1,714名)の血圧測定を行った。 結果は次のようであった。 1)日本人の血圧の平均値と比較すると,収縮期血圧は低く,拡張期血圧は高かった。 2)収締期血圧と拡張期血圧との両方が,男女とも加齢に従って高くなっているが,女の場合は男ほどに高くはなっていなかった。 3)高血圧,境界域高血圧の出現の割合は男女ともに加齢とともに多くなっていた。この割合は女よりも男に有意に多かった。 4)信教の違いと,あるいはまた種族的な違いとで,血圧水準,あるいは高血圧者の割合に差異が認められた。例えば,血圧水準はキリスト教徒,あるいはバタ・カロ族では高いが,仏教徒あるいはジャワ族では低かった。 5)過体重者や肥満者の割合は,男より女に多かった。血圧水準と高血圧(者)の割合は,概して両性ともに肥った者には高かった。加えて,オーバーウェイトと血圧上昇との関係は男よりも女に強いように思われた。
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  • 塩原 秀子
    52 巻 (1986) 1 号 p. 24-34
    公開日: 2011/02/25
    ジャーナル フリー
    While increasing medical expense has become a recognized social problem in recent years, dental care has not yet received the attention it deserves. In order to outline trends of demand and supply of dental care, analysis of numbers and distribution of dental protessionals (dentists, dental technicians, and dental hygienists) has been carried out. The results of the study are as follows:National Level 1. In the last 17 years, increase in the number of dental care professionals was greater than that of medical care professionals because of the rapid increase in the number of dental hygienists. 2. The rate of increase in number of dentists was higher than the rate of increase of dental patients.Community Level 1. The number of dentists per 100, 000 population was high in eight prefectures. 2. In areas where the number of dentists per 100, 000 population was low, the ratio of dental hygienists and technicians to dentists was high. 3. The ratio of dental hygienists to dentists was high in the west part of Japan. 4. Chiba and Saitama Prefectures, including the bedroom suburbs of the Tokyo metropolitan area, were found to be short on supply of dental care.
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  • 松本 信雄, 小泉 明
    52 巻 (1986) 1 号 p. 35-47
    公開日: 2010/06/28
    ジャーナル フリー
  • 鈴木 庄亮
    52 巻 (1986) 1 号 p. 48
    公開日: 2010/06/28
    ジャーナル フリー
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