Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
Volume 41, Issue 5
Displaying 1-12 of 12 articles from this issue
  • [in Japanese]
    1998 Volume 41 Issue 5 Pages 333-334
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1998 Volume 41 Issue 5 Pages 335-338
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
  • [in Japanese], [in Japanese]
    1998 Volume 41 Issue 5 Pages 339-341
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    1998 Volume 41 Issue 5 Pages 343-345
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
  • [in Japanese]
    1998 Volume 41 Issue 5 Pages 347-350
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese], [in Japanese]
    1998 Volume 41 Issue 5 Pages 351-354
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
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  • Akira Sasaki, Makoto Tominaga, Hideyuki Eguchi, Masaki Nagai, Kishio N ...
    1998 Volume 41 Issue 5 Pages 355-362
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
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    Although a rapid increase in diabetes mellitus has been noted in Japan in recent years, its prevalence in comparison with other countries was unknown. Data based on epidemiological studies carried out throughout the country have been collected since 1989, however, and we used them to make comparisons with data from other countries. Data from 10 survey sites in Japan and populations in 25 other countries (the latter obtained through the courtesy of the World Health Organization) were included in this study. The mean prevalence of diabetes in the 40-64 years age range in these Japanese studies was 7.14% among males and 4.50% among females, and the meanprevalence of impaired glucose tolerance (IGT) was 14.31% and 15.56%, respectively. In the 40-74-year age range, the mean prevalence of diabetes was 10.06% among males and 5.95% amongfemales, and the prevalence of IGT was 17.29% and 15.80%, respectively. All populations, includ ing the Japanese populations, were arranged in order of prevalence and divided into 3 groups: a high, moderate and low prevalence group. The prevalences of diabetes in Japanese male populations ranged from high to low, and in female populations, from moderate to low. The prevalence of IGT in Japanese populations, both male and female, ranged from high to low, and varied according to locality. The prevalence of IGT in Japan was found to be much higher than that of diabetes, and was higher than in many other countries.
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  • Dynamic Motion Analysis During Walking
    Akira Kanamori, Chikara Aoki, Yoshitada Yajima
    1998 Volume 41 Issue 5 Pages 363-371
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
    Limited joint mobility is a common complication in diabetic neuropathy and is considered a risk factor for plantar foot ulceration. However, in previous studies, joint mobility was measured statically and passively with a goniometer. As most foot injuries occur while the patient is walking, it is both important and practical to evaluate joint mobility during active walking.
    Dorsiflexion at the first metatarsophalangeal (MTP) joint is essential during the toe-off phase of walking. We measured the maximum range of dorsiflexion at the first MTP joint during walking in diabetic patients by using a PEAK Video/Computer Motion Measurement System (Peak Perform. Tech, Inc., USA). Forty-eight subjects were studied in three groups: controls (C group, n=16), diabetic patients without neuropathy (D group, n=16), and diabetic patients with neuropathy (DN group, n=16). Motion at the first MTP joint was recorded on video tape by high-speed video cameras set up on both sides while the subject walked on a treadmill at 2.2 and 4.0 km/hr. The maximum range of dorsiflexion of the first MTP joint in the toe-off phase was calculated by the computer.
    This gait analysis study yielded some new findings not revealed by the static examination with the goniometer. In most cases, there was a difference between the left and right foot in the maximum range of dorsiflexion during walking. Data for the left and right foot were analyzed separately. The maximum range of dorsiflexion at the first MTP joint was significantly lower in the DN group than in the C group or D group at both speeds. Limitation of dorsiflexion at the first MTP joint in the DN group, which was more marked in the left foot, can critically alter the distribution of plantar pressure, and increased plantar pressure in the metatarsal heads or the great toe may lead to plantar ulceration.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1998 Volume 41 Issue 5 Pages 373-377
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
  • Hitoshi Yokoyama, Kazumi Ninomiya, Hideaki Mukaida, Masanori Miura, Mi ...
    1998 Volume 41 Issue 5 Pages 379-385
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
    A 30-year-old woman developed insulin-dependent diabetes mellitus (IDDM) at the age of 7 years. Optic nerve atrophy was confirmed at age 9, leading to a diagnosis of Wolfram syndrome. The patient had been treated with insulin but her glycemic control had only been fair. In May 1996, she was admitted to our hospital because of frequent dizziness. Clinical examination revealed optic nerve atrophy and preproliferative diabetic retinopathy in her eye grounds, a diminished Achilles tendon reflex and vibratory sensation, orthostatic hypotension, and neurogenic bladder. There was no evidence of hearing loss or diabetes insipidus. Laboratory did not reveal mitochondrial 3243 mutation, which may be one of factors in the etiology of the syndrome, and GAD antibody was not detected. An EEG did not show any abnormal findings. Magnetic resonance imaging (MRI) showed definite atrophy in the brain stem and the cerebellum. There has been only one other report of Wolfram syndrome with brain stem atrophy in Japan. Since a report in the U. K. stated that the cause of death in one third of the cases of this syndrome was central respiratory failure due to brain stem atrophy, the central nervous system of patients with this syndrome should be examined by MRI.
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  • Kozo Katsumori, Toshinori Kanemura, Junko Nakata, Mayumi Suzuki, Yasue ...
    1998 Volume 41 Issue 5 Pages 387-392
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
    TheStreptococcus millerigroup is found as resident flora in the oropharynx, gastrointestinal tract, and genitourinary tract. It is recognized as pathogenic in man, with an ability to form abscesses.There have been a few reports documenting the importance of S. milleriin the development of empyema in Japan. We report a case of lung abscess and empyema caused by oral streptococci. A 69-year-old female was diagnosed with NIDDM at the age of 53 years, but glycemic control had been poor. The Patient was admitted on June 11, 1997 because of a high grade fever and left anterior chest pain. A chest X-ray showed a niveau in the lower lobe of the left lung, and a diagnosis of lung abscess was made. Antibiotics were ineffective, and leftsided empyema and atelectasis developed. Continuous transthoracic cavity drainage was instituted four days later, and bacteria of the S. millerigroup were detected in the drainage fluid. On the 19 th hospital day, the empyema improved, and the drainage was stopped. Although the incidence of empyema caused by S. milleriis low, it is associated with considerable morbidity and mortality. It is therefore important that patients be diagnosed at an early stage and properly treated with antibiotics and drainage.
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  • 1998 Volume 41 Issue 5 Pages 393-421
    Published: May 30, 1998
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
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