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[Comparative study of brain tumors treated at China Medical University, China and Kyushu University, Japan].

We have re-examined histopathological specimens of brain tumors extirpated at China Medical University from May, 1990 to June, 1992. During the last 2 years, about 400 cases of brain tumors were operated and 349 cases were histopathologically diagnosed and classified by one of the authors (T. I). The most common tumor was meningioma, 97 cases, followed by gliomas, 87 case and neurinoma, 71 cases. The sex and age distributions of these three tumor types were compared to those of Kyushu University Hospital, Japan. The most striking difference was age of meningioma and neurinoma patients, and Chinese patients were 10 years younger than Japanese patients. The incidence of 30th age group of meningioma was 25% in China and 10% in Japan. Thirty percent of neurinoma patients were operated at 30th and 40th age in China and Japan, respectively. The sex and ages of astrocytoma patients were almost the same frequencies in China and Japan. Among 22 cases of congenital tumors, 11 cases of epidermoid tumor in cerebello-pontine cistern was included. Cerebral tuberculoma, although rarely encountered in Japan, was 2 cases in China.

Adolescent

Can China's health care be transplanted without China's economic policies?

China's economic policies of the past 25 years have shaped its present health-care system. China's leadership has decided to have neither a national health-insurance system nor a national health service. Instead, it decided that its health system would mirror the workings of its industrial and agricultural system. Decisions to minimize imports, ban private economic activity, assign university graduates on a compulsory basis, control wages, maintain a large domestic standing army and prevent professions or universities from acquiring independent status led directly to the present system of medical care. Consequently, transplantation of China's striking achievements in health-care delivery to the United States or other countries is unlikely to occur in the absence of transfer of the underlying economic policies.

Agriculture

Inhalation of china stone and china clay dusts: relationship between the mineralogy of dust retained in the lungs and pathological changes.

A combined clinical, radiological, pathological, and mineralogical study was undertaken on 62 cases referred to the Medical Research Council Pneumoconiosis Unit by the Cardiff Pneumoconiosis Panel as Cornish china clay workers. Considerable pathological lesions were found in the lungs, both nodular and interstitial fibroses being present. Some men had worked with china stone but others had worked entirely with china clay. Nodular fibrosis appeared to be related to a high quartz content of the dust recovered from the lung, whereas among those with a high content of kaolinite dust in the lungs interstitial fibrosis was observed.

Adult

A pathological survey of atherosclerotic lesions of coronary artery and aorta in China. A coordination group in China.

A pathological survey of atherosclerotic lesions was carried out on 7159 hearts and 2044 aortae from autopsy material. The results showed that: 1. The prevalence of coronary atherosclerosis was 41.65%, while that of coronary stenosis was 9.41%. Lesions of comparable severity occurred about 5-10 years earlier in age in specimens collected after 1949 in this study, as compared with those before 1949 as reported previously by others. 2. Fatty streaks of coronary artery were found in newborns, whereas fibrous plaques were identified in coronary artery in the 10-19 year group. The prevalence of coronary stenosis increased rapidly after 35 years of age by a rate of about 8.6% per year up to 55 years and declined thereafter. 3. The prevalence of coronary atherosclerosis was higher in males than in females, with a significant difference found in the 20-59 year groups. Coronary atherosclerosis was more frequently found in the left anterior descending branch than other branches including the left main trunk. The proximal segments of each branch are the sites of predilection. 4. The prevalence of aortic atherosclerosis was 76.71%. Atherosclerotic lesions appeared about 10 years earlier in the aortae than in the coronary arteries. 5. The prevalence of coronary atherosclerosis and stenosis was higher in the northern part of China than in the south and the occurrence of lesions showed a lag of about 10 years by age in the latter. The difference was statistically significant.

Adolescent