1.Allergic rhinitis in a rural hospital, Yamaguchi prefecture.
Keiko NISHIKAWA ; Masutoshi NISHIKAWA
Journal of the Japanese Association of Rural Medicine 1990;39(1):33-35
A retrospective study was performed in 113 patients with allergic rhinitis who visited the out-patient clinic in the Department of Otorhinolaryngology, Shuto General Hospital during 1 year from January to December 1988.
Although our hospital is located in a rural city where was pollution-free and good environmental area, many patients with allergic rhinitis visited us. High positive reactions of allergic skin tests were Japanese ceder, house dust, ragweed and orchard grass. About 60% of patients visited first in February, March and April when was the season of Japanese ceder pollen scattering. From the above, it was considered that most of patients with allergic rhinitis who visited our hospital are Japanese ceder pollinosis.
2.Atmospheric pollen counts of ceder(cryptomeria japonica) and cypress(chamaecypanis obtsusa) in Yanai city, Yamaguchi prefecture, Japan.
Keiko NISHIKAWA ; Masutoshi NISHIKAWA ; Satoru KANDA ; Akiko TAKAMURA
Journal of the Japanese Association of Rural Medicine 1988;37(2):92-95
The atmospheric pollen counts of Ceder (Cryptomeria japonica) and Cypress (Chamaecypanis obtsusa) were measured with Durham's standard devices installed on the roofs and ground in Yanai city, Yamaguchi prefecture, during the period between 1984 and 1987, and the following results were obtained.
1) The number of atmosphreic pollen counts changed significantly every year. There was a large quantity of pollen counts recorded in 1984 and 1986, but a small quantity in 1985 and 1987. 2) Scattering period of atmospheric pollen counts also changed every year. In 1987 the atmospheric pollen began early in February. In 1985 and 1986, it began in late February and in 1984 in late March.
3) The atmospheric pollen counts on the roofs were recorded 3 times as much as those on the ground. But there were no substantial difference between those on the roofs and ground concerning the scattering peroid of atmospheric pollen and the daily change of it's counts. There was observed significant correlation between those on the roofs and ground.(coeffecient of multiple correation=0.987)
3.Effects of repeated exercise on muscle soreness, creatine kinase activity and white blood cell count.
KEIKO INOUE ; SHINHACHI NISHIKAWA ; NAOTO KIMURA ; KOICHI HIROTA
Japanese Journal of Physical Fitness and Sports Medicine 1992;41(2):156-165
A study was conducted to investigate changes in muscle soreness, serum creatine kinase (CK) activity and white blood cell (WBC) count following exercise bouts spaced three weeks apart.
The subjects were six male students (aged 23-25 yr), who had not participated in any training program for over 18 months. They performed muscular exercise of the nondominant arm using elbow flexors. Twenty percent of maximum voluntary contraction was used as the exercise intensity. After three weeks, the subjects repeated the same exercise bout. Perceived muscle soreness, CK activity and WBC count were assessed before, immediately after, 6h after and over 9 days after each exercise bout.
After the first exercise bout (1 st Ex), the subjects experienced muscle sorenss for 3-7 days. Also, a large increase of CK was found in five subjects (266-763%) . When the peak CK efflux was observed (day 3-4 after exercise), soreness had almost disappeared. WBC count was increased immediately and 6 h after exercise, then returned to the resting level. However, a significant increase (p<0.05) in WBC count was observed again on day 7 after exercise when CK had returned to the resting level. After the second exercise (2 nd Ex), a significant decrease of muscle soreness and the CK response was found in comparison with the 1 st Ex (p<0.41) . One interesting feature was that the CK efflux of subjects who had shown a large increase of CK after the 1 st Ex was not increased after the 2 nd Ex.
The initial exercise bout may have induced some damage to the muscle fibers or mem. bran. This damage would induce a process of repair in the damaged tissue, which in turn would adapt the muscle to the next stimulus. However, the subjects who showed a slight increase of CK after the 1 st Ex did not show this adaptation. Therefore an adaptive threshold for fiber or membrane damage may exist.
4.Increased Cooperation with Dentistry by the Palliative Care Team
Hideaki Kawabata ; Masanori Nishikawa ; Hirosato Inoda ; Akio Tanaka ; Naoki Kakihara ; Chiaki Taga ; Mutsumi Kohigashi ; Mitsuo Nakamura ; Chisa Hasegawa ; Eiichiro Kanda ; Masako Nishimura ; Yukari Nakagawa ; Yoko Nishitani ; Mariko Nose ; Kota Asano ; Miwa Sakuma ; Keiko Fujimura
Palliative Care Research 2016;11(1):901-905
Recently, the palliative care team (PCT) at our hospital has included dentists. Among a total of 127 cancer patientsand required PCT intervention from 2009 to 2014, 17 patients (13.3%) had oral symptoms. Therefore, the PCT held discussions in order to determine the optimal way to treat each patient. Various symptoms, including oral pain, dry mouth, taste disturbance, furred tongue, excessive amounts of saliva, appetite loss, and trismus were treated by the dentists. As a result, the oral findings improved in all patients, while the oral symptoms improved in 16 of the 17 patients (94%). Thanks to the fact that dentists have joined the PCT, oral symptoms are effectively relieved, and PCT members now have an increased interest in oral cavity complications. Furthermore, conducting thorough examinations of the oral cavity by the PCT not only results in an improved QOL, but it has also increased the interest in the oral cavity on the part of the PCT. Therefore, more effective palliative care is expected to be achieved by promoting increased cooperation with more clinical departments.