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Volume 6 (1984)
- Issue 4 Pages 345-
- Issue 3 Pages 221-
- Issue 2 Pages 121-
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Volume 6, Issue 4
Displaying 1-13 of 13 articles from this issue
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Robert MURRAYArticle type: Lecture
1984 Volume 6 Issue 4 Pages 345-354
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSThe gift of prophecy is rare but an attempt is made to forecast some of the developments in occupational health in the next century. People will not change nor will the natural laws or the properties of chemicals. The biological environment may alter significantly as a result of bioengineering. Environmental stresses will be different but the psychosocial responses will remain the same. Many of the current problems of dose-response relationships will be resolved by time and experience, though inevitably new problems will arise. The level of expectation of health will continue to exceed the resources available.View full abstractDownload PDF (787K) -
Teruyuki HOJO, Tamiji NAKASHIMA, Tomi HIRAOArticle type: Research Note
1984 Volume 6 Issue 4 Pages 355-357
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSStature, sitting height and relative sitting height (a ratio of sitting height to stature) of 318 high school girls of 17 years of age in Kitakyushu City were studied. They consisted of groups over a three-year period; 1973, 1980 and 1984 There are statistically no significant changes in the stature, in the sitting height, and in the relative sitting height among these three groups The relative sitting height of these three groups is about 54%, which is about the same as among the Chinese, Eskimos, American-Indians and the Hokkaido-Ainu.View full abstractDownload PDF (175K) -
―So-called the Worried Well Patients and Psychosomatic Medicine―Hiroshi OSADAArticle type: Review
1984 Volume 6 Issue 4 Pages 359-368
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSThe desire of people to receive the best health care services without difficulty is an instinctive one. However, defects in public health education and the irresponsible or sometimes sensational medical information released by the mass media are causing an excessive increase in the population's demand for health care services. As a result, so-called "worried well" patients are increasing and health care institutions are crowded with such patients, who play a major role in increasing national medical spending. On the other hand, it is difficult to say that health care institutions are providing satisfactorily continuous, consecutive and comprehensive health care services. Needless to say, in dealing with worried well patients, the health care institutions should make efforts towards early detection of disease, if any, but at the same time, a psychosomatic approach should be made, considering patients as holistic people with both a mind and body. To this and, interdepartmental and interhospital liaison becomes very important. From the viewpoint of comprehensive health care services, the author presents in this paper such cases where the health care services provided are regarded as defective in terms of continuity and points out the importance of systematized health care information and systematized health care services at all health care levels from primary to tertiary.View full abstractDownload PDF (729K) -
Kazuo TAKAHARA, Yasuhide NAKASHIMA, Shigeki TAKEI, Masayuki TAKASUGI, ...Article type: Original
1984 Volume 6 Issue 4 Pages 369-376
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSWe concurrently measured plasma catecholamine levels and platelet aggregation in patients with variant angina, effort angina and old myocardial infarction. Platelet aggregability was lower in variant angina than in effort angina and old myocardial infarction. Plasma concentrations of epinephrine and norepinephrine in the variant angina group showed higher values than those in the effort angina group and the old myocardial infarction group. Moreover, there was a statistically significant negative correlation between plasma catecholamine concentration and ADP-induced platelet aggregation. These findings suggest that the lower platelet aggregation is related to the higher concentration of plasma catecholamine in variant angina.View full abstractDownload PDF (511K) -
Akio OHNISH, Sadaaki lCHII, Hisamitsu OHMORI, Joji NAGAKIArticle type: Original
1984 Volume 6 Issue 4 Pages 377-381
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSDiameter and density of both myelinated and unmyelinated fibers were morphometrically analyzed in 8 sural nerves obtained from 8 normal volunteers by utilizing a TGA-10 particle analyzer (Carl Zeiss Co., West Germany) The density of total myelinated fibers was (7.4 ± 1.3) × 10³ (mean ± standard deviation) per square millimeter. The border diameter between small and large myelinated fibers was 5.4 ± 0.5 μm. The densities of small and large myelinated fibers in cross sectional areas were (4.5±0.9)×10³ and (2.9 ± 0.7) × 10³ per square millimeter, respectively. The density of unmyelinated fibers was (27.9±5.8)×10³ per square millimeter. The peak and the median diameters in the size distribution of unmyelinated fiber diameters were 0.88±0.15 and 0.86±0.12μm, respectively. The mean distribution histograms of the sizes of both myelinated and unmyelinated fibers of 8 sural nerves were also established. The morphometric findings obtained in this study serve as control in histopathologic analysis of the sural nerves from the patients with various peripheral neuropathies.View full abstractDownload PDF (402K) -
Yoshimitu OOGAMI, Kenichi NINOMIYA, Yasunori FUKUCHI, Tsugihiro NAKAMU ...Article type: Original
1984 Volume 6 Issue 4 Pages 383-390
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSThe effect of early perfusion after intracoronary infusion of urokinase (PTCR) in patients with acute myocardial infarction was assessed. Coronary perfusion was reestablished in 7 of 10 patients receiving intracoronary urokinase. We compared the recanalized group after intracoronary urokinase (n = 7) with the standard therapy group (n = 32). Left ventricular end-diastolic pressure, cardiac index, angiographic ejection fraction, radionuclide ejection fraction, defect score by Thallium-201 scintiscan and regional ejection fraction by the left ventriculogram, measured at about one month after the onset of acute myocardial infarction, were compared according to the site of the main coronary lesion (right coronary artery or left anterior descending coronary artery). No statistically significant differences between the recanalized group after the administration of intracoronary urokinase and the control group were found at each coronary lesion. On the other hand, the comparison between two patients with and without PTCR, who matched the clinical and coronary angiographic findings, showed that PTCR on acute myocardial infarction might be of value. However, evaluation of the long-term effects of coronary thrombolysis on survival and myocardial function will require controlled randmized trials of a large number of patients.View full abstractDownload PDF (822K) -
Kohei URIU, Kazoh KAIZU, Riichiro ABE, Susumu ODA, Shouzo CHIBA, Sumiy ...Article type: Case Report
1984 Volume 6 Issue 4 Pages 391-396
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSA 54-year-old female was admitted to our hospital in November 1979 with a history of lumbago and proteinuria. She was diagnosed as suffering from chronic renal failure (CRF) due to multiple myeloma (Bence-Jones κ type). Intermittent COP therapy (a combination of cyclophosphamide, vincristine and prednisolone) and peritoneal dialysis were started. Her clinical condition was improved and well controlled by peritoneal dialysis over a period of 26 months until she died of pneumonia. Renal failure due to multiple myeloma has been a very poor prognosis. Hemodialysis has been used for renal failure much more frequently than peritoneal dialysis. In this case, control of chronic renal failure due to multiple myeloma with peritoneal dialysis was successfully performed over a long period of time. Peritoneal dialysis, therefore, may be an effective therapy for CRF due to multiple myeloma.View full abstractDownload PDF (1065K) -
Toshiji KOBAYASHI, Minoru HAYASHI, Masao ARAIArticle type: Review
1984 Volume 6 Issue 4 Pages 397-410
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSEarly detection and correct diagnosis of breast cancer is necessary and an important determinant of prognosis because of its high incidence, affecting 1 of 13 women in western countries. The recent rapid increase of breast cancer in Japan is due primarily to westernized dietary habits. Clinical sonography, used in screening to detect breast cancer, is increasingly being used as it offers a high degree of diagnostic accuracy and no physical hazards such as x-ray mammography. Ultrasonic tissue characterization study is an important factor in determining diagnostic criteria for breast cancer and to develop new ultrasonic equipment in clinical breast echography. Therefore the current status of ultrasonic tissue characterization is reviewed, high-lighting breast cancer.View full abstractDownload PDF (1115K) -
Suminori KONO, Noritaka TOKUI, Takesumi YOSHIMURA, Mieko UCHIOKA, Hide ...Article type: Review
1984 Volume 6 Issue 4 Pages 411-418
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSDifferent dietary methods have been used for epidemiologic studies on nutrition diet and disease. Methods so far reported are classified into dietary record method (including weighing method), recall method, Burke's method, frequency method, and semiquantitative frequency method. The recall method and frequency method are considered to be unsuitable when the average intake of nutrients and foods of individuals is to be assessed. It is difficult for a person to recall food intake over several days, and the 24-hour recall method is unable to evaluate the average intake. Quantitative assessment of intake is hardly possible in the frequency method. Dietary evaluation in case-control studies has limitations in terms of difficulties in retrospective dietary assessment and the change in dietary habit over a long period of time. Current epidemiologic knowledge on diet and disease stimulates cohort studies using the 7-day dietary record or semiquantitive frequency method.View full abstractDownload PDF (798K) -
Miki OTSU, Yukari FUKAGAWAArticle type: Review
1984 Volume 6 Issue 4 Pages 419-422
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSNurses who had learned the Nightingale's nursing method in the middle of the Meiji Era systematized nursing in Japan. In 1884, modern nursing began in Tokyo. In Kyushu, nursing education started in Fukuoka Hospital ten years later. At that time, the teaching of nurses was done by individual doctors who taught them all the necessary subjects. This study identifies the ethical criteria which the educators of that time had as the goal of nursing education.View full abstractDownload PDF (445K) -
Toshio SHONOArticle type: Review
1984 Volume 6 Issue 4 Pages 423-432
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSAfter the structures of pyrethrins, the insecticidal components of pyrethrum flowers, were determined, syntheses of derivatives of them were undertaken, and first generation synthetic pyrethroids, such as allethrin, resmethrin and phenothrin, were produced. Due to lack of photostability in these compounds, their use was limited to the control of sanitary or household pests. The syntheses of second generation synthetic pyrethroids, i.e., permethrin and fenvalerate, overcame a lack of photostability. These are now widely employed in the areas of agriculture and public health. Development of resistance in insect pests is the only difficulty to the future success of ideal insecticides, or synthetic pyrethroides. In this review, information regarding the development of pyrethroid resistance is summerized, and also the importance of nerve insensitivity to the chemicals, as a mechanism of resistance in insects pests, is pointed out.View full abstractDownload PDF (957K) -
from the Educational View Point (1) ―Sune and Nezumi―Teruyuki HOJOArticle type: Review
1984 Volume 6 Issue 4 Pages 433-436
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSA few considerations on two Japanese anatomical terms, sune (the anterior part of the leg or the shin in medical terminology) and nezumi (the rat) from the anatomical point of view are made. Japanese words generally have two readings. For example, sune which means the anterior part of the leg, may be read as sune and kei. But kei has two other meanings, the neck and the road. Sune is used more for the anterior part of the leg than kei, especially in classes for beginners of the anatomical course. Nezumi means rat, but is also read as so. Because kei means road, and kan means canal, sokeikan means the rat's tubular passageway, namely, the descent of testis (Descensus testis). In Japanese anatomical terminology the passage of the testis through the inguinal canal is considered similar to a rat going through a passageway. The word sokeikan is better than the English anatomical term inguinal canal which means only the canal in the root of the groin In Japanese, two words, fukurahagi and komura are used for the posterior part of the leg.View full abstractDownload PDF (403K) -
―Its Relation to the Humanities―Shinichi OISHIArticle type: Humanities
1984 Volume 6 Issue 4 Pages 437-442
Published: December 01, 1984
Released on J-STAGE: April 11, 2017
JOURNAL FREE ACCESSThe purpose of foreign language studies is to help the student increase his ability in speaking, comprehending, reading, and writing a foreign language. For most Japanese medical students, university studies in English are a continuation of six years of junior and senior high school English. For other languages, such as German and French, it is the beginning of a study which may continue for only two years or may be the cause of a lifelong interest in the language. No matter what the language may be or what level a student may attain, the primary purpose of any foreign language is to communicate with a person from another culture orally or through the written language as a dispenser or receiver of knowledge. Effective communication in a foreign language implies that one knows not only the language but also the culture and customs of the foreign country and how to develop human relationships with a person from this culture. The foreign language teacher can help the student to attain this knowledge but much can also be learned by studying the subjects taught under the humanities. In this paper, I attempt to show reasons why the humanities and foreign language studies are both necessary to develop good communicators and propose that the teachers of the humanities and foreign languages work closely together to develop international persons.View full abstractDownload PDF (472K)
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