JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 34, Issue 1
Displaying 1-11 of 11 articles from this issue
  • Yoshimasa Oyama
    1985 Volume 34 Issue 1 Pages 1-11
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Sawara-machi facing Uchiura Bay in Hokkaido is a fishing town. Those inhabitantswho are occupied mainly with fishery have undergone health examination annually since 1979. From 1981 to 1984, medical checkups and questionnaires were conducted on those persons engaged in scallop culture. The results were compared with those of health surveys conducted on thedairy farming populace of the neighboring Yakumo town.
    The 1981 medical checkup revealed that obesity and hypertension were most prevalent. Obesity was more common among women than among men. Hypertension was more widely recognized in men than women. In the following year, those suffering from hypertension were found to have reduced to half in number, whereas the number of obese people remained unchanged.
    The obesity rate of men was higher in the fishing town than in the dairy farmingcommunity, but as for women there was little difference between the two localities. The higher incidence of hypertension was noted among fishermen and women in Yakumo-machi.
    In questionnaires, more women in the fishing town than those in the dairy farming town said that they feel “not well” and “tired.”
    When medical checkups were conducted, nutrition guidance was provided to the examinees, especially hypertensives and obese people. Advice was given to them not to take salty diets. This may have resulted in a decline in the incidence of hypertension during the four-yearperiod. However, as regards obesity and the farmer's syndrome, the situation has remained unchanged.
    Better health is prerequisite to the physical and mental well-being of society. To promote individual's health, medical and health practicioners must continue to work together and spread knowledge for safeguarding men from health threats.
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  • Akio Uchida, Jiro Iwasaki
    1985 Volume 34 Issue 1 Pages 12-20
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We have made a survey of living, labor and health about fishermen-122 males, 87 females-living in three coastal villages in the south of Chiba prefecture.
    The fisheries of this district are mainly done by using hooks and nets; the former has three types, that is, “tatenawa”, “haenawa” and “saozuri”, the latter has three types, that is, “teichiami”, “sashiami” and “aguriami”. The fishing boats are smaller than 5 tons. In men, the days of labor all the year round are 220 more or less, and women assist men in doing the fishery.
    On food life, both men and women intake fish & shellfish, white vegetables, and fruits in plenty, but they intake milk and dairy products scantily. The average rates of drinking and smoking are each about 70% in men, and each 15%, 8% in women.
    Executing health examination, we find that the average rates of hypertention arenot high, and the ones of ECG abnomality are low. The average rates of obesity about BMI-greater than 26-are 20% in men, and 24% in women.
    Moreover, the rate of anemia is low, the rate of hyperlipemia (serum triglyceride, greater than 150 mg/dl) is high, and the rate of the persons with high serum binding urea nitrogen (greater than 20.0 mg/dl) is high.
    As for Nofusho syndrome, fishermen frequently suffer from nycturia or sleeplessness, adding shoulder stiffness or lumbago.
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  • Seiryo TAKASHINA, Yoshitaka SEKIGUCHI, Toyofumi MITSUYAMA, Hidetaka SE ...
    1985 Volume 34 Issue 1 Pages 21-33
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    An investigation was made into the health conditions of oyster farmers in Hiroshima Bay with reference to their job requirements and way of life. The findings are as follows:
    Their working conditions are harsh. However, compared with those engaged in agriculture, the oyster farmers eat fairly large amounts of calorific foods, especially animal products. Their alcoholic consumption is also large. They get enough sleep and rest on a regular basis.
    Mild obesity, hypertension and hyperlipidemia are prevalent among men, and tendency of obesity is more common among women. Furthermore, those with the risk factors for arteriosclerosis account for more than 50% of the people examined.
    From these findings, it could be said that their health is at risk. Appropriate and effective measures should be taken promptly so as to reduce the risks, particularly those risks associated with arteriosclerotic damage. Mechanization will be one of the measures against the health resks that oyster famers are now exposed to. Without preventive measures, there might be an outbreak of the diseases originating in the blood vessels.
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  • Yasuo CHUMA, Yasuo SESHITA, Keiko SHIRAHATA, Ikuko MAEDA, Chieko KAMO, ...
    1985 Volume 34 Issue 1 Pages 34-42
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    With an aim at making future community health services more effective, the authors have attempted surveys of the living and health conditions of yellowtail fish breeders for Tarumi Fishermen's Cooperative Association over the past three years.
    1st February 25, 1982 54 persons
    2nd January 31, 1983 70 persons
    3rd January 30, 1984 55 persons
    In the last survey, 21 persons out of 55 were the same persons who had taken part in the 1982 and 1983 surveys.
    Conclusion
    (1) Fishermen get up earlier in the morning and set to work, many skipping breakfast. In the afternoon, they are relatively free. However, none use their leisure hours for promoting physical wellbeing.
    (2) Many are liable to catch cold and suffer from lower back pain. Obesity, byperlipemia and liver dysfunction due to excessive alcohol intake are notable.
    (3) Compared with farmers, they are youg, but many are out of condition.
    (4) Health conditions of those who have undergone medical checkups for the therr years running showed some improovement in obesity and high blood pressure, but the cases of ECC disorder and liver dysfunction have increased.
    (5) Bad health conditions derived from personal habtis could be rectified if long-term educational measures and others were implemented.
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  • Mortality of Inhabitants after Mass Health Screening
    Hideaki NAKAGAWA, Shunichi KAWANO, Yoshiharu OKUMURA, Kenichiro TSUJIK ...
    1985 Volume 34 Issue 1 Pages 43-49
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    A follow-up study was conducted until the end of 1980 on 28, 643 rural inhabitants who had undergone mass health screening between 1971 and 1978. For those who died, the causes of death were confirmed by death certificates.
    The results obtained were as follows:
    1) During the observation period, there were 876 death (about 3% of participants). The mortality was three times greater for males than for females and increased with age. These differences between sexes were statistically significant except the group of 29years old or under.
    2) Forty-two percent of the total deaths were for cerebro-cardiovascular diseases, 32% for malignant neoplasms and 26% for others. For males, the mortality of cerebro-cardiovascular diseases was greater than those of other causes of death. On the other hand, the mortality of malignant neoplasms was higher among females.
    3) The mortality rate per 1, 000 person-years of observation was 5.2 (11.8 for males and 3.2 for females). Cause- specific mortality rates were 1.7 per 1, 000 person-years for malignant neoplasms (3.1 for males and 1.2 for females); 1.2 for cerebrovascular diseases (2.8 for males and 0.7 for females), 0.9 for cardiovascular diseases (2.3 for males and 0.5 for females), 0.3 for accidents and 0.2 for pneumonia. The mortality rates of each aged-group according major causes of death were higher among males than among females except two groups of 29 years old or under and 70 years old or over of cerebral bleeding.
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  • Shogo Yanagisawa, Eiiji Hosoya, Takeo Mizushima, Zenzaburo Funaki
    1985 Volume 34 Issue 1 Pages 50-56
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    A mass screening for early detection of breast cancer has been carried out periodically in Nagano Prefecture since 1981 as a part of our outreach program mobilizing two vans specially designed for this purpose.
    For primary screening, palpation and ultrasonographic examination are perfomed. Ultrasonography has been introduced as an auxiliary tool, because palation is not always conducted by experienced doctors.
    This auxiliary diagnostic produdure has proved to be highly effective in separating out those examinees requiring thorough examinations fro those who have been found to have tumorous masses.
    A total of about 25, 000 people go through the primary chechups annually, of whom 10 percent are subjected to ultrasonic examination. In 1983, 20 persons (0.08%) were diagnosed as having breast cancer. The number was 17 (0.10%) in 1981 and 16 (0.06%) in 1982. These detection rates are nearly equal to those in the “advanced” prefectures in terms of medical service.
    In ultrasonographic diagnosis, Polaroid prints are used for primary screening. However, negative films are suitable for workup in the hospital. Our experience has told that in Polaroid photography, biplane scanning is necessary.
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  • Ken KANZAWA, Takuya MACHIDA, Mitsukuni YANAGIHARA, Hideo TADA, Takeo M ...
    1985 Volume 34 Issue 1 Pages 57-60
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    During 1962-83, we had a total of 104 ankle fracture cases, of which a half were treated by surgical operation. Since 1981, Zuggurtungsosteosyntheses have been employed in most of the cases for fixing fractures instead of screws.
    In this method, special devices are not necessary except for Kirschner steel wires and clamping wires. Moreover, after surgery, external support by the plaster of paris is not necessary, because compression is continuously applied on the surface of the fracture. Exercises to strengthen the injured ankle can be begnu early.
    In these cases treated with the Zuggurtungsosteosynthese method, postoperative prognosis has been very good. This paper demonstrates the effectiveness of this modality in the treatment of ankle fractures.
    We also discuss the use of tapes which we have recently adopted to immobilize simple and minor ankle fractures not requiring a surgical operation.
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  • From the Socio-and Medico Economical Viewpoint
    Minori NAKATA
    1985 Volume 34 Issue 1 Pages 61-69
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Interviews were carried out on 23 cases of agricultural accidents to consider the influence on their life.
    Physical damage due to agricultural accidents brought various influences: directly hindrance of farming activity, increase of their family members' work load, changes or cut-down of their longterm farming plans, decrease of income through agricultural management or extra-agricultural labour.
    And the grade of seriouseness of the damage was related not only to the grade of physical damage but the sufferes' financial status.
    Most of the sufferers did not know that the national workmen's compensation insurance had special application for the farmers.
    And each of them effected one or several nongovernmental insurances and the amount of insurance money was corresponding to their financial status.
    So, it seems that the matter would be more serious, if the accidents occured to the farmers belonging to the financially lower class.
    Therefore, some appropriate insurance system is in need to prevest sufferers' economical fall. And most subjects themselves eagerly required such a insurance system.
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  • Toshiaki ISHIBUCHI, Ariko KODAIRA, Masako MOTEGI, Masanobu IKEDA, Teii ...
    1985 Volume 34 Issue 1 Pages 70-77
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Using various types of monoclonal antibodies and flow cytometer, whole blood analysis were conducted on subsets of lymphocytes taken from peripheral blood samples of healthy persons and umbilical cord blood samples of mature babies.
    The findings were as follows:
    (1) Normal values of healthy persons (Mean ± SD) were: T-cell phenotypes-OKT3+: 66.2 ± 9.4%, OKT4+: 40.9±8.3%, OKT8+: 28.2±6.6%, OKT11+: 80.1±4.8%, OKT4/OKT8 ratio: 1.57±0.60; B-cell phenotype-SmIg (polyvalent) +: 15.9±6.5%; others-OKTal+: 12.9±3.2%, Leu7+: 16.2±8.9%.
    (2) Of the healthy persons, 17% showed 1.0 or below and 6.5% showed 2.5 or above, in the OKT4/OKT8 ratio.
    (3) The OKT4+ OKT8/OKT3 ratio was significantly high (P<0.001) in the babies and persons of 40 years and over.
    (4) Physiologic variations were noted in some degree in children and the aged, and between men and women. The individual values of the lymphocyte subsets were almost constant, but the difference between individuals was large. It is suggested that the difference of the immune response of each individual or each family partly depends on the different values of the lymphocyte subsets.
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  • 1985 Volume 34 Issue 1 Pages 78-85
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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  • 1985 Volume 34 Issue 1 Pages 86-88
    Published: May 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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