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PubMed1980

Alcohol consumption and cigarette smoking in Busselton, 1966-1978.

In Busselton, mass health examination (MHE) questionnaires about alcohol consumption indicate that more people are drinking wine and fewer people are drinking beer. The evidence suggests an increase in the number of women consuming alcohol. The proportion of drinkers was higher among patients attending doctors with interests in wineries and/or vineyards compared with those patients attending doctors without such interests. More patients of doctors who smoked were smokers compared with those patient of doctors who were non-smokers. Smoking in Busselton appears to be declining at the rate of 0.5% to 1% of the population per annum; this decline is more marked in people who had attended one or more MHEs than in newcomers to MHEs. These trends have encouraged a more active approach to the prevention of smoking in school children.

Adult↗
PubMed1994

[Transabdominal ultrasonography for detection of urologic diseases in the general health check].

From August, 1989 to December, 1992, 11,386 individuals consisting of 6,981 males and 4,405 females were examined in the general health check at Mito Saiseikai general hospital. Occult blood in dipstick urinalysis was detected in 190 of 6,981 males (2.7%) and 503 of 4,405 females (11.4%). Two renal cell carcinomas and ten bladder carcinomas were found out, but prostatic carcinoma could not be found out. None of these tumors were symptomatic. Two renal cell carcinomas, of which all patients had negative occult blood, were confirmed by computed tomography and angiography. Revealing the locally-confined tumor (Stage I) in the radiologic study, both tumors were resected with radical nephrectomy, and the pathological specimens showed pT2pNOpVO in both tumors. Of 10 bladder carcinomas seven transitional cell carcinomas, of which 6 patients had negative occult blood and one had positive occult blood, were confirmed by cystoscopy and TUR-BT. All of them were low-grade and low-stage tumors. Other three bladder carcinomas were detected by ultrasonography and cystoscopy, but these patient rejected TUR-BT. All of them had negative occult blood. We consider that the transabdominal ultrasonography is a very useful test for detecting the early stage of renal cancer and superficial bladder cancer. We recommend that transabdominal ultrasonography involving the kidney and the lower urinary tract should be performed in the general health check.

Adult↗
PubMed1990

National statistics on multiphasic health testing (human dock and AMHTS)--especially for the annual-course change during the last five years.

We have gathered national statistics on multiphasic health testing since 1984, and especially analyzed annual-course changes of the past five years. 1) Subjects for questionnaire survey: Despite an increasing number of hospitals with human dock and institutions with automated multiphasic health testing and services (AMHTS), the reply rate to the questionnaire survey has also increased with the number of subjects for the survey being 900,000 in 1988. 2) In the survey of national statistics under the internal organ distinction, the detection rate of cancer of the stomach was the highest, followed by the rates of cancers of the large intestine and lung, in that order. The rate of cancer of the stomach to all the detected cancers decreased by 11.1% during these five years, whereas that of cancer of the large intestine increased to represent 40% of the rate of the stomach. The rate of early stage cancer for all cancers was high, for example, approximately 70% for the stomach and 75% for the large intestine, proving that multiphasic health testing provides excellent accuracy. 3) In the total results collected under item distinction, we examined six items (obesity, glucose tolerance failure, hepatic defficiency, hypertension, hypertriglyceridemia and hypercholesterolemia) which appear frequently and become sources of adult disease. We concluded that especially, hepatic deficiency and hyperlipidemia had increased each year, indicating a deterioration of health and also that regional differences showed a decreasing tendency. 4) The present analysis of the national statistics has apparently provided effective information as data of a preventive counterplan against adult disease.

Hospitals↗
PubMed1993

National statistics on multiphasic health testing (Human Dock, AMHTS)--with special reference to annual changes in the last eight years.

The present paper discusses the results of an 8-year nationwide survey of multiphasic health testing (MHT) since 1984, referring to the changes with time in the rates of detection of cancers and abnormalities as risk factors for adult diseases. 1) The numbers of hospitals with human dock and institutions with AMHTS answering the questionnaire increased from year to year, with a growth to match in the number of subjects receiving MHT. In 1991, the number of such subjects reached 1,730,000. 2) The relative frequencies of cancers by organs were the stomach greater than the colon greater than the lungs in each of the 8 survey years. The frequency of gastric cancer decreased by 16.7% in the 8 years, while the frequency of colonic cancer increased by 16.3% in the same period. The frequency ratio of gastric to colonic cancer in 1991 was, therefore, 10:6. The proportion of early cancers to cancers detected by MHT was nearly 80% in both gastric and colonic cancers. The high rates of detection of early cancers indicate the utility of MHT. 3) The frequencies of six abnormalities (obesity, impaired glucose tolerance, hepatic dysfunction, hypertension, hypertriglyceridemia, and hypercholesterolemia) as risk factors for adult diseases tended to decrease from year to year. However, when the country was divided into 7 districts to determine regional differences in the frequencies of six abnormalities, it was found the the frequencies of hepatic insufficiency and hypercholesterolemia, in particular, had been increasing form year to year in the northern parts (Hokkaido and Tohoku districts) of Japan and in the southern parts (Kyushu and Shikoku-Chugoku districts). 4) The results of the nationwide survey suggests that regional differences in the health conditions of the nation should be taken into consideration in implementing measures against colonic cancer and life guidance in future MHT.

Adult↗
PubMed1985

Multiphasic health testing services: can they cure medicine of its ills?

Preventive medicine could be the answer to many of the problems facing medicine, the author says. However, to be cost effective, we need to merge this new type of care with the traditional treatment of the sick that has been the foundation of health care for centuries.

Health Maintenance Organizations↗