検索結果 2527 件
| JaLCDOI | 10.18926/40332 |
|---|---|
| タイトル（別表記） | MEDICAL STUDIES ON THE RURAL PEOPLE (II) A STUDY ON THE INCIDENCE OF STRUMA IN THE SOUTH-WESTERN RURAL DISTRICTS OF OKAYAMA PREFECTURE, JAPAN |
| フルテキストURL | pitsr_014_051_056.pdf |
| 著者 | 森永 寛| |
| 抄録 | The author investigated the thyroid glands of 1480 school children (aged from 6 to 14) living in the vicinity of Yakage, the south-western rural district of Okayama Prefecture, and 1516 out-patients of Yakage Hospital, in 1950. The incidence of struma among the school children was 4.6 per cent and among the out-patients 4.7% on an average, and the percentage of struma in the spring (7.8%) was higher than in the summer (2.98%). This result suggests that thyroid glands are in some way susceptible to seasonal influences, and it is therefore necessary to consider the effect of season during investigation. The white blood pictures of seven patients showed no specific findings. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1954-03 |
| 巻 | 14巻 |
| 開始ページ | 51 |
| 終了ページ | 56 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002462907 |
| JaLCDOI | 10.18926/40331 |
|---|---|
| タイトル（別表記） | MEDICAL STUDIES ON THE RURAL PEOPLE (I) CLINICAL AND STATISTICAL OBSERVATIONS ON HOOKWORM DISEASE IN RURAL DISTRICTS |
| フルテキストURL | pitsr_014_045_050.pdf |
| 著者 | 森永 寛| |
| 抄録 | The author studied statistically 160 cases of hookworm infection who had been admitted to Misasa Branch of Okayama University Hospital, Misasa Hot Springs in Tottori prefecture, during 1946~1949 and 162 cases of out-patients with anchylostomiasis in Yakage Hospital, Okayama Prefecture, during 1949～1950. The clinical findings were as follows: (1). Females showed a higher incidence than males and the incidence ratio of infected persons to total out-patients increased with age up to the 50~69 years group. (2). The most patients consulted our hospital for the first time in April～May and in August, and 62 per cent of cases came within 3 months scince they had noticed disorders in some way, but 22% remained at home without medical cure more than a year. (3). Chief subjective complaints were palpitation of heart (35.3%), lassitude of legs (31.2%), pains in the abdomen (22.9%), feeling of dizziness (21.6%) and so on. (4). Laboratory findings: The total number of erythrocytes was between 1.23 and 5.54 millions per cubic millimeter and a moderate anemia almost always developed in the hookworm disease (77.9% of all cases). The number of white cells was normal or slightly increased. Relative or absolute eosinophilia was recognized in 83.5% of all patients. Wassermann's test was positive in 20%, and Takata's reaction positive in 53% of the cases. The acidity of the gastric juice was lower than normal. Hypo- and anacidity were verified in 58%. Both albumen and urobilinogen test in urine were positive in 5.4% of 61 cases. Sugar in none. (5). Treatment: Thymol, tetrachlorethylene and oil of chenopodium were used alternately to remove the worms. The eggs in stool became negative after 3-4 times of the administration of anthelmintics in 76 per cent of 151 cases. As mentioned above, the patients infected with hookworm had various functional disorders of bodies, but they consulted the hospital only when the farmer's busy season began and their trouble became unbearable. And then the recovery of anemia took a month or two. Prof. Kitayama reported that the cold environment under 9°C. in the winter had perished the larva of hookworm in the soil. From these viewpoints, the author proposed that examination and cure of hookworms should be carried out in the winter, the slack season for farming, to prevent the fall of working ability due to anchylostomiasis during the busy farming seasons. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1954-03 |
| 巻 | 14巻 |
| 開始ページ | 45 |
| 終了ページ | 50 |
| ISSN | 0369-7142 |
| 関連URL | http://ousar.lib.okayama-u.ac.jp/metadata/40330 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002462906 |
| JaLCDOI | 10.18926/40251 |
|---|---|
| タイトル（別表記） | Clinical and Experimental Studies of Therapeutic Effects of Radioactive Thermal Bath on Peripheric Disorders of Circulation Part 4 Therapeutic Effects of Radioactive Thermal Bath on Blood pressure |
| フルテキストURL | 024_001_028.pdf |
| 著者 | 松本 欣之| |
| 抄録 | 1) The effects of a single bath in the radioactive hot spring on the blood pressure and the pulse rate. The author observed the changes of the blood pressure and the pulse rate of subjects bathing for 20 minutes, 39°± 1°C, in temperature, in the radioactive hot spring in Misasa. It may be summerized as follows (Table 2, Fig. 1). a. In the hypertensive group (maximal blood pressure······181 mm. Hg. and over), the maximal blood pressure had decreased immediately after bathing, and remained at this level even 2 hours after bathing. The minimal blood pressure reacted in the same manner as the maximal blood pressure. b. The moderate hypertensive group (maximal blood pressure······180-161 mm. Hg.). In a few instances, the maximal blood pressure had increased immediately after bathing, but decreased within 30-90 minutes after bathing. Changes in the minimal blood pressure were not so remarkable. c. In the normal group (maximal blood pressure······160～101 mm. Hg.), the maximal blood pressure had lowered within 30-90 minutes after the radioactive hot spring bathing. The minimal blood pressure showed no significant changes. b. The pulse rate had increased immediately after bathing in all groups, but within 30 minntes had returned to the initial rate and there were no further changes for 2 hours (Table 2, Fig. 2). 2) The effects of a radioactive vapour bath on the blood pressure and the pulse rate. After a bathing in vapour bath (10～15 minutes), the maximal and the minimal blood pressure showed mild decrease for 2 hours. The changes of the pulse rate and the pulse amplitude were not so remarkable (Table 3, Fig. 3). 3) The effects of a series of baths in the radioactive spring on the blood pressure. The author observed the changes in the blood pressure of the subjects bathed 2 or 3 times daily in the radioactive hot spring in Misasa, at a temperature of 42～43°C., 5～10 minutes. The blood pressure of subjects was measured once a day (at 7 a.m.) for the first week, and subsequently once weekly for two additional weeks. Subjects with an initial maximal blood pressure over 160 mm. Hg. showed a fall on the second day of the spa treatment followed by a temporary rise on the 3rd or 4th day, after which the pressure fell to the 2nd day level again, and then remained fairly constant to the end of the observation period. Subjects with an initial blood pressure under 159 mm. Hg. also showed a fall in the course of the spa treatment, but the degree of the fall was slighter than that of the former (Table 4, Fig. 4). This tendency was also observed on the out-patients (Table 5, Fig. 5). The changes of the blood pressure and pulse rate of subjects after a bath for 20 minutes, in water 39±1°C. in temperature, on the first day of the spa therapy were compared with those occuring on the 6th or 7th day, and it was observed that the patterns of the changes in blood pressure following bathing on the two days were significantly different (i.e. on the latter, so called "the initial blood pressure increase following the bathing" was not observed) (Table 6,7,8, Fig.6,7,8,9,). 4) The remote investigation on the spa visitors with hypertension and/or arteriosclerosis. The author investigated the course of patients with hypertension and/or arteriosclerosis who received the spa treatment at Misasa after returned to home. The incidence of subjects who answered as being good was 86%, and it was observed the fall of the maximal and the minimal blood pressure, especially the fall was remakable in subjects who stayed at spa about 4 weeks (Table 10, 11, 12, 13, 14, 15, Fig. 10). 5) The incidence of hypertension among the residents in the spa resort and those residing in other places. The author measured the blood presssre of the out-patients of his institute over 41 years of age from June, 1956 to May, 1957. The incidence of patients with the maximal blood pressure over 160 mm. Hg. was 16.4% in spa resort, and 25.7% in places where there are no hot springs. Using x(2)-test, the difference between the two was recognised as being significant (Table 16, 18). 6) Comparison of the mortality rate of patients with hypertension between residents in the spa resort and those residing in other places. The author examined the mortality rate of persons with hypertension in the area under the jurisdiction of the Kurayoshi Sanitary Institute, Tottori prefecture, from 1954 to 1956. The rate of mortality in the spa resort was 17.5% as compared to 21.4% in other places (Table17). |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1959-01 |
| 巻 | 24巻 |
| 開始ページ | 1 |
| 終了ページ | 28 |
| ISSN | 0369-7142 |
| 関連URL | http://ousar.lib.okayama-u.ac.jp/metadata/40250 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40017532368 |
| JaLCDOI | 10.18926/OER/40218 |
|---|---|
| フルテキストURL | 042_2_047_075.pdf |
| 著者 | 岡本 章| 島 俊彦| |
| 抄録 | This paper aims to establish guidelines for public pension reform in an aging Japan, using a numerical simulation approach. The paper examines the effects of demographic change and public pension policies on economic growth and welfare, using a dynamic life-cycle general equilibrium model. It deals with the benchmark case with the current Japanese pension schedule based on the 2004 reform, and the reform cases in which the whole basic pension benefit is financed by a consumption tax and in which the earnings-related pension is abolished. Moreover, it handles the case in which a progressive expenditure (or consumption) tax is introduced. The simulation results show that the level of economic welfare is higher under these reforms than under the current pension schedule. |
| キーワード | Aging population Public pension reform Basic pension Progressive expenditure tax Life-cycle general equilibrium simulation model |
| 出版物タイトル | 岡山大学経済学会雑誌 |
| 発行日 | 2010-09-10 |
| 巻 | 42巻 |
| 号 | 2号 |
| 開始ページ | 47 |
| 終了ページ | 75 |
| ISSN | 0386-3069 |
| 関連URL | http://www.e.okayama-u.ac.jp/gakkai/ |
| 言語 | 英語 |
| 著作権者 | 岡山大学経済学会 |
| 論文のバージョン | publisher |
| NAID | 120002401095 |
| JaLCDOI | 10.18926/40211 |
|---|---|
| フルテキストURL | pitsr_030_066_071.pdf |
| 著者 | 北山 稔| 桑田 昭| 河田 義郎| |
| 抄録 | The authors gathered 78 cases of gouty arthritis reported in Japan between 1898 and 1960, and analysed them statistically. 1. The incidence of gouty arthritis appears to have increased since about the end of the 2nd World War, especially since 1955. 2. The age of the presumptive onset of the disease is lower in Japanese than in white populations. 3. In many cases, the gouty patients were wrongly diagnosed as rheumatoid arthritis, synovitis or panaritium patients, and only 20 per cent of the cases examined were diagnosed correctly at the first consultation. The author stresses that diagnosis at an early stage is necessary to avoid serious complications such as cardiovascular and renal involvements. If the condition is satisfactorily controlled by diets and drugs, however, the prognosis for gouty patients is excellent. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1962-04-25 |
| 巻 | 30巻 |
| 開始ページ | 66 |
| 終了ページ | 71 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002401091 |
| JaLCDOI | 10.18926/40210 |
|---|---|
| タイトル（別表記） | Clinical Studies on Gout 1st Report: Five Cases of Gouty Arthritis |
| 著者 | 北山 稔| 桑田 昭| 河田 義郎| |
| 抄録 | Five cases of gouty arthritis encountered in the clinic of Branch Hospital of Okayama University at Misasa Spa are described. Case 1: Y.I., a man aged 58, was first seen on April 24, 1961. His first symptoms had occurred 10 years previously, when he was awakened by severe pain in the left instep. The attack resolved within a few days, but since that time he had 2 or 3 attacks of acute arthritis each year, at first restricted to the dorsum of his left foot, near the base of the big toe, but later involving the ankles and the knees. These attacks usually lasted about a week, but recently such attacks had become more frequent and tended to last longer. In early January, 1961, he noticed pain and swelling of the fingers and consulted this clinic for the purpose of obtaining balneotherapy. A tophaceous mass the size of walnut was presnt on the left olecranon. Nine determinations of the blood uric-acid level were made, ranging from 8.1 to 10.1 mg. per 100 ml. The serum cholesterol level was 279 mg. per 100 ml. Treatment combining the use of phenylbutazone and balneothenapy was effective. Case 2: J.K., a man aged 80, was first seen on July 25, 1961. For 4 years he had been subject to attacks of acute arthritis affecting the fingers and toes. On July 16, he had sudden severe pain in the instep of the left foot. His son had probable gout. The metatarso-phalangeal joint of the left big toe was swollen and painful. The blood uric-acid level was 10.1 mg. per 100 ml. Treatment combined the use of phenylbutazone, dietary regulation, and the drinking of radioactive spring water. In Oct. 1961, he wrote saying that he had remained free from symptoms of gout and had no further treatment. Case 3: I.M., a man aged 52, was first seen on January 24, 1962. His symptoms began in 1935 (at the age of 25), when he had sudden severe pain in his right big toe, which rapidly became swollen and red. The pain lasted about a month. After this, he had at least one similar attack of joint pain in each of the next 10 years. In 1945, he noticed a pain in the dorsum of his right foot. The attacks have tended to last longer and to involve multiple joints, most recently the knees and hands being also affected. He was treated for rheumatoid arthritis and hypercholesterolemia. About the middle of January, 1962, the swelling which had first appeared on his right foot in 1935 became very painful and was accompanied by fever (38.°5～39.℃.). There was no family history of gout. The metatarso-phalangeal joint of the right big toe was swollen and painful, and the right knee was swollen. Determinations of the blood uric-acid level ranged from 5.5 to 12.0 mg. per 100 ml. The serum cholesterol level was 196 mg. per 100 ml. Therapy with phenylbutazone was started on January 24, 1962, in a total daily dose of 200 mg. and by the middle of Feburary, symptoms had disappeared. He discontinued use of the medication, whereupon a recurrent attack appeared. For the first few days he was given phenylbutazone, 400 mg. daily. This dosage was later reduced to 300 mg. daily, and benemid was added. Case 4: Y.U., a man aged 57, was first seen on Feburary 12, 1962. For 8 years he had been subject to attacks of acute arthritis affecting both insteps. Swelling and limited movement were present in the big toes. He had aural tophi. The blood uric-acid level was 8.2 mg. per 100 ml. Case 5: B.A., a man aged 67, was first seen on April 10, 1962. His first relevant symptoms had occurred 3 years previously, when he developed sudden pain and swelling in his right big toe. The pain lasted about 5 days. Since then he had had similar attacks at the rate of five a year. In March, 1962, he had an attack of joint pain in the right ankle lasting 5 days. The blood uric-acid levels ranged from 5.0 to 9.3 mg. per 100 ml. Administration of phenylbutazone, 200 mg. daily, and balneotherapy relieved the symptoms of gouty arthritis. The Use of balneotherapy in the treatment of chronic gouty arthritis will be discussed in a second paper by the present authors in the next volume of this series. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1962-04-25 |
| 巻 | 30巻 |
| 開始ページ | 55 |
| 終了ページ | 65 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40017532379 |
| JaLCDOI | 10.18926/40208 |
|---|---|
| タイトル（別表記） | A Statistical and Clinical Study of Postoperative Intestinal Adhesions |
| フルテキストURL | pitsr_030_040_045.pdf |
| 著者 | 大谷 満| |
| 抄録 | The author studied 36 cases of postoperative intestinal adhesions treated in this insitute during the past ten years. The results obtained were as follow. 1) The sex ratio was 21 (male) to 15 (female). 2) Fifty-three percent of the cases ranged from 20 to 40 years in age. 3) The initial operations which supposedly caused the adhesions were appendectomies. 4) Of the primary causative disease of the acute intetinal obstruction group, appendicitis accounted for 62% and gastrointestinal diseases for 15.4%. The primary causative disease of the chronic intestinal obstruction group was found to be appendicitis in about 70% of the cases. 5) The chief complaints made by patients were of vomiting and generalized Severe pain of the abdomen. 6) The most frequent sites of occurrence of the adhesions were the greater omentum, the small intestine and the sutured part of the peritoneum. 7) As regards the final therapeutic approach, in the largest number of cases (36.% of the total) lysis of the adhesion was performed. In most other cases, however, distress was relieved by enterostomy, resection of the bowel, and so on. Finally, the four most recent cases, all of whom suffered from recurrent intestinal obstrution, were relieved of the major portion of their abdominal complaints by a new method, an improvement of the original technique advocated by Noble in 1937. The details of this new technique will be reported in the next issue. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1962-04-25 |
| 巻 | 30巻 |
| 開始ページ | 40 |
| 終了ページ | 45 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002401089 |
| JaLCDOI | 10.18926/40200 |
|---|---|
| タイトル（別表記） | Epidemiological study of the prevalence of rheumatic disorders in rural districts in Tottori Prefecture, Japan |
| フルテキストURL | 036_041_053.pdf |
| 著者 | 江沢 英光| |
| 抄録 | Epidemiological evaluation of rural population samples of Misasa, Tomari and Kofu villages in Tottori Prefecture, Japan (Fig. 1), for occurance of rheumatic disorders was performed. This region has an annual rainfall of about 80 inches. The principal occupations are farming, and fishery in part. 1. One thousand six hundreds and twenty-seven persons, age 30 and over were investigated by clinical and serological means. In this preliminary communication the prevalence of probable and definite rheumatoid arthritis, accoding to defined by the A.R.A. criteria, was 1.04% and low back pain-sciatic pain, arthralgia and painful shoulder (cervical spondylosis and so on) were 8.4, 8.9 and 7.1% respectively (Table 2 and 4). 2. Serum samples from residents in Misasa- and Tomari-districts were obtained and rheumatoid factor was tested by means of RA-test (Hyland Laboratories). The incidence of positive test was 3.2% in 407 males and 5.0% in 715 females, but there is no significant difference between the two. Concerning the effect of age, there was a general tendency for the proportion of positive test to be greatest in the older age groups (Fig. 2). 3. Serum uric acid concentrations of 230 males and 395 females were measured by the modified method of Folin-Wu (latron-kit-method). The mean serum uric acid concentration (with standard deviation) was found to be 4.02±0.18mg. per 100ml. for males and 3.38±0.13mg. per 100ml. for females (Fig. 3 and 4), and the differecne between the two was significant. The author found no gouty patient in this papulation survey. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1966-10-25 |
| 巻 | 36巻 |
| 開始ページ | 41 |
| 終了ページ | 53 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40017532335 |
| JaLCDOI | 10.18926/40194 |
|---|---|
| タイトル（別表記） | Epidemiological research of radioactive springs (Misasa Hot Springs) on circulatory systems. II. Incidences of abnormal ECG findings and hypertension (A preliminary report) |
| フルテキストURL | pitsr_036_001_005.pdf |
| 著者 | 北山 稔| 的場 邦和| |
| 抄録 | Misasa Hot Springs water contains 4.81-1169.2×10(-10) curie per liter of radon and its temperature ranges from 53.0℃ to 76.0℃. The authors examined one group of 265 residents who are living over 1 year at Misasa Hot Springs and another control group of 226 residents at the middle district of Tottori Prefecture, where the Misasa area is singular for its high radon concentration. A living environment of these two groups is of same condition, for example, dietarily or economically. The incidences of abnormal ECG findings and hypertension in the both groups was analysed stochastically and the results obtained were as follows: 1. The incidences of abnormal ECG findings were found less in the residents at the radioactive hot springs area than another residents at the middle district of Tottori Prefecture. 2. The difference in these incidences were found especially about the ECG findings due to functional disorderes, for example, sinus tachycardia and bradycardia, premature supraventricural and ventricural systole, atrio-ventricural block and right bundle branch block. 3. The ECG findings due to organic disorderes, for example, both auricural and ventricural hypertrophy or strain, myocardial and coronary arterial lesions, auricural fibrillation and left bundle branch block, were not found different significantly between both groups. 4. No difference of the incidences of the functional and organic abnormal ECG findings between both aging groups, over 60 years old, were found. 5. The incidences of hypertension were not found different between both groups. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1966-10-25 |
| 巻 | 36巻 |
| 開始ページ | 1 |
| 終了ページ | 5 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002400931 |
| JaLCDOI | 10.18926/40189 |
|---|---|
| タイトル（別表記） | Medical studies on the rural people (3). Incidence rate of hypertension in rural districts, Tottori Prefecture, Japan |
| フルテキストURL | pitsr_037_037_042.pdf |
| 著者 | 井上 正勝| 森永 寛| |
| 抄録 | The authors examined the blood pressure levels of 5, 358 out-patients of Branch Hospital of Okayama University Hospital, Tottori Prefecture, during the four-year period, from April, 1957 to March, 1961. The following results were obtained: I. The incidence of hypertension with a systolic blood pressure over 150 mmHg was 20.5% (1,093 cases of 5,358). 2. Patients with hypertension over 40 years of age was 35.9% in male and 41.5% in female. Females showed a higher incidence than males and the incidence rate of hypertension increased with age. 3. There was a tendency in the incidence rate of patients with hypertension decreased in summer and increased in cold seasons. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1967-12-15 |
| 巻 | 37巻 |
| 開始ページ | 37 |
| 終了ページ | 42 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002400930 |
| JaLCDOI | 10.18926/40178 |
|---|---|
| タイトル（別表記） | Study on effects of balneotherapy on blood pH, P(CO(2)) and P(O(2)) Part 2. Relationships between the physiopathological factors and blood pH, P(CO(2)) and P(O(2)) |
| フルテキストURL | 038_011_025.pdf |
| 著者 | 八幡 隆昭| |
| 抄録 | From the factors which are considered to make an effect on circulatory or metabolic states, hemoglobin content, erythrocyte sedimentation rate, room temperature, respiratory rate and pulse rate were chosen to be discussed their relationships between the pH, P(CO(2)) and P(O(2)). Moreover, changes due to age and disease as well as diurnal and seasonal variations of blood pH, P(CO(2) and P(O(2)) were evaluated. 1) Blood pH and Peo2 showed the tendency of reduction in the order of 40~59, 10~39 and 60~79 years age group in the former and in the latter 40~59, 60~79 and 10~39 years age group. The P(O(2)) value in the afternoon decreased with ageing. However, no significance was demonstrated in any age group. 2) Diurnal changes of pH in 10~59 age group was very small. In the 60~79 age group, the afternoon value decreased than the morning one. The P(O(2)) value in the 10~59 age group increased in the afternoon contrasted to the decreasement in the 60~79 age group. The P(CO(2)) variations in all age groups were within the errors due to the measurement. 3) Rheumatiod arthritics group showed no significant diurnal variation different from non-rheumatoid arthritics group. 4) Blood pH of December-February group showed the lowest seasonal value and significant difference between March - May and September - November group. No significant seasonal variation was observed in the blood P(CO(2)) and P(O(2)). 5) The central nervous system group showed the significant lower blood pH than cardiovascular disease and rheumatoid arthritis group. The P(CO(2)) values of rheumatoid arthritis group were lower significantly than cardiovascular disease, central nervous system, and musculo- keletal system patient groups. None of diseases showed significant P02 difference each other. 6) Significant relationship was demonstrated between erythrocyte sedimentation rate and P(O(2)) value only in cardiovascular disease patient group. 7) There were the significant relationships between room temperature and P(O(2)) in rheumatoid arthritis and metabolic disease groups. 8) Significant relationships were shown between respiratory rate and pH in rheumatoid arthritis and cardiovascular disease groups. 9) There was significant relationship between pulse rate and pH only in rheumatoid arthritis groups. 10) The combination of the blood pH, P(CO(2)) and P(O(2)), values was shown to reflect the circuratory or metabolic states of the tissues or organs and to remain stable on the experimental day. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1969-03-20 |
| 巻 | 38巻 |
| 開始ページ | 11 |
| 終了ページ | 25 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40017532343 |
| JaLCDOI | 10.18926/40155 |
|---|---|
| タイトル（別表記） | Esophagus hiatal hernia with special reference to the early stage |
| フルテキストURL | pitsr_041_063_068.pdf |
| 著者 | 野一色 泰晴| 古元 嘉昭| 仲原 泰博| |
| 抄録 | In the aged, hiatal hernia should be recognized as it has developed; it develops progressively. Special attention should be given to the early stage of hiatal hernia from the genetic point of view. Like other organs in the aged, aging changes around a hiatus are inevitable; relaxing of esophageal diaphragmatic ligament and weakening of muscle power of diaphragmatic vertebral part move on with age. After all, valve structure at hiatus, Goubaroff's valve, is so weakened its function and in the stomach, "His angle" is so widened, that the stomach becomes wedge shaped against the hiatus. The more the pressure in the stomach increases, the larger the wedge shapes. Under these conditions, when the abdominal pressure rises by the acts of coughing or defecation, hiatus may be widened and the wedge may be pushed into the hiatus. There are no strong valve and or ligament enough to keep the wedge part of stomach in peritoneal cavity. In the stomach, the pressure of the expelling meal is equal to that of the widening wedge. On the other hand, in the peritoneal cavity, pressure produced by the act of defecation is equal to that of ejecting the wedge through hiatus. These are self-evident from the Pascal's principle. Hiatal hernia is produced under these conditions. We, therefore, should call the attention to the early genetic stage of hiatal hernia. In Japan, hiatal hernia has been recognized when it gets larger and fixes out of the peritoneal cavity. But in the early stage, it also must be noted as hiatal hernia. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1972-03-25 |
| 巻 | 41巻 |
| 開始ページ | 63 |
| 終了ページ | 68 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002398151 |
| JaLCDOI | 10.18926/40143 |
|---|---|
| タイトル（別表記） | Rheumatoid arthritis and Sjögren's syndrome |
| フルテキストURL | 042_031_045.pdf |
| 著者 | 市川 幸延| |
| 抄録 | 1. Parotid Sialography Parotid sialograms were investigated in 29 patients with classical or definite RA according to the criteria of the American Rheumatism Association (one of whom had scleroderma), 5 patients with SLE (according to the Dubois's criteria, three were definite, one probable and another possible SLE), 3 patients with other autoimmune diseases (Hashimoto's thyroiditis, colitis ulcerosa and undiagnosed collagen disease), 3 patients with polyarthralgia and 10 patients with nonautoimmune diseases. Sialographic technique was performed by modified Rubin's Method using contrast medium Conray-400. Sialectasis which is pathognomonic of Sjögren's syndrome (SS) alone was observed in 6 patients with RA (20.7%) (3 punctate and 3 globular patterns) and 2 patients with SLE (one punctate and another globular pattern). Retention of the contrast medium in the duct for at least 5 minutes after the injection was observed in patients with RA, one patient with SLE and one patient with colitis ulcerosa. Sial ectasis and retention almost always existed together, and were observed in patients from young to older one. Although dilatation of the Stensen's duct and subalveolar dissection also existed together, they were observed in only older patients. It appeared that the former is the specific findings of SS and the latter is the non-specific findings according to the aging. Dry mouth was complained in 7 sialectasis (87.5%), 3 subalveolar dissection (60.0%), 10 retention (62.5%) and 9 normal sialogram (37.5%). Salivary hyposecretion (less than 10 ml/10min) was observed in 4 sialectasis (50%), one subalveolar dissection (20%), 6 dilatation of the Stensen's duct (37.5%), 5 retention (45.5%) and one normal sialogram (4.2%). These results show that sialectasis and retention are well correlated with salivary hyposecretion, but dry mouth is not so diagnostic in SS. Two patients with SLE had sialectasis were young women and showed normal salivary and lacrimal secretion. These cases may be supported by Heaton's hypothesis that SS is a benign and chronic form of SLE, or thay may be a subclinical state of SS. 2. Schirmer test Sixty seven patients (36RA, 6SLE, 3 other autoimmune diseases, 3 polyarthralgia and 19 non-autoimmune diseases) were examined by Schirmer test. Besides lacrimal hyposecretion was observed in RA and other autoimmune diseases, it began in younger age. These results show that autoimmune diseases have a sicca element in themselves. Compared with the results of sialography, Schirmer test was not correlated with sialectasis and retention. Dry eye was complained in only 4 patients (13.3%) with lacrimal hyposecretion (less than 10mm/5min) and all patients with dry eye had keratoconjunctivitis sicca (KCS). Dry eye is more diagnostic than Schirmer test. 3. Corneal staining by 1% rose bengal solution Twenty five patients with RA or SLE were examned corneal staining (Holm's type A) was observed in 5 patients with RA (20%). Staining of the medial and lateral bulbar conjunctiva (Holm's type B and C) were observed in 6 patients with RA (24%) and one patient with SLE. Nine patients with positive staining (type A, B and C) (75%) showed lacrimal hyposecretion. Dry eye was complained in 4 patients with type A staining (80%), but no patient with type B and C complained dry eye. Dry eye appears to be specific for the diagnosis of SS as sialectasis on the sialogram. 4. Salivary secretion All amount of saliva was collected during ten minutes chewing two pieces of gum. All of 21 patients with non-autoimmune diseases showed more than 10 ml/10min, and slight degree of salivary hyposecretion was observed with aging. Nine patients with RA (25.7%) showed salivary hyposecretion (less than 10ml/10min), besides it began in younger age. It was also observed in patients with other autoimmune diseases. Only 36.4% patients with salivary hyposecretion showed sialectasis on the sialogram. It can be supposed that patients with sialectasis and good salivary secretion are subclinical states of SS, and that this state is depends on the compensative function of the glands. Therefore, it is impossible to suppose the salivary dysfunction from the complaints of patients alone. It is required that saliva must be analysed not only quantitativly but also qualitativly (such as RA factor, complement and lysozome). Dry mouth was not only complained in 9 patients who showed salivary hyposecretion (81.8%). but in 10 patients showed normal secretion (50%). Dry mouth appears to be less specific for the diagnosis of SS than dry eye. 5. Diagnosis of SS Vanslow's criteria of SS was modified as follows. (1) Major : ① Sialectasis or salivary gland enlargement ② Positive corneal staining (type A) ③ Classical or definite RA (according to the criteria of the ARA) (2) Minor : ① Arthritis ② History ot salivary gland swelling ③ Dry mouth or salivary hyposecretion (less than 10ml/10min) ④ Dry eye or positive Schirmer test (less than 10mm/5min). Three major was diagnosed as definite, 2 major as probable and one major with one or more minor as possible SS. Of 35 patients with RA, definite (8.6%), probable (17.1%) and possible SS (54.3%) were obserevd. Two of SLE (33.3%) were possible SS. One patients with undiagnosed collagen disease was possible SS. Clinically, definite and probable SS may be diagnosed as Sjögren's syndrome. Two possible SS with SLE may be supporsed as subclinical states of SS who do not yet exhibite full criteria. Compared with the clinical and laboratory findings of these definite, probable and possible SS with RA, it was supporsed that positive antinuclear factor or positive LE cells in RA patients almost always represents SS, drug allergy, especially to gold therapy may be a manifestation of SS. Hypergammaglobulinemia, extreme elevation of erythrocyte sedimentation rate, struma, lymphnode enlargement in RA patients must be suspected of SS. Although one possible SS with SLE and one probable SS with RA showed positive ANF (peripheral pattern), it is impossible to differentiate SS from SLE by ANF alone. Because Suzuki et al. reported that 15.4% of SS had showed positive ANF (peripheral pattern). Examinations of salivary glands including sialography must be performed in patients with SLE in the future. To detect a subclinical SS, sialography and corneal staining must be performed even in patients with no sicca symptom, because of the compensatory functions of salivary and lacrimal glands. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1973-03-25 |
| 巻 | 42巻 |
| 開始ページ | 31 |
| 終了ページ | 45 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40017532309 |
| JaLCDOI | 10.18926/AMO/40130 |
|---|---|
| フルテキストURL | 64_4_225.pdf |
| 著者 | Ohtsu, Tadahiro| Kokaze, Akatsuki| Shimada, Naoki| Kaneita, Yoshitaka| Shirasawa, Takako| Ochiai, Hirotaka| Hoshino, Hiromi| Takaishi, Masahiro| |
| 抄録 | Over the past two decades, the liquor industry in Japan has strived to address alcohol-related problems through initiatives such as warnings in the various media. In this study, we conducted an Internet-based questionnaire survey to examine general consumer awareness of such warnings, and the media by which they are conveyed, on the consumption of alcoholic beverages. A total of 985 subjects (males:487, females:498) in age groups ranging from 20s to 70s responded (response rate:22.4%). The awareness rates for warnings regarding underage drinking, drunk driving, and drinking during pregnancy, and those for messages encouraging moderation in drinking, were 96.4%, 83.7%, 59.6%, and 45.5%, respectively. Logistic regression analysis adjusted for habitual alcohol consumption demonstrated significant gender- and/or age-based differences in the rates of awareness of warnings and the media publicizing them. For example, the odds ratio of awareness among women of warnings against underage drinking was significantly higher than that of awareness among men. Issues that must be addressed in the future include:(1) increasing public awareness about messages regarding drinking during pregnancy and drinking in moderation;(2) reviewing the wording of warnings to make them more effective;and (3) devising and employing, on a regular basis, more effective means of transmitting messages in consideration of gender and age. |
| キーワード | alcoholic beverages warnings consumer awareness Internet-based survey |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2010-08 |
| 巻 | 64巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 225 |
| 終了ページ | 232 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 20802539 |
| Web of Science KeyUT | 000281384400003 |
| 著者 | 濱野 亮輔| 稲垣 優| 西江 学| 徳永 尚之| 常光 洋輔| 大塚 眞哉| 岩川 和秀| 岩垣 博巳| 園部 宏| |
|---|---|
| 発行日 | 2010-08-02 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 122巻 |
| 号 | 2号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 藤原 一夫| 遠藤 裕介| 三宅 由晃| 尾﨑 敏文| |
|---|---|
| 発行日 | 2010-08-02 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 122巻 |
| 号 | 2号 |
| 資料タイプ | 学術雑誌論文 |
| JaLCDOI | 10.18926/AMO/40013 |
|---|---|
| フルテキストURL | fulltext.pdf |
| 著者 | Miyatake, Nobuyuki| Shikata, Kenichi| Makino, Hirofumi| Numata, Takeyuki| |
| 抄録 | We investigated the link between renal function as evaluated by estimated glomerular filtration rate (eGFR) and metabolic syndrome in Japanese. A total of 11,711 Japanese subjects, aged 20-79 years, were recruited in a cross-sectional clinical investigation. From this group, we further investigated the data on 1,576 subjects. eGFR was calculated using serum creatinine (Cr), age and sex. The diagnosis of metabolic syndrome was based on the Japanese criteria. In the first analysis, 288 men (7.8%) and 498 women (6.2%) were diagnosed with reduced eGFR (<60ml/min). eGFR was not correlated with anthropometric, body composition parameters in either sex. In the second analysis, in subjects without medications, 132 men (20.8%) and 15 women (1.6%) were diagnosed with metabolic syndrome. eGFR was lower in men with abdominal obesity and in women with hypertension was than in those without. Among Japanese not taking medications, lower eGFR may be a characteristic of men with abdominal obesity and of women with hypertension. |
| キーワード | metabolic syndrome estimated glomerular filtration rate (eGFR) abdominal circumference |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2010-06 |
| 巻 | 64巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 203 |
| 終了ページ | 208 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 20596132 |
| Web of Science KeyUT | 000279094300007 |
| JaLCDOI | 10.18926/AMO/40012 |
|---|---|
| フルテキストURL | fulltext.pdf |
| 著者 | Sasaki, Kentaro| Senda, Masuo| Nishida, Keiichiro| Ota, Haruyuki| |
| 抄録 | We examined whether the preoperative time required for the Timed "Up and Go" (TUG) test could predict the risk for deep venous thrombosis (DVT) in patients with hip osteoarthritis after total hip arthroplasty (THA). Eighteen patients with DVT diagnosed by venography were selected, and 18 without DVT of the same age and sex and with the same operated side as the DVT group were selected as a control group. We evaluated the 5 preoperative factors that might affect the occurrence of DVT complications, as follows:disease duration, body mass index, serum total cholesterol, subjective pain evaluated by the visual analog scale, and TUG. The JOA hip score (pain, range of motion, walking ability, and daily life) was also evaluated before surgery. As a postoperative factor, we checked the postoperative day when weight-bearing was initiated. As a result, TUG (DVT, 18.4+/-4.0 sec vs. control, 15.0+/-3.2 sec;p0.01) was only significantly different between the 2 groups. The ROC curve revealed that the cut-off point of 15.3 sec in preoperative time for TUG was sensitive (83.3%) and specific (61.1%) for DVT after THA (odds ratio7.0;95% confidence interval, 1.6-30.8). These results suggested that low preoperative ambulatory ability in patients with hip osteoarthritis might be associated with DVT after THA. An improvement in TUG before surgery might contribute to a decrease in the occurrence of DVT after THA. |
| キーワード | preoperative Timed “Up and Go” test deep venous thrombosis total hip arthroplasty hip osteoarthritis |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2010-06 |
| 巻 | 64巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 197 |
| 終了ページ | 201 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 20596131 |
| Web of Science KeyUT | 000279094300006 |
| 著者 | Maeta, Manabu| Saito, Ryusuke| Nakagawa, Fumio| Miyahara, Takakazu| |
|---|---|
| 発行日 | 2003-5 |
| 出版物タイトル | Journal of Laryngology & Otology |
| 巻 | 117巻 |
| 号 | 5号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | Mu, Daobin| Kondo, Kazuo| Maeda, Junpei| |
|---|---|
| 発行日 | 2004-6 |
| 出版物タイトル | Journal of the Electrochemical Society |
| 巻 | 151巻 |
| 号 | 7号 |
| 資料タイプ | 学術雑誌論文 |