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Biomedical subjects

H Horibe

Publications and source records attributed to H Horibe.

At least 37 records · Page 2Linked to original sources
PubMed1990

[Trends, risk factors, and prevention of ischemic heart disease in Japan].

The mortality from ischemic heart disease has increased steadily in most industrialized countries from the 19th century up to 1970. In some developed countries, such as the U.S.A. and Australia, it started to decrease in the nineteen seventies and accelerated recently. However, it has increased in some East European countries, such as Rumania, Poland and Hungary. The mortality had been extraordinarily low and the age standardized rate declined since the nineteen seventies in our country as in the U.S.A. These finding strongly suggests the possibility of prevention of ischemic heart disease worldwide. Among the risk factors, hypertension has gradually decreased due to treatment and lower intake salt in Japan. However, the compliance of antihypertensive treatment could be improved and the average intake of salt further decreased. The frequency of hypercholesterolemia was quite low for many years, but increased recently in Japan. However, the national average level of serum cholesterol is probably close to 200 mg/dl, and the new cholesterol level data will be revealed by the national survey in 1990. The world-famous high figure of smoking among Japanese men has been declining for these 20 years down to 61.2% in 1988, along with an exceptionally low rate for women in industrialized countries. The average figure of body weight by stature was in line with the desirable body weight for Japanese and the average intake of lipids has leveled off recently according to the National Nutrition Survey. After all it can be concluded that incidence of ischemic heart disease could be reduced further, even in Japan.

Coronary Disease↗
PubMed1988

Serum lipid levels in elementary and junior high school children and their relationship to relative weight.

Serum lipid levels were measured in 2,626 schoolchildren ages 7 to 15 years in three elementary schools and one junior high school in a suburban area of Osaka during 1984-1985. The mean cholesterol levels increased with age in boys ages 7 to 10 years (from 156 to 177 mg/dl) and then decreased at age 13, after which the levels again increased slightly until age 15. Girls showed a similar tendency with a peak at age 10 and a minimum at age 12. Cholesterol levels were significantly lower in junior high school boys (a mean of 154-161 mg/dl for ages 13-15 years) than in girls of the same age or in boys and girls ages 10 to 12 years in the upper grades of elementary school. Cholesterol and triglyceride levels tended to be lower or the high-density lipoprotein cholesterol levels higher in elementary schools where boys and girls engaged in physical exercise than in schools where the children were not strongly encouraged to exercise. About 50% of the hypertriglyceridemic children were obese.

Adolescent↗
PubMed1987

Long-term prognosis of patients with acute myocardial infarction: is mortality and morbidity as low as the incidence of ischemic heart disease in Japan.

Long-term prognosis of hospital survivors with myocardial infarction (MI) was investigated to assess the validity of previous reports on the low incidence of ischemic heart disease in Japan. Among 686 patients with acute MI, 115 (16.8%) died during hospitalization and eight were lost to follow-up. The cumulative mortality rate of the 563 hospital survivors was 6.2% in the first year, 12.0% in the third year, and 19.1% in the fifth year, with cardiac death accounting for 63% of the deaths. Cumulative rates for recurrent MI were 4.4% in the first year, 11.0% in the third year, and 13.2% in the fifth year. Parameters influencing long-term mortality rates obtained by stepwise discriminant analysis were arteriosclerosis-related factors, presence of congestive heart failure at admission, age, and presence of previous MI, while parameters influencing the recurrence of MI were congestive heart failure, arteriosclerosis-related factors, and ischemic findings at discharge. Our findings indicate that the prognosis for patients with MI is far better in Japan than in Western countries and support the previous reports on the low incidence of ischemic heart disease in Japan, while factors influencing the prognosis are similar to those previously reported.

Adult↗
PubMed1987

Projection of mortality from cerebrovascular disease, 1985 through 2000 A.D., in Japan.

Trends of mortality from cerebrovascular disease from 1985 to 2000 were projected by a semi-logarithmic linear regression analysis based on the deaths and population by sex and age from 1973 to 1982. Crude death rates from cerebrovascular disease and cerebral hemorrhage in particular will continue to decrease but the change in death rate from cerebral infarction will remain relatively small. In the period from 1985 to 2000, the death rate from cerebral hemorrhage will decline sharply, and the death rate from cerebral infarction also is expected to decline steadily in every age group. These declines will lead to the decrease in age-adjusted death rates from these cerebrovascular diseases. The average change in the number of the deaths from 1982 to 2000 is minus 3.7% per year for cerebral hemorrhage and plus 0.8% per year for cerebral infarction. The slight increase in deaths from cerebral infarction will be due primarily to an increase in the over 80 year old population. As a result, the proportion of the deaths from cerebral infarction among all types of cerebrovascular diseases will continue to increase in Japan. These future declining trends hopefully can be further modified by improvement in dietary habits and better treatment of high risk groups.

Adolescent↗
PubMed1986

Projection of death rates from ischemic heart disease in Japan, 1985-2000.

Death rates from all forms of ischemic heart disease and acute myocardial infarction were projected between 1985 and 2000 A.D., based on vital statistics from 1973 to 1982 and the estimated population by sex and age groups in Japan. It is predicted that the crude death rate from ischemic heart disease will increase (+1.4% per year for males and +1.8% for females), and that the age-adjusted death rate will decrease (-1.1% per year for males and -1.4% for females). The crude death rate from acute myocardial infarction is predicted to increase steadily (+2.4% per year for males and +2.2% for females), though the age-adjusted rate will decline slightly (-0.5% per year for males and -1.0% for females) throughout this period. The crude death rate from acute myocardial infarction is predicted to increase more than the rate from ischemic heart disease. It is estimated that the total number of deaths will increase from 48,000 (males and females combined) in 1982 to 72,000 in 2000 for ischemic heart disease, and from 29,600 in 1982 to 45,500 in 2000 for acute myocardial infarction.

Adult↗
PubMed1982

Maturation vs age: assessing blood pressure by height.

The Minneapolis Children's Blood Pressure Study surveyed 9,977 school children aged 6 to 9 years. Analyses revealed that both age and height should be considered in determining whether a child's blood pressure is within "normal limits." Because of the wide range of physiologic maturation seen at any given year of chronologic age, use of blood pressure norms presented by age only may result in important errors in the classification of blood pressure. It is emphasized that repeated measurements over time are important but that this does not eliminate the need to consider height as a measure of maturation.

Blood Pressure Determination↗
PubMed1978

A new bubble oxygenator (OCVC oxygenator): development and clinical application.

A new bubble oxygenator, designed for simple operation and clinical efficacy in intracardiac surgery, has been developed and clinically evaluated. This device is characterized by an oxygenating chamber with controllable blood-volume, integral heat exchanger and two-stage microfilter of gravity drainage system, an apparatus for creating and uniformly distributing oxygen bubbles, and construction materials of the device known to be minimally traumatic to the blood. Clinical experience in 132 infantile and pediatric open heart procedures has demonstrated its effectiveness as measured by embolic complications and simplicity in maintaining physiologic blood gas levels.

Blood Volume↗
PubMed1977

Epidemiological evaluation of funduscopic findings in cerebrovascular diseases. III. Observer variability and reproducibility for funduscopic findings.

In order to evaluate observer variability and reproducibility for the funduscopic findings, the color slides of one hundred cases in Akabane and Asahi town in Japan were investigated and the following were revealed: 1. Observer variability for Keith-Wagener's classification was the least in the grade 3 and the most in grade 0. The variability of diagnosis between observers was the least for retinal bleeding and the most for anteriolar reflex and remarkable for lateral displacement and arteriolar narrowing. In general, the observe variability was one grade at most. 2. Reproducibility for Scheie's hypertensive classification was 73 per cent and that for Scheie's arteriosclerotic and Keith-Wagner's classifications was 66 per cent. Fairly good reproducibility was observed in retinal bleeding and poor reproducibility in arteriolar reflex and vertical and lateral displacements, In general, the intra-observer variability for the funduscopic findings was one grade at most. 3. Observer variability and reproducibility for the funduscopic findings would be improved by establishment of the detailed diagnostic criteria of various funduscopic findings, taking color pictures in focus and systematic training for the fresh doctors or technicians without enough experience. 4. The cases with definite narrowing of arteriole revealed smaller A/V ratio than 0.70.

Adult↗