1.Studies on the Abnormalities of Lipid Metabolism of the Farmers in Chiba Prefecture
Junko Sajiki ; Aizan Hirai ; Masami Inada
Journal of the Japanese Association of Rural Medicine 1980;29(4):660-666
The degree of obesity, serum lipids (total cholesterol, HDL cholesterol, triglyceride) and serum uric acid, which are regarded as the risk factor of the atherosclerosis were measured among the farmers living in the three different areas in chiba prefecture, which are Abiko (A), Kamagaya (B), and Funabashi (C), respectively.
The difference of these data between three areas were examined.
The results are summarised as follows;
1) The degree of obesity increased with aging in both sexes. Triglyceride (TG), total cholesterol (TC), and atherogenic index (AI) increased with aging in female alone.
2) The mean values of TC in A and C areas were significantly higher than that in B area.
3) The degree of obesity, the mean value of TC in C area were higher than those in other ones.
4) Significant correlation was observed between TG and other atherogenic risk factors such as the degree of obesity, TC, HDL-C, AI and uric acid (UA).
5) The incidence of abnormal values of atherogenic risk factors in male was higher than that in female.
6) The incidence of anemia in B and C areas was relating low.
7) We emphasized that the survey of the risk factors of adult diseases became more neccessary to maintain the healthy life among the farmers living in urban districts.
2.An Evaluation System for Internal Medicine Residents.
Katsuhiko TAKABAYASHI ; Aizan HIRAI ; Yasushi SAITO
Medical Education 1999;30(3):145-152
We developed a system to evaluate internal medicine residents in terms of general internal medicine and subspecialties and assessed whether the evaluation system was effective and satisfactory for them. Evaluations were performed by the residents and their instructors at 6 months, 12 months, and every year thereafter. A questionnaire was completed by the residents to assess the effectiveness of the evaluation system. In every field, the scores given by the residents themselves after 6 months of residency were an average of 1 grade lower (on a 5-grade scale) than those given by their instructors. The students thought that the evaluation system was effective but contained too many items and had obscure standards. Although evaluation systems for medical residents are uncommon in Japan, we found that the results of the residents' and instructors evaluations were closely correlated. Self-evaluation systems are important in postgraduate education; a standardized system is required for a uniform level of education throughout the country.