[Nihon kōshū eisei zasshi] Japanese journal of public health
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Nihon Koshu Eisei Zasshi · May 1997
[Determinants associated with location of terminal care in the cancer patient].
Data relating to the place where terminal care was provided and where death was experienced were extracted from the charts of 100 terminally ill cancer patients who had been admitted to the first free-standing hospice in Japan. Of these 100 patients who died between October 1993 and May 1995, 91 patients died in the hospice, five in the hospital, and only four at home. ⋯ Using multiple logistic regression, three factors are identified as significantly impedimental to staying at home: high morphine dosage (> 60 mg daily oral morphine equivalence), direct transfer from hospital to hospice, and living on the second or upper floors in an apartment building. The data suggest that the development of palliative home care and improvement of housing environment may enable cancer patients to spend more time at home during their terminal phase.
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Nihon Koshu Eisei Zasshi · Apr 1997
[Reevaluation of heart disease deaths on death certificates and trends for ischemic heart disease mortality during the last five years in Oita city].
To evaluate heart disease deaths and clarify trends for ischemic heart disease (IHD) mortality during the last five years in Oita City, we reevaluated causes of death on death certificates. In 1993, there were 253,000 people aged 25-74 in Oita City. In this population age group, there were 1,996 deaths from January 1992 through December 1993. ⋯ Moreover, in comparison with IHD mortality estimated by reevaluation of heart disease in Oita City in 1987-88, age-standardized IHD mortality per 100,000 for males has remained basically stable, increasing from 37.8 to 38.4 during the last five years. On the other hand, mortality for females has increased from 11.2 to 17.3. Our results suggest that mortality from IHD actually was about 30% more than mortality statistics, and does not show a declining trend as mortality statistics have stated.
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Questionnaires about Ijime (bullying) and Ijimerare (being bullied) were given to 261 junior high school students and their mothers from July to September in 1995. There were two types of questionnaires, one for the child, which inquired about his experiences of bullying other children and being bullied by other children during the last year, and the other for the mother which assessed the child's emotional and behavioral problems in the last year, was the Rutter Parental Questionnaire (R. P. ⋯ Because no information other than sex, school year, and the R. P. Q. scores (excluding enuresis and encopresis) are necessary, this model seems to possess convenience and a broad range of adaptability.
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Nihon Koshu Eisei Zasshi · Sep 1995
[Quality of life, subjective health status and health and life satisfaction in rheumatoid arthritis].
A Japanese version of Arthritis Impact Measurement Scales (AIMS) was developed after the original AIMS Version 2 and utilized for Quality of Life (QOL) measurement in 691 patients with Rheumatoid Arthritis (RA). Various medical (physical and laboratory) examinations, which are widely used in the clinical settings for the assessment of RA activity and severity, were also performed by physicians. Interrelationships between QOL, patient subjective health status, and health and life satisfaction were analyzed with the following results: 1: The effect of QOL impairment by RA upon patients' subjective health rating and health satisfaction were not constant over the range of severity of disease status. ⋯ In the less severe group, mood impairment had a significant effect on subjective health and satisfaction, while in the more severe group tension showed a significant association. It was indicated that management of psychological aspects of QOL is important in RA patients to improve and advance their subjective health status and satisfaction. 3: Although social aspects of QOL, i.e. social support, social life and job status, showed no significant relationship to subjective health rating and health satisfaction, those with less disease severity who lacked social support and who had a jobless state were likely to have lower disease acceptance and life satisfaction, while those with more severe disease who had less social interaction manifested lower life satisfaction. These results suggested that social aspects of QOL, while not directly associated with subjective health rating, could be important factors affecting disease acceptance and life satisfaction.
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Nihon Koshu Eisei Zasshi · May 1994
[Estimated prevalence of presenile dementia in Tottori prefecture].
A questionnaire study of dementia in the age group of 40-64 years old was performed among all hospitals and clinics in Tottori prefecture. Response rate was 52.9% (hospitals 53.2%, clinics 52.4%). A total of 100 patients (from April 1992 to March 1993) were reported. ⋯ There were several other types of dementia but numbers were very few. The estimated prevalence rates of cerebrovascular dementia in the age groups of 40-49, 50-59, and 60-64 years old were 0, 47.9 (male 66.0, female 31.5) and 113.2 (male 184.5, female 51.5), respectively. Those of Alzheimer's disease in the age groups of 40-49, 50-59, and 60-64 years old were 0, 5.6 (male 4.2, female 6.9) and 47.5 (male 50.3, female 45.0), respectively.