Validation of recalled food intake in the past in a Japanese population

To evaluate the validity of the recall method in estimating food intake in the distant past, we assessed past and current food intakes by mailed food questionnaires among 80 residents in Gifu, Japan who had answered the same questionnaire 9 years ago. We compared rank correlations and differences between recalled food intake scores and past ones with those between current food intake scores and past ones. We observed higher scores of recalled intake for meat, potatoes and alcohol, and a lower score of recalled intake for cereals than the scores of past intake. We observed increase in food intake scores of soyabean products, dairy products and potatoes and decrease in that of cereals intakes from past to current. The rank correlation coefficients between the recalled and past food intake scores (r = 0.24-0.89) were greater than those between the current and past ones (r = 0.10-0.70) for every food item except for dairy products. After stratification by sex, age and degree of change in body mass index (BMI), the greater correlation between the recalled and past food intake scores remained. These findings suggest that the recall method is more preferable than the current data to estimate food intake in the distant past in Japan.

Postsurgical ossified extradural cyst of the lumbar spine: a case report

STUDY DESIGN

An extremely rare case of postsurgical ossified extradural cyst is reported. The imaging and intraoperative findings are described and compared with those in cases previously reported in the literature.

OBJECTIVE

To draw attention to this rare but dangerous condition that can develop after lumbar surgery.

SUMMARY OF BACKGROUND DATA

Only six cases of postsurgical ossified extradural cyst have hitherto been reported.

METHODS

A 65-year-old man who had undergone surgery for a herniated lumbar intervertebral disc 20 years earlier complained of leg pain. From the imaging and intraoperative findings an ossified cyst with closed communicating aperture was diagnosed. The ossified cyst was surgically resected.

RESULTS

Postoperatively, this patient was discharged and experienced alleviation of his symptoms.

CONCLUSION

This case showed an extremely rare postsurgical ossified extradural cyst, and was of particular interest because in contrast to the previously reported cases the communicating aperture between the cyst and subarachnoid space was closed.

Reliability and validity of the Japanese version of Job Content Questionnaire: replication and extension in computer company employees

In order to investigate the reliability and validity of selected scales from the Japanese version of Job Content Questionnaire (JCQ, Karasek 1985), a survey was conducted of 1,126 employees of a computer company in Japan using a questionnaire including 31 items from the JCQ. Ten JCQ scales on psychological and physical demands were examined in 603 male and 84 female respondents. Cronbach's alpha reliability coefficients for nine JCQ scales which consisted of two or more items ranged from 0.66 to 0.90 for males and from 0.64 to 0.88 for females. Item factor analysis for each scale indicated that the first factor explained 50 or more percent of item variation of decision authority, supervisor support, coworker support and Framingham physical exertion in males and females and of psychological demands in females. The skill discretion, decision authority and decision latitude significantly and positively correlated with age, years of employment and years of experience in males (p < 0.05). The decision authority significantly and positively correlated with age and years of experience in females (p < 0.05). Psychological demands, Framingham demand and physical exertion significantly and positively correlated with overtime in males and females (p < 0.05). Skill discretion, decision authority and decision latitude, psychological demands and Framingham demand were lowest in computer equipment operators; physical exertion and Framingham physical exertion were lowest in computer software engineers/technicians. It is suggested that these JCQ scales are reliable and valid instruments for assessing job stressors in computer company employees in Japan.

Prevalence of and risk factors for allergic diseases: comparison of two cities in Japan

BACKGROUND

Differences in the prevalence of allergic diseases and the effects of genetic and environmental factors on these diseases in two areas of the same country have not been examined by multiple logistic regression.

OBJECTIVE

To determine whether the effects of genetic and environmental factors on allergic diseases differ between two areas.

METHODS

A questionnaire was distributed in March 1991 to children less than 16 years old attending kindergarten, elementary, or junior high school in two Japanese cities; Gifu, with a temperate climate, and Itoman, with a subtropical one. The number of subjects analyzed were 1243 in Gifu and 1953 in Itoman. Multiple logistic regression analysis was performed using SAS.

RESULTS

The prevalence of allergic diseases and atopic dermatitis in Gifu were significantly higher than in Itoman (P < .05). In contrast, the prevalence of bronchial asthma in Itoman was significantly higher than in Gifu (P < .05). Multiple logistic regression analysis showed that in both cities children of families with allergic histories have significantly higher risk of contracting an allergic disease and atopic dermatitis. The prevalences of allergic diseases and atopic dermatitis were higher in Gifu than in Itoman, even after being controlled for genetic and environmental factors.

CONCLUSIONS

The increased risk of contracting an allergic disease and atopic dermatitis for the children in Gifu may be due to such factors not included in the study as climate, eating habits, or the level of air pollution.

Changes in rates of depressive symptoms in a Japanese working population: life-table analysis from a 4-year follow-up study

To investigate the effects of demographic variables on changes in rates of depressive symptoms in a non-clinical population, a 4-year follow-up study was conducted on a total of 6378 employees of a Japanese electrical company. Data were collected five times at 1-year intervals (T0-T4) using a questionnaire that included the Zung Self-rating Depression Scale (SDS). Of the non-depressed (i.e. having a SDS score of 47 or less) at baseline (N = 4857), 14% were found depressed at least once during T1-T4. Younger, never married, female and blue-collar workers were significantly at greater risk for becoming depressed during the follow-up period (P < 0.05). Of the depressed at baseline (N = 505), 20% were depressed every time during T1-T4. Younger workers were significantly at greater risk for persistence of depressive symptoms during the follow-up period (P < 0.05). The results suggested that age is associated with both occurrence and persistence of depressive symptoms, while gender, marital status and occupation are associated only with the occurrence.

Effect of local administration of basic fibroblast growth factor against neuronal damage caused by transient intracerebral mass lesion in rats

There has been controversy regarding the best treatment for acute intracerebral hemorrhage. Early surgical evacuation alone seems to provide only limited amelioration of this condition, and additional therapeutic strategies should be investigated to obtain a better outcome. To test the feasibility of post-evacuation treatment, basic fibroblast growth factor (b-FGF) was administered into the evacuated cavity and its effect was evaluated in terms of the pathological changes around the lesion. A transient (10 min) intracerebral mass lesion was created by inflation of a microballoon in the caudate nucleus in rats. Basic-FGF (500 or 1000 ng) was injected into the evacuated cavity after deflation and removal of the balloon, and then histological changes were evaluated in the CA1 subfield of the hippocampus and cavity wall. The results demonstrate a protective effect against the neuronal damage in CA1 pyramidal cells and an increase of angiogenesis in the evacuated cavity wall after b-FGF administration. These observations suggest that local administration of b-FGF after evacuation may prevent secondary neuronal damage in the area surrounding an acute mass lesion and facilitate more rapid repair of the damaged brain.

Japan-U.S. comparison of responses to depression scale items among adult workers

The operating characteristics of the Center for Epidemiologic Studies Depression Scale were compared between Japanese and U.S. adult workers. Data were analyzed from age- and education-matched male white collar workers (n = 368 for each) selected from 2016 workers in Japan and 3059 in the United States. The U.S. data were obtained from the 1974-75 Augmentation Survey of the National Health and Examination Survey I. The Japanese responses to positively worded items markedly differed from those of U.S. workers, whereas responses to negatively worded items were generally comparable in the two groups. Thus, spuriously higher positive subscale and whole scale scores were found among the Japanese workers compared with U.S. workers (mean scores: 6.03 vs. 1.83 for the positive subscale and 9.94 vs. 5.35 for the whole scale, respectively; both differences were statistically significant). Negative subscale scores did not differ significantly in the two samples (3.91 vs. 3.52). The present study confirmed the hypothesis of Iwata et al. that Japanese respondents have a tendency to suppress the expression of positive affect.

Paraparesis after rib penetration of the spinal canal in neurofibromatous scoliosis

Paraplegia or paraparesis is uncommon in patients with neurofibromatous scoliosis. The main causes of spinal cord compression in neurofibromatosis are vertebral angulation, vertebral subluxation, and tumorous lesions around the spinal cord. We report a rare case of paraparesis due to spinal cord compression by a rib penetrating the spinal canal in a patient with neurofibromatous scoliosis. There was complete recovery after laminectomy and proximal resection of the compressing rib along with combined anterior and posterior spinal fusion.

[Prevalence and correlates of major depressive episode among the elderly in a community in Japan]

A random sample of 205 persons from a community of about 45,500 residents, aged 65 years or older, in a city in Japan, was surveyed using an interview schedule including a structured psychiatric interview to analyze prevalence of major depressive episode (DSM-III-R). A total of 157 (77%) participated in the study. Results were as follows: 1) The Prevalence of major depressive episode during the past 6 months was 2.1% for males and 3.7% for females among the 155 respondents who completed the psychiatric interview. 2) Significantly higher prevalence during the past 6 months was observed in those who were physically inactive in the past year than in those physically active (p < 0.05). 3) Levels of satisfaction with available social support were significantly lower in those who experienced major depressive episode during the past six months than in those who experienced no depressive episode (p < 0.05). 4) Levels of life satisfaction (PGC scale score) and cognitive functioning were significantly lower in those experienced major depressive episode during the past six months than in those who experienced no depressive episode (p < 0.05).

Spinal cord expansion after decompression in cervical myelopathy. Investigation by computed tomography myelography and ultrasonography

STUDY DESIGN

This study analyzed anatomic characteristics of 44 patients with cervical myelopathy.

OBJECTIVES

This study was conducted to clarify the patterns of spinal cord expansion after decompression, their relationship to clinical recovery, and the capacity of the compressed spinal cord for restoration.

SUMMARY OF BACKGROUND DATA

No previous studies have clearly assessed the relationship between morphological changes of the spinal cord and clinical improvement after posterior decompression in patients with cervical myelopathy using computerized tomography myelography and intraoperative spinal sonography.

METHODS

Forty-four patients with cervical myelopathy underwent posterior decompression. The diagnosis was cervical spondylosis in 26 patients and ossification of the posterior longitudinal ligament in 18 patients. The cross-sectional area, sagittal diameter, and frontal diameter of the spinal cord at the level of maximum compression were determined by computerized tomography myelography (performed before and 1 month after decompression) and by intraoperative spinal sonography.

RESULTS

Expansion of the spinal cord was defined as immediate or gradual. Of the 44 patients, 20 demonstrated gradual expansion, and their clinical recovery rate was 68.4%. In contrast, the clinical recovery rate of patients without gradual expansion was only 32.6%. Good clinical recovery was significantly related to gradual expansion. The patients were divided into four groups (A-D) based on the clinical recovery rate and compression ratio. Group A (severe compression and poor clinical recovery) showed a significantly smaller cross-sectional area of the spinal cord than Group D (severe compression, but good clinical recovery).

CONCLUSIONS

Preservation of the cross-sectional area of the spinal cord, even when it is severely compressed and deformed, is an important factor in a good surgical outcome.

[Subclinical neuro-psychobehavioral effects in occupational, environmental and community health: methodology and recent findings]

Evoked potentials (short-latency somatosensory, visual and brainstem auditory evoked potentials), event-related potential (P300), electrocardiographic R-R interval variability, peripheral nerve conduction velocity, distribution of nerve conduction velocities, postural balance, neurobehavioral test batteries, and questionnaires and psychiatric interview methods appear to be promising techniques for assessment of subclinical neuro-psychobehavioral effects in occupational, environmental and community health. In this paper, an overview of recent methodology and findings is provided. The available data indicate that these techniques are valid, reliable and standardized, and are easily applied in field studies.

Frequent hard physical activity lowered serum beta-carotene level in a population study of a rural city of Japan

To determine the effect of physical activity on serum beta-carotene, we analyzed data about life styles including 3-day food records and blood samples collected from 57 men and 74 women in a rural city of Japan. Physical activity was asked as mean frequency of hard physical activities per week last year. A declining trend in serum beta-carotene was observed with increasing frequency of hard physical activities in men. In multiple regression analyses, the frequency of hard physical activities showed a negative partial correlation coefficient (r = -0.38, p = 0.007) with serum beta-carotene in men when controlled by age, BMI (body mass index), dietary factors (carotene intake, alcohol consumption and vitamin supplements use), smoking status, serum total cholesterol and serum triglycerides. These results suggest that frequent hard physical activity decreases serum beta-carotene especially in men.

[Structure and function of cell adhesion molecules in selectin family and their roles in cancer metastasis]

Cell adhesion molecules of selectin family are involved in the metastasis of cancer at the step of attachment of cancer cells to endothelial cells. P-selectin mediated adhesion of cancer cells with platelets, and L-selectin mediated adhesion of leukocytes to cancer cells would also be involved in the process of hematogenous metastasis through the microthrombus formation. Upon adhesion to cancer cells, platelets and leukocytes secrete cytokines that induce E-selectin expression of endothelial cells, and this further facilitates hematogenous metastasis.

Scoliosis and congenital heart disease

STUDY DESIGN

This study analyzed clinical characteristics of scoliosis associated with congenital heart disease. Chest roentgenograms were reviewed to determine frequency, type, onset, and progression of scoliosis associated with congenital heart disease.

OBJECTIVES

To determine which patients with scoliosis and congenital heart disease should be followed-up carefully.

SUMMARY OF BACKGROUND DATA

Although several studies have been reported on scoliosis and congenital heart disease, the etiology of scoliosis in patients with congenital heart disease is still unknown. Furthermore, it has been difficult to determine the progression of scoliosis.

METHODS

Chest roentgenograms of 680 patients who underwent cardiac operations because of congenital heart disease were evaluated.

RESULTS

Seventy-four (10.9%) of these patients had scoliosis of more than 10 degrees, although most of them had mild curves. Scoliosis in patients under 10 years old undergoing cardiac operations was more severe than in those older than 10 years who underwent surgery. Scoliosis associated with congenital heart disease showed no particular features. Patients with patent ductus arteriosus showed left convex, high thoracic scoliosis after surgery.

CONCLUSIONS

The mechanisms of onset of scoliosis in patients with congenital heart disease were not simple and were affected by several factors, including age at operation, side of approach, and type of congenital heart disease.

Experimental scoliosis induced by rib resection in chickens

Factors which affected the severity of scoliosis induced by rib resection were examined. Seventy chickens were divided into a rib transection group and a rib resection group with seven subgroups, according to the number of ribs treated and the age at surgery, and examined radiographically until 20 weeks postoperatively. Rib transection group chickens showed fusion at the transected site and no marked scoliosis. In the rib resection group, the more ribs resected and the younger the age at operation, the more severely the scoliosis developed. Bone regeneration at the resection site made the progression of scoliosis milder. These findings indicate that the age at rib resection, the number of ribs that are operated on, and nonunion of the resected sites play important roles in the progression of scoliosis induced by rib resection.

Nonenzymatic glycation of transferrin: decrease of iron-binding capacity and increase of oxygen radical production

The total iron-binding capacity (TIBC) and iron contents of diabetic rat serum, as well as the iron-binding capacity of glycated transferrin and oxygen radical production by the glycated proteins were examined. The TIBC and iron content of diabetic rat sera were found to be much lower than those of control rat sera. Incubation of human serum with glucose in vitro resulted in a significant fall of its unsaturated iron-binding capacity (UIBC) with time. When apotransferrin was incubated with glucose, its UIBC significantly decreased. The iron content of holotransferrin was markedly reduced by incubation with bathophenanthroline sulphonic acid (BPSA) in the presence of glucose, although the content was not altered by incubation with BPSA alone. The generation of superoxide radical (O2-) and hydroxyl radical (OH.) by the glycated holotransferrin was much greater than that by glycated apotransferrin. Glycated holotransferrin showed significantly accelerated hydroxyl radical production by the hypoxanthine-xanthine oxidase system, while intact holotransferrin did not. Treatment of holotransferrin with glucose caused the fragmentation of the protein, while the same treatment of apotransferrin did not. These results suggest that iron ions in the glycated transferrin molecule are bound loosely to the protein and are redox-active and the glycated holotransferrin produces oxygen radicals including O2- and OH. efficiently, and that the glycated transferrin does not function as an iron-binding protein.

Evaluation of two assay kits for thermostable direct hemolysin (TDH) as an indicator of TDH-related hemolysin (TRH) produced by Vibrio parahaemolyticus

Reversed passive latex agglutination (RPLA) or enzyme-linked immunosorbent assay kits with beads (Bead-ELISA) are commercially available in Japan to detect the thermostable direct hemolysin (TDH) produced by Vibrio parahaemolyticus isolates. We evaluated whether these kits can be used to assay the pathogenic toxin, TDH-related hemolysin (TRH), produced by some so-called Kanagawa phenomenon-negative V. parahaemolyticus strains isolated from patients with diarrhea. Our results showed that the two kits, RPLA and Bead-ELISA, can detect TRH, although they were originally developed for detection of TDH. This may be due to the use of polyclonal anti-TDH antisera that cross react with TRH. Although the sensitivity for TDH detection by RPLA and Bead-ELISA differed tenfold, that for TRH detection was essentially equal. The minimum concentration of TRH required for detection by the two assay kits was about 10 ng/ml.

Effects of marital status and position on personality traits in engineers of a computer manufacturing plant

To investigate the effects of marital status and position on DSM-III-R personality traits, we administered the self-rating questionnaires of the Structured Clinical Interview for DSM-III-R Personality Disorders to 757 male computer engineers, aged 20 to 49 years, at a computer manufacturing plant. The scores for six of eleven personality traits were significantly higher in single computer engineers than in married ones. Also, among the engineers aged 40 to 49, the scores for six personality traits of section-heads were significantly higher than those among persons in the other positions. These findings suggest that "maladaptive" personality traits, defined by the DSM-III-R, differ with marital status and position in a company.

Effects of mood states, smoking and urinary catecholamine excretion on hemoglobin A1c in male Japanese workers

To know the association between psychological strain and glycosylated hemoglobin (HbA1c) and to examine roles of smoking and catecholamine excretion as a possible mediator in the association, we measured mood states (Profile of Mood States, POMS), urinary catecholamines (adrenalin, noradrenaline and dopamine) from urine sample in early morning, HbA1c and fasting plasma glucose (FPG) of 63 male employees on a rest day. After excluding 12 subjects who had diabetes or impaired glucose tolerance or had missing response to the questionnaire, data from 51 subjects were analyzed. The POMS anger-hostility score significantly and positively correlated with HbA1c (p < 0.05), while other scale scores did not (p > 0.05). Number of cigarettes smoked per day significantly and positively correlated with HbA1c (p < 0.05). Urinary excretion rate of any catecholamine did not significantly correlate with HbA1c (p > 0.05). Multiple linear regression analysis indicated that the anger-hostility score significantly correlated with HbA1c after controlling for number of cigarettes per day (p < 0.05). It is suggested that, among mood states, anger-hostility is associated with increased HbA1c. However, our study failed to find a mediating role of urinary catecholamines or smoking on the association between the mood and HbA1c.

Assessment of job stress dimensions based on the job demands- control model of employees of telecommunication and electric power companies in Japan: reliability and validity of the Japanese version of the Job Content Questionnaire

To investigate the reliability and validity of 4 selected scales from the Japanese version of the Job Content Questionnaire (JCQ. Karasek, 1985)-decision latitude, psychological demand, supervisor support, and coworker support-a survey was conducted on a total of 626 employees of telephone and electric companies in Japan. The survey questionnaire was composed of 22 items. Data from 472 male and 108 female respondents were analyzed. Cronbach's alpha coefficients for the four JCQ scales ranged from .61 to .89 for men and from .65 to .87 for women. Scree plots based on factor analyses of scale items indicated that one major factor explained 30% to 75% of each scale variance in men and women. Factor structures of the 22 items for men and women were consistent with those theoretically expected Distributions of the decision latitude scores among occupations for men and women were similar to those in the U.S. national samples; the scores significantly and positively correlated with occupational class. It is suggested that the JCQ scales are reliable and valid instruments for assessing job stressors in a Japanese working population.

Scoliosis secondary to rib resection

The case histories of 11 patients (five adults and six children) who presented with scoliosis after multiple rib resection for several disorders were reviewed. All 11 cases developed scoliosis with the convexity directed toward the side of the rib resection. The natural history of the scoliosis was progressive, and the younger the age at the time of rib resection, the more severe the progression. The rate of progression was greatest during the first 10 years after rib resection. The five patients who presented as adults were treated in several ways, only one requiring spine fusion. However, five of the six children required spine fusion to prevent progression of scoliosis.

[Factors related to demand for cancer mass screening]

The demand for cancer mass screening was studied by a survey conducted in a city of Gifu Prefecture using a mailed self-administered questionnaire. Subjects (n = 300) were randomly selected by age groups from among residents aged 40 years or over, and the response rate was 65.1% (n = 192). Eight subjects were excluded from analysis because of missing data. The demand for mass screening was much lower in both sexes in the age groups 70 years old or over (stomach: 51.6%, lung: 45.2%, colon: 41.9%) than in younger age groups (stomach: 85.8%, lung: 77.8%, colon: 80.8%). Demand level of housewives and persons without regular occupation were lower than those in other occupational groups. Persons with prior experience of receiving screening at their work-site had higher demand for screening than others. A multivariate analysis of screening for stomach cancer showed that prior experience of screening is the most important factor predicting demand for the next screening.

[Failures of lumbar epidural analgesia caused by transforaminal passage of an epidural catheter in two cases]

In one case, analgesia level obtained with a 20 ml of 1.5% mepivacaine was unilateral and inadequate. In the other case, an epidural catheter was inserted after a 20 ml of 2% mepivacaine was injected through a Tuohy needle. Toxicity by local anesthetic was induced by an overdose of local anesthetic through the catheter. In both cases, transforaminal passage of a catheter was confirmed by epidurogram with iohexol. If an epidural catheter is advanced beyond 5 cm into the epidural space, it may migrate outwards through the intervertebral foramen. Therefore, the insertion of an epidural catheter should be limited to 3-4 cm.

Hydroxylation of phenylalanine and salicylate by stimulated polymorphonuclear leukocytes and the accelerating effect of glutathione on their hydroxylation

Incubation of phorbol-myristate acetate-stimulated human polymorphonuclear leukocytes (PMNs) with phenylalanine and salicylate induced significant levels of formation of o- and m-tyrosines, and 2,3- and 2,5-dihydroxybenzoates (DHBAs), respectively, dependent on reaction time. Aromatic hydroxylation reactions were not inhibited by desferrioxamine, nor were they affected by the removal of trace ion contamination from the buffer solution used by treatment with conalbumin. Hydroxylation reactions were largely blocked by superoxide dismutase and hydroxyl radical (OH.) scavengers. The results of the present study suggest that the generation of OH. by human PMNs occurs during the respiratory burst. Hydroxylation of both phenylalanine and salicylate by stimulated human PMNs were significantly accelerated by incubation in the presence of the reduced form of glutathione (GSH). Hydroxylation of phenylalanine by stimulated guinea pig PMNs in the presence of GSH was significantly inhibited by desferrioxamine, although the same hydroxylation in the absence of GSH was not affected. Hydroxylation of phenylalanine by the hypoxanthine (HX)-xanthine oxidase (XO) system by intact PMNs was significantly accelerated by the addition of GSH, although that in the absence of PMNs was largely inhibited. Desferrioxamine showed an inhibitory effect on hydroxylation by the HX-XO system in the presence, but not in the absence, of intact PMNs. The results suggest that the formation of OH. by stimulated PMNs is accelerated by GSH, based on the occurrence of the Harber-Weiss reaction catalyzed by transition metal ions liberated and reduced by GSH from PMNs, and by the effective accumulation of H2O2 by the GSH-induced inhibition of catalase.

Aspergillus brain abscess in a patient with normal immunity--case report

A 53-year-old male with normal immunity presented with Aspergillus brain abscess manifesting as frontal headache. T2-weighted magnetic resonance imaging revealed a hypointense lesion in the left frontal lobe extending into the right frontal lobe. The hypointense appearance on T2-weighted images appears to be characteristic of aspergillosis. Bifrontal craniotomy exposed an elastic-hard mass in the base of the left frontal lobe extending into the right frontal lobe, and into the left ethmoid sinus. The mass contained a cavity with white fluid. The abscess was removed almost totally. The histological diagnosis was Aspergillus abscess. Antibiotic treatment with amphotericin B and fluconazole was given for 2 months postoperatively. No recurrence was identified during 15-month follow-up.

Assessment of personality traits and psychiatric symptoms in workers in a computer manufacturing plant in Japan

To investigate personality traits and psychiatric symptoms, we administered the Structured Clinical Interview for DSM-III-R Personality Questionnaire (SCID-II Screen), the Zung Self-Rating Depression Scale (SDS), and the 30-item version of the General Health Questionnaire (GHQ-30) to 781 male computer engineers and 214 male clerical workers in a computer manufacturing factory. Subjects, aged from 20 to 49 years, were divided into university and high school graduates. Among the university graduates, scores for schizotypal and avoidant personality traits were significantly higher in computer engineers than in clerical workers (the effect of age was controlled by analysis of covariance). No significant correlation between personality traits and years employed was found in the university-graduate computer engineers. In high school graduates, scores for borderline and dependent personality traits were significantly lower in computer engineers than in clerical workers (the effect of age was controlled by analysis of covariance). Because of the lack of significant association of personality traits and symptoms with duration of employment in the university-educated computer engineers, the greater prevalence of schizotypal and avoidant personality traits might be related to their process of self-selection of job rather than to computer manufacturing work. In summary, these data suggest that computer engineering work does not cause abnormal personality traits or psychiatric symptoms.

Intraoperative ultrasonographic evaluation of the spinal cord in cervical myelopathy

Intraoperative spinal ultrasonography (IOSS) was used to evaluate and monitor the spinal cord in 49 patients with cervical myelopathy. Intraoperative spinal ultrasonography demonstrated movements of the dura mater and the spinal cord at the cardiac rate, with some variability in intensity and mode. It also delineated the anterior surface of the spinal canal and configuration of the spinal cord. Statistical analysis showed no correlation between clinical outcome and morphologic restoration, and between clinical outcome and variations in intensity or mode of the pulsatile spinal cord movements. Spinal cord motions were surmised to be generated not only by the anterior spinal artery, but also by other factors. Dural pulsations clearly did not always imply the absence of compression of the spinal cord. Intraoperative spinal ultrasonography was thus quite useful for monitoring decompression in cervical myelopathy.

New transducers for intraoperative spinal sonography. Technical note

Although ultrasonography during spinal cord surgery has been widely accepted, it still has limitations in clinical application because of the size of the transducers needed and the immersion method. The authors report on newly designed microprobe transducers used to evaluate intramedullary spinal cord lesions and to monitor surgical procedures. This microprobe system permitted the microscopic use of intraoperative ultrasonography without requiring saline immersion.

Increasing trends in mortality rate of aortic aneurysms in Japan, 1955-90

To know the characteristics of mortality from aortic aneurysms in Japan, the age-adjusted and age-specific mortality rates of the diseases were calculated based on the Vital Statistics of Japan published from the Statistics and Information Department, Minister's Secretariat, Ministry of Health and Welfare. The overall age-adjusted mortality rate increased 24.8-fold from 0.43 to 10.98 per 100,000 for males, and 18.6-fold from 0.23 to 4.54 per 100,000 for females from 1955-90. The most common type was abdominal aortic aneurysms followed by dissecting and thoracic aortic aneurysms. The mortality rates of dissecting and thoracic aortic aneurysms increased greater than that of abdominal aortic aneurysms. The mortality rate of dissecting aneurysms was higher than that of abdominal and thoracic aortic aneurysms in age groups of 64 years or under. The mortality rate of abdominal aortic aneurysms was the most common in age groups of 65 years or over.

The increased signal intensity at the vertebral body endplates after chemonucleolysis demonstrated by magnetic resonance imaging

Changes in signal intensity observed by magnetic resonance imaging in the contiguous end plates of injected discs after chemonucleolysis over a period of 2 years in 28 patients were evaluated. These changes appeared to be of two types; a transiently increased signal intensity on T2-weighted images, and a progressively increased signal intensity on T1-weighted images with isointense or hyperintense signal on T2-weighted images. The former appeared within three months and disappeared within 2 years. This change was observed in six patients (21%), whose mean age was higher than that of the other patients. This change correlated with the preinjection state of the affected disc. The latter appeared after 2 years and was accompanied by sclerotic changes on roentgenograms. These changes were observed in five patients (18%). The discs, of which the contiguous end plates showed these changes, did not recover the decreased nuclear signal intensity in four patients. These changes are considered to be a sign of degenerative spondylosis in the treated segment.

Work stress in Japanese computer engineers: effects of computer work or bioeducational factors

To examine whether computer work and bioeducational factors (age and school career) have significant effects on work stress in computer engineers in Japan, we administered a stress questionnaire to 764 male computer engineers and 211 male office workers in a computer-manufacturing factory in Tokyo. Four scales of perceived psychological stress at work examined were work overload, poor human relationships at work, unsuitable job, and competition-dismissal anxiety. The results of the three-way analysis of variance, in which age (20-29, 30-39, and 40-49 years), school career (high school and university graduates), and computer work (computer engineers and office workers) were three variation factors, indicated that: (1) there were no significant differences in all scores of work stress between computer engineers and office workers (P > 0.05); (2) scores for unsuitable job and poor human relationships at work were significantly higher in high school graduates than in university graduates (P < 0.05); and (3) there were significant age differences in scores for three scales of work stress (unsuitable job, competition-dismissal anxiety, and work overload: P < 0.001, P < 0.01, and P < 0.05, respectively). These findings suggest that computer work has no significant effect on perceived work stress in computer engineers; on the other hand, age and school career do have effects.

New vertebral body impactors for posterolateral decompression of burst fracture

A new type of impactor was developed to decompress the anterior aspect of the vertebral body. These instruments are particularly useful for cases of burst fracture.

Relations of work stress to alcohol use and drinking problems in male and female employees of a computer factory in Japan

To examine the effects of work stressors on alcohol use and drinking problems as well as a model of stress-induced drinking in Japanese male and female workers, a total of 2581 employees of a computer factory were surveyed using mailed questionnaires. Five psychosocial work stressors, overtime, rotating shift, frequency of drinking, amount of alcohol consumed per drinking occasion, and drinking problems, and depressive symptoms were assessed. The hierarchical linear and logistic regression analyses were conducted in 1043 male and 255 female current drinkers aged 20 years or older. The results suggested that overtime and lack of intrinsic work rewards are main factors for heavy and problem drinking in Japanese male workers and that ambiguity about job future is a factor for heavy drinking in Japanese female workers. However, the model of stress-induced drinking was supported neither in males nor in females, suggesting that the effects of these work stressors on heavy and problem drinking are not mediated by depressive symptoms.

Formation of a hydroxyl radical by the myeloperoxidase-NADH-oxygen system

When phenylalanine was incubated with myeloperoxidase (MPO) and NADH in citrate buffer (pH 4.5), o-, m-, and p-tyrosines were identified as hydroxylated products. Tyrosine formation was dependent on the reaction time and MPO concentration. No significant quantities of tyrosines were formed on if MPO was omitted and inactivated MPO was added instead of active MPO. The tyrosine formation by the MPO-NADH system was greatly reduced under anaerobic conditions, and significantly inhibited by hydroxyl radical scavengers. Superoxide dismutase was a potent inhibitor, but catalase was less effective. Even though the superoxide radical (O2-)-producing ability of the MPO-NADH system was about 29% of that of the hypoxanthine-xanthine oxidase system, under the experimental conditions employed, the rate of tyrosine formation from phenylalanine by two systems was found to be a similar. The above results suggest that the formation of a hydroxyl radical (OH.) may occur in the MPO-NADH system under aerobic conditions and a superoxide radical may be involved in the OH. formation, with MPO promoting the OH. formation from O2-.

[Health care of work stress: a review]

In order to clarify the health effects of work stress and possible strategy for its prevention and treatment, we reviewed the literature on work stress as follows: 1) Review was made on 12 major psychosocial work stressors, 4 acute reactions to stress, disease outcome of work stress, measurement methods of those variables, and theoretical models of work stress. 2) Epidemiological studies of the effects of work stressors on cardiovascular diseases, psychological distress and mental disorders in Japan were reviewed. Also, work stress in specific occupations such as software engineers, nurses and female researchers was reviewed. 3) The following strategies for the prevention and treatment of the health effects of work stress were reviewed: i) surveillance of work stress, ii) improvement of psychosocial work environment, iii) education and information dissemination, and iv) reinforcement of occupational mental health services. Finally, the need for further investigation on the health effects of work stress and on the possible programs for the prevention and treatment in occupational health care system was discussed.

Prevalence and demographic correlates of alcohol-related problems in Japanese employees

To examine the relationship of basic sociodemographic characteristics to alcohol-related problem in Japanese employees, a questionnaire survey was conducted of a total of 2,581 employees of a computer factory in a suburb of Tokyo. The questionnaires included items on gender, age, marital status, social class (i.e., education, family income and occupation), alcohol consumption, and the Kurihama Alcoholism Screening Test (KAST). Data from 1098 male and 265 female current drinkers aged 20 years or older were analyzed; 15% and 6% of the male and female subjects, respectively, were classified as having alcohol-related problems on the basis of the KAST score (13% and 4% of the entire study population, respectively). Multiple logistic regression analysis indicated that alcohol-related problems were more prevalent in the less educated, managers and those who had a high alcohol consumption. The results suggested that education and occupation are important factors related to alcohol-related problems in Japanese employees.

Serial changes observed by magnetic resonance imaging in the intervertebral disc after chemonucleolysis. A consideration of the mechanism of chemonucleolysis

Changes in the intervertebral disc after chemonucleolysis in 26 patients were observed by magnetic resonance imaging for 1 year, and from the results a mechanism for chemonucleolysis was considered. A reduction in size of the herniation was not recognized 2 weeks after treatment, when chymopapain had caused necrosis of the disc, but began after 4 weeks, when regeneration of the disc had occurred. The herniation was further reduced after 3 months, and the disc had become fibrocartilaginous in a cicatricial process. Marked decrease in disc signal was observed after 2 weeks, and never recovered. From these facts, it is considered that chymopapain might never cause primary diminution of disc herniation, and any reduction of herniation that occurs is due to the effects of a secondary cicatricial contraction.