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Biomedical subjects

Seichi Horie

Publications and source records attributed to Seichi Horie.

12 recordsLinked to original sources

[A systematic review of working hours and mental health burden].

There is growing concern over the possible increase in mental health problems among Japanese workers. This trend is generally regarded as a reflection of Japan's prolonged economic depression and changes in working environment. In fact, claims for compensation for industrial accidents related to mental health diseases have been rapidly increasing in recent years. Working hours, personal-relationships, support from supervisors/co-workers, job demand, job control, and payment are known to affect workers mental health. In 2004, the Government announced a guideline to combat overwork and mental health problems at work places. This guideline articulates that long overtime working is a major indicator, and workers who work over 100 h overtime in a month should be encouraged to see an occupational physician. This guideline takes into account the practicalities of occupational health at work places and the empiric knowledge that long working hours might associate with workers mental health status. It may be reasonable to assume that long working hours affect workers health status both psychologically and physiologically, interacting with a variety of occupational factors, particularly job stress. However, the association between working hours and workers mental health status has not been fully clarified. The present article aimed to provide a systematic review of the association between working hours and mental health problems. The authors conducted a systematic review of the published literature on the association between working hours and mental health problems using PubMed. Of 131 abstracts and citations reviewed, 17 studies met the predefined criteria. Ten of these are longitudinal studies, and the others are cross-sectional studies. Seven of the 17 studies report statistically significant associations between working hours and mental health problems, while the others report no association. In addition, comparison among these studies is difficult because a variety of measurements of working hours were used. The present review found inconsistent results in the association between working hours and mental health burden.

Mental Health↗

[Long working hours and cardiovascular diseases: a systematic review].

Three years have passed since the countermeasures against the adverse health effects of overwork started in Japan, and fruitful outcomes have been expected. In the current study, a systematic review of articles was performed regarding the association of long working hours (LWH) with cardiovascular diseases (CVD) to obtain recent evidence of their association. An electronic database search was conducted using PubMed among English-written original articles published until December, 2004. A total of twelve articles were found conforming to the study's inclusion criteria, but evidence supporting the association of LWH and CVD was not detected. However, some distinctive studies related to the prevention of CVD were found relating to the concept of sensitive psychosocial factors such as vital exhaustion, and to the statistical modeling of occupational factors and biological indicators with the interaction term of psychosocial factors. Further studies will be needed to clarify the association of LWH and CVD.

Adult↗

[Body cooling capacity of water circulated cooling pants during lower body exercise in a hot environment].

We investigated the body cooling capacity of water-circulated cooling pants during lower body exercise in a hot environment. Five subjects were asked to ride a bicycle ergometer and to keep a work rate of 75 W continuously for 20 minutes. They then rest on the ergometer for 15 minutes, in a climate chamber kept at WBGT = 31.5 degrees C. They repeated the same procedure three times under three different conditions; 1) wearing cooling pants with cold water supply; 2) wearing cooling pants without water supply; 3) wearing short pants instead of cooling pants. Esophageal temperature and heart rate of the subjects, when their cooling pants were supplied with cold water, were lower compared with the condition without water supply, and were almost the same as the condition wearing short pants. Water-circulated cooling pants should effectively cool the body at work where the worker has to wear pants that cover his legs to prevent injury.

Adult↗

Screening for sleep-disordered breathing at workplaces.

Sleep-disordered breathing (SDB) is a condition of repetitive episodes of decreased or arrested respiratory airflow during sleep. Many workers over the world remain undiagnosed and untreated for SDB, and leaving themselves at the high risk for accidents and cardiovascular disease. Since, the Japanese Ministry of Land, Infrastructure and Transport distributed the sleep apnea syndrome manual together with sending an official notice to relevant bodies in all over Japan in March, 2003, employees and employers are expected to co-operate to prevent SDB-related accidents at work. We have conducted several surveys using the pulse-oximetry to detect SDB in working populations and found the high prevalence of SDB among workers in Japan, as many as in the US and EU countries. The proper use of the result from the screening for SDB seems to be beneficial both to workers and employers by maintaining occupational safety and by preventing future development of cardiovascular disease.

Accidents, Occupational↗

[Privacy of workers and handling of personal information in occupational health].

A non-medical personnel staff in enterprises may handle workers' health information in Japan, because occupational health legislation requires employers to keep records of workers' health examination results and to improve the working environment and the work based on the health status of each worker. Meanwhile, the notion of privacy developed in the 20th century and control over one's own personal information is now regarded as an important human right. For example, sensitive information such as health information may not be handled without consent from the person involved. Therefore, occupational health services in Japan have been exposed to high risks of workers' privacy being violated. The Health Promotion Law and the Personal Information Protection Law have been promulgated in succession in Japan, and we have already experienced court cases requiring damage from violation of privacy. However, some surveys of workers revealed that the awareness of these problems was not high, and the opinion for privacy protection differs depending on the types of health information. Occupational health professionals should be required to balance the value of proper usage and protection of the workers' health information by referring to the ethical guidelines.

Civil Rights↗

Relationship between self-reported low productivity and overtime working.

OBJECTIVE: To investigate the relationship between overtime working and self-reported low productivity due to poor health over the course of 1 year. METHODS: The subjects were 94 random-sampled workers at a Japanese manufacturing company. The data on sickness absence and low productivity due to poor health were collected by self-report questionnaires every month from October 1999 to September 2000. Seventy-four workers returned complete answers. The complete data on overtime hours of forty-nine of these employees were obtained from company records. RESULTS: In those reporting low productivity, cold-like symptoms and sleep loss were given as the causes. Low productivity was closely linked to overtime worked, whereas sick leave tended to increase during periods of change in overtime working. CONCLUSION: Our results suggest the possibility of a relationship between overtime working and self-reported low productivity.

Adult↗

Broccoli consumption and chronic atrophic gastritis among Japanese males: an epidemiological investigation.

Previous in vitro and animal experiments have shown that sulforaphane, which is abundant in broccoli, inhibits Helicobacter pylori (H. pylori) infection and blocks gastric tumor formation. This suggests that broccoli consumption prevents chronic atrophic gastritis (CAG) introduced by H. pylori infection and, therefore, gastric cancer. For an epidemiological investigation of the relationship between the broccoli consumption and CAG, a cross-sectional study of 438 male employees, aged 39 to 60 years, of a Japanese steel company was conducted. CAG was serologically determined with serum cut-off values set at pepsinogen I < or = 70 ng/ml and a ratio of serum pepsinogen I/pepsinogen II < or = 3.0. Broccoli consumption (weekly frequency) and diet were monitored by using a 31-item food frequency questionnaire. The prevalence of CAG among men who ate broccoli once or more weekly was twice as high as that among men who consumed a negligible amount (P < 0.05). Multiple logistic regression analysis indicated that broccoli consumption once or more weekly significantly increased the risk for CAG (odds ratio, 3.06; 95% confidence interval, 1.12-8.38; P < 0.05), after controlling for age, education, cigarette smoking, and alcohol consumption. The present study failed to show an expected association between frequent broccoli consumption and a low prevalence of CAG.

Adult↗

[Development of a computerized sound attenuation measurement system of hearing protectors based on Japanese Industrial Standard(JIS)].

Sound attenuation measurement of hearing protectors is done in accordance with JIS T 8161 in Japan. In the JIS T 8161 it is stated that more than three non-coherent sets which include a noise generator, one-third octave band-pass filter, amplifier, calibrated attenuator and signal interrupter are required. To realize this measurement system, various expenses and a large space are required. In our study, four channel test signals were generated by our programs, and fed to a digital/analog converter. Consequently, the hardware of a noise generator and one-third octave band-pass filter could be reduced. Moreover, a program, which automatically controlled sound pressure level by digitally controlled attenuators, was developed with the result that the sound attenuation measurement could be performed by operating the mouse. Furthermore, sound attenuation of the earplug was measured in accordance with JIS T 8161 to evaluate our system. The result showed that practical sound attenuation values were obtained by easy operation. It was considered that this system was effective in hardware reduction, and useful for sound attenuation measurement of hearing protectors.

Adolescent↗

Effect of dilution of sports drink on water balance and beverage preference of heat-exposed steel workers.

Eight skilled workers engaged in heat-exposed work in front of a blast furnace in a steel factory were asked to drink a sports drink or one of its dilutions of x 2, x 3, or x 5 during a regular daytime shift in the summer of 1999. A regular lunch was taken and the examined beverage was iced and was allowed to be consumed ad libitum. The beverage was changed each day during four days of the experiment without informing the dilution ratio. The non-diluted beverage contained 21 mEq/l of Na+, 5 mEq/l of K+, 6.7 g/dl of carbohydrate. In average, the body temperature measured in the ear canal was elevated by 0.34 degree C, the loss of body weight was 1.77 kg, total beverage intake was 1,875 g, total amount of urine was 291 g, and the total water loss was 3,732 g (1,350-5,810 g) during a single shift. Twenty out of 24 cases experienced more than 1.5% of weight reduction during morning work without noticing any subjective symptoms of dehydration. The amount of weight loss during morning work was significantly smaller when x 2 or x 3 dilution was taken compared to a non-diluted beverage. The mean value of urinary Na+ concentration was decreased after 8 hours of work; however, the difference was not significant. The urinary K+ concentration was significantly increased. When the total amount of urinary sodium excretion in stored urine was calculated, the x 3 dilution recorded the largest amount. Regarding palatability, the x 2 dilution received the best evaluation, whereas all subjects felt the original beverage as too condensed. We did not observe any adverse effect from diluting the sports drink for x 2 or x 3, when supplying them as water and electrolyte replacements for dehydrated steel workers.

Adult↗

[Occupational physician's role regarding return to work of workers with acquired disability].

Occupational physicians are expected to play important roles in helping workers with an acquired disability return to work. However, the key elements to develop a successful program to help these workers return to work are still unclear. In this study, we searched the literature referring to occupational physicians' role in the return-to-work process of the workers with acquired disability. Many of these studies mentioned the following; occupational physicians should start co-operating with the treating physician right after the appearance of the disability and exchange medical and occupational health information with each other. When a disabled worker wishes to return to work, the occupational physician in charge should carefully evaluate his/her work ability, and fitness for the work. We also performed a hearing survey at 15 diverse institutions and organizations that are generally aimed at promoting employment, social welfare and medical service for disabled persons located in at least a 5 million population prefecture in Japan. Among them, the Local Occupational Center for the Disabled functions as the practical gateway for employment, and the Health and Welfare Center is the principal window for the social welfare of the disabled. However, their services are sometimes limited to only those who have become jobless and not for those returning to their original work. We considered that occupational physicians should also communicate positively with the organizations to promote successful returning of the workers with acquired disability to their former work.

Data Collection↗

[Occupational safety and health at small scale enterprises co-operating with a medical university].

This descriptive study reports the results of a systematic survey on occupational safety and health hazards and risks to exposed workers at companies co-operating with a medical university, and investigates the effective methods for their management. Varieties of works at all these co-operating companies have been categorized into 14 types of businesses. The survey was performed in two-fold; an individual interview of managers and a comprehensive inspection of workshops, and a questionnaire to all workers (response rate 95.9%). All of the co-operating companies were small-scale enterprises with less than 50 employees. The occupational safety and health risks to be controlled were accidental contact with biomedical wastes, heat in the kitchen, laundry and boiler room, unfavorable ventilation at workplace close to medical facility, and physical fatigue of guards and janitors. A higher number of occupational health physicians and a higher rate of health examinations were observed compared to other small-scale enterprises in Japan. About 80% of all workers were conscious of working on the premises of medical facilities. To improve the occupational safety and health activities of co-operating companies, we propose the use of professionals at the medical university, the promotion of joint activities among the co-operating companies, and the strengthening of mutual connection and coordination between the co-operating companies and the medical university.

Hazardous Substances↗

Noise attenuation characteristics of a foam type earplug measured using a dummy head.

The attenuation characteristics of the earplug using a dummy head (KEMAR; Knowles Electronics Manikin for Acoustic Research) were measured, when it was exposed to pure tones or broadband noises at three different sound pressure levels (SPLs) of 70, 80 and 90 dB SPL in the 'wide frequency range from 250 to 20 k Hz. We ascertained the satisfactory capacity of noise attenuation except for from 10 k to 14 k Hz. The noise attenuation level increased with frequency until 2 k Hz, became almost constant until 8 k Hz, then decreased at around 10 k to 14 k Hz, and recovered in the range from 16 k to 20 k Hz. The frequency characteristics were identical among three different sound pressure levels and almost identical between pure tones and broadband noises. The change of frequency characteristics affected by the depth of the earplug that was inserted into the artificial ear canal of the KEMAR was also investigated. Measured sound pressure level by the builetin microphone in the KEMAR revealed a region in which the measured sound pressure levels were relatively higher around 10 k Hz. The frequency of the region moved higher when the earplug was inserted more deeply. Therefore it was considered that this phenomenon was related to the resonance frequency of the cylinder-like cavity made between the end section of the earplug and the diaphragm of the built-in microphone.

Audiometry, Pure-Tone↗