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Volume 47, Issue 5
Displaying 1-9 of 9 articles from this issue
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Keiko Honda, Masahiro Kohzuki, Toshio Murase, Tokutaro Sato2004 Volume 47 Issue 5 Pages 355-361
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSTo clarify problems in diabetic control, we followed up 360 diabetic men aged 49±10 years, excluding those with insulin treatment and/or insufficient clinical data, who underwent educational programs during hospitalization, for 24 months after discharge, at our outpatient department (OPD).
Patients were divided into 4 groups: discontinued (n=17%)(out of medical control over 1 year), interrupted (n=18%)(under medical control but with interruptions), hospital change (n=2%)(under medical care at another hospital) and continuing (n=43%)(still regularly visiting the OPD).
Mean HbAic was significantly elevated after discontinuation or interruption, although patients had been in good control in the continuing group until just before discontinuation or interruption.
Discontinuation and interruption involved many factors-transfer, long waits at the OPD, urgent business, no subjective symptoms, environmental change, insufficient correspondence between medical and educational in diabetic treatment, etc.View full abstractDownload PDF (1229K) -
Comparison between Diabetes and Hypertension and/or HyperlipidemiaMariko Oishi, Hiroki Yokoyama, Shunya Ikeda2004 Volume 47 Issue 5 Pages 363-368
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSThe cost and time per month needed for medical care in outpatients with diabetes mellitus (DM) and without it (non-DM: hypertension and/or hyperlipidemia) were studied at two clinics. 1) The medical cost for diabetes varied with therapy. The cost for diet therapy (D) or oral hypoglycemic agents (OHA) was 1.6 times that for non-DM, mainly due to examination expenses. 2) The timeused for DM treated with D or OHA was 1.7-1.8 times that for non-DM, i. e., physician's time was 1.1times and medical staff time 2.0 times more. 3) Cost/time for D or OHA was nearly the same or lower than that for non-DM. 4) The cost, time, and ratio of these for insulin-treated DM were higher than those for non-DM and D-or OHAtreated DM. This data indicates that the cost of medical care for DMis high, but not excessive from the perspective of time compared to non-DM. The insurance system does not cover patient education provided by medical staff, although this took the most time. This suggests theneed to reevaluate medical cost based on activity and time.View full abstractDownload PDF (1007K) -
Essentially Health-related QOL (SF-36)Takashi Kadowaki, Hitoshi Ishii, Shunichi Fukuhara2004 Volume 47 Issue 5 Pages 369-379
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSWe studied the demographic characteristics and health-related quality of life (HRQOL) in diabetics with skin ulcers.
We also compared treatment with Lipo PGE1 (Liple®) before and after with clinical features estimated by a physician and with the HRQOL, which has attracted international attention as a method of evaluating medical care.
We used SF-36, the most widely used instrument in 134 facilities in Japan, from September 1999 to October 2001.
To avoid bias in selection, patients were registered by fax to the entry center before treatment with Lipo PGE, .
In the before-and after-comparison, unpaired Student's t-test, the Wilcoxon one-sample test, etc., were used for statistical comparision.
Five of 8 subscales of SF-36 used to assess patients, including those hospitalized, were significantly lower compared to norms for a representative sample of the Japanese population.After treatment including LipoPGE1, these significantly improved clinically features as evaluated by a physician.The physical HRQOL score for patients, however, did not show an improved mental score.View full abstractDownload PDF (1669K) -
Seiichi Sasaki, Akira Shimada, Hiroaki Kimura, Izumi Takei, Hiroshi Ma ...2004 Volume 47 Issue 5 Pages 381-386
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSA 60-year-old woman diagnosed with insulin-dependent diabetes mellitus at age 31 and treated with insulin since then was diagnosed with bilateral sensory deafness of unknown origin when 33 years old.Mitochondrial 3243 A-G point mutation was detected when she was 51 years old.Because of worsening glycemic control, she was admitted at age 60.She had no evidence of diabetic microangiopathy regardless of a 30-year disease duration.
In general, MIDD is thought to be associated with a high prevalence of microangiopathy.We report this case because of its importance in recognizing that some cases do not exhibit microangiopathy regardless of long disease duration in clinical practice and in understanding the mechanisms of diabetic microangiopathy development.View full abstractDownload PDF (832K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2004 Volume 47 Issue 5 Pages 387-390
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
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[in Japanese], [in Japanese]2004 Volume 47 Issue 5 Pages 391-394
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESS -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2004 Volume 47 Issue 5 Pages 395-397
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
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[in Japanese]2004 Volume 47 Issue 5 Pages 398-399
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSDownload PDF (274K) -
2004 Volume 47 Issue 5 Pages 401-426
Published: May 30, 2004
Released on J-STAGE: March 02, 2011
JOURNAL FREE ACCESSDownload PDF (6431K)
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