1.Effects of Agricultural Chemicals on Rural Inhabitants in Miye Prefecture-A Report on the Findings of Health Examinations
Masayasu Kanamaru ; Hiroyuki Suzuki ; Masashi Kato ; Takeshi Nishikawa ; Yoshito Ohyama ; Harumi Noda
Journal of the Japanese Association of Rural Medicine 1984;33(2):159-166
Farmers are constantly exposed to the hazards of agrochemicals. Especially those who regularly spray their fields with pesticides are at high risk of being contracted with pesticideinduced maladies.
During the three-year period from 1980 to 1982, health examinations were conducted, covering a total of 1, 164 pesticide sprayers in eight rural communities, Miye Prefecture. Of the number, 869 were women. Mercury residues in hair were also measured.
The findings are as follows:
1. Abnormal lipid metabolism topped the list of disorders, followed by hypertension, ECG abnormalities, anemia, albuminuria and liver dysfunction in that order.
2. The rates of detection of these abnormalities were not particularly high as compared with those in ordinary health checkups.
3. When compared with previous findings, the cases of abnormal lipid metabolism and anemia decreased in number both in men and women, whereas the cases of abnormal cholinesterase activities and albuminuria increased in both sexes.
4. The majority of pesticides used by the farmers were organophosphorous.
5. The average level of mercury residues in hair was 5.35 ppm for men and 2.97 for women. 6. More than 6.0 ppm of mercury were detected in 23.1 % of the men and 1.9% of the women. None were found to carry more than 20 ppm of mercury in their hair.
2.High-Grade, Advanced Tongue Cancer Treated with Arterial Injection Chemoradiotherapy by Multidisciplinary Medical Teams
Akio YASUI ; Shoichiro KITAJIMA ; Hisanobu MARUO ; Harumi MIZUTANI ; Emi SAWAKI ; Mariko MIZOGUCHI ; Yuna KATO ; Shinichi ISHIKAWA ; Masayo SOBUE ; Akiko UNESOKO ; Keiko NAITO ; Masaki NAKATA ; Hayato SIGEMURA ; Mayu MATSUOKA ; Tomoko NODA ; Tetsuya ANDO ; Minoru TERASAWA
Journal of the Japanese Association of Rural Medicine 2016;65(1):83-92
In recent years, favorable therapeutic outcomes have been reported for arterial injection chemoradiotherapy for tongue cancer. The present case involves an 80-year-old woman in our palliative care department who had high-grade, advanced tongue cancer. Because there was a request for surgery to prevent airway occlusion due to growth of the tumor, she was referred to our department in April 2009. As a treatment policy for controlling tumor growth in high-grade, advanced tongue cancer, arterial injection chemoradiotherapy was carried out through the superficial temporal artery, with a tongue artery catheter in place on both sides. Therapeutic effect was obtained, and it was possible to avoid airway occlusion through tumor regression. Dysphagia and dysphemia were improved, which in turn improved quality of life. In this case, there was an opportunity to carry out multidisciplinary team medicine, including support from the oral care and palliative care teams as part of the process of cancer therapy. Here, we present our findings in this case.