1.A Pilot Study on Farmer's lung…An Examination of Precipitating Antibody Positive Group to Thermophilic actinomyces
Journal of the Japanese Association of Rural Medicine 1978;27(1):28-32
Five hundred and fifty-six persons associated with dairy farming were surveyed by means of a questionnaire for evidence of farmer's lung. Two hundred and eighty-four of them were evaluated with serological study. Any typical symptom of farmer's lung was not found but precipitating antibody to Thermoactinomyces vulgaris was identified in sera from fifty-five (19.4%). The subjects of the antibody positive group have more frequently cough with phlegm than negative group.
2.Study on Respiratory Diseases Caused by Farm Work (Farmer's Lung etc)
Journal of the Japanese Association of Rural Medicine 1979;28(1):29-34
From our survey of respiratory diseases in rural district, we concluded as follows:
1). Prevalence of positive antibody fiter to Thermophilic actinomyces in farmers of one village was 19.4%.
2). Alternaria is one of the most important mold antigen to asthma in rural area. Specific IgE antibody to Alternaria was identified in sera of many patients suffering from asthmatic attack in summer season.
3). Pollinosis in Nagano Prefecture
a). A check of patients by age reveals that the incidence is high among people at ages 20-40.
b). A check of the distrbution of patients by month indicates that the incidences are concentrated during the period of March through October, and this period is classifiable into three seasons-spring tree season, summer grass season and autumn weed season.
c). According to our survey on atomospheric pollen, Japanese cedar, alder, Japanese birch, zercova, walnut, oak family and white mulberry were found in tree season, meadow foxtail, orchard grass, timothy andrice in grass season and ragweed, common mugwort, chrysanthemum, Japanese hop and smooth pigweed in weed season. Of all hayfever plants, Japanese cedar, orchard grass and common mugwort have high antigenicity.
d). We discussed the findings of the survey we have performed on a number of cases of six pollinosis-Japanese birch, walnut, apple, orchard grass, ragweed and common mugwort.
3.End of life care of persons with amyotrophic lateral sclerosis in hospice
Shuichi Kato ; Eisuke Ozawa ; Munehiro Shimada ; Jun Kurokawa ; Takahito Nishida ; Yoshiko Kasahara ; Keiko Takahashi ; Tomoko Ashiya ; Yoshiko Sugasawa ; Mayuko Nomura
Palliative Care Research 2010;5(2):137-144
This article describes the end of life of seven people with amyotrophic lateral sclerosis (ALS) under the care of a hospice. The reasons for admission to hospice were for the management of distressing symptoms and the support of families who were unable to continue care at home because of the increased burden of care and/or illness of families. The sufferings experienced by the patients with ALS included disability due to muscle weakness(100%), pain(100%), discomfort (100%), dyspnea (71%), difficulties in communication (71%), drooling (43%), insomnia (43%), loneliness (43%), swallowing difficulties (28%), clenching the mucosa inside the cheek (28%), anxiety (28%), the perception of being a burden to the family (28%), and concerns as to why they had developed ALS (28%). Opioid medication was effective in the management of dyspnea, pain and discomfort. The results showed that special attention should be paid to frequent changing of the patient's position during nursing care, including the passive movement of joints and massage. The use of communication aids was essential to allow people with ALS to communicate effectively and, together with support of joy of the patients and family, the quality of life could be improved. End of life care within a hospice is a useful alternative option for persons with ALS, extending hospice care in Japan from people with advanced cancer to other disease groups. Palliat Care Res 2010; 5(2): 137-143
4.Respiratory Troubles and Diseases caused by Farm Work (Farmer's Lung, etc.)
kiyoichi noda ; yukio konishi ; jirôkanno ; shôjirôizumi ; kiichi kaishio ; kôhei kameyama ; masanaga takato ; kôji isomura ; yuzuru kanbe ; eisuke kato ; akio uchida ; isamu ebihara ; shigeru nomura ; atsushi ueda ; akimasa miyamoto
Journal of the Japanese Association of Rural Medicine 1978;27(1):1-4
It is to be noted that in rural districts where they live and work in fresh and clean air the incidence of chronic obstructive pulmonary diseases is as high as in the districts of air-pollution. Besides, there are a variety of respiratory diseases particularly incidental to life-environment and farm work. To be more informed of their actual conditions, the Japanese Association of Rural Medicine organized a special study group and has carried out various studies for four consecutive years with grants from the Ministry of Health and Welfare. The major results obtained are as follows:
(1) There were a variety of farm operations which produced or increased respiratory symptoms, including thrashing and scatteringof agricultural chemicals;
(2) It became clear that there existed in an advanced age group certain cases of “agricultural pneumoconiosis” which could be regarded as the terminal of the so-called “thrash-bronchitis”
(3) Among the cultivators of rush, raw material for Tatami, there existed cases of pneumoconiosis;
(4) There were a variety of agents to produce bronchial asthma, such as rice straw, chaff, tea-leaves and chrysanthemum-leaves;
(5) In Japan only two cases of farmer's lung were reported prior to this study. One more case was added to the list by this study group. Besides, cases positive to fungous agents were found among farmers in considerably high percentage.
5.Safety evaluation of abdominal trachelectomy in patients with cervical tumors ≥2 cm: a single-institution, retrospective analysis
Kaoru OKUGAWA ; Hideaki YAHATA ; Kenzo SONODA ; Tatsuhiro OHGAMI ; Masafumi YASUNAGA ; Eisuke KANEKI ; Kiyoko KATO
Journal of Gynecologic Oncology 2020;31(4):e41-
Objective:
For oncologic safety, vaginal radical trachelectomy is generally performed only in patients with cervical cancers smaller than 2 cm. However, because inclusion criteria for abdominal trachelectomy are controversial, we evaluated the safety of abdominal trachelectomy for cervical cancers ≥2 cm.
Methods:
We began performing abdominal trachelectomies at our institution in 2005, primarily for squamous cell carcinoma ≤3 cm or adenocarcinoma/adenosquamous carcinoma ≤2 cm. If a positive sentinel lymph node or cervical margin was diagnosed intraoperatively by frozen section, the trachelectomy was converted to a hysterectomy. Medical records of these patients were reviewed retrospectively. Patients who had undergone simple abdominal trachelectomy were excluded from this study.
Results:
We attempted trachelectomy in 212 patients. Among the 135 patients with tumors <2 cm, trachelectomy was successful in 120, one of whom developed recurrence and none of whom died of their disease. Among 77 patients with tumors ≥2 cm, trachelectomy was successful in 62, 2 of whom developed recurrence and 1 of whom died of her disease. The overall relapse rate after trachelectomy was 1.6% (0.8% in <2 cm group and 3.2% in ≥2 cm group), and the mortality rate was 0.5% (0% in <2 cm group and 1.6% in ≥2 cm group).Recurrence-free survival (p=0.303) and overall survival (p=0.193) did not differ significantly between the <2 cm and ≥2 cm groups.
Conclusions
Abdominal trachelectomy with intraoperative frozen sections of sentinel lymph nodes and cervical margins is oncologically safe, even in patients with tumors ≥2 cm.
6.Respiratory Troubles and Diseases caused by Farm Work
Kiyoichi Noda ; Yukio Konishi ; Jiro Kanno ; Shojiro Izumi ; Kiichi Kaishio ; Kohei Kameyama ; Masanaga Takato ; Koji Isomura ; Yuzuru Kanbe ; Eisuke Kato ; Isamu Ebihara ; Akio Uchida ; Atsushi Ueda ; Shigeru Nomura ; Akimasa Miyamoto
Journal of the Japanese Association of Rural Medicine 1978;26(5):693-713
It is to be noted that in rural districts where they live and work in fresh and clean air the incidence of chronic obstructive pulmonary diseases is as high as in the districts of air-pollution. Besides, there are a variety of respiratory diseases particularly incidental to life-environment and farm work. To be more informed of their actual conditions, the Japanese Association of Rural Medicine organized a special study group and has carried out various studies for four consecutive years with grants from the Ministry of Health and Welfare. The major results obtained are as follows
(1) There were a variety of farm operations which produced or increased respiratory symptoms, including thrashing and scattering of agricultural chemicals;
(2) It became clear that there existed in an advanced age group certain cases of “agricultural pneumoconiosis” which could be regarded as the terminal of the so-called “thrash-bronchitis”
(3) Among the cultivators of rush, raw material for Tatami, There existed cases of pneumoconiosis;
(4) There were a variety of agents to produce bronchial asthma, such as rice straw, chaff, tea-leaves and chrysanthemum-leaves;
(5) In Japan only two cases of farmer's lung were reported prior to this study. One more case was added to the list by this study group. Besides, cases positive to fungous agents were found among farmers in considerably high percentage.