2.Statistical Study on Urologic Patients for These 10 Years in Hiraka General Hospital
Kiyoshi Ishikawa ; Yoshitaka Shibuya ; Masaru Yamamoto ; Akira Kotanagi ; Takashi Sato
Journal of the Japanese Association of Rural Medicine 1983;32(1):37-41
The purpose of this report is to clarify urologic problems in rural districts. The number of patients who visited our clinic for these 10 years were 7, 313 as new outpatient and 1802 as inpatient. Three main diseases of rural area were acute inflammation of lower urinary tract, benign prostatic hypertrophy and lithiasis of upper urinary tract. Infection of lower urinary tract and aggravation of malignant tumors might be influenced by rural works and bad circumstances. Monthly distribution of patients was also under the influence of rural works.
4.An Analysis of Variance in Students' Self-Evaluation Attitudes for Autonomous Learning.
Akira YASUDA ; Masami NAGIRA ; Xiaoguang SUN ; Shusaku TSUMOTO ; Kazuko YAMAMOTO
Medical Education 2001;32(2):69-75
The purpose of this study was to examine statistical methods for assessing variance in students' learning attitudes over 2 months. The students' learning attitudes, measured by tutorial assessment sheets, were analyzed quantitatively by multidimensional scaling and cluster analysis. Items on the tutorial assessment sheets were divided throughout the practice period into two axes of speculation (behavior and partnership). At the initial and medium-term stages of this practice, the dispersion of student's consciousness for given assessments was able to determine the quantity. We could then determine the quantity of recognizing the importance of topics to learn, and consciousness for learning was a feature often found at the end of this practice.
5.A CONSIDERATION OF THE PHYSICAL FITNESS OF MIDDLE AND OLDER AGED MEN AT THE SPORTS SAUNA TRAINING CENTER OF NATIONAL STADIUM
KIYOMI UEYA ; TAKUDO MIZUTA ; TETSUYA HIMARU ; AKIRA NAGATA ; TAKASHI YAMAMOTO
Japanese Journal of Physical Fitness and Sports Medicine 1975;24(1):1-10
The aim of this study was to investigate quantitatively the power ability of middle and older aged men in the vertical jump.
And, we would try to point out the changes with increasing ages and the influences of the environments factor to the power ability.
Based on the environment point of view, we put an emphasis and consideration on those who did physical exercises and also those who drove a car in a daily life.
Subjects were the health 201 men who visited the sports sauna training center of national stadium for physical exercises.
The power was calcurated from the force and velocity concerning of jumper's C.G. during the take off motion. The force was measured by using a strain gage type tranceducer, and the velocity was calcurated by integrating the equation of motion about of C.G.
Result:
The power ability of middle and older aged men in the vertical jump decreased with increasing ages.
The rate of decrease with every 5 years of age was 0.248 horse power, 2.960×10-3 horse power in the maximum power and maximum power per body weight.
In comparison with the power ability of 25 years old, the power ability, in terms of maximum power per body weight, of 35 years old, 45 years old, 55 years old were 90.8%, 81.1%, 59.0%, respectively.
There were evidently differences between trained men and untrained men, and then car driver and no car driver in the power ability. The differences of maximum power per body weight were 12.190 × 10-3 horse power, 9.231×10-3 horse power, respectively.
6.PHYSIOLOGICAL EFFECT ON THE BODY IN THE SAUNA BATH
TAKUDO MIZUTA ; KIYOMI UEYA ; TETSUYA HIMARU ; AKIRA NAGATA ; TAKASHI YAMAMOTO
Japanese Journal of Physical Fitness and Sports Medicine 1975;24(3):101-107
Recently, the popular usage of the sauna bath has been greatly increased but this is not necessaeily based upon scientific ground.
This investigation has been made on the most ideal usage time with special emphasis on duration of time in the actual sauna room.
The usage pattern, in view of the times of taking the sauna room and the cold water, has been established.
And then the influences on the body function were measured.
The usage pattern were as follows (Repetition were all 3 times)
(1) 5 minutes stay in the sauna and 1 minute in the water
(2) 7 minutes stay in the sauna and 1 minute in the water
(3) 7 minutes stay in the sauna and 2 minutes in the water
(4) 10 minutes stay in the sauna and 2, 5 minutes in the watar
The result were as follows
1. The usage pattern (1) gave the good result for the function of whole body reaction time, patellar-tendon reflex time, maximum power of vertical jump.
Another usage pattern (2), (3), (4) gave the wrong result for those function.
2. There were no remarkable differences blood pressure, heart rate and skin temperature among the usage pattern (1), (2), (3), (4) .
3. Oxygen intake in the usage pattern (2) gave a large value than the usage pattern (1) .
In the view of the energy expenditure, it was recognized that the usage pattern (2) was the best usage.
7.The relationship between resting bradycardia with endurance training and autonomic nervous system modulation.
KENTA YAMAMOTO ; KOUKI TAKAHASHI ; AKIRA YOSHIOKA ; SHO ONODERA ; MOTOHIKO MIYACHI
Japanese Journal of Physical Fitness and Sports Medicine 2001;50(5):613-623
We investigated whether the autonomic nervous system (ANS) modulation contribute to the bradycardia induced by endurance training. First, the meta-analysis approach was used to collect group mean values of maximal oxygen consumption (Vo2max) and heart rate variability (HRV) from 14 studies involving 30 groups and 485 subjects. Subsequently, we performed a cross-sectional (n=116) and intervention (n=training group : 10 and control group : 6) studies. In both studies, ANS modulation was estimated by spectral analysis of HRV. In the meta-analysis and cross-sectional study, HR and natural logarithmic high frequency power (In HF power) were correlated with Vo2max or peak oxygen uptake (peak Vo2) . The significant negative correlations were found between HR and In HF power (meta-analysis and the cross-sectional study ; r2 = 0.42 and 0.44, respectively) . Endurance training in the intervention study increased peak Vo2 and resting In HF power, and decreased resting HR. These results strongly suggest that endurance training induces an increase in resting ANS modulation especially parasympathetic modulation. Furthermore, about half of the variability of resting HR can be accounted for by difference in parasympathetic modulation.
9.Immunoelectron microscopic analysis of neurotoxic effect of glutamate in the vestibular end organs during ischemia.
Akira SASAKI ; Atsushi MATSUBARA ; Keiji TABUCHI ; Akira HARA ; Atsushi NAMBA ; Youhei YAMAMOTO ; Hideichi SHINKAWA
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(2):122-126
10.Prevalence of left ventricular dyssynchrony in patients with heart failure assessed by a novel programmer-cardioGRAF
Canzhan ZHU ; Naoto TAKAHASHI ; Akira YAMAMOTO ; Masahira ISHIKAWA ; Naomi KAWAGUCHI ; Takahiro UCHIDA ; Kazuo MUNAKATA
Journal of Geriatric Cardiology 2009;6(3):151-156
Objectives Left ventricular systolic dyssynchrony is the most important determinant of response to cardiac resynchronization therapy (CRT), playing a vital role to predict improvement of systolic function or LV reverse remodeling. CardioGRAF is a novel programmer based on the ECG gated single photon emission computed tomography (G-SPECT) imaging to detect LV systolic and diastolic dyssynchrony simultaneously. This study was to investigate the prevalence of systolic and diastolic left ventricular (LV) dyssynchrony in patients with heart failure. Methods We retrospectively studied 69 patients with heart disease, including 31 patients who had symptoms of heart failure (NYHA class Ⅱ-Ⅲ), and 38 patients who had no symptoms of heart failure (NYHA class Ⅰ). G-SPECT data were analyzed by cardiaGRAF, and measurements included the time to end systole (TES), the time to peak ejection (TPE), the time to peak filling (TPF), TES+TPF and maximal difference (MD) of each parameters were obtained, using the 95th percentile of the control group as a cutoffof 150 ms for MD-TES, 139 ms for MD-TPE, 345 ms for MD-TPF and 315 ms for MD-TES+TPF. Results The prevalence of LV systolic dyssynchrony was significantly higher in heart failure patients with reduced LV ejection fraction (LVEF)<45% (72% for MD-TES; 64% for MD-TPE) compared with heart failure patients with preserved LVEF=45% (14% for both MD-TES and MD-TPE; P=0.002, P=0.005, respectively); The prevalence of MD-TES<150 ms was higher in NYHA class Ⅲ patients (64%) compared with NYHA class Ⅱ patients (27%, P=0.049). However, the prevalence of the LV diastolic dyssynchrony were high but not difference between NYHA class Ⅲ(47% for both MD-TPF and MD-TES+TPF) and class Ⅲ(63% for MD-TPF; 69% for MD-TES+TPF; P=NS) patients as well as between patients with preserved LVEF (43% for both MD-TPF and MD-TES+TPF) and patients with reduced LVEF(64% for MD-TPF; 72% for MD-TES+TPF; P=NS). Conclusions The prevalence of LV systolic dyssynchrony was high in heart failure patients with reduced LVEF. Diastolic dyssynchrony was common in patients with heart failure. CardioGRAF maybe a useful method to detect LV dyssynchrony.