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Author 岡山大学大学院教育学研究科|
Published Date 2010-06-25
Publication Title 岡山大学大学院教育学研究科研究集録
Volume volume144
Content Type Others
Author Miyazaki, Toshiaki| Nishikori, Atsumi| Matsunaga, Hisashi| Sendo, Toshiaki|
Published Date 2010-08-02
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue2
Content Type Journal Article
Author Fujiwara, Kazuo| Endo, Hirosuke| Miyake, Yoshiaki| Ozaki, Toshifumi|
Published Date 2010-08-02
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue2
Content Type Journal Article
JaLCDOI 10.18926/AMO/40009
FullText URL 64_3_171.pdf
Author Kodama, Tomoe| Nakase, Katsumi| Tsuda, Toshihide| Yorifuji, Takashi| Doi, Hiroyuki|
Abstract Physicians should educate patients with sexually transmitted infections (STIs) on measures to prevent reinfection and should also undertake human immunodeficiency virus (HIV) testing after diagnosis of STIs. These preventive measures are important, but it is not known to what extent these procedures are followed in Japan. We conducted a cross-sectional study to investigate the proportion of patients with STIs who received appropriate management from physicians, namely recommendation of HIV testing, encouragement of condom use and examination and/or treatment of sexual partners, to elucidate the factors affecting institution of each measure. From a mailshot of 566 physicians, 409 (72.3%) responded, with 176 diagnosing an STI in 967 patients. The proportions applying the 3 measures were low (recommendation of HIV testing:27.0;encouragement of condom use:64.8%;examination of sexual partners:17.5%), and were related to the sex of the patients and numbers of patients diagnosed by the physicians. Female patients received better care than male patients, particularly with respect to recommendation of HIV testing (odds ratio:2.82). Physicians who diagnosed more than 20 STI patients tended not to provide appropriate management. These findings suggest the necessity for better physician management of patients for effective prevention of STIs.
Keywords sexually transmitted infections patient care management human immunodeficiency virus testing physician
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2010-06
Volume volume64
Issue issue3
Publisher Okayama University Medical School
Start Page 171
End Page 179
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 20596128
Web of Science KeyUT 000279094300003
Author Hachisuka, Hidekazu| Awaga, Kunio| Yokoyama, Toshihiko| Kubo, Takeji| Goto, Takao| Nojiri, Hiroyuki|
Published Date 2004-9
Publication Title Physical Review B
Volume volume70
Issue issue10
Content Type Journal Article
Author Hisakane, Naoto| Kirinoki, Masashi| Chigusa, Yuichi| Sinuon, Muth| Socheat, Duong| Matsuda, Hajime| Ishikawa, Hirofumi|
Published Date 2008-09-03
Publication Title PARASITOLOGY INTERNATIONAL
Volume volume57
Issue issue3
Content Type Journal Article
Author Oka, Hisao| Irie, Takashi| Hao, Sun Yong| Yamamoto, Tatsuma|
Published Date 1991-5
Publication Title Instrumentation and Measurement Technology Conference
Content Type Journal Article
Author Itoh, Takehiro|
Published Date 1974-12
Publication Title Mathematical Journal of Okayama University
Volume volume17
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/mjou/33912
Author Shiokawa, Iekata|
Published Date 1974-12
Publication Title Mathematical Journal of Okayama University
Volume volume17
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/mjou/33911
Author Shiokawa, Iekata|
Published Date 1974-06
Publication Title Mathematical Journal of Okayama University
Volume volume16
Issue issue2
Content Type Journal Article
JaLCDOI 10.18926/mjou/33767
Author Kishi, Yasuhiro|
Published Date 2005-01
Publication Title Mathematical Journal of Okayama University
Volume volume47
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/mjou/33603
Author Kobayashi, Shigeru|
Published Date 1988-01
Publication Title Mathematical Journal of Okayama University
Volume volume30
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/mjou/33560
Author Honda, Masanobu| Sakamoto, Takanori|
Published Date 2010-01
Publication Title Mathematical Journal of Okayama University
Volume volume52
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/mjou/33492
Author Honda, Masanobu| Sakamoto, Takanori|
Published Date 2000-01
Publication Title Mathematical Journal of Okayama University
Volume volume42
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/mjou/33287
Author Kanemitsu, Mitsuo| Yoshida, Ken-ichi|
Published Date 1994-01
Publication Title Mathematical Journal of Okayama University
Volume volume36
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/mjou/33198
JaLCDOI 10.18926/AMO/32914
FullText URL fulltext.pdf
Author Miyake, Yasuhiro| Iwasaki, Yoshiaki| Ishikawa, Shin| Tatsukawa, Masashi| Nawa, Toru| Kato, Jun| Takaki, Akinobu| Kobashi, Haruhiko| Sakaguchi, Kohsaku| Shiratori, Yasushi|
Abstract We report herein a case with acute hepatitis due to hepatitis B virus genotype Ae, concurrent with amebic colitis. A 39-year-old homosexual Japanese man was admitted to our hospital with jaundice. Laboratory tests showed an elevation of transaminase and positivity for hepatitis B surface antigen and IgM-type antibody to hepatitis B core antigen. The hepatitis B virus genotype was determined to be Ae. Furthermore, a mud-like stool with blood and mucous had sometimes been noted during the past 3 years, and amebic colitis was shown by colonofi berscopy during hospitalization. The patient was diagnosed with acute hepatitis B, concurrent with amebic colitis, and was successfully treated with lamivudine and metronidazole. In Japanese patients with acute hepatitis B virus genotype A infection, homosexual activity tends to be high. Furthermore, in Japanese homosexual men, amebiasis has been increasing. Thus, in Japanese patients with acute hepatitis B, a determination of genotype should be performed in order to investigate the route of transmission of hepatitis B virus, and a search for amebiasis should be performed in patients with acute hepatitis due to hepatitis B virus genotype A. Furthermore, education of homosexual men regarding hepatitis B virus, hepatitis B virus vaccination, and amebiasis is urgently required.
Keywords hepatitis B virus genotype homosexual amebic colitis lamivudine
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2007-02
Volume volume61
Issue issue1
Publisher Okayama University Medical School
Start Page 35
End Page 39
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 17332840
Web of Science KeyUT 000244432400005
JaLCDOI 10.18926/AMO/32874
FullText URL fulltext.pdf
Author Geshi, Masayo| Hirokawa, Kumi| Taniguchi, Toshiyo| Fujii, Yasuhito| Kawakami, Norito|
Abstract

We conducted a randomized controlled trial involving Japanese junior college students aimed at investigating the effects of a single session of alcohol health education concerning the effects of alcohol, alcohol-related health problems, and drinking behavior. Students were randomly assigned to an intervention (n=38) or a control group (n=33). The intervention group attended a 90-minute alcohol health education session that included demonstration of an ethanol patch test, watching videos, and a lecture by an ex-alcoholic. The control group received health education regarding smoking. The students. knowledge regarding alcohol, their drinking behavior, and problem drinking (CAGE) were measured by a self-administered questionnaire at the baseline and at a two-month follow-up. A repeated measures of analysis of variance (ANOVA) of those who completed the follow-up indicated the education sessions. significant intervention (group*time) effect on the scores related to knowledge of alcohol-related health problems (p=0.035), with a greater increase in the scores of the intervention group at the follow-up. No significant intervention eff ect was observed regarding drinking behavior or problem drinking as measured by CAGE (p>0.05). Alcohol-related education can be considered an effective way to increase awareness of alcohol-related health problems, but less effective for changing drinking the behavior of Japanese junior college students.

Keywords intervention study problem drinking alcohol-related health problems adolescents Japan
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2007-12
Volume volume61
Issue issue6
Publisher Okayama University Medical School
Start Page 345
End Page 354
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 18183080
Web of Science KeyUT 000251943800006
JaLCDOI 10.18926/AMO/32829
FullText URL fulltext.pdf
Author Kato, Masahiko| Yamamoto, Hideki| Inukai, Yoshihide| Kira, Shohei|
Abstract

We estimated the number of stray dogs in Kathmandu, Nepal, where human rabies cases still occur, and in Shimotsui, Okayama Prefecture, Japan. In Kathmandu, the stray dog density was 2,930 stray dogs/km2, and the ratio of stray dogs to humans was 1:4.7. In Shimotsui, the density was 225 stray dogs/km2, and the ratio was 1:5.2. Since the stray dog population in Nepal is very large, one of the measures used to prevent dog bites and dog-acquired infections such as rabies is an effort to capture stray dogs. Another such measure is an effort to decrease the availability of food for stray dogs. We also organized health education programs in both Nepal and Okayama Prefecture, Japan, which involved a course on the prevention of dog bites and subsequent infections. After each course, a questionnaire survey was conducted. The results suggest that the course participants understood these important preventive methods. In addition to the measures mentioned above and the routine vaccination of dogs, this health education course is recommended as a long-term preventive program

Keywords dog rabies dog density dog bite health education
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 2003-10
Volume volume57
Issue issue5
Publisher Okayama University Medical School
Start Page 261
End Page 266
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 14679405
Web of Science KeyUT 000186186000008
JaLCDOI 10.18926/AMO/32649
FullText URL fulltext.pdf
Author Durgun-Yucel, Behice| Dere, Fahri| Yucel, Ahmet H| Oguz, Ozkan|
Abstract

Gross specimens are valuable sources in morphology education. In this study, we investigated how the fixation of gross specimens may be accelerated. For this purpose, whole organ specimens from freshly killed rabbits: extremities, kidney, heart, liver, stomach and uterus were fixed in a mercaptoethanol-formaldehyde mixture for 3-3.5h under the following conditions: 1, at room temperature; 2, at gradually increasing temperatures up to 45 degrees C; and 3, at a gradually increasing vacuum ranging from 20 kPa to 40 kPa. The results were compared with those of formaldehyde-fixed controls, and the mercaptoethanol-formaldehyde mixture was found to be useful in shortening the fixation time and providing good fixation. Both heat and vacuum enhanced these phenomena.

Keywords rapid fixation mercaptoethanol-formaldehyde mixture aldehyde whole organ speciments
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 1992-04
Volume volume46
Issue issue2
Publisher Okayama University Medical School
Start Page 75
End Page 81
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 1575061
Web of Science KeyUT A1992HR48400003
JaLCDOI 10.18926/AMO/32304
FullText URL fulltext.pdf
Author Mino, Yoshio| Yasuda, Nobufumi| Kanazawa, Susumu| Inoue, Shimpei|
Abstract

In order to clarify the effects of medical education on attitudes towards mental illness among medical students, a follow-up study was conducted. All 100 students entering Kochi Medical School in 1988 were subjects. The initial questionnaire survey was conducted in 1988, and followed up in 1993. Response rate was 69% in the initial survey, and 83% in the follow-up study. By the time of the follow-up, all of the students had completed their medical education, including courses in psychiatry and mental health. Results were as follows: At the follow-up study, 1) a significantly higher percentage of students replied that they accepted the mentally ill as co-workers; 2) significantly favorable changes were observed in attitudes towards psychiatric services; 3) optimism about the effectiveness of treatment for mental illness at an early stage and prevention of mental illness had decreased; and 4) no change was observed in attitudes toward human rights of the mentally ill, except in the case of one item stating that the mentally ill should not have children in order to avoid hereditary handicaps, with which a lower percentage agreed. Conclusively, medical education can play an important role in attitudes towards mental illness.

Keywords attitudes towards mental illness medical education medical students follow-up study
Amo Type Article
Publication Title Acta Medica Okayama
Published Date 2000-06
Volume volume54
Issue issue3
Publisher Okayama University Medical School
Start Page 127
End Page 132
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
File Version publisher
Refereed True
PubMed ID 10925737
Web of Science KeyUT 000087965700005