[Small nodular lesions of the pancreas: differential diagnosis with ultrasound angiography]

Ultrasound angiography (USAG), sonographic imaging of the blood flow in an organ or tissue obtained by carbon dioxide infusion into the supplying artery, was performed on 28 pancreatic nodular lesions less than 3 cm in diameter. The hemodynamics of tumors observed with USAG were divided into three groups: hypovascular, isovascular, and hypervascular, compared with the adjacent pancreatic tissue. Most of hypovascular nodules were duct cell carcinoma (sensitivity 94.1%, specificity 90.4%), while isovascular lesion was the characteristic of inflammatory masses (sensitivity 100%, specificity 95.8%). Hypervascular cases included all of the mucin producing tumors and islet cell tumors but only one case of duct cell carcinoma. So you can almost exclude duct cell carcinoma as an diagnosis in vascular rich tumors (negative predictive value 83.6%). These results were compared with those on conventional x-ray angiograms and incremental CT scans. Ultrasound angiography enabled us to detect more slight differences of tumor vascularity than the other modalities. Thus we conclude that USAG can be a useful diagnostic aid in small mass lesions of the pancreas.

Quantitative analysis of rough endoplasmic reticulum in chondrocytes of articular and tracheal cartilage of rabbits following the systemic administration of hydrocortisone

The rough endoplasmic reticulum (RER) in chondrocytes was analysed stereologically in articular cartilage of knee joints and in tracheal cartilage of rabbits injected intramuscularly with 5 mg/kg hydrocortisone daily for 4 wk. In articular cartilage, RER area per unit cytoplasmic volume decreased in chondrocytes in all (superficial, middle and deep) zones, although the volume of glycogen deposits per unit cytoplasmic volume increased in the middle and deep zones. RER area per chondrocyte also decreased in the 3 zones without changes in average chondrocyte volume in the superficial and deep zones. Furthermore, the volume of glycogen deposits per chondrocyte did not alter in the 3 zones. These indicate a reduction of RER area in articular chondrocytes after hydrocortisone administration and suggest a decrease in the protein-synthesising capacity of these cells. In tracheal cartilage in which 2 zones were identifiable, RER area per unit cytoplasmic volume decreased in chondrocytes in both the superficial and main zones without changes in the volume of glycogen deposits per unit cytoplasmic volume. In addition, RER area per chondrocyte decreased in the main zone. The results suggest that the decrease in RER area in chondrocytes after corticosteroid administration is not specific to articular cartilage but is common to cartilage in various organs.

The glycosaminoglycan of recombinant human soluble thrombomodulin affects antithrombotic activity in a rat model of tissue factor-induced disseminated intravascular coagulation

Previous studies on recombinant human soluble thrombomodulin (rsTM) from Chinese hamster ovary cells revealed that rsTM was expressed as two proteins that differed functionally in vitro due to the presence (rsTM beta) or absence (rsTM alpha) of chondroitin-4-sulfate. The current study evaluates the in vivo behavior of rsTM in rats and in a rat model of tissue factor-induced disseminated intravascular coagulation (DIC). rsTM beta was more potent than rsTM alpha for prolongation of the activated partial thromboplastin time (APTT) and their in vivo half-lives determined by ELISA were 20 min for rsTM beta and 5.0 h for rsTM alpha. Injection of a tissue factor suspension (5 mg/kg) resulted in DIC as judged by decreased platelet counts and fibrinogen concentrations, prolonged APTT, and increased fibrin and fibrinogen degradation products (FDP) levels. A bolus injection of either rsTM (0.2 mg/kg) 1 min before induction of DIC essentially neutralized effects on platelets, fibrinogen, and FDP levels, and had only a moderate effect on APTT prolongation. The dose of anticoagulant to inhibit the drop in platelet counts by 50% (ED50) was 0.2 mg/kg rsTM alpha, 0.07 mg/kg rsTM beta, and 7 U/kg heparin. The effect of increasing concentrations of rsTM and heparin on bleeding times were compared in experiments involving incision of the rat tail. Doubling of the bleeding times occurred at 5 mg/kg rsTM alpha, 3 mg/kg rsTM beta or 90 U/kg heparin. These values represent a 25-fold increase over the ED50 for rsTM alpha, 43-fold for rsTM beta and 13-fold for heparin.(ABSTRACT TRUNCATED AT 250 WORDS)

Visual load of working with visual display terminals--introduction of VDT to newspaper editing and visual effect

In the Japanese newspaper industry, since the late 1970s, computerization has been started in large scale. The system, called Computerized Typesetting System (CTS), has been introduced. With this system, all information in the newspaper is input into a computer, called up on a cathode ray display (CRT) to edit, and then output to film or printing plates by CTS. Thus, the work of newspaper production has undergone a major transformation from industrial work to clerical work. It was reported that newspaper production staff working with VDTs complained more than staff working with the older key system about visual and physical problems which affected their job and their daily life. The complaint rates were highest for editors, who used VDT constantly throughout the day. This study was performed to clarify the health impact of VDT use and to prevent health disorders caused by the introduction of CTS. It is concluded that 5 m corrected vision and sphere refraction of CTS workers who used CTS over 2 or 4 hr daily, significantly became worse in a year after the introduction. Therefore, it is indicated that the control of CTS work time is important to prevent the visual disorder.

[Recognition of stress in workers (report 1)--relationship between recognitions of causes of stress and stress reaction]

Three aspects of the recognition of stress in 665 workers were investigated; namely, causes of stress, stress reactions and modifying factors. We examined the relationship among these aspects, in order to determine some different types of recognition. Several characteristics of the different recognition groups were also examined. 1) The workers who recognized that the causes of their stress were mainly "daily hassles" or "minor events which happened occasionally" accounted for 82.5% of all subjects, and the workers who recognized that their stress was caused mainly by "major life events" accounted for the remaining 17.5%. 2) The subjective stress of the workers in the "major life events" group was significantly larger than that of the workers in "daily hassles". 3) The group with stress due to "daily hassles or minor events" recognized the stress reaction mainly as "irritability", and their actual stressor was "busyness in work". In contrast, the recognition of a stress reaction due to a "major life event" group was represented by "depression/anxiety", and their actual stressors were not only major events such as "promotion or transfer" but also psychological factors such as "low emotional support of family members". 4) The mean age and rank of the "major life event" group were significantly higher than those of the other group.

Neuronal regulation of substrate cycle between glucose 6-phosphate and glucose in brown adipose tissues of cold-exposed mice

The increase in both glucose 6-phosphatase and hexokinase activities in brown adipose tissues of cold-exposed mice probably relates to thermogenesis by the substrate cycle between glucose 6-phosphate and glucose (Watanabe et al.: Anatomical Record 219:39-44, 1987). To clarify the factors causing the simultaneous increase, we examined biochemically the effects of uni- or bilateral surgical denervation of brown adipose tissues, of adrenalectomy, or of streptozotocin injection on the increase in the two activities in the tissues of cold-exposed mice. Further, the effects of denervation on the increase were also examined histochemically. The simultaneous increase in the two activities was inhibited in the denervated tissues of cold-exposed animals in biochemical and histochemical experiments. However, the increase in the activities was not inhibited in the tissues of animals exposed to cold after adrenalectomy or streptozotocin injection. The results suggest strongly that the activation of the substrate cycle in brown adipose tissues of cold-exposed mice is caused by a transmitter released from sympathetic nerve endings, probably norepinephrine.

[The correlation of serum parathyroid hormones among patients with dementia of vascular type, hemodialysis, and bone-joint disorders]

PTH levels were analysed in sera of patients receiving maintenance hemodialysis, with the vascular type of dementia and orthopedic patients with bone-joint disorders, using PTH assay kits. There were significant interrelationship among all kinds of PTH levels in the hemodialysis patients, but not in patients with the vascular type of dementia and the bone-joint disorders. Renal functions might be responsible for fragmentation of PTH in blood stream. These results suggested that the measurement of PTH levels is needed to examine various kinds of amino-sequence of PTH levels in keeping normal function of kidney.

Cloning of the p53-dependent origin of cellular DNA replication

We have recently reported that the c-myc protein may promote cellular DNA replication by binding to the origin of DNA replication (ori) and that an origin of human DNA replication which can autonomously replicate in human cells was cloned as a binding sequence of c-myc protein (Iguchi-Ariga et al., 1987). Here we report that cellular tumor antigen p53 may also participate in cellular DNA replication and another origin of DNA replication was cloned as a possible p53-binding sequence. The sequence could autonomously replicate in Raji cells which express p53 at a high level but not in HL-60 cells in which the coding gene for p53 is largely deleted. Little homology of the sequences was found between c-myc protein-binding ori and p53-binding ori. This suggests that c-myc protein and p53 may independently recognize different ori in chromosomal DNA.

An initiation site of DNA replication with transcriptional enhancer activity present upstream of the c-myc gene

We have previously reported that c-myc protein may promote cellular DNA replication by binding to initiation sites of replication. Here we report that a putative origin of human cellular DNA replication (ori) is present at approximately 2 kb upstream of the coding region of the c-myc gene itself. The c-myc protein, or protein(s) complexed with c-myc protein, bind to the upstream region (approximately 200 bp in length) which has transcriptional enhancer activity as well as autonomously replicating activity in human cells, suggesting that the c-myc protein may be an enhancer binding protein as well as a DNA replication protein. Results with deletion mutants suggest that the sequence essential to the origin of DNA replication may be adjacent to, but cannot be clearly separated from, the sequence responsible for enhancer activity. Furthermore, when cloned DNA containing putative c-myc protein binding sequences was transfected as competitor into HL-60 cells, expression of c-myc was inhibited, suggesting that c-myc protein itself may be necessary for c-myc expression.

Possible function of the c-myc product: promotion of cellular DNA replication

We have recently cloned a plasmid, pARS65, containing the sequences derived from mouse liver DNA which can autonomously replicate in mouse and human cells (Ariga et al., 1987). In this report, we show that replication of pARS65 in HL-60 cells can be inhibited by co-transfection with anti-c-myc antibody. In an in-vitro replication system using HL-60 nuclear extract, pARS65 functioned as a template. This in-vitro replication was also blocked by addition of anti-c-myc antibody. Specific binding activity of the c-myc product to pARS65 was detected by an immunobinding assay, suggesting that the c-myc protein promotes DNA replication through binding to the initiation site of replication. This has been substantiated using the antibody to help isolate a human DNA segment that can autonomously replicate in the cells.

c-myc protein can be substituted for SV40 T antigen in SV40 DNA replication

Replicating activity of SV40 origin-containing plasmid was tested in human cells as well as in monkey CosI cells. All the plasmids possessing SV40 ori sequences could replicate, even in the absence of SV40 T antigen, in human HL-60 and Raji cells which are expressing c-myc gene at high level. The copy numbers of the replicated plasmids in these human cells were 1/100 as high as in monkey CosI cells which express SV40 T antigen constitutively. Exactly the same plasmids as the transfected original ones were recovered from the Hirt supernatant of the transfected HL-60 cells. Furthermore, replication of the SV40 ori-containing plasmids in HL-60 cells was inhibited by anti-c-myc antibody co-transfected into the cells. These results indicate that the c-myc protein can be substituted for SV40 T antigen in SV40 DNA replication.

Autonomous replicating sequences from mouse cells which can replicate in mouse cells in vivo and in vitro

We have already reported that the cloned mouse DNA fragment (pMU65) could replicate in a simian virus 40 T antigen-dependent system in vivo and in vitro (H. Ariga, Z. Tsuchihashi, M. Naruto, and M. Yamada, Mol. Cell. Biol. 5:563-568, 1985). The plasmid p65-tk, containing the thymidine kinase (tk) gene of herpes simplex virus and the BglII-EcoRI region of pMU65 homologous to the simian virus 40 origin of DNA replication, was constructed. The p65-tk persisted episomally in tk+ transformants after the transfection of p65-tk into mouse FM3Atk- cells. The copy numbers of p65-tk in FM3Atk+ cells were 100 to 200 copies per cell. Furthermore, the p65-tk replicated semiconservatively, and the initiation of DNA replication started from the mouse DNA sequences when the replicating activity of p65-tk was tested in the in vitro DNA replication system developed from the FM3A cells. These results show that a 2.5-kilobase fragment of mouse DNA contains the autonomously replicating sequences.

A simple and efficient liposome method for transfection of DNA into mammalian cells grown in suspension

For a highly efficient plasmid transfection into mammalian cells grown in suspension, DNA was entrapped in liposomes prepared by the phosphatidylserine calcium-induced fusion method. Employing this technique, a transfection efficiency of about 2% was achieved, with 22 tk+-transformants obtained from 10(3) of mouse mammary carcinoma FM3Atk- cells transfected with a plasmid carrying the thymidine kinase (tk+) gene of the Herpes simplex virus. As compared with a previous report [Ayusawa et al., J. Biol. Chem. 258 (1983) 48-53], this transfection method was more than four orders of magnitude higher than the calcium phosphate method used for FM3Atk- cells. It was shown that the tk+ gene was integrated into the chromosomal DNA and was expressed in all the tk+-transformant clones tested. The described method could be applied to various types of DNA and cells, including those grown as monolayers.

Effect of a polysaccharide fraction from Grifola frondosa on immune response in mice

The biological and immunomodulating activities of polysaccharide fraction (GF-1), an antitumor poysaccharide fraction from cultured fruiting bodies of Grifola frondosa, was examined in mice. GF-1 showed no cytocidal effect on culturing tumor cells. However, GF-1 induced resistance against Sarcoma 180 in ICR mice which had completely regressed from the tumor by the effect of GF-1. The administration of GF-1 into mice increased the weights or cell numbers of spleen, and peritoneal cavity. GF-1 enhanced the antigen specific antibody response and carbon clearance activity, whereas GF-1 did not show polyclonal B cell activation and mitogenic activities, and the effect on delayed type hypersensitivity.

Antitumor activity of a polysaccharide fraction extracted from cultured fruiting bodies of Grifola frondosa

Antitumor activity of a polysaccharide fraction (GF-1) extracted from cultured fruiting bodies of a fungus, Grifola frondosa, was examined on allogeneic and syngeneic tumors in mice. GF-1 had a marked inhibitory activity against the growth of subcutaneously (s.c.) inoculated Sarcoma 180 by the intraperitoneally (i.p.) injection at 0.5-5.0 mg/mouse for 10 successive days. A significant antitumor activity was also observed when GF-1 at 4.0 mg/mouse was i.p. injected successively on days +1-+5, +7-+11, +14-+18 or +21-+25 if the tumor cells were inoculated s.c. on day 0. Similar results were obtained by a single i.p. injection of GF-1 at 2.0 mg/mouse on day +1, +7, +14 or +21. When GF-1 was injected i.p., intravenously (i.v.) or intratumorally (i.t.), all of them showed an equivalent level of higher inhibitory activity (inhibition ratio; over 90%). However, the oral (p.o.) administration was not effective. The pretreatment of mice with GF-1 at 2.0 or 4.0 mg/mouse for 5 times before tumor inoculation did not show a significant antitumor activity. In addition, GF-1 administered i.p. at varying times before and/or after the tumor inoculation showed no antitumor activity against ascites form of Sarcoma 180. In the syngeneic systems, GF-1 exhibited an antitumor activity against solid form of Meth A fibrosarcoma in BALB/c mice and MM46 carcinoma in C3H/He mice.

[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.

[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.

Recent trends in research on occupational cervicobrachial disorder

Recent rapid development of mechanization and automatization in many industries in Japan have increased simple and repetitive tasks that have resulted in some new types of occupational health hazards, in particular among young female workers. One of them is occupational cervicobrachial disorder, the concept of which was established by the committee organized by the Japan Association of Industrial Health in 1972. The committee demonstrated that the disorder resulted from repetitive upper limb manipulation in punching and operating various kinds of business machines, and concluded that the disorder was closely related to chronic fatigue in the shoulders, neck, lower back and other parts of the body. In 1975 a study team was organized with a grant from the Ministry of Education. The team was divided into four working groups. Topics of these groups were 1) etiology of the disorder, 2) natural history of the disorder in various kinds of jobs, 3) mass examination techniques for the disorder, and 4) a health care system to be provided for the workers. The persent report summarizes the results of group discussions with a view to indicating the current problems of occupational cervicobrachial disorder and the necessary future steps for its care treatment and prevention.

Muscle load and fatigue of film rolling workers

Effects of locally concentrated loading by repetitive upper limb operations on the musculature were studied in female workers of ages 19--33 rolling photographic film. They repeated rolling and capping of a 35 mm film every 2.5--5 sec during the whole day shift which had a 60 min lunch recess and two 10 min rests. Increase of dull-drowsy symptoms and shoulder complaints was dominant after work, stiff shoulders complaints being divided into 41.6% for prework and 78.7% for postwork. It was characteristic for these workers to have the trapezius muscle showed continuous electromyographic activities in sustaining arms. The average level of the contraction was estimated at about 10--30% of the maximum contraction. Eighty-four per cent of those studied had tenderness at the ascending part of the trapezius, while the same tenderness was found in only 48% of female office workers of the same firm. The operators having low tenderness threshold of 0.6 kg/cm2 or less had stiff shoulders more frequently as well as lower levels of back muscle and upper arm abduction forces than those having no tenderness. It is thus likely that habitual shoulder muscle fatigue is due to repetitive tasks that results in localized tenderness and possibly in occupational hazards.

Occupational health hazards resulting from elevated work rate situations

Some occupational health hazards resulting from an elevated rate of work due to recent mechanization and automatization are discussed on the basis of results of health examinations. A rapid increase of a cervicobrachial disorder among young cash register and packing machine operators has been observed. Switching to the use of electronic cash registers has been shown to have only limited efficacy due to increased operation speed, and high-speed complex finger and hand movements of packer operators have also proven to be as hazardous as key-board operations. The high incidence of low-back pain, in particular gradually developing pain, among workers in electric power supply work has been suggested to be the result of quick and intensified work to meet increasing supply demand. Likewise, the workload of electric locomotive and bullet train drivers has increased in accordance with increased train speeds, and has been shown to have had significant effects on their health particularly in regards to neural strain, intra-cab environment such as air pressure change, vibration, and noise, and rotation on irregular shifts. New steps seem required therefore to meet the new health problems arising from a combination of modern technological changes and elevated working speeds.

Shoulder muscle tenderness and physical features of female industrial workers

Physique, muscle strength, and jump-step scores of female industrial workers, ages 17--34, were studied in relation to tenderness of shoulder muscles for five groups, (A) character display operators, (B) fluorescent lamp assemblers, (C) photographic film rolling workers, (D) teachers and nurses of handicapped children, and (E) office workers. No significant differences were found between the five groups in mean body height, body weight, and skinfold thickness, but mean knee extension force of groups A and C and mean back muscle strength of groups A, B, and C was significantly lower than that of group E. Workers of groups C and D with a low tenderness threshold of m. trapezius of 0.6 kg/cm2 or less had stiff shoulders more frequently and lower force levels of knee extension, back muscle, and upper arm abduction than those without tenderness. No similar tendency was found for groups B and E. Further, among workers with objective signs of occupational cervicobrachial disorder, there were few whose knee extension force or jump-step scores were above the averages of normal office workers. Shoulder muscles of such operators were revealed to be continuously contracted during operations. The possible effects of chronic fatigue due to repetitive operations on developing localized tenderness and occupational hazards are discussed.

Health hazard among cash register operators and the effect of improved working conditions

The health condition of female cash register operators in relation to their working conditions was investigated. A questionnaire study revealed that cash register operators more frequently complained of general fatigue, headache, sleeplessness, and low back pain than female office machine operators or other female workers. Dullness and pain in the shoulder, arm, hand, and fingers especially on the right side were characteristic of cash register operators. Physical examinations in 1973 showed that 31.3% of 371 cash register operators suffered from muscle rigidity or tenderness; 13 were severely afficted and, 69 operators had to be either laid off, reassigned to other jobs, or given shorter working hours. Occupational cervicobrachial disorders were suggested to have been caused by repetitive upper limb motions combined with static load, an unfavorable working environment, and mental stress. Implementation of some improvements including shorter operation time, worker rotation, and adoption of electronic registers proved effective in reducing the number of sufferers of cervicobrachial disorders found during the 1975 physical examinations. But the improvements were not effective enough to alleviate fatigue of the neck, shoulder, and back due presumably to sustaining upper limbs while operating the keyboard.