Shin'ya Yamada

Correlation between vibration-induced white finger and symptoms of upper and lower extremities in vibration syndrome

SummaryThe correlation was investigated between the frequency of attacks of vibration-induced white finger (VWF) and numbness or coldness of the fingers and legs in patients with vibration syndrome. Some 1687 patients with vibration syndrome were examined and of these 342 chain-saw operators and 277 rock-drill operators had no disease other than vibration snydrome. Then subjects were matched by age and period of treatment within three years. In the last analysis, 20 in the VWF “almost everyday” group or in the “never” group, and 40 in the “occasionally” group were selected from the chain-saw operators, and from the rock-drill operators 32 in the VWF “everyday” or the “never” group and 64 in the “occasionally” group. The present study showed that, with the frequency of VWF attacks, patients had a higher prevalence of coldness not only in the fingers but also in the legs. These findings suggest a correlation between the severity of circulatory disturbances of the upper extremities and that of the lower ones in patients with vibration syndrome. Further studies on circulatory disturbances in the leg are required.

Relation between overhead work and complaints of pear and apple orchard workers

The relation between working posture in overhead work and the complaints of farmers cultivating pears and apples were investigated by comparing pear work with apple work. The same 20 male and 28 female orchard workers were questioned about complaints associated with thinning out pears and bagging them, and bagging apples. The angle of forward flexion in the shoulder and neck extension was also measured in each job. The prevalence of tiredness, stiffness and pain in the neck, shoulders and arms was significantly higher in thinning out pears and bagging them than in bagging apples. Dizziness and tinnitus among female workers was more frequent in thinning pears. The posture of raising arms and bending the head backwards was higher in thinning and bagging pears. These results suggest that the working postures of elevated arms and backward head bending can cause symptoms in the neck, shoulders and arms. In some cases, they may also lead to symptoms of vertebral artery insufficiency.

Elbow joint disorders in relation to vibration exposure and age in stone quarry workers

SummaryElbow joint disorders were studied in relation to vibration exposure and age in 74 male stone quarry workers who operated mainly chipping hammers and sometimes rock drills. They were examined for range of active motion in elbow extension and flexion, and by means of radiographs of the elbow joint. Effects of age and vibratory tool operation on the elbow joint were statistically estimated using multiple regression analysis. In the analysis of all subjects, including those aged over 60 years, age was significantly related to the range of motion in extension and to radiographic changes in both elbows, and the duration of vibratory tool operation was associated with the range of right elbow flexion. Among subjects under the age of 60 years, duration of vibratory tool operation showed a significant dose-effect relationship to the range of flexion and radiographic changes in the right elbow, but there was no significant relationship with age. The present results suggest that the operation of chipping hammers and rock drills contributes to elbow joint disordes or osteoarthrosis, even when the effect of age is taken into account. Besides vibration exposure, it may be necessary to consider various loads on the elbow joint such as firmly grasping and pressing the tool against stones with the arm bent at about 90°, and carrying stones.

Involvement of the central nervous system in vibration syndrome

In order to clarify the involvement of the central nervous system (CNS) in vibration syndrome (VS), patients with VS and age-matched controls were given a questionnaire and neurophysiological tests on auditory brainstem response (ABR), event-related potential (P300), short-latency somatosensory evoked potentials (SLSEP), and blink reflex (BR). Twenty-eight patients with a mean age of 56.3 (SD = 3.01, range 48–65) years from western Japan were examined. They had been on sick leave for an average of 6.13 (SD = 3.2, range 1–13) years at the time of the testing. Almost all were experiencing Raynauds phenomenon in the winter of 1990–1991. They were not suffering from diseases or injuries which might have affected the CNS function. These patients were divided into two subgroups, one with more symptoms related to the CNS, especially memory and judgment (n = 13, group A), and the other with fewer symptoms (n = 15, group B). Normal controls with an average age of 55.8 (SD = 4.8, 48–65) years were people from the same area who met similar criteria. The ABR parameters of the patients were slightly, but not significantly, delayed compared with those of the controls. The SLSEP and BR parameters of the patients were not delayed. The latencies of P300 in group A were significantly delayed compared with those in the controls. The findings suggest that VS involves the cognitive and attention functions of the cerebral higher function, but not the conduction function in the auditory and somatosensory ascending tract and facial nerve reflex tract in the brainstem.

Knee Pain and its Associations with Age, Sex, Obesity, Occupation and Living Conditions in Rural Inhabitants of Japan

Factors associated with knee pain were investigated using 871 self-administered questionnaires (405 men and 466 women) from residents aged over 30 years in a rural area of Japan. The prevalence of knee pain increased with age, particularly in women over 50. It was significantly higher in women than in men. Body mass index (BMI) was significantly related to knee pain in women, though not in men. With reference to occupational factors, frequent heavy lifting on the job was significantly associated with knee pain in both men and women, whereas job-related standing and walking showed no such relationship. As for living conditions, residence on rather steep mountain slopes and the habit of sitting on Japanese tatami mats were significant factors related to knee pain in men, but not in women. There was no association of knee pain with the style of toilet (Japanese or Western). After controlling for all significant factors by multiple logistic regression analysis, age, heavy lifting, and residence on steep slopes were found to be independent factors related to knee pain in men; and age, BMI, and heavy lifting were the factors in women.

Indoor/outdoor radon decay products associated aerosol particle-size distributions and their relation to total number concentrations

The activity size distributions of indoor and outdoor radioactive aerosol associated with short-lived radon decay products were observed at Nagoya, Japan, for some periods from 2010 to 2012, following the indoor observation by Mostafa et al. [Mostafa, A. M. A., Tamaki, K., Moriizumi, J., Yamazawa, H. and Iida, T. The weather dependence of particle size distribution of indoor radioactive aerosol associated with radon decay products. Radiat. Prot. Dosim. 146: (1-3), 19-22 (2011)]. The tendency of smaller indoor activity median aerodynamic diameter (AMAD) after rainfalls showed in the previous study was not consistently obtained, while the consistent tendency of less indoor radioactive particles with diameters in the accumulation mode was observed again after rainfalls. The indoor aerosols showed activity size distributions similar to the outdoor ones. Non-radioactive aerosol particle concentrations measured with a laser particle counter suggested a somewhat liner relationship with AMAD.

An experimental method for quantitatively evaluating the elemental processes of indoor radioactive aerosol behavior

An experimental method for quantitatively evaluating the elemental processes governing the indoor behaviour of naturally occurring radioactive aerosols was proposed. This method utilises transient response of aerosol concentrations to an artificial change in aerosol removal rate by turning on and off an air purifier. It was shown that the indoor-outdoor exchange rate and the indoor deposition rate could be estimated by a continuous measurement of outdoor and indoor aerosol number concentration measurements and by the method proposed in this study. Although the scatter of the estimated parameters is relatively large, both the methods gave consistent results. It was also found that the size distribution of radioactive aerosol particles and hence activity median aerodynamic diameter remained not largely affected by the operation of the air purifier, implying the predominance of the exchange and deposition processes over other processes causing change in the size distribution such as the size growth by coagulation and the size dependence of deposition.

The Evaluation of Vibration Exposure in the Operation of Chain Saws and Bush Cutters

The evaluation of vibration exposure has had three aims for the prevention of vibration syndrome among Japanese forest workers using chain saws and bush cutters. The first was to introduce exposure time regulation in chain saw and bush cutter operation, the second to improve the chain saw and bush cutter, and the third to find effective tests for the early diagnosis of vibration syndrome. For the first aim, correlations between vibration exposure time (minutes, hours, days and years) and physiological effects including subjective symptoms were observed. From the results, new effective regulations were introduced. For the second aim, existing and new chainsaws and bush cutters were compared in terms of vibration acceleration level and changes of physiological function between before and after chain saw and bush cutter operation. Those results promoted the improvement of chain saws and bush cutters. For the third aim, correlations between vibration exposure dose and physical examination results were analyzed. From the analysis, effective tests relating closely with vibration exposure dose were obtained.