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Biomedical subjects

C Nagata

Publications and source records attributed to C Nagata.

At least 73 records · Page 4Linked to original sources
PubMed1994

Prevalence of Raynaud's phenomenon in different groups of workers operating hand-held vibrating tools.

In eight groups of subjects operating various hand-held vibrating tools and aged from 30 to 59 years, the prevalence rates of vibration-induced white finger (VWF) and numbness, pain, or stiffness in the upper and lower extremities were investigated. Hand-transmitted vibration levels (HTVLs) were measured on the back of the hand, by means of unidirectional (x-axis) vibration dosimeters, and the frequency-weighted acceleration levels [(Lh,w)eq,t] were determined as the vibration levels. The prevalence rates of VWF and numbness of the hands in these subjects were compared to the prevalence rates of Raynaud's phenomenon (RP) and numbness of the hands in 1027 males and 1301 females not occupationally exposed to vibration (age range: 30-59 years). It was observed that in subjects exposed to HTVLs of between 1.1 and 2.5 m/s2, the prevalence of VWF was between 0.0% and 4.8%. The prevalence of VWF reached 9.6% in a group of workers exposed to HTVLs of 2.7-5.1 m/s2. The latter group showed a significant difference (P < 0.05) in the prevalence of VWF compared to the 2.7% prevalence of RP in male subjects of the general population. The prevalence of VWF in female subjects exposed to vibration (4.3%) was not significantly different from the prevalence of RP in females of the general population (3.4%). The prevalence rates of numbness of the hands were in the range of 6.5%-30.4% in the exposed groups and in the range of 13.4%-29.5% in the general population. Among the subjective symptoms, only VWF showed a significant positive correlation with HTVLs (R2 = 0.5, P < 0.05). It was concluded that in decisions concerning quantitative recommendations for vibration exposure, the prevalence of VWF should be employed. With a view to decreasing the risk of developing VWF, estimated vibration safety values for 4 h and 2 h daily exposures are discussed.

Adult↗
PubMed1994

Risk of lung cancer among cigarette smokers in relation to tumor location.

To evaluate the effect of cigarette smoking on lung cancer by tumor location and histological type, we compared the smoking history obtained from medical records of 605 patients with squamous cell carcinoma (194 males and 10 females) or adenocarcinoma (219 males and 182 females) of the lung and 183 patients with metastatic lung cancer (82 males and 101 females) who had been aged 40 years or over at the time of surgical resection at the Cancer Institute in Tokyo from 1973-1991. The tumors which developed in a main or segmental bronchus were classified as central type, and those in a subsegmental or more distal bronchi were categorized as peripheral type. Cases with adenocarcinoma were classified by a pathologist into two histological subtypes, papillary and tubular types, according to the WHO lung carcinoma classification. Risk of squamous cell carcinoma was strongly associated with cigarette smoking for both central (OR (odds ratio) = 10.3 in males and 4.4 in females) and peripheral sites (OR = 10.7 in males and 6.5 in females). There was no significant association between cigarette smoking and adenocarcinoma for any tumor site or histological subtype in both sexes.

Adenocarcinoma↗
PubMed1993

Cutaneous signs (Raynaud's phenomenon, sclerodactylia, and edema of the hands) and hand-arm vibration exposure.

Dermatological tests and examinations of the hand(s) were carried out in vibration-exposed and unexposed males. The subjects were 179 chain-saw workers in private forestry companies and 205 local inhabitants who had never used vibrating tools. The prevalences of Raynaud's phenomenon (RP), sclerodactylia, and edema of the hands were estimated in both groups, and associations between these cutaneous signs and vibration exposure were evaluated. The prevalences of RP and edema in the exposed group were 9.5% and 1.7%, respectively, and in the unexposed group, 2.9% and 1.5%, respectively. Sclerodactylia was seen in 31.8% of the chain-saw workers but in only 6.4% of the unexposed individuals. In statistical analyses based on unconditional logistic regression models with adjustment for age, RP was associated with long-term (> or = 20 years) vibration exposure [odds ratio (OR) = 7.06; 95% confidence interval (CI) = 2.51-19.87]. Sclerodactylia was associated with both short- and long-term vibration exposure (OR = 6.54, CI = 3.30-13.36; OR = 7.05; CI = 3.41-14.60, respectively). There were significant dose-response relationships between RP and duration of exposure and between sclerodactylia and duration of exposure. Results of function tests indicated a longer recovery time and a higher vibration threshold for the workers with RP. The presence of sclerodactylia, however, did not have any significant influence on function test results. It is possible to conclude that not only RP but also sclerodactylia could be induced by vibration exposure. However, most cases of sclerodactylia were not so serious as to involve disturbances of peripheral circulatory and nerve function.

Adult↗
PubMed1993

Prevalence of Raynaud's phenomenon and specific clinical signs related to progressive systemic sclerosis in the general population of Japan.

BACKGROUND: In order to evaluate the prevalence rates of Raynaud's phenomenon (RP) and specific clinical signs related to progressive systemic sclerosis (PSS) in the general population of Japan, inquiries were made concerning RP in the hands and dermatologic examinations were also conducted. METHODS: One thousand and sixty-three subjects (332 men and 731 women) over 30 years of age who underwent inhabitants' health examinations in 1990 were considered for this study. RESULTS: The prevalence of RP was 3.0% in men and 3.4% in women. In 8 men and 17 women with RP who received the blood tests, the positive rates of antinuclear antibody (ANA) were 12.5% and 35.3% in men and women, respectively. The prevalence rates of all five specific clinical signs related to PSS, sclerodactyly, pitting scars of the fingers, brown pigmentation of the body, shortened frenulum of the tongue, and flexion contracture of fingers, were under 2% in men and 3% in women. In women with RP the prevalence rates of sclerodactyly, pitting scars of the fingertips, brown pigmentation of the body, and shortened frenulum of the tongue were 16.0, 4.0, 4.0, and 16.0%, respectively. These values were significantly higher than those of persons without RP. CONCLUSIONS: Because some persons with primary RP may become typical cases of PSS within several years, a followup study, particularly for women who have positive titers of ANA with RP, should be carried out to find out whether the persons suffer from PSS or not.

Adult↗
PubMed1993

A survey on noise exposure level in an aluminum can production plant.

The present investigation was designed to quantify noise exposure of laborers at various sections of an aluminum can production plant. The acoustic environment in each area was described by sound pressure level (SPL). Decibel (dB) readings were taken for a range of individual frequencies and weighting scales (A and C). Speech interference level (SIL) values for laborers in different production sections were also determined. Moreover, by means of a personal noise dosimetry technique, the equivalent continuous noise exposure level (dB(A)) during an 8-h shift (Leq, 8) was computed. The results obtained were as follows. Spectral analysis of the noise indicated that high SPL associated with high frequency noise exceeded the permissible limit against hearing damage, and it generally amounted to levels higher than 90 dB(A), whereas those inside the control rooms were in the range of 54-60.5 dB(A). Assessment of the results obtained from personal noise dosimeters also revealed that the Leq,8 values were higher than the prescribed limit (85 dB(A)). By preliminary audiometric examinations on the right ears of workers, hearing threshold shifts (HTS) were noticed in the range of 7-11 dB at 1 kHz and 12-16 dB at 4 kHz. With regards to the SIL values (93.2-96.5 dB(A)) which were more than the maximum vocal effort, communication between workers and/or with supervisor were appraised to be very difficult (shouting) or impossible. It was concluded that (a) the dB readings observed in this survey indicate a potentially serious possibility of hearing disability, even though high level of HTS could not be noticed in the preliminary audiometric test, and (b) the risk of accidents should also be taken into account regarding the nonauditory effects of such a high level of noise. We suggest that (1) minimizing the transmission of noise through acoustical countermeasures need to be considered, and (2) introducing a schedule comprising on-time and off-time could be beneficial in a workers' health conservation program.

Aluminum↗
PubMed1992

Hand-arm vibration syndrome and its prevalence in the present status of private forestry enterprises in Japan.

Currently there are no limitations on age of employment on private forestries in Japan. Hence, it was hypothesized that in these kind of enterprises, elderly chain saw operators, or those with long-term exposure, might be at higher risk of developing hand-arm vibration syndrome (HAVS). We consequently investigated the prevalence of HAVS in 447 chain saw workers on private forestries in Gifu Prefecture, Japan, with particular reference to age and exposure period. Of this population, 43 (9.6%) had signs and symptoms of vibration-induced white finger (VWF), and among these workers the severity of finger blanching was significantly correlated (P less than 0.01) with the exposure period. Classification of all subjects by exposure period showed that workers with greater than or equal to 30 years' exposure had higher prevalences of VWF (20.9%) and numbness of the hands (25.4%) compared to other groups. Significant differences (P less than 0.01) were found between the functional capacities of workers with VWF and those of control subjects. We concluded that (a) the elderly chain saw operators and those with longer exposure should be moved to other jobs with a lower or no risk of exposure to vibration, and (b) the results of screening tests, even without cold water immersion (which we did not employ, in order to protect workers' hands), could be helpful for the identification of workers with VWF.

Forestry↗
PubMed1992

[Health condition of female aerobic dance instructors. Subjective symptoms and related factors].

Aerobic dance has recently become popular in all age groups, but the injuries among full-time and part-time aerobic dance instructors have rarely been pointed out in Japan. In this study the subjective symptoms of 63 female instructors in Gifu area were evaluated through health questionnaire. As a control group, 94 female students of the same age group were also included to compare the prevalence of subjective symptoms. Multiple logistic regression analysis was applied to observe the relation between instructors' symptoms and working conditions. The following results were obtained: 1) Complaints of leg and foot pain and laryngeal discomfort were significantly greater in instructors than in students even after adjusting for age and participation in other sports. 2) A significant positive relation was found in instructors between the frequency of dance lessons (times/wk) and various symptoms (calf pain, foot pain, sore throat, and hoarse voice) after adjusting for age and participation in other sports. These results suggest that leg and foot pain and laryngeal discomfort are characteristic symptoms of aerobic dance instructors. Consideration should be made to adjust the frequency of dance lessons in order to reduce these symptoms.

Adolescent↗
PubMed1992

Noise exposure level while operating electronic arcade games as a leisure time activity.

In order to study noise levels associated with electronic arcade games, noise measurements were made in 3 selected game centers and 192 samples were taken in each location. The background noise was recorded at a level of 61 dB(A) and 64 dB(C). When the electronic games were performed these levels of noise reached to 88 approximately 90 dB(A). The 1/3 octave bands analyzing sound pressure levels showed that more intense noise levels arose in a frequency range between 0.5 and 2.0 kHz. The computed values for noise pollution levels (LNP) and L90 (fast response A-weighted sound level exceeded 90% of the measurement time) ranged from 93.3 to 96.6 and from 85.1 to 87.3 dB(A), respectively. Concerning our results and according to Melnic (1979), it was estimated that these levels of noise might cause 4-8 dB temporary threshold shift (TTS) at 4.0 kHz in an individual with less than one hour of exposure to such a level of noise. As for the employees of the 3 game centers, the 8-hr equivalent continuous sound levels (Leq,8) were in the range of 80.3 approximately 87.5 dB(A), although their exposure time could not be exactly determined. It was suggested that: 1) The maximum levels should be limited to a reasonable level, either by the manufacturers or by the game center owners; 2) Education programs in industry should inform the employees about other factors outside the work that may affect their hearing; and 3) For policy-making on hearing conservation, recreational warning and standards should be established.

Auditory Threshold↗
PubMed1992

[Differences in the prevalences of Raynaud's phenomenon in general populations living in a mountain area and in a plain area].

Raynaud's phenomenon (RP) which is the episodic and reversible vascular spasm of the extremities can be elicited by cold or emotional changes. RP has been classified into two groups. One is primary Raynaud's phenomenon (PRP) with no identifiable underlying disease and/or cause, and the other is the secondary form of RP (Raynaud's syndrome) with underlying disease and/or cause, e.g., collagen disease, trauma, vibration from vibrating tools, etc. In the present study using this definition of RP the prevalences of RP were studied in general populations in a mountain village "T" and in a town "K" located in a plain area in Gifu prefecture, Japan. The prevalences of RP in T Village were 8.0% (25/314) in males and 3.5% (16/454) in females, and in K Town 2.7% (7/259) in males and 3.2% (21/657) in females. In 52% of the male cases in T Village it was estimated that the exposure to vibration from vibrating tools was the cause of RP. In K Town no male cases of RP were induced by vibration. Exposure to vibration may be one of the important factors when prevalences of RP are investigated in various areas. There were no significant differences between the two areas in the prevalences of PRP (T Village: male 2.9%, female 3.1%; K Town: male 2.7%, female 2.9%). The annual mean air temperature was usually 5-6 degrees C lower in T Village than that in K Town. From the results of this study the differences in the mean air temperature did not appear to have a significant influence on the prevalence of PRP in each area.

Adult↗
PubMed1991

[Analysis of subjective symptoms of upper extremities in dental technicians].

Our review of the literature showed no report on the subjective symptoms of the upper extremities in dental technicians. This study was therefore undertaken on 164 dental technicians in Gifu Prefecture to investigate the relationship between the subjective symptoms of the hands, arms and shoulders and work of dental technicians. The following results were obtained. 1) The prevalence of Raynaud's phenomenon and numbness of the fingers was 5.5 and 18.5 %, respectively. A significant positive correlation was observed between the prevalence and frequency of numbness and cold sensation in the fingers and the daily usage time (h) of high-speed type machines. In addition, pain in the fingers and around the wrists, and pain and numbness in the arms were significantly related to the daily usage time (h) of low-speed type machines. These results suggest that the usage of high- and low-speed type machines may be a cause of vibration syndrome among dental technicians. 2) A high prevalence of pain in the shoulders (30.8%), neck (30.1%), and back (36.3%) was observed in dental technicians. It is considered that these symptoms are related to the working posture and usage of machines.

Adult↗
PubMed1990

[Raynaud's phenomenon and cutaneous changes due to hand-arm vibration].

Vibration of hand-held tools is considered to induce disorders in the peripheral circulation, peripheral nerve and organs, muscles, bones and joints (vibration syndrome). Above all, Raynaud's phenomenon is known as a prominent sign of vibration syndrome. This paper describes the findings obtained from the observation of the skin of the hands exposed to vibration and evaluates the relation between Raynaud's phenomenon and cutaneous changes. A total of 124 chain-saw workers in a forestry company in Gifu Prefecture were investigated in connection with compulsory health examination. In medical occupational interview, every worker was asked whether he had any experience of Raynaud's phenomenon or not. Moreover, the following symptoms of the skin and nails of the hand(s) were examined: 1. sclerodactylia, 2. pitting scar, 3. edema, 4. erythema around the nail, and 5. elongation and bleeding of proximal nailfolds and cuticles. To determine whether vibration induces the above mentioned cutaneous changes, the relation between the prevalence of the changes and the duration of exposure to vibration was assessed. The workers were classified into four groups by duration of exposure to vibration (in intervals of 10 years). The evaluation was made by comparing the prevalence of cutaneous changes between the workers with Raynaud's phenomenon and those without it. Subjects were restricted in age from 40 to 59 years. There was a significant relationship between age and duration of exposure (p less than 0.001). The prevalence of Raynaud's phenomenon was significantly high among the workers in the fifties (15.8%). The prevalence of Raynaud's phenomenon was significantly increased in workers with longer exposure. The prevalence of Raynaud's phenomenon was 6.9% in workers in the forties. Though the prevalence of sclerodactylia and elongation and bleeding of proximal nailfolds and cuticles was higher in workers in the fifties than those in the forties, (1. 34.7% in the 50 s, 24.1% in the 40 s 5. 27.4% in the 50 s, 17.2% in the 40 s), no relation could be demonstrated between the duration of exposure and the prevalence of cutaneous changes. There were no significant differences in the prevalence of cutaneous changes between the workers with Raynaud's phenomenon and those without Raynaud's phenomenon.

Adult↗
PubMed1987

Activation of deoxycholic acid by the lipid peroxy radical and its covalent binding to nucleic acids.

Deoxycholic acid, a colon tumor promoter, was found to bind covalently to DNA and RNA in the presence of methyl linoleate hydroperoxide and ferrous ion. This binding was shown to occur specifically with guanine residues and its covalent nature was demonstrated by analysis of hydrolysates of nucleic acid adducts. These findings are discussed in connection with the increased risk of colon cancer associated with a high fat and meat diet.

DNA↗
PubMed1987

Generation of free radical and hydrogen peroxide from 2-hydroxyemodin, a direct-acting mutagen, and DNA strand breaks by active oxygen.

Among several hydroxylated metabolites of emodin, a fungal anthraquinone and constituent of rhubarb, 2-hydroxyemodin was a direct-acting mutagen showing a large electron-spin resonance (ESR) signal in the presence of DNA, especially at alkaline pH. Coupled with generation of free radical, hydrogen peroxide but not superoxide was formed. The active oxygen produced from 2-hydroxyemodin induced strand breaks in phi X 174 replicative form I DNA (supercoiled covalently closed circular duplex DNA). These results suggest a possible role of active oxygen in the process of mutagenesis.

Anthraquinones↗
PubMed1986

An explanation of the induction of mutations by 2-aminopurine from an ab initio molecular orbital study.

The molecular mechanism of induction of mutations by 2-aminopurine (AP) was studied by an ab initio molecular orbital method. Cytosine (C) is converted to its disfavored imino tautomer more easily than AP, judging from the calculated total energies of the bases and the base analogue. This suggests that a stable AP:C base mispair via two hydrogen bonds can be formed with the imino tautomer of C. These results stress the importance of the imino form of C in AP-induced mutagenesis and support the 'trigger mechanism', in which formation of one hydrogen bond between AP and C is considered to stimulate the tautomeric shift of AP or C. The calculated relative stabilities of various base pairs and mispairs were in good agreement with experimental findings.

2-Aminopurine↗
PubMed1985

Repair of indirectly induced DNA damage in human skin fibroblasts treated with N-hydroxy-2-naphthylamine.

The DNA lesions induced by active oxygen species generated from N-hydroxy-2-naphthylamine were quantitated by the alkaline elution technique as single-strand breaks using cultured human-skin fibroblasts. When cells were treated at 20 degrees C for 2 h with 0-25 microM carcinogen, the lesions increased biphasically with the concentration; the increase was slight below 10 microM while it was much larger and dose-dependent above this concentration. The dose response was similar for normal and xeroderma pigmentosum fibroblasts of complementation group A. There was no difference in the repair rate of single-strand breaks formed in these fibroblasts. The rates of repair of single strand breaks induced by N-hydroxy-2-naphthylamine and hydrogen peroxide were similar but slower than that of the repair of gamma-ray-induced single-strand breaks.

2-Naphthylamine↗
PubMed1984

Ab initio molecular orbital study of the interaction of Li+, Na+ and K+ with the pore components of ion channels: consideration of the size, structure and selectivity of the pore of the channels.

Ab initio molecular orbital calculations were made for the various types of structures of the pore of the ion channel and the results were applied to the permeability model by Hille, an extension of the Eyring rate theory. In Hille's model, ion passage through the channel is regarded as a kinetic process. Accordingly, it is thought that the interaction energy between cation and ligand, the easier the passage is, due to the lower activation energy. The calculated interaction energy was in the order Li+ greater than Na+ greater than K+ for all models. The optimum size of the pore determined from the interaction energy depends on the structure of the filter. The size for the pentagon was largest, followed by the hexagon and tetragon. On the other hand, the size depends hardly at all on the kind of ligand molecules. In the case of the tetragon, the sizes for the Na and K channels were nearly the same as those estimated from the model building and inhibitor-blocking experiment. The interaction energy between the ionized carboxyl group and the cation was extremely large, clearly reflecting the experimental fact that the carboxyl group in the pore has an important role in making the passage of the cation through the channel easier by dehydrating the water molecules. By analysis of the interaction energy, it was revealed that the contribution of the electrostatic energy was predominant, although the contributions of the other effects might not be negligible. Among these effects, the value of the charge transfer energy is largest, and this is noteworthy in connection with the selective transmission of cations through the overlap of orbitals. It is concluded that the quantum-chemical indices such as interaction energy and the electronic charge calculated by the sophisticated ab initio method help to shed light on the nature of the pore of the ion channel.

Biological Transport↗