1.Effects of Health Worker's Home Visits for Health Care of Persons with Hyperglycemia Found in Community Health Examinations.
Hisataka SAKAKIBARA ; Chie FUJII ; Takaaki KONDO
Journal of the Japanese Association of Rural Medicine 2001;50(1):15-22
Since 1995, Matsukawa Town in Nagano Prefecture has started regular visits by health workers to the homes of persons with hyperglycemia found in annual health examinations. The aim of the present study was to investigate the effects of the visits by health workers. Of those persons with hyperglycemia found in 1994 or 1995 who had undergone health examinations every year from 1992 through 1997, 30 persons were visited by health workers and 35 were not. In 1997, laboratory findings showed that blood sugar levels returned to nomal in a significant 90% of those persons visited by health workers compared with 69% of those who were not. Positive rates in urine sugar test among those visited decreased from 20% to 10%. Additionally, those receiving the home care service tended to lose weight, while those not visited were likely to gain weight. These findings suggested that visits by health workers for health care of persons with hyperglycemia were effective in leading them to maintain a healthy daily life. Such home health care measures for persons with hyperglycemia are important for the prevention of diabetes in a community.
2.Influence of Life-related Factors and Participation in Health Examination on Mortality in a 4.5-year Follow-up of a Rural Cohort
Shankuan ZHU ; Takaaki KONDO ; Hisataka SAKAKIBARA ; Koji TAMAKOSHI ; Kunio MIYANISHI ; Nao SEKI ; Naohito TANABE ; Hideaki TOYOSHIMA
Environmental Health and Preventive Medicine 2000;5(2):66-71
To identify life−related factors causing increased mortality, 2, 769 rural residents aged 29−77 were investigated through a self−administered questionnaire in 1990. Death certificates and migration information were inspected during the 4.5−year follow−up period. Age, obesity, life attitude, job, marital status, drinking and smoking habits, previous or current illness, and frequency of participation in health examinations were checked during the baseline survey. The person−year mortality rate was higher among irregular participants in health examinations than among regular participants both among males and females. From Cox’s multiple regression analysis, factors with a significantly high hazard ratio (HR) for mortality were irregular participation (HR=2.05), increase of age (HR=1.54, for 10 years), previous or current illness (HR=2.44), unemployment (HR=1.95), and living without a spouse (HR=2.61) for males; and for females they were having previous or current illness (HR=15.21) and living without a spouse (HR=2.94). Thus, irregular participation in health examinations, unemployment and aging showed a relationship with a higher mortality only in males. A previous or current illness and living without a spouse were related in both sexes.
participation
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Health
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Illness, NOS
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livin
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g <3>
3.Orthodontic tooth separation activates the hypothalamic area in the human brain.
Yoshiko ARIJI ; Hisataka KONDO ; Ken MIYAZAWA ; Masako TABUCHI ; Syuji KOYAMA ; Yoshitaka KISE ; Akifumi TOGARI ; Shigemi GOTOH ; Eiichiro ARIJI
International Journal of Oral Science 2018;10(2):8-8
OBJECTIVES:
An animal experiment clarified that insertion of an orthodontic apparatus activated the trigeminal neurons of the medulla oblongata. Orthodontic tooth movement is known to be associated with the sympathetic nervous system and controlled by the nucleus of the hypothalamus. However, the transmission of both has not been demonstrated in humans. The purpose of this study were to examine the activated cerebral areas using brain functional magnetic resonance imaging (MRI), when orthodontic tooth separators were inserted, and to confirm the possibility of the transmission route from the medulla oblongata to the hypothalamus.
METHODS:
Two types of alternative orthodontic tooth separators (brass contact gauge and floss) were inserted into the right upper premolars of 10 healthy volunteers. Brain functional T2*-weighted images and anatomical T1-weighted images were taken.
RESULTS:
The blood oxygenation level dependent (BOLD) signals following insertion of a brass contact gauge and floss significantly increased in the somatosensory association cortex and hypothalamic area.
CONCLUSION
Our findings suggest the possibility of a transmission route from the medulla oblongata to the hypothalamus.
Brain Mapping
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methods
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Healthy Volunteers
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Humans
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Hypothalamus
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diagnostic imaging
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Magnetic Resonance Imaging
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methods
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Medulla Oblongata
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diagnostic imaging
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Tooth Movement Techniques
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instrumentation