1.Japanese family bereavement survey of diet and complementary and alternative medicine in terminal cancer patients followed at home
Yusuke Satoh ; Takuya Shinjo ; Akihiro Ishikawa ; Masahiro Goshima ; Masako Sekimoto ; Yuri Morimoto
Palliative Care Research 2015;10(1):162-167
The aim of this study is to clarify the diet and complementary and alternative medicine among terminal cancer patients followed at home. A cross-sectional survey of bereaved families of 200 cancer patients who were received home care by 5 palliative care clinics in Kobe in 2014. The response rate was 66%. The average age of the patients was 74 years old. The family members received the information about diets from books, magazines, and newspaper(48%)and medical staff(46%). The patients actively took in tea(64%), dairy(62%), and soy(60%). The patient avoided alcohol(49%), fat(31%), and salt(31%). The question asking the complementary and alternative medicine(CAM), 32% respondents answered using CAM, of which 28% took mineral supplements, and vitamins. Due to the paucity of the evidence about the diet and CAM for cancer patients, the patient and family tend to practice the general diet therapy.
2.Survey of diet and meal preparation by Japanese bereaved caregivers for terminal cancer patients followed at home
Takuya Shinjo ; Yusuke Stoh ; Akihiro Ishikawa ; Masahiro Goshima ; Masako Sakamoto ; Yuri Morimoto
Palliative Care Research 2015;10(4):238-244
The aim of this study was to clarify diet and meal preparation for terminal cancer patients followed at home. A cross-sectional survey was administered to bereaved caregivers of 200 cancer patients who received home care from five palliative care clinics in Kobe in 2014. The response rate was 66% and the average age of the caregivers was 62 years. Overall, 57% of caregivers reported distress regarding diet and meal preparation for patients. The independent determinants of distress were: the experience of coaching from medical staff (P=0.012); how to help patients with eating; difficulties in cooking and meal preparation (P=0.001); and helping with eating for anorexic patients (P=0.004). Due to the paucity of the evidence about diet and meal preparation for cancer patients, caregivers may not be receiving sufficient specific and practical dietary instruction from medical staff.
3.Effect of snack eating on sensitive salivary stress markers cortisol and chromogranin A.
Masahiro TODA ; Kanehisa MORIMOTO ; Shingo NAGASAWA ; Kazuyuki KITAMURA
Environmental Health and Preventive Medicine 2004;9(1):27-29
OBJECTIVESTo investigate the effect of snack eating on salivary cortisol and chromogranin A (CgA).
METHODSFrom 14∶00 to 18∶00, starting two hours after consumption of a midday meal, saliva samples were collected every 30 minutes from 15 healthy males, 7 of whom (snack group) ate a snack immediately after the sampling at 15∶00. Salivary cortisol and CgA levels were determined by ELISA. Samples were controlled according to salivary flow rates.
RESULTSFor the snack group, after snack consumption, salivary cortisol increased to exceed significance (p<0.05) at 15∶30 and rose even higher at 16∶00. In the control group, there was no such change. There was no significant change in salivary CgA in either the snack group or the control groups during the sampling period.
CONCLUSIONSThese findings suggest that no food should be consumed for at least 90 mins before saliva sampling for cortisol determination and that salivary CgA is probably not affected by snack eating.
4.Correlation between saliva glycated and blood glycated proteins.
Ichiro NAKAMOTO ; Kanehisa MORIMOTO ; Tatsuya TAKESHITA ; Masahiro TODA
Environmental Health and Preventive Medicine 2003;8(3):95-99
OBJECTIVESBlood and saliva samples were obtained to examine if there is a correlation between saliva glycated protein and blood glycated protein.
METHODSBlood and saliva samples of 51 male workers were collected. The fructosamine and hydrazine methods were used to measure saliva glycated protein. HbA1c, fructosamine and blood glucose were measured as indices of blood glycated protein, and the correlation between blood glycated protein and saliva glycated protein was examined.
RESULTSSaliva fructosamine glycated protein showed a significant correlation with HbA1c and blood glucose (r=0.449; p=0.001 and r=0.445; p=0.001, respectively). No correlation was identified between saliva hydrazine glycated protein and the index of blood glycated protein.
CONCLUSIONSBlood glycated protein and blood glucose could be estimated by measuring saliva glycated protein.
5.Application of Specific Brain Function Evaluation by Optical Topography
Akiko OBATA ; Kanehisa MORIMOTO ; Tatsuya TAKESHITA ; Yuriko ISSHIKI ; Masahiro TODA
Environmental Health and Preventive Medicine 2003;8(1):29-32
Objectives: To use the evaluation of a specific brain function obtained by optical topography. This system uses a non invasive method to measure brain function, unlike other major systems. Methods: Twelve optical fibers were attached to the subject's head. Hemodynamic changes in the motor cortex were measured during finger tapping before and after alcohol intake for each ALDH2 genotype. Results: Different hemodynamic changes in the motor cortex were observed among the ALDH2 genotypes. Conclusions: Optical topography is a useful tool for evaluating specific brain functions. Further research is needed on the relations between various environmental factors and brain functions by optical topography.
brain function
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Landscapes
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Pulmonary evaluation
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Function
6.Application of specific brain function evaluation by optical topography.
Akiko OBATA ; Kanehisa MORIMOTO ; Tatsuya TAKESHITA ; Yuriko ISSHIKI ; Masahiro TODA
Environmental Health and Preventive Medicine 2003;8(1):29-32
OBJECTIVESTo use the evaluation of a specific brain function obtained by optical topography. This system uses a non invasive method to measure brain function unlike other major systems.
METHODSTwelve optical fibers were attached to the subject's head. Hemodynamic changes in the motor cortex were measured during finger tapping before and after alcohol intake for eachALDH2 genotype.
RESULTSDifferent hemodynamic changes in the motor cortex were observed among, theALDH2 genotypes.
CONCLUSIONSOptical topography is a useful tool for evaluating specific brain functions. Further research is needed on the relations between various environmental factors and brain functions by optical topography.
7.Beneficial effect of tomato juice drinking on anti-mutagenicity of saliva.
Masahiro TODA ; Kanehisa MORIMOTO ; Sei-Ichi NAKAMURA
Environmental Health and Preventive Medicine 2003;7(6):289-291
OBJECTIVESThe purpose of this study was to investigate the effect of tomato juice drinking on the antimutagenicity of saliva.
METHODSSubjects were 22 healthy male university students. They were divided into tomato group and control group. The tomato group drank tomato juice for 10 days. The anti-mutagenicity of saliva was measured using the umu test.
RESULTSIn the tomato group, there was a significant increase in the inhibiting capacity of saliva on the mutagenicity of AF-2 after tomato juice drinking for 10 days. This increase was, however, temporary. In the control group, there was no such change in the inhibiting capacity of saliva.
CONCLUSIONSThese findings suggest the significant effect of tomato juice drinking on the anti-mutagenicity of saliva. In addition, lycopene may have played an important role in its mechanism.
8.Beneficial Effect of Tomato Juice Drinking on Anti-Mutagenicity of Saliva
Masahiro TODA ; Kanehisa MORIMOTO ; Sei-ichi NAKAMURA
Environmental Health and Preventive Medicine 2002;7(6):289-291
Objectives: The purpose of this study was to investigate the effect of tomato juice drinking on the anti-mutagenicity of saliva. Methods: Subjects were 22 healthy male university students. They were divided into tomato group and control group. The tomato group drank tomato juice for 10 days. The anti-mutagenicity of saliva was measured using the umu test. Results: In the tomato group, there was a significant increase in the inhibiting capacity of saliva on the mutagenicity of AF-2 after tomato juice drinking for 10 days. This increase was, however, temporary. In the control group, there was no such change in the inhibiting capacity of saliva. Conclusions: These findings suggest the significant effect of tomato juice drinking on the anti-mutagenicity of saliva. In addition, lycopene may have played an important role in its mechanism.
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Alcohol consumption
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9.A further note on the sampling device for the anti-mutagenicity of saliva.
Masahiro TODA ; Kanehisa MORIMOTO ; Sei-Ichi NAKAMURA ; Kazuo HAYAKAWA
Environmental Health and Preventive Medicine 2002;7(1):27-29
OBJECTIVESThe purpose of this study was to compare the anti-mutagenicity of Salivette and test-tube sampling saliva. In addition, the relation between the inhibiting and pH-buffering capacities of saliva was investigated.
METHODSSubjects were 52 healthy female university students. The collection of saliva samples was carried out using 2 sampling devices; test-tube and Salivette. The anti-mutegenicity of the saliva was measured using the umu test.
RESULTSThe inhibiting capacity of Salivette-saliva was significantly lower compared with that of testube-saliva (p<0.01,t test). However, there was a significant correlation between them (r=0.35; p<0.05). In addition, there was a significant correlation between the inhibiting and pH-buffering capacities of saliva (r=-0.36; p<0.05).
CONCLUSIONSThese findings suggest that both the Salivette and the test-tube may be appropriate as saliva-sampling devices. In addition, they suggest that the bicarbonates might inhibit the anti-mutagenicity of saliva, or that the activity of substances related to the anti-mutagenicity of saliva might be dependent on pH.
10.Daily lifestyles and anti-mutagenicity of saliva.
Masahiro TODA ; Kanehisa MORIMOTO ; Sei-Ichi NAKAMURA ; Kazuo HAYAKAWA
Environmental Health and Preventive Medicine 2002;7(1):11-14
OBJECTIVESThe purpose of this study was to investigate the relation between lifestyle and the antimutagenicity of saliva.
METHODSSubjects were 52 healthy female university students. The collection of the saliva samples and the lifestyle measurements were carried out for them. The anti-mutagenicity of the saliva was measured using the umu test.
RESULTSWith regard to the lifestyle items, only "nutrient balance" tended to contribute positively to the inhibiting capacity of the saliva on the mutagenicity of AF-2. In addition, there was a significant inverse correlation between the score of 7 other items and the inhibiting capacity of the saliva (r=-0.32; p<0.05). We also found a significant relation between their tea and/or coffee consumption and the inhibiting capacity of the saliva.
CONCLUSIONSThese findings suggest that the inhibiting capacity of saliva worked to decrease mutagen levels that were enhanced by poor lifestyle. In addition, "nutrient balance" may contribute to the inhibiting capacity of the saliva independent of 7 other items. With regard to the tea and/or coffee consumption. further studies should be carried out.


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