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Volume 46, Issue 4
Displaying 1-10 of 10 articles from this issue
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Ken-ichi Suzuki, Mahito Kimura, Yoshio Goto2003 Volume 46 Issue 4 Pages 295-300
Published: April 30, 2003
Released on J-STAGE: August 04, 2011
JOURNAL FREE ACCESSThis report introduced quantitative tests for evaluating abnormalities in mental sweating obtained from 40 control and 45 diabetic subjects.Emotional and mental sweating appears on the palms (H) and soles (F). A capacitive humid sensor was used to measure mental sweat secreted from eccrine glands on the palms and soles.
Tests consisted of hand grip (GRIP), mental calculation (CALC), compulsory inspiration (INS), and sole-scratching procedures (Babinski maneuver: BAB) to stimulate mental sweating from eccrine sweat glands.
Mental sweating in the palms and soles of control subjects were in the following sequence of most to least-GRIP, CAL, BAB, and INS-and in diabetics from GRIP, CAL, INS, to BAB.
There were significant differences in the total amount of mental sweating stimulated in the index fingers and big toea only for solescratching.This was significantly diminished in diabetic compared to control subjects.
There was a significant correlation between H-INS and both motor nerve conduction velocity (MCV) and sensory nerve conduction velocity (SCV) in median nerves of diabetic patients (p<0.05), and a significant reverse correlation between both H-CAL and F-CAL and F-latency (p<0.05).
Measuring mental sweating may thus be useful in evaluating diabetic autonomic neuropathy in peripheral regions such as the palms and soles.View full abstractDownload PDF (727K) -
Naoko Tajima, Masato Matsushima, Kempei Matsuoka, Ryuzo Kawamori, Yasu ...2003 Volume 46 Issue 4 Pages 301-310
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSTo clarify the status of diabetic neuropathy, questionnaires were sent to 215 institutions in the Tokyo metropolitan area. Of whom 140 institutions responded. Data from 13, 258 individuals with diabetes was collected. Analysis of symptoms reported from 6, 885 patients (male: 59.8%, age: 61.9±11.2 years old, duration of diabetes: 10.9±9.4 years) at 86 institutions, where the physician reviewed more than 70% of the questionnaires, showed that 5, 494 patients (79.8%) had at least one symptom related to peripheral and autonomic neuropathy.There was a significant positive correlation between the prevalence of these symptoms and the duration of diabetes and HbA1c.
Of 6, 885 patients, 3, 538 (51.4%) had at least one symptom that a physician considered as possible or probable diabetes-related neuropathy. Because 60-80% of peripheral neuropathy and 20-45% of autonomic neuropathy reported by patients were considered as diabetes-related by the physician, symptoms due to autonomic neuropathy are not taken into account sufficiently by doctors diagnosing of diabetic neuropathy.View full abstractDownload PDF (1799K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2003 Volume 46 Issue 4 Pages 311-316
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESS -
Ryoko Takahashi, Yoshihiko Yamaguchi, Hiroshi Enomoto, Shigeo Uotani, ...2003 Volume 46 Issue 4 Pages 317-323
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSFatigue fracture is caused by repetitive slight force on normal bone tissue. This case report describes a postmenopausal type 2 diabetic patient with obesity who sustained fatigue fracture during exercise therapy. A 57-year-old woman hospitalized to reduce body weight without other symptoms. She had a BMI of 31.0kg m2 and normal physical examination except for obesity.Hb A1c was 6.3%, there was no microangiopathy, and bone Inineral density was normal on DXA. Diet (1360kcal) and exercise (walking, 30min×3day) were started.Right knee joint pain occurred on the hospital day 30. Knee joint bone X-ray did not show any abnormality, but knee joint MRI showed a linear lesion as a low signal area in the right tibia on T1 WI, and a high signal area was seen around the linear lesion on STIR, indicating edema.She was diagnosed as having a fatigue fracture.She stopped exercise therapy and right knee joint pain disappeared. Before starting exercise therapy for type 2 diabetic patients with obesity, the most suitable exercise prescription should be planned after sufficient examination of limbs to prevent fatigue fracture. For early diagnosis of a fatigue fracture, X-ray and MRI should be conducted immediately when fracture is suspected.View full abstractDownload PDF (1470K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2003 Volume 46 Issue 4 Pages 325-327
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese], [in Japanese]2003 Volume 46 Issue 4 Pages 329-331
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2003 Volume 46 Issue 4 Pages 333-335
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese], [in Japanese], [in Japanese]2003 Volume 46 Issue 4 Pages 341-346
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESS -
2003 Volume 46 Issue 4 Pages 347-371
Published: April 30, 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSDownload PDF (5706K) -
2003 Volume 46 Issue 4 Pages e1
Published: 2003
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSDownload PDF (148K)
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