Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
Volume 67, Issue 5
Displaying 1-15 of 15 articles from this issue
  • [in Japanese]
    2007 Volume 67 Issue 5 Pages 343
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2007 Volume 67 Issue 5 Pages 344-350
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2007 Volume 67 Issue 5 Pages 351-358
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2007 Volume 67 Issue 5 Pages 359-364
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2007 Volume 67 Issue 5 Pages 365-374
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
    Download PDF (871K)
  • [in Japanese]
    2007 Volume 67 Issue 5 Pages 375-385
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese]
    2007 Volume 67 Issue 5 Pages 386-391
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    2007 Volume 67 Issue 5 Pages 393-395
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    2007 Volume 67 Issue 5 Pages 396-405
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    2007 Volume 67 Issue 5 Pages 406-413
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
  • Shigeru ASAHINA, Kazuhito ASANO, Mikako SUNAGA, Tadashi HISAMITU, Mich ...
    2007 Volume 67 Issue 5 Pages 414-421
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
    High intensity and resistance exercises such as running and weight training reportedly increase beta-endorphin (BE) levels in venous blood. Although these reports suggest that several types of exercises may affect nervous-endocrine systems and result in an increase of BE levels, the precise mechanisms by which exercises cause changes in BE levels are unknown. Since the intensity, frequency, and duration are considered the most important kinetic elements, we examined these three elements on BE production using experimental animals. F344 male rats were exercised on a treadmill and BE levels in the hypothalamus were examined by enzyme-linked immunosorbent assay (ELISA) . Training at more than 25 m/min but not less than 20 m/min caused a significant increase in BE levels in the hypothalamus. Although no significant changes in BE levels were observed in rats subjected to training at 10 m/min twice and three times per day, training at 20 m/min twice and three times per day significantly increased BE levels. Furthermore, training at 20 m/min for 7 to 28 days also caused an increase in BE levels in the hypothalamus. These results strongly suggest that exercise may affect the central nervous system and cause an increase in BE levels in the hypothalamus.
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  • Tomoko TACHIBANA, Hideaki TACHIBANA
    2007 Volume 67 Issue 5 Pages 422-434
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
    To assess the effectiveness of exercises using the case method for acquisition of subjective health crisis management competencies. 1. Program development and performance : A case method program“outbreak of avian influenza in the Kohoku region of Shiga Prefecture”was developed and conducted for 40 council partici-pants of health crisis management agency representations in the community. Awareness of possession of health crisis management competencies (C1 - C15; author's previous report) was investigated among the participants, and replies to the questionnaire were obtained before and after the program. 2. Analysis of the replies to the sur-vey: The Wilcoxon signed rank test was used to analyze the valid data sets (n=23: reply rate 57.5%) . Significant differences were found for competency C2“Competency needed to estimate the magnitude of the impact of an out-break on the Kohoku community” (P=0.039), C4“Competency to gather information required to estimate the magnitude of the impact of an outbreak on the Kohoku community” (P=0.031), and C10“Competency to be able to judge who should bear responsibility for each level of judgment according to the type and severity of the health crisis” (P=0.016) . Significant differences in C2 were observed at 50 years of age and over (P=0.031; n=11), and in C2 (P=0.031) and C4 (P=0.031) for those with 20 years or more of public service (n=15) . It is expected that case method exercises can help improve judgment competencies in managers' (C2, C4, and C10) early initial responses. In addition, the results suggest that case method exercises are effective for improving competency in estimating the impact of health crises, especially among highly experienced managers.
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  • Mizue SHIROMARU, Mihoko SHIMODA, Mari KUBOTA, Tomoko YAMAGUCHI, Masaki ...
    2007 Volume 67 Issue 5 Pages 435-443
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
    The purpose of this study is exploratory demonstration of the structure of more abstract anxiety, by focusing on“worries”that cause the anxiety state of patients who undergo abdominal surgery including digestive system disease and by clarifying the specific details of worries and their interrelation. The research subjects included 103 people among 113 patients who underwent surgeries at Ward B of University A from whom consent to the research was successfully obtained: average age: 59.6 years old (±12.7), 66 males and 37 females. As a result of analysis, the“scale point of worries” after surgery had correlation with worries to the“social life after hospital discharge (r=.059, p< .001) ”and the“daily life after hospital discharge (r=.057, p< .001) ”, suggesting the necessity of support with expanded views to reconstruct the life after hospital discharge. As a result of MDS (Multi-Dimensional Scaling) interpretation in reference to the cluster analysis (Weed Method) in order to under-stand similarities among each item of worries before and after surgery and their structure, they were successfully categorized into five: “Satisfaction for the correspondence, ”“current worries, ”“mental preparedness, ”“worries to results, ”and“worries about relationship after surgery.” In terms of relationship of worries with existence of malignant tumors, operative procedures, sex and age, the influence of age was found to be significant in particular.
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  • Masaaki TANAKA, Takashi TOI, Kuniaki KASHIMA, Yasura SUZUKI, Kazuka YO ...
    2007 Volume 67 Issue 5 Pages 444-447
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
    During transurethral resection of the prostate (TUR-P), a non-electrolyte solution with sorbitol was used for irrigation. TUR-syndrome, which is a well-known complication of TUR-P, occurs as a result of irrigant absorption and dilutional hyponatremia. Although patients with TUR syndrome complain of various symptoms and signs, most do not exceed clinical tolerance. However, life-threatening TUR syndrome has still been reported. We experienced a case of TUR syndrome with severe hyponatremia and hypoxemia. Anesthesiologists must carefully monitor not only changes of vital signs and symptoms, but also the total amount of irrigant, total volume of blood loss and surgical time to avoid hyponatremia and to detect TUR syndrome during TUR-P.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2007 Volume 67 Issue 5 Pages 448-449
    Published: October 28, 2007
    Released on J-STAGE: September 09, 2010
    JOURNAL FREE ACCESS
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