Purpose: We examined the safety and efficacy of cataract surgery and postoperative management in our hospital and at the homes of the patients who live on medically underserved remote.Patients and methods: A total of 27 patients (54 eyes), who were followed in our hospital or at their homes were enrolled in this study. Cataract surgery was performed on them between January 2009 and January 2010 and we could follow up six months postoperatively. We divided these patients into two groups:group I (GI) consisted of 13 patients who could come to our hospital regularly during both preoperative and postoperative periods, and group II (GII) consisted of 14 patients who could not come to our hospital regularly during either preoperative or postoperative periods. Cataract surgeries were performed on all the patients in GI and GII in our hospital. The patients in GI were hospitalized for three days and those in GII were for seven days. After cataract surgery, the patients in GI had their eyes checked regularly in our hospital and those in GII were in their homes where the doctor visited. Postoperative ophthalmic clinical tests were conducted to examine visual acuity, intraocular pressure and fundus.Results: GI comprised three males and 10 females. Their age averaged 79.3. GII comprised four males and 10 females. Their age averaged 82.6. Preoperative ophthalmic examinations found that preoperative average visual acuity (LogMAR and decimal visual acuity in parentheses) and spherical equivalent in GI and GII were 0.69 (0.41), 0.80 (0.33) and -0.43 dioptors, -0.42 dioptors respectively, showing no significant differences between the two groups. Postoperative ophthalmic examinations found that, best corrected visual acuity (LogMAR) was significantly increased to 0.36 (0.66) and 0.44 (0.53) in GI and GII respectively, showing no significant differences either.Conclusions: We concluded that we could get safe and efficient cataract surgery and postoperative management combined with prolonged hospitalization and house calls on the patients who live in the isolated islands.

Purpose: We examined the effectiveness of intervention by orthoptists (ORTS) to 3-year-old infant health examination at Yanai Health Center and Shuto General Hospital to detect visual abnormalities.
Case and methods: Forty-eight children were enrolled in this study. Their parents had wanted to have the children examined by ORTS in the 3-year-old infants health examination in Yanai Health Center or in the Department of Pedeiatrics of Shuto General Hospital from July 2009 to February 2010. At the Yanai Health Center we questioned their parents about the results of their children's visual acuity test at home and other ophthalmological abnormalities. After questioning, we re-examined the visual acuity of the children who did not have enough visual acuity of 10/20 at home with the 2.5 meters visual acuity test. On the other hands, at Shuto General Hospital, we conducted the 2.5 meters visual acuity test with the test of refractive error, ocular alignment and binocular vision. After these ophthalmic examinations, we questioned the parents abour the efficacy of intervention by ORTS in the health examination.
Results: Eight children (16.6%) needed closer ophthalmic examinations. Three children with hyperopias, and one with anisometropic amblyopia were found. The parents recognized the importance of intervention by ORTS in the ophthalmic screen test. The questionnaire survey revealed that almost half of the parents were afraid of there visual acuity test by themselves at home.
Conclusion: We concluded that we find out critical ophthalmic disorder such as refract error which lead to amblyopia by the intervention of ORTS or ophthalmologists in the health screening in Yanai, Yamaguti.

To investigate effects of 1, 300 meters altitude on swimming training, several physiologic parameters were examined in eight female high school swimmers before, during and after living and training for six days at 1, 300 meters altitude.
Variables included peak heart rate (peakHR), rate of perceived exhaustion (RPE) and blood lactate concentration (BLa) associated with 200m swimming at submaximal and maximal speeds were measured 2-3 days before, during and 1-2 days after altitude exposure. Blood samples were collected before, during and after altitude exposure.
On day 1 of altitude exposure, peakHR and RPE at submaximal speeds increased from pre-altitude values while BLa didn't change. At maximal speed, swimming speed and BLa decreased, RPE increased, and peakHR didn't change from pre-altitude.
During altitude exposure, for the first three days of altiude exposure for peakHR and for all six days for RPE, the same submaximal speeds elicited greater values than pre-altitude.
Post-altitude BLa at submaximal speeds was reduced compared to pre-altitude. Maximal heart rate, RPE, and BLa at maximal speed didn't change pre- to post-altitude. However, mean values of them decreased from pre-altitude.
Erythropoietin was elevated above pre-altitude on day 2, and reticulocytes increased post-altitude significantly from pre-altitude.
These results indicate that the relative workload increased during the training at 1, 300 meters. There also appeared to be some stimulation for erythropoiesis.
In summary, this study found that 1, 300 meters altitude increased the difficulty of swimming training and six days at 1, 300 meters produced mild stimulation of erythropoiesis in these female swimmers

To investigate effects of 1, 300 meters altitude on swimming training, several physiologic parameters were examined in eight female high school swimmers before, during and after living and training for six days at 1, 300 meters altitude.
Variables included peak heart rate (peakHR), rate of perceived exhaustion (RPE) and blood lactate concentration (BLa) associated with 200m swimming at submaximal and maximal speeds were measured 2-3 days before, during and 1-2 days after altitude exposure. Blood samples were collected before, during and after altitude exposure.
On day 1 of altitude exposure, peakHR and RPE at submaximal speeds increased from pre-altitude values while BLa didn't change. At maximal speed, swimming speed and BLa decreased, RPE increased, and peakHR didn't change from pre-altitude.
During altitude exposure, for the first three days of altiude exposure for peakHR and for all six days for RPE, the same submaximal speeds elicited greater values than pre-altitude.
Post-altitude BLa at submaximal speeds was reduced compared to pre-altitude. Maximal heart rate, RPE, and BLa at maximal speed didn't change pre- to post-altitude. However, mean values of them decreased from pre-altitude.
Erythropoietin was elevated above pre-altitude on day 2, and reticulocytes increased post-altitude significantly from pre-altitude.
These results indicate that the relative workload increased during the training at 1, 300 meters. There also appeared to be some stimulation for erythropoiesis.
In summary, this study found that 1, 300 meters altitude increased the difficulty of swimming training and six days at 1, 300 meters produced mild stimulation of erythropoiesis in these female swimmers

  Recently, the relevance of Helicobacter pyroli (H. pylori) infection to atrophic gastritis and gastric cancer in has been elucidated. Therefore, to diagnose H. pylori infection is important for suspecting the existence of those diseases of the stomach. We investigated the relationships of the H. pylori IgG antibody to H. pylori infection, atrophic gastritisor various stomach lesions to understand the significance and usefulness of evaluating the antibody level in the annual multiphasic health check-up participants. The subjects in this study were 148 people (male: 93, female: 55, average age: 56.4) in Toride city, which is located in the suburb of Tokyo. They had visited our hospital for medical checkups. Eighty-seven subjects underwent upper gastric endoscopy and 55 (63%) tested positive for H. pylori IgG antibody and H. pylori infection was confirmed in 41 (75%). Although 32 subjects tested negative for the antibody, 8 cases (25%) was diagnosed with H. pylori infection. The frequencies of positive antibody in atrophic gastritis, erosion and ulcer, fundic gland polyp, hyperplastic foveolar polyp, adenoma and malignancy were 17%, 70%, 61%, 77%, 31%, 62%, 0% and 100%, respectively. On the other hand of 80 subjects were who underwent barium X-ray examination, 44 tested positive for the antibody (55%). The frequency of positive antibody in no lesion, depressed lesion, elevated lesion and malignant lesion were 61%, 59%, 36% and 100%, respectively. Taken together, H. pylori antibody was a good marker for H. pylori infection and the positive antibody indicated high frequencies of atrophic gastritis and malignancy. Therefore, advices to have participants who have a positive antibody should be strongly an endscopic examination stomach lesions.

Purpose: We examined the safety and efficacy of cataract surgery and postoperative management in our hospital and at the homes of the patients who live on medically underserved remote.
Patients and methods: A total of 27 patients (54 eyes), who were followed in our hospital or at their homes were enrolled in this study. Cataract surgery was performed on them between January 2009 and January 2010 and we could follow up six months postoperatively. We divided these patients into two groups:group I (GI) consisted of 13 patients who could come to our hospital regularly during both preoperative and postoperative periods, and group II (GII) consisted of 14 patients who could not come to our hospital regularly during either preoperative or postoperative periods. Cataract surgeries were performed on all the patients in GI and GII in our hospital. The patients in GI were hospitalized for three days and those in GII were for seven days. After cataract surgery, the patients in GI had their eyes checked regularly in our hospital and those in GII were in their homes where the doctor visited. Postoperative ophthalmic clinical tests were conducted to examine visual acuity, intraocular pressure and fundus.
Results: GI comprised three males and 10 females. Their age averaged 79.3. GII comprised four males and 10 females. Their age averaged 82.6. Preoperative ophthalmic examinations found that preoperative average visual acuity (LogMAR and decimal visual acuity in parentheses) and spherical equivalent in GI and GII were 0.69 (0.41), 0.80 (0.33) and -0.43 dioptors, -0.42 dioptors respectively, showing no significant differences between the two groups. Postoperative ophthalmic examinations found that, best corrected visual acuity (LogMAR) was significantly increased to 0.36 (0.66) and 0.44 (0.53) in GI and GII respectively, showing no significant differences either.
Conclusions: We concluded that we could get safe and efficient cataract surgery and postoperative management combined with prolonged hospitalization and house calls on the patients who live in the isolated islands.