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Biomedical subjects

H Ohara

Publications and source records attributed to H Ohara.

At least 181 records · Page 10Linked to original sources
PubMed1983

[Analysis of the mortality patterns in an area supplying migratory tunnel workers 1. Regional differences in the mortality patterns].

Tunnel work, digging a tunnel at the face, is a highly specialized job today. Many tunnel workers migrate from one place to another away from home throughout the year. They are exposed to hazardous factors such as dust, vibration, noise and so on, working under the two 12-hour shift system. Recently it has been reported that many workers who had suffered from pneumoconiosis and/or vibration disease returned to their home areas. The southern part of Oita Prefecture is well known as being one of the areas which supply many tunnel workers. In order to study the long-term effects of tunnel work on the health of the tunnel workers, the authors compared the mortality rate in the district supplying many tunnel workers with that of the district supplying few workers. Nine causes of death were chosen among many as indices indicating the characteristics of the structure of mortality in the district supplying many tunnel workers. The authors estimated these causes of death in relation to sex and age, analyzing simple correlations between the 9 causes of death and 33 socioeconomic factors. A principal component analysis of these indices was also carried out. The results were as follows. A close relationship was found between tunnel work and three causes of death such as silicotuberculosis (010), tuberculosis (010-019, A 6), and infective and parasitic diseases (000-136). The other 5 causes of death such as diseases of the digestive system (520-577), neoplasms (014-259), all causes (000-999), stomach cancer (151, A 47) and pneumoconiosis (515) were related not only to tunnel work but also to other regional characteristics such as fishery workers rate. No relationship was found between tunnel work and death by cerebrovascular disease (430-438, A 85). These results show that the tunnel work has an influence on the structure of mortality in the area supplying these workers.

Adult↗
PubMed1982

Induction of pigmentation by continuous X-irradiation of amelanotic tumors of B16-XI mouse melanoma and induced change in chromosomes of amelanotic cells.

Non-pigmented tumor cells of B16-XI mouse melanoma were found to contain a diploid number of chromosomes similarly to those of melanotic tumors and the parental cells in tissue culture. A major difference between pigmented and non-pigmented cells was in the number of biarmed chromosomes per cell. There was no difference in growth rate between non-pigmented and pigmented tumors, but growth usually begins about 2 days earlier in the former. Pigmentation lost in the course of serial transplantation was restored by irradiating the non-pigmented tumor continuously with 2,500-3,000 rads/passage of X-rays during six transfer generations. In the course of repeated irradiations, the chromosomes changed structurally and numerically as the pigmentation of the tumor was gradually restored. The observations of tumor growth and chromosomal changes are discussed in relation to the pigmentation of B16-XI melanoma cells.

Animals↗
PubMed1982

[Studies on the cervicobrachial disorder among cash register operators. Part 1. Changes of characteristics of patients after improvement of working conditions].

Occupational cervicobrachial disorders (OCD) among cash register operators have become an important problem since 1969. Some improvements of working conditions, such as, shortened operating time, adoption of worker rotation system and change of mechanical registers with heavy keytouches to electronic ones with light keytouches, were introduced in 1973-1974 at supermarkets at which the authors engaged in health care activities for the prevention of the disorder. Analysis was made for characteristics of 120 cash register operators of these supermarkets suffering from OCD during the period from 1972 to 1978, with special concern for differences before and after the improvement of working conditions. The subjects were divided into three groups by the year of their first consultation, A: 1972-1973, B: 1974 and C: 1975-1976. Patients of group A had engaged in cash register operation under the working conditions before improvements, and those of group C had engaged after improvements of working conditions. The authors observed that the incidence of the disorder among group C were less than that of group A, but the proportion of severe cases to all the patients were not changed. In group C more cases with chronic onset were observed than among the other two groups, and those patients with chronic onset took longer period for recovery compared with the other patients. In patients of group C compared with those of group A fewer complaints and muscle tenderness in the hands and fingers were noticed, and more cases with lowered back strength and cinesalgia of the neck were observed. The reasons for this were considered to be that the improvement of working conditions reduced the loads to the hands, but not much reduced the loads to the neck and the back.

Adult↗
PubMed1982

[Studies on the cervicobrachial disorder among cash register operators. Part 2. A review on clinical findings and working conditions of patients].

Complaints, clinical findings and working conditions of the patients suffering from occupational cervicobrachial disorders (OCD) were discussed, with special reference to the prognosis of the patients. Subjects were 120 cash register operators with OCD engaged in supermarkets at which the authors participated in the health care activities for the prevention of the disorder. Thirty-three of them suffered from the disorder after getting well from the first onset. The authors discussed on the relationship between complaints and clinical findings of the patients and duration needed for recovery, the relationship between clinical finding and complaints of "the upper extremities" by the questionnaire of "complaints in daily life" and the relations of appearance of lowered grip strength to complaints and clinical findings. Case studies were also examined as to the influence of working conditions on the prognosis of the patients. Results were summerized as follows. 1. The severer the grade of OCD, the longer the duration needed to recover. 2. There were more complaints of arms, "the upper extremities" and "the legs", increased appearance of lowered back strength, cinesalgia of the shoulder, neck, and wrist joints, paresthesia, positiveness of Morley's test and muscle tenderness in the extensor muscles in the fingers, neck, back and so on among the patients with delayed recovery than among those recovered within 3 months. 3. Lowered back strength, muscle tenderness in the neck and in various sites of the body were observed more among the patients with many complaints of "the upper extremities" than among those without. 4. Lowered grip strength was not considered to be useful for early diagnosis of the patients. 5. Such working conditions, as carrying heavy goods and keeping upper extremities raised for a long time were considered to hamper the recovery of the disorder.

Adult↗
PubMed1981

[Chronic subdural hematoma associated with intracranial aneurysm (author's transl)].

Four cases of chronic subdural hematoma associated with intracranial aneurysm were reported. In two cases aneurysms were found at the peripheral portion of middle cerebral artery under the hematoma, and in other two cases aneurysms were found incidentally. The causality was discussed about subdural hematoma and intracranial aneurysm especially false aneurysm found in the peripheral artery under the hematoma. Radical operation of intracerebral aneurysm associated with chronic subdural hematoma should be performed after angiography and CT scan regardless the rupture of the aneurysm.

Adult↗
PubMed1980

A review of the trend in facilities for health services in the community.

After the Second World War, the field of medicine has changed remarkably in Japan. A comprehensive health and medical care system has been organized to meet the increasing needs and demands for health and medical care services. Health centers have played an important role in promoting health care activities in the community. The authors describe the development of health centers and other health care facilities in Japan. The authors propose that it is necessary to build a new health facility specifically designed for public health nurse activities, termed a "public health nurse station". The authors also describe the status of the health care facilities in service and the activities of the stations and evaluated them. It is concluded that the stations have brought many changes in the field of health and medical care; moreover that the station should not become a substitute for a health center but should be a facility for public health nurse activities in a community. Health centers should also play important roles for comprehensive medical services in the future.

Community Health Centers↗
PubMed1979

Gastrointestinal bleeding in cases of ruptured cerebral aneurysms.

Among 1,000 cases of patients undergoing direct surgery on cerebral aneurysms, two, showed clear signs of preoperative, and 19 cases showed postoperative gastrointestinal bleeding. We have made a clinical analysis of various aspects of the 19 cases in which the bleeding developed postoperatively. 1. Gastrointestinal bleeding was most frequent postoperatively in cases of AComA aneurysms (4.3%) and ICA aneurysms (2.0%), and less common in MCA and ACA aneurysm cases. 2. Gastrointestinal bleeding was most frequently seen in those cases operated on between the third and seventh days after the last subarachnoid haemorrhage (8.9%) and was more common in cases with a relatively poor preoperative grade. 3. The development of such bleeding in cases with a good preoperative grade was due to problems with the surgical operation in most cases, although the influence of vasospasm must not be ignored. The development of bleeding in cases with a poor preoperative grade is thought to be due primarily to vasospasm and transitory brain damage to the hypothalamus and the orbital portion of the anterior lobe due to a haematoma caused by aneurysm rupture. 4. First, the location of gastrointestinal bleeding should be determined endoscopically and, if haemostasis is not achieved by coagulation, then the desirability of surgery should be considered early. Abdominal surgery may be performed.

Adult↗
PubMed1979

[Gastrointestinal bleeding in cases of ruptured cerebral aneurysms (author's transl)].

Among the 1,000 cases of direct surgery on cerebral aneurysms, two cases showed clear signs of preoperative and 19 cases showed postoperative gastrointestinal bleeding. Here we have made a clinical analysis of various aspects of the 19 cases in which the bleeding developed postoperatively. (1) Gastrointestinal bleeding was most frequent postoperatively in cases of VBA aneurysms (4.3%) and AcomA aneurysms (2.9%) and less common in MCA and ACA aneurysm cases. (2) Gastrointestinal bleeding was most frequently seen in those cases operated on between the third and seventh days from the last hemorrhage attack (9.0%) and was more common in those cases with a relatively poor preoperative grade. (3) The development of such bleeding in cases with a good preoperative grade was due to problems with the surgical operation in most cases, although the influence of vasospasm must not be ignored. The development of bleeding in cases with a poor preoperative grade is thought to be due primarily to vasospasm and transitory brain damage to the hypothalamus and the orbital portion of the anterior lobe due to hematoma caused by aneurysm rupture. (4) First the location of gastrointestinal bleeding should be determined endoscopically and, if hemostasis is not possible even after attempted coagulation, then the desirability of surgery should be determined in an early period and abdominal surgery performed.

Adult↗