JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 34, Issue 2
Displaying 1-15 of 15 articles from this issue
  • Noriaki HARADA, Hiroshi TAKAHASHI, Shinichi HITSUMOTO, Izumi YOSHIDA, ...
    1985 Volume 34 Issue 2 Pages 93-99
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The eight subjective symptoms (shoulder stiffness, lumbago, urinary frequency at night, numbness of extremities, shortness of breath, sleep disturbance, dizziness and abdominal distension) were checked at the screening of circulatory diseases performed in a rural district in Ehime prefecture.
    1. The complaint rates of the eight subjective symptoms were higher in female than those in male. The influence of aging was observed in urinary frequency at night and sleep disturbance. The higher complaint rates in the agricultural workers were not evident in the subjective symptoms except lumbago.
    2. Factor analysis indicated that the eight subjective symptoms were constituted by (1) fatigue of circulatory system, (2) fatigue of musculoskeletal system and (3) aging effect.
    3. The higher complaint rates were observed in these diagnosed as circulatory diseases, musculoskeletal diseases or gynecological diseases. The correlations between the eight subjective symptoms and the laboratory findings were not apparent. The result of path analysis indicated that the eight subjective symptoms were independently referable to the presence of illness.
    4. The eight subjective symtoms were considered considered to be to evaluate health status of inhabitants in rural district.
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  • Noriaki Harada
    1985 Volume 34 Issue 2 Pages 100-103
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Recently most Japanese farmers pursue another trade as a side business, because they canonot make a living only by agricultural work. The working conditions of the side business are not necessarily good. The health care system for them are also not sufficient. Furthermore, housewives have adding burden from household duties to farm work and side business.
    In this study, sixteen women employed in a canning factory were interviewed by four medical students. The factory were situated in rural district of Ehime prefecture and engaged about 90 workers including 30 women. The 16 women had various complaints caused by exposure to noise and organic solvents, and static load on the limbs. They had ten episodes of sickness or injuries due, or suspected to be due, to occupational cases during the period employed, 7.8 years on the average.
    The more survey for health problems of working women in rural district are necessary.
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  • Fumi MANDA, Toshio MATSUSHITA, Atsushi UEDA, Mitsuki YOSHIOKA, Kohji A ...
    1985 Volume 34 Issue 2 Pages 104-109
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    A simple and sensitive method for the determination of residual Nicarbazin (NCZ) by high performance liquid chromatography (HPLC) was examined to apply to livestock products. And the detection of residual NCZ in commercial chickens was also investigated.
    1. The method that the acetonitrile extracts of meat homogenate were injected directly into HPLC was able to apply to determine the residual NCZ by adding process of degreasing and dehydration of the extracts. The average recovery of NCZ added to the chicken muscle (0.4 μg/g) were 89.13±6.61%(N =5) and detection limit in this analytical procedure was 0.02μg/g.
    2. Using the above method for the analysis of NCZ in commercial samples, the frequency of detection was 13.0% and the range of concentration was 0.03-0.30μg/g in samples collected from Kagoshima city (N =131). The residual NCZ in commercial chickens showed a tendency to increase in summer season. The similar levels of frequency (12.5%) and concentrations (0.03-0.43μg/g) were found in samples collected from other prefectures (N=40).
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  • as an Indicator of Screening Test for Diabetes Mellitus
    Hideaki NAKAGAWA, Kenichiro TSUJIKAWA, Yoshiharu OKUMURA, Chieko KANAM ...
    1985 Volume 34 Issue 2 Pages 110-116
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The purpose of this study is to establish the normal physiological values of glycosylated hemoglobin (HbA1 and HbA1C) among Japanese rural inhabitants and to evaluate its potential as a screening tool for diabetes mellitus. Six hundred and seventy-five people aged 35-64 years (210 males and 465 females) were examined. Oral glucose tolerance tests were perfomed on 135 inhabitants of them by giving a 50-gm.
    Frequency distributions of HbA1 and HbA1C fitted approximately to the log-normal distribution.
    Geometric means and standard deviations in bracket were 7.95 (1.11)% for HbA1 in men, 8.13 (1.12)% for HbA1 in women, 5.17 (1.10)% for HbA1C in men and 5.16 (1.11)% for HbA1C in women
    Group average values of HbA1 and HbA1C tended to increase with age in both men and women except a male group aged 60 years and over. There were no significant differences between mean values of glycosylated hemoglobin in men and those in women. HbA1 was positively correlated with age in women and negatively correlated with hemoglobin in both men and women. HbA1C was positively correlated with age in men and women, body mass index, systolic blood pressure and serum cholesterol in women, and negatively correlated with hemoglobin in men.
    In order to evaluate glycosylated hemoglobin as a screening tool for the identification of unknown persons with diabetes, we calculated the sensitivity (the extents to which the participants who were found to have a diabetic OGTT also had an abnormal glycosylated hemoglobin) and specificity (the extents to which the participants who were not diabetic had normal glycosylated hemoglobin). The sensitivities for the person aged 59 years or under using HbA1 were 72.7-100% and the specificities 67.3-75.0 percent. Futhermore the sensitivities for the same aged person using HbA1C were 81.8-100% and the specificities 78.8-81.3 percent. The validities for both HbA1 and HbA1C were higher than those for glucosuria or blood glucose. But glycosylated hemoglobin was not useful as a screening tool for the person aged 60 years and over because of the low specificity.
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  • Especially Thymol Turbidity Test
    Masahide Imaki, Tamotsu Miyoshi, Takeshi Yoshimura
    1985 Volume 34 Issue 2 Pages 117-121
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The purpose of this study is to make clear comprehensive relationship between Thymol turbidity test values (TTT) and the dietary intakes of nutrients. The subjects of this study were 287 young healthy people in Tokushima prefecture.
    The results of the survey were as follows:
    1) In males, multiple regression analysis showed that variables which correlated best with the TTT values were dietary intakes of sugar energy and vegetable protein aged 30-49 years, and dietary intakes of animal fat and energy aged 50-69 years.
    2) In females, multiple regression analysis showed that variables which correlated best with TTT values were dietary intakes of animal protein and vegetable fat aged 50 69 years, but there were no statistically significant correlation between TTT values and the dietary intakes of nutrients aged 30-49 years.
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  • Iwao SUGIMURA, Hirobumi MATSUO, Yukio KONISHI, Mistuaki TANEDA
    1985 Volume 34 Issue 2 Pages 122-128
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Located in the northernmost part of Hokkaido, Tenpoku is one of the representative dairy farming districts in the prefecture. Official data for fiscal 1983 show that the size of grassland per dairy farm household is 35 ha and that the number of milch cows averages 48 head.
    Between 1981 and 1984, investigation was made on the health of women on dairy farms by means of a questionnaire, consultation and multi-programmed health examination. The survey project was actually under-taken during the spring and summer months. The effective number of subjects were 350.
    The results of the investigation was compared with those of another health survey which was conducted in the same period on a total of 960 women engaged in paddy rice farming.
    The comparison revealed that there are marked differences in health conditions between the two groups.
    (1) The frequency of complaints such as associated with the “farmers' syndrome” is higher among the dairy farmers than the rice growers.
    (2) The incidence of anemia is also higher in the former group than the latter.
    Dairy farming in the district mostly is a family business.The larger the ranch becomes, the harder women, particularly housewives, have to work.
    In order to improve health standards, changes in eating habits and implementation of preventive measures against stiffness in the shoulders, low back pain and other lifestyle-related maladies.
    To lessen the work load, cooperation among neighbors in a larger part of work should be encouraged.
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  • Takeshi SUGAYA, Masato HAYASHI, Shunji OKUBO, Kimio SAITO, Tomio MATSU ...
    1985 Volume 34 Issue 2 Pages 129-133
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Investigations were made into the actual working and living conditions of adults, both men and women, in the families engaged in mixed farming.
    The working conditions were analyzed according to the types of crops farmers are growing. The work study was necessary to probe into the causes of farmers' health disturbances.
    A questionnaire revealed that farmers are short of sleep during the busiest season. Especially housewives are forced to cut down on their sleeping hours.
    It also found that some farmers spray pesticides in quantity and expose themselves to the potentially health injurious chemicals with alarming frequency.
    There was evidence to show that some ailments, notably low back pain, had been reduced due to imporovements on farmwork and working environment.
    Health checkups showed that the incidences of hypercholesterolemia and obesity remain high. There was imbalance between carolic intake and consumption.
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  • Toshimitsu TAYA, Kenji TAMURA, Mamoru TAKESHI, Atsuko TANAKA, Takako M ...
    1985 Volume 34 Issue 2 Pages 134-140
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    We have carried out a health developing project for three years at two flat rural areas in Ibaraki prefecture, O in Ushiku town and N in Iwai city, taking female farmers as the subjects.
    As a result, people in these areas obtained by developing reciprocal assistance a belief in selfsupport and knowledge of diseases, which lead to remarkable progress of their health such as improvement of nutrition and cosolidation of agricultural and life environment. Some observations in the study are discussed below.
    1) In the two areas, the number of people with no abnormality increased while those requiring care decreased, The number of people to be treated or under treatment was nearly unchanged, probably because of chronic deseases. No death and complication occured during the three years.
    2) Owing to the difference between O and N areas in the age structure of examinees, areal characteristics and types of agricultural products, the results of health examinations in these two areas were somewhat different.
    3) The health developing project will become more effective if male farmers participate together with the female farmers.
    4) Continuation of the health care activity in these areas will establish voluntary organizations of residents.
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  • Surveys in a Snow Country, Niigata Prefecture
    Kazunori SUGIYAMA, Kohei KAMEYAMA
    1985 Volume 34 Issue 2 Pages 141-153
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    In step with the drift of the condition of public life, farmers' working conditions and lifestyle have undergone a phenomenal transformation. In Niigata Prefecture, too, drastic changes have taken place, particularly in the living of farmers who are engaged in mixed farming in the flat land areas.
    Inhabitants in remote, mountainous districts, where snow falls heavily, lead frugal lives. In these districts, housewives play leading roles in farming work.
    In previous surveys, it was found that the health status of these women was comparable favorably with that of women living the flat land areas.
    Recently, we have conducted surveys of health and living conditions of adult female members of the community in an area of heavy snowfall. The surveys were carried out during the snowy season and the warm season. The results were examined carefully, taking acount of seasonal factors.
    The health survey conducted during the snowy season revealed that obesity and hypertension rates are high and lumbago and anemia are not remarkable.
    The surveys of living conditions did not reveal any significant seasonal difference.
    Of special note is the finding that the women frequently eat sweet stuff between meals. The consumption of cow milk is low. They have not taken physical examinations of their own volition, and work hard even if they do not feel well.
    With these findings in mind, we have held lecture meetings on health and cooking classes many times during the past three years. As a result, 90.4% of the attendants have become conscious of their mode of living, and 56.2% have come to take care not to overwork themselves.
    The incidences of hypertension and farmer's syndrome have declined sharply. However, the obesity rate has not fallen.
    In the districts, snowbound for as many as 150 days a year, the housewives have to remove snow from the roof of their houses 154 times on the annual average. However, they take it in their stride. Excepting snow raking, there is no physical labor during the winter months, so that they can rest well.
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  • Shosui Matsushima, Teiichi Yamada, Takako Yokoyama, Eishiro Abe
    1985 Volume 34 Issue 2 Pages 154-165
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    An extesive survey of labor, health and living conditions was conducted on female members of farm households who are primarily growing vegetables such as lettuce and cabbage in the highlands of Nagano Prefecture. The survey included a follow-up on the attitude of those examined physically toward health.
    The busiest season for the vegetable growers extends from July to September. About one-third of the respondents in our survey said that they work more than 12 hours a day during the most part of the period.
    From the viewpoint of health, the major problem was connected with pesticides, which are sprayed in relatively large quantities over the vegetable fields. Our findings showed that 65% of the female farmers are engaged in the spraying of pesticides, of whom 13% said that they had suffered from intoxication and other types of physical disturbances.
    Many complained about trouble in locomotive organs. To be noted is the finding that a half of the examinees had lower back pain, which presumably has something to do with the half-rising posture which the farmers take for a long time while working in the fields.
    Our examination also revealed that about 25% of the women are prone to pyelitis and cystitis.
    During the busiest season, these working housewives have to bear particular burdens and pressures that have a profund impact on their ability to carry through house work. A half of the housewives said that they do not have time to do family duties such as cooking, washing and cleaning.
    Since physical examinations were carried out during the slack season, the attendance at the briefing on the results of examination was pretty good. Most of the examinees who had been told they need a thorough medical checkup or treatment followed the doctors' advice.
    The survey found that a majority of the housewives are doing what they can in order to improve their eating habits. As for the improvement of working conditions, however, they find it difficult to lighten their burdens due to the nature of farm work.
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  • Akira OKA, Yasutaka ISHIOROSHI
    1985 Volume 34 Issue 2 Pages 166-175
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Blessed with a mild climate and located conveniently, Shizuoka Prefecture is the nation's leading tea and orange growing center. It also produces rice, vegetables and melons in large quantities.
    This paper reports on the findings obtained in an investigation of the role of women in farming, their amount of work, and living and health conditions in the central part of Shizuoka Prefecture.
    For the sake of comparision, this region was divided into the three areas different from each other in production structure and living environment.
    The area in and around Shizuoka City, the capital of the prefecture was designated as Area A, where tea, orange and rice are principal products. Area B is a flat-land district where mixed farming is dominant and rice, tea and vegetables are grown. Area C is a hilly, wooded area. The major farm products are tea and mushrooms.
    More than 80% of women are engaged in farm work, and espeically in the tea-pricking season 90% work out in the terraced fields.
    It was found that about 3% of the women surveyed are suffering injuries caused by farm implements and machinery. More than 90% said they have engaged in the spraying of pesticides, and 8 to 19% of them said they had subjective symptoms of intoxication after spraying.
    The findings of medical examinations for anemia, cardiovascular disease, liver function, stomach cancer, uterine cancer and so on will be discussed in this report.
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  • Sakuma-Cho, Shizuoka Prefecture
    Fumio Karube
    1985 Volume 34 Issue 2 Pages 176-184
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    This investigation was carried out for three years (1981-1983) with medical examination and questionair, expecting to estimate the health characteristics of women who live inmountainous rural areas and interisting to find out the difference between farmers and nonfarmers, for 1922 female inhabitants in their 30-60ys as a object.
    Obtained main results are:
    1) In medical examination which covered 508 (26.2%) in the first year,
    a) Incidence of hypertention (WHO criteria) calculated 34.6% and rate of obesity was 24.4%, showing as equal level as usual reports about mountainous area, but each showed nodifference between farmers and non-farmers.
    b) Incidence of anemia brought us the most interesting result in which non-farmersgroup showed significantly higher rate three years through.
    2) By questionair corresponded 328 (17.1%) in the second year,
    a) Of 124 farmers group (37.8% farming rate), only 14 (14.5%) answered able to earn a livelihood chiefly on agricultural income.
    b) Low back pain or menstrual disdurbance which were expected to explain some influence of agricultural labor showed no difference between two groups.
    These results suggested us, it might be true that non-farners women were more unhealthful than farmers in this corner.
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  • Kazuichi KATO, Yoshiko MINAMI, Hiroshi INOUE
    1985 Volume 34 Issue 2 Pages 185-192
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    The subjects are farm housewives in two different agricultural communities of southern Tokushima Prefecture. Most of them are engaged in mixed farming on hilsides facing south. The climate is mild all the year around.
    The people in the two communities, like others in the district, undergo medical checkups regularly executed under the outreach health program of our hospital.
    In order to obtain data related to their way of living and working conditions, a questionnaire was conducted. In a similar way, a survey was carried out to measure the change in the attitude of the subjects toward health care after medical examination and consultation.
    In Community A, the economy is largely based on orange growing in vinyl-covered hothouses and bamboo shoots. Of the housewives who responded to our survey, 87.3% said their livelihood depends chiefly on agriculture.
    Working hours were longest among those in their 40s, 26.8% of whom were found suffering from anemia, in the latest health checkup.
    Lower levels of neutral fat and a lower degree of albuminurea were noted among those aged 40 or under. These findings suggest that health promotion measures be taken from the standpoint of nutrition.
    The latest health checkup also revealed that the health conditions remained poor among those who had given little thought to the results found in the previous group medical examination.
    In Community B, agriculture is dominated by paddy rice and orange growing. But the community is suburban.
    In formulating a health control program for women in Community B, emphasis should be placed on prevention of hypertension, obesity and other conditions associated with the adult disease.
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  • Makoto FUTATSUKA, Shigeru OHYAMA, Naoko YASUTAKE, Shigeru NOMURA, Atsu ...
    1985 Volume 34 Issue 2 Pages 193-208
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    In order to observe the actual work types and the work load of female farmers in various kinds of agriculture that have gradually become a large part of agriculture in Japan as a result of changes in the structure of agricultural production, the authors performed a questionnaire and interview with a large number of female farmers (2, 113) and women in non-agricultural households.
    Greenhouse farming was the most common work type for female farmers, followed by tobacco cultivation. The jobs conventionally undertaken by men, that have required a large dynamic work load, have been progressively mechanized, while auxiliary work before and after machinary work remain as manual labor by women. Some clear differences in the work type between full-time farming and part-time farming of female farmers were observed. On the other hand, it does not seem to be easy to estimate the work strain due to the work loads as mentioned above.
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  • 1985 Volume 34 Issue 2 Pages 209-214
    Published: July 30, 1985
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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