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Volume 65 (2005)
- Issue 6 Pages 473-
- Issue 5 Pages 385-
- Issue 4 Pages 275-
- Issue 3 Pages 205-
- Issue 2 Pages 111-
- Issue 1 Pages 1-
Volume 65, Issue 5
Displaying 1-13 of 13 articles from this issue
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—Characteristics of Skiboard-related Injuries and “Air Injuries (Jumping Injuries) ”—Eiji SHIOTANI, Setsurou KURIYAMA, Mikihiko WATANABE, Takahiko HOSHIDA, ...2005 Volume 65 Issue 5 Pages 385-393
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThe subjects of this study include patients with ski or snowboard-related injuries seeking treatment from the Ishiuchimaruyama Medical Clinic affiliated with the Department of Orthopedic Surgery, Showa University. Ski-related injuries are often comparable while snowboarding injuries vary since each snowboarder has his/her own snowboarding style. It has recently become apparent that intermediate level snowboarders usually sustain injuries resulting from a jump while beginners fall when they catch the downhill edge of the board on a gentle slope.View full abstractDownload PDF (2577K) -
Takashi MAEDA, Kouji YANAGISAWA, Takako USUI, Hidetoshi NAKASHIMA, Nor ...2005 Volume 65 Issue 5 Pages 394-400
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSAllogeneic hematopoietic stem cell transplantation is a curative therapy for hematological malignancies. Since the first successful unrelated cord blood transplantation (UCBT) was reported in 1988, umbilical cord blood from unrelated donors has been used as an alternative stem cell source for patients with hematologic disorders. We report the clinical results of UCBT performed at our hospital between August 2003 and April 2005 in 19 adult patients (median age, 42 years ; range, 24-67 years) with hematologic malignancy. The preparative regimens for myeloablative CBT consisted of 12 Gy total body irradiation (TBI) on days - 8 to -6, cytarabine 3 g/m2 every 12 hours on days - 5 and - 4 and cyclophosphamide 60 mg/kg on days - 3 and - 2 and for reduced-intensity CBT (RI-CBT) consisted of 4 Gy TBI on day - 7, f ludarabine 25 mg/kg on days - 6 to - 2 and melphalan 40 mg/kg on days - 3 and - 2. Fifteen patients received cyclosporine (3 mg/kg/day) and short-term methotrexate and 4 patients received FK506 (0.03 mg/kg/day) as prophylaxis against graft versus host disease ( GVHD) . The number of infused nucleated cells was 2.43×107/kg. The median time to >500/μl absolute neutrophil count was 22.6 days, and 8 patients developed grade III to IV acute GVHD. Five of 16 high risk patients remain alive and disease-free after UCBT, and 3 of 5 patients above 50 years of age achieved remission after RI-CBT. These results suggest that UCBT is capable of promoting sustained hematopoietic engraf tment in most adult patients with hematologic malignancy and that it is feasible in high-risk patients. In addition, RI-CBT may become the treatment of choice for young patients with organ failure and for elderly patients.View full abstractDownload PDF (662K) -
Akifusa SUZUKI, Yusuke FUKUDA, Takako SHIRASAWA, Yoshiki KAMIYAMA, Tak ...2005 Volume 65 Issue 5 Pages 401-409
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSWe analyzed the relationship between serum cholesterol levels and lifestyle factors by logistic regression analysis. These data were collected through the data base operated by the Health Information Systems Research Association. The results of the serum cholesterol level test and data of lifestyle factors were collected by questionnaire. The results, which are supported by the x-square test, show that there is a significant relationship between obesity and cholesterol levels in all age groups. In addition, there is a significant relationship between cholesterol levels and health consciousness except in the female group under 40 years of age and in the male group over 60 years of age. However, results of the x-square test indicate a significant relationship between eating habits and cholesterol levels in all males except those over 60. Some indices, such as exercise, smoking and consumption of alcohol, are substantially related to levels of cholesterol in some age groups. The x-square test shows a significant relationship between cholesterol levels and stress in the over 50 but significant in only females over 60, as shown by logistic regression analysis. Except for males over 60 and female under 40, Spearman's correlation test indicates a relationship between total lifestyle index and cholesterol levels while the x-square test indicates this relationship in 40-50 year old males and females over 50. Since the results of the x-square test and those of logistic regression analysis do not correlate for all groups, further research is needed to determine the differences between these two types of analyses. From this study we can conclude that not only obesity but also stress, use of tobacco and health consciousness affect serum cholesterol levels. From these results comprehensive countermeasures can be provided for the preventing of atherosclerotic diseases.View full abstractDownload PDF (919K) -
—Using Structural Equation Modeling—Hisayoshi SUZUKI, Yoshiki KAMIYAMA, Takeshi KAWAGUCHI2005 Volume 65 Issue 5 Pages 410-420
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSA survey of job stress of occupational therapists was conducted and data were analyzed using factor analysis and structural equation modeling (secondary factor analysis) . Rehabilitation services provided by occupational therapists have become greatly developed and are widely available. At the same time these services have become more complicated because of aging of patients as well as patients' families. Most occupational therapists are making great efforts to overcome their job stress. There are, however, few studies regarding stress and burnout of occupational therapists in Japan. The purpose of this study was to analyze the causes of job stress and to create a job stress model to help occupational therapists cope with stress. To design a suitable job stress model, 291 occupational therapists in the Tokyo metropolitan area were surveyed. Six major job stress factors were extracted from our results. The results suggest that factors of job stress of Japanese differ from Europeans in some part beyond the differences of culture and medical service systems, A suitable job stress model for occupational therapists was composed of two latent variables related to “occupational therapy work itself” and “complications involving patients' lives or lifestyles”. This job stress model which refers to the relationship between job stress and its cause may contribute to cope with job stress.View full abstractDownload PDF (1153K) -
—To Promote the Strategies for HIV/AIDS Counseling and Testing—Tomoko TACHIBANA2005 Volume 65 Issue 5 Pages 421-432
Published: October 28, 2005
Released on J-STAGE: November 19, 2010
JOURNAL FREE ACCESSThe reported numbers of newly registered HIV-infected patients and AIDS patients have been increasing slowly in recent years (HIV/AIDS trend survey) . Recently HIV infection is now considered not to be incurable but to be sexually transmitted chronic infection. It would now be desirable to intensify prevention efforts. I clarified characteristics of examinees who underwent voluntary testing in the HIV Counseling and Testing Center in Tokyo, 2000-2002. We analyzed responses which were obtained by means of questionnaires from visitors who had HIV screening tests and found not to be infected. Based on the responses, we discussed how to put an investigation to practical use for strategical promotion of HIV/AIDS prevention. The responses we analyzed were from 52, 004 of the visitors tested (89.9%) . The reasons and percentages of visitors for the HIV exam were hetero-sexual contact for males and females, 10.2% and 94.7%, respectively and homo-sexual males, 26.0%. The duration from the fear of infection to the HIV exam were “over 90 days to within 1 year (considered appropriate) ” 59.0%, “over one year (too late) ” 16.9%. The ratio of regular condom usage by all visitors within the past 1 year was 60.3%. Through this study, it is suggested that this survey for examinees of the HIV Counseling and Testing Center should be equipped as a surveillance system. These survey data should be put to practical use as bases for planning of HIV preventive strategies. I propose to construct a behavioral survey system so that health promotion development will be adopted for an HIV prevention strategy in Japan.View full abstractDownload PDF (1202K) -
—Results from a 2-year Follow-up Study—Chieko USAMI, Rie WATANABE, Takahiro SUGAWARA, Takako SHIRASAWA, Yoshi ...2005 Volume 65 Issue 5 Pages 433-442
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSLifestyle-related diseases among students are increasing recently. Enforcing health education for college students is needed because obesity puts students at a higher risk of geriatric diseases. It is very important to clarify the relationship between food intake behavior and biochemical indices to implement health education from a point of view of EBM (Evidence Based Medicine) . We conducted a 2-year follow-up study of 101 nursing college students concerning lifestyles and biochemical indices including fat levels in blood serum. Students who had customarily eaten breakfast during both the 1st and 3rd college years showed higher serum iron contents compared to the students who were not accustomed to eating breakfast. Students who ate raw vegetables regularly showed higher hemoglobin contents and higher serum iron contents. These results suggest that healthy long-term lifestyles improve biochemical indices.View full abstractDownload PDF (916K) -
Hideyasu WATANABE, Masazumi MIZUMA, Nobuyuki KAWATE, Humihito KASAI, H ...2005 Volume 65 Issue 5 Pages 443-448
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSWe investigated hemiplegic patients who had suffered brain strokes and were subsequently given surgical treatments for advanced quinovarus and hammer-toe deformity. The 12 hemiplegic patients underwent open surgery from April, 1991 to March, 2000. We examined conservative treatments, surgical treatments, operative methods, gait ability and daily living activities after operations. Conservative treatment including muscle stretching, physiotherapy, motor-point block, muscle relaxants and brace therapy were performed. Operative methods included 11 Achilles tenoplasty cases (Vulpius method, 3 cases ; Z plasty method, 8 cases) and 8 flexor digitorium pedis tenontomy cases (7 cases were combined with Achilles tenotomy) . After surgery, range of motion of the ankle joint improved in all cases, heel contact became possible at the time of foot strike, and gait ability and daily living activities all improved. Although there were only 12 surgical treatments administered during the 9-year period, surgical treatment was beneficial as a final means when conservative treatment was ineffective.View full abstractDownload PDF (537K) -
2005 Volume 65 Issue 5 Pages 449-450
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
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[in Japanese]2005 Volume 65 Issue 5 Pages 450-455
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
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[in Japanese]2005 Volume 65 Issue 5 Pages 455-459
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
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[in Japanese]2005 Volume 65 Issue 5 Pages 459-461
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
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[in Japanese]2005 Volume 65 Issue 5 Pages 462-467
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
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2005 Volume 65 Issue 5 Pages 467-472
Published: October 28, 2005
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSDownload PDF (805K)
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