To examine relationships between cumulative fatigue symptoms and the quality of life (QOL), and life style of junior high school students, questionnaires were administered to 289 students in Okinawa. Cumulative fatigue symptoms were assessed using the Cumulative Fatigue Symptoms Index (CFSI). The factor structure of QOL was examined with a principal component analysis. The results were as follows. For the QOL, 6 factors were extracted: Family and living environment factor, school life factor, leisure time factor, allowance factor, community activity factor, and friendship factor. The cumulative contribution was 53%. It was revealed that CFSI selection rates correlated with gender and grade, and life style. When controlling influence of the other variables, the QOL factors except community activity factor showed significant influence on CFSI selection rates. However, the influence of gender and grade, and lifestyle became rather weak. When observing the variables which showed significant influence, the QOL factors were negatively correlated with CFSI selection rates. The person having high QOL score showed low CFSI selection rates. Girls showed higher CFSI selection rates than boys. 3rd graders showed higher CFSI selection rates than 1st graders. Regular exercise, hours of sleep, regular breakfast, ways of commuting, and hours of study at home were also correlated CFSI selection rates. This study showed that life of junior high school students could be taken from the viewpoint of QOL and that QOL was correlated with their cumulative fatigue symptoms more than life style.
The present study examined if the treatment of students by school nurse teacher (SNT) is based on SNT's understanding of the various types of children's behavior. Subjects are a SNT and the total 320 children (204 cases) who visited her school health room with health complaints. We used the behavior analysis method with 4 categories consisting of 89 items for children's behaviors in 63 sequences which were recorded on video tape. We calculated the Mean scores for each children's behavior category on 7 characterisitic types of SNT's understanding . Using the t-test, we obtained 4 significant types of understanding: 1) AE type (understanding during school nursing treatment combined with intellectual behavior) showed the lowest score for the target behavior category. 2) B type (understanding with acceptance and empathic attitude) showed the highest score for the expressive behavior category. 3) BC type (understanding with B type combined with instructions for children to be conscious of their own health problem) showed a higher score for the target behavior and slightly higher scores for others. 4) F type (understanding with indirect contact during instrumental behavior) showed the highest score for each category without the expressive behavior. These types of understanding were discussed with reference to school nursing treatment process and relevance for health education, and problems of our method were indicated.
Subjective sleep ratings and polygraphic sleep parameters were recorded for 76 nights in 5 young and 3 old subjects in a noisy urban apartment (46.67 dB(A)) and in a quiet rural house (27.72 dB(A)), in order to clarify the difference between the sleep of the young and that of the old. The results were as follows. Both sleep period time (SPT) and total sleep time were longer for the young than for the old in a quiet bedroom. Both REM latency and sleep latency did not differ significantly between the young and the old. Mean sleep depth was shallow for the old because of more time for wake after sleep onset and stage 1 sleep and less time for slow wave sleep. There was no significant difference of stage 2 sleep between the young and old. The percent of REM in SPT were less for the old. The old subjects reported that they had less dreams than the young. The sleep of young was a little more susceptible to road traffic noise than that of old. In the elder subjects, "Couldn't sleep well" was found to be the most valid parameter of the quality of sleep, though "Difficult to fall asleep" was the most representative in the young.
In order to made clear the relationship between body fat and serum cholesterol, the authors studied 431 adult males who were employees of an enterprise in Kyungsang Pukdo in May, 1992. Total cholesterol, HDL-cholesterol and triglyceride were assessed, and anthropometric measurements were carried out of height, weight, subcutaneous fat thickness and circumference of waist, hip and thigh. In this study, subcutaneous fat thickness are measured by the ultra-sonic devices, THTT-TH 500, which had been originally developed by TOYOKAWA at 6 locations of body: biceps, triceps, subscapular, suprailiac, abdominal and thigh anterior. The results are shown below: 1) They are grouped into obese and non-obese. The former has bigger waist, abdominal, buttock (hip) and mid-thigh circumference than the later, and also more thick subcutaneous fat layer in six body location than the later. 2) Of the serum examination, the obese group has higher serum lipid than the non-obese group. 3) As to correlation between anthropometric size and serum lipid, there are more typically higher correlation in devices in the obese group than in the non-obese group. Waist of body size and fat layer which show typical association to serum lipid.
We studied a statistical analysis of client telephone consultations at the Gunma Prefectural Mental Health Center. Consequently, we made clear the following: first-time calls overwhelmingly outnumber second-time calls. Moreover, the total number of calls increase when Mental Health Center publicity is actively implemented. Most calls are from the clients themselves, and more calls are from women than men. Most clients are in their twenties. Most consultations concern mental illness of some sort, but cases of dissatisfaction and/or doubt of the effectiveness of ongoing treatment are also numerous. In many cases anonymity is preferred, and client names and addresses cannot be confirmed. Newspapers, advertisements, and use of the telephone directory appear to be the main source information gathered on the telephone counseling services offered by the Center. According to counselors, providing advice to clients is the most frequently used counseling tactic. Face-to-face counseling services at the center are available, and client introductions to other institutions are also implemented. The length of consultation is typically longer for women than men. These findings suggest that the Mental Health Center is perceived as a special facility for conducting telephone consultations by the citizens of the prefecture.