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Biomedical subjects

H A Anderson

Publications and source records attributed to H A Anderson.

At least 73 records · Page 4Linked to original sources
PubMed1988

Clinical respiratory abnormalities in Michigan. Prevalence by sex and smoking history in a representative sample of the adult population.

A stratified random sample of a large state (Michigan) was studied by respiratory questionnaire, medical history, and physical examination. Data were obtained on 1,169 white adults. The prevalence of chronic bronchitis and chronic wheezing varied with sex (greater in men) and smoking history (greatest in current smokers). The prevalence of chronic bronchitis varied depending on whether it was (1) defined simply as chronic production of sputum, (2) diagnosed by the examining physician, or (3) previously diagnosed by a physician. Dyspnea was more common in women; in men, it was least common in nonsmokers but was of similar prevalence in ex-smokers and current smokers. Angina was more commonly reported by women, but previously diagnosed heart attack was consistently more common in men. Wheezing was by far the most common physical sign, present in 5.1 percent of the total population and 9.2 percent of male current smokers. Clubbing and rales were each noted in 1.2 percent of the total population. The prevalences of clinical findings in this cross section of a large state should be useful for comparison with other populations.

Adolescent↗
PubMed1987

Cancer and other causes of death among Wisconsin farmers.

Computerized mortality listings for Wisconsin for 1968-1976 were used in proportional mortality ratio (PMR) and proportional cancer mortality ratio (PCMR) analyses to evaluate mortality patterns among Wisconsin farmers. Examination of PCMR trends by per capita county level of agricultural production was limited to the youngest birth cohort (1905-1958) and cancer sites associated with farming exposures in either the present or previous analyses. Among all Wisconsin farmers, significantly decreased PMRs were seen for tobacco- and alcohol-related causes of death, while excesses occurred for accidental causes, asthma, and cancer of the stomach, prostate, eye, and lymphatic and hematopoietic systems. Elevated PCMR's for leukemia and all lymphopoietic cancer and cancers of the stomach, rectum, eye occurred in farmers born 1905-1958, while deficits were observed for cancer of the pancreas and the category, "all other cancers." Increases in PCMR's with level of various agricultural activities were largely associated with cancers of other lymphatic tissue (2/3 of which were multiple myeloma) and the rectum. Certain agricultural exposures were also positively associated with deaths due to cancers of the prostate, brain, lymphosarcoma and reticulosarcoma, and all lymphopoietic cancers. No positive PCMR gradients were observed for leukemia and malignancies of the stomach and eye. Modern chemical practices in farming may account for some of the patterns noted.

Agricultural Workers' Diseases↗
PubMed1987

Case example of wrist trauma in keyboard use.

Evidence of injury to the pisiform and dorsal sensory branch of the ulnar nerve in a video display terminal (VDT) operator is presented. The subject has performed data entry work via keyboard for 20 years and has the common habit of resting her wrist against the leading edge of the keyboard. Skin lesions have been observed in other keyboard operators who similarly support their limbs. The opportunity for this type of trauma has gone unreported (and apparently unrecognised) in the ergonomics literature, which generally advocates wrist support to reduce upper extremity fatigue and improve wrist-hand posture. The present case study indicates a need for further evaluation of the dynamics of wrist rest use and of the design of support systems such that forces acting upon the wrist or palm can be controlled. Suggestions are offered in this regard.

Journal Article↗
PubMed1987

US prevalence of occupational pleural thickening. A look at chest X-rays from the first National Health and Nutrition Examination Survey.

The prevalence of occupational pleural thickening in the United States in the mid-1970s was estimated; since asbestos often produces pleural thickening, this estimate in turn was used to estimate the prevalence of asbestos exposure. Chest x-rays obtained by the 1971-1975 National Health and Nutrition Examination Survey were reread by three readers using the International Labour Office criteria for diagnosis of pleural thickening consistent with dust exposure. All 289 x-rays showing any pleural abnormalities plus a 3-to-1 age-, sex-, and race-matched control series were reread. Using two of three readings as "positive," and extrapolating to the US population from this defined sample, the authors showed that 2.3% of males and 0.2% of females had occupational pleural thickening on x-ray, with a strong increase with age in white males. This provides a US population estimate of 1.3 million people with occupational pleural thickening and approximately 8 million people with asbestos exposure in the mid-1970s. This cohort might make a substantial contribution to cancer mortality into the next century.

Adult↗
PubMed1986

Interaction of asbestos, age, and cigarette smoking in producing radiographic evidence of diffuse pulmonary fibrosis.

The study of 3,472 chest x-rays from four populations with different levels of exposure to asbestos and with different cigarette smoking histories shows that smoking in the general population does not produce pulmonary fibrosis recognizable on chest radiography. In the general population of Michigan, the prevalence of a radiographic pattern of fibrosis was 0.5 percent in men and 0.0 percent in women. In a Long Beach, California census tract population, the prevalences were 3.7 percent for men and 0.6 percent for women. Similarly, cigarette smoking does not enhance fibrosis when the exposure to asbestos has been as light as that in households of shipyard workers. Asbestosis was recognized in 6.6 percent of 137 shipyard workers' wives who have never smoked and 7.6 percent of 132 who had ever smoked. Cigarette smoking and asbestos appear to be synergistic in those occupationally exposed to asbestos (as insulators), since 7.2 percent of 97 nonsmokers and 20.5 percent of 316 ever-smokers showed fibrosis. This apparent synergy was also found in shipyard workers up to age 70 with 31 percent of nonsmokers and 43.3 percent of ever-smokers having fibrosis. There were increases of approximately 10 percent in the prevalence of fibrosis in cigarette smokers and nonsmokers for each decade after age 40.

Adult↗
PubMed1986

Chronic exposure to aldicarb-contaminated groundwater and human immune function.

Aldicarb, a carbamate pesticide, has been a known groundwater contaminant in Wisconsin since 1981. To assess the effects of chronic ingestion of low-level aldicarb-contaminated groundwater (less than 61 ppb) on the immune function of humans, we identified 50 women, ages 18 to 70, with no known underlying reason for immunodysfunction. Twenty-three of these women (exposed group) consumed groundwater with detectable levels of aldicarb, and 27 (unexposed group) consumed water from a source with no detectable levels of aldicarb. Data were collected on each woman's health status, immune function, and fluid intake. Exposed women as compared with unexposed women showed an elevated stimulation assay response to the antigen Candida (P less than 0.02, t test). The exposed group had increased numbers of T8 cells (P less than 0.05, t test), an increased percentage of total lymphocytes as T8 cells (P less than 0.02, t test), and a decreased ratio of T4:T8 cells (P less than 0.02, t test). Our results suggest an association between consumption of aldicarb-contaminated groundwater and abnormalities in T-cell subsets in women with otherwise intact immune systems.

Adolescent↗
PubMed1985

Public health officials' perceptions of dental caries preventive methods.

The Wisconsin Division of Health has traditionally promoted the implementation of cost-effective dental public health caries prevention programs through the cooperation of communities, schools, and local health agencies. Because of the opportunities created by the division's goal to enhance the capabilities of local public health agencies and the difficult program-priority decisions produced by diminishing federal funding, an evaluation of the state's dental public health promotional efforts appeared appropriate. In 1982, as part of this evaluation process, an opinion survey of dental caries prevention methods was distributed to local public health officials. The survey instrument consisted of seven questions that ranked caries-prevention measures. The questionnaire return rate was 85 percent, or 104 responses. Data were arrayed by frequency of rank, composite-rank score, and overall rank. The Kolmogorov-Smirnov test was used to determine the significance of composite-score data. The results of the survey indicated that 1) local public health officials perceive consumer-passive and school-based caries-preventive methods as the most effective and cost-beneficial means of preventing tooth decay in school-age children, 2) this knowledge could permit them to act as informed dental public health advocates, and 3) this knowledge may account for the implementation and maintenance of cost-effective public health caries-prevention programs throughout Wisconsin.

Attitude of Health Personnel↗
PubMed1985

Utilization of adipose tissue biopsy in characterizing human halogenated hydrocarbon exposure.

Halogenated hydrocarbons have been successfully utilized for pest control in agriculture and public health. In industry, the polychlorinated biphenyls (PCBs) have been particularly useful. Unfortunately, residues have proven persistent and have been found widely dispersed in the environment. Because they have chemical properties that favor bioaccumulation, it is not surprising that many have been identified in animals and man. Such findings prompted public health concern and initiated review of potential adverse health impacts. In many instances this process has led to total prohibition of use or strict limitations. Highly lipophilic, the primary accumulation site in humans is adipose tissue. Analysis of adipose samples remains the preferred biologic index for estimating exposure. Improved instrumentation has lowered the limit of detection and improved the accuracy of quantification. Accumulated population experience has helped develop understanding of the dynamics of tissue partitioning in humans. Once such relationships have been adequately described, other less invasive procedures may be more confidently used for general surveillance purposes. Whenever adipose tissue is obtained, the blood compartment should also be sampled and the relationship reported. We have only begun to investigate the resulting partition ratio as an investigative tool.

Adipose Tissue↗
PubMed1985

Evolution of environmental epidemiologic risk assessment.

Epidemiology has historically played an important role in the recognition of causes for diseases affecting the health of the public. Initially, epidemiology was concerned with infectious diseases. Later it became involved in metabolic and dietary deficiency diseases. Most recently, epidemiology has addressed the question of the public health effects of chemicals from production facilities, accidental spills, and chemical waste disposal sites. Concurrent improvements in the sensitivity of chemical analyses have enabled the identification of chemicals arising from waste disposal sites in the soil, air, drinking water, and food supplies of neighboring residential areas, albeit usually at very low concentrations. This knowledge has created great concerns among the affected populations and their public health agencies. The responsibility for interpreting the potential severity of the health effects of these environmental contaminants has fallen to those scientists experienced in epidemiology. This has led to a subdiscipline, reactive epidemiology, which describes investigations focused on specific events, usually under emotion-laden circumstances, rather than scientific merit. The reactive epidemiologist is rigidly constrained as to the size, timing, and location of the study. There is a strong requirement for public communication skills. New data bases are needed including "sentinel" diseases that are linked to exposure to chemicals, records of land use, and residency data for the population at risk.

Environmental Health↗
PubMed1985

Asbestos disease in family contacts of shipyard workers.

Radiologic signs of pulmonary asbestos disease were found in 11.3 per cent of 274 wives of shipyard workers who were 20 or more years from initial hiring-on in shipyards in Los Angeles County. Asbestosis was also found in 7.6 per cent of 79 sons and 2.1 per cent of 140 daughters of these workers. The wives, sons, and daughters were without occupational exposure. Comparable radiographic signs were not found in comparison groups. It is probable that asbestos exposure in the household places these family members at risk for mesothelioma and lung cancer.

Adolescent↗
PubMed1984

Health status of workers with past exposure to 2,3,7,8-tetrachlorodibenzo-p-dioxin in the manufacture of 2,4,5-trichlorophenoxyacetic acid: comparison of findings with and without chloracne.

Chloracne was found in 52% of 226 workers in a 1979 cross-sectional survey at a plant where 2,4,5-trichlorophenoxyacetic acid (2,4,5-T) had been manufactured from 1948 to 1969. Mean duration of residual chloracne was 26 years, and in 29 subjects, it had been present for 30 years. A significant increased prevalence of abnormal gamma-glutamyl transpeptidase (GGT) and higher mean GGT were found in those with chloracne, compared to those without. Although mean triglyceride values were higher in those with chloracne, the difference was not statistically significant. Neurological examination showed a statistically significant higher prevalence of abnormal sensory findings in those with chloracne. Increased prevalence of angina and reported myocardial infarction in those with chloracne was not significant when age-adjusted. Increased prevalence of reported sexual dysfunction and decreased libido in those with chloracne compared to those without was statistically significant after age adjustment. No differences were found between those with and without chloracne in serum cholesterol, total urinary porphyrins, or in reproductive outcome.

2,4,5-Trichlorophenoxyacetic Acid↗
PubMed1982

Human tissue burdens of halogenated aromatic chemicals in Michigan.

A cross section of the population of Michigan was studied in 1978 to evaluate residual burdens of polybrominated biphenyls (PBBs), a flame-retardant chemical that had contaminated the state's food supply five years earlier. Levels of PBB were measured in serum specimens in 1,681 people and in adipose samples in 844. Ninety-seven percent of the adipose samples had detectable PBB concentrations. Levels of PBB were highest in that part of the state where meat and dairy products had been most contaminated and were lowest in the upper peninsula, farthest from the source. Levels for the rest of the state were in between. Polychlorinated biphenyls (PCB) and 2,2'-bis(p-chlorophenyl)-1, 1-dichloroethylene (p,p'-DDE), a dichlorodiphenyltrichloroethane (DDT) residue, were also measured, and variations of PBB, PCB, and p,p'-DDE levels with age and sex were investigated.

Accidents↗
PubMed1980

Lead exposure and behavioral changes: comparisons of four occupational groups with different levels of lead absorption.

The association between lead absorption and objective psychological performance tests in five groups with different levels of lead absorption was studied in the following groups: (1) a control, non-lead-exposed group; (2) cable splicers, (3) cable manufactures, and (4) secondary lead smelter workers. The following performance tests were used: Block Design, Digit Symbol, and Embedded Figures. Age-corrected performance test scores and the average of three test scores (INDEX) were used throughout. A significant association between performance tests scores and increased lead absorption was found. Zinc protoporphyrin level was a more "powerful" (in the statistical sense) indicator of lead-induced CNS effects than blood lead levels. This study provides additional evidence that neurotoxic effects associated with occupational exposure to lead can be demonstrated by means of performance tests. It has been known and widely accepted that increased lead absorption is associated with "non-specific" subjective symptoms: tiredness, sleep disturbance, irritability, etc. Psychometric techniques (including an appropriate statistical analysis strategy) are highly sensitive for the early detection of CNS neurotoxicity, such as metal toxicity. Moreover, even in lead-exposed but asymptomatic individuals, a significant correlation (negative) between test scores and levels of lead absorption could be detected. It is concluded that workers exposed to lead at levels considered "safe" might be at risk of developing brain dysfunction with long term exposure.

Humans↗