JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 40, Issue 4
Displaying 1-11 of 11 articles from this issue
  • Zhi-yu WANG, Toshio MATSUSHITA, Kohji AOYAMA, Konomi OBAMA, Takeshi SU ...
    1991 Volume 40 Issue 4 Pages 909-916
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Statistical analyses were made on a total of 242 clinical cases of skin disordersfrom agricultural chemicals in Japanese farmers, using data recorded by physicians on standard forms in 41 hospitals and other medical institutions during the 1982-89 period. The majority of the cases were acute dermatitis (72.3%), followed by chronic dermatitis (19.0%), chemical burns (7.4%) and photosensitive dermatitis (2.1%). Organophosporus insecticides were the most frequent inducer of occupational skin lesions (24.8%), followed by sulfur fungicides (20.7%), polyhaloalkylthio-fungicides (16.1%), and soil disinfectants (7.9%). Main factors contributing to the onset of skin lesions were insufficient clothing on the part of users (46.7%), carelessness (21.9%), unsuitable weather (strong wind) (9.9%) and so forth. Epidemiological features such as sex, age, season, complications, affected sites and prognoses were also analyzed and discussed.
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  • Tsuyoshi IMURA, Akiyoshi BANDOH, Norimi NISHIMURA, Mikio ASAI, Akiyosh ...
    1991 Volume 40 Issue 4 Pages 917-929
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    In Japan there are many people who are intolerant to alcohol. Known as flushers, they do not genetically have low Km acetaldehyde dehydrogenase (AlDH2). Flushers are judged easily and accurately by the alcohol patch test. An ethanol patch test carried out on agricultural and fishing populations in Japan showed that approx. 40% were deficient in AlDH2. A questionnaire survey of the drinking behavior of many people showed significant differences between the normal AlDH2 and AlDH2-deficient groups. The normal group drinks positively and actively, while the deficient group drinks negatively and passively. As a result, there were significant differences in subjective and objective symptoms that result from drinking between the two groups: More frequent hangovers, abnormal physical conditions and higher KAST scores were seen in the normal group, and health examination showed higher values in liver function tests, including γ-GTP, and higher levels of blood pressure, HDL-cholesterol (HDL-C), etc., in the normal AlDH2group.
    It may be very useful for prevention of alcohol-related health disorders to help Mongoloid peoples, such as the Japanese, recognize whether their AlDH2 is normal or deficient, which is as determined by the ethanol patch test.
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  • Akira HORIKAWA, Akiyoshi BANDOH
    1991 Volume 40 Issue 4 Pages 930-936
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    In order to investigate drinking problems in rural districts, we conducted a questionnaire in 8 rural areas (Obihiro, Tsuchiura, Shizuoka, Hiroshima, Yamaguchi, Tokushima, Ehime, and Kagoshima).
    The questionnaire was conducted on 2024 males. The average age of them is 51 years. And about half of them are farmers. Others are clerical workers, managerial officers, skilled laborers, fishermen and so on.
    According to KAST (Kurihama Alcoholism Screening Test) included in the questionnaire, the proportion of severe problem drinkers is about 17%.
    Many problem drinkers drink almost everyday. And in general, their consumption of alcohol is 60cc/day or more.
    Many drinkers replied that they drink “to get rid of stress”, “on business”, “with friends”, “to sleep well”.
    In comparison with normal drinkers, problem drinkers tend to drink both in and out of their home. They also tend to drink more frequently out of their home. Their rules on health in regard to alcohol are not so different from those of normal drinkers, but in general, they don't practice those rules. Their estimate of their proper quantity of alcohol is higher than that of normal drinkers.
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  • Yoshiaki UEDA, Tsuneo KAWASAKI, Takashi KIDA, Toshihisa ASHIKAWA, Jiso ...
    1991 Volume 40 Issue 4 Pages 937-940
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    Comparative studies were made mainly on malignant cases of cholelithiasis in 111 patients with gallstones detected in our regular chekup (group A) during the five-year period from 1985 to 1989 and 67 patients who had gallstones surgically removed together with malignancies (group B) during the same period.
    The group A patients representing 4.2% of the total 2, 637 examinees were suspected to suffer from biliary obstruction and malignant tumors involving the digestive system. However, further examination found only one case of biliary tract cancer.
    The group B patients account for 20.9% of the total 321 surgery cases. In 37 (55.2%) of the 67 patients, 45 legions were malignant-mostly cancer in the digestive organs. Cancer of the lower portion of the digestive tract was found in 11 patients (29.7%) of the 37. The occult blood test at hospitalization revealed that 8 patients (28.6%) in 28 were positive, and 9 were not clear. Follow-up examination showed the rate of false-positive reaction to blood test stood at 14.3%.
    From the foregoing results, to detect cancer of the large intestine at an early stage in the regular medical checkup sponsored by the agricultural cooperative, the occult blood test using the stool of examines alone is not enough. It is high time to introduce endoscopic examinationinto the screening program. In view of the fact that most of the gallstone cases detected at the regular checkup were symptomless, careful followup examinations are deemed necessary with the possibleonset of gallbladder cancer and presence of malignancies in mind.
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  • [in Japanese]
    1991 Volume 40 Issue 4 Pages 941-944
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1991 Volume 40 Issue 4 Pages 945-948
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1991 Volume 40 Issue 4 Pages 949-955
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1991 Volume 40 Issue 4 Pages 956-959
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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  • Shinji MIYAHARA
    1991 Volume 40 Issue 4 Pages 960-968
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
    In promoting studies on health, it is essential to organize various forms of learning into a comprehensive system. First of all, leaders are to be trained and study groups in the form of executive committees are organized under their leadership. People who have completed the study course hold voluntary study groups in their own communities. If the activities to promote studies on health are carried out in this direction, a majority of people in these communities will be able to participate in the study and achieve their goals in health studies.
    Concrete examples at Nishitosa Village, Kouchi Prefecture are discussed based on the author's experience in health studies for the past 20 years.
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  • 1991 Volume 40 Issue 4 Pages 969-978
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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  • 1991 Volume 40 Issue 4 Pages 979-988
    Published: November 30, 1991
    Released on J-STAGE: August 11, 2011
    JOURNAL FREE ACCESS
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